Form NCUA-5300 Draft March 09 5300 form

---

Overview

Cover
Instructions
CONTACT (1)
EMERGCONT(2)
STFC (3)
STFC (4)
STFC (5)
STFC (6) SH INS
STIE (7)
MISCINFO (8)
MISCINFO 2 (9)
DEL (10)
COREC(11)
LIQUIDITY (12)
IS&T (13)
PCA (14)
RBNW (15)
SPECLOANS (16)
SPECLOANS2 (17)
SPECLOANS3 (18)
INV (19)
CUSO (20)

---

Sheet 1: Cover

---

Sheet 2: Instructions

INSTRUCTIONS FOR REPORTING REQUIREMENTS
This form has been divided into two sections -- a core section and section of supplementary
schedules. All credit unions must complete the core section, pages 1 - 13. Supplementary
schedules A - C on pages 16 - 20 must be completed if they are applicable to your credit union.
SCHEDULE				REPORTING REQUIREMENT
A - Specialized Lending				Complete this schedule if your credit union:
				● has real estate loans outstanding or real estate lending activity year to date,
				● has business loans outstanding or business lending activity year to date,
				● has indirect loans outstanding,
				● has participation loans outstanding or participation lending activity year to date, or
				● has purchased loans from other financial institutions year to date.
B - Investments, Supplemental Information				Complete this schedule if your credit union:
				● has investments classified as Trading, Available for Sale, or Held to Maturity,
				● has non-security investments that meet the requirements of Part 703.10(a),
				● has investments purchased under an investment pilot program as defined by Part 703.19,
				● has investment repurchase agreements,
				● has investments not authorized by the FCU Act or NCUA Rules and Regulations, or
				● has investments in brokered certificates of deposit or brokered share certificates.
C - Credit Union Service Organization (CUSO) Information				Complete this schedule if your credit union has a loan to or investment in a CUSO.

---

Sheet 3: CONTACT (1)

CONTACT AND CERTIFICATION PAGE
This page must be completed by all credit unions
	USA PATRIOT Act Information
	The regulations implementing the USA PATRIOT Act require financial institutions to identify contacts to receive information from FinCEN regarding individuals, entities, and organizations engaged in or reasonably suspected, based upon credible evidence of engaging in terrorist acts or money laundering activities. The logical person to designate for this would be the individual in charge of the credit union's Bank Secrecy Act Compliance and Customer Identification Programs. The contact information will be used by NCUA and FinCEN and will not be released to the public.
	Primary Contact			Secondary Contact
			ACCT CODE			ACCT CODE
			969			969D
	Name			Name
	Email Address		969A	Email Address		969E
	Fax Number		969B	Fax Number		969F
	Telephone Number		969C	Telephone Number		969G
	Extension		969P	Extension		969Q
	Credit Union Name:				Charter Number:________________
	Telephone No:			Extension:_______________________
	Fax No:			Office Hours:________________________________________
	Last Name:				Date:_________________________
		Prepared By (Signature)
	Last Name:				Date:_________________________
		Certified Correct By (Signature)
	Last Name:				First Name:___________________MI:____
	Please print	Manager/CEO (The person responsible for the day to day operations of the credit union)
	Last Name:				First Name:___________________MI:____
	Please print	President of the Board (Chairperson)

---

Sheet 4: EMERGCONT(2)

EMERGENCY CONTACT PAGE

This page must be completed by all credit unions

Emergency Contact Information

The Emergency Contact Information is the same as the USA PATRIOT Act Information. Please include a cell number below if it is available.

NCUA Rules and Regulations Section 748.1(b) requires you report catastrophic acts occurring in your offices within 5 business days to NCUA. The Emergency Contact information is requested so NCUA can distribute critical, time sensitive information to emergency contacts at credit unions. Please provide primary contact information for a senior credit union official that has decision-making authority. Also, please provide information for second senior official contact. Emergency contact information is for the confidential use of NCUA and will not be released to the public.

Primary Contact

Secondary Contact

Name

969H

Name

969L

Email Address

969I

Email Address

969M

Fax Number

969J

Fax Number

969N

Telephone Number

969K

Telephone Number

969O

Extension

969R

Extension

969S

Cell Phone

969T

Cell Phone

969U

The Disaster Recovery Location is a hot site.

Vital Records Center (Required by Part 749-RR)

Disaster Recovery Location

Name

969Z2

Name

969V

Street Address

969Z3

Street Address

969W

City

969Z4

City

969X

State

969Z5

State

969Y

969Z8

Zip Code

969Z9

Zip Code

Phone Number

969Z6

Phone Number

969Z

Date of Last Disaster Recovery Test…………………….……………….………

969Z1

MM

YYYY

Who is the credit union’s Primary Settlement Agent? (i.e. member share draft clearing, ACH transactions - See Instructions)

Drop Down Menu

989

Credit Union General / Informational Email address (if applicable - See Instructions)

890

Resources for Emergencies

Please check the resources or services you have available and would be willing to share with other credit unions during the time of an emergency if you did not need them. (Check all that apply).

Mobile Branch

979

IT Support

979B

Office Space

979D

Staffing Assistance/ Mgmt Svcs

979A

Cash Non-Mbr Share Drafts

979C

Generator

979E

---

Sheet 5: STFC (3)

STATEMENT OF FINANCIAL CONDITION AS OF MARCH 31, 2009

(ROUND CENTS TO THE NEAREST WHOLE DOLLAR. DO NOT REPORT CENTS)

Credit Union Name:________________________________________________________________

Federal Charter/Certificate Number: ______________________

This page must be completed by all credit unions

ASSETS

CASH:

Acct Code

Amount

1. Cash on Hand (Coin and Currency)………………………..…..…………………..……………………………..

730A

2. Cash on Deposit (Amounts Deposited in Financial Institutions)

Amount

a. Cash on Deposit in Corporate Credit Unions………......………………….……..……

730B1

b. Cash on Deposit in Other Financial Institutions…………....………..…………...……

730B2

c. Total Cash on Deposit (Amounts Deposited in Financial Institutions)…………………………………………..

730B

3. Cash Equivalents (Investments with Original Maturities of Three Months or Less)……….…………………..

730C

INVESTMENTS: If your credit union reports amounts for items 4, 5, or 6 below, complete Schedule B - Investments, Supplemental Information.

A

B

C1

C2

D

E

<= 1 Year

Acct Code

>1-3 Years

Acct Code

>3-5 Years

Acct Code

>5-10 Years

Acct Code

> 10 Years

Acct Code

TOTAL AMOUNT

Acct Code

4. Trading Securities…………..

965A

965B

965C1

965C2

965D

965

5. Available for Sale Securities…

797A

797B

797C1

797C2

797D

797E

6. Held-to-Maturity Securities…..

796A

796B

796C1

796C2

796D

796E

7. Deposits in commercial banks, S&Ls, savings banks…………….

744A

744B

744C1

744C2

744D

744C

8. Loans to and investments in natural person credit unions …….

672A

672B

672C1

672C2

672D

672C

9. Membership capital at corporate credit unions………….

769A1

769A

10. Paid-in capital at corporate credit unions……………………..

769B1

769B

11. All other investments in corporate credit unions…………..

652A

652B

652C1

652C2

652D

652C

12. All other investments……….

766A

766B

766C1

766C2

766D

766E

13. TOTAL INVESTMENTS (Sum of Items 4-12)…….…

799A1

799B

799C1

799C2

799D

799I

LOANS Held for Sale: See Instructions.

