Form 1313 - Thrift Financial Report - Office Of Thrift Supervision Page 19
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45For informational purposes only:
Office of Thrift Supervision
not for data entry
2005 Thrift Financial Report
Association ________________________
Docket Number _____________________
Schedule SI – Consolidated Supplemental Information
Report Date __________________ , 2005
(Report in Thousands of Dollars)
Miscellaneous:
Lines
Bil
Mil
Thou
SI370
Number of Full-time Equivalent Employees ..............................................................
SI375
Assets Held in Trading Accounts ..............................................................................
SI385
Available-for-Sale Securities .....................................................................................
Assets Held for Sale..................................................................................................
SI387
Loans Serviced for Others ........................................................................................
SI390
Residual Interests:
Residual Interests in the Form of Interest-Only Strips ..............................................
SI402
SI404
Other Residual Interests ...........................................................................................
Qualified Thrift Lender Test:
Actual Thrift Investment Percentage at Month-end:
__ __ __ . __ __
SI581
First Month of Quarter..............................................................................................
%
__ __ __ . __ __
SI582
Second Month of Quarter ........................................................................................
%
__ __ __ . __ __
Third Month of Quarter ............................................................................................
SI583
%
IRS Domestic Building and Loan Test:
__ __ __ . __ __
Percent of Assets Test ..............................................................................................
SI585
%
Do you meet the DBLA business operations test?....................................................
SI586
YES
NO
Aggregate Investment in Service Corporations ....................................................
SI588
Extensions of credit by the reporting association (and its controlled subsidiaries) to its executive
officers, principal shareholders, directors, and their related interests as of the report date:
Aggregate amount of all extensions of credit ............................................................
SI590
Number of executive officers, principal shareholders, and directors to whom the
amount of all extensions of credit (including extensions of credit to related
interests) equals or exceeds the lesser of $500,000 or 5 percent of unimpaired
SI595
capital and unimpaired surplus (CCR30 + CCR35 + CCR530 + CCR105)...............
Summary of Changes in Equity Capital:
Beginning Equity Capital ...........................................................................................
SI600
Net Income (Loss) (SO91) ........................................................................................
SI610
Dividends Declared:
SI620
Preferred Stock........................................................................................................
SI630
Common Stock ........................................................................................................
Stock Issued..............................................................................................................
SI640
Stock Retired.............................................................................................................
SI650
Capital Contributions (Where No Stock is Issued) ....................................................
SI655
SI660
New Basis Accounting Adjustments..........................................................................
SI662
Other Comprehensive Income ..................................................................................
SI668
Prior Period Adjustments ..........................................................................................
SI671
Other Adjustments ....................................................................................................
Ending Equity Capital (SC80) (600 + 610 – 620 – 630 + 640 – 650 + 655 + 660 +
662 + 668 + 671) .....................................................................................................
SI680
- 17 -
OTS Form 1313
Revised January 2004
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