Form NCUA 4501A NCUA 4501A NCUA Profile

NCUA Profile

Profile PDF Online DRAFT MAR20 101119rev

NCUA Profile

OMB: 3133-0204

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NATIONAL CREDIT UNION ADMINISTRATION
ALEXANDRIA, VIRGINIA 22314-3428
OFFICIAL BUSINESS

Credit Union Profile Form and Instructions

T

TO THE BOARD OF DIRECTORS OF THE CREDIT
IT UNION
U
ADDRESSED:

AF

e. T
ve ddate of this form is
This booklet contains the Form 4501A Profile.
The effective
ntil superseded.
supers
March 31, 20 and will remain in effect until
Instructions and
UA’s website at www.ncua.gov.
quarterly filing dates are available on the NCUA’s

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The Profile Reporting Instructions page
ge contains the ffiling requirements. Please
note, the Profile must be certified
conjunction with the filing of the Form
ied in conjunct
5300 Call Report.
The NCUA website provides
rovides the quarterly
t l filing date. In addition, credit union
contacts of record will continue
ontinue to rreceive quarterly email notifications of the
cycle highlights.
If you have any questions,
please contact your National Credit Union
ions, ple
Administration Regional Officeor
O
your state credit union supervisor, as
appropriate. Please direct any technical questions to NCUA Customer Service at
1-800-827-3255.

OMB No. yyyy-yyyy

NCUA Profile Form 4501A
Effective March 31, 20ϮϬ
Previous Editions Are Obsolete

REPORTING REQUIREMENTS
Provide Updated Information: In accordance with NCUA Rules and Regulations Part
741, insured credit unions are required to update their profile information within 10 days of
the election or appointment of senior management and volunteer officials, or within 30
days of any change.

Records Retention: Credit unions should retain a copy of the information used to
complete the profile as a part of the permanent records of the credit union.

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The instructions to prepare this form meet the requirement to provide guidance to small
credit unions under Section 212 of the Small Business Regulatory
atory Enforcement
E
Fairness
Act of 1996.

Paperwork Reduction Act Statement
The estimated average public
ublic
lic reporting burden associated with this information collection
is 2 hours per response.
e. Comments
Comments concerning
concerni the accuracy of this burden estimate and or
any other aspect off this information collection,
including suggestions for reducing this
col
burden to should be addressed to tthe:
National Credit Union A
Administration
Office of General
Counsel
eneral Cou
1775 Duke Street
eet
Alexandria, VA 22314-3428

OMB No. yyyy-yyyy

NCUA Profile Form 4501A
Effective March 31, 20ϮϬ
Previous Editions Are Obsolete

CERTIFICATION

Credit Union Name :

Charter Number :

I understand each operating insured credit union must update their credit union profile within 10 days after the election or
appointment of senior management or volunteer officials, or within 30 days of any change of the information in the profile.
I hereby certify to the best of my knowledge and belief the information provided is current and accurate. I make this certification
pursuant to sections 106, 120, and 204 of the Federal Credit Union Act (12 U.S.C. 1756, 1766, and 1784).

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Full Name :

First Name :

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Last Name :

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Certified By

OMB No. XXXX-XXXX

NCUA Profile Form 4501A
Effective March 31, 2020
Previous Editions Are Obsolete

Date :

CERTIFY COMPLIANCE MINIMUM SECURITY DEVICES AND PROCEDURES
NCUA RULES AND REGULATIONS PART 748
FEDERALLY INSURED CREDIT UNIONS ONLY
Charter Number :

Credit Union Name :

I hereby certify to the best of my knowledge and belief that this credit union has developed and administers a security program
that equals or exceeds the standards prescribed by Part 748.0 of the NCUA Rules and Regulations; that such security
program has been reduced to writing, approved by this credit union's Board of Directors; and this credit union has provided for
the installation, maintenance, and operation of security devices, if appropriate, in each of its
offices. Further, I certify that I am
ts o
the president or managing official of the credit union or that the president or managing official
offici has authorized me to make this

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submission on his/her behalf.

Job Title :

Full Name :

OMB No. XXXX-XXXX

First
rst Name
me :

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Last Name :

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Certified By

NCUA Profile Form 4501A
Effective March 31, 2020
Previous Editions Are Obsolete

Date :

GENERAL INFORMATION

Credit Union Name :

Charter Number :

1 . Indicate the type of credit committee the credit union has :

2 . Provide the credit union's primary Settlement Agent :

3 . Provide the credit union's Employer Identification Number (EIN) :

4. Provide the Research Statistics Supervision and Discount (RSSD) Number issued
by the Board of Governors of the Federal Reserve System :

5 . Is your credit union a member of the Federal Home Loan Bank?

