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Name ______________________

Bar # ______________________

Firm ______________________

Address ______________________

______________________

______________________

Telephone ______________________

IN THE UNITED STATES DISTRICT COURT

FOR THE DISTRICT OF ARIZONA

Plaintiff,

vs.

Defendant.

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Case No.

Corporate Disclosure Statement

This Corporate Disclosure Statement is filed on behalf of ___________________________

 in compliance with the provisions of: (check one)

____ Rule 7.1, Federal Rules of Civil Procedure, a nongovernmental corporate party to an

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.

____ Rule 12.4(a)(1), Federal Rule of Criminal Procedure, any nongovernmental corporate

party 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 of

alleged 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).

Hilary E. Youngblood

California Bar No. 258026 (Admitted Pro Hac Vice)

DAVIDOVITZ + BENNETT

101 Montgomery Street, 25th Floor

San Francisco, CA 94104-4176

HYoungblood@dblawsf.com

(415) 956-4800

In Re: Bard IVC Filters Prod.Liability

2:15-md-02641-DGC

California Pacific Medical Center

✔

Case 2:15-md-02641-DGC Document 871 Filed 02/19/16 Page 1 of 2
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The filing party hereby declares as follows:

____ No such corporation.

____ Party is a parent, subsidiary or other affiliate of a publicly owned corporation as

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)

________________________________________________________________________

___________________________________________________________________________

A supplemental disclosure statement will be filed upon any change in the

information provided herein.

Dated this _________ day of __________________, ________.

_______________________________

Counsel of Record

Certificate of Service:

✔

19th February 2016

Hilary E. Youngblood

I HEREBY CERTIFY that on the date below, I electronically filed the foregoing

CORPORATE DISCLOSURE STATEMENT with the Clerk of the Court by using the

CM/ECF system which will send notification of such filing to all counsel of record in

this action.

Dated this 19th day of February, 2016.

s/ Hilary E. Youngblood

Davidovitz + Bennett

Attorneys for Defendant,

Sutter West Bay Hospitals, doing

business as California Pacific Medical

Center

Case 2:15-md-02641-DGC Document 871 Filed 02/19/16 Page 2 of 2