FOR REFERENCE ONLY – NOT FOR EXECUTION – UPDATED 3.25.2022

Paperwork Reduction Act Notice.

OMB Approval No. 1505-0267

Expiration Date: June 30, 2022

The information collected will be used for the U.S. Government to process requests for support. The estimated burden associated with this 

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(ECIP Banks/Thrifts/BHCs/SLHCs

Senior Preferred Stock)

UNITED STATES DEPARTMENT OF THE TREASURY

1500 PENNSYLVANIA AVENUE, NW

WASHINGTON, D.C. 20220

Dear Ladies and Gentlemen:

The company set forth on the signature page hereto (the “Recipient”) intends to issue in a 

private placement the number of shares of a series of its preferred stock set forth on Schedule A

hereto (the “Preferred Shares”) and the United States Department of the Treasury (the 

“Investor”) intends to purchase from the Recipient the Preferred Shares, pursuant to the 

Emergency Capital Investment Program.

The purpose of this letter agreement is to confirm the terms and conditions of the 

purchase by the Investor of the Preferred Shares. Except to the extent supplemented or 

superseded by the terms set forth herein or in the Schedules hereto, the provisions contained in 

the Securities Purchase Agreement – Standard Terms attached hereto as Exhibit A (the 

“Securities Purchase Agreement”) are incorporated by reference herein. Terms that are defined 

in the Securities Purchase Agreement are used in this letter agreement as so defined. In the event 

of any inconsistency between this letter agreement and the Securities Purchase Agreement, the 

terms of this letter agreement shall govern.

Each of the Recipient and the Investor hereby confirms its agreement with the other party 

with respect to the issuance by the Recipient of the Preferred Shares and the purchase by the 

Investor of the Preferred Shares pursuant to this letter agreement and the Securities Purchase 

Agreement on the terms specified on Schedule A hereto.

This letter agreement (including the Schedules hereto), the Securities Purchase 

Agreement (including the Annexes thereto) and the Disclosure Schedules (as defined in the 

Securities Purchase Agreement) constitute the entire agreement, and supersede all other prior 

agreements, understandings, representations and warranties, both written and oral, between the 

parties, with respect to the subject matter hereof. This letter agreement constitutes the “Letter 

Agreement” referred to in the Securities Purchase Agreement.

This letter agreement may be executed in any number of separate counterparts, each such 

counterpart being deemed to be an original instrument, and all such counterparts will together 

constitute the same agreement. In addition, this letter agreement may be executed by electronic 

signature in accordance with the E-SIGN Act of 2000. Executed signature pages to this letter 

agreement may be delivered by facsimile or electronic mail (including pdf) and such facsimiles 

or electronic copies will be deemed as sufficient as if actual signature pages had been delivered. 

* * *
FOR REFERENCE ONLY – NOT FOR EXECUTION – UPDATED 3.25.2022

In witness whereof, this letter agreement has been duly executed and delivered by the 

duly authorized representatives of the parties hereto as of the date written below.

UNITED STATES DEPARTMENT OF THE 

TREASURY

By: 

Name:

Title:

RECIPIENT: 

By: 

Name:

Title:

Date: 
FOR REFERENCE ONLY – NOT FOR EXECUTION – UPDATED 3.25.2022

EXHIBIT A

SECURITIES PURCHASE AGREEMENT
FOR REFERENCE ONLY – NOT FOR EXECUTION – UPDATED 3.25.2022

SCHEDULE A

ADDITIONAL TERMS AND CONDITIONS

Recipient Information:

Name of the Recipient:

Corporate or other organizational form of Recipient:

Jurisdiction of Organization of Recipient:

Appropriate Federal Banking Agency of Recipient:

Notice Information:

Terms of the Purchase:

Series of Preferred Stock Purchased:

Per Share Liquidation Preference of Preferred Stock: $1,000 per share1

Maximum Aggregate Liquidation Preference: Not to exceed [7.5 percent][15 

percent][22.5 percent] of the Recipient’s Total Assets.2

1 The Investor may agree to purchase Preferred Shares with a higher liquidation preference per share, in which case, 

the Investor may require the Recipient to appoint a depositary to hold the Preferred Stock and issue depositary 

receipts.

2 The general investment limit per Recipient is $250,000,000. In addition, the following limitations apply to the 

aggregate liquidation amount of Preferred Shares a Recipient may issue, based on a Recipient’s Total Assets 

(defined below): 

• Recipients with more than $2 billion in Total Assets: the Preferred Shares issued may not exceed 7.5% 

of Total Assets;

• Recipients with $2 billion or less and $500 million or more in Total Assets: the Preferred Shares issued 

may not exceed 15% of Total Assets; and 

• Recipients with less than $500 million in Total Assets: the Preferred Shares issued may not exceed 

22.5% of Total Assets. 

