copy of new client memorandum

8/14/2019 Copy of New Client Memorandum

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Client No. New Client:

Matter No. Existing Client:

Prepared by:

Opened date (first time entry):

NEW CLIENT/MATTER MEMORANDUM

FLASTER/GREENBERG P.C.

GENERAL INFORMATION

1. Client Name:

2. Billing Name (if different than client name):

3. Type of Client: Corporation LLC or similar entity Partnership

Individual Trade Association Other

4. Primary client contact:

5. Contact title:

6. Address:

City: State: Zip Code:

7. Billing Address (if different than client addresss):

8. Telephone: Fax:

9. E-mail address:

10. Responsible Atty.: % % %

11. Originating Atty.: % % %

12. Billing Atty.: 100 %

13. Describe proposed clients principal business (industry):

14. State how and why proposed client was referred to us:

CLIENT QUALITY INFORMATION

15. Describe proposed clients financial resources:

(a) Do you want a Credit Report: Yes No

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16. Does representation involve a new or start-up business? Yes No

(a) If Yes, explain whether payment of our bills depends on the success of thebusiness or whether there is an independent source of funding for payment:

17. Is the proposed client changing law firms? Yes No(a) If Yes, explain why and state whether the client has given the Firmpermission to discuss prior representation with former law firm:

18. Does representation involve raising money from third parties?

Yes No

19. Is proposed client acting as a fiduciary in connection with this representation? Yes No

20. Is proposed client asking this firm to provide an opinion another law firm has declined to give?

Yes No

(a) If Yes, give details:

21. Should the Specially Designated National List be consulted? Yes No

22. Does proposed client (or any of its affiliates) issue publicly traded securities? Yes No

(a) If Yes, identify Issuer:

(b) If Yes, does the proposed engagement involve the rendering of securities law advice?

Yes No

23. Is client an attorney? Yes No

MATTER SPECIFIC INFORMATION

24. Suggested short title for time and billing:

25. Amount involved in the transaction or dispute:

26. Does this matter involve litigation or potential litigation?

Yes No

(a) If Yes, state whether the matter involves professional liability claims, and if so, give details:

27. Fully describe the matter and the work to be performed (do not use

general, miscellaneous, personal, or similar vague terms):

28. Principal area of practice:

29. Anticipated staffing requirements: (Respond in estimated hours.)(a) Shareholders

(b) Associates

(c) Paralegals

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BILLING INFORMATION

30. Amount or estimate of fees to be collected:

31. This matter will be billed in accordance with our normal billing rates and practices: Yes No

If no, approval of a member of the Executive Committee is required.(a) If special billing arrangements are proposed (e.g., fee caps, discounted rates, irregular

billing arrangements, some or all of our fees will be paid by someone other than theproposed client), describe those arrangements and explain why they should be accepted:

32. State the amount and terms of retainer:

(a) If no retainer will be requested, explain why not:

33. Duplicate bill required: Yes No

(a) If Yes, please provide complete address:

Matter Type: Client Matter Internal Matter Chargeable Matter

Print Statement: Yes No

Task Codes: Yes No

Charge Interest: Yes No

Apply Discount: Yes No Amount or Percent:

Reminder Statements Allowed Yes No

Billing Cycle:Monthly:

Quarterly:

Annual:

Fee Application:

Invoice:

Print Trust Balances: Yes No

Print Accounts Receivable Balances: Yes No

34. Is this a bankruptcy case where we represent an Estate party (Debtor, Committee or Trustee)?

Yes No If so: project costs and fee applications. _____________________________________

CONFLICT INFORMATION

If any question in the Conflict Information section is answered YES, approval of a member of the LossPrevention Committee is required. Conflict check was run on _____________________.

35. Is there a potential conflict? Yes No If there is a potential conflict, describe proposed

resolution:

36. Will this matter involve a joint representation? Yes No

(a) If Yes, describe:

(b) Attach copy of proposed disclosure pertaining to joint representation (RPC 1.7(b)(1)).

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37. Are there any parties to the matter who might incorrectly believe that the firm represents their interests

(e.g., shareholders, officers, directors, limited partners)? Yes No

(a) If Yes, explain:

38. Will this matter involve the assertion of a position that may adversely affect the interests of another client?

Yes No(a) If Yes, describe:

39. Is any firm attorney or employee, or member of his or her immediate family:(a) Known or anticipated to have any direct or indirect financial interest in the matter or in the client?

Yes No

(i) If Yes, describe:

(b) An officer, director, member, or partner of the client? Yes No


(c) Related by blood or marriage to the client or to any officer, director, member, or partner of the client?

Yes No


40. Is any firm attorney serving as personal representative, trustee, or in a similar fiduciary capacity for the

client? Yes No


41. Does this representation involve a business transaction between the client and the firm or any of its

attorneys, including an investment in or with the client? Yes No


42. Are you aware of any public relations or client relations problems that may arise if we take on this matter?

Yes No


ENGAGEMENT LETTER INFORMATION

43. Will an engagement letter be sent to this client or does an existing letter exist for these services?

Yes No

(a) If no, explain why a waiver to firm policy regarding engagement letters should be granted:

MAIL LIST INFORMATION

44. Client should receive the following newsletters:

Real Estate Angel Investing Environmental

Tax & Business Labor & Employment Construction Law Report

Healthcare Business Outlook Intellectual Property Report

E-Mail Address:

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SIGNATURES AND APPROVALS

Originating Attorney: Date:

APPROVED:

Billing Attorney: Date:

Department Chair: Date:

(Other than Originating and Billing Attorney)(Required if this is a litigation matter or if legal fees for this matter are expected to exceed $10,000)

Executive Committee Member: Date:

(Other than Originating and Billing Attorney)(Required if response to Item 31 in Billing Information Section is NO.)

Loss Prevention Committee Member: Date:(Other than Originating and Billing Attorney)(Required if any response in Conflict Section is YES or if any response in Engagement Letter Section is No.)

APPROVED, SUBJECT TO THE FOLLOWING CONDITIONS:

Prepare expandable file folder: Yes No

File Room Location:

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copy of new client memorandum

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