Form FR 2030 FR 2030 Application for Federal Reserve Bank Stock (for use by d

FR 2030
OMB Number 7100-0042
Approval expires December 31, 2022
Page 1 of 2

FOR USE BY DE NOVO NATIONAL BANKS.

Board of Governors of the Federal Reserve System

Application for Federal Reserve Bank Stock—FR 2030
Date of Application:

Report Dollar Amounts in Thousands

Month / Day / Year

ABA Number:
Indicate whether total consolidated assets of the bank exceed $11.229 billion:

Yes

No

At a meeting of the Board of Directors of
Legal Name of Organizing Bank

, duly called and held on the
City or Town

State

day of
Day

,
Month

,
Year

the following resolution was adopted:
“WHEREAS, the Board of Directors, on behalf of this bank, desires to subscribe to the capital stock of the Federal Reserve Bank of the
district in which this bank is located, in accordance with the provisions of the act of Congress approved December 23, 1913, as amended,
and known as the Federal Reserve Act;
“WHEREAS, the authorized capital of this bank is $
, and the subscribers to its capital stock
have agreed to pay in surplus, less retained earnings and accumulated other comprehensive income if such combined amount is
;
negative, of $

and a paid-up surplus,
“WHEREAS, it is contemplated that this bank will have a paid-up capital of $
$
at the time it is authorized by the Comptroller of the Currency to commence business; and

“WHEREAS, six percent of such (authorized/paid-up)1 capital and surplus (amounts/will amount) to $

;

“NOW, THEREFORE, BE IT RESOLVED, that the President, Chief Financial Officer, or Vice President and Cashier or Secretary of this
bank be, and they are hereby, authorized, empowered, and directed to make application for and to subscribe to the appropriate number
of shares, of a par value of $100 each, of the capital stock of the Federal Reserve Bank of
and to pay for2 such stock in accordance with the provisions of the Federal Reserve Act.”
I hereby certify that the foregoing is a true and complete copy of a resolution duly adopted by the Board of Directors of this bank on the
date specified and still in full force and effect.

Cashier, Secretary, or Treasurer

1. In order to avoid the necessity of making applications for additional stock in the Federal Reserve Bank, as additional installments of the capital stock
and surplus of the applying bank are paid in, application may be made for stock in the Federal Reserve Bank in an amount equal to six percent of the
authorized capital of the applying bank plus six percent of the amount of surplus, if any, which the subscribers to the capital stock of the applying bank
have agreed to pay in.
2. One-half of the amount of the bank’s subscription shall be paid to the Federal Reserve Bank and the remaining half will be subject to call when
deemed necessary by the Board of Governors of the Federal Reserve System.

This application should be sent to the FEDERAL RESERVE BANK of your district.
Public reporting burden for this collection of information is estimated to average 0.5 hours per response, including the time to gather and maintain data in the required form and to review
instructions and complete the information collection. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing
this burden to: Secretary, Board of Governors of the Federal Reserve System, Washington, DC 20551; and to the Office of Management and Budget, Paperwork Reduction Project (7100–
0042), Washington, DC 20503. 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.
01/2022

FR 2030
Page 2 of 2

Pursuant to the foregoing resolution, this bank hereby subscribes to and makes application for
shares3 of the capital stock of the Federal Reserve Bank of
, of a par value of
, and agrees to pay for same in accordance with the provisions
$100 each, amounting to $
of the Federal Reserve Act.
By
Legal Name of Organizing Bank

President, Chief Financial Officer, or Vice President

ABA Number

Attest
City or Town

State

Cashier, Secretary, or Treasurer

NOTE: One of the signers of the form must be listed on the bank's Official Authorization List (OAL) that is on file with the Federal Reserve
and hold one of the titles identified. It is recommended that banks periodically review and update this form. Instructions for submitting
Board Resolution and Authorized Approver packages are available online at https://www.frbservices.org/forms/accounting/index.html.
3. If six percent of the paid-up or authorized capital and surplus, whichever is adopted as the base of this application, amounts to a sum not divisible by
100, the bank should apply for one additional share of stock for any excess or fractional part of $100.

06/2019