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FRY-6 OMB Number 7100-0297 Approval expires December31, 2015 Page 1 of 2
Board of Governors of the Federal Reserve System
Annual Report of Holding Companies-FR Y-6
Report at the close of business as of the end of fiscal year This Report is required by law: Section 5(c)(1)(A) of the Bank Holding Company Act (12 U.S.C. § 1844 (c)(1)(A)); Section 8(a) of the International Banking Act (12 U.S.C. § 3106(a)); Sections 11(a)(1), 25 and 25A of the Federal Reserve Act (12 U.S.C. §§ 248(a)(1), 602, and 611a); Section 211.13(c) of Regulation K (12 C.F.R. § 211.13(c)); and Section 225.5(b) of Regulation Y (12 C.F.R. § 225.5(b)) and section 10(c)(2)(H) of the Home Owners' Loan Act. Return to the appropriate Federal Reserve Bank ·the original and the number of copies specified.
This report form is to be filed by all top-tier bank holding compa nies and top-tier savings and loan holding companies organized under U.S. law, and by any foreign banking organization that does not meet the requirements of and is not treated as a qualify ing foreign banking organization under Section 211.23 of Regulation K (12 C.F.R. § 211.23). (See page one of the general instructions for more detail of who must file.) The Federal Reserve may not conduct or sponsor, and an organization (or a person) is not required to respond to, an information collection unless it displays a currently valid OMB control number.
NOTE: The Annual Report of Holding Companies must be signed by one director of the top-tier holding company. This individual should also be a senior official of the top-tier holding company. In the event that the top-tier holding company does not have an individual who is a senior official and is also a director, the chair man of the board must sign the report.
Date of Report (top-tier holding company's fiscal year-end):
I,
RICHARD ZAMOJSKI Name of Ille Holding Company Director and Official
PRESIDENT AND DIRECTOR Tille of Ille Holding Company Director and Official
attest that the Annual Report of Holding Companies (including the supporting attachments) for this report date has been pre pared in conformance with the instructions issued by the Federal Reserve System and are true and correct to the best of my knowledge and belief. With respect to information regarding individuals contained in this report, the Reporter certifies that it has the authority to provide this information to the Federal Reserve. The Reporter also certifies that ii has the authority, on behalf of each individual, to consent or object to public release of information regarding that individual. The Federal Reserve may assume, in the absence of a request for confidential treatment submitted in accordance with the Board's "Rules Regarding Availability of Information," 12 C.F.R. Part 261, that the Repo er fills!.. individual consent to public release of all details in ncerni I individual.
� �
December 31, 2014 Monlll I Day I Year
NONE Reporter's Legal Entity Identifier (LEI) (20-Character LEI Code)
Reporter's Name, Street, and Mailing Address
FIRST INDEPENDENCE CORPORATION Legal Tille of Holding Company 44
MICHIGAN AVENUE
(Mailing Address of the Holding Company) Street/ P.O.
Box
DETROIT
Ml
48226
City
State
Zip Code
Physical Location
(if differen t from m a iling address)
Person to whom questions about this report should be directed:
JEFFERY A. SUGG
Chief Financial
Name
Tille
Officer
313-256-8423 Area Code
I Phone Number I Extension
313-256-8456 Area Code I FAX Number
[email protected] E-mail Add ress
Address (URL) for Ille Holding Company's web page Date of Signature
For holding companies nQf. registered with the SECIndicate status of Annual Report to Shareholders:
D 0 12:1
is included with the FR Y-6 report
Does the reporter request confidential treatment for anyportion of this submission?
D Yes
Please identify the report items to which this request applies:
will be sent under separate cover
D In accordance with the instructions on pages GEN-2
is not prepared
and 3, a letter justifying the request is being provided.
For Federal Reserve Bank Use Only RSSDID
C.I.
LL 3. 'i.J-' '1
D The information for which confidential treatment is sought is being submitted separately labeled "Confidential."
[gl No
Public reportlng burden for this infonnation collection is estimated to vary from 1.3 to 101 hours per response, with an average of 5.25 hours per response, lnduding Ume lo galher and maintain data in the required fonn and to review instructions and complete lhe infonnation collection. Send comments regarding this burden estimale or any other aspect of this collection of lnfonnation, lnduding suggestions for reducing this burden to: Secretary, Board of Governors of the Federal Reserve System, 20th and C Streets, NW, 11\/ashington, DC 20551, and to the Office of Management and Budgel, Paperwork Reducllon Project (7100-0297), 11\/ashlnglon, DC 20503.
10/2014
• .
First Independence Corporation
--
44 Michigan Avenue Detroit, Michigan 48226 For Year Ending: Dece_mber 31, 2014
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1.a. The BHC is not required to prepare form lOk with the SEC. 1.b. The BHC does nofprepare an annual report for its shareholders. Audite
d Financial Stateri:ients to follow.
