Item 13_4501A Profile Instructions 2023 Q4

NCUA Profile - NCUA Form 4501A

Item 13_4501A Profile Instructions 2023 Q4

OMB: 3133-0204

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PROFILE
FORM 4501A
INSTRUCTIONS

Effective December 31, 2023
Until Superseded

NCUA FORM 4501A INSTRUCTIONS

Profile Instructions Revisions
The following changes were made to the December 2023 Profile Instructions:
1. General tab, page 3, Item 4:
a. Added “Provide the credit union’s Legal Entity Identifier (LEI): Report the credit
union’s LEI. Every credit union that files a HMDA submission is required to obtain and
provide an LEI.”
2. General tab, page 3, Item 10:
a. Added “Is your credit union’s anti-money laundering monitoring system automated,
manual, or a combination of these? Anti-money laundering monitoring systems typically
include employee identification or referrals, transaction-based (manual) systems,
surveillance (automated) systems, or any combination of these.
Transaction-Based (Manual) systems typically target specific types of transactions (for
example those involving large amounts of cash, or those to or from foreign geographies)
and include a manual review of various reports generated by the credit union’s
information technology sources, systems, and processes or vendor systems in order to
identify unusual activity. Examples of information technology reports include currency
activity reports, funds transfer reports, monetary instrument sales reports, large item
reports, significant balance change reports, ATM transaction reports, and nonsufficient
funds (NSF) reports.
Surveillance Monitoring (Automated Account Monitoring) can cover multiple types of
transactions and use various rules to identify potentially suspicious activity. These
systems typically use computer programs, developed in-house, or purchased from
vendors, to identify individual transactions, patterns of unusual activity, or deviations
from expected activity. These systems can capture a wide range of account activity, such
as deposits, withdrawals, funds transfers, automated clearing house (ACH) transactions,
and automated teller machine (ATM) transactions, directly from the credit union’s core
data processing system.
Select “Automated” if your credit union’s anti-money laundering monitoring system is
automated. Select “Manual” if your credit union’s anti-money laundering monitoring
system is manual. Select “Combination” if your credit union’s anti-money laundering
monitoring system in a combination of automated and manual.
3. General tab, page 3, Item 11:
a. Moved from page 10: “Minority Depository Institution Questions. Answer “Yes” or
“No.” If you answer “Yes,” identify the minority groups represented by your current
members, board of directors, and the community the credit union serves by checking the
appropriate box(es). Are more than 50 percent of your credit union’s current and eligible
potential members: a. Asian American b. Black American c. Hispanic American d.

i

Native American. Are more than 50 percent of your credit union’s board members: a.
Asian American b. Black American c. Hispanic American d. Native American”
b. Added to Minority Groups table instructions: “Multi-racial or multi-ethnic individuals
should select one of the provided minority groups.”
4. Contacts and Roles, page 4, Item 6:
a. Added: “Does the manager or CEO also manage a different credit union? * Select “Yes”
if the manager or CEO actively serves as manager of another credit union in addition to
this credit union. Select “No” if the manager or CEO does not actively serve as manager
of another credit union.”
5. Contacts and Roles, page 4, Item 7m:
a. Added: “Cyber Incident Notification Contact, primary* - Provide the name, email
address, and phone number for the designated cyber incident notification primary
contact.”
6. Contacts and Roles, page 4, Item 7n:
a. Added: “Cyber Incident Notification Contact, secondary* - Provide the name, email
address, and phone number for the designated cyber incident notification secondary
contact.”
7. Payment Systems Service Provider, page 6, Item 8a:
a. Deleted: “FedLine Advantage—A software product provided by the Federal Reserve
Bank to facilitate the electronic transfer of funds.”
b. Added: “FedLine Solutions—A full suite of applications offering access to electronic
payment solutions and information services provided by the Federal Reserve to facilitate
the electronic transfer of funds.”
8. Payment System Service Provider, page 6, Item 8:
a. Deleted: “FedWire”
9. Information Technology, page 7, Item 10a:
a. Modified caption from “Account Aggregation” to “External or Third-Party Account
Aggregation”.
10. Information Technology, page 7, Item 10c:
a. Deleted: “Download Account History - Allows members to download account history
through online services.”
11. Information Technology, page 7, Item 10c:
a. Added: “Person-to-Person - Allows members to send money from their credit union
account to another account (either within or outside of the credit union).”
12. Information Technology, page 7, Item 10f:

ii

a. Modify caption from “External Account Transfers” to “External Account
Transfers/Payments – ACH”
13. Information Technology, page 7, Item 10i:
a. Modified caption from “Merchant Processing” to “Point-of-Sale Processing”
14. Information Technology, page 7, Item 10k:
a. Modified caption from “New Loan” to “Loan Application”
15. Information Technology, page 7, Item 11:
a. Added: “Cloud Services (check all that apply) a. Infrastructure as a Service b. Platform as
a Service c. Software as a Service”
16. Information Technology, page 7, Item 12:
a. Added: “Email Services (check one) a. On-premises b. Cloud c. Hybrid”
17. Regulatory, page 8, Item 6:
a. Modified caption from “Please select who completed the verification of member’s
accounts” to “Who completed the verification of member’s accounts”
18. Regulatory, page 8, Item 15:
a. Moved Minority Depository Institutions questions to General, page 3
b. Added: “Home Mortgage Disclosure Act – Loan Application Register criteria - Please
refer to the NCUA’s annual Letter to Credit Unions that conveys HMDA data collection
requirements by using this link – https://ncua.gov/regulation-supervision/letters-creditunions-other-guidance and searching HMDA. Additional information on HMDA
reporting is available in the HMDA Reporting Getting it Right guide –
https://www.ffiec.gov/hmda/guide.htm. a. Is your credit union located in a Metropolitan
Statistical Area (MSA)? Indicate whether the credit union is in an MSA by selecting
“yes” or “no”. d. Did your credit union originate at least one home purchase loan or
refinance a home purchase loan secured by a first lien on a one-to-four unit dwelling
during the preceding calendar year? Indicate whether the credit union originated at least
one home purchase loan or refinanced a home purchase loan secured by a first lien on a
one-to-four unit dwelling during the preceding calendar year by selecting “yes” or “no. g.
Did your credit union originate closed-end mortgages in each of the two preceding
calendar years OR originate open-end lines of credit in each of the two preceding
calendar years in excess of the HMDA Loan-Volume Threshold? Indicate whether your
credit union originated closed-end mortgages in each of the two preceding calendar years
OR originated open-end lines of credit in each of the two preceding calendar years in
excess of the HMDA Loan-Volume Threshold by selecting “yes” or “no”. j. If you
answered yes to all three questions, please provide your HMDA LAR filing date. The
annual filing period opens on January 1 and the submission deadline is March 1.”
19. Disaster Recovery, page 9:
a. Replaced “Disaster Recovery” with “Catastrophic Act/Business Continuity” on this tab.
iii

20. Programs and Services, page 10, Item 3:
a. Added: “Does the credit union offer an ATM Network that is surcharge free? * If yes,
complete Item 4. Select Yes if the credit union’s ATM Network is surcharge free.”
21. Programs and Services, page 10, Item 4:
a. Added: “Provide the name of the surcharge free ATM Network. Enter the name of the
surcharge free ATM Network.”
22. Programs and Services, page 10, Item 5:
a. Changed the caption from “Shared Service Centers/Networks” to “Does the credit union
participate in Shared Service Centers/Networks? * If yes, complete Item 6.”
23. Programs and Services, page 10, Item 6:
a. Added: “Provide the name of the Shared Service Center/Network. Enter the name of the
Shared Service Center/Network.”
24. Programs and Services, page 10, Item 8:
a. Added: “Does the credit union use financial technology companies to provide member
services? * If yes, complete Item 9. Select Yes if the credit union uses financial
technology companies to provide member services, if not, select No.”
25. Programs and Services, page 10, Item 9:
a. Added: “If the credit union uses financial technology companies to provide member
services, select the services offered: a. Auto Lending Include both direct and indirect b.
Mortgage Lending c. Secured personal loans d. Unsecured personal loans e. Lead
generation for new members f. Lead generation for share accounts g. Acquire
participation loans h. Person-to-person payments i. Investment security exchange services
Including buying, selling, and holding securities j. Communication Including artificial
intelligence to interact with members”
26. Programs and Services, page 10, Item 10:
a. Added: “Does the credit union offer cryptocurrency services to members? * If yes,
complete Item 11. Select Yes if the credit union offers cryptocurrency services to
members, if not, select No.”
27. Programs and Services, page 10, Item 11:
a. Added: “If the credit union offers cryptocurrency services to members select the services
offered: a. Exchange services Including buying, selling, and holding cryptocurrency b.
Non-custodial wallets c. Custodial wallets Including digital storage solutions d. Loans
secured by digital assets e. Depository for stablecoin reserves f. Mobile application The
credit union’s mobile application provides information on a member’s cryptocurrency
holdings”
28. Programs and Services, page 10, Item 12:

iv

a. Added: “Does the credit union use blockchain or distributed ledger technology to offer
services to members or to record and store data? * Select Yes if the credit union uses
blockchain or distributed ledger technology to offer services to members or to record and
store data, if not, select No.”
29. Definitions:
a. Added a definition for Digital Assets: “Distributed ledger technology-based tokens such
as virtual currencies, cryptocurrencies, crypto-assets, utility tokens, etc.”
b. Added a definition for Financial Technology: “The use of technology service providers to
offer member financial services, or to improve member experience, through automated
platforms and delivery channels.”

