UNITED STATES DISTRICT COURT
NORTHERN DISTRICT OF OHIO
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Case No.
v.
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Corporate Disclosure Statement
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Pursuant to the Corporate Disclosure Statement provisions in Local Civil Rule 3.13(b) and
Local Criminal Rule 16.2: Any non-governmental corporate party to a proceeding must file a
statement identifying all its parent, subsidiary and other affiliate corporations and listing any publicly held
company that owns 10% or more of the party’s stock. A party must file the statement upon filing a
complaint, answer, motion, response or other pleading in this Court, whichever occurs first. The
obligation to disclose any changes will be continuing throughout the pendency of the case.
In compliance with those provisions, this Corporate Disclosure Statement is filed on behalf of:
_____________________________________________________________________.
1.
Is said party a parent, subsidiary or other affiliate of a publicly owned corporation?
_____ Yes
_____ No.
If the answer is Yes, list below the identity of the parent, subsidiary or other affiliate corporation
and the relationship between it and the named party:
2.
Is there a publicly owned corporation, not a party to the case, that has a financial interest in the
outcome? _____ Yes
_____ No.
If the answer is Yes, list the identity of such corporation and the nature of the financial interest:
(Signature of Counsel)
(Date)