COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.NameJUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)Bar #FirmAddressTelephone. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .IN THE UNITED STATES DISTRICT COURTTHE PEOPLE OF THE STATE OF NEW YORK TOFOR THE DISTRICT OF ARIZONA123456789 10111213141516171819202122232425262728))))))))))))GREETINGS:Plaintiff,vs.WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the HonorableCase No. Corporate Disclosure Statement,located at County ofo'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomDefendant.Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply.ThisCorporateDisclosureStatementisfiledonbehalfof in compliance with the provisions of: (check one), one of the Justices of theCourt in Witness, Honorableday of, 20 County, Rule 7.1, Federal Rules of Civil Procedure, a nongovernmental corporate party to an(Attorney must sign above and type name below)action in a district court must file a statement that identifies any parent corporation and any publicly held corporation that owns 10% or more of its stock or states that there is no such corporation. Rule12.4(a)(1),FederalRuleofCriminalProcedure,anynongovernmentalcorporateAttorney(s) forOffice and P.O. Addressparty to a proceeding in a district court must file a statement that identifies any parent corporation and any publicly held corporation that owns 10% or more of its stock or states that there is no such corporation. Rule 12.4(a)(2), Federal Rule of Criminal Procedure, if an organizational victim ofalleged criminal activity is a corporation the government must file a statement identifying the victim and the statement must also disclose the information required by Rule 12.4(a)(1).Telephone No.: Facsimile No.: E-Mail Address:Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.The filing party hereby declares as follows: No such corporation. Party is a parent, subsidiary or other affiliate of a publicly owned corporation asJUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)listed below. (Attach additional pages if needed.) Relationship Publicly held corporation, not a party to the case, with a financial interest in the. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .outcome. List identity of corporation and the nature of financial interest. (Attach additional pages if needed.) Relationship Other(please explain) THE PEOPLE OF THE STATE OF NEW YORK TO123456789 10111213141516171819202122232425262728GREETINGS:A supplemental disclosure statement will be filed upon any change in the information provided herein.WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,Dated this day of , .located at County ofo'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomCounsel of RecordYour failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply., one of the Justices of theCertificate of Service:Court in Witness, Honorableday of, 20 County,(Attorney must sign above and type name below)Attorney(s) forOffice and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:Mobile Tel. No.:-2 -American LegalNet, Inc. www.USCourtForms.com