Form 5300 - Call Report - National Credit Union Administration (Page 6 of 29) in pdf

Credit Union Name:_________________________________________

Federal Charter/Certificate Number:________________

STATEMENT OF FINANCIAL CONDITION AS OF: _______________

This page must be completed by all credit unions.

Acct

A. < 1 Year

B1. 1 - 3 Years

B2. > 3 Years

C. Total Amount

LIABILITIES:

Code

1. Draws Against Lines of Credit ……….......…..…….……………

883A

883B1

883B2

883C

2. Other Notes, Promissory Notes and Interest Payable……...…..

011A

011C

011B1

011B2

3. Borrowing Repurchase Transactions………………………..….

058A

058B1

058B2

058C

4. Subordinated Debt…………………...………………….…...….…

867A

867B1

867B2

867C

5. Subordinated Debt included in Net Worth……………...………

925A1

925A2

925A

6. TOTALS (each column)……………….…...…………....…………

860A

860B1

860B2

860C

7. Non-Trading Derivative Liabilities, net……..……….....……………………………….……………….……….………

825A

8. Accrued Dividends & Interest Payable on Shares & Deposits……..……….....………………….…………………

820A

9. Accounts Payable and Other Liabilities……………….…………………..……………….………...…...……………

825

Acct

A. < 1 Year

B1. 1 - 3 Years

B2. > 3 Years

Dividend Rate

Code

Number of Accounts

Code

C. Total Amount

Code

SHARES/DEPOSITS:

10. Share Drafts……

553

452

902A

902

11. Regular Shares………

552

454

657A

657

12. Money Market Shares…

532

458

911A

911

13. Share Certificates…

547

451

908A

908B1

908B2

908C

14. IRA/KEOGH Accounts…

554

453

906A

906B1

906B2

906C

15. All Other Shares…

585

455

630A

630B1

630B2

630

16. TOTAL SHARES…

966

013A

013B1

013B2

013

17. Nonmember Deposits…

599

457

880A

880B1

880B2

880

18. TOTAL SHARES and DEPOSITS…………

460

018A

018B1

018B2

018

Additional Shares/ Deposits (Included in the Shares/Deposits Listed Above):

Amount

Acct

19. Accounts Held by Member Government Depositors…………………………………………………………

631

20. Accounts Held by Nonmember Government Depositors…………………………………………………

632

21. Employee Benefit Member Shares…………………………………………………………………………

633

22. Employee Benefit Nonmember Shares……………………………………………………………………

634

23. 529 Plan Member Deposits….………………………………………………………………………………

635

24. Non-dollar denominated deposits………………………………………………………………………

636

25. Health Savings Accounts…………………………………………………………………………………………

637

26. Dollar Amount of Share Certificates = or > $100,000 (Excluding brokered share certificates participated

out by the broker in shares of less than $100,000)…………………………………………………………………..….

638

27. Dollar Amount of IRA/Keogh Accounts = or > $100,000….………………………………………………………....

639

28. Dollar Amount of Share Drafts Swept to Regular Shares or Money Market Accts as part of Sweep Program

641

29. Dollar Amount of Commercial Share Accounts………………………………………………………………………

643

30. Negative Shares Included in All Other Unsecured Loans/Lines of Credit on Page 6…………………………

644

NCUA 5300

Effective September 30, 2017

Page 3

OMB No. 3133-0004

Previous Editions Are Obsolete

Form 5300 - Call Report - National Credit Union Administration Page 6

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