BUY™	SELL™	SHOP™
Downloaded From www.TextBookDiscrimination.com
SELL YOUR OWN TEMPLATES (help others get the justice that they deserve)
BUY™	SELL™	SHOP™

UNITED STATES DISTRICT COURT

[courtDistrict], [courtDivision]

[plfName]	)	Case No (LT)
Plaintiff	)	[caseNo]
)
v.	)
)
[defName]	)
Defendant	)

PLAINTIFF’S CERTIFICATE OF INTERESTED PERSONS AND CORPORATE DISCLOSURE STATEMENT

Plaintiff, [plfName], on this [d] day of [MMM] [YYYY], hereby submits his ‘Certificate of Interested Persons and Corporate Disclosure Statement’ pursuant to this Honorable Court’s Order (see Doc No [docNo]) as well as Rule 7.1 Fed. R. Civ. P..

Plaintiff is a nongovernmental party.

Plaintiff is a natural person.

Plaintiff is a US resident, and a resident of the State of [stateName]. At all times material, Plaintiff lived at [homeAddress], [city], [abbr] [zip].

Plaintiff is not a subsidiary of any parent corporation.

No publicly-held corporation owns more than 10% stock in Plaintiff’s operations.

Lastly, Plaintiff does not know of any persons interested (or corporations interested) in Defendant’s unlawful employment practices – as outlined in Plaintiff’s complaint.

CERTIFICATE OF COMPLIANCE

I certify that the size and style of type used in this document is Times New Roman 14-point Font (caption) and Courier New 12-point Font (contents); thus complying with the font requirements of Local Rule 1.05(a).

CERTIFICATE OF SERVICE

I HEREBY CERTIFY that on this [D] day of [MMM] [YYYY], I electronically filed the foregoing with the Clerk of Courts by using its online filing page. I also emailed it to the attached service list.

/s/ [plfName]

[plfName], Plaintiff

[plfAddy]

P: [plfPhn]

E: [plfEml]

W: TextBookDiscrimination.com

Endnotes:

How-To Guide: (interactive)

TextBookDiscrimination.com/Guides/CorporateDisclosures.html

SERVICE LIST

[defAtt], Esquire ([barNum]) E: [defEml] P: [defPhn] (defendant’s trial lawyers)

BUY™	SELL™	SHOP™
Downloaded From www.TextBookDiscrimination.com
SELL YOUR OWN TEMPLATES (help others get the justice that they deserve)
BUY™	SELL™	SHOP™