Get Interagency Notice Of Change In Control Form

Filling out the Interagency Notice Of Change In Control Form online is essential for notifying regulatory agencies about changes in control of a depository institution or holding company. This guide provides clear, step-by-step instructions to help you complete the form accurately and effectively.

Follow the steps to complete the form online.

1. Press the ‘Get Form’ button to access the form and open it in your preferred online editor.
2. Begin by filling in the identifying information. Provide the name and address of the proposed acquirer(s), whether an individual or organization. Follow this with the name and address of the depository institution or holding company whose shares are to be acquired.
3. Next, provide the contact details of the person to whom inquiries regarding the notice should be directed. Include their name, title, employer, addresses, and phone numbers.
4. Indicate whether the notice is being filed prior to the acquisition of control by selecting 'Yes' or 'No.' If 'No,' specify the reason for the lack of prior notice.
5. For each class of voting securities that will be acquired, provide details about the total number of voting shares authorized, currently outstanding, and pro forma outstanding.
6. Fill in requested financial information, including the purchase price per share and total purchase price for the proposed transaction.
7. Discuss the proposal, including its purpose, terms, conditions, and attach relevant documents like agreements.
8. Provide details regarding the source and amount of funds, including any cash funds or borrowed amounts, and verify these with necessary documents.
9. Where applicable, identify any persons or parties retained to assist with the acquisition and describe their compensation arrangements.
10. List all invitations or advertisements directed to stockholders regarding the purchase of stock related to the acquisition.
11. Outline any significant changes planned for the depository institution or holding company following the acquisition.
12. If changes in the board of directors or senior executive officers are anticipated, provide a current and prospective list of such personnel.
13. Indicate any positions held by the proposed acquirer in other depository institutions, including ownership details.
14. Confirm if any offices of other institutions are in the same geographic market as the subject institution, and provide their details.
15. Conclude by certifying the information provided, ensuring it is correct and complete. This requires signatures from the acquiring party or authorized individuals.
16. Once the form is fully completed, save your changes, and choose the option to download, print, or share the form as necessary.

Complete your filing of the Interagency Notice Of Change In Control Form online today to ensure compliance.