Reporting FR Y-9SP

FR Y-9SP
OMB Number 7100-0128
Approval expires December 31, 2022
Page 1 of 8

Draft Forms Changes Effective Dec 31,
2021 - Includes FTE and CEO information
Board of Governors of the Federal Reserve System

Parent Company Only Financial Statements for Small
Holding Companies—FR Y-9SP
Report at the close of business as of the last calendar day of June and December
This Report is required by law: Section 5(c) of the Bank Holding
Company Act (12 U.S.C. § 1844) and Section 225.5(b) of
Regulation Y (12 C.F.R. § 225.5(b)) and Section 10 of the Home
Owners' Loan Act (12 U.S.C. § 1467a(b)).
This report form is to be filed by the parent company of small
holding companies. For purposes of this report, small holding
companies are holding companies that have total consolidated
NOTE: The Parent Company Only Financial Statements for
Small Holding Companies must be signed and attested by the
Chief Financial Officer (CFO) of the reporting holding company
(or by the individual performing this equivalent function).

assets of less than $3 billion, except holding companies that meet
certain criteria to file the Consolidated Financial Statement for
Holding Companies (FR Y-9C). When such holding companies are
tiered holding companies, separate reports are also to be filed by
each of the subsidiary 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.
Date of Report:
Month / Day / Year (BHSP 9999)

I, the undersigned CFO (or equivalent) of the named holding
company, attest that the Parent Company Only Financial
Statements for Small Holding Companies for this report date
have been prepared in conformance with the instructions issued
by the Federal Reserve System and are true and correct to the
best of my knowledge and belief.

Printed Name of Chief Financial Officer (or Equivalent) (BHSP C490)

Legal Title of Holding Company (RSSD 9017)

Signature of Chief Financial Officer (or Equivalent) (BHSP H321)

(Mailing Address of the Holding Company) Street / PO Box (RSSD 9110)

Date of Signature (MM/DD/YYYY) (BHSX J196)

City (RSSD 9130)

State (RSSD 9200)

Zip Code (RSSD 9220)

Holding companies must maintain in their files a manually signed and attested printout of the data submitted.
Person to whom questions about this report should be directed:
Name / Title (BHSX 8901)

For Federal Reserve Bank Use Only
RSSD ID
C.I.

S.F.

Area Code / Phone Number (BHSX 8902)

Area Code / FAX Number (BHSX 9116)

E-mail Address of Contact (BHSX 4086)
0=No BHSP
Is confidential treatment requested for any
portion of this report submission? ................. 1=Yes C447
In accordance with the General Instructions for this report
(check only one),
1. a letter justifying this request is being provided along
with the report (BHSP KY38) .........................................

2. a letter justifying this request has been provided
separately (BHSP KY38)..............................................
Public reporting burden for this information collection is estimated to vary from 1.5 to 8 hours per response, with an average of 5.4 hours per response, including time to gather and maintain data in the required form and to review instructions and complete the information collection. Comments regarding this burden estimate or any other aspect of this information collection,
including suggestions for reducing the burden, may be sent 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 (7100-0128), Washington, DC 20503.
12/2020

Chief Executive Officer Contact Information
This information is being requested so the Board can distribute notifications about policy initiatives and other matters directly to
the Chief Executive Officers of reporting institutions. Please provide contact information for the Chief Executive Officer of the
reporting institution. Enter "none" for the Chief Executive Officer's e-mail address if not available. Chief Executive Officer contact
information is for the confidential use of the Board and will not be released to the public.

Chief Executive Officer

Name

BHSP XXXX

Phone number

BHSP

E-mail Address

BHSP XXXX

XXXX

For Federal Reserve Bank Use Only

Name of Holding Company

FR Y-9SP
Page 2 of 8

RSSD ID
C.I.

S.F.

The Income Statement is to be reported on a calendar year-to-date basis
in thousands of dollars.

