Form Ipnr-Ifb A (E) - Addendum To Final Report On Unclaimed Amounts

ADDENDUM TO FINAL REPORT ON UNCLAIMED AMOUNTS

Form IPNR-IFB A (E) -

AS OF JUNE 30 - INSTRUCTIONS

OBLIGATION TO REPORT: Pursuant to Act 36 of 1989, as amended, known as the “Abandoned or Unclaimed Money and Other Liquid Goods Act”, and Section 37(a)

of Act 55 of 1933, as amended, known as the “Banking Act”, requires financial institutions and other holders to report and remit to the Office of the Commissioner of

Financial Institutions (OCFI) of the Commonwealth of Puerto Rico money and other liquid goods unclaimed or presumed abandoned for a period of five (5) years.

WHEN TO FILE: Holders shall file each year, before August 10, an Initial Report (Form IPNR-IIB (E)) and its Addendum at the close of business of the previous June 30

to inform the unclaimed or presumed abandoned property held. All holders are required to file the Final Report (Form IPNR-IFB (E)) and the Addendum

(Form IPNR-IFB A (E)) and mail or deliver the property to the OCFI not later than December 10 each year. *

COLUMN ENTRIES:

COLUMN (1):

Enter the identifying number. That is, the number of the: check, account, policy, certificate, etc.

COLUMM (2)

Please assign one of following codes to each item listed on the report:

ACCOUNT BALANCES DUE

IN03

BENEFICIARY PROCEEDS

SC06 FUNDS PD FOR SHARES

AC01

CHECKING ACCOUNTS

IN04

MATURE POLICY PROC

SC07 STOCK REDEMPTION

AC02

SAVINGS ACCOUNTS

IN05

PREMIUM REFUNDS

SC08 SHARES RET BY PO

AC03

MATURE CD SAVE CERT

IN06

UNIDENTIFIED REMIT

SC09 CASH/FRACTION SHARES

AC04

CHRISTMAS CLUB ACCT

IN07

OTHER INS PROCEEDS

SC10 UNEXCHANGED STOCK

AC05

SECURED FUND DEPOSIT

IN08

AGENT CREDIT BALANCE

SC11 OTHER OWNERSHIP CERT

AC06

SECURITY DEPOSIT

IN99

AGGREGATE INS PROCEEDS

SC12 UNDERLYING SHARES

MISCELLANEOUS

AC07

UNIDENTIFIED DEPOSIT

SC13 LIQUIDATION/REDEMPT

AC08

SUSPENSE ACCOUNTS

MS01

WAGES/PAYROLL/SALARY

SC14 DEBENTURES

AC09

DEMAND DEPOSITS

MS02

COMMISSIONS

SC15 U S GOVT SECURITIES

AC99

AGGREGATE CK. ACCOUNTS

MS03

WORKERS COMP BENEFIT

SC16 MUTUAL FUNDS

CHECKS

MS04

PYMNT FOR GOODS/SERV

SC17 WARRANTS

CK01

CASHIERS CHECKS

MS05

CUSTOMER OVERPAYMENT

SC18 MATURE BOND PRINCIPA

CK02

CERTIFIED CHECKS

MS06

UNIDENTIFIED REMITTANCES

SC19 DIVIDEND REINVESTMEN

CK03

REGISTERED CHECKS

MS07

UNREFUNDED OVERCHGES

SC20 CREDIT BALANCE

CK04

TREASURERS CHECKS

MS08

ACCOUNTS PAYABLE

SC99 AGGREGATE SECURITIES

CK05

DRAFTS

MS09

CREDIT BALANCE

TRUST

CK06

WARRANTS

MS10

DISCOUNTS DUE

TR01 PAYING AGENT ACCOUNT

CK07

MONEY ORDERS

MS11

REFUNDS DUE

TR02 UNCASHED DIVIDENDS

CK08

TRAVELERS CHECKS

MS12

UNREDEEMED GIFT CERT

TR03 FIDUCIARY FUNDS HELD

CK09

FOREIGN EXCHANGE CKS

MS13

LOAN COLLATERAL

TR04 ESCROW ACCOUNTS

CK10

EXPENSE CHECKS

MS14

PENSION/PROFIT SHARE

TR05 TRUST VOUCHERS

CK11

PENSION CHECKS

MS15

INVOLUNTARY LIQUIDAT

TR99 AGGREGATE TRUST

UTILITIES

CK12

CREDIT CHECKS/MEMOS

MS16

OTHER OUTSTANDING CK

CK13

VENDOR CHECKS

MS17

OTHER PERSONAL PROPE

UT01 UTILITY DEPOSITS

CK14

INCOME OR SURPLUS CK

MS18

SUSPENSE LIABILITIES

UT02 MEMBERSHIP FEES

CK15

OTHER OFFICIAL CHECK

MS99

AGGREGATE MISC CHECKS

UT03 REFUNDS OR REBATES

SECURITIES

CK16

CD INTEREST CHECKS

UT04 CAPITAL CR. DISTRIBUTIONS

CK17

OTHER CHECKS

SC01

DIVIDENDS

UT99 AGGREGATE UTILITIES

CK99

AGGREGATE UNCASHED

SC02

INTEREST

INSURANCE

OTHER PROPERTY

SC03

PRINCIPAL PAYMENTS

IN01

IND POLICY BENEFITS

SC04

EQUITY PAYMENTS

ZZZZ UNIDENTIFIED PROPERTY / OTHER

IN02

GROUP POLICY BENEFIT

SC05

PROFITS

COLUMN (3):

Enter the amount due owner. That is, the gross amount due to the owner. The OCFI will allocate the advertising expense related to the publication of the public

notices required by law from tenants doing business in Puerto Rico (and the only deduction authorized by law) once the Final Report and remittance are received and accepted.

COLUMN (4):

Enter the date of last transaction, or date property became payable, redeemable, or returnable

COLUMN (5):

Enter the full name (i.e., surname(s), first, middle or initial) and last known address of each owner. If a single item has two or more owners, enter all names and

the address beneath them. When reporting certified or cashiers checks, list the name and address of the payee. Money orders and travelers checks require only the identification

number.

COLUMN (6):

Enter the owner’s social security number or taxpayer identification number.

IMPORTANT: All securities listed are to be liquidated by holder prior to remittance to the OCFI.