Fill and Sign the Disclosure of Corporate Affiliations and Financial Interest Delaware Form

IN THE SUPREME COURT OF THE STATE OF DELAWARE (1) , : No. (5) (2) Below, : Appellant, : v. : : (3) , : (4) Below, : Appellee. : DISCLOSURE OF CORPORATE AFFILIATIONS AND FINANCIAL INTEREST Pursuant to Supreme Court Rule 7(g), (6) makes the following disclosure: 1. List any entity not named in the caption which is an active participant in the underlying transaction, involved in this proceeding, e.g., financial advisors, lending institutions, equity investors. 2. Is the party identified above a subsidiary or affiliate of a publicly owned corporation? Yes No If the answer is YES, list below the identity of the parent corporation or affiliate and the relationship between it and the named party: 3. Is there a publicly owned corporation, not a party to the appeal, that has a substantial financial interest in the outcome? Yes No If the answer is YES, list below the identity of such corporation and the nature of the financial interest: Date: ___________________ ____________________________________ Signature of Counsel INSTRUCTIONS FOR DISCLOSURE OF CORPORATE AFFILIATIONS AND FINANCIAL INTEREST. The disclosure statement must be completed and filed with the Supreme Court, within fifteen (15) days of the notice of docketing the appeal, or concurrently by a party with the filing of a motion or other document seeking to expedite the proceedings and within two (2) days of service of such a document by all other parties. The names of all reporting parties shall be included on the form. Attach separate page or pages if additional space is needed. An original and five (5) copies of this form are to be filed. Each party shall have a continuing duty to file an amended form within 24 hours of any event affecting that party, which changes or renders incomplete any information previously disclosed. Insertions to Official Form P: [1] Appellant's name. [2] Appellant's lower court status. [3] Appellee's name. [4] Appellee's lower court status. [5] Supreme Court appeal number. [6] Name of party. (Added, effective Feb. 3, 1994; amended, effective Apr. 1, 1998, Apr. 6, 1999.)