Free PDF Format - West Virginia

IN THE UNITED STATES DISTRICT COURT FOR THE NORTHERN DISTRICT OF WEST VIRGINIA

_________________________________ _________________________________ _________________________________ _________________________________ _________________________________,

) ) ) ) ) ) Plaintiff(s), ) ) v. ) ) _________________________________ ) _________________________________ ) _________________________________ ) _________________________________ ) _________________________________, ) ) Defendant(s)/ ) Third-Party Plaintiff(s), ) ) v. ) ) _________________________________ ) _________________________________ ) _________________________________ ) _________________________________ ) _________________________________, ) ) Third-Party Defendant(s). ) ____________________________________)

Civil Action No. ________________

DISCLOSURE STATEMENT PURSUANT TO Fed. R. Civ. P. 7.1 (Civil Action) Pursuant to Rule 7.1 of the Federal Rules of Civil Procedure, ____________________,
(type of party)

who is ________________________________________, makes the following disclosure:
(name of party)

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1.

Is the party a non-governmental corporate party?

9 YES
2.

9 NO

If the answer to Number 1 is "yes," list below any parent corporation or state that there is no such corporation:

________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________

3.

If the answer to Number 1 is "yes," list below any publically-held corporation that owns 10% or more of the party's stock or state that there is no such corporation: ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________

The undersigned party understands that under Rule 7.1 of the Federal Rules of Civil Procedure, it will promptly file a supplemental statement upon any change in the information that this statement requires.

__________________________________ Signature of Counsel for Party Date: ___________________

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