Amount

Acct

14. Loans Held for Sale…………………………………………………………………………………………………

……………………………………………………………………

003

---

Sheet 6: STFC (4)

STATEMENT OF FINANCIAL CONDITION AS OF MARCH 31, 2009
This page must be completed by all credit unions
ASSETS -- CONTINUED
LOANS & LEASES: Participation loans purchased by the credit union should be reported in the appropriate category in this section. If your credit union has any real estate loans or member business loans outstanding or has originated any real estate loans or member business loans during the reporting period, complete Schedule A - Specialized Lending.
		Interest Rate	Acct Code	Number of Loans	Acct Code	Amount	Acct Code
15. Unsecured Credit Card Loans………...……………….			521		993		396
16. All Other Unsecured Loans/Lines of Credit……...……			522		994		397
17. New Vehicle Loans…………...………………………..			523		958		385
18. Used Vehicle Loans………..……...……………………			524		968		370
19. Total 1st Mortgage Real Estate Loans/Lines of Credit			563		959		703
20. Total Other Real Estate Loans/Lines of Credit ……….			562		960		386
21. Leases Receivable………….....……………………….			565		954		002
22. Total All Other Loans/Lines of Credit…………..………			595		963		698
23. TOTAL LOANS & LEASES (Sum of items 15-22)………………………...….………					025A		025B
24. Less: Allowance for Loan & Lease Losses…………..…..…………………………...………...……………………….							719
Other Assets:
25. Foreclosed and Repossessed Assets		Number of Loans	Acct Code	Amount	Acct Code
a. Real Estate…………………………………………….			798B1		798A1
b. Automobiles……………………………………………			798B2		798A2
c. Other…………………………………………………..			798B3		798A3
d. Total Foreclosed and Repossessed Assets………			798B		798A	Amount	Acct Code
26. Land and Building………………………………….……………..……………………………...……....…………………..							007
27. Other Fixed Assets…………………………………………………………………………………………………...……..							008
28. NCUA Share Insurance Capitalization Deposit…………………………………………………………………………….							794
29. Intangible Assets				Amount	Acct Code
a. Identifiable Intangible Assets…………………….…………………………..…….					009D1
b. Goodwill…….....…………………..…………………………………………………					009D2
c. Total Intangible Assets……………………………………………………………..					009D
30. Other Assets				Amount	Acct Code
a. Accrued Interest on Loans……………………………….……...………………...					009A
b. Accrued Interest on Investments………………………….……………………….					009B
c. All Other Assets…………………….……………………………………………….					009C
d. Total Other Assets……….…......……………..…………………………………….					009
31. TOTAL ASSETS (Sum of items 1, 2c, 3, 13-14, 23, 24, 25d, 26-28, 29c, and 30c)……………………..…………							010
				Number	Acct Code	Amount	Acct Code
32. Loans Granted Year-to-Date…………………………...…………………………….					031A		031B
33. Loans Outstanding to Credit Union Officials and Senior Executive Staff…………					995		956

---

Sheet 7: STFC (5)

STATEMENT OF FINANCIAL CONDITION AS OF MARCH 31, 2009

This page must be completed by all credit unions

LIABILITIES:

A. < 1 Year

Acct Code

B1. 1 - 3 Years

Acct Code

B2. > 3 Years

Acct Code

C. Total Amount

Acct Code

1. Draws Against Lines of Credit ……….......…..…….……………

883A

883B1

883B2

883C

2. Other Notes, Promissory Notes and Interest Payable……...…..

011A

011B1

011B2

011C

3. Borrowing Repurchase Transactions………………………..…

058A

058B1

058B2

058C

4. Subordinated Debt…………………...………………….…...….…

867A

867B1

867B2

867C

5. Uninsured Secondary Capital……………...……………………..

925B1

925B2

925

6. TOTALS (each column)……………….…...…………....…………

860A

860B1

860B2

860C

7. Accrued Dividends & Interest Payable on Shares & Deposits……..……….....………………….…………………

820A

8. Accounts Payable and Other Liabilities……………….…………………..……………….………...…...……………

825

SHARES/DEPOSITS:

Dividend Rate

Acct Code

Number of Accounts

Acct Code

A. < 1 Year

Acct Code

B1. 1 - 3 Years

Acct Code

B2. > 3 Years

Acct Code

C. Total Amount

Acct Code

9. Share Drafts………………………….……

553

452

902A

902

10. Regular Shares…………………………..

552

454

657A

657

11. Money Market Shares……………………

532

458

911A

911

12. Share Certificates……………………..…

547

451

908A

908B1

908B2

908C

13. IRA/KEOGH Accounts……………………

554

453

906A

906B1

906B2

906C

14. All Other Shares……………………..…..

585

455

630A

630B1

630B2

630

15. TOTAL SHARES…………………..……………..….

966

013A

013B1

013B2

013

16. Nonmember Deposits…………….………

599

457

880A

880B1

880B2

880

17. TOTAL SHARES and DEPOSITS………….………..

460

018A

018B1

018B2

018

Additional Shares/ Deposits (Included in the Shares/Deposits Listed Above):

Amount

Acct

18. Accounts Held by Member Government Depositors…………………………………………………………………..

631

19. Accounts Held by Nonmember Government Depositors……………………………………………………………..

632

20. Employee Benefit Member Shares………………………………………………………………………………...……

633

21. Employee Benefit Nonmember Shares………………………………………………………………………………...

634

22. 529 Plan Member Deposits….…………………………………………………………………………………………..

635

23. Non-dollar denominated deposits…………………………………………………………………………………...….

636

24. Health Savings Accounts…………………………………………………………………………………………….….

637

25. Dollar Amount of Share Certificates = or > $100,000 (Excluding brokered share certificates participated

out by the broker in shares of less than $100,000)…………………………………………………………………..….

