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Consolidated Bank Holding Company Report of Equity Investments in Non nancial CompaniesFR Y12
Legal Name of Bank Holding Company (TEXT 9010)
Contact Name (TEXT 8901)
Contact Phone Number (TEXT 8902)
Contact Fax Number (TEXT 9116)
Contact E-Mail Address (TEXT 4086)
Mailing Address Street / P.O. Box (TEXT 9110)
City (TEXT 9130), State (TEXT 9200)
Zip Code (TEXT 9220)
As-of date (BHEI 9999)
Name and Title of Executive Of cer of Bank Holding Company
Board of Governors of the Federal Reserve System
Consolidated Bank Holding Company
Report of Equity Investments
in Non nancial CompaniesFR Y12
Report at the close of business as of the last calendar day of the reporting period.
FR Y12
OMB Number 71000300
Expires December 2009
Signature of Executive Of cer of the Bank Holding Company
For Federal Reserve Bank Use Only
RSSD Number
C.I. S.F.
Public reporting burden for this information collection is estimated to average 16 hours
per response, including time to gather and maintain data in the required form and
to review instructions and complete the information collection. Comments regarding
this burden estimate or any other aspect of this information collection, including
suggestions for reducing the burden, may be sent to Secretary, Board of Governors of the
Federal Reserve System, Washington, DC 20551, and to the Of ce of Management and
Budget, Paperwork Reduction Project (7100 0300), Washington, DC 20503.
This report is required by law: Section 5(c) of the Bank Holding
Company Act (12 U.S.C. 1844).
The Consolidated Bank Holding Company Report of Equity
Investments in Non nancial Companies is to be prepared in
accordance with the instructions provided by the Federal Reserve
System. The Federal Reserve may not conduct or sponsor and an
organization (or a person) is not required to respond to, a collection of
information unless it displays a currently valid OMB control number. (Column A)
Acquisition
Cost

C104 C105 C106

BHEI Bil Mil BHEI Bil Mil BHEI Bil Mil
FR Y12
Page 1
Schedule B: Type of Security
1. Common stock ......................................................................
2. Convertible debt and convertible preferred stock .................
3. Other equity instruments ......................................................
4. Total portfolio (sum of items 1, 2, and 3) ..............................
1.
2.
3.
4.

BHEI Bil Mil BHEI Bil Mil
C107
C108
C109
C110
C111
C112
C113
C114

(Column A)
Acquisition
Cost
(Column B)
Carrying
Value
Schedule A: Type of Investments
1. Direct investments in public entities ..
2. Direct investments in nonpublic
entities ...............................................
3. All indirect investments ......................
4. Total portfolio (sum of items 1, 2,
and 3) ................................................
Memoranda
1. Total Portfolio .....................................
FHCs only
2. Investments held under Merchant
Banking (GLBA) authority ..................
Only for BHCs ling FR Y9C
3. Pre-tax Impact on net income
from items 1, 2, and 3 above .............
For all BHCs
4. Investments managed for others .......
Number of Companies
(Column A)
Acquisition
Cost
(Column B)
Net Unrealized
Holding Gains
Not Recognized
as Income
(Column C)
Carrying
Value
(Column D)
Publicly
Quoted Value

BHEI Bil Mil BHEI Bil Mil BHEI Bil Mil BHEI Bil Mil

C088 C089 C090 C091
C093
C094
C095
C097
C098
C099
C101
C102
C103

1.
2.
3.
4.
As-of date
Legal Name of Bank Holding Company
BHEI 110 1125 26100 100+
C100
M.1.
M.2.
(Column C)
Carrying
Value
(Column B)
Net Unrealized
Holding Gains
Not Recognized
as Income
Income Amount
BHEI
Bil
Mil
B498
M.3.
For Federal Reserve Bank Use Only
RSSD Number
C.I.
Off-Balance-Sheet
Amount
BHEI
Bil
Mil
C716
M.4. (Column C)

Carrying
Value
(Column B)
Net Unrealized
Holding Gains Not
Recognized as
Income

C731 C732 C733 C734

C735
( )
C736
( )
C737
( )
C738
( )

C739 C740

C741 C742 C743 C744


C745 C746 C747 C748




C117 C718 C118

C121 C719 C122

C126 C720 C127


C136 C721 C137

C722 C723 C724

C131 C725 C132

C726 C727 C728

C145 C729 C146

C150 C730 C151






C155 C749 C156

C157 C750 C158
(Column B)
Carrying
Value
Schedule C: Type of Entity within the Banking Organization
1. Depository institutions:
a. SBICs ...............................................................................
b. Edge and agreement corporations ..................................
c. All other ............................................................................
2. Parent holding and other nonbank subsidiaries:
a. SBICs ...............................................................................
b. Edge and agreement corporations ..................................
c. Broker/Dealers .................................................................
d. Private Equity subsidiaries ...............................................
e. All other ............................................................................
3. Total portfolio (sum of items 1.a through 2.e) .......................
Memoranda
1. Domestic investments ..........................................................
2. Foreign investments .............................................................
1.a.
1.b.
1.c.
2.a.
2.b.
2.c.
2.d.
2.e.
3.
M.1.
M.2.
(Column A)

Acquisition
FR Y12
Page 2
Legal Name of Bank Holding Company
As-of date
Type of Transaction
1. Purchases .........................................
2. Less: Return of Capital .....................
3. Net Valuation Changes .....................
4. Other .................................................
5. Total Transactions (sum of Items
1 4) ..................................................
1.
2.
3.
4.
5.
(Column C)
Acquisition
Cost
(Column D)
Carrying
Value
(Column A)
Acquisition
Cost

Direct Investments
Indirect (Fund) Investments
Schedule D: Non nancial Investment Transactions During Reporting Period
Schedule B: Type of Security (Continued)
Memoranda
1. Unused equity commitments ................................................
2. Does the BHC hold any Warrants or similar instruments
received in connection with equity investment activity?
(Enter "1" if yes, "0" if no). ....................................................
Off-Balance-Sheet
Amount
BHEI
Bil
Mil
C115
M.1.
Warrants
BHEI

C717
M.2.

BHEI Bil Mil BHEI Bil Mil BHEI Bil Mil BHEI Bil Mil

BHEI Bil Mil BHEI Bil Mil BHEI Bil Mil