California Code of Regulations
Title 10 - Investment
Chapter 1 - Commissioner of Business Oversight, Division of Financial Institutions
Subchapter 95 - Forms
Section 95.10 - Application for Authority to Organize Bank

The following is an illustration of Department Form 10:

Form 10 (7-1-97)

California Department of Business Oversight

APPLICATION FOR AUTHORITY TO ORGANIZE BANK

(Facing Page)

The undersigned hereby apply for authority to organize and establish a corporation under the laws of the State of California to engage in:

() commercial banking business () trust business (Check one or both) at ____________________(Street address or vicinity) under the name ____________________ with shareholders' equity of $__________.

The documents attached hereto are hereby referred to any by this reference incorporated herein.

The person authorized to represent the applicants in connection with this application is:

Name: ____________________ Telephone: __________

Address:__________

APPLICANTS

(If additional space is required, continue on attached sheet.)

(This is a facing page only. For instructions on completing and signing this application, refer to the Regulations of the Commissioner of Business Oversight. Signatures must be acknowledged.)

1. Change without regulatory effect amending section and adding new NOTE filed 8-19-97 pursuant to section 100, title 1, California Code of Regulations (Register 97, No. 34).
2. Change without regulatory effect amending section and NOTE filed 8-21-2019 pursuant to section 100, title 1, California Code of Regulations (Register 2019, No. 34).

Note: Authority cited: Section 326, Financial Code. Reference: Sections 321 and 1020, Financial Code.