638

26. Dollar Amount of IRA/Keogh Accounts = or > $100,000….………………………………………………………....

639

27. Dollar Amount of Share Drafts Swept to Regular Shares or Money Market Accts as part of Sweep Program

641

---

Sheet 8: STFC (6) SH INS

STATEMENT OF FINANCIAL CONDITION AS OF MARCH 31, 2009
This page must be completed by all credit unions
EQUITY:								Amount	Acct code
28. Undivided Earnings………………………………………………….………………………………………..									940
29. Regular Reserves…………………………...…………………………...…………………………………..									931
30. Appropriation for Non-Conforming Investments (State Credit Unions ONLY)……..........…									668
31. Other Reserves.(Appropriations of Undivided Earnings)……………………………………………......									658
32. Equity Acquired in Merger…………………………………………………………………………………..									658A
33. Miscellaneous Equity ……….………....…………………….…………….………………………………..									996
34. Accumulated Unrealized Gains (Losses) on Available for Sale Securities……………………………									945
35. Accumulated Unrealized Net Gains (Losses) on Cash Flow Hedges……....….……………………..									945A
36. Other Comprehensive Income (unless already included in item 34 or 35)……………………………									945B
37. Net Income (unless this amount is already included in Undivided Earnings)……..…………………..									602
38. TOTAL LIABILITIES, SHARES, AND EQUITY (Sum items 6-8,17, and 28-37) (Must equal line 31, P.4)									014
If the credit union has any unfunded commitments or loans sold or swapped with recourse complete Pg 12 - Liquidity, Commitments & Sources.
NCUA INSURED SAVINGS COMPUTATION
(ROUND CENTS TO THE NEAREST WHOLE DOLLAR. DO NOT REPORT CENTS)
This section must be completed by all credit unions
Shares and deposits as described in Part 745 of the NCUA Rules and Regulations, if they are authorized by state law, and issued to members (or
nonmembers in the case of low-income designated credit unions), other credit unions, or government depositors. Do not include notes payable or other
forms of borrowings. All eligible accounts are insured up to $250,000 each through December 31, 2009 as the result of the new legislation (H.R. 1424)
passed by Congress and signed into law on October 3, 2008.
			(See instructions for the following line items)			Amount (>100K) and >250K for IRA/KEOGH	Acct Code	Amount (>$250K)	Acct Code
A. Uninsured IRA and KEOGH Member Shares and Deposits. (already $250K )							065A		065A1
except in cases where the employer has an defined benefit KEOGH plan for the
employees. These plans were originally only insured up to $100K per eligible account.
B. Uninsured Employee Benefit Member Shares and Deposits.							065B		065B1
C. Uninsured Member 529 Plan Deposits.							065C		065C1
D. Uninsured Member Accts Held by Government Depositors.							065D		065D1
E. Other Uninsured Member Shares and Deposits.							065E		065E1
F. TOTAL UNINSURED MEMBER SHARES AND DEPOSITS (A+B+C+D+E)..							065		065A2
G. Uninsured Nonmember Employee Benefit Shares and Deposits.							067A		067A1
H. Uninsured Nonmember Accts Held by Government Depositors.							067B		067B1
I. Other Uninsured NonMember Shares and Deposits.							067C		067C1
J. TOTAL UNINSURED NONMEMBER SHARES AND DEPOSITS (G+H+I)..							067		067A2
K. TOTAL UNINSURED SHARES AND DEPOSITS (F+J)..							068		068A
L. TOTAL INSURED SHARES AND DEPOSITS (item 17 less item K)…….							069		069A

---

Sheet 9: STIE (7)

STATEMENT OF INCOME AND EXPENSE
This page must be completed by all credit unions.
Report year-to-date numbers for the period JANUARY 1, 2009 - March 31, 2009
INTEREST INCOME YEAR-TO-DATE: JANUARY 1, 2009 TO March 31, 2009			Amount	Acct Code
1.	Interest on Loans (Gross-before interest refunds)…..…..……………………….…………………...			110
2.	(Less) Interest Refunded…………….…………...…………..……………………………………………			119
3.	Income from Investments (Including Interest and Dividends)…..………………...……………….…...			120
4.	Trading Profits and Losses (Realized and Unrealized Gains/Losses)…………………………..…….			124
5.	TOTAL INTEREST INCOME (Sum of items 1-4)………...………………...……………………………….			115
INTEREST EXPENSE YEAR-TO-DATE: JANUARY 1, 2009 TO March 31, 2009
6.	Dividends on Shares (Includes dividends earned during current period)……………………...…...			380
7.	Interest on Deposits (Total interest exp for deposit accounts) (State Credit Union ONLY)			381
8.	Interest on Borrowed Money……………………………………...……………………..……………….			340
9.	TOTAL INTEREST EXPENSE (Sum of items 6-8)………………………….…………………………....			350
10.	Provision for Loan & Lease Losses…………………….……...…………………………………………			300
11.	NET INTEREST INCOME AFTER PROVISION FOR LOAN AND LEASE LOSSES
	(Item 5 less item 9 less item 10)……………………………..…………………………………......……			116
NON-INTEREST INCOME YEAR-TO-DATE: JANUARY 1, 2009 TO March 31, 2009
12.	Fee Income…………………………………………………………………………..………………………			131
13.	Other Operating Income (Include unconsolidated CUSO Income)…………………………...………….			659
14.	Gain (Loss) on Investments (DO NOT include Gain or Loss on Trading Securities)………………….			420
15.	Gain (Loss) on Disposition of Fixed Assets……………………………………….……………………			430
16.	Gain from Bargain Purchase (Merger)……………………………………………………………………			431
17.	Other Non-operating Income (Expense)……………………………………..…………………………..			440
18.	TOTAL NON-INTEREST INCOME (Sum of items 12-17)…………………………..…………………….			117
NON-INTEREST EXPENSE YEAR-TO-DATE: JANUARY 1, 2009 TO March 31, 2009
19.	Total Employee Compensation and Benefits……………………………….……………………………			210
20.	Travel and Conference Expense………………………………………….……………………………..			230
21.	Office Occupancy Expense…………………………..…………………………………………………..			250
22.	Office Operations Expense……………………………………..…………………………………………			260
23.	Educational and Promotional Expenses……………………………...…………………………………...			270
24.	Loan Servicing Expense………………………………………..………………………………………….			280
25.	Professional and Outside Services……………………………...………………………………………..			290
26.	Member Insurance…………..…………………………………...…………………………………………			310
27.	Operating Fees (Examination and/or supervision fees)………………………..……………………….			320
28.	Miscellaneous Operating Expenses………………………………….…………………………………...			360
29.	TOTAL NON-INTEREST EXPENSE (Sum of items 19-28)………………………….…………………….			671
30.	NET INCOME (LOSS) (line 11 plus line 18 less line 29)…………………………...……………………			661A
RESERVE TRANSFERS YEAR-TO-DATE: JANUARY 1, 2009 TO March 31, 2009
31.	Transfer to Regular Reserves……………………………….………………………………………….			393

---

Sheet 10: MISCINFO (8)

