JS44 (Rev.2/l2) CIVIL COVER SHEET 

The JS 44 civil cover sheet and the information contained herein neither replace nor supplement the tiling and service of pleadings or other papers as required by law, except as provided by local rules of court. Thisform, approved by the .ludicial Conference of the United States in September 1974. is requtred for the use of the Clerk of Court for the 

purpose oflnitiating,the civil docket sheet. (SEE 1NS7'I? UCTIONS ON iVIsXTI'AGJI 0/THIS 10PM) 

I. (a) PLAINTIFFS DEFENDANTS 

VANESSAVAGDOS DAVID GLOW 

(b) County of Residence of First Listed Plaintiff - (EXCEI'TIN (I.E PLA1NTII'i"C,lSIIS) 

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

II. BASIS OF JURISDICTiON (P/ocean 'X"in One Box Only) 

0 1 U.S. Government 3 Federal Question 

Plaintiff (U.E (ios'ernmcni No! a Party) 

13 2 U.S. Government 13 4 Diversity 

Defendant Undicale Citizens/tip of Parties in lie,,, Ill) 

IV. NATURF OF SUIT (Place an X' in One Box On/a) 

County of Residence of First Listed Defendant Guadalupe 

(IN (I.E. pI,AINTIIFc:AsI/s ONLY,) 

NOTE: IN LAND CONDEMNATION CASES, USE THE LOCATION OF 

THE TRACT OF LAND INVOLVED. 

Attorneys 'IfKnou'n,) 

°A2OcA0459 

III. CITIZENSHIP OF PRINCIPAL PARTIES (I'/acean 'X"inOneBoxforPloin/ifJ 

(1 "or Diversity Cases Only) and One Box/br Defendant,) 

PTI' DEF PTF DEF 

Citizen of This State I I Incorporated or Principal Place 0 4 13 4 of Business In This State Citizen of Another State 0 2 Ii 2 Incorporated and Principal Place 0 5 0 5 of Business Is Another State Citizen or Subject of a 0 3 0 3 Foreign Nation 0 6 0 6 n.,,.,;., 

I 4diT . .F.OKI . .. .... IN ', 

0 110 0 625 Drug Related Seizure 0 422 Appeal 28 USC 158 0 375 False Claims Act Insurance PERSONAL INJURY PERSONAL INJURY 

0 120 Marine 0 310 Airplane 0 365 Personal lnjsuy - of Property 21 USC 881 0 423 Withdrawal 13 400 State Reapportionment 0 130 Miller Act 0 315 Airplane Product Product Liability 0 690 Other 28 USC 157 0 410 Antitnist 13 140 Negotiable lnstntnient 

O 150 Recovery of Overpayment 

Liability 0 367 Health Card 0 320 Assault, Libel Pharmaceutical 0 430 Banks and Bankisg 

ER1)7YI1TRtI 0 450 Commerce 

& Onforcement of Judgment 0 151 Medicare Act Slander l'ersonat 1y)ury 

3 330 Federal Employers' Product Liability 13 820 Copyrights 

0 830 Patent 0 460 Deportation 

0 470.Rscketeer Influenced and O 152 Recovery of Defaulted 

Student Loans Liability 0 368 Asbestos Personal 13 340 Marine Injtuy l'roduct 

0 840 Trademark Corrupt Organizations 

0 480 Consumer Credit 

(Eaeludes Veterans) 0 345 Marine Product Liability 0 490 Cable/Sat TV . LABR 0 0 710 Fair Labor Standards 0 861 lilA (1395ff) 153 Recovery of Overpayment Liability PERSONAL PROPERTY 0 850 Seeurities/Commotlilies/ 

of Veteran's Benefits 

O 160 Stockholders' Suits 

0 190 Other Cotitract 

O 195 Contract Product Liability 

0 350 Motor Vehicle 0 370 Oilier Fraud 13 355 Motor Vehicle 0 371 Truth in Lending Proditet Liability 0 380 Other Personal 36(1 Other Personal Property Damage 

Act 13 720 Labor/Management 

Relations 

0 740 Railway Labor Act 

0 862 Black Lung (923) 

0 863 DIWC/DIWW (405(g)) 

0 864 SSID Title XVI 

0 865 RSI (405(g)) 

Exchange 

0 890 Other Statutory Actions 

0 891 Agricultural Acts 

0 893 Environmental Matters 0 196 Franchise Injury 0 385 l'ropsrly Damage 0 362 Personal injury - I'roduct Liability Medical Mal ractic.e 0 751 Family and Medical 

Leave Act 

0 790 Other Labor Litigation 13 791 Employee Retirement 

Income Security Act 

0 895 Freedom of Information 

Act 

0 896 Arbitration 

0 899 Administrative Procedure Act/Review or Appeal of 

Agency Decision 

0 950 Constitutionality of 

State Statutes 

. 0 210 Land Condemnation 

0 220 Foreclosure 0 230 Rent Lease & Ejectment 0 240 Torts to Land 

0 245 Tort Product Liability 

13 440 Other Civil Rights 

0 44l Voting 

0 442 Employment 13 443 Housingl 

Accommodations 

Habeaa Corpus: 

0 463 Alien Detainee 0 510 Motions to Vacate Sentence 0 530 General 

0 870 Taxes (U.S. Plaintiff or Defendant) 

0 871 IRSThird Party 26 USC 7609 0 291) All Other Real Property 0 445 Amer. svlDisabilities - 0 535 Death Penally 

Employment 0 446 Amer. w/Disabilities. 

Other: 

0 540 Mandamus & Other 

0 462 Naturalization Application 

3 465 Other Immigration 

Other 0 551) Civil Rights Actions 13 448 Education 0 555 l'rison Condition 

0 560 Civil Detainee - Conditions of 

Confinement V JIULI1IN (l'Iace an "A" in One has Only) 

0 1 Original 2 Removed from 0 3 Remanded from 0 4 Reinstated or 0 5 Transferred from 0 6 Multidistrict Proceeding State Court Appellate Cottrt Reopened Another District Ltttgatton 

fspec(ly,) 

JCite the U.S. Civil Statute under which yott are ftlitig (Do not cite JurIsdictional Statutes unless diversity,): 

VI. CAUSE OF ACTION sn of cause: Act of 1968 

VII. REQUESTED IN CHECK IF TI-ITS IS A CLASS ACTION DEMAND S CHECK YES only if demanded in complaint: 

COMPLAINT: UNDER RULE 23, F.R.Cv.P. ,JURY DEMAND: Yes 0 No 

VIII. RELATED CASE(S) 

IF ANY c"See instructions): 

JUDGE __DOCKETNUMBER 

SIGNATURE A ORN' 'OF ECORD 

April 10,2020 Pro Se 

FOROFFICEIJSE ONLY 

RECEIPT II AMOUNT APPLYING IFP J JUDGE MAO. JGE 

Case 5:20-cv-00459-FB-RBF Document 1-3 Filed 04/13/20 Page 1 of 1