v

TABLE OF CONTENTS
Collection Reasons ........................................................................................................ 1
Certification................................................................................................................... 2
Certify Compliance Minimum Security Devices and Procedures ............................... 3
General Information ..................................................................................................... 4
Contacts and Roles ........................................................................................................ 8
Sites .............................................................................................................................. 15
Payment Systems Service Provider (PSSP) Information ........................................... 20
Information Technology (IT) ...................................................................................... 25
Regulatory Information .............................................................................................. 30
Catastrophic Act/Business Continuity Information .................................................. 36
Credit Union Programs and Member Services .......................................................... 38
Credit Union Grant Information ................................................................................ 46
Merger Partner Registry ............................................................................................ 47
Definitions.................................................................................................................... 48

vi

Collection Reasons
Throughout the Profile Instructions, the following reasons are cited for collection of the
information:
Continuity or disaster recovery – provides information for contacting the credit union and
available resources during an emergency
Identification – provides general credit union information on a range of topics
Level and trend analysis – provides NCUA information on the level of and trends in specific
data elements
Reporting to other governmental agencies – provides the data elements needed to report to
other governmental agencies
Required by regulation – collects information required by current regulation

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
1

Certification
NCUA Form 4501A—Page 1

The certification page is mandatory. The NCUA’s regulation § 741.6(a)(1), Credit Union
Profile, and the Federal Credit Union Act § 111(b), (§ 1761(b)), Membership on supervisory
committee; names and addresses of officers and committee members, require federally insured
credit unions to submit a Profile, NCUA Form 4501A, to NCUA:
•

within 10 days of electing or appointing senior management or volunteer officials, or

•

within 30 days of changing any information required to be reported in the Profile.

Additionally, credit unions must ensure their profile information is accurate and certify
their information quarterly.

Certifying Official∗
Provide the last name, first name, date, and signature of the official that certifies the accuracy of
the information in the Profile.

2

Certify Compliance Minimum Security Devices
and Procedures
NCUA FORM 4501A—Page 2

The Certify Compliance Minimum Security Devices and Procedures page is mandatory. Each
federally insured credit union must develop a written security program and file an annual
statement certifying its compliance with this requirement to satisfy the NCUA regulation
part 748, Security Program, Report of Suspected Crimes, Suspicious Transactions, Catastrophic
Acts and Bank Secrecy Act Compliance.

Certifying Official∗
Provide the last name, first name, date, and signature of the official that certifies compliance with
the NCUA regulation part 748.

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
3

General Information
NCUA FORM 4501A—Page 3

Item
No.
1

Instructions
Select the type of credit committee the credit union has: *◊
a. Elected—select if the credit union has an elected credit
committee.

Reason
Level and trend
analysis,
Identification

b. Appointed—select if the credit union has a credit committee
appointed by the board of directors.
c. No Committee—select if the credit union does not have a
credit committee.
2

Provide the credit union’s Employer Identification Number
(EIN). *◊

Identification

Report the credit union’s Employer Identification Number. This
is a nine-digit number assigned by the Internal Revenue Service.
Do not provide a social security number in this field.
3

Provide the Research, Statistics, Supervision, and Discount
(RSSD) ID.

Identification

Report the credit union’s RSSD ID number issued by the Board of
Governors of the Federal Reserve System. To confirm the credit
union’s RSSD ID, visit the Federal Financial Institutions
Examination Council’s National Information Center website.
4

Provide the credit union’s Legal Entity Identifier (LEI):
Report the credit union’s LEI. Every credit union that files a
HMDA submission is required to obtain and provide an LEI.

Identification

5

Is your credit union a member of the Federal Home Loan
Bank?

Identification

Check “Yes” if your credit union is a member of the Federal
Home Loan Bank.
6

Has your credit union filed an application to borrow from the
Federal Reserve Bank Discount Window? ◊

Identification

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
4

GENERAL INFORMATION
NCUA FORM 4501A – PAGE 3
Check “Yes” if your credit union has filed an application to
borrow from the Federal Reserve Bank Discount Window.
7

Has your credit union pre-pledged collateral with the Federal
Reserve Bank Discount Window? ◊

Identification

Check “Yes” if your credit union has pre-pledged collateral with
the Federal Reserve Bank Discount Window. “Pre-pledged”
means that the credit union’s collateral has been evaluated and
accepted for immediate borrowing access.
8

Does your credit union sponsor a qualified defined benefit
plan? ◊

Identification

Check “Yes” if your credit union sponsors a qualified benefit
plan.
9

Does your credit union participate in a multiemployer defined
benefit plan? ◊

Identification

Check “Yes” if your credit union is a participant in a
multiemployer defined benefit plan.
10

Is your credit union’s anti-money laundering monitoring
system automated, manual, or a combination of these?

Identification

Anti-money laundering monitoring systems typically include
employee identification or referrals, transaction-based (manual)
systems, surveillance (automated) systems, or any combination of
these.
Transaction-Based (Manual) systems typically target specific
types of transactions (for example those involving large amounts
of cash, or those to or from foreign geographies) and include a
manual review of various reports generated by the credit union’s
information technology sources, systems, and processes or vendor
systems in order to identify unusual activity. Examples of
information technology reports include currency activity reports,
funds transfer reports, monetary instrument sales reports, large
item reports, significant balance change reports, ATM transaction
reports, and nonsufficient funds (NSF) reports.
Surveillance Monitoring (Automated Account Monitoring) can
cover multiple types of transactions and use various rules to
* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
5

GENERAL INFORMATION
NCUA FORM 4501A – PAGE 3
identify potentially suspicious activity. These systems typically
use computer programs, developed in-house, or purchased from
vendors, to identify individual transactions, patterns of unusual
activity, or deviations from expected activity. These systems can
capture a wide range of account activity, such as deposits,
withdrawals, funds transfers, automated clearing house (ACH)
transactions, and automated teller machine (ATM) transactions,
directly from the credit union’s core data processing system.
Select “Automated” if your credit union’s anti-money laundering
monitoring system is automated. Select “Manual” if your credit
union’s anti-money laundering monitoring system is manual.
Select “Combination” if your credit union’s anti-money
laundering monitoring system in a combination of automated and
manual.
11

Is your credit union a Minority Depository Institution?

Identification

Answer “Yes” or “No.” If you answer “Yes,” identify the
minority groups represented by your current members, board of
directors, and the community the credit union serves by checking
the appropriate box(es).
Are more than 50 percent of your credit union’s current and
eligible potential members:
a. Asian American
b. Black American
c. Hispanic American
d. Native American
Are more than 50 percent of your credit union’s board members:
a. Asian American
b. Black American
c. Hispanic American
d. Native American

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
6

Minority Groups
Return to instructions
Minority Group

Description

Black American

Black American (Not Hispanic or Latino)—A person having origins in any
of the black racial groups of Africa.

Native American

American Indian or Alaska Native (Not Hispanic or Latino)—A person
having origins in any of the original peoples of North and South America
(including Central America), and who maintain tribal affiliation or
community attachment.

Hispanic
American

Hispanic or Latino—A person of Cuban, Mexican, Puerto Rican, South or
Central American, or other Spanish culture or origin regardless of race.

Asian American

Asian (Not Hispanic or Latino)—A person having origins in any of the
original peoples of the Far East, Southeast Asia, or the Indian Subcontinent,
including, for example, Cambodia, China, India, Japan, Korea, Malaysia,
Pakistan, the Philippine Islands, Thailand, and Vietnam; or Native Hawaiian
or Other Pacific Islander (Not Hispanic or Latino). A person having origins
in any of the peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

Multi-Racial
American

Two or more races (Not Hispanic or Latino)—A person who identifies with
more than one of the above races.

For purposes of minority representation, anyone who falls into more than one minority category
(multi-racial or multi-ethnic individuals) is a single minority individual. Multi-racial or multiethnic individuals should select one of the provided minority groups.
All three conditions (current members, board of directors, and community served) must be met to
be classified as a minority depository institution. The community served is defined as a credit
union’s potential members according to the field of membership in its charter.
The minority depository institution questions are based on a self-assessment, not a survey of the
members. If you are unaware of the composition of your current membership and potential
membership as defined in the field of membership of your charter, you may assess either one
based on the U.S. Census data demographics of the area where most of your current and/or
potential membership resides (township, borough, city, cities, county, counties, MSA, etc.). If
the Census data show the area consists of more than 50 percent minority residents, you can
assume your credit union’s field of membership resembles this composition.
* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
7

Contacts and Roles
NCUA FORM 4501A—Page 4

The Contacts and Roles section of the Profile collects information about individuals employed
by or associated with the credit union. If an individual holds more than one job title, check all
job titles held by that individual. If a mandatory job title is currently vacant, enter “Vacant” in
the first and last name fields.
If the manager or CEO position is currently vacant, enter the name of the individual that has
temporary responsibility for managing the credit union’s daily operations. When a vacant
position has been filled, the Profile needs to be updated to reflect current staffing.
Item
No.
1

Instructions
Salutation*
Select the appropriate salutation from the list provided (Mr., Mrs.,
Ms., or Dr.).

