Form BQ-3

Please type or print:
Name of Reporting Entity:

REPORT OF MATURITIES OF SELECTED LIABILITIES OF
DEPOSITORY INSTITUTIONS, BANK HOLDING

ID Number:

COMPANIES/FINANCIAL HOLDING COMPANIES, BROKERS,
As of Date:

Name of Contact if We Have
Questions:

Contact’s Phone Number:

Name and Title of Officer Authorized
to Sign Report:

FORM BQ-3

QUARTERLY REPORT TO FEDERAL RESERVE BANKS

DEPARTMENT OF THE
TREASURY
Office of the Assistant Secretary for
International Affairs
June 2006
Form Approved
OMB Control No. 1505-0189

AND DEALERS TO FOREIGNERS.

Important notes:

Legal basis and confidentiality statement:
This report is required by law (22 U.S.C. 286f; 22 U.S.C. 3103; E.O.
10033, as amended; 31 C.F.R. 128.1 (a)). Failure to report can
result in a civil penalty of not less than $2,500 and not more than
$25,000. Willful failure to report can result in criminal prosecution
and upon conviction a fine of not more than $10,000; and, if an
individual, imprisonment for not more than one year, or both. Any
officer, director, employee, or agent of any corporation who
knowingly participates in such violation may, upon conviction, be
punished by a like fine, imprisonment, or both (22 U.S.C. 3105 (a)
and (b); 31 C.F.R. 128.4 (a) and (b)).

•

Before preparing this report,
please read the Instructions
carefully.

•

Additional copies of this form,
the Instructions, and the
answers to Frequently Asked
Questions can be obtained at
the following web site:

Please read carefully and sign
below:
I, __________________________,
(Signature of Officer Authorized to Sign Report)

of the reporting entity do hereby
declare that the Treasury
International Capital BQ-3 report for
this report date has been prepared in
conformance with the instructions
and is true to the best of my
knowledge and belief.

Data reported on this form will be held in confidence by the
Department of the Treasury, the Board of Governors of the Federal
Reserve System, and the Federal Reserve Banks acting as fiscal
agents for the Treasury. The data reported by individual
respondents will not be published or otherwise publicly disclosed;
information may be given to other Federal agencies, insofar as
authorized by applicable law (44 U.S.C. 3501 et seq.; 22 U.S.C.
3101 et seq.). Aggregate data derived from reports on this form
may be published or otherwise disclosed only in a manner that does
not specifically identify any individual respondent.
Note: No person is required to respond to any U.S. Government
collection of information unless the form displays a currently valid
control number assigned by the Office of Management and Budget
(OMB).

www.ustreas.gov/tic/forms.html
•

This report should be filed no
later than the twentieth calendar
day following the last day of
March, June, September, and
December

•

Amounts should be reported in
millions of dollars as of the close
of the last business day of the
quarter.

Name of Reporting Entity:

Remaining Maturities

DEMAND DEPOSITS
ARREARS
NON-INTEREST
PAYING ITEMS
WITHOUT A FIXED
MATURITY
INCLUDING REPOS
UNDER A
CONTINUING
CONTRACT
(EXCLUDING
DEMAND DEPOSITS)
OTHER ITEMS
WITHOUT A FIXED
MATURITY
INCLUDING REPOS
UNDER A
CONTINUING
CONTRACT
OTHER, 90 DAYS OR
LESS
OVER 90 DAYS TO
180 DAYS
OVER 180 DAYS TO
270 DAYS
OVER 270 DAYS TO 1
YEAR
OVER 1 YEAR TO 2
YEARS
OVER 2 YEARS

8010-1
8020-9

8030-6

8040-3
8051-9
8052-7
8053-5
8054-3
8055-1
8057-8

ID Number:

TIC Form BQ-3 Page 2 of 2

As of Date:

Non-Negotiable Deposits &
Brokerage Balances
[reported on BL-1
(cols. 1,3,5) & BQ-2, Part 1
( col. 1)]
1

Repurchase Agreements &
Other Liabilities
[reported on BL-1 (cols. 2,4,6)
& BQ-2, Part 1 (col.2)]
2

Loan Liabilities excluding
repurchase agreements
[reported on BL-1 (cols. 2,4,6)
& BQ-2, Part 1 (col. 2)]
3

Millions

Millions

Millions

GRAND TOTAL
(sum of
columns 1 – 3)
4
Millions