UNITED STATES COURT OF APPEALS FOR THE THIRD CIRCUIT __________________________________________________ CONCISE SUMMARY OF THE CASE Pursuant to 3rd Cir. LAR 33.3, counsel are required to file a concise summary of the case within 14 days of the date of docketing of the Notice of Appeal. Total statement is limited to no more than 2 pages, single-spaced. Counsel may utilize this form or attach a 2 page statement encompassing the information required by this form. SHORT CAPTION:_________________________________________________________________________ USCA NO.: ______________________ LOWER COURT or AGENCY and DOCKET NUMBER: _________________________________________________________________ NAME OF JUDGE:___________________________________________________________________________ Specify who is suing whom, for what, and the subject of this action. Identify (1) the nature of the action; (2) the parties to this appeal; (3) the amount in controversy or other relief involved; and (4) the judgment or other action in the lower court or agency from which this action is taken: LIST and ATTACH a copy of each order, judgment, decision or opinion which is involved in this appeal. If the order(s) or opinion(s) being appealed adopt, affirm, or otherwise refer to the report and recommendation of a magistrate judge or the decision of a bankruptcy judge, the report and recommendation or decision shall also be attached. Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com Provide a short statement of the factual and procedural background, which you consider important to this appeal: Identify the issues to be raised on appeal: This is to certify that this Concise Summary of the Case was electronically filed with the Clerk of the U.S. Court of Appeals for the Third Circuit and a copy hereof served to each party or their counsel of record this day of ,20 . Signature of Counsel Rev. 07/2015 Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com