Form CD-1 National Bank Community Development Investments

CD-1 (Expiration Date: 08/31/2025

)

CD-1 – National Bank Community

For Official Use Only

Development (Part 24) Investments

OMB Number

1557-0194

A national

bank or national bank subsidiary may make an investment directly or in directly d esigned pr imarily to

promote the

public welfare under the community development investment authority in 12 USC 24(Eleventh) and its i mplementing regulation

12 CF R 24 (Part 24). Part 2 4 contains t he OCC standards for determining whether a n investment is

designed to

promote th e

public

welfare and

procedures that apply to

those i nvestments.

National

banks must

submit the completed form to provide an

after-the-fact notice or to

request prior approval of a public

welfare investment to the Community A ffairs Department, Office of

the Comptroller of the

Currency, Washington, DC 20219. Please contact the C ommunity Affairs Department at (2 02) 649-6420

or

CommunityAffairs@occ.treas.gov for more information.

PLEASE PROVIDE THE FOLLOWING INFORMATION ABOUT THE INVESTING BANK.

Bank name:

Mailing address (street or P.O. box):

Bank charter number:

City, State, ZIP Code:

Telephone number:

Fax number:

E-mail address:

URL:

CONTACT FOR INFORMATION:

Name of bank contact responsible for form’s information:

Name of bank contact responsible for CD investment (if

different):

Mailing address (street or P.O. box):

Mailing address (street or P.O. box):

City, State, ZIP Code:

City, State, ZIP Code:

Telephone number:

Telephone number:

Fax number:

Fax number:

E-mail address:

E-mail address:

PLEASE INDICATE THE PROCESS THE BANK REQUESTS BY CHECKING THE APPROPRIATE BOX, BELOW.

After-the-fact notice (12 CFR 24.5(a)) - complete sections 1 and 2.

Prior approval (12 CFR 24.5(b)) - complete section 2.

Form Part 24

Page 2

CD-1 (Expiration Date: 08/31/2025

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The bank is “well-capitalized,” as defined in 12 CFR 24.2(i).

Yes

The bank has a composite rating of 1 or 2 under the Uniform Financial Institutions Rating System.

Yes

The bank’s most recent Community Reinvestment Act rating is satisfactory or outstanding.

Yes

Section 1 – After-The-Fact Notice Only (12 CFR

24.5(a))

A bank may provide an after-the-fact notice of its Part 24 investment if the bank responds affirmatively to all

of the following requirements.

No

No

No

The bank is not under a cease and desist order, consent order, formal written agreement, or Prompt Corrective Action directive.

Yes

No

Including this investment, the bank’s aggregate outstanding investments and commitments under Part 24 do not exceed 5 percent

of its capital and surplus, unless the OCC has provided written approval of a written request by the bank allowing the bank to

provide after-the-fact notices for investments that would raise the aggregate amount of the bank’s Part 24 investments beyond 5

percent of its capital and surplus.

Yes

No

The investment does not involve properties carried on the bank’s books as “other real estate owned.”

Yes

No

The OCC has not determined, in published guidance, that the investment is inappropriate for the after-the-fact notification.

Yes

No

Has the bank responded affirmatively to all of the above requirements in order to provide an after-the-fact

notice of its Part 24 investment? [The OCC may have provided written notification that the bank may submit Part

24 after-the-fact notices. If so, please provide the date or a copy of the OCC’s written notification.]

Yes

(The bank may make an investment authorized by 12 USC 24(Eleventh) and this part and notify the OCC within 10

working days by submitting a completed after-the-fact notice.)

No

(The bank must seek prior OCC approval of its investment and submit a completed investment proposal before making

the investment.)

(To complete the after-the-fact notice process or to request prior OCC approval, please proceed to section 2

of this form.)

Form Part 24

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CD-1 (Expiration Date: 08/31/2025

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Section 2 — All

Requests

1.

Please indicate how the bank’s investment is consistent with Part 24 requirements for public welfare

investments, under 12 CFR 24.3.

a.

Check at least one of the following that applies to the bank’s investment:

The investment primarily benefits low- and moderate-income individuals.

The investment primarily benefits low- and moderate-income areas.

The investment primarily benefits other areas targeted by a governmental entity for redevelopment.

The investment would receive consideration under 12 CFR 25.23 as a "qualified investment"

for purposes of the Community Reinvestment Act.

2.

Please indicate how the bank’s investment is consistent with Part 24 requirements for investment

limits under 12 CFR 24.4 by responding to the following questions.

a.

Dollar amount of the bank’s investment that is the subject of this submission:

b.

Percentage of the bank’s capital and surplus represented by the bank’s investment that is the subject of this

submission:

%.

c.

Percentage of the bank’s capital and surplus represented by the aggregate outstanding Part 24 investments and

commitments, including this investment:

%.

d.

Does this investment expose the bank to unlimited liability?

Yes

(This investment cannot be made under Part 24.)

No

3.

Please attach a brief description of the bank’s investment. (See 12 CFR 24.5(a)(3)(i) and (b)(2)(i)).

Include the following information in the description.

a.

The name of the community and economic development entity (CEDE) into which the bank’s investment has

been (or will be) made.

b.

The type of bank investment (equity, debt, or other).

c.

The activity or activities of the CEDE in which the bank has invested (or will invest). (See examples of qualifying

investment activities described in 12 CFR 24.6 (a), (b), (c), and (d).)

d.

How the investment is structured so that it does not expose the bank to unlimited liability, such as by describing

the structure of the CEDE (e.g., CDC subsidiary, multi-bank CDC, multi-investor CDC, limited partnership,

limited liability company, community development bank, community development financial institution, community

development entity, community development venture capital fund, community development lending consortia,

community development closed-end mutual funds, non-diversified closed-end investment companies, or any

other CEDE) and by providing any other relevant information.

e.

The geographic area served by the CEDE.

Form Part 24

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CD-1 (Expiration Date: 08/31/2025

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f.

The total funding or other support by community development partners involved in the project (e.g., government

or public agencies, nonprofits, other investors), if known.

g.

Supplemental information (e.g., prospectus, annual report, Web address that contains information about the

CEDE in which the investment is or will be made), if available.

4.

Evidence of qualification is readily available for examination purposes.

The bank maintains information concerning this investment in a form readily accessible and available for examination

that supports the certifications contained in this form and demonstrates that the investment meets the standards set out

in 12 CFR 24.3, including, where applicable, the criteria of 12 CFR 25.23.

Yes

No

5. Certification

The undersigned hereby certifies that the foregoing information in this form is accurate and complete. It is further certified

that the undersigned is authorized to file this form on Part 24 investments for the bank.

Name:

Title:

Signature:

Date:

Under the Paperwork Reduction Act, an agency may not conduct or sponsor, and a person is not required to respond

to, a collection of information unless it displays a currently valid OMB control number.

Form Part 24

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CD-1 (Expiration Date: 08/31/2025

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THE SPACE BELOW MAY BE USED TO DESCRIBE THE BANK’S CD INVESTMENT AS REQUESTED IN

SECTION 2, QUESTION 3.