Schedule SI—Income Statement
Dollar Amounts in Thousands
1. Income from bank subsidiary(ies):
a. Dividends .......................................................................................................................
b. Other income ..................................................................................................................
2. Income from nonbank subsidiary(ies):
a. Dividends .......................................................................................................................
b. Other income ..................................................................................................................
3. Income from subsidiary holding company(ies):1
a. Dividends .......................................................................................................................
b. Other income ..................................................................................................................
4. Other income.......................................................................................................................
5. TOTAL OPERATING INCOME (sum of items 1, 2, 3, and 4) ..........................................................
6. Interest expense ..................................................................................................................
7. Other expenses2 ..................................................................................................................
8. TOTAL OPERATING EXPENSE (sum of items 6 and 7)...............................................................
9. a. Income (loss) before change in net unrealized holding gains (losses) on equity securities not held
for trading, applicable income taxes, and discontinued operations (item 5 minus 8).........................
b. Change in net unrealized holding gains (losses) on equity securities not held for trading3.................
c. Income (loss) before applicable income taxes, discontinued operations and undistributed income
(sum of items 9.a and 9.b)...................................................................................................
10. Applicable income taxes (benefits) (estimated) (see instructions) ...................................................
11. Discontinued operations, net of applicable income taxes ..............................................................
12. Income (loss) before undistributed income of subsidiary(ies) (sum of items 9.c and 11 minus 10)..........
13. Equity in undistributed income (loss) of subsidiary(ies): (see instructions)
a. Bank subsidiary(ies) .........................................................................................................
b. Nonbank subsidiary(ies) ....................................................................................................
c. Subsidiary holding company(ies)1 ........................................................................................
14. Net income (loss) (sum of items 12 and 13) ...............................................................................

BHSP

Amount

0508

1.a.
1.b.

2111
0523

2.a.
2.b.

0530
0206

3.a.
3.b.
4.
5.
6.
7.
8.

1283
0447
4000
4073
4093
4130
HT69

9.a.
9.b.

HT70
4250

9.c.
10.
11.
12.

4302
FT28
0496
3156

13.a.
13.b.
13.c.
14.

2112
3513
4340

Memoranda
1. Cash dividends (or non-taxable distributions) declared by the holding company to its shareholders............ 3158
2. Does the reporting holding company have a Subchapter S election in effect for federal income tax
purposes for the current tax year? (enter "1" for Yes; enter "0" for No) .............................................

0=No

M.1.
BHSP

1=Yes A530

BHSP
3. Interest expense paid to special-purpose subsidiaries that issued trust preferred securities
(included in item 7 above) ...................................................................................................... C254

M.2.

Amount

M.3.

Memorandum item 4 is to be completed by holding companies that have elected to account for financial
instruments or servicing assets and liabilities at fair value under a fair value option.
4. Net change in fair values of financial instruments accounted for under a fair value option .................... J980

Memorandum item 5 is to be completed by top tier holding companies
with
the December 31 report date only.
1. This item is to be reported only by those holding companies that have subsidiary holding companies.

1=Yes

M.4.

BHSP

2. Holding companies that have adopted ASU 2016-13 should report provisions for credit losses on all financial assets and XXXX
off-balance-sheet credit exposures.
5. Does your holding company have 100 or more full-time equivalent
3. Item 9.b is to be completed
by all holding
See the
instructions for this item and the FR Y-9C Glossary entry for
employees
on companies.
a consolidated
basis?
"Securities Activities" for further detail on accounting for investments in equity securities.

