Free disclosure.pdf - North Carolina


File Size: 8.7 kB
Pages: 2
Date: January 16, 2003
File Format: PDF
State: North Carolina
Category: Court Forms - Federal
Author: Efren
Word Count: 195 Words, 1,990 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.ncmd.uscourts.gov/Webforms/disclosure.pdf

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UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF NORTH CAROLINA

Plaintiff(s), vs.

Defendant(s).

) ) ) ) ) ) ) )

Case No.:

DISCLOSURE OF CORPORATE, AFFILIATIONS AND OTHER ENTITIES WITH A DIRECT FINANCIAL INTEREST IN LITIGATION PLEASE COMPLETE ONLY ONE FORM FOR EACH NON-GOVERNMENTAL CORPORATE PARTY. COUNSEL HAVE A CONTINUING DUTY TO UPDATE THIS INFORMATION. PLEASE FILE AN ORIGINAL AND ONE COPY OF THIS FORM. PLAINTIFF OR MOVING PARTY MUST SERVE THIS FORM ON THE DEFENDANT(S) OR RESPONDENT(S) WHEN INITIAL SERVICE IS MADE. _________________________ who is ____________________________________, (Name of Party) (Plaintiff/moving party or defendant) makes the following disclosure: 1. Is party a publicly held corporation or other publicly held entity? ( ) Yes 2. ( ) No

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 a 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: _____________________________________ ________________________________________________________________________ ________________________________________________________________________

___________________________________ (Signature)

___________________________ (Date)

MDNC (01/03)