MISCELLANEOUS INFORMATION
This page must be completed by all credit unions
										Acct Code
1.	Indicate in the box at the right the number of the description below that best characterizes the last audit performed of your credit union’s records									064
	1 = Financial statement audit performed by state licensed persons
	2 = Balance sheet audit performed by state licensed persons
	3 = Examinations of internal controls over call reporting performed by state licensed persons
	4 = Supervisory Committee audit performed by state licensed persons
	5 = Supervisory Committee audit performed by other external auditors
	6 = Supervisory Committee audit performed by the supervisory committee or designated staff
	Effective date of last audit………………………….…………………………...………………………………									063
							MM	YYYY
2.	Effective date of the most recent Supervisory Committee verification of Members' accounts………….…...									603
							MM	YYYY
3.	Does your credit union maintain share/deposit insurance coverage in addition to the NCUSIF?									875
	(Do not include Life Savings and Borrowers' Protection Insurance or Surety Bond Coverage.)							Yes	No
	If so, indicate the name of the insurance company….					Drop Down Menu				876
	Dollar amount of shares and/or deposits insured by the company named above………									877
4.	Number of current members (not number of accounts)…………………………………………………….									083
5.	Number of potential members……………………………………………………………………………...….									084
6.	Number of credit union employees who are:
	a. Full-Time (26 hours or more per week)…………………………………………………………………..									564A
	b. Part-Time (25 hours or less per week)……………………………………………………………….….									564B
7.	Credit Union Branch Information
	a. Number of credit union branches (include the main office if member services are conducted at that location)…………..									566
	b. Does the credit union provide member services through a credit union shared branch services center?..........................									566A
	c. Does the credit union plan to add any new branches or expand existing facilities in the next 12 months?.........................									566B
8.	Provide the aggregate of all future capital and operating lease payments on fixed assets, without
	discounting payment commitments to present value									980
9.	Credit Union Programs: (Check all that apply)
	Programs e - h below are credit union investment related. Complete Schedule B - Investments if you checked e, f, g, or h.
	a. Mortgage Processing……………		879G		e. Investment Pilot Program………………………..					879K
	b. Approved Mortgage Seller……...		879H		f. Investments not authorized by
	c. Borrowing Repurchase				the FCU Act (SCU ONLY)………………………					879L
	Agreements……..……………....		879J		g. Deposits and Shares Meeting
	d. Brokered Deposits (All Deposits				703.10(a)…………………………………………					879M
	acquired through a 3rd party)…		879T		h. Brokered Certificates of Deposit……………….					879N

---

Sheet 11: MISCINFO 2 (9)

MISCELLANEOUS INFORMATION (Continued)

This page must be completed by all credit unions

10. Member Service and Product Offerings (Check all that apply) Complete Schedule A - Specialized Lending if you checked Credit Programs a, e, f, g, h, n, or p.

Gynne Phillips: We need to work on this statement.

Transactional Programs:

Acct. Code

Other Member Services (continued):

Acct. Code

a.

ATM / Debit Card Program……………………

879Q

d.

No Cost Tax Preparation Services (i.e., IRS

b.

Check Cashing ………………………………

879U

Volunteer Income Tax Assistance)……………………………

879C3

c.

International Remittances ……………………

879V

e.

Student Scholarships……………………………………………

879C4

d.

Low-cost wire transfers …………………………

879W

Credit Programs:

e.

Money Orders …………………………………

879X

a.

Business Loans…………………………………………………

879D

f.

No Surcharge ATMs ………………………………

879Y

b.

Credit Builder ………………………………………………………

879D1

Depository Programs:

c.

Debt Cancellation/ Suspension………………………………

879I

a.

Business Share Accounts ……………………

879A1

d.

Direct Financing Leases……………………………………

879F

b.

Health Savings Accounts…………………………

879A2

e.

Indirect Business Loans……………………………………

879D2

c.

Individual Development Accounts …………

879A3

f.

Indirect Consumer Loans…………………………………………

879A

d.

No Cost Share Drafts ……………………………

879A4

g.

Indirect Mortgage Loans…………………………………………

879D3

e.

Share Certificates with low minimum

h.

Int Only or Pymt Option 1st Mortgage Loans…………

879R

balance requirements ……………………………

879A5

i.

Micro Business Loans………………………………………………

879D4

Financial Education Programs:

j.

Micro Consumer Loans ……………………………………………

879D5

a.

Financial Counseling ……………………………

879B1

k.

Overdraft Lines of Credit…………………………………………

879P

b.

Financial Education …………………………………

879B2

l.

Overdraft Protection/Courtesy Pay………………………

879O

c.

Financial Literacy Workshops …………………

879B3

m.

Participation Loans………………………………………………

879B

d.

First Time Homebuyer Program …………

879B4

n.

Pay Day Lending…………………………………………………

879D6

e.

In-School Branches ………………………………

879B5

o.

Real Estate Loans………………………………………………

879C

Other Member Services:

p.

Refund Anticipation Loans ……………………………………

879D7

a.

Bilingual Services …………………………………

879C1

q.

Risk Based Loans……………………………………………

879E

b.

Insurance/Investment Sales…………………

879S

r.

Share Secured Credit Cards ……………………………………

879D8

c.

No Cost Bill Payer …………………………………

879C2

11.

Has the credit union completed a merger or acquisition that qualifies for Business Combination Accounting (FAS 141R)

1003

after January 1, 2009? If this answer is "Yes" please complete line 7 on Page 14…………………………………………………….

Yes

No

---

Sheet 12: DEL (10)

DELINQUENT LOANS
This page must be completed by all credit unions
				Reportable Delinquency
DELINQUENT LOANS BY COLLATERAL TYPE		1 to <2 months		2 to <6 months		6 to <12 months		12 months and over		Total Reportable Delinquency
		Report Amount Only
1	Unsecured Credit Card Loans……………………….…		024B		026B		027B		028B		045B
2	1st Mortgage Real Estate Loans/Lines of Credit
	a. Fixed Rate (incl. Hybrid/Balloon > 5yrs)………...….		751		752		753		754		713A
	b. Adjustable Rate (incl. Hybrid/Balloon 5 yrs or less)		771		772		773		774		714A
3	Other Real Estate Loans/Lines of Credit
	a. Fixed Rate/Hybrid/Balloon………………………..….		755		756		757		758		715A
	b. Adjustable Rate…………………………………..…..		775		776		777		778		716A
4	Leases Receivable……………………………………		020D		021D		022D		023D		041D
5	All Other Loans (See Instructions)……………………		020C		021C		022C		023C		041C
6	TOTAL DELINQUENT LOANS		020B		021B		022B		023B		041B
7	TOTAL NUMBER OF DELINQUENT LOANS		020A		021A		022A		023A		041A
ADDITIONAL DELINQUENCY INFORMATION
(Included in the delinquency reported above.)				Reportable Delinquency
		Report Amount Only
8	Indirect Loans…….………...……………………………		020E		021E		022E		023E		041E
9	Participation Loans………...………………………….		020F		021F		022F		023F		041F
10	Interest Only & Payment Option 1st Mortgage Loans		020I		021I		022I		023I		041I
11	Interest Only & Payment Option Other RE/LOCs Loans		020M		021M		022M		023M		041M
12	Residential Construction- Excluding Business Purpose		020N		021N		022N		023N		041N
13	Member Business Loans excluding Agricultural Lns		020G		021G		022G		023G		041G
14	Agricultural Loans………...…………………………..		020H		021H		022H		023H		041H
15	Nonmember Business Loans………………………..		020P		021P		022P		023P		041P
16	Business Construction & Development Loans…….		020Q		021Q		022Q		023Q		041Q
17	Modified 1st Mortgage Real Estate Loans……...…...		020J		021J		022J		023J		041J
18	Modified Other Real Estate Loans\Lines of Credit….		020K		021K		022K		023K		041K
19	Modified RE Loans also reported as business loans		020L		021L		022L		023L		041L

