Letter Certifying Conversion Completion of Conversion to

Conversion Completion Certification by Applicant (Conversion to FSA)
Date
District Director, District
Comptroller of the Currency
Address
City, State, ZIP Code
Re: Application Description, OCC Control Number
Dear District Director:
This certifies that we have taken all steps required to convert to a federal (stock or mutual)
savings association, executed all documents required to organize, and retained them in the bank's
file. We also certify that:
•

The requisite percentage of shareholders or members approved the conversion in
accordance with applicable federal and state law.

•

The directors authorized the conversion in accordance with applicable federal and state
law.

•

The bylaws previously submitted have been adopted.

•

[For conversions to federal mutual savings associations:] All directors are members of
the federal mutual savings association in conformance with 12 USC 1464 and 12 CFR
5.21 (or) [for conversions to federal stock savings associations:] All directors are
stockholders (if the bylaws so require) in conformance with 12 USC 1464 and 12 CFR
5.22.

We have previously provided:
•

Copy of federal (stock or mutual) savings association charter.

•

Copy of the federal (stock or mutual) savings association bylaws.

We plan to open as a federal savings association (or bank) on (insert date). All approved
branches will be operating except (insert address of any remaining approved but unopened
branches). We await receipt of the signed federal savings association (or bank) charter.
Sincerely,
-Signature(Insert name of authorized representative)

Enclosures