Foreign Branch Report of Condition (Annual)

DRAFT

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, 2015
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Page 1 of 4

Federal Financial Institutions Examination Council

Foreign Branch Report of Condition—FFIEC 030
Report at the close of business
Month / Day / 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 organiOption"
zation is not required to respondMove
to, a "Consolidation
collection of information
including
linesnumber.
for consolidated
unless it displays a currently valid
OMB control

Name of Bank

Consolidation Option

Name

Street Address

City

State

Foreign Branch

branches to new page 2.

Foreign branches that meet the threshold for reporting on a
quarterly basis must not be consolidated with any other branch.
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. When If the
bank elects to consolidate, complete the following statement. A
or B below should be completed, as appropriate.
A. No figures are shown for this branch because of consolidation
branch.
with those reported for the
Name of Country's Principal Branch

B. Figures reported in this report are a consolidation of all
branches in

Name
Street Address

Number

City / Town

with the exception of those branches which meet the
thresholds for quarterly reporting. Please list the consolidated
branches on the lines below:

Country

Country

For consolidation option B, please list the consolidated branches on the lines below:
Street Address

City

Street Address

City

Street Address

City

Street Address

City

Street Address

City

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

Insert 1 and Insert 2 in space above (see page 3).
All banks and savings associations should submit completed and signed original hard copy report forms
to the appropriate Federal Reserve District Bank.
Public reporting burden for this collection of information is estimated to vary from 2 to 6 hours, with an average of 3.4 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.
12/2012

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FFIEC 030
Page 2 of 3

For Agency Use Only
Charter

Name of Bank

Country

City

Page 3 of 4

Branch

Branch

U.S. Dollar Amounts in Thousands
Assets
1. Cash items in process of collection, unposted debits, and currency and coin ..............................
2. Balances due from U.S. banks (including IBFs and foreign branches of U.S. banks) other than the
U.S. parent ...................................................................................................................
3. Balances due from foreign banks (including U.S. branches and agencies of foreign banks
and their IBFs) ...............................................................................................................
4. Securities:
a. Securities and obligations of U.S. government and states and political subdivisions in the U.S. ..
b. Other securities (debt and equity) ..................................................................................
5. Trading assets ...............................................................................................................
6. Loans and lease financing receivables:
a. Loans secured by real estate ........................................................ 1410
b. Loans to depository institutions ..................................................... 2237
c. Commercial and industrial loans .................................................... 1600
d. All other loans and all leases ........................................................ 2024
e. Less: unearned income on loans in items 6.a.- d. above ..................... 2123
f. Total loans and leases, net ...........................................................................................
7. Premises and fixed assets (including capitalized leases) ........................................................
8. Gross due from head office, U.S. branches, and other foreign branches of this bank ....................
9. Gross due from consolidated subsidiaries of this bank ...........................................................
10. Other assets..................................................................................................................
11. TOTAL ASSETS .............................................................................................................
Liabilities
12. Deposits of U.S. banks (including IBFs and foreign branches of U.S. banks)...............................
13. Deposits of foreign banks (including U.S. branches and agencies of foreign banks and their IBFs) ..
14. Other deposits ...............................................................................................................
15. Liabilities for borrowed money ...........................................................................................
16. Gross due to head office, U.S. branches, and other foreign branches of this bank........................
17. Gross due to consolidated subsidiaries of this bank ...............................................................
18. Other liabilities ...............................................................................................................
19. TOTAL LIABILITIES ........................................................................................................

FORB

Bil

Mil

Thou

0022

1.

0033

2.

0034

3.

6597
0423
2146

4.a.
4.b.
5.

2122
2145
C482
C483
2160
2170

2623
2625
2238
2239
C485
C486
2930
2950

6.a.
6.b.
6.c.
6.d.
6.e.
6. f.
7.
8.
9.
10.
11.

12.
13.
14.
15.
16.
17.
18.
19.

12/2012

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FFIEC 030
Page 3 of 3

Page 4 of 4
U.S. Dollar Amounts in Thousands

Derivatives and Off-Balance-Sheet Items
20. Commitments to purchase foreign currencies and U.S. dollar exchange (spot, forward, and futures)
21. All other futures and forward contracts (excluding contracts involving foreign exchange) ...............
22. Option contracts (e.g., options on Treasuries):
a. Written option contracts ...............................................................................................
b. Purchased option contracts ..........................................................................................
23. Standby letters of credit and foreign office guarantees............................................................
24. Commercial and similar letters of credit ...............................................................................
25. Notional value of all outstanding interest rate swaps ..............................................................

FORB

,
Name of Officer Authorized to Sign Report

Mil

Thou

3415
6836

20.
21.

6837
6838
6839

22.a.
22.b.
23.
24.
25.

3411
3450

Memoranda
26. TOTAL INTEREST-BEARING BALANCES included in items 2 and 3......................................... 0071
27. TOTAL INTEREST-BEARING DEPOSITS included in items 12, 13, and 14 ................................ 6636

I,

Bil

26.
27.

of the above-named bank do hereby declare that this report
Title

of condition is true and correct to the best of my knowledge and belief.

Signature of Officer Authorized to Sign Report

Page 1, insert 1
The FFIEC 030 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 030 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 Senior Officer]
[Title of Officer (FORB C491)]
[Date of Signature (MM/DD/YYYY) (FORB J196)]

Page 1, insert 2
To be completed for the December report only.
Indicate whether the branch(es) meets the annual
or quarterly filing criteria for December
(Enter "1" for annual; enter "2" for quarterly)...........

12/2012