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Form 4FRB OMB Number: 71000091 FDIC OMB Number: 30640030 OCC OMB Number: 15570106Statement of Changes in Beneficial Ownership of Securities Filed pursuant to Section 16(a) of the Securities Exchange
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To fill out a statement of changes, follow these steps:
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Start by downloading the statement of changes form from the appropriate source.
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Read the instructions carefully to understand the purpose of the form and the information required.
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Begin by filling out your personal information, such as your name, address, contact information, and any other identifying details requested.
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Move on to the section where you need to provide the specific changes you want to make.
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Clearly state the previous information that needs to be changed or updated and provide the correct information in the respective fields.
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If you need to attach any supporting documents or evidence for the changes you are making, ensure they are organized and ready.
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Review the completed form to ensure all fields are accurately filled.
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Sign and date the form in the designated areas.
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Make copies of the filled-out form for your records.
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Submit the statement of changes form to the appropriate authority or entity as instructed.

Who needs statement of changes in?

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A statement of changes is needed by individuals or entities who need to update or amend their personal information, such as:
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- Individuals who have changed their name, address, contact information, or any other identifying details.
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- Companies or business entities that have undergone changes in their legal structure, ownership, registered address, or other relevant information.
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- Government agencies or departments that need to update their organizational structure, personnel, or policy changes.
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- Educational institutions that require students or staff to update their personal information or academic details.
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- Any individual or organization that needs to provide accurate and up-to-date information for legal, administrative, or record-keeping purposes.

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