---

Sheet 13: COREC(11)

LOAN CHARGE OFFS AND RECOVERIES
This page must be completed by all credit unions
LOAN LOSS INFORMATION			YTD			YTD
			Charge Offs		Acct Code	Recoveries	Acct Code
20	Unsecured Credit Card Loans………………………..				680		681
21	Total 1st Mortgage Real Estate Loans/ Lines of Credit				548		607
22	Total Other Real Estate Loans/ Lines of Credit………				549		608
23	Leases Receivable….………………………………..				550D		551D
24	All Other Loans (See Instructions)…………………..				550C		551C
25	Total Charge Offs and Recoveries………..…..				550		551
ADDITIONAL LOAN LOSS INFORMATION			YTD			YTD
(Included in the loan losses reported above.)			Charge Offs		Acct Code	Recoveries	Acct Code
26	Indirect Loans………………………………………				550E		551E
27	Participation Loans…………………………………..				550F		551F
28	Interest Only & Payment Option 1st Mortgage Loans				550I		551I
29	Interest Only & Payment Option Other RE/LOCs Loans				550M		551M
30	Residential Construction- excluding Business Purpose				550N		551N
31	Member Business Loans excluding Agricultural Loans				550G		551G
32	Agricultural Loans……...……………………………..				550H		551H
33	Nonmember Business Loans				550P		551P
34	Business Construction & Development Loans				550Q		551Q
35	Modified 1st Mortgage Real Estate Loans……………				550J		551J
36	Modified Other Real Estate Loans\Lines of Credit…..				550K		551K
37	Modified Real Estate Loans also reported as business loans				550L		551L
38	All loans charged off due to Bankruptcy YTD………				682
39	Number of members with loans (outstanding) who have filed for:						Acct Code
	a. Chapter 7 Bankruptcy YTD……………………..						081
	b. Chapter 13 Bankruptcy YTD……………………						082
	c. Chapter 11 Bankruptcy YTD……………………						088
40	Total Outstanding loan balances subject to bankruptcies identified in item 39a - 39c.						971
41	Congressional Reporting Requirement
	a. Dollar amount of loans with interest rates that exceed 15%......................(Federal Credit Unions Only)...						567
	b. Aggregate weighted average interest rate for the loans
	with interest rates that exceed 15%..........................................................(Federal Credit Unions Only)...						568
										Amount Modified YTD

---

Sheet 14: LIQUIDITY (12)

LIQUIDITY, COMMITMENTS AND SOURCES
All credit unions must complete lines 10 through 12 of this form and, if applicable, lines 1 through 9.
OFF-BALANCE SHEET COMMITMENTS AND OTHER ITEMS								Amount		Acct Code
1.	Unfunded Commitments for Business Loans
A.	Commercial Real Estate………………………...…………………………………..………….………………….									814
B.	Construction & Land Development………………………………………………………………………….									814A1
C.	Other Unfunded Business Loan Commitments……………….……………………...……………									814A
2.	Unfunded Commitments for All Remaining Loans (Non-Business Loans)
A.	Revolving Open-End lines secured by 1-4 Family Residential Properties…….									811
B.	Credit Card Lines…………........…..………………….…………………………………………………………….									812
C.	Outstanding Letters of Credit……........…………………………………………………………………….									813
D.	Unsecured Share Draft Lines of Credit………………..…………………….....…………………….									815
E.	Overdraft Protection Program Commitments…………………..…..……………….………..									822
F.	Residential Construction Loans-Excluding Business Purpose……………………									811A
G.	Other Unfunded Commitments…………….……………….…………………………………………….									816
3.	Dollar Amount of Pending Bond Claims……………………....…….……………………………									818
CONTINGENT LIABILITIES
4.	Loans Transferred with Recourse…………………….………………………………………………..									819
5.	Other Contingent Liabilities…………………………………..…..………………………………………..									818A
CREDIT AND BORROWING ARRANGEMENTS
6.	Amount of Borrowings Subject to Early Repayment at Lender’s Option…									865A
7.	Lines of Credit
	a. Total Credit Lines………………..……………….…………………………………………………………..									881
	b. Total Committed Credit Lines……......…………...………………………………………………..									882
	c. Total Credit Lines at Corporate Credit Unions…………………………………………….									884
8.	Borrowings Outstanding from Corporate Credit Unions
	a. Line of Credit………………………………………………………………………………………………………									885A
	b. Term Borrowings………………………………………………………………………………………………									885B
9.	Assets Pledged to Secure Borrowings…………………………………………………………….									878
								YES	NO
										896
10.	Is your credit union a member of the Federal Home Loan Bank? ……….........
11.	Has your credit union filed an application to borrow from the Federal									897
	Reserve Bank Discount Window?................................................................................
12.	Has your credit union pre-pledged collateral with the Federal Reserve									898
	Bank Discount Window?...................................................................................................

---

Sheet 15: IS&T (13)

INFORMATION SYSTEMS & TECHNOLOGY
This page must be completed by all credit unions
1.	Indicate in the box at the right the number of the statement below which best describes the system the credit union									Acct Code
	uses to maintain its share and loan records.									076
	1 = Manual System (No Automation)			2 = Vendor Supplied In-House System 3 = Vendor On-Line Service Bureau
	4 = CU Developed In-House System			5 = Other
2.	Indicate the name of the primary share and loan information processing vendor.
3.	Have you completed a data processing conversion in the last six months or do you plan to start a data								YES	NO
	processing conversion in the next 12 months?										888
4.	How do your members access/perform electronic financial services (select all that apply):
		Home Banking via Internet Website……..				886A		Kiosk……………………………….		886F
		Audio Response/Phone Based …………				886D		Mobile Banking…………………..		886H
		Automatic Teller Machine (ATM)…………				886E		Other……………………………….		886G
5.	What services do you offer electronically (select all that apply):
		Account Aggregation………..…….….....				887M		Loan Payments …………………		887F
		Account Balance Inquiry ………………..				887C		Member Application ……………		887A
		Bill Payment……………………………….				887J		Merchandise Purchase……….		887H
		Download Account History………….….				887K		Merchant Processing Services		887T
		Electronic Cash…………………………..				887L		New Loan ………………………		887B
		Electronic Signature						New Share Account ……………		887E
		Authentication/ Certification……………..				887P		Remote Deposit Capture………		887U
		e-Statements…………………………….				887R		Share Account Transfers…….		887I
		External Account Transfers…………….				887S		Share Draft Orders…………….		887D
		Internet Access Services……………….				887N		View Account History…………		887G
		Other (please specify)…………								887Z
6.	If your credit union has a World Wide Website Address, please provide it.									891
	a. If your credit union has a website, does it host it internally?								YES	NO
	(Note: This information will not be released to the public)……………………………….…………………………….										891A
7.	If you have a world wide website, please indicate the type (select only one)………
	1 = Informational 2 = Interactive 3=Transactional									892A
8.	If you have a transactional world wide website, how many members use it…………									892B
9.	If you have a transactional website, please provide the name of the
	primary vendor used to deliver such services									892C
									YES	NO
10.	If you do not have a website, do you plan to add one in the future?										889
	a. If Yes to #10, in how many months …………………………………………………									889A
	b. If Yes to #10, what type of site (select only one) …………………………………									889B
	1 = Informational 2 = Interactive 3=Transactional
									YES	NO
11.	Does the credit union have internet access?										903
12.	Does the credit union have FedLine Access?										904
13.	If the CU processes ACH transactions, is it an Originating Depository Financial Institution?										905
14.	If the CU processes ACH transactions, is it a Receiving Depository Financial Institution?										906
15.	Does the credit union have an internal wireless network? (Note: This information will not be released to the public).										907

