Form FFIEC 019 FFIEC 019 Country Exposure Report for U.S. Branches and Agencies o

Board of Governors of the Federal Reserve System
Federal Deposit Insurance Corporation
Office of the Comptroller of the Currency

OMB Number 7100–0213

Approval expires October 31, 2018
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Federal Financial Institutions Examination Council

Country Exposure Report for U.S. Branches and Agencies of Foreign Banks—FFIEC 019

Report at the close of business
Month / Day / Year

This report is required to be filed by U.S. branches and agencies of foreign
banks pursuant to authority contained in the following statutes:
Board of Governors of the Federal Reserve System—Sections 7 and 13 of the
International Banking Act (12 U.S.C. §§ 3105, 3108); Federal Deposit Insurance
Corporation—Section 7 of the Federal Deposit Insurance Act (12 U.S.C. § 1817);
and Office of the Comptroller of the Currency—the National Bank Act, as
amended (12 U.S.C. § 161).
The Federal Reserve System, the Federal Deposit Insurance Corporation, and
the Office of the Comptroller of the Currency consider individual office
information reported on this form to be exempt from public disclosure under
Section (b)(8) of the Freedom of Information Act (5 U.S.C. § 552(b)(8)) and will
not voluntarily disclose such information to the public.

Name, title, and telephone number of person to whom inquiries regarding this
report may be directed:

I,
Name

Title

an authorized officer of the U.S. branch or agency named, hereby certify on
Name

the
Title

day of
Day

,
Month

, that this report had been
Year

examined by me and is true and complete to the best of my knowledge and belief.
Area Code / Phone Number

Name of Reporting Institution

City

State

Zip Code

Signature of Authorized Officer

Title

Public reporting burden for this collection of information is estimated to average 10 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. A Federal agency may not conduct or sponsor, and an
organization (or a person) is not required to respond to a collection of information, unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of the collection of information, including suggestions for reducing this burden, to Secretary, Board of Governors of the Federal Reserve
System, 20th and C Streets, NW, Washington, DC 20551; and to the Office of Management and Budget, Paperwork Reduction Project (7100–0213), Washington, DC 20503.
12/2015

FFIEC 019
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To be completed for the home country and for the five other countries to which adjusted exposure (as calculated for column 4) is largest and greater than or equal to $20 million.

Report U.S. Dollar Amounts in Millions
Adjustment for Guarantees and
Other Indirect Claims

Country

Adjusted Claims on Foreign Residents

Distribution of Claims on Unrelated Foreign Residents
By Sector of Borrower or Guarantor

(Column 1)
Total Direct
Claims on
Foreign
Residents

Name

Code

(Column 2)
(Column 3)
(Column 4)
Claims in
Guarantees and
Total
Column 1
Other Indirect
Adjusted Claims
on Borrowers
Claims for which (Column 1 – 2 + 3)
with
Country Listed is
a Head Office or Country of Head
Guarantor in
Office or
Another Country
Guarantor

(Column 5)
Claims on
Related NonU.S. Offices of
the Reporter
Included in
Column 4

(Column 6)
(Column 7)
Total Adjusted
Foreign Public
Claims on
Unrelated
Foreign Borrowers
Columns
(Column 4 – 5)

(Column 8)
Unrelated
Foreign Banks

(Column 9)
Other
Unrelated
Foreign
Residents

Commitments

By Remaining Maturity
(Column 10)
One Year
or Less

(Column 11)
More than
One Year

(Column 12)
Commercial and
Standby Letters
of Credit and
Legally Binding
Loan
Commitments

Home Country

Five Other Countries:1
1.

2.

3.

4.

5.

1. The United States is not to be reported as one of the five countries. Do not report any countries for which Column 4 is less than $20 million.

09/2012