PA Smart Meters Case – Amici Form

Thank you for your interest in joining the Amicus Brief. Court rules require us to provide specific information for each of the organizations/corporations who join as an amici. Both incorporated and unincorporated organizations can sign as amici. Below is the information we need from you in order to include your organization in the amicus brief.

If your organization is incorporated please fill out sections A and B.
If your organization is NOT incorporated, please fill out sections A and C.

A. Contact Information

Name(Required)

First

Last

Your role in the organization

Email Address:(Required)

Phone Number:

Organization’s Website:

Organization’s Facebook Page:

B. For Incorporated Organizations:

1. Organization’s Full Name (including suffix. For example, LLC.):(Required)

2. State of Incorporation:

StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific
State

3. Corporation Tax Status:(Required)

For ProfitNon Profit

4. Does the organization belong to another corporation (parent Corp) or have affiliations with other corporations (e.g., subsidiaries)?(Required)

Yes

5. If you answered Yes in 4, please provide the name of the corporation(s) and the type of affiliation. Please be as detailed as possible.

6. Does another corporation hold more than 10% of your corporation’s stock?

Yes

7. Did your corporation receive money from anyone to participate in or for the preparation of the amicus brief?

Yes

8. What is your corporation’s mission statement?

Limit your mission statement to 200 words.

9. How many members does your corporation have?

10. Does your corporation have a general interest in wireless radiation harms or an interest in a specific kind of wireless harm (e.g. smart meters, 5G, etc)?

11. Does your corporation work to help and/or represent people who are harmed by wireless radiation?

12. Does your corporation work with people who need to have a smart meter opt-out because of health reasons?

Yes

C. For Unincorporated organizations:

1. Name of Organization:

2. City & State

City

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific
State

3. Is your organization affiliated with or part of a corporation?

Yes

4. If you answered Yes in 3, please fill out section B for the corporation you are affiliated with.

5. Are you affiliated with another organization?

Yes

6. If you answered Yes to 5 – please provide the name of the organization and explain the nature of the affiliation.

7. Did your organization receive money from anyone to participate in or for the preparation of the amicus brief?

Yes

8. Please write what is your organization’s mission:

9. How many members does your organization have?

10. Does your organization have a general interest in wireless radiation harms or a specific interest (e.g. smart meters, 5G etc)

11. Does your organization work to help and/or represent people who are harmed by wireless radiation?

12. Does your organization work with people who need to have a smart meter opt-out because of health reasons?

Yes

D. If you have additional information or comments, please write them here:

Additional information:

The post PA Smart Meters Case – Amici Form appeared first on Children’s Health Defense.

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PA Smart Meters Case – Amici Form