---

Sheet 16: PCA (14)

PCA NET WORTH CALCULATION WORKSHEET
Credit unions are not required to provide input on this page unless it has chosen an alternative total assets option offered on lines
10 through 12 to calculate Net Worth or have elected to calculate an alternative Risk Based Net Worth ratio.
o Electronic Filers: Information entered on preceding schedules will populate line items below on the PC 5300 Automated System,
excluding items 7a - 7c andoptional items 10, 11 and 12.
o Manual Call Report Filers: Leave this page blank or use it as a manual net worth calculation worksheet. If you have had any
any business combinations, complete items 7a - 7c.
NET WORTH TO TOTAL ASSETS RATIO
NUMERATOR: NET WORTH								Amount	Acct Code
1. Undivided Earnings………………………………………………….………………………….……………………………..									940
2. Regular Reserves………………………………...………...………………..……………………………………………….									931
3. Appropriation for Non-Conforming Investments (State Credit Union ONLY)……………………………………………									668
4. Other Reserves (Appropriations of Undivided Earnings)………………………………………..………………………..									658
5. Uninsured Secondary Capital (Low Income Designated Credits Unions Only)………………..………………………..									925
6. Net Income (unless this amount is already included in Undivided Earnings)…………………………………………….									602
7. Adjusted Retained Earnings acquired through Business Combinations						Amount	Acct Code
	a. Prior Quarter-End Adjusted Retained Earnings acquired through Business						1004A
	Combinations……………………………………………………………………..
	b. Adjustments made to Retained Earnings acquired through Business						1004B
	Combinations during current quarter (See Instructions)……………………..
	c. Current Quarter's Total Adjusted Retained Earnings acquired through						1004
	Business Combinations………………………………………………………….
8. TOTAL NET WORTH (Sum of items 1-7)………………………………………………….…………………………………									997
DENOMINATOR: TOTAL ASSETS
9. Total Assets (quarter-end)……………………………………...……………………………………………………………									010
Total Assets Elections (Optional)
Retain line 9 quarter-end total assets above as net worth ratio denominator, or select one of the total assets computation options below by inputting
the result in the appropriate line item. Line 13 below will compute your net worth ratio using line 9 quarter-end total assets as your denominator
unless you enter an amount in line 10, 11 or 12.
10. Average of Daily Assets over the calendar quarter…………………………………………...………………………….									010A
11. Average of the three month-end balances over the calendar quarter………………………………………………….									010B
12. The average of the current and three preceding calendar quarter-end balances………………………………………									010C
13. Net Worth Ratio (Line 8 divided by line 9, 10, 11 or 12)									998
14a. Risk Based Net Worth (RBNW) Requirement (Standard Calculation)…………………………………………………..									999
b. Risk Based Net Worth (RBNW) Alternative Method under Section 702.107…………………………………………..									999A
15. Net Worth Classification if credit union is not new. (Based upon Call Report
data only. See instructions)…………………………………………………………………….....…………………………									700
16. Net Worth Classification if credit union is a new credit union………………………….…………………………………									701
A "New" credit union has less than $10 million in assets and was chartered
in the last 10 years. (Based upon Call Report data only. See instructions)

---

Sheet 17: RBNW (15)

	STANDARD COMPONENTS OF
	RISK BASED NET WORTH REQUIREMENT (RBNW)
	(AUTOMATED -- NO INPUT NECESSARY)
This information below is provided only for your information. No credit union is required to provide input on this page.
Information entered on preceding schedules will populate the line items below on the PC 5300 Automated System.
Manual Call Report filers will also leave these items blank.
A RBNW Requirement is only applicable for those credit unions with assets greater than $10,000,000 and a RNBW
requirement greater than six percent.
A	B	C	D	E	F
Risk portfolio	Dollar balance	Amount as percent of quarter-end total assets	Risk weighting	Amount times risk weighting	Standard component
Quarter-end total assets
Assets, line 31 (Acct 010)		100.0000%
(a) Long-term real estate loans
Sched A Line 11 (Acct. Code 710) less:
Sched A Line 32 (Acct. Code 718)
Sched A Line 18 (Acct. Code 712)
Threshold amount: 0 to 25%			0.06
Excess amount: over 25%			0.14
(b) MBLs outstanding
Sched A line 30 (Acct. Code 400)
Threshold amount: 0 to 15%			0.06
Threshold amount: >15 to 25%			0.08
Excess amount: over 25%			0.14
(c) Investments
Weighted-average life:
Page 3 Lines 2c, 3 and 13:
0 to 1 year (Acct. Code 799A1 + 730B + 730C)			0.03
> 1 year to 3 years (Acct. Code 799B)			0.06
> 3 years to 5 years (Acct. Code 799C1)			0.12
> 5 years to 10 years (Acct. Code 799C2)			0.12
> 10 years (Acct. Code 799D)			0.20
(d) Low-risk assets
Assets Line 1 (Acct. Code 730A)
Assets Line 28 (Acct. Code 794)			.00
Sum of risk portfolios (a) through (d) above
(e) Average-risk assets
Assets, line 31 (Acct. Code 010) less: Risk portfolio items (a) through (d) above			0.06
(f) Loans sold with recourse
Page 12, line 4 (Acct. Code 819)			0.06
(g) Unused MBL commitments
Sched A line 31 (Acct. Code 814B)			0.06
(h) Allowance (Credit limited to 1.5% of loans)
Assets, line 24 (Acct. Code 719)			(1.00)
Sum of standard components:
RBNW requirement (Acct. Code 999)

---

Sheet 18: SPECLOANS (16)

SCHEDULE A

SPECIALIZED LENDING

Section 1: If your credit union has indirect loans, complete this section.

Section 2 & 3: If your credit union has any real estate loans or member business loans outstanding or has originated any real estate loans or member business loans year-to-date, complete these sections, as applicable.

Section 4: If your credit union has any participation loans outstanding or sold loans or participations year-to-date, complete this section.

