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pdfDRAFT FR Y-6 FORMS - Proposal
Effective 12-31-2024
FR Y-6
OMB Number 7100-0297
Approval expires November 30, 2022
Page 1 of 2
Board of Governors of the Federal Reserve System
November 30, 2025
Annual Report of Holding Companies—FR Y-6
Report at the close of business as of the end of fiscal year
This Report is required by law: Section 5(c)(1)(A) of the Bank
Holding Company Act (12 U.S.C. § 1844(c)(1)(A)); sections 8(a)
and 13(a) of the International Banking Act (12 U.S.C. §§ 3106(a)
and 3108(a)); sections 11(a)(1), 25, and 25A of the Federal
Reserve Act (12 U.S.C. §§ 248(a)(1), 602, and 611a); and sections 113, 165, 312, 618, and 809 of the Dodd-Frank Act (12 U.S.C.
§§ 5361, 5365, 5412, 1850a(c)(1), and 5468(b)(1)). Return to the
appropriate Federal Reserve Bank the original and the number of
copies specified.
This report form is to be filed by all top-tier bank holding companies, top-tier savings and loan holding companies, and U.S. intermediate holding companies organized under U.S. law, and by
any foreign banking organization that does not meet the requirements of and is not treated as a qualifying foreign banking organization under Section 211.23 of Regulation K (12 C.F.R. §
211.23). (See page one of the general instructions for more detail
of who must file.) The Federal Reserve may not conduct or sponsor, and an organization (or a person) is not required to respond
to, an information collection unless it displays a currently valid
OMB control number.
NOTE: The Annual Report of Holding Companies must be signed by
one director of the top-tier holding company. This individual should
also be a senior official of the top-tier holding company. In the event
that the top-tier holding company does not have an individual who is
a senior official and is also a director, the chairman of the board must
sign the report. If the holding company is an ESOP/ESOT formed as
a corporation or is an LLC, see the General Instructions for the
authorized individual who must sign the report.
Date of Report (top-tier holding company's fiscal year-end):
Month / Day / Year
Reporter's Legal Entity Identifier (LEI) (20-Character LEI Code)
Reporter's Name, Street, and Mailing Address
I,
Name of the Holding Company Director and Official
Legal Title of Holding Company
Title of the Holding Company Director and Official
attest that the Annual Report of Holding Companies (including
the supporting attachments) for this report date has 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.
With respect to information regarding individuals contained in this
report, the Reporter certifies that it has the authority to provide this
information to the Federal Reserve. The Reporter also certifies
that it has the authority, on behalf of each individual, to consent or
object to public release of information regarding that individual.
The Federal Reserve may assume, in the absence of a request for
confidential treatment submitted in accordance with the Board's
"Rules Regarding Availability of Information," 12 C.F.R. Part 261,
that the Reporter and individual consent to public release of all
details in the report concerning that individual.
(Mailing Address of the Holding Company) Street / P.O. Box
City
State
Zip Code
Physical Location (if different from mailing address)
Person to whom questions about this report should be directed:
Name
Title
Area Code / Phone Number / Extension
Area Code / FAX Number
E-mail Address
Signature of Holding Company Director and Official
Address (URL) for the Holding Company's web page
Date of Signature
For holding companies not registered with the SEC–
Indicate status of Annual Report to Shareholders:
is included with the FR Y-6 report
will be sent under separate cover
is not prepared
For Federal Reserve Bank Use Only
RSSD ID
C.I.
0=No
Is confidential treatment requested for any portion of
this report submission? .................................... 1=Yes
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 ........................................................
2. a letter justifying this request has been provided separately ...
NOTE: Information for which confidential treatment is being requested
must be provided separately and labeled
as "confidential."
Public reporting burden for this information collection is estimated to vary from 1.3 to 101 hours per response, with an average of 5.50 hours per response, including 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, 20th and C Streets, NW, Washington, DC 20551, and to the
Office of Management and Budget, Paperwork Reduction Project (7100-0297), Washington, DC 20503.
12/2019
09/2022
FR Y-6
Page 2 of 2
For Use By Tiered Holding Companies
Top-tiered holding companies must list the names, mailing address, and physical locations of each of their subsidiary holding companies
below.
