Source: s3://data.kl3m.ai/documents/govinfo/USCOURTS/USCOURTS-cand-3_11-cv-01987/USCOURTS-cand-3_11-cv-01987-19/pdf.json

Nature of Suit Code: 690
Nature of Suit: Other Forfeiture and Penalty Suits
Cause of Action: 31:3729 False Claims Act

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United States District Court

Northern District of California

UNITED STATES DISTRICT COURT

NORTHERN DISTRICT OF CALIFORNIA

GARY SIEBERT,

Plaintiff,

v.

GENE SECURITY NETWORK, INC,

Defendant.

Case No. 11-cv-01987-JST 

VERDICT FORM (FALSE CLAIMS 

ACT) - DRAFT

We, the jury in the above-entitled action, answer the questions submitted to us as follows:

1. Did Gene Security Network make a false statement to the United States, including 

the National Institutes of Health? 

_____ Yes _____ No

If your answer to question 1 is yes, then answer question 2. If you answered no, 

stop here, answer no further questions, and have the presiding juror sign and date 

this form.

2. When Gene Security Network made the statement, did it (answer as to each 

subpart):

a. know the statement was false? 

_____ Yes _____ No

b. act in reckless disregard of whether it was true? 

_____ Yes _____ No

c. act with deliberate ignorance that the statement was false? 

_____ Yes _____ No

If you answered yes to part a, b, or c of question 2, the answer question 3. If you 

answered no to each of parts a, b, and c, answer no further questions, and have the 

Case 3:11-cv-01987-JST Document 213 Filed 01/28/15 Page 1 of 3
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United States District Court

Northern District of California

presiding juror sign and date this form.

3. Was the statement material to the United States’ decision to pay out on Gene 

Security Network’s grant request? 

_____ Yes _____ No

If your answer to question 3 is yes, then answer question 4. If you answered no, 

stop here, answer no further questions, and have the presiding juror sign and date 

this form.

4. Did the statement cause the government to pay out money to GSN? 

_____ Yes _____ No

If your answer to question 4 is yes, then answer question 5. If you answered no, 

stop here, answer no further questions, and have the presiding juror sign and date 

this form.

5. Which grant payments did the government make as a result of GSN’s false 

statement or statements? 

a. Novel Informatics Grant Drawdowns

_____ $195,749.00 (April 11, 2007)

_____ $835,485.00 (September 10, 2008)

_____ $658,668.00 (May 29, 2009)

b. Array Informatics Grant Drawdowns

_____ $200,068.00 (February 12, 2009)

_____ $800,710.00 (September 28, 2009)

_____ $799,036.00 (August 19, 2010)

/ / /

/ / /

/ / /

/ / /

/ / /

/ / /

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United States District Court

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c. Non-Invasive Aneuploidy Grant Drawdowns

_____ $200,833.00 (August 12, 2010)

_____ $800,745.00 (May 26, 2011)

_____ $802,079.00 (May 15, 2012)

Signed: _________________________________ Dated: __________________________

 Presiding Juror

After all verdict forms have been signed, notify the courtroom deputy that you are ready to present 

your verdict in the courtroom.

Case 3:11-cv-01987-JST Document 213 Filed 01/28/15 Page 3 of 3