JS 44 (Rev. 12/07) CIVIL COVER SHEET

The JS 44 civil cover sheet and the information 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 form, approved by the Judicial Conference of the United States in September 1974, is required for the use of the Clerk of Court for the purpose of initiating

the civil docket sheet. (SEE INSTRUCTIONS ON THE REVERSE OF THE FORM.)

I. (a) PLAINTIFFS DEFENDANTS

(b) County of Residence of First Listed Plaintiff County of Residence of First Listed Defendant

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

NOTE: IN LAND CONDEMNATION CASES, USE THE LOCATION OF THE

 LAND INVOLVED.

(c) Attorney’s (Firm Name, Address, and Telephone Number) Attorneys (If Known)

II. BASIS OF JURISDICTION (Place an “X” in One Box Only) III. CITIZENSHIP OF PRINCIPAL PARTIES(Place an “X” in One Box for Plaintiff

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

 1 U.S. Government  3 Federal Question PTF DEF PTF DEF

Plaintiff (U.S. Government Not a Party) Citizen of This State  1  1 Incorporated or Principal Place  4  4

of Business In This State

 2 U.S. Government  4 Diversity Citizen of Another State  2  2 Incorporated and Principal Place  5  5

Defendant (Indicate Citizenship of Parties in Item III) of Business In Another State

Citizen or Subject of a  3  3 Foreign Nation  6  6

 Foreign Country

IV. NATURE OF SUIT (Place an “X” in One Box Only)

CONTRACT TORTS FORFEITURE/PENALTY BANKRUPTCY OTHER STATUTES

 110 Insurance PERSONAL INJURY PERSONAL INJURY  610 Agriculture  422 Appeal 28 USC 158  400 State Reapportionment

 120 Marine  310 Airplane  362 Personal Injury -  620 Other Food & Drug  423 Withdrawal  410 Antitrust

 130 Miller Act  315 Airplane Product Med. Malpractice  625 Drug Related Seizure 28 USC 157  430 Banks and Banking

 140 Negotiable Instrument Liability  365 Personal Injury - of Property 21 USC 881  450 Commerce

 150 Recovery of Overpayment  320 Assault, Libel & Product Liability  630 Liquor Laws PROPERTY RIGHTS  460 Deportation

 & Enforcement of Judgment Slander  368 Asbestos Personal  640 R.R. & Truck  820 Copyrights  470 Racketeer Influenced and

 151 Medicare Act  330 Federal Employers’ Injury Product  650 Airline Regs.  830 Patent Corrupt Organizations

 152 Recovery of Defaulted Liability Liability  660 Occupational  840 Trademark  480 Consumer Credit

 Student Loans  340 Marine PERSONAL PROPERTY Safety/Health  490 Cable/Sat TV

 (Excl. Veterans)  345 Marine Product  370 Other Fraud  690 Other  810 Selective Service

 153 Recovery of Overpayment Liability  371 Truth in Lending LABOR SOCIAL SECURITY  850 Securities/Commodities/

 of Veteran’s Benefits  350 Motor Vehicle  380 Other Personal  710 Fair Labor Standards  861 HIA (1395ff) Exchange

 160 Stockholders’ Suits  355 Motor Vehicle Property Damage Act  862 Black Lung (923)  875 Customer Challenge

 190 Other Contract Product Liability  385 Property Damage  720 Labor/Mgmt. Relations  863 DIWC/DIWW (405(g)) 12 USC 3410

 195 Contract Product Liability  360 Other Personal Product Liability  730 Labor/Mgmt.Reporting  864 SSID Title XVI  890 Other Statutory Actions

 196 Franchise Injury & Disclosure Act  865 RSI (405(g))  891 Agricultural Acts

 REAL PROPERTY CIVIL RIGHTS PRISONER PETITIONS  740 Railway Labor Act FEDERAL TAX SUITS  892 Economic Stabilization Act

 210 Land Condemnation  441 Voting  510 Motions to Vacate  790 Other Labor Litigation  870 Taxes (U.S. Plaintiff  893 Environmental Matters

 220 Foreclosure  442 Employment Sentence  791 Empl. Ret. Inc. or Defendant)  894 Energy Allocation Act

 230 Rent Lease & Ejectment  443 Housing/ Habeas Corpus: Security Act  871 IRS—Third Party  895 Freedom of Information

 240 Torts to Land Accommodations  530 General 26 USC 7609 Act

 245 Tort Product Liability  444 Welfare  535 Death Penalty IMMIGRATION  900Appeal of Fee Determination

 290 All Other Real Property  445 Amer. w/Disabilities -  540 Mandamus & Other  462 Naturalization Application Under Equal Access

Employment  550 Civil Rights  463 Habeas Corpus - to Justice

 446 Amer. w/Disabilities -  555 Prison Condition Alien Detainee  950 Constitutionality of

Other  465 Other Immigration State Statutes

 440 Other Civil Rights Actions

V. ORIGIN

Transferred from

another district

(specify)

Appeal to District

Judge from

Magistrate

Judgment

 (Place an “X” in One Box Only)

 1 Original

Proceeding

 2 Removed from

State Court

 3 Remanded from

Appellate Court

 4 Reinstated or

Reopened

 5  6 Multidistrict

Litigation

 7

VI. CAUSE OF ACTION

Cite the U.S. Civil Statute under which you are filing (Do not cite jurisdictional statutes unless diversity):

Brief description of cause:

VII. REQUESTED IN

 COMPLAINT:

 CHECK IF THIS IS A CLASS ACTION

UNDER F.R.C.P. 23

DEMAND $ CHECK YES only if demanded in complaint:

JURY DEMAND:  Yes  No

VIII. RELATED CASE(S)

 IF ANY (See instructions): JUDGE DOCKET NUMBER

DATE SIGNATURE OF ATTORNEY OF RECORD

FOR OFFICE USE ONLY

RECEIPT # AMOUNT APPLYING IFP JUDGE MAG. JUDGE

STORMY BLANKINSHIP

FRANKLIN

RAYL L. STEPTER; 5650 PAUL BLAZER PARKWAY, DUBLIN,

OHIO 43017 (614) 468-4100

SEQUEL YOUTH AND FAMILY

SERVICES

Robert Robenalp, Fisher & Phillips, 250 West Street

Suite 400, Columbus, Ohio 43215, 614.453.7611

Retaliation for reporting abuse/neglect of juvenile residents; retaliation for refusing to ignore violations

✔

09/01/2017 s/Rayl L. Stepter

Case: 2:17-cv-00777-MHW-CMV Doc #: 1-1 Filed: 09/01/17 Page: 1 of 1 PAGEID #: 5