2

First Name*
Report the first name of the credit union official.

Reason
Continuity or
disaster
recovery,
Identification,
Reporting to
other
governmental
agencies
Continuity or
disaster
recovery,
Identification,
Reporting to
other
governmental
agencies

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
8

CONTACTS AND ROLES
NCUA FORM 4501A – PAGE 4
Item
No.
3

Instructions
Middle Initial
Report the middle initial of the credit union official.

Reason
Continuity or
disaster
recovery,
Identification,
Reporting to
other
governmental
agencies

4

Last Name*
Report the last name of the credit union official.

Continuity or
disaster
recovery,
Identification,
Reporting to
other
governmental
agencies

5

Job Titles

Continuity or
disaster
recovery,
Identification,
Reporting to
other
governmental
agencies

Select the appropriate title for the credit union official identified
in items 1-4.
a. Manager or CEO*—This person is responsible for the
overall daily operations of the credit union. This job title
may not be marked “Vacant.” If the position is currently
vacant, enter the name of the individual that has temporary
responsibility for managing the credit union’s daily
operations. The credit union may only identify one manager
or CEO. The credit union must provide an email address
and phone number for the manager or CEO position.
b. Board Chairperson*—This person is the President of the
Board. The credit union may only identify one Chairperson
and it cannot be the same individual as the Manager or
CEO, Vice Chairperson, or Treasurer.
c. Board Vice Chairperson*—The credit union may only
identify one Vice Chairperson. This person may not be the
same individual as the Chairperson or Treasurer.

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
9

CONTACTS AND ROLES
NCUA FORM 4501A – PAGE 4
Item
No.

Instructions

Reason

d. Board Secretary—The credit union may only identify one
Secretary. This person may be the same as the Treasurer.
e. Board Treasurer *—The credit union may only identify
one Treasurer. This position is sometimes called a
“Principal Financial Officer.” This person may not be the
same individual as the Chairperson or Vice Chairperson.
f. Board Member *—This title is assigned to board members
who are not the Chairperson, Vice Chairperson, Secretary,
or Treasurer. There may be more than one Board Member
in a credit union. List all board members.
g. Supervisory Committee Chairperson *—This position is
mandatory for federal credit unions. For some statechartered credit unions, the “audit committee” designated by
state statute or regulation is the equivalent of a Supervisory
Committee. If a state-chartered credit union identifies the
Chairperson, it must also identify the individual members of
the committee to satisfy the NCUA regulation
§ 741.6(a) Financial and statistical and other reports.
h. Supervisory Committee Member *—This is mandatory
for federal credit unions.
i. Credit Committee Chairperson *◊—This is mandatory if
you indicated your credit union has a credit committee on
the General page. If the credit union has a Credit
Committee, identify the Credit Committee Chairperson.
j. Credit Committee Member *◊—This is mandatory if you
indicated your credit union has a credit committee on the
General page. If the credit union has a Credit Committee,
identify the Credit Committee members.
k. Chief Financial Officer (CFO)—This person is primarily
responsible for managing the credit union’s financial risks.
Responsibilities may also include financial planning,
recordkeeping, and financial reporting. A credit union may
not have a CFO and is not required to enter a contact for this
job title.
* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
10

CONTACTS AND ROLES
NCUA FORM 4501A – PAGE 4
Item
No.

Instructions

Reason

l. Chief Information Officer—This person is responsible for
the information technology and computer systems that
support the credit union’s goals. A credit union may not
have a Chief Information Officer and is not required to enter
a contact for this job title.
m. Internal Auditor—This person is usually responsible for
analyzing business processes or organizational problems
and recommending solutions. A credit union may not have
an internal auditor and is not required to enter a contact for
this job title.
n. Other—If the contact in fields 1-4 does not hold any of the
listed job titles but fills one or more of the roles listed in
Item 6, check “Other” in the Job Titles area.
6

Does the manager or CEO also manage a different credit
union? *

Identification

Select “Yes” if the manager or CEO actively serves as manager of
another credit union in addition to this credit union. Select “No” if
the manager or CEO does not actively serve as manager of
another credit union.
7

Roles ◊
Select the individual’s role with the credit union from the list
provided. Each individual provided on the form must have at
least one role.
a. Volunteer—This role may be entered more than once to
identify individuals who serve on the board of directors or
volunteer their time to the credit union.
b. General Credit Union Contact—This role is the default if
none of the other roles adequately describe a contact. This
role may be used multiple times.

Continuity or
disaster
recovery,
Identification,
Reporting to
other
governmental
agencies

c. Call Report Contact *—This person can be contacted if
the NCUA or State Supervisory Authority (SSA) (if
applicable) has a question about the Call Report. The
NCUA will email the Financial Performance Report to the
* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
11

CONTACTS AND ROLES
NCUA FORM 4501A – PAGE 4
Item
No.

Instructions

Reason

Call Report contacts after the Call Report has been
submitted and validated, if an email address is provided.
d. Profile Information Contact *—This person can be
contacted if the NCUA or SSA (if applicable) has a question
about information in the Profile.
e. Primary Patriot Act Contact *—Provide an email address
where the NCUA can send information, such as 314(a)
notifications. If the credit union does not have an
organizational email address, you may provide a personal
email address. In the event the credit union has a single
email address, the Patriot Act information must be treated as
confidential and provided only to credit union individuals
responsible for Bank Secrecy Act (BSA) compliance.
NCUA provides FinCEN bi-weekly updates to the Patriot
Act 314(a) point of contact, and it can take up to three
weeks for changes to take effect. Patriot Act Contacts must
login to the FinCEN website and obtain the 314(a) lists
when FinCEN emails a request or every 14 days, whichever
occurs first. Because matches must be reported to FinCEN
within 14 days, it is important to provide additional Patriot
Act Contacts. If you have questions about the Patriot Act or
BSA compliance, contact your NCUA district examiner or
respective SSA.
f. Secondary Patriot Act Contact *—Provide an email
address where information, such as 314(a) notifications, can
be sent to the secondary contact person.
g. Third Patriot Act Contact (Optional)—Provide an email
address where the NCUA can send information, such as
314(a) notifications.
h. Fourth Patriot Act Contact (Optional)—Provide an email
address where the NCUA can send information, such as
314(a) notifications.
i. Primary Emergency Contact *—Provide an email address
for senior credit union officials with decision-making
* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
12

CONTACTS AND ROLES
NCUA FORM 4501A – PAGE 4
Item
No.

Instructions

Reason

authority for the credit union and who can be contacted in
the event of an emergency.
j. Secondary Emergency Contact *—Provide an email
address for senior credit union officials with decisionmaking authority for the credit union and who can be
contacted in the event of an emergency. The Primary
Emergency Contact and the Secondary Emergency
Contact cannot be the same person.
k. Credit Union Employee—This role may be entered more
than once to identify individuals employed by the credit
union. The credit union is not required to submit the names
of all its employees.
l. Information Security Contact *—Provide the name, email
address, and phone number for the designated information
security contact for information security related updates.
m. Cyber Incident Notification Contact, primary* - Provide
the name, email address, and phone number for the
designated cyber incident notification primary contact.
n. Cyber Incident Notification Contact, secondary* Provide the name, email address, and phone number for the
designated cyber incident notification secondary contact.
7

Credit Union Employment Type *◊
Indicate whether the credit union employs the contact full-time or
part-time. If the contact is not employed by the credit union,
select “Volunteer.”

Continuity or
disaster
recovery,
Identification,
Reporting to
other
governmental
agencies

Credit unions must provide a home address, home phone number, work phone number, or cell
phone number and an email address for contacts as indicated in CUOnline.◊

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
13

CONTACTS AND ROLES
NCUA FORM 4501A – PAGE 4
Item
No.
8

Instructions
Home Address Information*◊
Provide the home address for the contact. The zip code for a
contact in the United States must be 5 or 9 digits.
a. Home email—Provide a home email address, if available.
b. Home Phone—Provide the complete phone number
(including area code).
c. Home Cell Phone Number—Provide the complete cell
phone number(s) (including area code). Cell phone
numbers will not be made public and only used by NCUA
staff in case of emergency.

Reason
Continuity or
disaster
recovery,
Identification,
Reporting to
other
governmental
agencies

d. Home Fax Number—Provide complete fax number
(including area code).
e. Home County—Provide the name of the county where the
contact resides.
9

Work Address Information ◊
Provide the work address for the contact. If a contact is retired,
the work-related fields could be blank. The zip code for a contact
in the United States must be 5 or 9 digits.
a. Work email—Provide a work email address, if available.
b. Work Phone—Provide the complete phone number
(including area code). Provide extension numbers, if
applicable.

