-65HY )/6'5HYLVHG &,9,/&29(56+((7

7KH-6FLYLOFRYHUVKHHWDQGWKHLQIRUPDWLRQFRQWDLQHGKHUHLQQHLWKHUUHSODFHQRUVXSSOHPHQWWKHILOLQJDQGVHUYLFHRISOHDGLQJVRURWKHUSDSHUVDVUHTXLUHGE\ODZH[FHSWDV SURYLGHGE\ORFDOUXOHVRIFRXUW7KLVIRUPDSSURYHGE\WKH-XGLFLDO&RQIHUHQFHRIWKH8QLWHG6WDWHVLQ6HSWHPEHULVUHTXLUHGIRUWKHXVHRIWKH&OHUNRI&RXUWIRUWKHSXUSRVH

RILQLWLDWLQJWKHFLYLOGRFNHWVKHHW(SEE INSTRUCTIONS ON NEXT PAGE OF THIS FORM.) 127,&($WWRUQH\V0867,QGLFDWH$OO5HILOHG&DVHV%HORZ

, D 3/$,17,))6 '()(1'$176

E &RXQW\RI5HVLGHQFHRI)LUVW/LVWHG 3ODLQWLII &RXQW\RI5HVLGHQFHRI)LUVW/LVWHG'HIHQGDQW

(EXCEPT IN U.S. PLAINTIFF CASES) (IN U.S. PLAINTIFF CASES ONLY)

127( ,1/$1'&21'(01$7,21&$6(686(7+(/2&$7,212)

7+( 75$&72) /$1',192/9('

F $WWRUQH\V(Firm Name, Address, and Telephone Number) $WWRUQH\V(If Known)

G&KHFN&RXQW\:KHUH$FWLRQ$URVH 0,$0,'$'( 02152( %52:$5' 3$/0%($&+ 0$57,1 67/8&,( ,1',$15,9(5 2.((&+2%(( +,*+/$1'6

,, %$6,62)-85,6',&7,21(Place an “X” in One Box Only) ,,, &,7,=(16+,32)35,1&,3$/3$57,(6 (Place an “X” in One Box for Plaintiff)

(For Diversity Cases Only) and One Box for Defendant)

 86*RYHUQPHQW  )HGHUDO4XHVWLRQ 37) '() 37) '()

3ODLQWLII (U.S. Government Not a Party) &LWL]HQRI7KLV6WDWH   ,QFRUSRUDWHGor 3ULQFLSDO3ODFH  

RI%XVLQHVV,Q7KLV6WDWH

 86*RYHUQPHQW  'LYHUVLW\ &LWL]HQRI$QRWKHU6WDWH   ,QFRUSRUDWHGand 3ULQFLSDO3ODFH  

'HIHQGDQW (Indicate Citizenship of Parties in Item III) RI%XVLQHVV,Q$QRWKHU6WDWH

&LWL]HQRU6XEMHFWRID   )RUHLJQ1DWLRQ  

)RUHLJQ&RXQWU\

,9 1$785(2)68,7 (Place an “X” in One Box Only)