2. Organizational Chart
I'-----------� First Independence Corporation ------------11 100% ""-'------J '--'-'"--'--'-"-'--"---" "' I Michigan I'---------'Detroit, State of Incorporation: Michigan
100% First Independence Bank Detroit, Michigan State of Incorporation: Michigan
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First Independence Statutory Trust I Detroit, Michigan State oflncorporation: Connecticut 100% First Independence Statutory Trust JI Detroit, Michigan State of Incorporation: Connecticut
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··- --·· ·--·- ···-····------··---··-··----
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RoJu!ts: A Ust of branch� foryour holding company: FHlST IN0£PENOENCE CORPOAATTON 11134564) ufDETnOJT, Mt, The dJta ;ire as of 12/31/20.14, Oat� r�flects Information that was received and prncessed through 03/25/W15. Recondl\.>tlon 3nd V• rlfk::itlo n Stop< 1, In the
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� OK:. ti the branch lnforrn�tton ls correct,enter 'OK'ln the. D�t:i Actlcrn eolumn.
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If the branch!nformatlon ls/neorrect orIncomplete, revise the data, enter 'Ch.1ns�' ln the D�t:I Action tolumn and thu d.:itc when 1hls lnformatkm fits! bec.:imcvatld In the EH�ctlve Oat� column. CloJt: l[a branch fisted was sold or dosed, enter '001c'[n the D:ita Actk•n column and tho s�!c orclo1u!l:l data In the Elfcct!vcr Data column. 01lct�: Jfa branch l�ted was never owned this depository Institution,enter 'DeMe' In the Dab Act.Ion column, ;l..dd: II a r ep<1rtable branch ls m!s�ng,lnscrt a row, add thcbr�nch d�tJ, Jnd enter 'Add' 111 th<: CJb Action column �nd opcn!ng or Jtqul!lt!an dJ\c In the Elfoctlve D<1te column.
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1f printing this list,ycu may need to adJ1,11t your pasc solup rn MS Exec!.Try uslns land$c.:ipe. oriimtatlon,PJSe. seaUng, and/or !cg�I sl1ed paper. 5ubm1<11cn Proc�dvr� Whcnyol/Qte. l!nhhcd,,end a saved copy ta yaur FRB cont<1ct.Scc the de.tnITcd lmtruttlons on th!s site for more: !nfarmot!on. !fyou are e ·miillng this ta your fft.6 1:'1nt�ct, putyaur/nst!tutlon name, dty and mte/n the subject line ofthe e·mall. Note: To satisfy the fR
Y·lO reporting req\llltmenU,you mu�t also submit fR 'f.10 Domestk: Branch Schedules for each bllln thwlth a
Dab Act!on ofCh:inr,e, 0011:, Odetr, or Add,
The FR't-10 rcpvrt mJybc submitted In a hardcapyfarmJt or•,fa the.FR Y·lO Onl!nc appllc.:itlan•httm4/y1Qonllne.fedcra!reervc.gov, ' FDICUNtNUM, Office Number, and ID_R.SSD columns arc forrcfcrQllC� only. Verific.:itlan of thcscval1.Jc5 ls not fl:'qulf'l:d, D�to"Aetl i:tn
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Strr.,tAddren 44 M!CHIGANAVENUE
ON DETROIT
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2fo Cod• Cl:luntv
Ml
48226
7D2DWESTSEVEN MllEROAO
DETllO!T
Ml
WAYNE
Countrv
FDIC:UN!NUM•
Offko Numb.,r•
0 FlRST lNDEPENDENCE BANK
'254849
2 FIRST INDEPENDENCE BANK
'254849
FIRST1NDEPENDENCE SANK
254849
48221
WAYNE
UNITiiOSTATES lJNITTDSTATE5
400MONROESTREET
DETllOIT
Ml
48226
WAYNE
09115/14 ATMOnlv
2042312 UVERNOIS·HERBERTOFfJCE
1'2200 UVERNOlSAVENUE
DETll O!T
Ml
48204
WAYNE
UNfTEOSTATES
NatRcoulr� NcitR=uircd
Not R ,,.,ulrcd NotR,..,,LJ!red
Close
07103/08 Ful!S�rvlce
3700356 MACKI ALTER OFFICE
l4740MACKAVENUE
DETROIT
Ml
49215
WAYNE
UNITED STATES
Not Re"LJ!rcd
N ot R �nulre d
Add
06/16114
38880 GARFIELD ROAD
CUNTON TOWNSHIP
Ml
4B03B
MACOMB
UNITEDSTAT£5
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2042349 GRHKTOWN OFFICE
GARFlElDOFFlCE
He11d ol(kn ID RSSD•
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FIRST INDEPENDENCE SANK
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FIRST INDEPENDENCE BANK
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FR Y-6 FIRST INDEPENDENCE CORPORATION Detroit, Michigan Fiscal Year Ending DECEMBER 31, 2014 Report Item 3: Securities Holders Current Securities Holders with ownership, control or holdings of 5% or more with power to vote as-of fiscal year end.
