For Use By Tiered Holding Companies - dallasfed.org/media/Documents/banking/nic/fry-6/2016/... · Top-tiered holding companies must list the names, ... Name & Address (City, State,

FR Y-6Page 2 of 2

For Use By Tiered Holding CompaniesTop-tiered holding companies must list the names, mailing address, and physical locations of each of their subsidiary holding companies below.

Legal Title of Subsidiary Holding Company

(Mailing Address of the Subsidiary Holding Company) Street / P.O. Box

City State Zip Code

Physical Location (if different from mailing address)



City State Zip Code




City State Zip Code




City State Zip Code




City State Zip Code




City State Zip Code




City State Zip Code




City State Zip Code


12/2012

First La Grange Bancshares, Inc.

P.O. Box 310

La Grange TX 78945

145 W Colorado, La Grange, Texas 78945

FR Y‐6

National Bank & Trust Employee Stock Ownership Plan with 401 (K) Provisions

Period Ending December 31, 2016

REPORT ITEM 1a: FORM 10‐K FILED WITH THE SECURITIES AND EXCHANGE COMMISSION

Form 10‐K is not prepared.

REPORT ITEM 2a: ORGANIZATION CHART

National Bank & Trust Employee Stock Ownership Plan With

401 (K) Provisions

La Grange, Texas

25%

Incorporated in Texas

↓

First La Grange Bancshares, Inc.

La Grange, Texas


↓

(Owns 100%)

National Bank & Trust

La Grange, Texas


*No Entity has a LEI number.

FRY ‐ 6

National Bank & Trust Employee Stock Ownership Plan with 401 (K) Provisions

Period Ending December 31, 2016

Results: A list of branches for your depository institution: NATIONAL BANK & TRUST (ID_RSSD: 792659).This depository institution is held by NATIONAL BANK & TRUST EMPLOYEE STOCK OWNERSHIP PLAN WITH 401(K) PROVISIONS (3685109) of LA GRANGE, TX

The data are as of 12/31/2016. Data reflects information that was received and processed through 01/10/2017.

Reconciliation and Verification Steps1. In the Data Action column of each branch row, enter one or more of the actions specified below

2. If required, enter the date in the Effective Date column

ActionsOK: If the branch information is correct, enter 'OK' in the Data Action column.

Change: If the branch information is incorrect or incomplete, revise the data, enter 'Change' in the Data Action column and the date when this information first became valid in the Effective Date column.

Close: If a branch listed was sold or closed, enter 'Close' in the Data Action column and the sale or closure date in the Effective Date column.

Delete: If a branch listed was never owned by this depository institution, enter 'Delete' in the Data Action column.

Add: If a reportable branch is missing, insert a row, add the branch data, and enter 'Add' in the Data Action column and the opening or acquisition date in the Effective Date column.

If printing this list, you may need to adjust your page setup in MS Excel. Try using landscape orientation, page scaling, and/or legal sized paper

Submission ProcedureWhen you are finished, send a saved copy to your FRB contact. See the detailed instructions on this site for more information

If you are e‐mailing this to your FRB contact, put your institution name, city and state in the subject line of the e‐mail

Note:

To satisfy the FR Y‐10 reporting requirements, you must also submit FR Y‐10 Domestic Branch Schedules for each branch with aData Action of Change, Close, Delete, or Add.The FR Y‐10 report may be submitted in a hardcopy format or via the FR Y‐10 Online application ‐ https://y10online.federalreserve.gov

* FDIC UNINUM, Office Number, and ID_RSSD columns are for reference only. Verification of these values is not required.

Data Action Effective Date Branch Service Type Branch ID_RSSD* Popular Name Street Address City State Zip Code County Country FDIC UNINUM* Office Number* Head Office Head Office ID_RSSD* CommentsOK 12/31/2016 Full Service (Head Office) 792659 NATIONAL BANK & TRUST 145 WEST COLORADO STREET LA GRANGE TX 78945‐0310 FAYETTE UNITED STATES 2128 0 NATIONAL BANK & TRUST 792659

The voting power is National Bank & Trust as Trustee except for re-organization and stock issuance

25.18% voting power

(1)(a) (1)(b) (1)(c) (2)(a) (2)(b) (2)(c)

Name & Address (City, State, Country)

Country of Citizenship or Incorporation

Number and Percentage of Each Class of Voting Securities




None None

Current Securities Holders with ownership, control or holdings of 5% or more with power to vote as of fiscal year ending 12-31-2016

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 ending 12-31-2016

Form FR Y-6

National Bank & Trust Employee Stock Ownership with 401 (K) ProvisionsLa Grange, Texas

Fiscal Year Ending December 31, 2016

Report Item 3: Securities Holders

(1) (2) (3)(a) (3)(b) (3)(c) (4)(a) (4)(b) (4)(c)

Names & Address (City, State, Country)

Principal Occupation if other than with Bank Holding Company

Title & Position with Bank Holding Company

Title & Position with Subsidiaries (include names of subsidiaries)

Title & Position with Other Businesses (include names of other businesses)

Percentage of Voting Securities in Bank Holding Company

Percentage of Voting Securities in Subsidiaries (include names of subsidiaries)

List names of other companies (includes partnerships) if 25% or more of voting securities are held (List names of companies and percentage of voting securities held)

Kenneth Zapalac President - CEO National Bank & Trust

La Grange, Texas 78945 USA

President - Director First La Grange Bancshares, Inc.

