Annex I

CALCULATION OF FEES

Reference period

NAME

TOTAL RISK EXPOSURE

Date

MFI Code

LEI code

Item

Type of institution

Source for risk exposure amount

Risk exposure amount

Comments

010

020

030

040

010

TOTAL RISK EXPOSURE

(1), (2), (3) or (4)

COREP C 02.00, row 010

020

CONTRIBUTION OF SUBSIDIARIES in non-participating Member States or third countries

(4)

COREP C 06.02, col 250 (SUM)

021

Entity 1

(4)

.

Entity 2

(4)

.

Entity 3

(4)

N

Entity N

(4)

030

TOTAL RISK EXPOSURE AMOUNT of the supervised group deducting the CONTRIBUTION OF SUBSIDIARIES in non-participating Member States or third countries: Item 030 is equal to 010 minus 020

(4)

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