FRY-6

0MB Number 7100-0297

Approval expires September 30 , 2018
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 This report form is to be filed by all top-tier bank holding compa-
Holding Company Act (12 U.S.C. § 1844 (c)(1 )(A)); Section 8(a) nies and top-tier savings and loan holding companies organized
of the International Banking Act (12 U.S.C. § 3106(a)); Sections under U.S. law, and by any foreign banking organization that
11(a)(1), 25 and 25A of the Federal Reserve Act (12 U.S.C. does not meet the requirements of and is not treated as a qualify-
§§ 248(a)(1), 602, and 611a); Section 211.13(c) of Regulation K ing foreign banking organization under Section 211.23 of
(12 C.F.R. § 211 .13(c)); and Section 225.5(b) of Regulation Y (12 Regulation K (12 C.F.R. § 211 .23) . (See page one of the general
C.F.R. § 225 .5(b)) and section 1O(c)(2)(H) of the Home Owners' instructions for more detail of who must file.) The Federal
Loan Act. Return to the appropriate Federal Reserve Bank the Reserve may not conduct or sponsor, and an organization (or a
original and the number of copies specified . person) is not required to respond to, an information collection
unless it displays a currently valid 0MB control number.

NOTE: The Annual Report of Holding Companies must be signed Date of Report (top-tier holding company's fiscal year-end):
by one director of the top-tier holding company. This individual
should also be a senior official of the top-tier holding company. In December 31. 2016
Month / Day / Year
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- N/A
man of the board must sign the report. Reporter's Legal Entity Identifier (LEI) (20-Character LEI Code)

1, Blas I. Betancourt Reporter's Name, Street, and Mailing Address

Name of the Holding Company Director and Official Intercontinental Bankshares, LLC
Director Legal Title of Holding Company
Title of the Holding Company Director and Official
5722 SW 8th Street
attest that the Annual Report of Holding Companies (including (Mailing Address of the Holding Company) Street/ P.O. Box
the supporting attachments) for this report date has been pre-
pared in conformance with the instructions issued by the Federal West Miami FL 33144
Reserve System and are true and correct to the best of my City State Zip Code
knowledge and belief. Same as above
Physical Location (if different from mailing address)
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 Person to whom questions about this report should be directed :
that it has the authority, on behalf of each individual, to consent or Blas I. Betancourt Director
object to public release of information regarding that individual. Name
- -----------
Title
The Federal Reserve may assume, in the absence of a request for 305-263-7900
confidential treatment submitted in accordance with the Board's Area Code/ Phone Number/ Extension
"Rules egarding Availability of Information," 12 C.F.R. Part 2131,
tha t Re,!o er nd · dividual consent to public release of all
305-263-9866
d if in ttfe r po c c rninA hat individual. Area Code/ FAX Number
[email protected]
E-mail Address
N/A
Address (URL) for the Holding Company's web page
Date of Signature
Does the reporter request confidential treatment for any portion of this
For holding companies not registered with the SEC- submission?
Indicate status of Annual Report to Shareholders:
D is included with the FR Y-6 report 0 Yes Please identify the report items to which this request applies:
0 will be sent under separate cover (4)(c)
D is not prepared
0 In accordance with the instructions on pages GEN-2
and 3, a letter justifying the request is being provided.
For Federal Reserve Bank Use Only
D The information for which confidential treatment is sought
RSSDID 3~~ 7~3 is being submitted separately labeled "Confidential."
C.I.

Public reporting burden for this information collection is estimated to vary from 1.3 to 101 hours per response. with an average of 5.25 hours per response , including time to gather and
maintain data in the required form and to review instructions and complete the information collection . Send comments regarding this burden estimate or any other aspect of this collection of
information, including suggestions for reducing this burden to: Secretary, Board of Governors of the Federal Reserve System, 20th and C Streets. NW, Washington, DC 20551 , and to the
Office of Management and Budget, Paperwork Reduction Project (7100-0297), Washington , DC 20503.
12/2015
 Form FR Y-6

Intercontinental Bankshares, LLC

West Miami, Florida

Fiscal Year Ending December 31, 2016

Reporter's Legal Entity Identifier - NIA

Report Item 2a: Organization Chart Intercontinental Bankshares, LLC

West Miami, FL

(State of Incorporation - Florida, USA)

100%
Intercontinental Bank
West Miami, FL

(State of Incorporation - Florida, USA)

Results : A list of bninches for your holdin1 company: INTERCONTINENTAL BANKSHARES, UC (3887323) of MIAMI, FL
The data are as of 12/3 1/20 16. Data reflects inform.1tion that was received and processed through 04/05/2017.

Recondllation and Verification Steps

1. In the Data Action column of each branch row, enter one or more of the .1ctions specified below
2. If required, enter the date in the Effecttve D•te column

OK : If the branch information Is correct, enter 'OK' In the Data Action column.
Change: If the bninch Information is incorrect or incomplete, revise the data, enter 'Change' in the D•t• Action column and the date when this Information first became valid in the EffectNe Date column .
Close : If a branch listed was sold or dosed, 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 report.1ble branch is missing, insert a row, add the branch dat.1, 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 Procedure
When 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 n.1me, city and state in the subject line of the e-mail .

