Corporate Disclosure Statement

THE UNITED STATES DISTRICT COURT FOR THE SOUTHERN DISTRICT OF OHIO WESTERN DIVISION EASTERN DIVISION : : : : : : : __________________________________ v. __________________________________ Case No. _________________ Judge: ___________________ Corporate Disclosure Statement Pursuant to the Corporate Disclosure Statement provisions in Local Civil Rule 7.1.1: Any nongovernmental corporate party to a proceeding must file a Corporate Affiliations/Financial Interest statement identifying all of its parent, subsidiary and other affiliate corporations and listing any publicly held company that "controls, is controlled by, or is under common control with a publicly controlled corporation." A party must file the statement upon filing a complaint, answer, motion, response or other pleadings in this Court, whichever occurs first. The obligation to disclose any changes will be continuing throughout the pendency of this case. In Compliance with those provisions, this Corporate Disclosure Statement is filed on behalf of: _______________________________________________________________________. 1. Is said party a parent, subsidiary or other affiliate of a publicly owned corporations? ___ YES ___ NO If the answer is YES, list below the identity of the parent, subsidiary or other affiliate corporation and the relationship between it and the named party: ________________________________________________________________________ ________________________________________________________________________ 2. Is there a publicly owned corporation, not a party to the case, that has a financial interest in the outcome? ___ YES ___ NO If the answer is YES, list the identity of such corporation and the nature of the financial interest. ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ______________________________ Signature of Counsel ________________________ Date "Certificate of Service" COUNSEL ARE REMINDED OF THEIR CONTINUING OBLIGATION TO UPDATE AND SUPPLEMENT THIS STATEMENT American LegalNet, Inc. www.FormsWorkFlow.com