Form 3: Initial Statement of Beneficial Ownership of Securities

• Legal Form Number: FDIC6800/03
• Section: Federal Deposit Insurance Corporation

FORM 3	Federal Deposit Insurance Corporation Washington, D.C. 20429 ; INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 ; (PLEASE PRINT OR TYPE ALL RESPONSES)										OMB APPROVAL
											OMB NUMBER: 3064-0030 EXPIRES: 02/28/2023 Estimated average burden hours per response ...1.0
1. Name of Reporting Person (Last, First, Middle)*				2. Date of Event Requiring Statement (Month/Day/Year)		4. Issuer Name and Ticker or Trading Symbol
Street Address				3. IRS Identification Number of Reporting Person, if an Entity (Voluntary)		5. Relationship of Reporting Person to Issuer (Check all applicable)				6. If Amendment, Date Original Filed (Month/Day/Year)
						Director		10% Owner
						Officer (give title below)		Other (Specify below)		7. Individual or Joint/Group Filing (Check Applicable Box) ; Form filed by One Reporting Person Form filed by More than One Reporting Person
City		State	ZIP Code
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4)					2. Amount of Securities Beneficially Owned (Instr. 4)		3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)		4. Nature of Indirect Beneficial Ownership (Instr. 5)

FDIC 6800/03 (6-20) Reminder: Report on a Separate Line for each class of securities beneficially owned directly or indirectly. (Continue on Page 2)

*If the form is filed by more than one reporting person, see Instruction 5(b)(v). Page       of      -

FORM 3 (continued)
Table II - Derivative Securities Beneficially Owned (e.g., plus, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4)	2. Date Exercisable and Expiration Date (Month/Day/Year)		3. Title and Amount of Securities Underlying Derivative Security (Instr. 4)			4. Conversion or Exercise Price of Derivative Security	5. Ownership Form of Derivative Securities: Direct (D) or Indirect (I) (Instr. 5)		6. Nature of Indirect Beneficial Ownership (Instr. 5)
	Date Exercisable	Expiration Date	Title		Amount or Number of shares
Explanation of Responses:
				**Signature of Reporting Person				Date
NOTE: File three copies of this Form, one of which must be manually signed. If the space provided is insufficient, see Instruction 6 for procedure (12 C.F.R. 335.611). Potential persons who are to respond to the collection of information contained on this form are not required to respond unless the form displays a current, valid OMB Control Number. **Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
BURDEN STATEMENT ; Public reporting burden for this collection of information is estimated to average 1.0...