SR letter - Attachment

Notice of Post-Employment Restriction

TO: [BlankSpce]_____________________________________ DATE: [BlankSpce]_______________

You have been identified by this Federal Reserve Bank as a “senior examiner” as described by section 10(k)

of the Federal Deposit Insurance Act for the financial organization listed below.

Under the statute and the Board’s implementing rule (12 CFR 264a), an examiner who served as the “senior examiner” for a 

depository institution or depository institution holding company for two or more months during the examiner’s final twelve 

months of employment with a Reserve Bank is prohibited from knowingly accepting compensation as an employee, officer, 

director, or consultant from that institution or holding company, or from certain related entities.

For covered examiners, the restriction applies for one year after terminating employment with the Reserve Bank. If an 

examiner violates the one-year restriction, the statute requires the appropriate federal bank regulatory agency to seek an order 

of removal and industry-wide employment prohibition for up to five years, a civil money penalty of up to $250,000, or both.

Name of Institution: [BlankSpce]_________________________________________ is a (check one below):

state member bank bank holding company foreign bank

savings and loan holding company

financial market utility nonbank financial company

Use the following table to determine the applicable prohibition.

Senior Examiner Assignment

If, during two or more months o f your last

twelve months o f service, you served as the

senior supervisory officer (SSO), central

point o f contact (CPC), deputy SSO/CPC,

enterprise risk officer, or supervisory team

Corresponding Prohibition

Then, for one year after leaving, you may not knowingly accept

compensation as an officer, director, employee or consultantfrom:

State member bank • The state member bank (including any subsidiary of the state member 

bank), or

• Any company (including a bank holding company) that controls the state 

member bank.

Bank holding company (BHC) or

savings and loan holding company

(SLHC)

• The BHC or SLHC, or

• Any depository institution controlled by the BHC or SLHC (including 

any subsidiary of the depository institution).

Foreign bank • The foreign bank;

• Any U.S. branch or agency of the foreign bank; or

• Any U.S. depository institution controlled by the foreign bank (including 

any subsidiary of the depository institution).

Financial market utility (FMU) • The FMU if it is a depository institution or a depository institution 

holding company, or

• Any entity controlled by the FMU (including any subsidiary) if the FMU 

is a depository institution or a depository institution holding company.

Nonbank financial company (NFC) that

is designated by the Financial Stability

Oversight Council (FSOC) for

supervision by the Federal Reserve

• The NFC if it is a depository institution or a depository institution 

holding company, or

• Any entity controlled by the NFC (including any subsidiary) if the NFC 

is a depository institution or a depository institution holding company.

By signing below (either in paper or electronic PDF form), you acknowledge receipt of this letter and affirm that you have read 

the rule and understand your responsibilities under it. Please retain a copy for your records.

Signature: [BlankSpce]________________________________________________ Date: [BlankSpce]_______________________________

Return completed signed form to: [designate appropriate Reserve Bank contact and phone]. Questions about this rule should be

directed to: [designate appropriate Reserve Bank contact and phone].