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6. Has your credit union filed an application to borrow from the Federal Reserve Bank Discount Window?

7. Has your credit union pre-pledged collateral with the Federal Reserve Bank Discount Window?

8. Does your credit union sponsor a qualified defined benefit plan?

d benefit plan?
plan
9. Does your credit union participate in a multiemployer defined

10. Provide the Assets of the Credit Union :

11. Provide the Number of Members of the Credit
dit Union
nion :

12. Specify the Peer Group of the Creditt Union :

13. Provide the Credit Union Website
e Addr
Address :

14. Provide the NCUA Examiner Contact Name
me :

15. Provide the NCUA Examiner Contact Email Address :

16. Provide the NCUA Supervisory Examiner Contact Name :

17. Provide the NCUA Supervisory Examiner Email Address :
18. Provide the Profile Certifier Name :

19. Provide the Profile Certification Date :

OMB No. XXXX-XXXX

NCUA Profile Form 4501A
Effective March 31, 2020
Previous Editions Are Obsolete

INFORMATION SYSTEMS AND TECHNOLOGY (IS&T) - (1)
Charter Number :

Credit Union Name :
1. Does the credit union have a website?
a. Website Address :
b. Website hosted internally :
c. Type of website :
d. Transactional website Vendor :
2. If the credit union does not have a website and plans to add one in the future
a. Type of website :
b. Transactional website Vendor for Planned Website :
c. Implementation Date :
3. Organizational email address :
4. Does the credit union have Internet access?
5. Does the credit union have an internal wireless network?
6. Data Processing System used to maintain CU records :
7. Name of the primary share/loan data processing vendor :
8. How members access/perform electronic financial services
a. Home Banking via Internet Website

c. Automatic Teller Machine (ATM)

e. Kiosk

b. Audio Response/Phone Based

d. Mobile Banking

f. Other
her

a. Account Aggregation

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9. Services offered electronically

f. Electronic Signature Auth./Cert.

k. Member Application

p. Remote Deposit Capture

b. Account Balance Inquiry

g. e-Statements

l. Merchandise
chan
Purchase

q. Share Account Transfers

c. Bill Payment

h. External Account Transfers

Processing Svcs
m. Merc
Merchant Processin

r. Share Draft Orders

d. Download Account History

i. Internet Access Services

n. New
Ne Loan

s. View Account History

e. Electronic Cash

j. Loan Payments

o. New Share
Account
S

t. Mobile Payments

b. Corporate
porate Credit Union
Unio

c. Correspondent Bank

d. CUSO

f. FedWire
dWire

g. EPN

u. Other (Please Specify)

10. Systems used to process electronic payments
a. Fedline Advantage
e. CHIPS

h. Other (Please Specify)

11. If the credit union performs ACH transfers,
fers, where does the credit unio
union transfer funds (check all that apply):
a. Domestically

b. Internationally
ona

12. If the credit union is an Originating Depository
Institution, what types of ACH transactions are originated by the credit union (check all that apply):
tory Financial Instit
Inst
a. Consumer Transactions

c. Payrolls

e. TEL Based Transactions

b. Business Transactions

d. WE
WEB Based Transactions

f. International Transactions

g. Other (Please Specify)
13. If the credit union performs wire transfers, where does the the credit union wire funds (check all that apply):
a. Domestically

b. Internationally

14. Which processes can a member use to initiate electronic payments (e.g. wire transfer, ACH, etc.) from the credit union (check all that apply):
a. Email

c. Internet Banking

b. Fax

d. Telephone

e. In Person

f. Other (Please Specify)

OMB No. XXXX-XXXX

NCUA Profile Form 4501A
Effective March 31, 2020
Previous Editions Are Obsolete

INFORMATION SYSTEMS AND TECHNOLOGY (IS&T) - (2)

Charter Number :

Credit Union Name :

DATA PROCESSING CONVERSION
If the credit union has undergone or plans to undergo a Data Processing Conversion, please provide the following:

Data Processor Converting/Converted to

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Date of Conversion

OMB No. XXXX-XXXX

NCUA Profile Form 4501A
Effective March 31, 2020
Previous Editions Are Obsolete

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D
rvice 100% Complete
d. Transition of any service
Complete?