03/2021

FR Y-9SP
Page 3 of 8

Schedule SC—Balance Sheet
Dollar Amounts in Thousands
Assets
1. Cash and due from depository institutions:
a. Balances with subsidiary or affiliated depository institutions ........................................................
b. Balances with unrelated depository institutions .........................................................................
2. Securities1 ............................................................................................................................
3. Loans and lease financing receivables (exclusive of loans and lease financing receivables due
from bank(s) and nonbank subsidiaries):
a. Loans and leases, held for investment and held for sale..................................... 2122
b. LESS: Allowance for loan and lease losses2 .................................................... 3123
c. Loans and leases, held for investment and held for sale, net of the allowance for loan and lease
losses (item 3.a minus 3.b)...................................................................................................
4. Investment in bank subsidiary(ies): (see instructions)
a. Equity investment ...............................................................................................................
b. Goodwill............................................................................................................................
c. Loans and advances to and receivables due from bank subsidiary(ies) ..........................................
5. Investment in nonbank subsidiary(ies): (see instructions)
a. Equity investment...............................................................................................................
b. Goodwill ...........................................................................................................................
c. Loans and advances to and receivables due from nonbank subsidiary(ies) ....................................
6. Investment in subsidiary holding company(ies) (These items are to be completed only by
companies that have subsidiary holding companies.):
a. Equity investment...............................................................................................................
b. Goodwill ...........................................................................................................................
c. Loans and advances to and receivables due from subsidiary holding company(ies) .........................
7. Other assets3 .........................................................................................................................
8. Balances due from related nonbank companies (other than investments)4 ..........................................
9. TOTAL ASSETS (sum of items 1 through 8) .................................................................................

Liabilities and Equity Capital
10. Short-term borrowings:
a. Commercial paper ..............................................................................................................
b. Other short-term borrowings .................................................................................................
11. Long-term borrowings (includes limited-life preferred stock and related surplus) ..................................
12. Accrued interest payable (see instructions) ..................................................................................
13. Other liabilities .......................................................................................................................
14. Balances due to subsidiaries and related institutions:
a. Subsidiary bank(s) .............................................................................................................
b. Nonbank subsidiaries and related institutions ...........................................................................
15. Not applicable
16. Equity capital:
a. Perpetual preferred stock (including related surplus) .................................................................
b. Common stock (including related surplus) ...............................................................................
c. Retained earnings ..............................................................................................................
d. Accumulated other comprehensive income5 .............................................................................
e. Other equity capital components6 ..........................................................................................
f. Total equity capital (sum of items 16.a through 16.e) ..................................................................
17. TOTAL LIABILITIES AND EQUITY CAPITAL (sum of items 10 through 14.b, and 16.f) ..........................

BHSP

Amount

5993
0010
0390

1.a.
1.b.
2.

3.a.
3.b.
2723

3.c.

3239
3238

4.a.
4.b.
4.c.

3148
0088
0087
0089

0201
0202
3523
0027
3620
2170

2309
2724

5.a.
5.b.
5.c.

6.a.
6.b.
6.c.
7.
8.
9.

3151
3166
3167

10.a.
10.b.
11.
12.
13.

3605
3621

14.a.
14.b.

3283

16.a.
16.b.
16.c.
16.d.
16.e.
16.f.
17.

3230
3247
B530
A130
3210
3300

1. Holding companies that have adopted ASU 2016-13 should report held-to-maturity securities in item 2 net of any applicable
allowance for credit losses.
2. Holding companies that have adopted ASU 2016-13 should report in item 3.b the allowance for credit losses on loans and leases.
3. Holding companies that have adopted ASU 2016-13 should report in item 7 amounts net of any applicable allowance for credit losses.
4. This item is to be reported only by lower-tier parent holding companies.
5. Includes net unrealized holding gains (losses) on available-for-sale securities, accumulated net gains (losses) on cash flow hedges,
cumulative foreign currency translation adjustments, and minimum pension liability adjustments.
6. Includes treasury stock and unearned Employee Stock Ownership Plan shares.
06/2019

FR Y-9SP
Page 4 of 8

Schedule SC—Continued
Memoranda (to be completed annually only by top-tier and single-tier holding companies for the
December 31 report date)
1. Has the holding company engaged in a full-scope independent external audit at any time during the
calendar year? (enter "1" for Yes; enter "0" for No).......................................................................

