UNITED STATES DISTRICT COURT DISTRICT OF NEW JERSEY
: : : : : Civil Action No. _______________
DISCLOSURE STATEMENT The undersigned counsel for________________________________________________, certifies that this party is a non-governmental corporate party and that:
This party's parent corporation, and all publicly held corporations owning 10% or more of this party's stock, are listed here: ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________
This party does not have a parent corporation, nor is there any publicly held corporation that owns 10% or more of this party's stock.
Signature of Attorney
Name of Firm
Print Name _______________ Date
Address ________________________________________ City/State/ZIP Code
Instructions: 1. Disclosure Statement is to be filed as a separate document. 2. Select Case Type (Civil) from the menu bar at the top of the ECF screen. 3. Click on Other Documents. 4. Select Corporate Disclosure Statement. 5. Enter the case for which the Disclosure Statement is being filed. 6. Select the PDF document to file. 7. Select the party filing the Disclosure Statement. 8. If applicable, insert the name of the Corporate Parent or leave blank. 9. Proofread the docket text. 10. Submit the Disclosure Statement by clicking the NEXT button.