Tran
d. Transition
of any service 100% Complete?

OMB No. XXXX-XXXX

e. Payment Service(s) 100% Complete :

c. Percentage of Transition Complete :

b. Payment Service(s) Affected :

a. Provider you plan to or have changed to :

NCUA Profile Form 4501A
Effective March 31, 2020
Previous Editions Are Obsolete

d. Transition of any service 100% Complete?

2. Are you planning to change this payment system relationship within the next 12 months and/or have you started to transition to a new provider?

b. Payment Services Used :

a. Name of Corporate CU :

m services?
servic
1. Does your credit union use a corporate credit union for payment system

e. Payment Service(s) 100% Complete :

c. Percentage of Transition Complete :

b. Payment Service(s) Affected :

a. Provider you plan to or have changed to :

2. Are you planning to change this payment system relationship within the next 12 months and/or have
e you started to transition to a new
n
provider?

b. Payment Services Used :

a. Name of Corporate CU :

1. Does your credit union use a corporate credit union for payment system services?

e. Payment Service(s) 100% Complete :

c. Percentage of Transition Complete :

b. Payment Service(s) Affected :

a. Provider you plan to or have changed to :

2. Are you planning to change this payment system relationship within the next 12 months and/or have you started to transition to a new provider?

b. Payment Service(s) Used :

a. Name of Corporate CU :

1. Does your credit union use a corporate credit union for payment system services?

Credit Union Name :

PAYMENT SYSTEM SERVICE PROVIDER INFORMATION (1)
Charter Number :

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D
rvice 100% Complete
d. Transition of any service
Complete?

Tran
d. Transition
of any service 100% Complete?

OMB No. XXXX-XXXX

e. Payment Service(s) 100% Complete :

c. Percentage of Transition Complete :

b. Payment Service(s) Affected :

a. Provider you plan to or have changed to :

NCUA Profile Form 4501A
Effective March 31, 2020
Previous Editions Are Obsolete

d. Transition of any service 100% Complete?

2. Are you planning to change this payment system relationship within the next 12 months and/or have you started to transition to a new provider?

b. Payment Services Used :

a. Name of Corporate CU :

m services?
servic
1. Does your credit union use a corporate credit union for payment system

e. Payment Service(s) 100% Complete :

c. Percentage of Transition Complete :

b. Payment Service(s) Affected :

a. Provider you plan to or have changed to :

e you started to transition to a new
n
2. Are you planning to change this payment system relationship within the next 12 months and/or have
provider?

b. Payment Services Used :

a. Name of Corporate CU :

1. Does your credit union use a corporate credit union for payment system services?

e. Payment Service(s) 100% Complete :

c. Percentage of Transition Complete :

b. Payment Service(s) Affected :

a. Provider you plan to or have changed to :

2. Are you planning to change this payment system relationship within the next 12 months and/or have you started to transition to a new provider?

b. Payment Service(s) Used :

a. Name of Corporate CU :

1. Does your credit union use a corporate credit union for payment system services?

Credit Union Name :

PAYMENT SYSTEM SERVICE PROVIDER INFORMATION (2)
Charter Number :

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A
R
D
rvice 100% Complete
d. Transition of any service
Complete?

Tran
d. Transition
of any service 100% Complete?

OMB No. XXXX-XXXX

e. Payment Service(s) 100% Complete :

c. Percentage of Transition Complete :

b. Payment Service(s) Affected :

a. Provider you plan to or have changed to :

NCUA Profile Form 4501A
Effective March 31, 2020
Previous Editions Are Obsolete

d. Transition of any service 100% Complete?

2. Are you planning to change this payment system relationship within the next 12 months and/or have you started to transition to a new provider?

b. Payment Services Used :

a. Name of Corporate CU :

m services?
servic
1. Does your credit union use a corporate credit union for payment system

e. Payment Service(s) 100% Complete :

c. Percentage of Transition Complete :

b. Payment Service(s) Affected :

a. Provider you plan to or have changed to :

e you started to transition to a new
n
2. Are you planning to change this payment system relationship within the next 12 months and/or have
provider?

b. Payment Services Used :

a. Name of Corporate CU :

1. Does your credit union use a corporate credit union for payment system services?

e. Payment Service(s) 100% Complete :

c. Percentage of Transition Complete :

b. Payment Service(s) Affected :

a. Provider you plan to or have changed to :

