[The notes included in this template are intended to assist the authorities when completing the template and do not form part of the template.]
Member State
Name of competent authority/resolution authority submitting the report
Reference date
Number of credit institutions established in the Member State
Number of investment firms established in the Member State
Number of credit institutions for which simplified obligations have been applied under Article 4(1) of Directive 2014/59/EU	[Figures should be provided by the relevant authority, separately, with regard to obligations relating to: recovery planning, resolvability assessments and resolution planning.]
Number of investment firms for which simplified obligations have been applied under Article 4(1) of Directive 2014/59/EU	[Figures should be provided by the relevant authority, separately, with regard to obligations relating to: recovery planning, resolvability assessments and resolution planning.]
Number of institutions to which a waiver has been granted under Article 4(8) of Directive 2014/59/EU
Legal entity identifier (LEI) numbers or, where these are not available, the names of the institutions established in the Member State subject to direct supervision by the European Central Bank pursuant to Article 6(4) of Regulation (EU) No 1024/2013 or constituting a significant share in the financial system of a Member State as defined in Article 4(10) of Directive 2014/59/EU and are therefore ineligible for waivers pursuant to Article 4(8) of Directive 2014/59/EU	[Only competent authorities need complete this section of the template as it relates to supervisory classifications.]

For the purposes of this template ‘total assets’ is to be calculated on a global basis in accordance with Finrep (IFRS or Generally Accepted Accounting Principles [GAAP]) — F 01.01, row 380 column 010.
For the purposes of this template ‘interbank liabilities’ is to be calculated on a global basis in accordance with Finrep (IFRS or GAAP) → F 20.06, rows 020 + 030 + 050 + 060 + 100 + 110, column 010, All countries (z-axis).
For the purposes of this template ‘interbank assets’ is to be calculated on a global basis in accordance with Finrep (IFRS or GAAP) → F 20.04, rows 020 + 030 + 050 + 060 + 110 + 120 + 170 + 180, column 010, All countries (z-axis).
For the purposes of this template ‘debt securities outstanding’ is to be calculated on a global basis in accordance with Finrep (IFRS or GAAP) → F 01.02, rows 050 + 090 + 130, column 010.
For the purposes of this template ‘value of OTC derivatives (notional)’ is to be calculated on a global basis in accordance with: Finrep (IFRS) → F 10.00, rows 300 + 310 + 320, column 030 + F 11.00, rows 510 + 520 + 530, column 030 or FINREP (GAAP) → F 10.00, rows 300 + 310 + 320, column 050 + F 11.00, rows 510 + 520 + 530, column 030.
For the purposes of this template ‘cross-jurisdiction liabilities’ is to be calculated on a global basis in accordance with Finrep (IFRS or GAAP) → F 20.06, rows 010 + 040 + 070, column 010, All countries except home country (z-axis). Note: The calculated value should exclude (i) intra-office liabilities and (ii) liabilities of foreign branches and subsidiaries vis-à-vis counterparties in the same host country.
For the purposes of this template ‘cross-jurisdictional claims’ is to be calculated on a global basis in accordance with Finrep (IFRS or GAAP) → F 20.04, rows 010 + 040 + 080 + 140, column 010, All countries except home country (z-axis). Note: The calculated value should exclude (i) intra-office assets and (ii) assets of foreign branches and subsidiaries vis-à-vis counterparties in the same host country.
[The notes included in this template are intended to assist the authorities when completing the template and do not form part of the template.]
Member State
Name of competent authority/resolution authority submitting the report	[Competent authorities and resolution authorities are expected to complete a report dealing with those institutions to which simplified obligations are applied in relation to, respectively, requirements as regards recovery plans and requirements relating to resolvability assessments and resolution plans (see the list in Article 4(1) of Directive 2014/59/EU). Competent and resolution authorities must report on all institutions to which simplified obligations are applied. In order to satisfy this requirement competent and resolution authorities may choose to complete this template on an institution-by-institution basis or with regard to specific categories of institutions that have common characteristics and therefore are assessed the same way against the criteria listed in Article 4(1) of Directive 2014/59/EU.]
Reference period
Name of category of credit institution or name of credit institution[When reporting on a category basis, the LEI numbers should be provided for each institution in the category; where these are not available, the names of the institutions should be provided.]	[If the report is completed with regard to a specific category of institution, a description of the category, including the key characteristics of institutions in that category (e.g. by reference to SREP classification in accordance with the EBA's Guidelines under Article 107(3) of Directive 2013/36/EU of the European Parliament and of the Council of 26 June 2013 on access to the activity of credit institutions and the prudential supervision of credit institutions and investment firms, amending Directive 2002/87/EC and repealing Directives 2006/48/EC and 2006/49/EC (OJ L 176, 27.6.2013, p. 338), or other applicable classification system), must be provided. In addition, a list of the LEI numbers, or in the absence of these numbers, the names of the institutions within that category must be provided. Where more than one category of institution exists, a report must be completed for each category.]