Continuity or
disaster
recovery,
Identification,
Reporting to
other
governmental
agencies

c. Work Cell Phone Number—Provide the complete cell
phone number(s) (including area code). The NCUA will not
make cell phone numbers public and will only call in an
emergency.
d. Work Fax Number—Provide complete fax number
(including area code).
e. Work County—Provide the name of the county where the
contact works.

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
14

Sites
NCUA FORM 4501A—Page 5

The Sites section of the Profile is mandatory and includes information about the credit union’s
main and branch offices, disaster recovery location, vital records center, and location of records.
Report at least one corporate office and all branch offices.
Item
No.
1

Instructions
Site Name*
Provide a name to identify the site. A site name can be a specific
name, letter, identifying acronym, or other form of identification
that the credit union has assigned to an office. This field will be
used to identify different credit union sites.

2

Operational Status*◊
Provide the operational status of each site.
a. Normal—Fully functional site.
b. Planned—A new site that is not operational yet.

Reason
Continuity or
disaster
recovery,
Identification
Continuity or
disaster
recovery,
Identification

c. Suspended - Emergency—Site has been impacted by a
disaster or some other event and is currently not operational.
3

Site Type*
Report the type of site as one of the following:
a. Corporate Office—Site is the main office of the credit
union.

Continuity or
disaster
recovery,
Identification

b. Branch Office—Site is separate from the main
office/corporate office.
c. Other—Site is not a corporate or branch office. This could
be a site that functions as a shared service center/network.
4

Is Main Office*

Continuity or
Identify the main office for the credit union by checking the Main disaster
Office box. A credit union may only identify one main office. For recovery,
federal credit unions, NCUA will utilize the physical address state Identification
associated with the site designated as "main office" for internal
reporting purposes. For state chartered or non-federally insured

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
15

SITES
NCUA FORM 4501A – PAGE 5
Item
No.

Instructions

Reason

credit unions, NCUA will utilize your designated charter state for
internal reporting purposes.
5

Hours of Operation*
Provide the hours of operation for the site, if applicable. (For
example, M–F 8:00 am—3:00 pm.) Credit unions are required to
enter the hours of operation for the main office location. Some
site functions may not have hours of operation (for example, an
ATM). For these sites, leave this line blank.

6

Physical Address*
This address is the physical location of the site and is required for
all sites. Include the street address, city, state, zip code, county,
and country. If the site is in a foreign country, enter the name of
the foreign state, province, territory, etc. in the City data field and
select the Country from the dropdown list.

Continuity or
disaster
recovery,
Identification

Continuity or
disaster
recovery,
Identification

A P.O. Box is not an adequate street address. The physical
address may be the same as or different from the mailing address.
The zip code for sites in the United States must be 5 or 9 digits.
7

Mailing Address*

8

Phone numbers

Continuity or
disaster
Provide the full mailing address for the site. Include the street
recovery,
address or P.O. Box number, city, state, zip code, county, and
country. The zip code for sites in the United States must be 5 or 9 Identification
digits.
Provide complete phone* and fax◊ numbers (including area code)
for the site, if applicable.

9

Site Function(s)
Complete the form for the three mandatory site functions
(Location of Records, Disaster Recovery Location, Vital Records
Center) and provide the site function for any other sites reported
from the following list:

Continuity or
disaster
recovery,
Identification
Continuity or
disaster
recovery,
Identification

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
16

SITES
NCUA FORM 4501A – PAGE 5
Non-Public Site Functions
a. Disaster Recovery Location*◊—The disaster recovery
location is where the credit union will resume operations if
required to leave the main office during a disaster. This
may include a branch office located far enough from the
main office to assume it will not be affected by the same
disaster. This location may be the same as the Vital
Records Center but may not be the same as the Location of
Records. A P.O. Box is not an adequate Disaster Recovery
location.
b. Location of Records*◊—Location of Records refers to the
site(s) where the credit union maintains records (accounting,
recordkeeping, lending, investment, etc.). Credit union
records may be at one or more sites but must be identified at
all sites where records are maintained. This field may be
completed more than once. The location of records does not
include the Vital Records Center.
c. Vital Records Center*◊—A vital records center is required
per the NCUA regulations part 749, Records Preservation
Program and Appendices—Record Retention Guidelines;
Catastrophic Act Preparedness Guidelines, and is defined as
a storage facility at any location far enough from the credit
union’s offices to avoid the simultaneous loss of both sets of
records in the event of disaster. The location may be the
same as the Disaster Recovery Location but may not be the
same as the Location of Records. A P.O. Box is not an
adequate Vital Records Center location.
d. Backup Generator ◊—A backup generator provides power
to the credit union’s main office or branch during a power
outage. If the credit union has a backup generator, please
check this box.
e. Future Office ◊—A future office is a site that is planned
but not yet operational. It can be a corporate office, branch
office, or shared service center. The site type should be
listed as Other in Item 3 until the site is functional.
f. Hot Site ◊—A hot site is fully configured with compatible
computer equipment and can typically be operational within
* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
17

SITES
NCUA FORM 4501A – PAGE 5
Item
No.

Instructions

Reason

several hours. Credit unions may rely on the services of a
third party to provide backup facilities.
g. Planned Evacuation Site ◊—The evacuation site is the
location to move people from a dangerous place due to a
threat or disastrous event (earthquakes, hurricanes, floods,
industrial accidents, fire, chemical accidents, bomb threats,
etc.). The evacuation site may be the same as the disaster
recovery location. A P.O. Box is not an adequate
evacuation site.
h. Other ◊—Other should be selected if none of the above site
functions are accurate.
Public Site Functions
a. Shared Service Center/Network—Shared service
center/networks are sites where members can access their
accounts and perform credit union transactions and may
include branch locations or other credit unions that belong
to a shared network and are separate from the main office
location. Do not include the member service branch
operations maintained at the credit union’s corporate office
location. Identify all shared service centers/networks as
“Branch Office” or “Other” Site Type in Item 3. This field
may be used more than once.
b. ATM—The credit union may enter its ATM locations in the
Profile. This field may be selected more than once. Credit
unions are not required to report all their ATM locations.
c. Drive Thru—Members do not have to leave their vehicles
to conduct transactions at a drive thru site. It can be located
at the corporate office, branch office, and shared service
centers. This site may include ATMs. This field may be
used more than once.
d. Member Services—Any site where members can access
their accounts and conduct transactions is a Member
Services site. Member services include deposits,
withdrawals, loans, new account services, etc. Member
* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
18

SITES
NCUA FORM 4501A – PAGE 5
Item
No.

Instructions

Reason

services may be conducted at the corporate office, branch
office, and shared service centers.

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
19

Payment Systems Service Provider (PSSP)
Information
NCUA FORM 4501A—Page 6

Item
No.
1

Instructions
Select the credit union’s Primary Settlement Agent (member
share draft clearing, ACH transactions, etc.) *◊

Reason
Identification

Select the applicable primary settlement agent the credit union
uses to process member share drafts, ACH transactions, and other
item processing services. If multiple settlement agents are used,
report the settlement agent that processes the most transactions for
the credit union. If none of the options apply, select “Not
Applicable.”
a. Federal Reserve Bank—Select this option if the Federal
Reserve Bank processes the majority of the credit union’s
transactions.
b. Credit Union Servicing Organization (CUSO)—Select
this option if a CUSO processes the majority of the credit
union’s transactions.
c. Corporate Credit Union—Select this option if a corporate
credit union processes the majority of the credit union’s
transactions.
d. Federal Credit Union—Select this option if a federal credit
union processes the majority of the credit union’s
transactions.
e. Bank—Select this option if a bank processes the majority of
the credit union’s transactions.
f. Other Credit Union—Select this option if a credit union
other than a federal credit union or corporate credit union
processes the majority of the credit union’s transactions.
g. Not Applicable—Select this option if the credit union does
not use a settlement agent or if the settlement agent is an
entity other than those listed.

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
20

PAYMENT SYSTEM SERVICE PROVIDER (PSSP) INFORMATION
NCUA FORM 4501A – Page 6
Item
No.
2

Instructions
Select the name of the main PSSP. *◊

Reason
Identification

Select the name of the main payment system service provider. If
no PSSP, select Not Applicable. If you provide the name of a
PSSP, complete Item 3.
a. If other was selected from main payment system service
provider list, please specify other.
3

Identify the payment service(s) provided by the main PSSP
(check all that apply). ◊

Identification

a. Share Draft Processing and Settlement
b. Credit Card Processing and Settlement
c. Wire Transfers
d. ATM and Debit Processing and Settlement
e. Electronic Funds Transfer and Direct Deposit
f. Other
4

Select the name(s) of additional payment system service
providers. ◊

Identification

Select the name(s) of additional payment system service
providers, if any. Identify all additional payment system service
providers.
a. If other was selected from additional payment system
service providers list, please specify other.
5

Have you changed or do you plan to change PSSPs within the
next 12 months? *◊ If yes, complete Items 6 and 7.

Identification

6

Select the name of the new provider: ◊

Identification

Select the name of the corporate credit union, bank, or other new
or intended payment system provider.
7

Identify payment service(s) affected by this change (select all
that apply). ◊

Identification

Select each payment service(s) the credit union plans on
transitioning or is in the process of transitioning to the new
provider identified in Item 5. If you use a corporate credit union
* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
21

PAYMENT SYSTEM SERVICE PROVIDER (PSSP) INFORMATION
NCUA FORM 4501A – Page 6
Item
No.

