Business Entity Disclosure

IN THE UNITED STATES DISTRICT COURT FOR THE MIDDLE DISTRICT OF TENNESSEE , Plaintiff(s), v. Case No. , Defendant(s). BUSINESS ENTITY DISCLOSURE (Disclosure of corporate affiliations, business entity citizenship, and financial interests) Pursuant to Fed. R. Civ. P. 7.1 and L.R. 7.02, makes the following disclosures: INSTRUCTIONS: Check the applicable box or boxes, and fully provide any required information. Attach separate pages as necessary to fully provide required information. This party is an individual. This party is a publicly held corporation or other publicly held entity, incorporated in or with a principle place of business in . This party is a privately held corporation, incorporated in or with a principle place of business in . This party has parent corporations If yes, identify on attached page(s) all parent corporations, including grandparent and great- grandparent corporations. Ten percent or more of the stock of this party is owned by a publicly held corporation or other publicly held entity. If yes, identify on attached page(s) all such owners. www.FormsWorkFlow.com This party is a limited liability company or limited liability partnership. If yes, identify on attached page(s) each member of the entity and the member222s state of citizenship. If any member is other than an individual person, the required information identifying ownership interests and citizenship for each sub-member must be provided as well. See Delay v. Rosenthal Collins, Grp., LLC, 585 F.3d 1003 (6th Cir. 2009). This party is an unincorporated association or entity. If yes, identify on attached page(s) the nature of the entity, the members of the entity and the member222s state of citizenship. If any member is other than an individual person, the required information identifying ownership interests and citizenship for each sub-member must be provided as well. This party is trust. If yes, identify on attached page(s) each trustee and each trustee222s state of citizenship. If any trustee is other than an individual person, the required information identifying ownership of the non-individual the trustee and state of citizenship of each sub-trustee must be provided as well. Another publicly held corporation or another publicly held entity has a direct financial interest in the outcome of the litigation. If yes, identify on attached page(s) all corporations or entities and the nature of their interest. Any additional pertinent information should also be provided on attached page(s). Date: Signature: Printed Name: Title: CERTIFICATE OF SERVICE [Include certificate of service pursuant to LR 5.01. Attach as separate page if necessary due to space constraints.] www.FormsWorkFlow.com