SEC FORM
3
SEC Form 3
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
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OMB APPROVAL |
OMB Number: |
3235-0104 |
Estimated average burden |
hours per response: |
0.5 |
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1. Name and Address of Reporting Person*
C/O FANNIE MAE |
3900 WISCONSIN AVE NW |
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 11/04/2011
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3. Issuer Name and Ticker or Trading Symbol
FEDERAL NATIONAL MORTGAGE ASSOCIATION FANNIE MAE
[ FNMA ]
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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Director |
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10% Owner |
X |
Officer (give title below) |
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Other (specify below) |
SVP & Controller
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5. If Amendment, Date of Original Filed
(Month/Day/Year)
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6. Individual or Joint/Group Filing (Check Applicable Line)
X |
Form filed by One Reporting Person |
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Form filed by More than One Reporting Person |
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Table I - Non-Derivative Securities Beneficially Owned |
1. Title of Security (Instr.
4)
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2.
Amount of Securities Beneficially Owned (Instr.
4)
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3. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
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4. Nature of Indirect Beneficial Ownership (Instr.
5)
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Common Stock |
3,460 |
D |
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Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivative Security (Instr.
4)
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2. Date Exercisable and Expiration Date
(Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr.
4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
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6. Nature of Indirect Beneficial Ownership (Instr.
5)
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Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Explanation of Responses: |
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/s/ Gregory A. Fink |
11/10/2011 |
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** Signature of Reporting Person |
Date |
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,
see
Instruction
5
(b)(v). |
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations
See
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,
see
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 Suzanne A. Barr,
Judith C. Dunn, Stephen H. McElhennon and
Veronique K. Fine, each with full power of
substitution, to execute and file on behalf of
the undersigned all Forms 3, 4 and 5
(including any exhibits, attachments and
amendments thereto) that the 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
Suzanne A. Barr, Judith C. Dunn, Stephen H.
McElhennon and Veronique K. Fine to execute and
file on behalf of the undersigned a Form ID,
and any amendments thereto, to facilitate the
foregoing. The authority of Suzanne A. Barr,
Judith C. Dunn, Stephen H. McElhennon and
Veronique K. Fine 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 or
transactions in securities of Fannie Mae, unless
earlier revoked in writing. The undersigned
acknowledges that Suzanne A. Barr, Judith C.
Dunn, Stephen H. McElhennon and Veronique K.
Fine are not assuming, nor is Fannie Mae
assuming, any of the undersigned's
responsibilities to file Forms 3, 4 and 5 or
otherwise comply with any related laws or
regulations.
This Limited Signatory Power revokes any
Signatory Power or Power of Attorney the
undersigned has previously signed with respect
to Forms 3, 4 and 5, and Form IDs, that the
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.
Date: November 9, 2011
Signed: /s/ Gregory A. Fink
Gregory A. Fink