Get 1. Officer Designated As Agent Of The Applicant And Of All D

Filling out the 1. Officer Designated As Agent Of The Applicant And Of All D form is a crucial step in applying for financial institution bond and directors and officers liability insurance. This guide provides clear instructions to assist users in completing the form accurately and effectively, ensuring all information is properly submitted.

Follow the steps to complete the form online successfully.

1. Press the ‘Get Form’ button to access the form and open it for editing.
2. Input the name and address of the parent company, including street, city, state, and zip code into the appropriate fields.
3. Designate an officer as the agent by providing their name for the applicant and the directors & officers in the assigned field.
4. Indicate if common stock is available by checking ‘Yes’ or ‘No’, and note the total number of shareholders.
5. Enter the total number of outstanding shares and specify the number of shares owned directly or beneficially by directors and officers.
6. If publicly traded, input the stock symbol and exchange name in the designated sections.
7. List any shareholders owning 10% or more of the shares, detailing the name and percentage owned. Check the option if there are none.
8. Include information regarding any subsidiaries, detailing their names, locations, and percentage of ownership.
9. Respond to service-related questions by noting whether services like data processing or investment counseling are currently offered or planned, specifying if services will be done by employees or vendors along with estimated annual revenue.
10. Answer questions about insurance and regulatory issues accurately, ensuring all necessary details are provided.
11. Attach any required documentation, such as a list of directors, the most recent CPA audit, or financial institution bond declaration pages.
12. Review the entire form for accuracy before saving, downloading, printing, or sharing the completed document.

Ensure your documents are completed accurately by filing the form online today.