Ankyrin-B is a spectrin-binding protein that is required for localization of inositol 1,4,5-trisphosphate receptor and ryanodine receptor in neonatal cardiomyocytes. This work addresses the interaction between ankyrin-B and  2 -spectrin in these cells. Ankyrin-B and  2 -spectrin are colocalized in an intracellular striated compartment overlying the M-line and distinct from Ttubules, sarcoplasmic reticulum, Golgi, endoplasmic reticulum, lysosomes, and endosomes.  2 -Spectrin is absent in ankyrin-B-null cardiomyocytes and is restored to a normal striated pattern by rescue with green fluorescent protein-220-kDa ankyrin-B. We identified two mutants (A1000P and DAR976AAA) located in the ZU5 domain which eliminate spectrin binding activity of ankyrin-B. Ankyrin-B mutants lacking spectrin binding activity are normally targeted but do not reestablish  2 -spectrin in ankyrin-B ؉/؊ cardiomyocytes. However, both mutant forms of ankyrin-B are still capable of restoring inositol 1,4,5-trisphosphate receptor localization and normal contraction frequency of cardiomyocytes. Therefore, direct binding of  2 -spectrin to ankyrin-B is required for the normal targeting of  2 -spectrin in neonatal cardiomyocytes. In contrast, ankyrin-B localization and function are independent of  2 -spectrin. In summary, this work demonstrates that interaction between members of the ankyrin and -spectrin families previously established in erythrocytes and axon initial segments also occurs in neonatal cardiomyocytes with ankyrin-B and  2 -spectrin. This work also establishes a functional hierarchy in which ankyrin-B determines the localization of  2 -spectrin and operates independently of  2 -spectrin in its role in organizing membrane-spanning proteins.