2. Are you planning to change this payment system relationship within the next 12 months and/or have you started to transition to a new provider?

b. Payment Service(s) Used :

a. Name of Corporate CU :

1. Does your credit union use a corporate credit union for payment system services?

Credit Union Name :

PAYMENT SYSTEM SERVICE PROVIDER INFORMATION (3)
Charter Number :

REGULATORY INFORMATION
Charter Number :

Credit Union Name :

1. Please provide the date of the most recent annual meeting held by the credit union :
2. Please provide the date of the most recent financial statement audit :
3. Please provide the last type of audit performed for the credit union's records :

4. Provide the name of the Audit Firm or Auditor (see instructions) :
5. Please provide the effective date of the most recent Supervisory Committee verification of member's accounts :
6. Please provide who completed the verification of member's accounts :
7. Provide the date of the most recent Bank Secrecy Act Independent Test :
8. Provide your Supervisory Committee contact information for public/official correspondence
Mailing Address Line 1 :

Mailing City:
Email Address :

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Mailing Address Line 2 :

State :

9. Indicate the Fidelity Bond Provider Name :

10. Indicate the amount of Fidelity Coverage for any Single Loss (RR
RR 713.5) :
11. Please provide the Section 701.4 Certification Date :
12. Please provide the Section 701.4 Certifier Name :

13. Please provide the Credit Union Certifier Title for the Section 70
701.4 Certification
:
Certifi
14. Does your credit union meet any off the following criteria? (Yes/No)
(Yes/No :
- Credit union with 100 or more employees; or

- Credit union with 50 or more employees and :

1) Has a contract of at least $50,000 with the Federal government; or

2) Serves as a depository of U.S. government funds of any amount; or
3) Serves as a paying agent for U.S. Savings Bonds.
14a. If yes, what is the last date you filed an EEO-1 Survey Report with the U.S.
Equal Employment Opportunity Commission (MM/DD/YYYY)?
15. Do you have a diversity policy or program in your credit union?
16. List any trade names the credit union uses for signage or advertising.

OMB No. XXXX-XXXX

NCUA Profile Form 4501A
Effective March 31, 2020
Previous Editions Are Obsolete

Zip Code:
C

DISASTER RECOVERY INFORMATION
Charter Number :

Credit Union Name :

There have been no changes to my Disaster Recovery information since the last time I completed this form.

1. In the event of a disaster, will the credit union communicate with members through a website ?

2. Please check the resources or services you have available and would be willing to share with other credit unions
during the time of an emergency if you did not need them. (Check all that apply)
a. Cash Non-Member Share Drafts

c. IT Support

e. Office Space

b. Generator

d. Mobile Branch

f. Staff/Management Services

3. Please provide the date of the last disaster recovery test completed by the credit union :

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a. Indicate the method(s) used for the last disaster recovery test completed by the credit
redit union.
3. Functional
ional Testing
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2. Tabletop/Mini-Drill

4. Full-Scale
ull-Scale Testing

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1. Orientation/Walk Through

OMB No. XXXX-XXXX

NCUA Profile Form 4501A
Effective March 31, 2020
Previous Editions Are Obsolete

CREDIT UNION PROGRAMS AND MEMBER SERVICES
Credit Union Name :

Charter Number :

Credit Union Programs - Place a "9
9" in the associated box to all the credit union offers (Check all that apply)
a. Mortgage Processing

g. Deposits and Shares Meeting 703.10(a) (FCU Only)

b. Approved Mortgage Seller

h. Brokered Certificates of Deposit
Payday Alternative Loans (PALs I & II - FCU Only)

c. Borrowing Repurchase Agreements
d. Brokered Deposits (all deposits acquired through a third party)

i. PALs I (FCU Only)

e. Investment Pilot Program (FCU Only)

j. PALs II (FCU Only)

f. Investments not authorized by the FCU Act (State CU Only)
Member Services and Product Offerings - Place a "9
9" in the associated box to all the credit union offers (Check all that apply)
Transactional

