IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT COURT OF NEBRASKA ) Case No. ) Plaintiff(s), ) ) v. ) MEDIATION ) CLOSURE NOTICE ) ) Defendant(s). ) COMES NOW, _____________________________, by and through the undersigned mediator and states to the court as follows: I. Mediation in the above -cap tioned matter was scheduled for __________________________. II. On that date the following occurred: A. All parties mediated in good faith and reached: _____ 1) Agreement On All Issues _____ 2) Partial Agreement _____ 3) No Agreement B. Evaluation forms handed out to: _____ 1. Participants _____ 2. Attorneys (Please mail origina l eval uations to Kathy Griess, Mediation Coordinator, U.S. District Court, Roman L. Hruska U.S. Courthouse, 111 S. 18th Plaza, Suite 1152, Omaha, NE 68102-1322.) C. The parties were unable to mediate because the individual(s) named below either (1) did not attend; (2) did not have authority to settle; (3) attended but refused to participate (Circle the number that applies): >>>> 2 _____________________________________ 1 2 3 name _____________________________________ 1 2 3 name _____________________________________ 1 2 3 name _____________________________________ 1 2 3 name _____________________________________ 1 2 3 name D. The (partial) settlement agreement: _____ 1) is attached _____ 2) will be submitted to the court by FIELD( Person Sub Agree ) _____ 3) will not be filed with the court _____ 4) includes a confidentiality agreement E. Mediation fees have been paid: _____ 1) by all parties _____ 2) by all parties excep t those below, wit h the unpaid balance due from each: _____________________________________________________ _____________________________________________________ _____________________________________________________ Dated this _________ day of ___________________, __________. ______________________________________ Mediator Address Telephone Fax