Note:
To satisfy the FR V-10 reporting requirements, you must also submit FR Y-10 Domestic Branch Schedules for each branch with a Data Action of Change, Close, Delete, or Add .
The FR Y-10 report may be submitted In a hardcopy format or vi.a the FR Y-10 Online .application - https ://y10online.federa1reserve.gov.

• FDIC UNINUM, Office Number, .and ID_RSSO columns are for reference only. Verification of these v;;alues is not required .

Data Action Effective Date Street Address City State Zip Code County Country FDIC UNINUM• Office Numbe,.. Head Office Head Office ID_RSso• Comments
OK 5722 SOUTHWEST 8TH STREET WEST MIAMI FL 33144 MIAMI-DADE UNITED STATES Not Required Not Re uired INTERCO NTINENTAL BANK 3122828
 Form FR Y-6

Intercontinental Bankshares, LLC

West Miami, Florida

Fiscal Year Ending December 31 , 20 16

Report Item 3: Securities Holders

(l)(a)(b)(c) and (2)(a)(b)(c)

Current securities holders with ownership, control or holdings of 5% or more Securities holders not listed in 3(l)(a) through 3(l)(c) that had ownership, control or holdings
with power to vote as of fiscal year ending 12-31-2016 of 5% or more with power to vote during fiscal year ending 12-31-2016

( I )(b) ( I)( c) (I )(b) ( I)(c)

( l )(a) Country of Number and Percentage of ( l)(a) Country of Number and Percentage of
Name Citizenship or Each Class of Voting Name Citizenship or Each Class of Voting
City State, Countrv Incorooration Securities (Units) Citv, State, Countrv Incorporation Securities

Orestes A. Acosta Venezuela - US Resident 29,050 7.00%

Hollywood, Florida, USA

Manuel Herrera Venezuela - US Resident 20,750 5.00%

Coral Gables, FL, USA

Angel Meza Venezuela 20,750 5.00%

Miami, Florida, USA

Horacio Pinto Venezuela - US Resident 29,050 7.00%

Caracas, Venezuela

Pedro Torres Venezuela - US Resident 32, 163 7.75%

Aventura, Florida, USA

Domingo Goncalves Venezuela 24,059 5.80%

Caracas, Venezuela

Mercedes Weitzmann USA 29,503 7. 11%

Miami, Florida, USA

Alvaro Gorrin Ramos Venezuela - US Resident 41 ,085 9.90%

Coral Gables, Florida, USA

Operadora Daal, C.A. (a Venezuelan Company) Venezuela 3 1, 196 7.52%

Caracas, Venezuela

Mauro Libi Venezuela 37,350 9.00%

Caracas, Venezuela
 Fonn FR Y-6

Intercontinental Bankshares, LLC

West Miami, Florida

Fiscal Year Ending December 31, 2016

Report Item 4: Insiders

(I), (2), <3XaXbXc), and (4XaXbXc)

(4)(b) (4)(c)
Percentage List names of other
(2) (4)(a) of Voting companies (includes
Principal Percenta~c Shares in partnerships) if25% or
Occupation if (3)(a) (3)(b) (3)(c) of Voting Subsidiaries more of voting securities
(I) other than with Title & Position Title & Position with Title & Position with Shares in (include are held (List names of
Name Bank Holding with Bank Subsidiaries (include Other Businesses (include Bank Holding names of companies and percentage
City, State, Country Company Holding Company names of subsidiaries) names of other businesses) Company subsidiaries) of voting securities held)

Alvaro Gorrin Ramos Principal Securities

Retired None None 9.90% None NIA
Coral Gables, FL, USA Holder

Blas I. Betancourt President, CEO & Director

Banker Director None None None NIA
Coral Gables, Florida, USA of Intercontinental Bank

Domingo Alonso Director of Intercontinental

Accountant Director President of Alonso & Garcia, P.A. None None Alonso & Garcia - 99.99%
Coral Gables, Florida, USA Bank
Senior Lending Officer,
Felix Montanaro Secretary of the Director & Secretary of the
Banker None None None NIA
Miami, Florida, USA Board of Directors BOD of Intercontinental
Bank
President & CEO of
Freddy Martinez Financial Advisor Director of Intercontinental Forem Investments LLC - 90%
Director Forem Investments LLC & None None
Miami, Florida, USA (CFP) Bank Forem Capital Partners - 90%
Fnrem rl'lnital P!IJtOPfC:
John A. Gelety Director of Intercontinental Director of Herzfeld Caribbean Basin
Attorney Director None None NI A
Miami, Florida, USA Bank Fund

JAG Realty LLC None None JAG Realty LLC - 100%

President of John A. Gelety, P.A. John A. Gelety, P.A. - 100%

None None
(inactive) (inactive)