Name of category of investment firm or name of investment firm[When reporting on a category basis, the LEI numbers should be provided for each institution in the category; where these are not available, the names of the institutions should be provided.]	[As above.]
Number of institutions falling within category	[This box need be completed only where the report relates to a category of institution.]
Basis for determining, having regard to the relevant criteria set out in Article 4(1) of Directive 2014/59/EU, that the failure and subsequent winding-up under normal insolvency proceedings of the [institutions falling within this category/institution] would not be likely to have a significant negative effect on financial markets, on other institutions, on funding conditions, or on the wider economy. The description must include quantitative information where possible. [Within this section please provide, having regard to the criteria set out in Article 4(1) of Directive 2014/59/EU, the mandatory indicators referred to in the template below and any optional indicators from the list in Annex II to this Regulation against which the institution, or category of institution, has been assessed a description of the characteristics of the institution/category of institution to which simplified obligations are applied. Each authority should identify in the report any weighting assigned to each criterion.]
Weighting [Please describe the weighting, if any, attributed to each of the criterion for the purposes of the assessment process.]
Criterion	Indicator	Description of institution(s)[Please complete with quantitative data where indicated. Where the report is completed in relation to a category of institution, quantitative data may be provided in the form of a range (e.g. total assets of euro Amount A to euro Amount B). In other places, please provide a narrative description.]
Size	Total assets	[Please provide quantitative data. This may include a value range where the template is completed on a category basis.]
	Total assets/Member State's GDP	[Please provide quantitative data. This may include a value range where the template is completed on a category basis.]
	Any indicators taken into account from the list of ‘optional’ indicators in Annex II
	For investment firms only:
	Total liabilities	[Please provide quantitative data. This may include a value range where the template is completed on a category basis.]
	Total client money	[Please provide quantitative data. This may include a value range where the template is completed on a category basis.]
	Total client assets	[Please provide quantitative data. This may include a value range where the template is completed on a category basis.]
	Total fees and commission income	[Please provide quantitative data. This may include a value range where the template is completed on a category basis.]
Interconnectedness	Interbank liabilities	[Please provide quantitative data. This may include a value range where the template is completed on a category basis.]
	Interbank assets	[Please provide quantitative data. This may include a value range where the template is completed on a category basis.]
	Debt securities outstanding	[Please provide quantitative data. This may include a value range where the template is completed on a category basis.]
	Number of foreign subsidiaries and branches	[Please provide quantitative data. This need not be completed where the template is completed on a category basis.]
	Clearing, payment and settlement services provided to institutions and others	[Please insert a description of any such services provided by the institution or category of institution concerned.]
	Any indicators taken into account from the list of ‘optional’ indicators in Annex II
Scope and complexity of activities	Value of OTC derivatives (notional)	[Please provide quantitative data. This may include a value range where the template is completed on a category basis.]
	Cross-jurisdictional liabilities	[Please provide quantitative data. This may include a value range where the template is completed on a category basis.]
	Cross-jurisdictional claims	[Please provide quantitative data. This may include a value range where the template is completed on a category basis.]
	Total deposits	[Please provide quantitative data. This may include a value range where the template is completed on a category basis.]
	Total covered deposits	[Please provide quantitative data. This may include a value range where the template is completed on a category basis.]
	Any indicators taken into account from the list of ‘optional’ indicators in Annex II
Risk profile	Overall Supervisory review and evaluation process (SREP) score	[This may include a value range where the template is completed on a category basis.]
	SREP score assigned to capital adequacy	[This may include a value range where the template is completed on a category basis.]
	SREP score assigned to liquidity adequacy	[This may include a value range where the template is completed on a category basis.]
