Responsible Banking Investment Monitoring Program Page 3

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6. What is the size of your institution as defined by the Community Reinvestment
Act (CRA)? Large___ Intermediate ___ Small ___
7. Please provide your overall CRA Rating and your State of California CRA
Rating from your most recent CRA exam? In addition, please provide the CRA
rating for each performance tests.
Overall CRA Rating:
Issue Rating Date: ______/_____/_______
Performance Tests
Month
Day
Year
Performance Levels
Lending
Investment
Service
Overall CRA Rating: ____Outstanding
Outstanding
____ High Satisfactory
High Satisfactory
____ Low Satisfactory
Low Satisfactory
____ Needs to Improve
Needs to Improve
____Substantial Noncompliance
Substantial Noncompliance
State of California CRA Rating:
Issue Rating Date: ______/_____/_______
Performance Tests
Month
Day
Year
Performance Levels
Lending
Investment
Service
State CRA Rating: ____ Outstanding
____ High Satisfactory
Outstanding
____ Low Satisfactory
High Satisfactory
____ Needs to Improve
Low Satisfactory
____Substantial Noncompliance
Needs to Improve
Substantial Noncompliance
CERTIFICATION UNDER PENALTY OR PERJURY
I certify under penalty of perjury that I have read and understand the questions
contained in this form and the responses contained in the form and on all the
attachments. I further certify that I have provided full and complete answers to
each question, and that all information provided in response to this form is true
and accurate to the best of my knowledge and belief.
________________________________________________________________
Print Name, Title
Signature
Date

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