SECTION 1 - INDIRECT LOANS

1. INDIRECT LOANS

Number

Acct Code

Amount

Acct Code

a. Indirect Loans - Point of Sale Arrangement……………………………………

617B

618B

b. Indirect Loans - Outsourced Lending Relationship……………………………

617C

618C

c. TOTAL OUTSTANDING INDIRECT LOANS……………...……………………..

617A

618A

You may stop here if your credit union has no real estate loans or member business loans outstanding and has not originated

any real estate loans or member business loans year-to-date or if your credit union has not sold any loans or has any participation

loans outstanding.

SECTION 2 - REAL ESTATE LOANS AND LINES OF CREDIT - INCLUDING BUS. LOANS SECURED BY REAL ESTATE

REAL ESTATE LOANS

FIRST MORTGAGE

2.

Fixed Rate

No. of Loans Outstanding

Acct Code

Amt of Loans Outstanding

Acct Code

No. of Loans Granted Year- to-Date

Acct Code

Amount Granted Year-To-Date

Acct Code

a.

> 15 Years…………….

972A

704A

982A

720A

b.

15 Years or less……...

972B

704B

982B

720B

3.

Balloon/Hybrid

a.

> 5 Years………………

972C

704C

982C

720C

b.

5 Years or less……….

972D

704D

982D

720D

4.

Other Fixed Rate…………

972E

704E

982E

720E

5.

Adjustable Rate 1 yr or less

973A

705A

983A

721A

6.

Adjustable Rate > 1 yr……

973B

705B

983B

721B

OTHER REAL ESTATE

7.

Closed-End Fixed Rate……

974

706

984

722

8.

Closed-End Adjustable Rate

975

707

985

723

9.

Open-End Adjustable Rate

976

708

986

724

10.

Open-End Fixed Rate…….

976B

708B

986B

724B

11.

TOTALS (each column)….

978

710

988

726

12.

Real Estate Loans whose terms have been modified due to the inability of the borrower to meet the original terms of the note. These loans should also be reported in their respective categories on the real estate information above (section 2) and in section 3 of this schedule if they are business loans.

No. of Loans Outstanding

Acct Code

Amount Outstanding

Acct Code

Amount Modified YTD

Acct Code

a. Modified Loans secured by First Mortgages……..

1000A

1001A

1002A

b. Modified Loans secured by Other RE/LOCs….…..

1000B

1001B

1002B

c. Modified RE Loans also reported as business loans

1000C

1001C

1002C

MISCELLANEOUS REAL ESTATE LOANS/

LINES OF CREDIT INFORMATION

No. of Loans Outstanding

Acct Code

Amount Outstanding

Acct Code

Amount Granted YTD

Acct Code

13.

Interest Only & Payment Option 1st Mortgage Loans

704C2

704C1

704C3

14.

Interest Only & Payment Option Other RE/LOCs Loans

704D1

704D2

704D3

---

Sheet 19: SPECLOANS2 (17)

SCHEDULE A
SPECIALIZED LENDING (Continued)
SECTION 2 CONTINUED - REAL ESTATE LOANS AND LINES OF CREDIT
MISCELLANEOUS REAL ESTATE LOANS/LINES OF CREDIT INFORMATION (continued)									Amount	Acct Code
15.	Balance Outstanding of 1st Mtg Residential Construction Loans - Excluding Business Purpose…									704A1
16.	Allowance for Losses on all Real Estate Loans………………………………………………									731
17.	Total Amount of All 1st Mortgage Loans which have been sold in the secondary market year-to-date									736
18.	Amount of Real Estate Loans Outstanding that will contractually refinance, reprice or
	mature within the next 5 years and that are not reported on line 27 (below)………………									712
19.	Amount of real estate loans sold but serviced by the credit union……………………………									779A
20.	Mortgaging Servicing Rights………..………...…………………………………………………									779
SECTION 3 - BUSINESS LOANS - Complete this section if the credit union has any business loans outstanding
or has originated any business loans year-to-date.
			No. of Loans Outstanding	Acct Code	Amount	Acct Code	No. of Loans Granted or Purchased Year-to-Date	Acct Code	Amount Granted or Purchased Year-to-Date	Acct Code
21.	Member Business Loans….			900A		400A		090A		475A
22.	Purchased business loans or			900B		400B		090B		475B
	participation interests to nonmembers
MISCELLANEOUS BUSINESS LOAN INFORMATION (included in lines 21 and 22 above)
23.	Construction and Development Loans			143A		143B		143C		143D
24.	Unsecured business loans…………			900C		400C		090C		475C
25.	Purchased business loans or
	participation interests to members….			900D		400D		090D		475D
26.	Agricultural Related Loans…………....			961A		042A		099A		463A
							Number	Acct Code	Amount	Acct Code
27.	Portion of Real Estate Loans included in line 11 of Section 2 of this schedule									718A
	which are also reported as business loans on lines 21 and 22 above……
28.	Business Loans and Participations sold Year-to-Date………..………….…							691B		691C
29.	Small Business Administration Loans Outstanding……...………………….							900F		400F
RISK BASED NET WORTH (RBNW)
For credit unions with assets greater than $10,000,000
								Amount		Acct Code
30.	Loans and participation interests qualifying for RBNW………………………………………									400
31.	Unfunded commitments for business loans and participation interests qualifying for RBNW									814B
32.	Amount of Real Estate Loans included in line 11 on Section 2 also reported as business loans									718
	and participation interests qualifying for RBNW on line 30 above……………………………………….

---

Sheet 20: SPECLOANS3 (18)