Financial Education

a. ATM/Debit Card Program

a. Financial Counseling

b. Check Cashing

b. Financial Education
c. Financial Literacy Workshops

d. No Surcharge ATMs

d. First Time Homebuyer Program

e. Prepaid Debit Cards

e. In-School Branches

Depository

Credit

a. Business/Commercial Share Accounts

a. Business/Commercial
mmercial Loans
mmercia

b. Health Savings Accounts

b. Credit Builder
uilder
ilder

c. Individual Development Accounts

Other Member Services

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c. Money Orders

a. Bilingual Services

g. Indirect
Loans
rect Mortgage
Mo
Loa

c. Debtt Cancellation/Suspension

d. No Cost Share Drafts

d. Direct Financing Leases

e. Share Certificates with low minimum balance requirement

e. Indirect Busines
Business/Commercial Loans

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f. Indirect Consumer
Loans
Con

b. Insurance/Investment Sales
c. No Cost Bill Payer

h. Interest Only or Payment
Option 1st Mortgage Loans
Pa
Business Loans
i. Micro Busines

d. No Cost Tax Preparation Services

j. Micro Con
Consumer Loans

e. Student Scholarship

k. Overdraft
Lines of Credit
Overd

Consumer Initiated Remittance Transfers

l. Overdraft
Protection/ Courtesy Pay
O

a. International Remittances

m. Participation Loans

b. Low-cost Wire Transfers

n. Pay Day Loans

c. Proprietary remittance transfer services operated by the CU

o. Real Estate Loans

d. Proprietary remittance transfer services
ces operated by another person

p. Refund Anticipation Loans

q. Risk Based Loans
r. Share Secured Credit Cards

Shared Service Centers/Networks

1. Does the credit union participate in Shared Service Centers/Networks?
(Yes/No):
ters

Payday Alternative Loans (PALs I and II) program (FCUs Only) - Place a "9
9" in the associated box for all the credit union offers (Check all that apply)
a. Credit Bureau Reporting
b. Financial Education
c. Forced Savings Component
d. Payroll Deduction
Minority Depository Institution Questions
1. Are more than 50% of your credit union’s current and eligible potential members Black American, Native American, Hispanic American, or Asian American? If yes,
please identify the minority group(s) that apply:
Black American

Hispanic American

Native American

Asian American

2. Is more than 50% of your credit union’s board of directors Black American, Native American, Hispanic American, or Asian American? If yes, please identify the minority
group(s) that apply:
Black American

Hispanic American

Native American

Asian American

OMB No. XXXX-XXXX

NCUA Profile Form 4501A
Effective March 31, 2020
Previous Editions Are Obsolete

CREDIT UNION GRANT INFORMATION (1)
Credit Union Name :

Charter Number :

Grant Information - Please provide information on any grants you have received since the last time you reported.
Date Awarded

Amount
Awarded

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Grantor

OMB No. XXXX-XXXX

NCUA Profile Form 4501A
Effective March 31, 2020
Previous Editions Are Obsolete

Grant Type

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NCUA Profile Form 4501A
Effective March 31, 2020
Previous Editions Are Obsolete

CREDIT UNION GRANT INFORMATION (2)
Credit Union Name :

Charter Number :

Grant Information - Please provide information on any grants you have received since the last time you reported.
Date Awarded

Amount
Awarded

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Grantor

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NCUA Profile Form 4501A
Effective March 31, 2020
Previous Editions Are Obsolete

Grant Type

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NCUA Profile Form 4501A
Effective March 31, 2020
Previous Editions Are Obsolete

CREDIT UNION PARTNERSHIPS INFORMATION (1)
Credit Union Name :

Charter Number :

This page is optional for credit unions and not required to be completed. This information will not be released to the public.
Partnership Information - Please provide information on any partnerships you have with other credit unions.
Service Type

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Name of Credit Union Partner

OMB No. XXXX-XXXX

NCUA Profile Form 4501A
Effective March 31, 2020
Previous Editions Are Obsolete

Relationship Type

CREDIT UNION PARTNERSHIPS INFORMATION (2)
Credit Union Name :

Charter Number :

This page is optional for credit unions and not required to be completed. This information will not be released to the public.
Partnership Information - Please provide information on any partnerships you have with other credit unions.
Service Type

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Name of Credit Union Partner

OMB No. XXXX-XXXX

NCUA Profile Form 4501A
Effective March 31, 2020
Previous Editions Are Obsolete

Relationship Type

CREDIT UNION PARTNERSHIPS INFORMATION (3)
Credit Union Name :

Charter Number :

This page is optional for credit unions and not required to be completed. This information will not be released to the public.
Partnership Information - Please provide information on any partnerships you have with other credit unions.
Service Type

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Name of Credit Union Partner

OMB No. XXXX-XXXX

NCUA Profile Form 4501A
Effective March 31, 2020
Previous Editions Are Obsolete

Relationship Type

MERGER PARTNER REGISTRY
Credit Union Name :