0=No

BHSP

1=Yes C884

2. If response to Memorandum item 1 is yes, indicate below the name and address of the holding company's independent
external auditing firm (see instructions), and the name and e-mail address of the auditing firm's engagement partner.7
a.
b.
(1) Name of External Auditing Firm (TEXT C703)

(1) Name of Engagement Partner (TEXT C704)

(2) City (TEXT C708)

(2) E-mail Address (TEXT C705)

(3) State Abbreviation (TEXT C714)

M.1.

M.2.

(4) Zip Code (TEXT C715)

Dollar Amounts in Thousands

BHSP

Amount

Memoranda items 3.a and 3.b are to be completed by holding companies that have elected to account for financial instruments or servicing assets and liabilities at fair value under a fair value option.
3. Financial assets and liabilities measured at fair value:
a. Total assets ..................................................................................................................... F819
b. Total liabilities................................................................................................................... F820

M.3.a.
M.3.b.

7. The Federal Reserve regards information submitted in response to Memorandum item 2.b. as confidential.

06/2019

FR Y-9SP
Page 5 of 8

Schedule SC-M—Memoranda
Items 1 through 13 are to be completed by all holding companies filing the FR Y-9SP report.
Dollar Amounts in Thousands BHSP
1. Total consolidated assets of the holding company ............................................................. 8519
Dollar Amounts in Thousands
2. Holding company (parent company only) borrowings not held by financial institution(s) or by
insiders (including directors) and their interests (included in balance sheet items 10 or 11 above) .......
3. Treasury stock (report only if the amount exceeds 5 percent of equity capital) included in item 16.f above ..
4. Amount of nonvoting equity capital, including related surplus
(included in balance sheet items 16.a., 16.b., 16.c., and 16.d.).....................................................
5. Total loans from parent holding company and nonbank subsidiary(ies) to insiders
(excluding directors) and their interests ...................................................................................
6. Pledged securities ..............................................................................................................
7. a. Fair value of securities classified as available-for-sale (included in item 2 of the balance sheet)......
b. Amortized cost of securities classified as held-to-maturity (included in item 2 of the balance sheet) ..
c. Fair value of equity securities with readily determinable fair values (included in item 2 of the
balance sheet)1 ..............................................................................................................
8. a. Total off-balance-sheet activities conducted either directly or through a nonbank subsidiary ...........
b. Total debt and equity securities (other than trust preferred securities) outstanding that are
registered with the Securities and Exchange Commission......................................................
9. Balances held by the subsidiary bank(s) due from nonbank subsidiaries of the parent holding company ..
10. Balances held by the subsidiary bank(s) due to nonbank subsidiaries of the parent holding company ..
11. Other assets (only report amounts that exceed 25 percent of balance sheet, line item 7):
a. Accounts receivable........................................................................................................
b. Income taxes receivable ..................................................................................................
c. Premises and fixed assets ...............................................................................................
d. Net deferred tax assets ...................................................................................................
e. Cash surrender value of life insurance policies .....................................................................

Amount

M.1.
BHSP

Amount

3152
3153

M.2.
M.3.

C702

M.4.

3155
0416
8516
8517

M.5.
M.6.
M.7.a.
M.7.b.

HT95
F074

M.7.c.
M.8.a.

F075
6796
6797

M.8.b.
M.9.
M.10.

A024
C256
2145
2148
C009

M.11.a.
M.11.b.
M.11.c.
M.11.d.
M.11.e.

f.

TEXT
8520

8520

M.11.f.

g.

TEXT
8521

8521

M.11.g.

8522
h.
12. Other liabilities (only report amounts that exceed 25 percent of balance sheet, line item 13):
a. Accounts payable ........................................................................................................... 3066
b. Income taxes payable ..................................................................................................... C257
c. Dividends payable .......................................................................................................... 2932
d. Net deferred tax liabilities................................................................................................. 3049

M.11.h.