Legal Title of Subsidiary Holding Company
Legal Title of Subsidiary Holding Company
(Mailing Address of the Subsidiary Holding Company) Street / P.O. Box
(Mailing Address of the Subsidiary Holding Company) Street / P.O. Box
City
City
State
Zip Code
State
Zip Code
Physical Location (if different from mailing address)
Physical Location (if different from mailing address)
Legal Title of Subsidiary Holding Company
Legal Title of Subsidiary Holding Company
(Mailing Address of the Subsidiary Holding Company) Street / P.O. Box
(Mailing Address of the Subsidiary Holding Company) Street / P.O. Box
City
State
Zip Code
City
State
Zip Code
Physical Location (if different from mailing address)
Physical Location (if different from mailing address)
Legal Title of Subsidiary Holding Company
Legal Title of Subsidiary Holding Company
(Mailing Address of the Subsidiary Holding Company) Street / P.O. Box
(Mailing Address of the Subsidiary Holding Company) Street / P.O. Box
City
State
Zip Code
City
State
Zip Code
Physical Location (if different from mailing address)
Physical Location (if different from mailing address)
Legal Title of Subsidiary Holding Company
Legal Title of Subsidiary Holding Company
(Mailing Address of the Subsidiary Holding Company) Street / P.O. Box
(Mailing Address of the Subsidiary Holding Company) Street / P.O. Box
City
State
Physical Location (if different from mailing address)
Zip Code
City
State
Zip Code
Physical Location (if different from mailing address)
12/2012
INTERNAL FR/OFFICIAL USE // FRSONLY
Report Item 3(1): Securities Holders as of the Fiscal Year-End
Use this sched ule to complete Report Item 3(1) to list each securities holder, of record, that directly or indirectly owns, controls, or holds with power to vote 5 percent or more of any class
of voting securities of the holding company as of the last day of the fiscal year-end of the holding company. Report Item 3 should be reported for the top-tier holding company and each
lower-tier holding company. Use additional pages as need ed.
Legal Name of Holding Company:
Item
Number
New
MDRM
(a)
Name
New
MDRM
(b) City
New
MDRM
(c) State
New
MDRM
(d) Country
New MDRM
(e) Country of
Citizenship
or
Incorporation
New MDRM
(f) Number o f Securities
(1) Common
stock New
MDRM
(2) Options,
warrants, other
securities or
rights
New MDRM
(g) Percentage of each class of
voting securities
(1) Common
(2) Options,
stock
warrants, other
New MDRM
securities or rights
New MDRM
1
2
3
4
5
6
7
12/2024
INTERNAL FR/OFFICIAL USE // FRSONLY
Report Item 3(2): Securities Holders during the Fiscal Year-End
Use this sched ule to complete Report Item 3(1) to list each securities holder, of record, that directly or indirectly owns, controls, or holds with power to vote 5 percent or
more of any class of voting securities of the holding company d ur i ng fiscal year-end of the holding company. Report Item 3 should be reported for the top-tier
holding company and each lower-tier holding company. Use additional pages as needed.
Legal Name of Holding Company:
Item
Number
New
MDRM
(a)
Name
New
MDRM
(b) City
New
MDRM
(c) State
New
MDRM
(d) Country
New MDRM
(e) Country of
Citizenship or
Incorporation
New MDRM
(f) Number o f Securities
(1) Common
stock New
MDRM
(2) Options,
warrants, other
securities or
rights
New MDRM
(g) Percentage of each class of
voting securities
(1) Common stock (2) Options,
New MDRM
warrants, other
securities or
rights
New MDRM
1
2
3
4
5
6
7
12/2024
INTERNAL FR/OFFICIAL USE // FRSONLY
Report Item 4: Insiders
Use this sched ule to complete Report Item 4 for each principal securities holder, director, trustee, partner, executive officer, or person exercising similar functions of the holding
company, regardless of title or compensation, as of the fiscal year-end. Item 4 should be reported for the top-tier holding company and each lower-tier holding company. Use additional
pages as need ed.
Legal Name of Holding Company:
Title and position with holding
company and subsidiaries of
holding companies
Item
Number
New
MDRM
1
(1)(a)
Name
New
MDRM
(1)(b)
(1)(c)
City New State
MDRM New
MDRM
(1)(d)
Country
New
MDRM
(2)
Principal
Occupation
if other
than with
Ho l ding
Company
New
MDRM
(3)(a)
With
holding
company
New
MDRM
(3)(b)
With
Subsidiaries
New
MDRM
(3)(c)
Name of
Subsidiary
New
MDRM
Title and position with
other companies and
names of other
companies
(3)(d)
With
other
company
New
MDRM
Percentage of voting shares in holding company,
subsidiaries and other companies (for other companies,
report only if 25 percent or more of voting securities are
held – included partnership)
(3)(e)
(4)(a)
Name New Holding
MDRM
Company
New
MDRM
(4)(b)
Subsidiaries
New
MDRM
(4)(c)
(4)(d)
Names of Other
subsidiaries Company
New
New
MDRM
MDRM
(4)(e)
Name of
Other
Company
New
MDRM
2
3
4
5
6
7
8
12/2024
File Type | application/pdf |
File Modified | 2022-11-28 |
File Created | 2022-10-20 |