Form FFIEC 030S FFIEC 030S Abbreviated Foreign Branch Report of Condition

Board of Governors of the Federal Reserve System OMB Number 7100-0071
Federal Deposit Insurance Corporation
OMB Number 3064-0011
Office of the Comptroller of the Currency
OMB Number 1557-0099
Approval Expires December 31, 2024
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Federal Financial Institutions Examination Council

Abbreviated Foreign Branch Report of Condition—
FFIEC 030S
Report at the close of business December 31,
Year

This report is required by law (12 U.S.C. § 321, 324, and 602 (FRB);
12 U.S.C.§ 161 and 602 (OCC); and 12 U.S.C. § 1828 (FDIC)).

collected on this form must be released, respondents will be
notified.

The Federal Financial Institutions Examination Council regards
the information provided by each respondent as confidential. If
it should subsequently be determined that any information

A Federal agency may not conduct or sponsor, and an organization is not required to respond to, a collection of information
unless it displays a currently valid OMB control number.

Name of Bank

Foreign Branch

Name (FORB 9017)

Name (FORB Q050)

Street Address (FORB 9028)

Street Address (FORB W913)

City (FORB 9130)

State (FORB 9200)

City / Town (FORB W914)

Country (FORB 9005)

The FFIEC 030S is to be prepared in accordance with federal
regulatory authority instructions and must be signed by an authorized officer of the parent U.S. institution. The authorized officer
may be the chief financial officer or equivalent senior officer.
I, the undersigned authorized officer of the named parent U.S.
institution attest that the FFIEC 030S report (including any
consolidated branches) for this report date has been prepared
in conformance with the instructions issued by the federal regulatory authority and is true and correct to the best of my
knowledge and belief.

Printed Name of Authorized Officer (FORB C490)

Signature of Authorized Officer (FORB H321)

Title of Authorized Officer (FORB C491)

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

Unless this report is submitted electronically, the completed and signed original hard copy report form
should be submitted to the appropriate Federal Reserve District Bank.
Public reporting burden for this collection of information is estimated to average 0.5 hours per response, including the time for reviewing instructions, searching existing data sources, gathering
and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate, including suggestions for reducing this burden, to
the Office of Information and Regulatory Affairs, Office of Management and Budget, Washington, DC 20503, and to one of the following: Secretary, Board of Governors of the Federal Reserve
System, 20th and C Streets, NW, Washington, DC 20551; Legislative and Regulatory Activities, Office of the Comptroller of the Currency, 250 E Street, SW, Washington, DC 20219; Assistant
Executive Secretary, Federal Deposit Insurance Corporation, 550 17th Street, NW, Washington, DC 20429.

12/2021

FFIEC 030S
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Consolidation Option
Banks may, at their option, consolidate the figures for all other branches located in the same country on the report form, using the name
and address of the principal branch. If the bank elects to consolidate, complete the following statement.
Figures reported in this report are a consolidation of all

branches in
Number (FORB 2991)

Country (FORB W917)

Please list the consolidated branches on the lines below:

Street Address (FORB FS64)

City (FORB FS65)

Street Address (FORB FS64)

City (FORB FS65)

Street Address (FORB FS64)

City (FORB FS65)

Street Address (FORB FS64)

City (FORB FS65)

Street Address (FORB FS64)

City (FORB FS65)

Street Address (FORB FS64)

City (FORB FS65)

(If more space is needed, please list addresses for the other branches on a separate page.)

U.S. Dollar Amounts in Thousands
Financial Data
1. Gross due from related institutions ..........................................................................................
2. Total assets........................................................................................................................
3. Gross due to related institutions .............................................................................................
4. Total gross notional amount of derivative contracts .....................................................................
5. Commercial and similar letters of credit, standby letters of credit, and foreign office guarantees .............

FORB

3002
2170
3001
F156
F157

Amount

1.
2.
3.
4.
5.

12/2017