Free Corporate Disclosure Statement - Michigan

W DMI Corporate Disclosure Statement pursuant to Fed. R. Civ. P. 7.1 or Fed. R. Crim. P. 12.4 (4/06)

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UNITED STATES DISTRICT COURT WESTERN DISTRICT OF MICHIGAN

Plaintiff(s), v.

Case No.

Defendant(s). __________________________________/

DISCLOSURE OF CORPORATE AFFILIATIONS AND FINANCIAL INTEREST Pursuant to Federal Rule of Civil Procedure 7.1, makes the following disclosure: 1. Is party a publicly held corporation or other publicly held entity? Yes No

_________________________________
(Party Name)

2. Does party have any parent corporations? Yes No If yes, identify all parent corporations, including grandparent and great-grandparent corporations:

3. Is 10% or more of the stock of party owned by a publicly held corporation or other publicly held entity? Yes No If yes, identify all such owners:

4. Is there any other publicly held corporation or other publicly held entity that has a direct financial interest in the outcome of the litigation? Yes No If yes, identify entity and nature of interest:

Date: __________________________

___________________________________
(Signature)