Form 1313 - Thrift Financial Report - Office Of Thrift Supervision Page 22

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For informational purposes only:
Office of Thrift Supervision
not for data entry
2005 Thrift Financial Report
Association ________________________
Docket Number _____________________
Schedule SQ – Consolidated Supplemental Questions
Report Date __________________ , 2005
All questions except 310 should be completed for the reporting savings
Check the
Appropriate Box
association only.
Lines
Did you acquire any assets through merger with another depository institution? ......
SQ100
YES
NO
Did you include in your balance sheet for the first time assets and/or liabilities
acquired as a result of a branch or other bulk deposit purchase? ............................
SQ110
YES
NO
Has there been:
A change in control? .................................................................................................
SQ130
YES
NO
A merger accounted for under the purchase method?..............................................
SQ160
YES
NO
If you restated your balance sheet for the first time this quarter as a result of
MM
DD
YYYY
applying push-down accounting, enter the date of the reorganization......................
SQ170
mm
Your fiscal year-end....................................................................................................
SQ270
____ ____
Code representing nature of work to be performed by independent public
Code
accountants for the current fiscal year ......................................................................
____ ____
SQ280
Did you change your independent public accountant during the quarter? .................
SQ300
YES
NO
Did you and your consolidated subsidiaries have any outstanding futures or options
positions at quarter-end? ..........................................................................................
SQ310
YES
NO
Do you have a Subchapter S election in effect for federal income tax purposes
for the current tax year? ............................................................................................
SQ320
YES
NO
Have you been consolidated with your parent in another TFR? If so, enter the OTS
docket number of your parent savings association. ..................................................
SQ410
Have you been consolidated with your parent in a Commercial Bank Call Report?
If so, enter the FDIC certificate number of your parent commercial bank. ................
SQ420
Web Site Information:
If you have a web page on the Internet, indicate your main Internet home page
address (for transactional or nontransactional web sites).
(78 characters maximum)
SQ530
Do you provide transactional Internet banking to your customers,
SQ540
as defined in 12 CFR 555.300(b)?...........................................................................
YES
NO
- 20 -
OTS Form 1313
Revised January 2004

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