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| 1. The bank's asset size range:* |
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| 2. The community the bank serves could best be described as:* |
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| 3. The bank's investment portfolio is made up primarily of:* |
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| 4. The bank's lending portfolio is made up primarily of:* |
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| 5. The bank's funding portfolio is made up primarily of:* |
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| 6. Does the bank currently have any FHLB advances:* |
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| 7. Regular Board meetings are held:* |
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| 8. How would you rate the Board's overall comfort level and understanding of ALM:* |
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| 9. How would you rate the ALCO's overall comfort level and understanding of ALM:* |
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| 10. Who handles your investment portfolio accounting:* |
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| 11. How is your ALM information currently prepared:* |
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| 12. Where do you feel you need the most assistance where ALM issues are concerned:* |
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