Form 1313 - Thrift Financial Report - Office Of Thrift Supervision Page 24

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For informational purposes only:
Office of Thrift Supervision
not for data entry
2005 Thrift Financial Report
Association ________________________
Docket Number _____________________
Schedule FS – Fiduciary and Related Services
Report Date __________________ , 2005
Lines
Does your institution have fiduciary powers? .............................................................
FS110
YES
NO
If the answer to item 1 is ”NO,” do not complete Schedule FS
Does your institution exercise the fiduciary powers it has been granted? ..................
FS120
YES
NO
Does your institution have any fiduciary or related activity (in the form of assets or
accounts) to report in this schedule? ........................................................................
FS130
YES
NO
If the answer to FS130 is ”NO,” do not complete the rest of Schedule FS.
If the answer to FS130 is “YES,” complete the applicable items of Schedule FS as follows:
• If your total fiduciary assets (FS20 + FS21) are greater than $250 million or for the preceding calendar year,
your gross fiduciary and related services income was greater than 10 percent of total revenue (net interest
income plus noninterest income), you must complete:
1. FS210 through FS30 each quarter;
2. FS391 through FS35 annually, with the December report; and
3. All memoranda items, FS410 through FS72, annually with the December report.
• If your total fiduciary assets (FS20 + FS21) are greater than $100 million but less than or equal to $250 million
and, for the preceding calendar year, your gross fiduciary and related services income was not greater than 10
percent of total revenue (net interest income plus noninterest income), you must complete:
1. FS210 through FS30 each quarter; and
2. FS310 through FS35 and all memorandum items, FS410 through FS72 annually with the
December report.
• If your total fiduciary assets (FS20 + FS21) are $100 million or less and, for the preceding calendar year, your
gross fiduciary and related services income was not greater than 10 percent of total revenue (net interest
income plus noninterest income), you must complete:
1. FS210 through FS291 each quarter; and
2. Memorandum items, FS410 through FS65, annually with the December report.
(Report in Actual Numbers)
Number of
Number of
Managed
Nonmanaged
(Report in Thousands of Dollars)
Accounts
Accounts
Managed Assets
Nonmanaged Assets
FIDUCIARY AND RELATED ASSETS
Lines Bil
Mil Thou Lines Bil
Mil Thou Lines
Lines
Personal Trust and Agency Accounts..
FS210
FS211
FS212
FS213
Retirement-related Trust and Agency Accounts:
Employee Benefit –
FS220
FS221
FS222
FS223
Defined Contribution........................
Employee Benefit –
Defined Benefit ................................
FS230
FS231
FS232
FS233
Other Retirement Accounts...............
FS240
FS241
FS242
FS243
Corporate Trust and Agency Accounts
FS250
FS251
FS252
FS253
Investment Management Agency
FS260
FS262
Accounts .............................................
FS270
FS271
FS272
FS273
Other Fiduciary Accounts.....................
FS20
FS21
FS22
FS23
Total Fiduciary Accounts ..................
Custody and Safekeeping Accounts ....
FS280
FS281
Assets Included Above that are
Excluded for Purposes of the OTS
FS290
FS291
Assessment Complexity Component..
- 22 -
OTS Form 1313
Revised January 2004

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