**SAMPLE NOTICE FORMAT**
Note: W hen E-Filing this pleading, please enter a separate docket entry. The event entry is located on CM/ECF by clicking: CIVIL > OTHER DOCUMENTS > CORPORATE DISCLOSURE STATEMENT A screen-fillable Adobe Acrobat PDF form, which can be saved and E-Filed, is available on-line; it is available at http://www.almd.uscourts.gov/formfeespubs/att_forms.htm
IN THE UNITED STATES DISTRICT COURT FOR THE MIDDLE DISTRICT OF ALABAMA ________________________ DIVISION _________________________________, Plaintiff, v. _________________________________, Defendants, ) ) ) ) ) ) ) ) )
CASE NO. __________________
CONFLICT DISCLOSURE STATEMENT COMES NOW ___________________, a [Plaintiff/Defendant] in the above-captioned matter, and in accordance with the order of this Court, making the following disclosure concerning parent companies, subsidiaries, partners, limited liability entity members and managers, trustees (but not trust beneficiaries), affiliates, or similar entities reportable under the provisions of the Middle District of Alabama's General Order No. 3047: This party is an individual, or This party is a governmental entity, or There are no entities to be reported, or The following entities and their relationship to the party are hereby reported:
Reportable Entity
________________________________ ________________________________ ________________________________ ________________________________
Relationship to Party
_________________________________ _________________________________ _________________________________ _________________________________
Date
Signature Counsel Counsel for (print names of all parties) Address, City, State Zip Code Telephone Number
Also requires a certificate of Service