Corporate Disclosure Statement

• Legal Form Number: 6
• Section: Tax Court
• Court: U.S. Tax Court

FORM 6

FORM 6 (REV. 03/23)

United States Tax Court

Washington, DC 20217

Petitioner

v.

COMMISSIONER OF INTERNAL

REVENUE,

Respondent

Docket No.

CORPORATE DISCLOSURE STATEMENT

(See Rule 20(c).)

The undersigned counsel or duly authorized representative for

(name of filer)

certifies that (please mark the appropriate option):

(1) _______ The filer’s parent corporation and any publicly held corporation owning

10% or more of the filer’s stock are listed here:

____________________________________________________________

____________________________________________________________

____________________________________________________________

OR

(2) _______ The filer does not have a parent corporation, nor is there any

publicly held corporation that owns 10% or more of the filer’s stock.

Date Signature of Filer’s Counsel or Duly

Authorized Representative

Mailing Address

City/State/Zip Code

Email Address