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Disclosure Of Corporate Affiliations And Other Entities With A Direct Financial Interest - North Carolina
| Disclosure Of Corporate Affiliations And Other Entities With A Direct Financial Interest Form. This is a North Carolina form and can be used in USDC Western Federal . |
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UNITED STATES DISTRICT COURT FOR THE WESTERN DISTRICT OF NORTH CAROLINA CASE NO. Plaintiff(s), v. Defendant(s). ) ) ) ) ) ) ) DISCLOSURE OF CORPORATE AFFILIATIONS AND OTHER ENTITIES WITH A DIRECT FINANCIAL INTEREST IN LITIGATION Only one form need be completed for each nongovernmental party even if the party is represented by more than one attorney. Disclosures must be filed on behalf of individual nongovernmental parties as well as nongovernmental corporate parties. Counsel have a continuing duty to update this information. An executed form should be electronically filed, plaintiff or moving party must serve this 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 No 2. Does party have any parent corporations? Yes No If yes, identify all parent corporations, including grandparent and greatgrandparent 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: NCWDCorporateDisclosureMay2012 American LegalNet, Inc. www.FormsWorkFlow.com 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: s/ Signature Date NCWDCorporateDisclosureMay2012 American LegalNet, Inc. www.FormsWorkFlow.com
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