MOW 1007-1.1 (05/07)
UNITED STATES BANKRUPTCY COURT WESTERN DISTRICT OF MISSOURI
IN RE:
Debtor(s)
) ) ) ) Case No. ) ) CORPORATE OWNERSHIP STATEMENT
In a case in which the debtor is a corporation, the following information is required pursuant to Fed. R. Bankr. P. 1007(a)(1) and 7007.1 and Local Rule 1007-1 A. (11): G G
There are no corporations that directly or indirectly own 10% of more of any class of the debtor's equity interest. The following corporations directly or indirectly own 10% or more of a class of the debtor's equity interest: 1. 2. 3.
Name Address Phone E-Mail Address
cc: U.S. Trustee
Instructions: File as a separate document on the day the voluntary petition is filed. ECF Event: Bankruptcy>Other>Declaration: (insert "Corporate Ownership Statement" in free text box)