{"data":{"id":"us/12-cfr-390.429","jurisdiction":"us","citation":"12 CFR 390.429","heading":"Form for securities sale report.","body":"FDIC, 550 17th Street, NW., Washington, DC 20429\n[Form G-12]\nSecurities Sale Report Pursuant to § 390.12\nFDIC No.\nIssuer's Name:\nAddress:\nIf in organization, state the date of FDIC certification of insurance of accounts: ____\nState the title, number, aggregate and per-unit offering price of the securities sold: ________\nState the aggregate and per-unit dollar amounts of actual itemized offering expenses, discounts, commissions, and other fees: ________\nState the aggregate and per-unit dollar amounts of the net proceeds raised: ________\nDescribe the use of proceeds. If unknown, provide reasonable estimates of the dollar amount allocated to each purpose for which the proceeds will be used: ________\nState the number of purchasers of each class of securities sold and the number of owners of record of each class of the issuer's equity securities at the close or termination of the offering: ________\nFor a non-public offering, also state the factual and legal grounds for the exemption claimed (attach additional pages if necessary): ________\nFor a non-public offering, all offering materials used should be listed: ________\nPerson to Contact:\nTelephone No.:\nThis issuer has duly caused this securities sale report to be signed on its behalf by the undersigned person.\nDate of securities sale report\nIssuer:\nSignature:\nName:\nTitle:\nInstruction: Print the name and title of the signing representative under his or her signature. Ten copies of the securities sale report should be filed, including one copy manually signed, as required under 12 CFR 390.414.\nAttention\nIntentional misstatements or omissions of fact constitute violations of Federal law (See 18 U.S.C. 1001 and § 390.355(b)).","path":["Title 12—Banks and Banking","CHAPTER III—FEDERAL DEPOSIT INSURANCE CORPORATION","SUBCHAPTER B—REGULATIONS AND STATEMENTS OF GENERAL POLICY","PART 390—REGULATIONS TRANSFERRED FROM THE OFFICE OF THRIFT SUPERVISION","Subpart W—Securities Offerings"],"source_url":"https://www.ecfr.gov/api/versioner/v1/full/2026-08-25/title-12.xml","current_through":"2026-08-25","vintage":"","retrieved_at":"2026-08-27T02:24:16Z","sha256":"bb48663211f524155d76d56584d53df4175d3f46682a32a0570429763f481128","source_id":"us-cfr","stale":true,"prev":"us/12-cfr-390.428","next":"us/12-cfr-390.430"},"notice":"GroundRules: Original legal text. Not legal advice."}