	SREP score assigned to internal governance and institution-wide controls	[This may include a value range where the template is completed on a category basis.]
	Any indicators taken into account from the list of ‘optional’ indicators in Annex II
Legal status	Regulatory permissions and authorisations, in particular in relation to the use of advanced models for the calculation of own funds requirements for credit, market and operational risk	[Please provide a description of the regulated activities for which the institution, or category of institution, has permission to carry on and describe whether advanced models are used (and, if so, please describe the model applied).]
	Any indicators taken into account from the list of ‘optional’ indicators in Annex II
Nature of business	SREP score assigned to business model and strategy	[This may include a value range where the template is completed on a category basis.]
	The institution's position in the jurisdictions in which it operates in terms of the critical functions and core business lines offered in each jurisdiction and the market share of the institution	[Please provide a description of the critical functions and core business lines offered in each jurisdiction. Where the template is completed on a category basis this may take the form of a general description of the critical functions and core business lines offered by the institutions failing within the category.]
	Any indicators taken into account from the list of ‘optional’ indicators in Annex II
Shareholding structure	Degree of concentration of shareholders	[Please include in your response the % shareholding held by the top 5 shareholders of ordinary shares. Where the template is completed on a category basis this may take the form of a general description of the degree of concentration of shareholders of institutions within the category.]
	Any indicators taken into account from the list of ‘optional’ indicators in Annex II
Legal form	Structure of the institution: is the institution part of a group and, if so, does the group has a complex, highly interconnected structure	[Where the template is completed on a category basis this may take the form of a general description of the structure of the institutions within the category.]
	The type of incorporation of the institution (e.g. private limited company, limited liability company or other type of company defined in national law)	[Where the template is completed on a category basis this may take the form of a general description of the type of incorporation of the institutions within the category.]
	Any indicators taken into account from the list of ‘optional’ indicators in Annex II
Membership of an institutional protection scheme (IPS) or other cooperative mutual solidarity system as referred to in Article 113(7) of Regulation (EU) No 575/2013	Function of the institution in the system as participant or central institution or as a provider of critical functions to the system	[Please provide a description of the function of the institution in the system (e.g. as participant or central institution or as provider of critical functions to other participants, or potentially as a party exposed to the scheme's concentration risk).] [Where the template is completed on a category basis this may take the form of a general description of the institutions within the category.]
	Relative size of the guarantee fund v the institution's total funds	[Please provide quantitative data. This may include a value range where the template is completed on a category basis.]
	Any indicators taken into account from the list of ‘optional’ indicators in Annex II
Other remarks		[Please provide a description of any other factors which were taken into account in making the determination referred to above.]
[Within this section please provide, having regard, as relevant, to: the relevant Articles [please be more specific] of Directive 2014/59/EU set out in the relevant row of the table; Section A of the Annex to Directive 2014/59/EU and the Commission Supplementing Regulation on the content of recovery plans; Section B of the Annex to Directive 2014/59/EU and the Commission Supplementing Regulation on resolution plan requirements; Section C of the Annex to Directive 2014/59/EU, a description of the difference between full obligations and the applicable simplified obligations.]
Describe the simplified obligations as regards the contents and details of recovery plan		[Please describe the difference between full obligations and the applicable simplified obligations (i.e. what is it that the institution does not/the institutions do not need to comply with), for example, having regard to the list in Section A of the Annex to Directive 2014/59/EU and the Commission Supplementing Regulation on the content of recovery plans, which elements are not required pursuant to the simplified obligations applied to the institution/category of institution.]
Describe the simplified obligations as regards the contents and details of resolution plan
When was/is the first recovery plan/resolution plan to be drawn up and how frequently is it to be updated
Describe the simplified obligations as regards the contents and details of information required under Article 5(5), Article 11(1) and Article 12(2) and in Sections A and B of the Annex to Directive 2014/59/EU
Describe the simplified obligations as regards the level of detail required for the assessment of resolvability provided for in Articles 15 and 16 and Section C of the Annex to Directive 2014/59/EU

