Form 5300 - Call Report - National Credit Union Administration Page 22
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29Credit Union Name:_________________________________________
Federal Charter/Certificate Number:________________
SCHEDULE B
INVESTMENTS, SUPPLEMENTAL INFORMATION AS OF: _______________
Complete this schedule if amounts are reported on page 1, lines 4, 5, or 6; or if items below are applicable.
MISCELLANEOUS INVESTMENT INFORMATION
13. Total of Deposits and Shares Meeting the Requirements of Section 703.10(a) (FCU Only)……………………………………………………………….
785
14. Market Value of Investments Purchased Under an Investment Pilot Program - 703.19 (FCU Only)…………………..……………………………..……
785A
15. Fair Value of Held to Maturity Investments (reported on line 6 of page 1)…………………………………………….…………………………….…………
801
16. Investment Repurchase Agreements…………………………………………………………………...………………………………………………………….
780
17. Borrowing Repurchase Transactions Placed in Investments for Purposes of Positive Arbitrage………………......….……………………………………
781
Investments Not Authorized by the FCU Act or NCUA Rules and Regulations (SCU ONLY). Exclude investments listed in Line 20 a. or b. (below).
18.
784A
19. Outstanding balance of brokered certificates of deposit and share certificates ………………………………..………………………………………….....
788
20.
Amounts reported in the Asset section of the Statement of Financial Condition to fund employee benefit plans or deferred compensation plans under
Acct
Section 701.19(c) of NCUA Rules and Regulations (if FCU), or similar state provisions (if SCU), that are not authorized under Part 703 of NCUA Rules
Code
and Regulations.
Recorded Value
a. Securities………………………………………………………………………………………………………….………………….……………………………
789C
b. Other Investments……………………….…………………………………...………………………….……..………………………………………………..
789D
c. Other Assets:………………………………..…….……………………………………………………………………………………………………………..
i.
Split Dollar Life Insurance Arrangements
a)
Collateral Assignment……………………………….…………………………………………….………………………………………………….
789E
b)
Endorsement……………………………………….………………………………….……………………………………………………………….
789E1
ii. Other Insurance…………………..……………….………………………………………………………………………………………………………….
789E2
iii. Other Non-insurance……………….…….……………………………....………………………………………………………………………………….
789F
d. Total (sum items a. - c.)…………………….…………..…………………………………………………………………………………………………..
789G
Acct
Recorded Value
Code
21. Amounts reported in Asset section of the Statement of Financial Condition to fund Charitable Donation Accounts………….…………………..……....
789H
FCU= Federal Credit Union
SCU= State Credit Union
NCUA 5300
Effective September 30, 2017
OMB No. 3133-0004
Page 19
Previous Editions Are Obsolete
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