JS44 (Rev. 06/17) FLSD Revised 06/01/2017 CIVIL COVER SHEET

The JS 44 civil cover sheet and the infonnation 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 fonn, approved by the Judicial Conference ofthe United States in September 1974, is required for the use ofthe Clerk ofCourt for the purpose

ofinitiating the civil docket sheet, (SEE INSTRUCTIONS ON NEXTPAGE OF THIS FORM.) NOTICE: Attorneys MUST Indicate All Re-filed Cases Below.

I. (a) PLAINTIFFS Maryann Boger and Lawrence Boger DEFENDANTS A. Gallerani, M.D., PLLC, Alberto

Santibanez-Gallerani, M.D,, A. Gallerani, M.D.,

m T r’ cu.,-;

(b) County ofResidence ofFirst Listed Plaintiff Miami-Dade

(EXCEPT IN US. PLAINTIFF CASES)

County ofResidence of First Listed Defendant Miami-Dade

(IN U.S. PLAINTIFF CASES ONL Y)

IN LAND CONDEMNATION CASES, USE THE LOCATION OF

THE TRACT OF LAND INVOLVED.

NOTE:

(c) Attorneys (Firm Name, Address, and Telephone Number) Attorneys (IfKnown)

Allison B. Christensen, Esq. and Phoebe S. Wise, Esq., Hahn Loeser &

Parks, 5811 Pelican Bay Blvd., Ste 650, Naples, FL 34108 (239)

'^C A AAA

(d)Check County Where Action Arose: miami-dade monroe broward palm beach martin st. lucie O Indian river okeecmobee q highlands

II. BASIS OF JURISDICTION (Place an 'X" in One Box Only) III. CITIZENSHIP OF PRINCIPAL PARTIES (Place an "X" in One Boxfor Plaintiff)

(For Diversitv Cases OnlvJ and One Boxfor Defendant)

1 U.S. Government tC]3 PTF DEF

Plaintiff

Federal Question

(U.S. Government Not a Parly)

PTF DEF

Citizen 1 ofThis State 1 Incorporated or Principal Place

ofBusiness In This State

4 4

2 U.S. Government

Defendant

4 Diversity

(Indicate Citizenship ofParties in hem III)

2 Q 2 Incorporated Principal Place

ofBusiness In Another State

Citizen ofAnother State 5 ns

Citizen or Subject of a 3

Foreign Country

O 3 Foreign Nation 6 0 6

IV. NATURE OF SUIT (Place an ‘X" in One Box Only)

TORTS

Click here for: Nature ofSuit Code Descriptions

FORFEITURE/PENALTY

PERSONAL IN,IURY 625 Drug Related Seizure

365 Personal Injury -

Product Liability

367 Health Care/

Pharmaceutical

Personal Injury

Product Liability

|~l 368 Asbestos Personal

CONTRACT BANKRUPTCY

422 Appeal 28 USC 158

ofProperty 2! USC 881 0423 Withdrawal

28 USC 157

OTHER STATUTES

375 False Claims Act

376 Qui Tam (31 USC

3729 (a))

400 State Reapportionment

410 Antitrust

430 Banks and Banking

450 Commerce

n 460 Deportation

470 Racketeer Influenced and

Corrupt Organizations

480 Consumer Credit

490 Cable/Sat TV

850 Securiiies/Commodities/

Exchange

890 Other Statutory Actions

891 Agricultural Acts

O 893 Environmental Matters

895 Freedom ofInfonnation

Olio Insurance

Q 120 Marine

130 Miller Act

140 Negotiable Instrument

150 Recovery of Overpayment

& Enforcement ofJudgment

151 Medicare Act

152 Recovery of Defaulted

Student Loans

(Excl. Veterans)