TEXT
8522

M.12.a.
M.12.b.
M.12.c.
M.12.d.

e.

TEXT
8523

8523

M.12.e.

f.

TEXT
8524

8524

M.12.f.

TEXT
8525

8525
g.
13. Notes payable to special-purpose subsidiaries that issued trust preferred securities
(included in balance sheet, item 14.b) ..................................................................................... C255

M.12.g.
M.13.

1. Item 7.c is to be completed by all holding companies. See the instructions for this item and the FR Y-9C Glossary entry for
"Securities Activities" for further detail on accounting for investments in equity securities.

12/2020

FR Y-9SP
Page 6 of 8

Schedule SC-M—Continued
14. Have all changes in investments and activities been reported to the Federal Reserve on the Report of Changes in
Organizational Structure (FR Y-10)? This item must be completed only by the top-tier holding company (and single-tier holding
companies). The top-tier holding company must not leave blank or enter "N/A." Lower-tier holding companies should leave
this item blank. The top-tier holding company must enter "1" for Yes or for no changes to report; or enter "0" for No.
0=No

If the answer to this question is no, complete the FR Y-10............................................................

BHSP

1=Yes 6416

M.14.

TEXT

6428 Name of holding company official verifying FR Y-10 reporting

Area Code / Phone Number (TEXT 9009)

(Please type or print name)

Dollar Amounts in Thousands
Memoranda items 15 and 16 should only be completed by tiered holding companies:
15. Short-term borrowings included in balance sheet item 14.b:
a. From parent holding company ...........................................................................................
b. From subsidiary holding company ......................................................................................
16. Long-term borrowings included in balance sheet item 14.b:
a. From parent holding company ...........................................................................................
b. From subsidiary holding company ......................................................................................

BHSP

Amount

3524
3526

M.15.a.
M.15.b.

3525
3527

M.16.a
M.16.b.

4778
C427
C428

M.17.a.
M.17.b.
M.17.c.
M.17.d.

Memorandum Item 17 is to be completed only by the top-tier holding company
(and single-tier holding companies) for its consolidated nonbank and thrift subsidiaries:2
17. a.
b.
c.
d.

Total combined nonbank assets of nonbank subsidiaries .........................................................
Total combined loans and leases of nonbank subsidiaries .......................................................
Total aggregate operating revenue of nonbank subsidiaries .....................................................
Combined thrift assets included in 17.a (to be completed by a bank holding company) ......................

2792

Number (Unrounded)

e. Number of nonbank subsidiaries included in 17.a .......................................... 2794
f. Number of thrift subsidiaries included in 17.d
(to be completed by a bank holding company) .............................................. 2796

M.17.e.
M.17.f.

The following two questions (items 18 and 19) will be used to determine if the reporting holding company must complete the
Consolidated Holding Company Report of Equity Investments in Nonfinancial Companies (FR Y-12). In most cases, these
questions are only applicable to the top-tier holding company (and single-tier holding company). See the line item instructions
for further details.
18. Does the holding company hold, either directly or indirectly through a subsidiary or affiliate, any nonfinancial equity
investments (see instructions for definition) within a Small Business Investment Company (SBIC) structure,
or under section 4(c)(6) or 4(c)(7) of the Bank Holding Company Act, or pursuant to the merchant
banking authority of section 4(k)4(H) of the Bank Holding Company Act, or pursuant to the investment 0=No BHSP
authority granted by Regulation K? (enter ''1'' for Yes; enter ''0'' for No)........................................... 1=Yes C161

M.18.

If the answer to item 18 is no, your organization does not need to complete the FR Y-12. Skip item 19 and proceed to items
20.a. and 20.b. below. If the answer to item 18 is yes, proceed to item 19.
19. Do your aggregate nonfinancial equity investments (see instructions for definition) equal or exceed
(on an acquisition cost basis) 10 percent of the holding company's total capital as of the report date?
(enter ''1'' for Yes; enter ''0'' for No)..........................................................................................