&2175$&7 72576 )25)(,785(3(1$/7< %$1.5837&< 27+(567$787(6

,QVXUDQFH 3(5621$/,1-85< 3(5621$/,1-85< 'UXJ5HODWHG6HL]XUH $SSHDO86& )DOVH&ODLPV$FW

0DULQH $LUSODQH 3HUVRQDO,QMXU\ RI3URSHUW\86& :LWKGUDZDO 4XL7DP86&

0LOOHU$FW $LUSODQH3URGXFW 3URGXFW/LDELOLW\ 2WKHU 86& D

1HJRWLDEOH,QVWUXPHQW /LDELOLW\ +HDOWK&DUH 6WDWH5HDSSRUWLRQPHQW

5HFRYHU\RI2YHUSD\PHQW $VVDXOW/LEHO	 3KDUPDFHXWLFDO 3523(57<5,*+76 $QWLWUXVW

	(QIRUFHPHQWRI-XGJPHQW 6ODQGHU 3HUVRQDO,QMXU\ &RS\ULJKWV %DQNVDQG%DQNLQJ

0HGLFDUH$FW )HGHUDO(PSOR\HUV¶ 3URGXFW/LDELOLW\ 3DWHQW &RPPHUFH

5HFRYHU\RI'HIDXOWHG /LDELOLW\ $VEHVWRV3HUVRQDO 7UDGHPDUN 'HSRUWDWLRQ

6WXGHQW/RDQV 0DULQH ,QMXU\3URGXFW 5DFNHWHHU,QIOXHQFHGDQG

([FO9HWHUDQV 0DULQH3URGXFW /LDELOLW\ /$%25 62&,$/6(&85,7< &RUUXSW2UJDQL]DWLRQV

5HFRYHU\RI2YHUSD\PHQW /LDELOLW\ 3(5621$/3523(57< )DLU/DERU6WDQGDUGV +,$II &RQVXPHU&UHGLW

RI9HWHUDQ¶V%HQHILWV 0RWRU9HKLFOH 2WKHU)UDXG $FW %ODFN/XQJ &DEOH6DW79

6WRFNKROGHUV¶6XLWV 0RWRU9HKLFOH 7UXWKLQ/HQGLQJ /DERU0JPW5HODWLRQV ',:&',::J 6HFXULWLHV&RPPRGLWLHV

2WKHU&RQWUDFW 3URGXFW/LDELOLW\ 2WKHU3HUVRQDO 5DLOZD\/DERU$FW 66,'7LWOH;9, ([FKDQJH

&RQWUDFW3URGXFW/LDELOLW\ 2WKHU3HUVRQDO 3URSHUW\'DPDJH )DPLO\DQG0HGLFDO 56,J 2WKHU6WDWXWRU\$FWLRQV

)UDQFKLVH ,QMXU\ 3URSHUW\'DPDJH /HDYH$FW $JULFXOWXUDO$FWV

3HUVRQDO,QMXU\ 3URGXFW/LDELOLW\ 2WKHU/DERU/LWLJDWLRQ (QYLURQPHQWDO0DWWHUV

0HG0DOSUDFWLFH (PSO5HW,QF )UHHGRPRI,QIRUPDWLRQ

5($/3523(57< &,9,/5,*+76 35,621(53(7,7,216 6HFXULW\$FW )('(5$/7$;68,76 $FW

/DQG&RQGHPQDWLRQ 2WKHU&LYLO5LJKWV +DEHDV&RUSXV 7D[HV863ODLQWLII $UELWUDWLRQ

)RUHFORVXUH 9RWLQJ  $OLHQ'HWDLQHH RU'HIHQGDQW $GPLQLVWUDWLYH3URFHGXUH

5HQW/HDVH	(MHFWPHQW (PSOR\PHQW  0RWLRQV WR 9DFDWH

6HQWHQFH

 ,5627KLUG 3DUW\ 

86& $FW5HYLHZRU$SSHDORI

7RUWVWR/DQG +RXVLQJ

$FFRPPRGDWLRQV 2WKHU $JHQF\'HFLVLRQ

7RUW3URGXFW/LDELOLW\ $PHUZ'LVDELOLWLHV *HQHUDO ,00,*5$7,21  &RQVWLWXWLRQDOLW\ RI 6WDWH

6WDWXWHV

$OO2WKHU5HDO3URSHUW\ (PSOR\PHQW 'HDWK3HQDOW\ 1DWXUDOL]DWLRQ$SSOLFDWLRQ

$PHUZ'LVDELOLWLHV 0DQGDPXV	2WKHU 2WKHU,PPLJUDWLRQ

2WKHU &LYLO5LJKWV $FWLRQV

(GXFDWLRQ 3ULVRQ&RQGLWLRQ

&LYLO'HWDLQHH±

&RQGLWLRQVRI

&RQILQHPHQW

9 25,*,1 (Place an “X” in One Box Only)

7UDQVIHUUHGIURP

DQRWKHUGLVWULFW

(specify)

0XOWLGLVWULFW

/LWLJDWLRQ

7UDQVIHU

 0XOWLGLVWULFW

/LWLJDWLRQ

± 'LUHFW

)LOH

 5HPDQGHGIURP

$SSHOODWH&RXUW  2ULJLQDO

3URFHHGLQJ

 5HPRYHG

IURP6WDWH

&RXUW

 5HILOHG

6HH9,

EHORZ

 5HLQVWDWHG RU

5HRSHQHG

  $SSHDOWR

'LVWULFW -XGJH

IURP0DJLVWUDWH

-XGJPHQW

9, 5(/$7('

5(),/('&$6(6

6HHLQVWUXFWLRQV D5HILOHG&DVH <(6 12 E 5HODWHG&DVHV <(6 12

-8'*( '2&.(7180%(5

9,, &$86(2)$&7,21

&LWHWKH86&LYLO6WDWXWHXQGHUZKLFK\RXDUHILOLQJDQG:ULWHD%ULHI6WDWHPHQWRI&DXVH(Do not cite jurisdictional statutes unless diversity)

/(1*7+2)75,$/YLD GD\VHVWLPDWHGIRUERWKVLGHVWRWU\HQWLUHFDVH

9,,, 5(48(67(',1

&203/$,17

&+(&.,)7+,6,6$&/$66$&7,21

81'(5)5&3 '(0$1' &+(&.<(6RQO\LIGHPDQGHGLQFRPSODLQW

-85<'(0$1' <HV 1R

$%29(,1)250$7,21,6758(	&255(&7727+(%(672)0<.12:/('*(

'$7( 6,*1$785(2)$77251(<2)5(&25'

)252)),&(86(21/<

5(&(,37 $02817 ,)3 -8'*( 0$*-8'*(

85( 2) $77251(<

5HTXHVW IRU WKH ([WUDGLWLRQ RI &HVDU +RUDFLR 'XDUWH -DTXH] D

0H[LFDQ &LWL]HQ 3XUVXDQW WR WKH 7UHDW\ %HWZHHQ WKH *RYHUQPHQW

RI WKH 8QLWHG 6WDWHV RI $PHULFD DQG WKH 8QLWHG 0H[LFDQ 6WDWHV

$VVLVWDQW 8QLWHG 6WDWHV $WWRUQH\ -DVRQ :X

8QLWHG 6WDWHV $WWRUQH\
V 2IILFH

 1( WK 6WUHHW

0LDPL )/    ✔

✔

✘

✔

✔ ✔

 86&  ([WUDGLWLRQ 7UHDW\



✔

-XO\  

-DVRQ :X $VVLVWDQW 8QLWHG 6WDWHV $WWRUQH\

Case 1:20-mc-22829-UNA Document 1-1 Entered on FLSD Docket 07/10/2020 Page 1 of 1