Charter Number :

This page is optional for credit unions and not required to be completed. This information will not be released to the public.
1. Is your credit union interested in expanding its Field Of Membership through a consolidation of another credit union?
If Yes, Please proceed to the remaining questions.
2. Please provide the name and phone number of the person at the credit union who can be contacted regarding any potential consolidations.
Job Title :
First Name :

Last Name :

Phone :

Extension :

3. Please identify the geographic areas in which the credit union would be interested. (Select only ONE Box)
Anywhere in the United States

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Anywhere within Selected States (Please specify states)

Specific Counties/Cities within a Selected State (Specify the state on lines above)
ove)
State

OMB No. XXXX-XXXX

County/Counties
es
s

NCUA Profile Form 4501A
Effective March 31, 2020
Previous Editions Are Obsolete

City/Cities

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NCUA Profile Form 4501A
Effective March 31, 2020
Previous Editions Are Obsolete

CONTACTS
Charter Number :

County :
e:
State

Middle Name :

Last Name :

Fax :

OMB No. XXXX-XXXX

Phone :

Role(s) :

Email :

Country :

State :

NCUA Profile Form 4501A Effective March 31, 2020 Previous Editions Are Obsolete

Email :

Fax :

Country :

Employment Type :

Cell :

Phone :

State :

County :

County :

Last Name :

City :

Line 2 :

Line 1 :

Email :

Fax :

Phone :

Country :

State :

County :

City :

Line 2 :

Line 1 :

Email :

Middle Name :

Zip :

Cell :

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F
Fax :

Phone :

City :

Line 2 :

Line
e1:

Em :
Email

Zip :

A

Cell :

Cou
Country :

First Name :

Salutation :

Job Titles(s) :

Ph
Phone
:

Role(s) :
Fax :

untry :
Country

Employment Type :

D

City :

Line 2 :

Line 1 :

First Name :

Salutation :

Job Titles(s) :

Email :

Fax :

Phone :

Role(s) :

State :

State :
Country :

Last Name :

Employment Type :

County :

City :
County :

First Name :

Zip :

Line 2 :

Line 2 :

City :

Line 1 :

Line 1 :

Middle Name :

Salutation :

Job Titles(s) :

Home Address

Zip :

Cell :

Ext. :

Zip :

Cell :

Ext. :

Zip :

Cell :

Ext. :

Work Address

The Contacts section of the profile includes all of the Officials, Patriot Act Contacts, Emergency Contacts, Profile, and 5300 Call Report contacts. Please reference the directions for a list of all required
contacts and roles the credit union must report.

Credit Union Name :

OMB No. XXXX-XXXX

NCUA Profile Form 4501A Effective March 31, 2020 Previous Editions Are Obsolete

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SITES
Charter Number :

Ext. :

Phone Number :

Ext. :

Phone Number :

OMB No. XXXX-XXXX

Hours of Operation :

Fax :
Ext. :

Main Office :

Phone Number :

Operational Status :

Site Name :

Site Type :

Hours of Operation :

Fax :

Main Office :

Operational Status :

Site Name :

Site Type :

Hours of Operation :

Fax :

Main Office :

Operational Status :

Site Name :

Site Type :

R

County :

City :

Line 2 :

Line 1 :

Zip :

Zip :
Zi

Country :

State :

County :

City :

Line 2 :

Line 1 :

Country :

State :

County :

City :

Line 2 :

Line 1 :

Country :
C

State :

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Zip :

NCUA Profile Form 4501A
Effective March 31, 2020
Previous Editions Are Obsolete

Site Function(s) :

Country :

State :

County :

City :

Line
Li 2 :

Line 1 :

Site Function(s) :

D

Country
try :

State :

County
y:

City :

Line 2 :

Line 1 :

Site Function(s) :

Country :

State :

County :

City :

Line 2 :

Line 1 :

Physical Address

Zip :

Zip :

Zip :

Mailing Address

Record on this page the credit union's hot site, if applicable, all other locations where the credit union maintains its records, or any vacant land, future office locations, planned evacuation site, ATM or
other locations. Reporting of ATM locations is optional. Please reference the instructions for additional guidance.

Credit Union Name :


File Typeapplication/pdf
File TitleProfile PDF Online DRAFT MAR20 101119.pdf
AuthorDWOLFGANG
File Modified2019-11-27
File Created2019-11-27

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