5210/10A Outside Counsel Legal Services Agreement (Continued)

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OMB NUMBER: 3064-0122
EXPIRATION DATE: 03/31/2007

Federal Deposit Insurance Corporation

Page

OUTSIDE COUNSEL LEGAL SERVICES AGREEMENT (LSA)
RATE SCHEDULE (Continuation Sheet)
POSITION
BILLABLE INDIVIDUAL
(First, Middle, Last)
Alphabetical Order

STATE
LICENSES

Partner (P)
Associate (A)
Paraprofessional (PP)
Specify Other Position (O)

YEARS
IN
PRACTICE

MINORITY
STATUS
Asian American (A)
Black American (B)
Hispanic American (H)
Native American Indian (N)

GENDER
(M OR F)

STANDARD
RATE

of

PERCENT
%
DISCOUNT

.

PROPOSED
FDIC
RATE

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and maintaining the data needed, completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing
this burden to the Paper Reduction Act Clearance Officer, Legal Division, Federal Deposit Insurance Corporation, 550 17th Street, N.W., Washington, D.C. 20429, and the Office of Management and Budget, Paperwork Reduction
Project (3064-0122), Washington, D.C. 2053. Any agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number.

FDIC 5210/10A (10-05)