153 Recovery of Overpayment

ofVeteran’s Benefits

160 Stockholders’ Suits

190 Other Contract

195 Contract Product Liability

196 Franchise

PERSONAL INJURY

310 Airplane

315 Airplane Product

Liability

320 Assault, Libel &

Slander

330 Federal Employers’

Liability

340 Marine

345 Manne Product

Liability

350 Motor Vehicle

355 Motor Vehicle

Product Liability

360 Other Personal

Injury

362 Personal Injury -

Med. Malpractice

CIVIL RIGHTS

440 Other Civil Rights

441 Voting

442 Employment

r-j 443 Housing/

^ Accommodations

445 Amer. w/Disabilities - O 530 General

690 Other

PROPERTY RIGHTS

Q 820 Copyrights

830 Patent

835 Patent - Abbreviated

New Drug Application

840 Trademark

soci^Securjty

861 HIA(I395ff)

862 Black Lung (923)

863 DIWC/DIWW (405(g))

864 SSID Title XVI

865 RSI (405(g))

Injury Product

Liability

PERSONAL PROPERTY 710 Fair Labor Standards

370 Other Fraud

D 371 Truth in Lending

380 Other Personal

Property Damage

385 Property Damage

Product Liability

LABOR

Act

720 Labor/Mgmt. Relations

740 Railway Labor Act

Q 751 Family and Medical

Leave Act

790 Other Labor Litigation

Q 791 Empl. Ret. Inc.

REAL PROPERTY Security Act

210 Land Condemnation

220 Foreclosure

230 Rent Lease & Ejectment

240 Torts to Land

245 Tort Product Liability

290 All Other Real Property

PRISONER PETITIONS

Habeas Corpus;

463 Alien Detainee

510 Motions to Vacate

Sentence

Other:

FEDERAL TAX SUITS

870 Taxes (U.S. Plaintiff

or Defendant)

r-i871 IRS—Third Party

^ USC 7609

Act

896 Arbitration

899 Administrative Procedure

Act/Review or Appeal of

Agency Decision

|—| 950 Constitutionality of Slate

Statutes

26

IMMIGRATION

Employment 535 Death Penalty 462 Naturalization Application

446 Amer. w/Disabilities - 540 Mandamus & Other 465 Other Immigration

550 Civil Rights

555 Prison Condition

560 Civil Detainee -

Conditions of

Confinement

Other

448 Education

Actions

V. ORIGIN (Place an ‘X" in One Box Only)

6 Multidistrict

Litigation

Transfer

Transferred from

another district

(specify)

•0 1 Original

Proceeding

2 Removed 3 Re-fiied 4 Reinstated 5

from State ''' ' ’*

Court

7 Appeal to

District Judge

from Magistrate

Multidistrici

Litigation

- Direct

Remanded from

Appellate Court

(See VI

below) □9 orReopened

File

VI. RELATED/

RE-FILED CASE(S)

(See instructions): a) Re-filed Case DYES id NO

JUDGE:

b) Related Cases nYES id NO

DOCKET NUMBER:

Cite the U.S. Civil Statute under which you are filing and Write a Brief Statement of Cause (Do not citejurisdictionalstatutes unless diversity)-.

VII. CAUSE OF ACTION 29 USC 1001, et. seq. Defendants' failure to pay benefits under qualified retirement plan.

OF TRIAL via 2 days estimated (for both sides to try entire case)LENGTH

VIII. REQUESTED IN

COMPLAINT:

CHECK IF THIS IS A CLASS ACTION

UNDER F.R.C.P. 23 DEMAND s263,962.84 CHECK YES only if demanded in complaint:

JURY DEMAND: Yes iQ No

ABOVE INFORMATION IS TRUE & CORRECT TO THE BEST OF MY KN'

SIGNATURE OF'

LEDGE

DATE RECORl

7X120

FOR OFFICE USE ONLY

RECEIPT # AMOUNT IFP JUDGE MAG JUDGE

Case 1:20-cv-21987-CMA Document 1-1 Entered on FLSD Docket 05/12/2020 Page 1 of 1