UNITED STATES BANKRUPTCY COURT NORTHERN DISTRICT OF FLORIDA ___________ DIVISION IN RE: CASE NO.: 06-00000-LMK [NAME OF DEBTOR(S)] , CHAPTER: Debtor(s). ________________________________/ CORPORATE OWNERSHIP STATEMENT Pursuant to Bankruptcy Rule 1007(a) or Bankruptcy Rule 7007.1, ____________________________________________________________, a (Name of Corporation) (check one) ___ Corporate Debtor ___ Party to an adversary proceeding ___ Party to a contested matter ___ Member of committee of creditors makes the following disclosure(s): All corporations, other than a governmental unit, that directly or indirectly own ten percent (10%) or more of any class of the corporation’s equity interests, are listed below: __________________________________________________________________________ OR ___ There are no entities that directly or indirectly own 10% or more of any class of the corporation’s equity interest. Dated: _______________________ By: _________________________ _________________________ _________________________ American LegalNet, Inc. www.FormsWorkflow.com