[The notes included in this template are intended to assist the authorities when completing the template and do not form part of the template.]
Member State
Name of competent authority/resolution authority submitting the report	[Competent authorities and resolution authorities are expected to complete a report dealing with those institutions to which waivers are granted in relation to the relevant requirements of Sections 2 and 3 of Chapter I of Directive 2014/59/EU. Competent and resolution authorities must report on all institutions to which waivers are granted.]
Reference period
Name of category of credit institution or name of credit institution[When reporting on a category basis, the LEI numbers should be provided for each institution in the category; where these are not available, the names of the institutions should be provided.]	[If the report is completed with regard to a specific category of institution, please provide a description of the category, including the key characteristics of institutions in that category (e.g. by reference to SREP classification or other applicable classification system). Please also provide a list of the LEI numbers or, where LEI numbers are not available, the names of the institutions within the category. Where more than one category of institution exists, please complete the report for each category.]
Basis for granting the waiver having regard to the relevant criteria set out in Article 4(8) of Directive 2014/59/EU
Institutions affiliated to a central body and wholly or partially exempted from prudential requirements in national law in accordance with Article 10 of Regulation (EU) No 575/2013	[Within this section please provide a description of the characteristics of the [category of institution/institution].]
Institutions which are members of an IPS

Total assets

Total EAD

Total assets/Member State's GDP

Total EAD/Member State's GDP

Total RWAs

Total liabilities

Total client money

Total client assets

Total fees and commission income

Market capitalisation

Value of assets under custody

Value of OTC derivatives (notional)

Interbank assets

Interbank liabilities

Inter-financial sector liabilities

Inter-financial sector assets

Cross-jurisdictional liabilities

Cross-jurisdictional claims

Debt securities outstanding

Value of domestic payment transactions

Total deposits

Total covered deposits

Private sector deposits from depositors in the Union

Value of private sector loans, including committed facilities and syndicated loans

Number of private sector loans

Number of deposit accounts — business

Number of deposit accounts — retail

Number of retail customers

Number of domestic subsidiaries and branches

Number of foreign subsidiaries and branches (to be broken down into subsidiaries and branches established in other Member States and in third countries)

Membership of financial market infrastructure

Critical functions provided by the institution to other group companies or by group companies to the institution

Critical functions and core business lines in each relevant jurisdiction, including the provision of services to other institutions

Clearing, payment and settlement services provided to market participants or others and number of other providers available to the market

Payment services provided to market participants or others and number of other providers available to the market

Geographical breakdown of the institution's activity (including the number of jurisdictions in which the institution, and subsidiary entities, operates and the size of the operations)

The institution's market share per business line per jurisdiction (for example, deposit taking, retail mortgages, unsecured loans, credit cards, SME lending, corporate lending, trade finance, payments activities and the provision of other critical services)

The type of regulatory permissions and authorisations (e.g. investment firm or a credit institution; the use of advanced models for the calculation of own funds requirements for credit, market and operational risk)

Private sector loans to domestic recipients

Private sector loans to recipients in a specific region

Mortgage loans to recipients in the Union

Mortgage loans to domestic recipients

Retail loans to recipients established in the Union

Retail loans to domestic recipients

Supervisory Review and Evaluation Process — SREP — score (overall)

SREP scores assigned to capital adequacy, liquidity adequacy, internal governance and institution-wide controls assessments

Regulatory permissions and authorisations, in particular in relation to the use of advanced models for the calculation of own funds requirements for credit, market and operational risk

The overall institution's business model, its viability and sustainability of the institution's strategy based on the outcomes of the business model analysis performed as part of SREP according to the EBA Guidelines for common procedures and methodologies for SREP. For this purpose authorities may use the SREP score assigned to business model and strategy

The institution's position in the jurisdictions in which it operates in terms of the critical functions and core business lines offered in each jurisdiction and the market share of the institution (concentration)

Whether shareholders are concentrated or dispersed, in particular taking account of the number of qualified shareholders and the extent to which the shareholding structure may impact the availability of certain recovery actions for the institution and the resolution tools for the resolution authority

The structure of an institution in terms of assessing whether the institution is part of a group and, if so, whether the group has a complicated or simple structure having regard to financial and operational inter-dependencies

The type of the incorporation of the institution into a private limited company, a limited liability company or any other type of company defined within national law

The size of the guarantee fund relative to the institution's total funds (IPS and other mutual solidarity systems only)

The type of the mutual solidarity system and its risk management policies and procedures

The degree of interconnectedness to other IPS participants