The Forum Branch, Shawnee Mission (Kansas) 66206, 3501 West 95th Street

Name (Branch)): The Forum Branch
Address(Branch): 3501 West 95th Street
Zip Code (Branch): 66206
City (Reported)(Branch): Shawnee Mission
County Name (Branch): Johnson
State Name (Branch): Kansas

Institution Name: COUNTRY CLUB BANK NA
Address (Institution): P. O. Box 410889
Zip Code (Institution): 66206
Institution Headquarters, City: Shawnee Mission
County Name(Institution): Johnson
State Name (Institution Headquarters): Kansas

Total Assets: 393,879,000 USD (Three Hundred and Ninety-Three Million Eight Hundred and Seventy-Nine Thousand $)
Total Domestic Deposits: 306,811,000 USD (Three Hundred and Six Million Eight Hundred and Eleven Thousand $)
Total Domestic Deposits for the institutions: 0 USD (zero $)
Deposits (Branch) (in thousand of dollars): 1,137,000 USD (One Million One Hundred and Thirty-Seven Thousand $)
Industry Specialization Description: COMMERCIAL LENDING

Original information:
# FDIC Certificate Number: 17398
# FRB ID Number: 625654.00000000
# OTS Docket Number: 12058.00000000
# Institution Name: COUNTRY CLUB BANK NA
# Institution Name: Country Club Bank, National Association
# FRB ID Number (Band Holding Company): 1053496.00000000
# Name of regulatory high hold (BHC): CCB CORPORATION
# Multi-Bank Holding Company flag: 1.00000000
# No Bank Holding Company flag: 0.00000000
# One Bank Holding Company flag: 0.00000000
# State Code(BHC): MO
# City (Bank Holding Company): KANSAS CITY
# Unit Bank flag: 0.00000000
# Primary Federal Regulator: OCC
# Primary Insurance Fund: BIF
# OAKAR flag: 1.00000000
# Charter Agent Code: OCC
# Charter Agent Name: Comptroller of the Currency
# FRB District Number: 10.00000000
# Institution Class: N
# Class Number: 3
# QBP Region Number: 4.00000000
# QBP Region Name: Midwest
# FDIC Region Number: 11
# FDIC Region Name: Kansas City
# Federal Reserve District Name: Kansas City
# OCC District Number: 4
# OCC Region Name: Midwest District
# OTS Region Name: Midwest
# OTS Region Number: 4.00000000
# State Code: KS
# State Name (Institution Headquarters): Kansas
# State Number (Institution): 20
# County Name(Institution): Johnson
# County Number (Institution): 91.00000000
# State and County Number (Institution): 20091.00000000
# Institution Headquarters, City: Shawnee Mission
# Institution Headquarters, City (USPS): Leawood
# Address (Institution): P. O. Box 410889
# Zip Code (Institution): 66206
# Place Code Number: 0.00000000
# FIPS CMSA Code (Main Office): 0
# MSA Code (Institution): 0
# FIPS Country Name: United States
# New Brick and Mortar flag: 0.00000000
# Federal Charter flag: 1.00000000
# State Charter flag: 0.00000000
# TFR Report flag: 0.00000000
# Call Report flag: 1.00000000
# Insured Commercial Bank flag: 1.00000000
# Insured Savings Institution flag: 0.00000000
# Insured Institution flag: 1.00000000
# Insured FDIC flag: 1.00000000
# Escrow Accounts (TFR): 0.00000000
# International Banking Act entity flag: 0.00000000
# U.S. branches of foreign institutions flag: 0.00000000
# SASSER flag: 0.00000000
# Demand Deposit in Insured Branches: 0.00000000
# Time and Saving Deposit in Insured Branches: 0.00000000
# Total Domestic Deposits for the institutions: 0.00000000
# Total Domestic Deposits: 306811.00000000
# Deposits (Branch) (in thousand of dollars): 1137.00000000
# Total Assets: 393879.00000000
# Assets Size Indicator: 5.00000000
# Assets 100M to 300M flag: 0.00000000
# Assets Over 10B flag: 0.00000000
# Assets 1B to 3B flag: 0.00000000
# Assets Under 25M flag: 0.00000000
# Assets 25M to 50M flag: 0.00000000
# Assets 300M to 500M flag: 1.00000000
# Assets 3B to 10B flag: 0.00000000
# Assets 500M to 1B flag: 0.00000000
# Assets 50M to 100M flag: 0.00000000
# Branch Domicile Indicator: 1.00000000
# SOD Region Book Number: 4
# Domestic Institution flag: 1.00000000
# Office Number: 8
# Office Type: OO
# Main Office Designation flag: 0.00000000
# Branch Designation flag: 1.00000000
# Unique Identification Number (Branch): 241614.00000000
# Name (Branch)): The Forum Branch
# State Code (Branch): KS
# State Name (Branch): Kansas
# State Number (Branch): 20
# County Name (Branch): Johnson
# Country Number (Branch): 91.00000000
# State and County Number (Branch): 20091
# City (Reported)(Branch): Shawnee Mission
# City (USPS)(Branch): Leawood
# Address(Branch): 3501 West 95th Street
# Zip Code (Branch): 66206
# FIPS CMSA Code (Branch): 0
# MSA Code (Branch): 0
# FIPS Country Name (Branch): United States
# Branch Service Type: 11
# Consol/Estimated/Non-Dep: 0
# FDIC Region Number Branch): 11
# FDIC Region Name (Branch): Kansas City
# Call Report flag (Branch): 1.00000000
# TFR Report flag (Branch): 0.00000000
# Report Date: 0000-00-00 00:00:00
# Report Date (YYMMDD): 2003-06-30
# Report Date (YYMM): 2020-03-06
# Data Source Identifier: SIMS_O
# GEO_Census_Block_Group: 200910517001
# Combined Statistical Area Name (Institution): Kansas City-Overland Park-Kansas City, MO-KS
# Core Based Statistical Area Name (Institution): Kansas City, MO-KS
# Combined Statistical Areas (Institution): 312
# Core Based Statistical Areas (Institution): 28140
# Metropolitan Statistical Areas (Branch): 28140
# Metropolitan Statistical Area Name (Branch): Kansas City, MO-KS
# Combined Statistical Areas (Branch): 312
# Combined Statistical Area Name (Branch): Kansas City-Overland Park-Kansas City, M
# Core Based Statistical Areas (Branch): 28140
# Core Based Statistical Area Name (Branch): Kansas City, MO-KS
# Metropolitan Divisions Flag (Branch): 0
# Metropolitan Divisions Flag (Branch): 1
# Micropolitan Divisions Flag (Branch): 0
# Metropolitan Statistical Areas (Institution): 28140
# Metropolitan Statistical Area Name (Institution): Kansas City, MO-KS
# Metropolitan Divisions Flag (Institution): 0
# Metropolitan Divisions Flag (Institution): 1
# Micropolitan Divisions Flag (Institution): 0
# Industry Specialization Group: 4.00000000
# Industry Specialization Description: COMMERCIAL LENDING
# New England County Metro Areas (Branch): 0.00000000
# New England County Metro Areas (Institution): 0.00000000