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Consolidated Reports of Condition and Income for A Bank ... - ffiec

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Contact In<strong>for</strong>mation <strong>for</strong> the <strong>Reports</strong> <strong>of</strong> <strong>Condition</strong> <strong>and</strong> <strong>Income</strong><br />

FFIEC 041<br />

Page ii<br />

To facilitate communication between the Agencies <strong>and</strong> the bank concerning the <strong>Reports</strong> <strong>of</strong> <strong>Condition</strong> <strong>and</strong> <strong>Income</strong>, please provide contact in<strong>for</strong>mation <strong>for</strong><br />

(1) the Chief Financial Offi cer (or equivalent) <strong>of</strong> the bank signing the reports <strong>for</strong> this quarter <strong>and</strong> (2) the person at the bank —other than the Chief Financial<br />

Offi cer (or equivalent)— to whom questions about the reports should be directed. If the Chief Financial Offi cer (or equivalent) is the primary contact <strong>for</strong><br />

questions about the reports, please provide contact in<strong>for</strong>mation <strong>for</strong> another person at the bank who will serve as a secondary contact <strong>for</strong> communications<br />

between the Agencies <strong>and</strong> the bank concerning the <strong>Reports</strong> <strong>of</strong> <strong>Condition</strong> <strong>and</strong> <strong>Income</strong>. Enter “none” <strong>for</strong> the contact’s e-mail address or fax number if not<br />

available. Contact in<strong>for</strong>mation <strong>for</strong> the <strong>Reports</strong> <strong>of</strong> <strong>Condition</strong> <strong>and</strong> <strong>Income</strong> is <strong>for</strong> the confi dential use <strong>of</strong> the Agencies <strong>and</strong> will not be released to the public.<br />

Chief Financial Offi cer (or Equivalent) Signing the <strong>Reports</strong> Other Person to Whom Questions about the <strong>Reports</strong> Should<br />

be Directed<br />

Name (TEXT C490)<br />

Title (TEXT C491)<br />

E-mail Address (TEXT C492)<br />

Telephone: Area code/phone number/extension (TEXT C493)<br />

FAX: Area code/phone number (TEXT C494)<br />

Emergency Contact In<strong>for</strong>mation<br />

This in<strong>for</strong>mation is being requested so the Agencies can distribute critical, time sensitive in<strong>for</strong>mation to emergency contacts at banks. Please provide<br />

primary contact in<strong>for</strong>mation <strong>for</strong> a senior <strong>of</strong>fi cial <strong>of</strong> the bank who has decision-making authority. Also provide in<strong>for</strong>mation <strong>for</strong> a secondary contact if available.<br />

Enter “none” <strong>for</strong> the contact’s e-mail address or fax number if not available. Emergency contact in<strong>for</strong>mation is <strong>for</strong> the confi dential use <strong>of</strong> the Agencies <strong>and</strong><br />

will not be released to the public.<br />

Primary Contact Secondary Contact<br />

Name (TEXT C366)<br />

Title (TEXT C367)<br />

E-mail Address (TEXT C368)<br />

Telephone: Area code/phone number/extension (TEXT C369)<br />

FAX: Area code/phone number (TEXT C370)<br />

Name (TEXT C495)<br />

Title (TEXT C496)<br />

E-mail Address (TEXT 4086)<br />

Telephone: Area code/phone number/extension (TEXT 8902)<br />

FAX: Area code/phone number (TEXT 9116)<br />

Name (TEXT C371)<br />

Title (TEXT C372)<br />

E-mail Address (TEXT C373)<br />

Telephone: Area code/phone number/extension (TEXT C374)<br />

FAX: Area code/phone number (TEXT C375)<br />

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