SCHEDULE A
SPECIALIZED LENDING (Continued)
Section 4- Loan Purchased and Sold in Full and Participation Loans Purchased & Sold
33.	LOANS PURCHASED AND SOLD YEAR-TO-DATE						Number	Acct Code	Amount	Acct Code
	a.	Loans Purchased In Full from Other Financial Institutions……………...………………………………………………………						614		615
	b.	Loans, Excluding Real Estate Loans, Sold in Full……………………………………………………………………………….						616		616A
34.	PARTICIPATION LOANS PURCHASED		ALL OUTSTANDING				PURCHASED YTD
			Number	Acct Code	Amount Outstanding	Acct Code	Number	Acct Code	Amount Purchased YTD	Acct Code
	a.	Purchased from FICU's with Recourse…………..….………..		619A1		619B1		690A1		690B1
	b.	Purchased from Other Entities with Recourse………………		619A2		619B2		690A2		690B2
	c.	Purchased from FICU's without Recourse…………………..		619A3		619B3		690A3		690B3
	d.	Purchased from Other Entities without Recourse…………….		619A4		619B4		690A4		690B4
		TOTAL PURCHASED (each column)………………………		619A		619		690A		690
35.	OUTSTANDING PARTICIPATION LOANS SOLD		Participation Interest Retained				Participation Interest Sold AND/OR Serviced
			Number	Acct Code	Amount of Participation Interest Retained	Acct Code	Number	Acct Code	Amount of Participation Interest Sold AND/OR Serviced	Acct Code
	a.	Sold to FICU's with Recourse………………………………….		691D1		691E1		691F1		691G1
	b.	Sold to Other Entities with Recourse…………………………		691D2		691E2		691F2		691G2
	c.	Sold to FICU's without Recourse……………………………..		691D3		691E3		691F3		691G3
	d.	Sold to Other Entities without Recourse………………………		691D4		691E4		691F4		691G4
		TOTAL OUTSTANDING SOLD (each column)……………		691D		691E		691F		691G
36.	PARTICIPATION LOANS SOLD YEAR-TO-DATE		Participation Interest Retained				Participation Interest Sold AND/OR Serviced
			Number	Acct Code	Amount of Participation Interest Retained	Acct Code	Number	Acct Code	Amount of Participation Interest Sold AND/OR Serviced	Acct Code
	a.	Sold to FICU's with Recourse YTD……………………………		691H1		691I1		691A1		691J1
	b.	Sold to Other Entities with Recourse YTD………....…..…..…		691H2		691I2		691A2		691J2
	c.	Sold to FICU's without Recourse YTD……………..…..……..		691H3		691I3		691A3		691J3
	d.	Sold to Other Entities without Recourse YTD………………..		691H4		691I4		691A4		691J4
		TOTAL SOLD YTD (each column)………………………….		691H		691I		691A		691
37.	PARTICIPATION LOANS OUTSTANDING BY TYPE		Purchased Outstanding on Financial Statements				Sold Outstanding on Financial Statements
			Number	Acct Code	Amount	Acct Code	Number	Acct Code	Sold Outstanding	Acct Code
	a.	Consumer…………………………………………………………		691K1		691L1		691M1		691N1
	b.	Real Estate………………………………………………………		691K2		691L2		691M2		691N2
	c.	Member Business Loans excluding C&D…………………….		691K3		691L3		691M3		691N3
	d.	Non-Member Business Loans excluding C&D………………..		691K4		691L4		691M4		691N4
	e.	Commercial Construction & Development……………………		691K5		691L5		691M5		691N5
	f.	Loan Pools………………………………………………………		691K6		691L6		691M6		691N6
		TOTAL OUTSTANDING (each column)………………….		691K		691L		691M		691N

---

Sheet 21: INV (19)

SCHEDULE B
INVESTMENTS, SUPPLEMENTAL INFORMATION
Complete this schedule if amounts are reported on page 3, lines 4, 5, or 6; page 8, items 9e - 9h are checked; or if items below are applicable.
TYPES OF INVESTMENTS							Amount	Acct Code
1.	U.S. Government Obligations…………………………………………………...…………….……..							741C
2.	Federal Agency Securities
	a. Agency/GSE Debt Instruments (not backed by mortgages)…………………………………..							742C1
	b. Agency/GSE Mortgage-Backed Securities……………………………………………………..							742C2
	c. TOTAL FEDERAL AGENCY SECURITIES………………………………………………………..							742C
3.	Other Mortgage-Backed Securities
	a. Privately Issued Mortgage-Related Securities …...………………………..……...…………….							981A
	b. Privately Issued Mortgage-Backed Securities (SCU Only)…….....……..….....……………….							981B
	c. TOTAL OTHER MORTGAGE-BACKED SECURITIES…………………………………………….							981
4.	Mutual Funds………….……………………..………………..………………………………………							743D
5.	Common Trusts……………………………………………………………………………………….							743E
INVESTMENTS MEETING SPECIFIC CRITERIA OF PART 703 (FCU ONLY)							Amount	Acct Code
6.	Non-Mortgage Related Securities with Embedded Options or Complex Coupon Formulas……..							786A
7.	Non-Mortgage Related Securities with Maturities Greater than Three Years that Do Not Have Embedded Options or Complex Coupon Formulas …………………………………………………								786B
8.	Total of Securities Meeting the Requirements of Section 703.12(b) (Sum of items 2b+3c+6+7) ....							786
MORTGAGE-BACKED SECURITIES
9.	Collateralized Mortg. Obligations/Real Estate Mortgage Investment Conduits(CMOs/REMICs)….							733
10.	Commercial Mortgage Backed Securities………………………………………………...…………...							733A
MISCELLANEOUS INVESTMENT INFORMATION
11.	Total of Deposits and Shares Meeting the Requirements of Section 703.10(a) (FCU Only)…….							785
12.	Market Value of Investments Purchased Under an Investment Pilot Program - 703.19 (FCU Only)							785A
13.	Fair Value of Held to Maturity Investments (reported on line 6 of page 3)…………………………							801
14.	Investment Repurchase Agreements………………………………………………………………….							780
15.	Borrowing Repurchase Transactions Placed in Investments for Purposes of Positive Arbitrage…							781
16.	Investments Not Authorized by the FCU Act or NCUA Rules and Regulations (SCU ONLY)…….							784
17.	Outstanding balance of brokered certificates of deposit and share certificates ………………....							788
FCU= Federal Credit Union
SCU= State Credit Union

---

Sheet 22: CUSO (20)

SCHEDULE C
CREDIT UNION SERVICE ORGANIZATION (CUSO) INFORMATION
DON’T MAKE ENTRIES ON THIS FORM UNLESS YOUR CREDIT UNION HAS A LOAN TO OR INVESTMENT IN A CUSO
Complete a separate line of information for each CUSO in which you have a loan or an investment, regardless of whether your credit union owns the CUSO,
has a “controlling financial interest”, has the “ability to exert significant influence” or owns only a smaller portion of the CUSO. If you have a loan or investment
in more than 20 CUSOs and file manually, please continue on a copy of this form.
	Tax ID		Value of Investment	Amount loaned				Aggregate Cash
	Number	Full/ Legal Name of CUSO	in CUSO	to CUSO	See Note Below				Outlay in CUSO
	(Do Not Include Spaces or Dashes)				**	***	****
ACCT CODE	838A - T	830A - T	831A -T	832A -T	833A-T	834A1-T1	837A-T	836A -T
A.
B.
C.
D.
E.
F.
G.
H.
I.
J.
K.
L.
M.
N.
O.
P.
Q.
R.
S.
T.
	Note:
**	Is the CUSO wholly owned by the credit union? Blank = No; 1 = Yes (Acct. Code 833A-T)
***	Indicate in the box the letter which describes the predominant service provided by the CUSO: (Acct. Code 834A1-T1)
	a = Checking and currency services		h = Insurance brokerage or agency			o = Travel agency services
	b = Clerical, professional and management services		i = Leasing			p = Trust and trust-related services
	c = Business loan origination		j = Loan support services			q = Real estate brokerage services
	d = Consumer mortgage origination		k = Record retention, security and disaster recovery services			r = CUSO investments in non-CUSO service providers
	e = Electronic transaction services		l = Securities brokerage services			t = Credit card loan origination
	f = Financial counseling services		m = Shared credit union branch (service center) operations			u = Payroll processing services
	g = Fixed asset services		n = Student loan origination			s = Other
****	How is the investment in the CUSO accounted for on the credit union’s financial statements: (Acct. Code 837A-T):
	1 = consolidation 2 = equity method 3 = cost method