Instructions

Reason

for settlement only (and not for any processing services), select
“Other” and enter “Settlement Only” in the space provided.
a. Share Draft Processing and Settlement
b. Credit Card Processing and Settlement
c. Wire Transfers
d. ATM and Debit Processing and Settlement
e. Electronic Funds Transfer and Direct Deposit
f. Other
8

Systems used to process electronic payments (select all that
apply). ◊

Identification

Select all systems the credit union uses to process electronic
payments. Electronic payments generally mean any transfer of
funds between the credit union and another party (corporate credit
union, Federal Reserve Bank, financial institution, or other
parties) through electronic systems.
a. FedLine Solutions—A full suite of applications offering
access to electronic payment solutions and information
services provided by the Federal Reserve to facilitate the
electronic transfer of funds.
b. Corporate Credit Union
c. Correspondent Bank—Banks that perform services, such
as the electronic transfer of funds to another party (financial
institution, merchant, credit union, government entity, etc.)
for the credit union.
d. CUSO
e. CHIPS—The Clearing House Interbank Payments System
f. EPN—The Electronic Payments Network
g. Other (Please Specify)—If selected, provide the name of
the system in the space provided.

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
22

PAYMENT SYSTEM SERVICE PROVIDER (PSSP) INFORMATION
NCUA FORM 4501A – Page 6
Item
No.
9

Instructions
If the credit union performs ACH transfers, are they
domestic, international or both? (select all that apply) ◊

Reason
Identification

If the credit union performs ACH transfers, select the applicable
box(es) to indicate whether the credit union transfers funds
domestically, internationally, or both.
10

If the credit union is an Originating Depository Financial
Institution, what types of ACH transactions are originated by
the credit union? (select all that apply) ◊

Identification

Select the box next to each type of ACH transactions the credit
union originates.
a. PPD—Prearranged Payment and Deposit Entry
b. WEB—Internet Initiated/Mobile Entry
c. TEL—Telephone Initiated Entry
d. IAT—International ACH Transactions
e. Other Consumer Entry Codes—Provide Standard Entry
Class codes for other consumer ACH transactions originated
by the credit union
f. Other Business Entry Codes—Provide Standard Entry
Class codes for other business ACH transactions originated
by the credit union
11

If the credit union performs wire transfers, are they domestic,
international, or both? (select all that apply) ◊

Identification

Select the box(es) to indicate whether the credit union wires funds
domestically, internationally, or both.
12

Which method(s) can a member use to initiate electronic
payments (wire transfer, ACH, etc.) from the credit union?
(select all that apply) ◊

Identification

Select the box(es) next to each process a member can use to
initiate electronic payments (wire transfer, ACH, etc.) from the
credit union.
a. Email
* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
23

PAYMENT SYSTEM SERVICE PROVIDER (PSSP) INFORMATION
NCUA FORM 4501A – Page 6
Item
No.

Instructions

Reason

b. Fax
c. Online banking
d. Telephone
e. In person
f. Other (Please specify)—provide the method in the space
provided.

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
24

Information Technology (IT)
NCUA FORM 4501A—Page 7

Item
No.
1

Instructions
Does the credit union have a website?

Reason
Identification

a. Website Address—If you selected yes, provide the website
address/URL. Please do not include the “http://” as part of
your entry.
2

Where is the website hosted? Select one of the following: ◊

Identification

a. Internal—Select if the credit union hosts its own website
and/or online banking page on a server located on the credit
union’s premises and credit union personnel manage the
server.
b. External—Select if the credit union outsources its website
hosting to a vendor that specializes in hosting websites.
3

Provide the name of the external website vendor. ◊

Identification

Provide the name of the external website vendor that hosts the
credit union website.
4

Select the service(s) offered.

Identification

a. Informational website—This service provides general
information such as loan and share rates, printable forms,
contact information, privacy notices, etc. through a website.
b. Mobile Application—Products and services a credit union
provides to members through mobile devices. This includes
applications for mobile devices, such as notebook and
laptop computers, cellular telephones and smart phones,
tablets, and audio recording devices.
c. Online Banking—Automated delivery of products and
services directly to customers through electronic, interactive
communication channels. This allows members to access
accounts, transact business, or obtain information on
financial products and services through the internet.
* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
25

INFORMATION TECHNOLOGY
NCUA FORM 4501A – PAGE 7
Item
No.

Instructions

Reason

Members access online banking services using an electronic
device, such as a personal computer.
5

If a credit union has online or mobile banking, how many
members use it? ◊

Identification

Report the number of members (not the number of transactions)
using online or mobile banking.
6

Which wireless networks, if any, does the credit union
operate: ◊

Identification

a. Public or Guest Network—A public or guest network
allows the general public to connect to a network, generally
the internet.
b. Private or Restricted Network—A private or restricted
network is a non-public network where connections are
secured. Access is normally arranged by providing a
password, passcode, or security key.
7

Data Processing System used to maintain credit union
records:

Identification

a. Manual System—Credit union posts and tracks share and
loan records manually (e.g., hand-posting). Manual systems
are typically paper based.
b. Vendor Supplied In-House System—Vendor provides and
maintains the software program(s) required to track member
data. This type of product is also called “turnkey,” and in
many cases is a complete accounting package (share, loan,
general ledger, subsidiaries, teller operations, cash
operations, etc.). In most cases, the credit union will install
and maintain the hardware to run the software at its
office(s). The vendor generally maintains control over
software programming and provides updates, patches, fixes,
and new releases on a regular or predetermined basis. In
some cases, a credit union may ask the vendor to customize
software for its particular needs.
c. Vendor Online Service Bureau—Hardware and software
systems reside at the vendor’s location; with the exception
* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
26

INFORMATION TECHNOLOGY
NCUA FORM 4501A – PAGE 7
Item
No.

Instructions

Reason

of the systems a credit union needs to access and transmit
data to the vendor. Most, if not all, data processing occurs
at the vendor’s site. Service bureau vendors generally
provide reports (paper, electronic, microfiche, or other) on a
regular basis. The credit union connects to a vendor online
service bureau through dial-up connections, private lines,
the internet, frame relay, or other wide area network (WAN)
services. The service provided may be real-time
(transaction post upon data entry) or batch processing (data
is accumulated throughout a predetermined time period and
then transmitted to the vendor for processing at
predetermined intervals).
d. CU Developed In-House System—The credit union
developed, and generally maintains, the software onsite.
The credit union is responsible for the hardware and
software systems. Generally, in-house developed credit
unions maintain a data center (data processing department)
staffed with hardware and software personnel.
8

Name the primary share/loan data processing vendor. ◊

Identification

Select the name of the credit union’s primary share and loan data
processing vendor, if applicable. If Other is selected, enter the
name of the vendor in the space provided. If records are posted
manually, do not make a selection.
9

If the credit union has undergone or plans to undergo a Core
Data Processing Conversion, please provide the following: ◊

Identification

a. Date of Conversion—Provide the date the credit union is
undergoing or planning to undergo a data processing
conversion, if applicable. You may enter a future date in
this field.
b. Core Processor Converting/Converted to—Provide the
name of the data processor the credit union has or will
convert to.

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
27

INFORMATION TECHNOLOGY
NCUA FORM 4501A – PAGE 7
Item
No.
10

Instructions
Select the service(s) the credit union offers electronically:

Reason
Identification

a. External or Third-Party Account Aggregation—Service
that consolidates and presents account information from
many websites.
b. Bill Payment—Allows members to transfer money
electronically from their account to a creditor, vendor, or an
individual to be credited against a specific account. Bill
payment lets members schedule one-time or automatic
recurring payments.
c. Person-to-Person—Allows members to send money from
their credit union account to another account (either within
or outside of the credit union).
d. Electronic Signature Authentication/Certification—
Service that allows members to verify, identify, and certify
related electronic signatures.
e. E-Statements—Allows members to receive periodic
statements electronically rather than receiving a paper
statement in the mail.
f. External Transfers/Payments - ACH—Service that allows
members to transfer money to accounts held at other
financial institutions.
g. Loan Payments—Allows members to make loan payments
electronically.
h. Member Application—Service that allows members to
access and submit an application via the internet. Do not
report this item if members must print, mail, or physically
deliver the application.
i. Point-of Sale Processing—Provides point of sale
transaction equipment (debit/credit card terminals, etc.) and
processing services to business customers. This is also
applicable if the credit union has contracted with a third
party to provide these services.
j. Mobile Payments—Allows members to make payments
(individuals, businesses, purchase goods or services,
* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
28

INFORMATION TECHNOLOGY
NCUA FORM 4501A – PAGE 7
Item
No.

