UNITED STATES DISTRICT COURT

SOUTHERN DISTRICT OFFLORIDA

CASE N0.22-22671-ClV-ALTONAGY T0rres

DELIO BATISTA,etal.,

Plaiptiffs,

AVANT ASSURANCE INC.,etal.,

Defendants.

SPECIAL INTERROGATORIESTO THE JURY

Doyou findfrom apreponderanceoftheevidence:

DelioBhtista

ThatDelioBatistawasan employeetmdertheFLSA of:

(PleasemarkIYES''or(CNO''foreachyoufindwasanemployerl:

AvantAssurancelnc. 0

ReinierCortes 0

AndreaGonzalezQuintero 0

yyottanswered''YES''tooneormoreoftheaboveinQuestion1,pleaseJ/zçu/(??.

Question2.J/-yo?z/answered.f'XO''toalltheabove,pleaseskiptoQuestion3.

ThatDefèndantsfailedtopayDelioBatistatheovertim ewagesrequiredbylaw:

AnsWerECYCS''OrICN O''

lfCGYES ''in.whatam ount

PleaseanswerQuestion3.

3. ThatDefendantAvantAssurancelnc.failedto pay Delio.Batista bonusesand/or

comm issionsinbreachoftheparties'contract:

Case 1:22-cv-22671-CMA Document 104 Entered on FLSD Docket 07/14/2023 Page 1 of 5
AnswerEIYES''OrCfNO''

If('YES)''in whatam ount

f+5

$ Fql.5-/f-J:

IfyouJ/:lwtlr(?l CIYES''toQuestion3,pleaseskiptoQuestion5.

JJJ/I??,/answered 'f#O''toQuestion3,pleaseanswerQuestion4.

ThatDefendantAvantAssurancelnc.failed topay Delio Batistabonusesand/or

commissionsthatunjustlyemichedAvantAssurance1nc.:

AnswerSCYES''orCSNO''

If'IYES''inwhatam ount

PleaseanswerQuestion5.

CarlosLopez

ThatCarlosLopezwasan employeeundertheFLSA of:

(PleasemarkCYES''or(CNO''foreachyoufindwasanemployer):

AvantAssuranceInc. , 5

ReinierCortes A

AndreaGonzalezQuintero 0 '

Ifyouanswered 'fFf5'''tooneormoreoftheaboveinQuestion5,pleasqanswer

:T/(?5'//t7n6.lfyouanswtred'fXO''toaltheaboveinQuestion5,pleaseJ'/cfpto

:z/p-çfjon7.

ThatDefendantsfailedtopayCarlosLopeztheovertim ewagesrequiredbylaw:

AIASWCI-GVYCS''OrGVX OS'

IfCYES''inwhatam ount

PleaseanswerQuestion8.

ThatDefendantAvantAssuranceInc.failed topay CarlosLopezbonusesand/or

com missionsinbreachofthepalies'contract'.

AnswerCIYES''or(,NO,, o .;-

2

Case 1:22-cv-22671-CMA Document 104 Entered on FLSD Docket 07/14/2023 Page 2 of 5
CASE NO.22-22671-ClV-ALTONAGA

If(CYES''inwhatamount f 7/,

# 35-7-P.'J

lfyouanswered''YES''toQuestion7,pleasesklptoQuestion9.

/.i<J'-..p' (w?1/answered'W.O''toQuestion7,pleaseanswerQuestion8.

8. ThatDefendantAvant Assttrance failed to pay Carlds Lopez bonuses and/or

commissionsthatunjustlyenrichedtheAvantAssurance1nc.:

AZSWCI'CZYES''OrI'NU''

lf'CYES''inwhatamount

PleaseanswerQuestion9.

M arianaLopez

9. ThatM arianaLopezwasantemployee''undertheFLSA of:

(PleasemarkCSYES''orûtNO'''foreachyoufindwasanemployer):

AvaruAssuranceInc. #

Reiniercortes P

AndreaGonzalezQuintero Ka

XyouansweredC'F#kV''tooneormoreoftheaboveinQuestion9,pleaseJn-çwt?r

Qttestionl0.JJ'-pt/?,/answeredrWO''toaltheaboveinQuestion#,pleaseJ/fPto

Question11.

10.ThatDefendantsfailedtopayM arianaLopeztheovertim ewagesrequ'iredby law :

AIISWCI-CIYES''OrGCN O''

IfûYES ''inwhatam ount

PleaseanswerQuestion11.

ll.ThatDefendantAvantAssuranceInc.failedtopayM arianaLopezbonusesand/or

'

comm issionsinbreachoftheparties'contract:

AnswertIYES''orEINO'' Y V-

- -

. . .

.lftCYES''inwhatamount /9/5 7C-5/7

Case 1:22-cv-22671-CMA Document 104 Entered on FLSD Docket 07/14/2023 Page 3 of 5
CASE N O.22-2267l-C1V-ALTONAGA

%

Ifyouanswered ''FAX''toQuestionll,pleaseskiptoQuestionl3.

J&/f??,/anskvered ''NO''toQuestionll,pleaseanswerQuestion12.

12.TlatDefendantsAvantAssurancelnc.failedtopayM arianaLopezbonusesand/or

commissionsthatunjustlyenrichedAvantAssurance1nc.:

AnswerCIYES''or$;NO''

If(CYES''in whatam ount

PleaseJ?kxîvptyrQuestion12.

R afaelaValiente

13.ThatRafaelaValientewasanC'employee''undertheFLSA of:

(PleasemarkSCYES''orCSNO''foreachyoufindwasanemployerl:

AvantAssurancelnc. 0

ReinierCortes 0

AndreaGonzalezQuintero 0

Y'yt??,/answered'CFFUV''toonet?rmoreoftheaboveinQuestion13,pleaseanswer

Ozfpvç//tpnl4.V'y'r??,/answered''XO''toaltheaboveinQuestionl3,pleases'/ft/.pto

Question15.

14.ThatDefendantsfailed to pay RavaelaValientetheovertim ewagesrequired by

law:

AIISWCI-CGYES''Or'CN O''

lfCtYES7''inwhatamount

PleaseanswerQuestionl5.

15.ThatDefendantAvantAssuranceInc.failedtopayRafaelaValientebonusesand/or

commissionsinbreachofthepaties'contract:

AnswerICYES''orç$N O''

lfC'YES''inwhalam ount

tc5

.$Vz/$0.C'J

4

Case 1:22-cv-22671-CMA Document 104 Entered on FLSD Docket 07/14/2023 Page 4 of 5
CASE NO.22-2267l-C1V-ALTONAGA

Ifyouanswered ''YES''toQuestionC5,pleasesignanddateArl/rverdict.Y'J'/?,/

anskveredf'XO''toQuestionl5,pleaseanswerQuestionl6.

16,ThatDefendantAvantAssuranceInc.failedtopayRafaelaValientebonusesand/or

commissionsthatunjustlyenrichedtheAvantAssurancelnc.:

AnswerIûYES''orIN O''

lfCûYES ''inwhatam ount

SoSAYW EALL.

J

èv < = - - - -

* O1ePCrSOn,S%?lg .rem''% . i

)a

Date

Case 1:22-cv-22671-CMA Document 104 Entered on FLSD Docket 07/14/2023 Page 5 of 5