0=No

BHSP

1=Yes C159

M.19.

If the answer to both item 18 and item 19 is yes, your organization must complete the FR Y-12. Skip items 20.a. and 20.b.,
and proceed to item 21 below.
If the answer to either item 18 or item 19 is no, your organization does not need to complete the FR Y-12. Proceed to
items 20.a. and 20.b. below.
2. A savings and loan holding company should not include its consolidated savings association in items 17(a) through 17(f).

06/2018

FR Y-9SP
Page 7 of 8

Schedule SC-M—Continued
Items 20.a. and 20.b. are to be completed by all holding companies that are not required to file the FR Y-12.
20. a. Has the holding company sold or otherwise liquidated its holding of any nonfinancial equity
investment since the previous reporting period? (enter ''1'' for Yes; enter ''0'' for No)......................
b. Does the holding company manage any nonfinancial equity investments for the benefit of others?
(enter ''1'' for Yes; enter ''0'' for No) .....................................................................................

0=No

Dollar Amounts in Thousands
Memoranda items 21 and 22 are to be completed only by top-tier holding companies (and single-tier holding companies) who have made an effective election to become a financial holding company. See the line
item instructions for further details.

BHSP

BHSP

1=Yes C700
0=No

M.20.a.

BHSP

1=Yes C701

M.20.b.

Amount

21. Net assets of broker-dealer subsidiaries engaged in underwriting or dealing securities pursuant to
C252
Section 4(k)(4)(E) of the Bank Holding Company Act as amended by the Gramm-Leach-Bliley Act
22. Net assets of subsidiaries engaged in insurance or reinsurance underwriting pursuant to Section
4(k)(4)(B) of the Bank Holding Company Act as amended by the Gramm-Leach-Bliley Act................. C253

M.21.
M.22.

Memorandum item 23 is to be completed by all holding companies who have participated
in the U.S. Department of Treasury Capital Purchase Program.
BHSP
23. Issuances associated with the U.S. Department of Treasury Capital Purchase Program:
G234
a. Senior perpetual preferred stock or similar items ..................................................................
b. Warrants to purchase common stock or similar items............................................................. G235

Amount

M.23.a.
M.23.b.

06/2013

FR Y-9SP
Page 8 of 8

Notes to the Parent Company Only Financial Statements
Enter in the lines provided below any additional information on specific line items on the financial statements that the holding company wishes to explain, that has been separately disclosed in the holding company's quarterly reports to its shareholders, in its
press releases, or on its quarterly reports to the Securities and Exchange Commission (SEC).
Each additional piece of information disclosed should include the appropriate reference to schedule and item number, as well as a
description of the additional information and the dollar amount (in thousands of dollars) associated with that disclosure.

Example
A parent holding company has guaranteed a new loan for its leveraged Employee Stock Ownership Plan (ESOP) for $50 thousand
and that amount has increased the parent company's long-term unsecured debt by a material amount. Enter on the line item below
the following information:
TEXT

BHSP

Amount

0000 Balance Sheet, item 11, New loan to holding company's ESOP

guaranteed by holding company parent
50

Notes to the Financial Statements
TEXT

1.

Dollar Amounts in Thousands BHSP
Outstanding issuances of perpetual preferred stock associated with the U.S.
Department of Treasury Community Development Capital Initiative (CDCI) program
included in Schedule SC, item 16.a, Perpetual preferred stock including related
surplus (for Subchapter S corporations, outstanding issuances of subordinated
debt securities associated with CDCI included in Schedule SC, item 11, Long-term
K141
borrowings)

Amount

1.

2. 8527
8527

2.

8528

3.

8529

4.

8530

5.

3. 8528

4. 8529

5. 8530

06/2018