Instructions

Reason

charitable donations, etc.) using a mobile device.
Transaction methods include point-of-sale terminal or near
field communication (NFC) technology, mobile
applications, text messages (SMS), or taking a photograph
of a check and sending it as a payment (not deposit). The
amount of the payment may be withdrawn directly from a
member’s bank account, charged to their credit card, or
applied to their phone bill. Do not report bill payment
service offered through mobile banking here if the service is
comparable to an internet-based bill payment service
offered by the credit union.
k. Loan Application—Service that allows members to access
and submit an application via the internet. Do not report
this item if members must print, mail, or physically deliver
the application.
l. New Share Account—Service that allows members to
access and submit an application via the internet. Do not
report this item if members must print, mail, or physically
deliver the application.
m. Remote Deposit Capture—Allows members to remotely
scan checks and transmit the scanned image and/or ACHdata to the credit union for posting and clearing.
n. Other (Please Specify)—Indicate any electronic service(s)
the credit union offers that do not fit in any other category.
11.

Cloud Services (check all that apply)
a. Infrastructure as a Service

Identification

b. Platform as a Service
c. Software as a Service
12.

Email Services (check one)

Identification

a. On-premises
b. Cloud
c. Hybrid

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
29

Regulatory Information
NCUA FORM 4501A—Page 8

Item
No.
1

Instructions
Please provide the date of the most recent annual meeting
held by the credit union.

Reason
Required by
regulation

Report the date of the most recent annual meeting the credit union
has held.
2

Please provide the effective date of the most recent
supervisory committee or financial statement audit.

Required by
regulation

Provide the effective date of the most recent Supervisory
Committee or financial statement audit. The NCUA regulations
§§ 715.4, Audit responsibility of the Supervisory Committee
through 715.7, Supervisory Committee audit alternatives to a
financial statement audit, establish requirements for the annual
audit.
3

Please select the last type of audit performed for the credit
union’s records.

Required by
regulation

Select the type of audit by entering the letter of the description
that best characterizes the last audit.
a. Financial statement audit per GAAS by independent,
state-licensed persons. Also known as an “opinion audit”.
Refers to an audit of the financial statements in accordance
with Generally Accepted Auditing Standards (GAAS) by an
independent, state-licensed person. The objective of a
financial statement audit is to express an opinion as to
whether the credit union’s financial statements taken as a
whole present fairly, in all material respects, the financial
position and the results of its operations and its cash flows
in conformity with Generally Accepted Accounting
Principles (GAAP).
b. Supervisory Committee audit performed by statelicensed person—Refers to an engagement in accordance
with the procedures prescribed in NCUA’s Supervisory
Committee Guide performed by a certified public
* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
30

REGULATORY INFORMATION
NCUA FORM 4501A – PAGE 8
Item
No.

Instructions

Reason

accountant, public accountant, or other state licensed
persons.
c. Supervisory Committee audit performed by other
external auditors—Refers to an engagement in accordance
with the procedures prescribed in NCUA’s Supervisory
Committee Guide performed by a qualified, non-licensed
individual that is not a member of the supervisory
committee or the credit union’s internal auditor.
d. Supervisory Committee audit performed by the
supervisory committee or designated staff—Refers to an
engagement in accordance with the procedures prescribed in
NCUA’s Supervisory Committee Guide performed by the
supervisory committee or its internal auditor.
4

Provide the name of the Audit Firm or Auditor. ◊

Identification

Provide the name of the auditor (if individual) or audit firm that
performed the last audit. If the Supervisory Committee
performed the audit, report Supervisory Committee in this field.
5

Please provide the effective date of the most recent
Supervisory Committee verification of members’ accounts.

Required by
regulation

The NCUA regulation § 715.3(c)(3) establishes the requirement
for the Supervisory Committee to verify members’ accounts, and
§ 715.8, Requirements for verification of accounts and passbooks,
establishes the requirements for the verification of accounts.
6

Please select who completed the verification of members’
accounts.

Required by
regulation

a. Supervisory Committee
b. Third Party
7

Provide your Supervisory Committee contact information for
official correspondence. ◊

Identification

Provide the mailing and email addresses for your supervisory
committee. The NCUA will use this information for official
correspondence with the Supervisory Committee (such as
forwarding member complaints).
* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
31

REGULATORY INFORMATION
NCUA FORM 4501A – PAGE 8
Item
No.
8

Instructions
Please provide the effective date of the most recent Bank
Secrecy Act Independent Test. ◊

Reason
Required by
regulation

The NCUA regulation § 748.2(c)(2) requires all federally insured
credit unions to provide for independent testing. Report the date
of the most recent Bank Secrecy Act independent test.
9

Indicate the Fidelity Bond Provider name.
Required by
Provide the name of the fidelity bond provider used to cover fraud regulation
and dishonesty by all employees, directors, officers, Supervisory
Committee members, and credit committee members. Fidelity
bond also provides insurance coverage for losses such as theft,
holdup, vandalism, etc. caused by persons outside the credit
union.

10

Indicate the amount of Fidelity Coverage for any Single Loss.
◊

Required by
regulation

Report the maximum coverage your fidelity bond provides for
any single loss. Your fidelity bond provider may refer to this as
blanket bond coverage. The minimum required coverage is based
on the credit union’s total assets, as outlined in the NCUA
regulation § 713.5, What is the required minimum dollar amount
of coverage?. The minimum fidelity bond requirements also
apply to state-chartered credit unions, as indicated in the NCUA
regulation § 741.201, Minimum fidelity bond requirements. If
you need further assistance, contact your examiner or Regional
Office.
11

Please provide Section 701.4 Certification Date (Federal
Credit Unions Only). ◊

Required by
regulation

Provide the date the credit union complied with the NCUA
regulation § 701.4, General authorities and duties of Federal
credit union directors. The NCUA regulation § 701.4(b)(3)
requires directors to receive training to provide financial
knowledge commensurate with the size and complexity of the
federal credit union. See Letter to Federal Credit Unions

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
32

REGULATORY INFORMATION
NCUA FORM 4501A – PAGE 8
Item
No.

Instructions

Reason

11-FCU-02, Duties of Federal Credit Union Boards of Directors,
for further guidance.
12

Please provide Section 701.4 certifier’s name (Federal Credit
Unions Only). ◊

Required by
regulation

Provide the name of the official that certifies the credit union’s
compliance with the NCUA regulation § 701.4, General
authorities and duties of Federal credit union directors.
13

Please provide Section 701.4 certifier’s job title (Federal
Credit Unions Only). ◊

Required by
regulation

Provide the job title of the official that certifies the credit union’s
compliance with the NCUA regulation § 701.4, General
authorities and duties of Federal credit union directors.
14

Does your credit union meet any of the following criteria? ◊
Credit union with 100 or more employees; or
Credit union with 50 or more employees and:
a. Has a contract of at least $50,000 with the Federal
government; or

Reporting to
other
governmental
agencies

b. Serves as a depository of U.S. government funds of any
amount; or
c. Serves as a paying agent for U.S. Savings Bonds.
i.

Yes

ii.

No

Credit unions that answer “yes” must respond to item 14a and b
and file an EEO-1 Report with the U.S. Equal Employment
Opportunity Commission’s (EEOC) EEO-1 Joint Reporting
Committee. The EEOC provides additional information on the
requirements to file the EEO-1 Report.
14a

If yes, what is the last date (MM/DD/YYYY) you filed an
EEO-1 Report with the EEOC? ◊
Provide the last date the credit union filed an EEO-1 Report with
the EEOC’s EEO-1 Joint Reporting Committee.

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
33

REGULATORY INFORMATION
NCUA FORM 4501A – PAGE 8
Item
No.
14b

Instructions

Reason

If yes, do you have a diversity policy and/or program in your
credit union? ◊
Indicate whether the credit union has a diversity policy or
program by selecting “yes” or “no.”

15

Home Mortgage Disclosure Act – Loan Application Register
criteria

Identification

Please refer to the NCUA’s annual Letter to Credit Unions that
conveys HMDA data collection requirements by using this link https://ncua.gov/regulation-supervision/letters-credit-unionsother-guidance and searching HMDA. Additional information on
HMDA reporting is available in the HMDA Reporting Getting it
Right guide - https://www.ffiec.gov/hmda/guide.htm
a. Is your credit union located in a Metropolitan
Statistical Area (MSA)?
Indicate whether the credit union is in an MSA by
selecting “yes” or “no”.
b. Did your credit union originate at least one home
purchase loan or refinance a home purchase loan
secured by a first lien on a one-to-four unit dwelling
during the preceding calendar year?
Indicate whether the credit union originated at least one
home purchase loan or refinanced a home purchase loan
secured by a first lien on a one-to-four unit dwelling
during the preceding calendar year by selecting “yes” or
“no.
c. Did your credit union originate closed-end mortgages
in each of the two preceding calendar years OR
originate open-end lines of credit in each of the two
preceding calendar years in excess of the HMDA LoanVolume Threshold?
Indicate whether your credit union originated closed-end
mortgages in each of the two preceding calendar years OR
originated open-end lines of credit in each of the two
* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
34

REGULATORY INFORMATION
NCUA FORM 4501A – PAGE 8
Item
No.

Instructions

Reason

preceding calendar years in excess of the HMDA LoanVolume Threshold by selecting “yes” or “no”.
d. If you answered yes to all three questions, please
provide your HMDA LAR filing date.
The annual filing period opens on January 1 and the
submission deadline is March 1.
16

List any trade names the credit union uses for signage or
advertising.