Mark Ulrich, CPA SVP - CFO National Bank & Trust


VP - Treasurer First La Grange Bancshares, Inc.

Duke Hengst SVP - Senior Loan Officer National Bank & Trust


SecretaryFirst La Grange Bancshares, Inc.

Banking Officer

None

Banking Officer Trustee None 0.00% 0 None

Banking Officer Trustee None 0.20% 0

Trustee None 0.22% 0 None

(1)(a)(b)(c) and (2)(a)(b)(c)

Form FR Y-6

National Bank & Trust Employee Stock Ownership with 401 (K) ProvisionsLa Grange, Texas


Report Item 4: Insiders

AMENDED

(1)(a) (1)(b) (1)(c) (2)(a) (2)(b) (2)(c)







NoneNational Bank & Trust

Employee Stock Ownership Plan with 401(k) Provisions

La Grange, Texas USA

L. Donald MayerLa Grange, Texas USA

Anna Mae HajovskyLa Grange, Texas USA

Bruce DopslaufLa Grange, Texas USA USA 3,382 (5.36%)

USA 15,884 (25.18%)

10,782 (17.09%)USA

USA 4,246 (6.73%)

Current Securities Holders with ownership, control or holdings of 5% or more with power to vote as of fiscal year ending 12-31-2016

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 ending 12-31-2016

Form FR Y-6

First La Grange Bancshares, IncLa Grange, Texas


Report Item 3: Securities Holders

(1) (2) (3)(a) (3)(b) (3)(c) (4)(a) (4)(b) (4)(c)

Names & Address (City, State, Country)

Principal Occupation if other than with Bank Holding Company

Title & Position with Bank Holding Company

Title & Position with Subsidiaries (include names of subsidiaries)

Title & Position with Other Businesses (include names of other businesses)

Percentage of Voting Securities in Bank Holding Company

Percentage of Voting Securities in Subsidiaries (include names of subsidiaries)

List names of other companies (includes partnerships) if 25% or more of voting securities are held (List names of companies and percentage of voting securities held)

Michael CorkerLa Grange, Texas

78945 USA

Bruce DopslaufLa Grange, Texas

78945 USA

Jeremy L. Finch


Gary NitscheLa Grange, Texas

78945 USA

Fayette County Veterinary Clinic

50% Tiemann Veterinary

Clinic 50%

Insurance Agent Director Director of National Bank & Trust

President of Insurance Network of Texas 0.26% 0 None

Veterinarian Director Director of National Bank & Trust

Co-owner of Fayette County Veterinary Clinic

& Tiemann Veterinary

Clinic

0.08% 0

0 Hart Land Real Estate 50%

RancherChairman of the Board

DirectorDirector of National

Bank & TrustManager

Lazy D Oak Ranch 5.36% 0 None

(1)(a)(b)(c) and (2)(a)(b)(c)

Licensed Real Estage Agent Director Director of

National Bank & TrustSecretary - Treasurer Hart Land Real Estate 0.60%

Form FR Y-6

First La Grange Bancshares, IncLa Grange, Texas


Report Item 4: Insiders

AMENDED

Mary White GunnLa Grange, Texas

78945 USA

Kenneth ZapalacLa Grange, Texas

78945 USA

Mark Ulrich, CPALa Grange, Texas

78945 USA

Duke HengstLa Grange, Texas

78945 USA

L. Donald MayerLa Grange, Texas

78945 USA

National Bank & Trust Employee Stock

Ownership Plan with 401(k) ProvisionsLa Grange, Texas

78945 USA

None

N/A Stockholder N/A N/A 25.18% 0 None

Dentist Stockholder None Orthodontist Donald L. Mayer DDS 17.09% 0

None

Banking Secretary SVP - Senior Loan Officer National Bank & Trust None 0.00% 0 None

Banking Vice President Treasurer

SVP - CFO National Bank & Trust None 0.20% 0

None

Banking President Director

President & CEO National Bank & Trust None 0.22% 0 None

Attorney Director Director of National Bank & Trust

Attorney & Partner in the Law Firm

Giese & Gunn LLP0.01% 0

AMENDED