Report Of Mediator

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF NORTH CAROLINA ___________ DIVISION In Re: Case No. __________________________ REPORT OF MEDIATOR Mediator Name: _________________________________________ This is an Interim Report. A final report is to be filed after resumption of the mediation. 1. Convening of Mediation. The mediated settlement conference ordered in this case: was held on ____________________________ (date) was NOT held because ______________________________________________________ 2. Attendance. No objection was made on the grounds that any required attendee was absent. 3. Outcome. The mediation resulted in: complete settlement of the case partial settlement of the case recess (i.e., mediation to be resumed at later date) impasse other disposition. Specify: __________________________________________________ 4. Settlement Filings (a) The document(s) to be filed to effect the settlement are: ______________________________ ______________________________________________________________________________ (b) The person responsible for filing the document(s) is: ________________________________ (c) The agreed deadline for filing the document(s) is: ___________________________________ I have submitted this completed report with seven (7) days after conclusion of the conference. Signature of Mediator: Date: ________________________________ ____________________________________ American LegalNet, Inc. www.FormsWorkFlow.com