Free Disclosure of Corporate Affiliations and Financial Interests - West Virginia


File Size: 374.9 kB
Pages: 1
Date: December 27, 2006
File Format: PDF
State: West Virginia
Category: Court Forms - Federal
Author: ras
Word Count: 204 Words, 1,790 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.wvsd.uscourts.gov/pdfs/disclosure_of_corporate_affiliations_and_financial_interest.pdf

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USDC/ATTY-010 | F R Civ P 7.1 (12/06) Disclosure of Corporate Affiliations and Financial Interest

UNITED STATES DISTRICT COURT
SOUTHERN DISTRICT OF WEST VIRGINIA AT SELECT ONE:

DISCLOSURE OF CORPORATE AFFILIATIONS AND FINANCIAL INTEREST
V.

CASE NUMBER

Pursuant to F R Civ P 7.1, any nongovernmental corporate party to an action or proceeding in a district court must: 1) identify any parent corporation and any publicly held corporation that owns ten percent or more of its stock; or 2) must state that there is no such corporation. Name of party: _________________________________________________________________ Check all that apply: I certify, as party/counsel in this case, that the above named party is not an affiliate or parent of any corporation, and no corporation, unincorporated association, partnership or other business entity, not a party to the case, has a financial interest in the outcome of this litigation. The following corporate affiliations exist with the above named party : Parent corporation/affiliate name: _____________________________________________ Relationship with named party: _______________________________________________ The following corporation, unincorporated association, partnership, or other business entities which are not parties may have a financial interest in the outcome of this litigation: Parent corporation/affiliate name: _____________________________________________ Nature of financial interest: __________________________________________________ _____________________________________________ Parent corporation/affiliate name: _____________________________________________ Nature of financial interest: __________________________________________________ Date: ___________________ ____________________________________t