Identification

List any names the credit union uses for signage or advertising
that are not the name on file with the NCUA.

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
35

Catastrophic Act/Business Continuity
Information
NCUA FORM 4501A—Page 9

Item
No.
1

Instructions
In the event of a disaster, will the credit union communicate
with members through a website? ◊

Reason
Continuity or
disaster recovery

Indicate whether the credit union will communicate with its
members through a website in the event of a disaster.
2

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. ◊

Continuity or
disaster recovery

Checking a box does not constitute an obligation on the part of
the credit union. Check all that apply:
a. Cash Non-Member Share Drafts—The credit union is
willing to cash share drafts for non-members during an
emergency.
b. Generator—The credit union has a generator to loan or
share with another credit union during an emergency.
c. IT Support—The credit union has information technology
resources that another credit union could use after a disaster
occurs. These resources could include equipment, staff,
excess server capacity, and telecommunication equipment.
d. Mobile Branch—A mobile facility available to serve
members. A mobile branch is usually a specialized van,
bus, or RV that contains the necessary telecommunication
and computer equipment to process member transactions.
e. Office Space—The credit union has space it would be
willing to share with another credit union after a disaster.
f. Staff/Management Services—The credit union has
employees that would be willing to assist another credit
union after a disaster occurs.

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
36

CATASTROPHIC ACT/BUSINESS CONTINUITY INFORMATION
NCUA FORM 4501A – PAGE 9
Item
No.
3

Instructions
Please provide the date of the last catastrophic act/business
continuity test completed by the credit union. ◊

Reason
Continuity or
disaster recovery

Do not include a future date. Disaster recovery testing does not
have to include a full scale shut down of the credit union’s
information system.

For more information on Catastrophic Act/Business Continuity Testing, see the
FFIEC IT Examination Handbook Business Continuity Management Booklet.
4

Indicate the method(s) used for the last catastrophic
act/business continuity test completed by the credit union. ◊

Continuity or
disaster recovery

Select the box that describes the method(s) used in the last
disaster recovery test:
a. Orientation/Walk Through—Assemble the disaster
recovery team to discuss the critical areas of your disaster
recovery plan and their duties and responsibilities in the
event of an emergency.
b. Tabletop/Mini-Drill—Devise a simulated scenario
designed to test the response capability of personnel and
their understanding of the disaster recovery plan.
c. Functional Testing—Test the credit union’s
communications and/or software restoration capabilities
according to your disaster recovery plan to ensure the credit
union can restore operations to fully functional. This type
of testing can include sending personnel to the recovery site
to restore operations remotely, per the credit union’s
disaster recovery plan.
d. Full-Scale Testing—Implement all or portions of the
disaster recovery plan by processing data and transactions
using backup media at the recovery site.

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
37

Credit Union Programs and Member Services
NCUA FORM 4501A—Page 10

The Programs and Member Services section of the Profile reports various programs and services
offered by the credit union.
Item
No.
1

Instructions
Credit Union Programs.

Reason
Identification

Select the programs the credit union currently offers.
a. Approved Mortgage Seller—Applies if the credit union has
filed an application and been approved to sell mortgages on the
secondary market.
b. Brokered Certificates of Deposit—Applies if the credit union
purchased certificates of deposits through or from a broker.
c. Brokered Deposits (All Deposits acquired through a 3rd
party)—Applies if the credit union regularly (in the last six
months) acquires deposits from a third party that is
compensated for that function, regardless of whether the funds
were transferred through the third party or directly from the
depositor. This applies to all deposits (certificates, share
drafts, or other share types).
d. Investment Pilot Program (FCU Only)—Applies if the
credit union has investments on the Statement of Financial
Condition that were purchased under the requirements of the
NCUA regulation § 703.19, Investment Pilot Program.
e. Deposits and Shares Meeting 703.10(a)— The NCUA
regulation § 703.10(a) applies if the credit union holds a nonsecurity deposit or shares in a bank, credit union or other
financial institution that has any of the following features:
•

Embedded options

•

Remaining maturities greater than 3 years

•

Coupon formulas that are related to more than one index or
are inversely related to, or multiples of, an index

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
38

f. Mortgage Processing—The act of originating, processing, and
closing mortgage applications from borrowers for sale directly
on the secondary market or for another funding source.
Payday Alternative Loans (PALs I & II—FCU Only)—Select
the type(s) of PALs loans currently offered by the credit union.
g. PALs I (FCU Only)—In September 2010, NCUA amended its
general lending rule to enable FCUs to offer Payday
Alternative Loans (PALs) as a viable alternative to predatory
payday loans. The amendment permits FCUs to charge a
higher interest rate for a PAL than is permitted under the
general lending rule, but imposes limitations on the
permissible term, amount, and fees associated with a PAL.
According to the NCUA regulations § 701.21(c)(7)(iii),
Payday alternative loans (PALs I), PALs I are defined as
closed-end loans with the following conditions:
i.

The principal of the loan is not less than $200 or more
than $1,000;

ii.

The loan has minimum maturity term of one month and
a maximum maturity term of six months;

iii.

The Federal credit union does not make more than three
PALs I or PALs II loans in any rolling six-month period
to any one borrower and makes no more than one PALs
I or II loans at a time to any borrower;

iv.

The Federal credit union must not rollover any PALs I
or PALs II loans. The prohibition against roll-overs
does not apply to an extension of the loan term within
the maximum loan terms in paragraph (c)(7)(iii)(3)
provided the Federal credit union does not charge any
additional fees or extend any new credit;

v.

The Federal credit union fully amortizes the PALs I
loan;

vi.

The Federal credit union requires the borrower to be a
member for at least one month before receiving a PALs
I loan;

vii.

The Federal credit union charges a reasonable
application fee to all members applying for a new PALs
I loan that reflects the actual costs associated with

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
39

processing the application, but in no case may the
application fee exceed $20; and
viii.

The Federal credit union includes, in its written lending
policies, a limit on the aggregate dollar amount of PALs
I and PALs II loans that does not exceed 20 percent of
net worth and implements appropriate underwriting
guidelines to minimize risk; for example, requiring a
borrower to verify employment by providing at least
two recent pay stubs.

h. PALs II (FCU Only)—According to NCUA regulations
§ 701.21(c)(7)(iv), Payday alternative loans (PALs II), a
Payday Alternative Loan (PALs II) is defined as a closed-end
loan with the following conditions:
i.

The principal of the loan is not more than $2,000;

ii.

The loan has a minimum maturity term of one month
and a maximum maturity term of 12 months;

iii.

The Federal credit union does not make more than three
PALs I or II loans in any rolling six-month period to
any one borrower, and makes no more than one PALs I
or II loans at a time to any borrower;

iv.

The Federal credit union must not rollover any PALs I
or PALs II loan. The prohibition against roll-overs does
not apply to an extension of the loan term within the
maximum loan terms in paragraph (c)(7)(iv)(A)(3)
provided the Federal credit union does not charge any
additional fees or extend any new credit;

v.

The Federal credit union fully amortizes the loan;

vi.

The Federal credit union charges a reasonable
application fee to all members applying for a new PALs
II loan that reflects the actual costs associated with
processing the application, but that in no case exceeds
$20;

vii.

The Federal credit union does not assess a fee or charge,
including a non-sufficient funds fee, on the borrower’s
account pursuant to the federal credit union’s overdraft
service in connection with any PALs II loan; and

viii.

The Federal credit union includes, in its written lending
policies, a limit on the aggregate dollar amount of PALs

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
40

I and II loans made that does not exceed an aggregate of
20 percent of net worth and implements appropriate
underwriting guidelines to minimize risk; for example,
requiring a borrower to verify employment by providing
at least two recent pay stubs.
2

Member Service and Product Offerings (select all that apply)
Select each member service or product the credit union currently
offers.
Financial Literacy Education
Identification
a. Financial Counseling—Programs designed to help individuals
make the best use of their financial assets and achieve specific
economic objectives, such as adequate funding of a child's
college education expenses, or post-retirement needs. This can
include providing assistance with budgeting and debt
management.
b. Financial Education—Programs focusing on building basic
money management skills that lead to an understanding of
financial services, personal finance, savings, and the
importance of good credit.
c. Financial Literacy Workshops—Workshops to improve
members’ knowledge of financial issues.
d. First Time Homebuyer Program—Special counseling or
education to assist members with the purchase of their first
home.
e. Credit Management and Repair—Programs to assist
members in correcting and learning from previous financial
mistakes (for example, credit report/score improvement).
f. Online Financial Literacy— Programs that focus on basic
money management skills through online content or courses.
Consumer Initiated Remittance Transfers
a. International Remittances ◊—International transfers that are
“remittance transfers” under subpart B of Regulation E (12
CFR § 1005.30(e)).

