Disclosure Of Corporate Affiliations And Other Entities Template printable pdf download

Disclosure Of Corporate Affiliations And Other Entities Template

UNITED STATES DISTRICT COURT

FOR THE WESTERN DISTRICT OF NORTH CAROLINA

CASE NO.

)

Plaintiff(s),

)

Defendant(s).

)

DISCLOSURE OF CORPORATE AFFILIATIONS AND OTHER ENTITIES

WITH A DIRECT FINANCIAL INTEREST IN LITIGATION

Only one form need be completed for each nongovernmental party even if the party is

represented by more than one attorney.

Disclosures must be filed on behalf of

individual nongovernmental parties as well as nongovernmental corporate parties.

Counsel have a continuing duty to update this information. An executed form should be

electronically filed, plaintiff or moving party must serve this on the defendant(s) or

respondent(s) when initial service is made.

____________________________ who is _________________________________

(Name of Party)

(Plaintiff / moving party or defendant)

makes the following disclosure:

1. Is party a publicly held corporation or other publicly held entity?

Yes

2. Does party have any parent corporations?

Yes

If yes, identify all parent corporations, including grandparent and great-

grandparent corporations:

3. Is 10% or more of the stock of a party owned by a publicly held corporation or

other publicly held entity?

Yes

If yes, identify all such owners:

NCWD‐Corporate Disclosure – May 2012

Disclosure Of Corporate Affiliations And Other Entities Template