Notice of Contraction of Activities

Notice of Contraction of Activities

Date

Director for District Licensing

Northeastern District

Comptroller of the Currency

340 Madison Avenue, Fifth Floor

New York, New York 10017-4613

Dear Director:

We hereby provide a 10-day after-the-fact notice to contract the activities of our (federal branch/limited federal branch) to (limited federal branch/federal agency). The license number of our (federal branch/limited federal branch) is (license number). Our legal counsel advised us that the proposed change of status is not in contravention of applicable federal and state laws. A legal opinion is enclosed.

This planned change (required/did not require) approval by the regulatory authorities of our home. [For home country approval] Evidence of home country regulatory approval for this change of status is (enclosed/forthcoming).

I hereby certify that the bank’s board of directors, or a designated official, has authorized the filing of this notice and that to the best of my knowledge, the information contained herein is true and complete. A copy of the authorization is attached. In addition, I agree to notify the OCC if the facts described in this notice change materially prior to receiving its decision.

If you have any questions regarding this notice, contact (name, address, city, state, ZIP Code) at (telephone and facsimile numbers, including area or country code) or by e-mail at (insert address).

Sincerely,

- Signature -

Typed Name and Title

(President or authorized officer)

Attachment (if applicable)