Disclosure Of Corporate Affiliations Andfinancialinterest
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USDC/ATTY-010 | F R Civ P 7.1 (12/06) Disclosure of Corporate Affiliations and Financial Interest
U
S
D
C
NITED
TATES
ISTRICT
OURT
SOUTHERN DISTRICT OF WEST VIRGINIA
SELECT ONE:
AT
D
C
ISCLOSURE OF
ORPORATE
A
F
I
FFILIATIONS AND
INANCIAL
NTEREST
.
V
C
N
ASE
UMBER
Pursuant to F R Civ P 7.1, any nongovernmental corporate party to an action or proceeding
in a district court must: 1) identify any parent corporation and any publicly held corporation that
owns ten percent or more of its stock; or 2) must state that there is no such corporation.
Name of party: _________________________________________________________________
Check all that apply:
I certify, as party/counsel in this case, that the above named party is not an affiliate or parent
of any corporation, and no corporation, unincorporated association, partnership or other
business entity, not a party to the case, has a financial interest in the outcome of this
litigation.
The following corporate affiliations exist with the above named party :
Parent corporation/affiliate name: _____________________________________________
Relationship with named party: _______________________________________________
The following corporation, unincorporated association, partnership, or other business entities
which are not parties may have a financial interest in the outcome of this litigation:
Parent corporation/affiliate name: _____________________________________________
Nature of financial interest: __________________________________________________
_____________________________________________
Parent corporation/affiliate name: _____________________________________________
Nature of financial interest: __________________________________________________
____________________________________t
Date: ___________________
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