Corporate Ownership Statement (Adversary Proceeding)

UNITED STATES BANKRUPTCY COURT Southern District of Indiana In re: ) ) ) ) ) Corp Ownership-Adv (rev 6/1/12) Case No. Debtor(s). vs. ) ) ) ) Plaintiff(s), ) ) ) ) ) Defendant(s). ) Adv. Proc. No. CORPORATE OWNERSHIP STATEMENT As required by Fed.R.Bankr.P. 7007.1(a), the party, (name), now files this Corporate Ownership Statement and reports as follows: (Check one box only.) Party is not a "corporation" as defined in 11 U.S.C. §101(9). Party is a "corporation" as defined in 11 U.S.C. §101(9) but has no entities to report under Fed.R.Bankr.P. 7007.1(a). Party is a "corporation" as defined in 11 U.S.C. §101(9), and the following corporations directly or indirectly own 10% or more of any class of the party's equity interests: (List corporations below.) (Signature of Party)* (Printed Name of Party) (Address) (City, State, ZIP Code) (Phone with Area Code) (Fax with Area Code) (E-mail) * (Note: If filing electronically, use the /s/ electronic signature per our Administrative Procedures Manual.) American LegalNet, Inc. www.FormsWorkFlow.com