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Case 4:20-cv-00963-ALM-CAN Document 1-2 Filed 12/18/20 Page 1 of 1 PageID #: 12
44 (Rev 10/20) CIVIL COVER SHEET
The JS 44 civil cover sheet and the information contained herein neither replace nor supplement the filing and service of pleadings or other papers as required by law, except as
provided by local rules of court. This form, approved by the Judicial Conference of the United States in September 1974, is required for the use of the Clerk of Court for the
purpose of initiating the civil docket sheet. (SEE INSTRUCTIONS ON NEXT PAGE OF THIS FORM.)
I. (a) PLAINTIFFS
G r' Coco U5 O OcOS cc V\C 1
DEFENDANTS
u n ' o c 5
(b) County of Residence of First Listed Plaintiff
c . (EXCEPTIN U.S. PLAINTIFF CASES)
QTUPAj - N~U .St2. r VF
(c) Attorneys (Firm Name, Address, and Telepho e Number)
dc\ r\co\rv\cC)
County of Residence of First Listed Defendant
(IN U.S. PLAINTIFF CASES ONLY)
NOTE: IN LAND CONDEMNATION CASES, USE THE LOCATION OF
THE TRACT OF LAND INVOLVED.
Attorneys (If Known)
toOrlcoc jS
II. BASIS OF JURISDICTION (Place an "X i One Box O ly)
| | 1 U.S. Government 3
Plaintiff
| 12 U.S. Government 4
Defendant
(U.S. Gover me t Not a Party)
(Indicate Citizenship of Parties in Item HI)
III. CITIZENSHIP OF PRINCIPAL PARTIES (Place an "X- in O e Box for Plai tiff
(For Diversity Cases Only)
and One Box for Defe dant)
PTF DEF PTF DEF
Citizen of This State Hi i Incorporated o Principal Place
of Business In This State
4 4
Citizen of Another State 2 2 Incorporated a d Principal Place
of Business In Another State
5 5
Citizen or Subject of a 3 3 Foreign Nation 6 6
Foreign Country
IV. NATURE OF SUIT (Place an X i O e Box Only)
Click here for: Nature of Suit Code Descriptions
CONTRACT TORTS FORFEITURE/PENALTY BANKRUPTCY
OTHER STATUTES
110 Insurance PERSONAL INJURY PERSONAL INJURY 1625 Drug Related Seizure r 422 Appeal 28 USC 158
120 Marine 310 Airplane | 365 Personal Injury - of Property 21 USC 881 L 423 Withdrawal
130 Miller Act 315 Airplane Product Product Liability 690 Other 28 USC 157
140 Negotiable Instrument Liability | 367 Health Care/
150 Recovery of Overpayment 1 320 Assault, Libel & Pharmaceutical PROPERTY RIGHTS
& Enforcement of Judgment Slander Personal Injury 820 Copyrights
151 Medicare Act | 330 Federal Employers’ Product Liability 830 Patent
152 Recovery of Defaulted Liability | 368 Asbestos Personal 835 Patent - Abbreviated
Student Loans 340 Marine Injury Product New Drug Application
(Excludes Veterans) 345 Marine Product Liability Z 840 Trademark
153 Recovery of Overpayment L Liability PERSONAL PROPERTY LABOR 880 Defend Trade Secrets
of Veteran s Benefits 350 Motor Vehicle 370 Other Fraud 1710 Fair Labor Standards Act of 2016
160 Stockholders’ Suits 3 55 Motor Vehicl e _ 371 Truth in Lending Act _
190 Other Contract
z 195 Contract Product Liability
Product Liability
360 Other Personal
380 Other Personal
Property Damage
1720 Labor/Management
Relations
SOCIAL SECURITY
861 HIA (1395ff)
196 Franchise Injury | 385 Property Damage 1740 Railway Labor Act 862 Black Lung (923)
362 Personal Injury - Product Liability J751 Family and Medical 863 DIWC/DIWW (405(g))
.
Medical Malpractice Leave Act 864 SSID Title XVI
REAL PROPERTY CIVIL RIGHTS PRISONER PETITIONS 1790 Other Labor Liti ation 865 RSI (405(g))
210 Land Condemnation 440 Other Civil Rights Habeas Corpus: [ 791 Employee Retirement
220 Foreclosure 441 Voting 463 Alien Detainee Income Security Act FEDERAL TAX SUITS
230 Rent Lease & Ejectment 442 Employment 510 Motions to Vacate 870 Taxes (U.S. Plaintiff
240 Torts to Land 443 Housing/ Sentence or Defendant)
245 Tort Product Liability Accommodations _ 530 General _ 871 IRS Third Party
290 All Other Real Property 445 Amer. w/Disabilities - 535 Death Penalty IMMIGRATION 26 USC 7609
_
Employment Other: 1462 Naturalization Application
446 Amer. w/Disabilities - 540 Mandamus & Other 1465 Other Immigration
Other 550 Civil Rights Actions
448 Education 555 Prison Condition
560 Civil Detainee -
Conditions of
Confinement
V. ORIGIN (Place a X" in One Box Only)
[ j 1 Original Q 2 Removed from
Proceeding State Court
VI. CAUSE OF ACTION
| | 3 Remanded from
Appellate Court
| 14 Reinstated or
Reopened
Cite the U.S. Civil Statute under which you are filing (Do not cite jurisdictional statutes unle diversity)'.
Ve.iv - i c C\ € i Cap c -VwyoyV
B,i fd p,i0 °, reAecAw/c Atus-V
375 False Claims Act
376 Qui Tam (31 USC
3729(a))
400 State Reapportionment
410 Antitrust
430 Banks and Banking
450 Commerce
460 Deportation
470 Racketeer Influenced and
Corrupt Organizations
480 Consumer Credit
(15 USC 1681 or 1692)
485 Telephone Consumer
Protection Act
490 Cable/Sat TV
850 Securities/Commodities/
Exchange
890 Other Statutory Actions
891 Agricultural Acts
893 Environmental Matters
895 Freedom of Information
Act
896 Arbitration
899 Administrative Procedure
Act/Review or Appeal of
Agency Decision
950 Constitutionality of
State Statutes
5 Transferred from
Another District
| | 6 Multidistrict
Litig tion -
| | 8 Multidistrict
Litigation -
(specify) Transfer Direct File
VII. REQUESTED IN CHECK IF THIS IS A CLASS ACTION DEMAND $ CHECK YES only if demanded in complaint:
COMPLAINT:
JURY DEMAND: DYes DNo
VIII. RELATED CASE(S)
IF ANY ee imtruc omJ:
judge C/CMA l C£)\ Ul (cQ D QV'SuUd''OCKET NUMBER
DATE
iTliij o v
FOR OFFICE USE ONLY
SIGNATURE OF ATTORNEY OF RECORD
i V - y&\ricYYV fVS)
RECEIPT # AMOUNT APPLYING IFP JUDGE MAG. JUDGE