Reporting

FR LL-10(b)
OMB Number 7100-0337
Approval expires TBD
Page 1 of 1

Board of Governors of the Federal Reserve System

Savings and Loan Holding Company Registration
Statement—FR LL-10(b)
This registration statement is required by Section 10(b)(1) of the
Home Owners' Loan Act (12 U.S.C. § 1467a(b)(1)) and Section
238.4(c) of Regulation LL (12 C.F.R. § 238.4(c)).
This registration statement is to be filed by all savings and loan

Savings and Loan Holding Company Information
______________________________________________
Legal Name of Savings and Loan Holding Company

______________________________________________
Executive Office Street

_____________________ _______ ______________
City

State

Zip Code

______________________________________________
Mailing Address (if different from above)

_____________________ _______ ______________
City

State

holding companies. The Federal Reserve may not conduct or
sponsor, and an organization (or a person) is not required to
respond to, a collection of information unless it displays a
currently valid OMB control number.

Person to whom questions about this registration
statement should be directed:

____________________________________________
Name

____________________________________________
Title

____________________________________________
Area Code/Phone Number

____________________________________________
Area Code/FAX Number

____________________________________________
E-mail Address of Contact

Zip Code

Certification

Pursuant to Section 10(b)(1) of the Home Owners’ Loan Act, as amended, and 12 C.F.R. Section 238.4(c), the undersigned, by filing
this statement, intends to register the savings and loan holding company with the Federal Reserve Board. The undersigned
certified that the savings and loan holding company has authorized the individual to sign this registration statement on its behalf.
The undersigned principal executive or principal financial officer of the savings and loan holding company acknowledges and
certifies that the information contained herein, including exhibits, pertinent papers, and documents, has been carefully reviewed
and that such information is true, correct, and complete.

____________________________________________________
Printed Name of Officer Signing on Behalf of the Savings and Loan Holding Company

____________________________________________________
Title of Officer

__________________________________
Signature of Officer

________________
Date of Signature

To complete the Savings and Loan Holding Company Registration Statement —FR LL-10(b), the Registrant must
provide the additional information specified in the “Requested Information” section of the Instructions for
Preparation of Savings and Loan Holding Company Registration Statement —FR LL-10(b).
Savings and loan holding companies must maintain in their files a manually signed and attested printout of the data submitted.
Public reporting burden for this information collection is estimated to average 8.0 hours per response, including the time for reviewing instructions, searching existing
data sources, gathering and maintaining the data needed, formatting the information, and completing and reviewing the collection of information. Send comments
regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden to: Secretary, Board of Governors of
the Federal Reserve System, 20th and C Streets, NW, Washington, DC 20551, and to the Office of Management and Budget, Paperwork Reduction Project (7100–
0337), Washington, DC 20503.
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