AAA/ICDR Case Number: PARTIESClaimant(s)1: 2: 3: Respondent(s)1: 2: 3: CLAIMS ASSERTED and HEARDTotal monetary amount of claims asserted: $ Total monetary amount of counterclaims asserted: $ Total monetary amount of claims awarded: $ Total monetary amount of counterclaims awarded: $ Were non-monetary claims asserted? Yes NoWere non-monetary counterclaims asserted? Yes NoWere non-monetary claims awarded? Yes No N/AWere non-monetary counterclaims awarded? Yes No N/AFORM OF AWARDForm of Award: Brief Reasons Concise Breakdown Opinion/Findings of Fact Other SimpleForm of Award Determined by: Party Agreement Parties222 Contract Arbitrator Party RequestIf Form of Award was party requested, was request timely per the rules? Yes No N/ACOSTS and INTERESTAttorney222s fees awarded to Claimant(s): $ Attorney222s fees awarded to Respondent(s): $ Arbitrator222s fees, expenses and AAA administrative fees awarded to Claimant(s): $ Arbitrator222s fees, expenses and AAA administrative fees awarded to Respondent(s): $ Was interest awarded to Claimant(s)? Yes No N/AWas interest awarded to Respondent(s)? Yes No N/APREVAILING PARTY þ Speci037c party or parties prevailed 227 please identify: þ 1: þ 2: þ 3: þ There was no prevailing partyADDITIONAL INFORMATIONUsing the space below or by attaching additional pages, please provide any information about the claims heard in this matter that cannot be accommodated by the above categorization.Completed by: Date: For internal use only: Case Property Updated: Yes NoThis form is not the award in this case. Its sole purpose is to collect case data in a consolidated and consistent format. American LegalNet, Inc. www.FormsWorkFlow.com