Identification

b. Low-cost wire transfers ◊—Wire transfer services to
consumer members in the United States for less than $20 per
transfer.
* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
41

c. Proprietary remittance transfer services operated by the
CU ◊—Proprietary services other than wires or ACH transfers
for purposes of sending international remittances. This applies
if your credit union is the provider. The types of services may
include cash-based transfers, bill payment services, prepaid
card services, or others that qualify as international
remittances.
d. Proprietary remittance transfer services operated by
another person ◊—Proprietary services other than wires or
ACH transfers, for purposes of sending international
remittances. This applies if another person (such as a statelicensed money transmitter) is the provider and the credit
union is an agent or similar type of business partner. The types
of services may include cash-based transfers, bill payment
services, prepaid card services, or others that qualify as
international remittances.
Other Member Services and Products
a. No Cost Share Drafts—Share draft accounts with no monthly
maintenance fee.

Identification

b. No Cost Bill Payer—Online bill payment services offered to
members at no charge.
c. No Cost Tax Preparation Services (i.e., IRS Volunteer
Income Tax Assistance)—Credit union works with the IRS to
sponsor a VITA site. The site or sites may not be located at
the credit union or its branches.
d. Share Certificates with a low minimum balance
requirement—Share certificates with a minimum balance of
$500 or less.
e. Student Scholarship
f. Credit Builder
g. Bilingual Services—Offer disclosures, information and/or
member services in additional languages other than English.
Youth Savings Accounts/Programs
These programs are often structured as in-school credit union
programs that offer students basic savings accounts. They are
generally linked to an array of financial education efforts, including
personal financial management, banking operations, or both. They

Identification

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
42

are intended to help students understand the value of saving for the
future by opening and managing savings accounts. These accounts
generally have very low minimum balance requirements and low or
no monthly maintenance fees.
Material account terms and conditions are also explained in an ageappropriate manner. Select the type of account(s) the credit union
offers through these types of programs.
a. Offer Custodial Accounts
b. Offer Non-Custodial Accounts
In-School Branches (Specify number of branches for each type
of school selected)

Identification

Credit union maintains branches in schools to promote financial
education, knowledge of the credit union system and thrift to school
students. Students usually run these branches. If the branch solely
serves school faculty and staff, this item does not apply.
a. Elementary School—Report the number of branches.
b. Middle School—Report the number of branches.
c. High School—Report the number of branches.
3

Does the credit union offer an ATM Network that is surcharge
free? * If yes, complete Item 4.

Identification

Select Yes if the credit union’s ATM Network is surcharge free.
4

Provide the name of the surcharge free ATM Network.

Identification

Enter the name of the surcharge free ATM Network.
5

Does the credit union participate in Shared Service
Centers/Networks? * If yes, complete Item 6.

Identification

Select Yes if the credit union participates in Shared Service
Centers/Networks, if not, select No.
6

Provide the name of the Shared Service Center/Network.
Enter the name of the Shared Service Center/Network.

Identification

7

Payday Alternative Loans (PALs I & II loans) program (FCUs
Only). ◊

Identification

Place a “” in the associated box for all services the credit union
offers (Check all that apply). The NCUA amended its general
lending rule to enable federal credit unions to offer short-term, small
amount loans as a viable alternative to predatory payday loans. This
* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
43

amendment permits federal credit unions to charge a higher interest
rate for a PAL loan than is permitted under the general lending rule,
but imposes limitations on the permissible term, amount, and fees
associated with PAL loans. Refer to the NCUA regulations
§ 701.21(c)(7)(iii), Payday alternative loans (PALs I) for PALs loan
requirements.
a. Credit Bureau Reporting
b. Financial Education
c. Forced Savings Component
d. Payroll Deduction
8

Does the credit union use financial technology companies to
provide member services? * If yes, complete Item 9.

Identification

Select Yes if the credit union uses financial technology companies to
provide member services, if not, select No.
9

If the credit union uses financial technology companies to
provide member services, select the services offered:

Identification

a. Auto Lending
Include both direct and indirect
b. Mortgage Lending
c. Secured personal loans
d. Unsecured personal loans
e. Lead generation for new members
f. Lead generation for share accounts
g. Acquire participation loans
h. Person-to-person payments
i. Investment security exchange services
Including buying, selling, and holding securities
j. Communication
Including artificial intelligence to interact with members
10

Does the credit union offer cryptocurrency services to members?
* If yes, complete Item 11.

Identification

Select Yes if the credit union offers cryptocurrency services to
members, if not, select No.

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
44

11

If the credit union offers cryptocurrency services to members
select the services offered:

Identification

a. Exchange services
Including buying, selling, and holding cryptocurrency
b. Non-custodial wallets
c. Custodial wallets
Including digital storage solutions
d. Loans secured by digital assets
e. Depository for stablecoin reserves
f. Mobile application
The credit union’s mobile application provides information
on a member’s cryptocurrency holdings
12

Does the credit union use blockchain or distributed ledger
technology to offer services to members or to record and store
data? *

Identification

Select Yes if the credit union uses blockchain or distributed ledger
technology to offer services to members or to record and store data,
if not, select No.

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
45

Credit Union Grant Information
NCUA FORM 4501A—Page 11

For each of the grantors listed, enter the required information in the labeled columns:
•

Date Awarded—Report the date the grant was awarded.

•

Amount Awarded—Report the dollar amount of the award.

•

Grant Type—Report the type of grant from the following list:
a. Capital—Unrestricted donation to equity
b. Subsidy for Risk or ALLL
c. Program Grant
d. Pass Through

The NCUA will release this information to the public.

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
46

Merger Partner Registry
NCUA FORM 4501A—Page 12

In the Merger Partner Registry section of the Profile, credit unions can express an interest in
being considered for credit union consolidations through either a business combination (merger)
or purchase and assumption. This information is optional, and credit unions are not required to
complete this information. If you provide this information, NCUA staff may contact the credit
union about potential credit union consolidations.
The NCUA will not release this information to the public.
Item
No.
1

Instructions
Is your credit union interested in expanding its field of
membership through a consolidation? ◊

Reason
Identification

If you answer “Yes,” the credit union is required to provide the
information in item 2. Item 3 is optional.
2

Please provide the name and phone number of the person at the
credit union who can be contacted regarding any potential
consolidation. ◊

Identification

Provide the job title, name, and phone number of the person NCUA
may contact.
3

Please identify the geographic areas in which the credit union is
interested. (Select only ONE box) ◊
•

Anywhere in the United States—If this option is selected, no
additional information is required.

•

Anywhere within selected states (please specify state(s)—If
this option is selected, identify one or more states for
consideration.

•

Specific counties/cities within selected state(s)—State
selection and county/city input are required. Identify the
state(s) and county(ies) or city(ies) for consideration. Enter
only one county or city per line.

Identification

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this
information to the public.
47

Definitions
Term
Digital Asset

Definition
Distributed ledger technology-based tokens such as virtual
currencies, cryptocurrencies, crypto-assets, utility tokens, etc.
Return to instructions

Financial Technology

The use of technology service providers to offer member financial
services, or to improve member experience, through automated
platforms and delivery channels.
Return to instructions

IAT—International
ACH Transactions

An SEC code that can be a consumer or non-consumer debit or
credit. Part of a payment transaction involving a financial agency’s
office that is not located in the territorial jurisdiction of the US. IAT
transactions focus on where the financial institution that handles the
payment transaction (movement of the funds) is located and not
where any other party to the transaction (the Originator or Receiver)
is located.
Return to instructions

Official

A member of the board of directors, committee members, and senior
executive officers.

Payment System Service
Provider

A third party, other than the Originating Depository Financial
Institution (ODFI) or Receiving Depository Financial Institution
(RDFI), that performs any function on behalf of the ODFI or the
RDFI related to payment processing. These functions would include
the creation and sending of files or acting as a sending or receiving
point on behalf of a participating depository financial institution.
Return to instructions

PPD—Prearranged
Payment and Deposit
Entry

An SEC code that identifies recurring consumer debit (prearranged
payment) or consumer credit (direct deposit) entries.

Primary Settlement
Agent

Settlement agents (typically financial institutions) record the debit
and credit positions of the parties involved in a transfer of funds. The
settlement agent is responsible for transferring the funds (settlement)
and recording the details of the transaction.

Return to instructions

48

DEFINITIONS
Return to instructions
Senior executive officers A credit union’s chief executive officer, any assistant chief executive
officer, and the CFO. This includes employees of an entity, such as a
consulting firm, hired to perform the functions of positions covered
by the NCUA regulations. For additional information refer to the
NCUA regulation § 701.14(b), Definitions.
Standard Entry Class
Code

A specific three-digit code, appearing in the ACH record format that
identifies each ACH application. Also known as an SEC code.
Return to instructions

TEL—Telephone
Initiated Entry

An SEC code that identifies a consumer debit entry pursuant to an
authorization obtained from the Receiver via the telephone.
Return to instructions

WEB—Internet
Initiated/Mobile Entry

An SEC code that identifies a consumer debit entry initiated pursuant
to an authorization obtained from the Receiver via the internet or
wireless network. Can be either a recurring or a one-time debit.
Return to instructions

* Fields marked with an asterisk (*) are mandatory and must be completed.
◊ Fields marked with a diamond (◊) are non-public and the NCUA will not release this information
to the public.
49


File Typeapplication/pdf
File TitleNCUA 4501A Credit Union Profile Instructions
AuthorNational Credit Union Administration
File Modified2023-09-19
File Created2023-07-07

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