Form 1313 - Thrift Financial Report - Office Of Thrift Supervision Page 30

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For informational purposes only:
Office of Thrift Supervision
not for data entry
2005 Thrift Financial Report
Association ________________________
Docket Number _____________________
Schedule CSS – Subordinate Organization Schedule
Report Date __________________ , 2005
Complete this schedule annually, as of December 31, for all required subordinate organizations owned directly or
indirectly by the savings association. Repeat the data fields for each entity.
Lines
Entity Tax ID# .............................................................................................................
CSS010
Entity Name ................................
CSS020
Street Address............................
CSS025
City .............................................................................................................................
CSS030
State ...........................................................................................................................
CSS040
Zip Code.....................................................................................................................
CSS045
OTS Docket Number or Tax ID# of Immediate Parent ...............................................
CSS050
Name of Immediate Parent.........
CSS060
% Ownership by Immediate Parent ............................................................................
CSS070
%
Type of Entity (See codes in Instruction Manual) .......................................................
CSS080
Type of Business (See codes in Instruction Manual) .................................................
CSS100
CSS101
CSS102
CSS103
Identification Number of Subsidiary Depository Institution .........................................
CSS110
Other Business Type (Narrative limited to 20 characters)......
CSS115
(Report in Thousands of Dollars)
Lines
Bil
Mil
Thou
Total Assets................................................................................................................
CSS120
Total Liabilities............................................................................................................
CSS130
Total Capital ...............................................................................................................
CSS140
Net Income (Loss) for the Calendar Year...................................................................
CSS150
Gross Commitments and Contingent Liabilities..........................................................
CSS160
Transactional Internet Banking Web Site, as Defined in 12 CFR 555.300(b)
(78 characters maximum)
(if none, leave blank).................
CSS200
Is this entity a GAAP-consolidated subsidiary of the parent savings association?.....
CSS210
YES
NO
- 28 -
OTS Form 1313
Revised January 2004

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