Bank Holding Company Initial Application
Use this page to submit a Bank Holding Company Initial Registration.
All required information must be entered and a non-refundable initial registration fee of $1,000 must be paid to submit the application for review. Any questions may be directed to the appropriate contact on Bank Contacts page
Application Contact Information
Applicant Name:
Applicant Email:
Applicant Phone:
Organization Information
Company Name:
State of Incorporation:
Phone:
Physical Address
Country:
Address 1:
Address 2:
City:
State:
Zip:
Mailing Address
Country:
Address 1:
Address 2:
City:
State:
Zip:
Holding Company Chief Executive Officer Information
Prefix First MI Last Suffix
Name:
Title:
Email:
Phone:
Holding Company Renewal Contact Information
Prefix First MI Last Suffix
Name:
Title:
Email:
Phone:
Mailing Address
Country:
Address 1:
Address 2:
City:
State:
Zip: