Civil Corporate Disclosure Statement

IN THE UNITED STATES DISTRI CT COURT FOR THE NORTHERN DISTRICT O F WEST VIRGINIA _________________________________ ) _________________________________ ) _________________________________ ) _________________________________ ) _________________________________,) ) Plaintiff(s), ) ) v. ) ) _________________________________ ) Civil Action No. _________________________________________________ ) _________________________________ ) _________________________________ ) _________________________________,) ) Defendant(s)/ ) Third-Party Plaintiff(s), ) ) v. ) ) _________________________________ ) _________________________________ ) _________________________________ ) _________________________________ ) _________________________________,) ) Third-Party Defendant(s). ) ____________________________________) DISC LOSU RE ST ATE MENT P URSU ANT TO Fed. R. Civ. P. 7.1 (Civil Action) Pursuant to Rule 7.1 of the Federal Rules of Civil Procedure, ____________________, (type of party)who is ________________________________________, makes the following disclosure: (name of party) 1. Is the party a non-governmental corporate party? Page 1 of 2 <<<<<<<<<********>>>>>>>>>>>>> 2 9 YES 9 NO2. If the answer to Number 1 is yes, list below any parent corporation or state that there is no such corporation: ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________3. If the answer to Number 1 is yes, list below any publically-held corporation that owns 10% or more of the partys stock or state that there is no such corporation: ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ The undersigned party understands that under Rule 7.1 of the Federal Rules of CivilProcedure, it will promptly file a supplemental statement upon any change in the information that thisstatement requires. __________________________________ Signature of Counsel for PartyDate: ___________________ Page 2 of 2