Form FR LL-10(b) FR LL-10(b) Savings and Loan Holding Company Registration Statement

FR LL-10(b)
OMB Number 7100-0337
Approval expires April 30, 2023
Page 1 of 1

Board of Governors of the Federal Reserve System

Savings and Loan Holding Company Registration
Statement—FR LL-10(b)
This registration statement is required by Section 10(b)(1) of the
Home Owners' Loan Act (12 U.S.C. § 1467a(b)(1)) and Section
238.4(c) of Regulation LL (12 CFR § 238.4(c)).

This registration statement is to be filed by all savings and loan
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.

Savings and Loan Holding Company Information:

Person to whom questions about this registration statement
should be directed:

Legal Name of Savings and Loan Holding Company

Name

Executive Office Street

Area Code / Phone Number

City

State

Zip Code

Title

Area Code / FAX Number

Email Address of Contact
Street Mailing Address (if different from above)

City

State

Zip Code

Certification
Pursuant to Section 10(b)(1) of the Home Owners' Loan Act, as amended, and 12 C.F.R. Section 238.4(c), the undersigned, by filing
this statement, intends to register the savings and loan holding company with the Federal Reserve Board. The undersigned certified
that the savings and loan holding company has authorized the individual to sign this registration statement on its behalf.
The undersigned principal executive or principal financial officer of the savings and loan holding company acknowledges and certifies
that the information contained herein, including exhibits, pertinent papers, and documents, has been carefully reviewed and that such
information is true, correct, and complete.

Printed Name of Officer Signing on Behalf of the
Savings and Loan Holding Company

Title of Officer

Attest:
Signature of Officer

Date of Signature

To complete the Savings and Loan Holding Company Registration Statement—FR LL-10(b), the Registrant must provide the
additional information specified in the “Requested Information” section of the Instructions for Preparation of Savings and
Loan Holding Company Registration Statement—FR LL-10(b).

Savings and loan holding companies must maintain in their files a manually signed and attested printout of the data submitted.
Public reporting burden for this information collection is estimated to average 8.0 hours per response, including the time for reviewing instructions, searching existing data sources, gathering
and maintaining the data needed, formatting the information, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other
aspect of this information collection, 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 (7100-0337), Washington, DC 20503.

06/2020