Free [PFP#900387938] - Louisiana

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF LOUISIANA

CIVIL ACTION V NO. SECTION ( )

STATEMENT IN COMPLIANCE WITH UNIFORM LOCAL RULE 5.6E CORPORATE DISCLOSURE

NON-GOVERNMENTAL CORPORATE PARTY TO THIS ACTION

PUBLICLY HELD COMPANY THAT OWNS 10% OR MORE OF THE PARTY'S STOCK

PARENT CORPORATIONS

Date

Attorney

Bar Roll Number

Address

TO BE FILED IN DUPLICATE IN THE CLERK'S OFFICE.