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2 STATE BANCO, LTD. Report - Item la State Banco, Ltd. is not required to be filed with the Securities & Exchange Commission and does not prepare an annual report for its stockholders. Report - Item 2(a) -- Organization Chart -- State Banco, Ltd., Incorporated, State oflowa -- The State Bank, Incorporated, State oflowa STATE BANCO, LTD., SPIRIT LAKE, IOWA 100% of20 Common Shares THE STATE BANK, SPIRIT LAKE, IOWA Note: All entities do NOT have an LEI Report- Item 2(b) -- Branch Verification Attached FR Y-6 Report - Item 3 Listing of shareholders at 12/31/16 that directly or indirectly own, control or hold with power to vote 5% or more of any class of shares of the bank holding. Name and Address Citizenship Shares Owned Percentage Charles W etzeler Spirit Lake, Iowa U.S.A. 2,303 Elsie Wetzeler Spirit Lake, Iowa U.S.A. 737 William C. Wetzeler Spirit Lake, Iowa U.S.A. 1,316 JudyNece Spirit Lake, Iowa U.S.A 408 Carol Schultz Spirit Lake, Iowa U.S.A % 14.48% 25.85% 8.02% 5.30% Securities Holders not listed above that had ownership, control, or holdings of 5% or more with power to vote during the fiscal year ending 12/31/16 NIA Report Item 4 -- See schedules attached
3 Results: A list of branches for your depository institution: STATE BANK, THE (ID_RSSD: ). This depository institution is held by STATE BANCO, LTD. ( ) of SPIRIT LAKE, IA. The data are as of 12/31/2016. Data reflects information that was received and processed through 01/10/2017. Reconciliation and Verification Steps 1. In the Data Action column of each branch row, enter one or more of the actions specified below 2. If required, enter the date in the Effective Date column Actions OK: If the branch information is correct, enter 'OK' in the Data Action column. Change: If the branch information is incorrect or incomplete, revise the data, enter 'Change' in the Data Action column and the date when this information first became valid in the Effective Date column. Close: If a branch listed was sold or closed, enter 'Close' in the Data Action column and the sale or closure date in the Effective Date column. Delete: If a branch listed was never owned by this depository institution, enter 'Delete' in the Data Action column. Add: If a reportable branch is missing, insert a row, add the branch data, and enter 'Add' in the Data Action column and the opening or acquisition date in the Effective Date column. If printing this list, you may need to adjust your page setup in MS Excel. Try using landscape orientation, page scaling, and/or legal sized paper. Submission Procedure When you are finished, send a saved copy to your FRB contact. See the detailed instructions on this site for more information. If you are ing this to your FRB contact, put your institution name, city and state in the subject line of the . Note: To satisfy the FR Y-10 reporting requirements, you must also submit FR Y-10 Domestic Branch Schedules for each branch with a Data Action of Change, Close, Delete, or Add. The FR Y-10 report may be submitted in a hardcopy format or via the FR Y-10 Online application FDIC UNINUM, Office Number, and ID_RSSD columns are for reference only. Verification of these values is not required. Data Action Effective Date Branch Service T pe Street Address Cit State County Count FCIC UNINUM* Office Number Head Office OK Full Service (Head Office) 1902 HILL AVENUE SPIRIT LAKE IA DICKINSON UNITED STATES STATE BANK, THE OK Full Service 101 NORTH STATE STREET TERRIL IA DICKINSON UNITED STATES STATE BANK, THE Head Office ID RSSD* Comments
4 Re12ort Item 4 - Princi12al Shareholders,, Executive Officer of Bank Holding Com12any (1) Name and address: Charles W. Wetzler Elsie W etzeler William C. Wetzeler JudyNece Spirit Lake, Iowa Spirit Lake, Iowa Spirit Lake, Iowa Spirit Lake, Iowa (2) Principal occupation if other than with Chairman President Vice President holding The State Bank Homemaker The State Bank The State Bank (3) Title or position with: President, Secretary NIA Vice-President, NA and Treasurer, and The State Bank: The State Bank: The State Bank: The State Bank: holding Chairman and President and Vice President and NIA NIA SL & T Corporation SL & T Corporation President, Secretary, Vice President, and Treasurer and (4) Number of shares and percentage of voting securities owned, controlled or held with power to vote: 2,303 shares; 737 shares; 1,316 shares; 408 shares; 45.25% 14.48% 25.85% 8.02% bank holding None None None None None None SL & T Corporation SL & T Corporation 25 shares; 33% 25 shares; 33%
5 Report Item 4 - Principal Shareholders,, Executive Officer of Bank Holding Company- Continued (1) Name and address: (2) Principal occupation if other than with holding Carol Schultz Spirit Lake, Iowa Homemaker (3) Title or position with: holding NIA The State Banlc NIA ( 4) Number of shares and percentage of voting securities owned, controlled or held with power to vote: bank holding 270 shares; None SL & T Corporation 25 shares; 33%
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