SEC Form 3
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
|Estimated average burden|
|hours per response:
1. Name and Address of Reporting Person*
2. Date of Event Requiring Statement
3. Issuer Name and Ticker or Trading Symbol
FEDERAL NATIONAL MORTGAGE ASSOCIATION FANNIE MAE
[ FNM ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
||Officer (give title below)
||Other (specify below)
|EVP and General Counsel||
5. If Amendment, Date of Original Filed
6. Individual or Joint/Group Filing (Check Applicable Line)
||Form filed by One Reporting Person
||Form filed by More than One Reporting Person
|Table I - Non-Derivative Securities Beneficially Owned|
|1. Title of Security (Instr.
Amount of Securities Beneficially Owned (Instr.
||3. Ownership Form: Direct (D) or Indirect (I) (Instr.
||4. Nature of Indirect Beneficial Ownership (Instr.
|no securities beneficially owned
Table II - Derivative Securities Beneficially Owned|
(e.g., puts, calls, warrants, options, convertible securities)
|1. Title of Derivative Security (Instr.
||2. Date Exercisable and Expiration Date
||3. Title and Amount of Securities Underlying Derivative Security (Instr.
||4. Conversion or Exercise Price of Derivative Security
||5. Ownership Form: Direct (D) or Indirect (I) (Instr.
||6. Nature of Indirect Beneficial Ownership (Instr.
||Amount or Number of Shares
|Explanation of Responses:|
||/s/ Beth Wilkinson
||** Signature of Reporting Person
|Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.|
|* If the form is filed by more than one reporting person,
|** Intentional misstatements or omissions of facts constitute Federal Criminal Violations
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).|
|Note: File three copies of this Form, one of which must be manually signed. If space is insufficient,
Instruction 6 for procedure.|
|Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.|
LIMITED SIGNATORY POWER
By this Limited Signatory Power the
undersigned authorizes and designates each of Sylvia Mahaffey and Scott
Lesmes to execute and file on behalf of the undersigned all Forms 3, 4
5 (including any exhibits, attachments and amendments thereto) that
undersigned may be required to file with the Securities and Exchange
Commission as a result of the undersigned’s ownership of or
transactions in securities of Fannie Mae. The undersigned further
authorizes and designates each of Sylvia Mahaffey and Scott Lesmes to
execute and file on behalf of the undersigned a Form ID to facilitate the
foregoing. The authority of Sylvia Mahaffey and Scott Lesmes under this
Limited Signatory Power shall continue until the undersigned is no longer
required to file Forms 3, 4 and 5 with regard to his or her ownership of
transactions in securities of Fannie Mae, unless earlier revoked in
writing. The undersigned acknowledges that Sylvia Mahaffey and Scott
Lesmes are not assuming, nor is Fannie Mae assuming, any of the
undersigned’s responsibilities to file Forms 3, 4 and 5 or
comply with any related laws or regulations.
Date: February 14,