Securities Holders not listed in 3(1)(a) through (3)(1)(c) that had ownership, control or holdings of 5% or more with power to vote during the fiscal year. (2)(a)
(2)(c) Number and
(1)(a)
(1)(b)
(1)(c)
Country of
Number and Percentage of
Country of
Percentage of Each
Name & Address (City, State,
Citizenship or
Each Class of Voting
Name & Address
Citizenship or
Class of Voting
Country)
Incorporation
Securities
(City, State, Country)
Incorporation
Securities
Donald Davis Living Trust
U.S.A
3,537 -76% of Common Stock
(2)(b)
NIA
West Bloomfield , Michigan USA Kiko Davis, Trustee West Bloomfield, Michigan , USA
J
FR Y-6 FIRST INDEPENDENCE CORPORATION Detroit, Michigan Fiscal Year Ending DECEMBER 31, 2014
(1)
(2)
Names & Address (City, State, Country)
Principal Occupation if other than with Holding Company
Barry Clay
Mortgage Finance
(3)(a)
(3)(c)
(3)(b)
Title & Position with Holding Company
Title & Position with Subsidiaries (include names of subsidiaries)
Title & Position with Other Businesses {Include names of other businesses)
(4)(a)
{4)(b )
Percentage of Voting Securities In Holding Company
List names of other companies {Includes partnerships) if 25o/o or more of voting securities are held (List Percentage of names of Voting Securities companies and in Subsidiaries percentage of (include names voting securities of subsidiaries} held)
(4)(c)
.-
Chairman
Chairman/CEO-FIB
President PCI, LLC
None
None
100%, PCI, LLC
NIA
President/Director
Director-FIB President-FIB
None
None
None
NIA
NIA
Director
None
None
None
None
NIA
NIA
Director
Director-FIB
None
None
None
N/A
Detroit, Ml, USA
Richard Zamojski Brighton, Ml, USA
Laith Yaldoo West Bloomfield, Ml USA John Davis Detroit, Ml USA
·;
FRY·6 FIRST INDEPENDENCE CORPORATION Detroit, Michigan Fiscal Year Ending DECEMBER 31, 2014
(2)
(1)
(3)(a)
(4)(a)
(4)(b)
Title & P ositi o n
Percentage of
Voting Sec uri ties in
List names of other companies (inc l udes
with Subsidiaries
Voting Securities
(include names of Title & Position with Other Businesses {include names of other businesses) subsidiaries)
Subsidiaries
in Holding
securities are held (List names of
(Include names
companies and percentage of voting
C o m p any
of subsidiaries)
securities held)
(3)(b)
(3) (c)
(4)(c)
Percentage of Principal Names
& Address
(City,
& Position
Occupation If
Title
other than with
with Holding
partnerships) if 25% or- more of
votin9
State, Country)
Holding Company Company
Donald Davis Living Trust
NIA
NIA
NIA
(see next lines below)
Owner/Member
N/A
N/A
Owner/Member·Queen Property Management1 LLC
Queen Property Management, LLC - 90%
OwnerlMember-Groovesville Publishing/Copyright
Groovesvllle � 90%
Owner-Abode XL (I thru X)
Abode XL (I thru X)-90%
76%
76%
NIA
West Bloomfield, Ml USA Klko Davis, Trustee West Bloomfield, Ml USA
FR Y-6 FIRST INDEPENDENCE CORPORATION Detroit, Michigan Fiscal Year Ending DECEMBER 31, 2014
(1)
(2)
(3)(a )
(3)(c)
(3)(b)
{4)(b)
(4)(a)
(4}{c)
List names of other companies ( includes Title & Position
Principal
Title & Position with Other
Percentage of partnerships) if 25% or Voting Securities more of voting securities Percentage of Voting Securities in Subsidiaries are held (List names of
Occupation if other Title & Position
with Subsidiaries
Names & Address {City,
than with Holding
with Holding
(include names of
Businesses (include names in Holding
State, Country)
Company
Company
subsidiaries)
of other businesses)
William Phillips
Attorney
Director
NIA
Director
None
Company
(include names
companies and percentage
of subsidiaries}
of voting securities held}
(see next lines below}
None
None
NIA
Owner-P.l.E Management
None
None
NIA
Detroit, Ml USA
William Phillips
, NIA
LLC
J