“Total assets” means (i) for Recipients that file reporting Form FR Y-9C, the total consolidated assets as reported in 

Schedule HC of the FR Y-9C, (ii) for Recipients that file a Consolidated Report of Condition and Income (“Call 

Report”), the total assets as reported on Schedule RC of the Call Report, and (iii) for Recipients that file on reporting 

Form FR Y-9SP or FR Y-9LP but not FR Y-9C the higher of the (1) total assets reported in Schedule SC of the FR 

Y-9SP or Schedule PC of the FR Y-9LP, as applicable and (2) total assets reported in the Call Report of such 

Recipient’s primary insured depository institution subsidiary.
FOR REFERENCE ONLY – NOT FOR EXECUTION – UPDATED 3.25.2022

Number of Shares of Preferred Stock Purchased:

Dividend Payment Dates on the Preferred Stock: Payable quarterly in arrears on March 

15, June 15, September 15 and December 15 of each year.

Purchase Price:

Closing (by electronic exchange of documents):

3

Time of Closing:

Date of Closing:

Wire Information for Closing: ABA Number:

Bank:

Account Name:

Account Number:

Beneficiary:

Contact for Confirmation of Wire Information:4

Address for Delivery of Preferred Shares:

[Address]

[Address]

[Address]

Attention: [•]

Email tracking number for such mailing to: [•]

3 As described in the Securities Purchase Agreement, each closing will take place electronically. Fully executed 

documents will be exchanged electronically prior to the closing, and, promptly following the closing, the Recipient 

will send the original, physical stock certificate(s) to the Investor in accordance with the Securities Purchase 

Agreement.

4

Include the name, title and contact information (telephone number and email address). The contact must be a 

person different from the officer executing the Letter Agreement.
FOR REFERENCE ONLY – NOT FOR EXECUTION – UPDATED 3.25.2022

SCHEDULE B

CAPITALIZATION

Capitalization Date:

Common Stock

Par value:

Total Authorized: 

Outstanding:

Subject to warrants, options, convertible

securities, etc.:

Reserved for benefit plans and other issuances:

Remaining authorized but unissued:

Shares issued after Capitalization Date (other

than pursuant to warrants, options,

convertible securities, etc. as set forth

above):

Preferred Stock

Par value:

Total Authorized:

Outstanding (by series):

Reserved for issuance:

Remaining authorized but unissued:

Holders of 5% or more of any class of capital stock Primary Address

Potential Sales

Describe any commitments to authorize, issue or sell any class of capital stock:

If none, please so indicate by checking the box: ☐.
FOR REFERENCE ONLY – NOT FOR EXECUTION – UPDATED 3.25.2022

If the Recipient is a Bank Holding Company or a Savings and Loan Holding Company:

A list of each IDI Subsidiary noting the percentage of each IDI Subsidiary’s issued and 

outstanding capital stock that is owned by the Recipient:
FOR REFERENCE ONLY – NOT FOR EXECUTION – UPDATED 3.25.2022

SCHEDULE C

MATERIAL ADVERSE EFFECT

List any exceptions to the representation and warranty in Section 3.1(g) of the Securities 

Purchase Agreement – Standard Terms.

If none, please so indicate by checking the box: ☐
FOR REFERENCE ONLY – NOT FOR EXECUTION – UPDATED 3.25.2022

SCHEDULE D

LITIGATION

List any exceptions to the representation and warranty in Section 3.1(l) of the Securities 

Purchase Agreement – Standard Terms.

If none, please so indicate by checking the box: ☐
FOR REFERENCE ONLY – NOT FOR EXECUTION – UPDATED 3.25.2022

SCHEDULE E

COMPLIANCE WITH LAWS

List any exceptions to the representation and warranty in the second sentence of Section 3.1(m) 

of the Securities Purchase Agreement – Standard Terms.

If none, please so indicate by checking the box: ☐

List any exceptions to the representation and warranty in the last sentence of Section 3.1(m) of 

the Securities Purchase Agreement – Standard Terms.

If none, please so indicate by checking the box: ☐
FOR REFERENCE ONLY – NOT FOR EXECUTION – UPDATED 3.25.2022

SCHEDULE F

REGULATORY AGREEMENTS

List any exceptions to the representation and warranty in Section 3.1(s) of the Securities 

Purchase Agreement – Standard Terms.

If none, please so indicate by checking the box: ☐
FOR REFERENCE ONLY – NOT FOR EXECUTION – UPDATED 3.25.2022

SCHEDULE G

RELATED PARTY TRANSACTIONS

List any exceptions to the representation and warranty in Section 3.1(x) of the Securities 

Purchase Agreement – Standard Terms.

If none, please so indicate by checking the box: ☐
FOR REFERENCE ONLY – NOT FOR EXECUTION – UPDATED 3.25.2022

SCHEDULE H

OTHER EXCEPTIONS

List any exceptions to the representations and warranties in the Securities Purchase Agreement –

Standard Terms not covered in Schedules C through G above and, for each listed exception, 

identify the applicable representation and warranty in Section 3.1 by the applicable subsection.

If none, please so indicate by checking the box: ☐