Criminal Disclosure Statement

ALSD Rev. 5/2014 UNITED STATES DISTRICT COURT FOR THE SOUTHERN DISTRICT OF ALABAMA ) ) ) ) ) ) ) ) Criminal Action No. vs. CRIMINAL DISCLOSURE STATEMENT Pursuant to Criminal Local Rule 12.4 of the Southern District of Alabama and to enable Judges and Magistrate Judges to evaluate possible disqualification or recusal, the undersigned counsel for certifies as follows: (1) Non-governmental Parties. A. state the full name of every party or amicus the attorney represents in the action; and B. if such party or amicus is a corporation: i. identify any parent corporation and any publicly held corporation owning 10% or more of its stock; or ii. state there is no such corporation; and C. state the names of all law firms whose attorneys will appear, or are expected to appear, for the party in this Court. . American LegalNet, Inc. www.FormsWorkFlow.com ALSD Rev. 5/2014 2 (2) Organizational Victims. A. state the full name of every victim that has been identified; and B. if such victim is a corporation: i. identify any parent corporation and any publicly held corporation owning 10% or more of its stock; or ii. state there is no such corporation. . Date Signature of Attorney American LegalNet, Inc. www.FormsWorkFlow.com