JS.44 (Rev. 08/16)

CIVIL COVER SHEET

The 1544 cui cover sheet and the information contained herin neither replace nor supplement the iling and service of pleadings or other papers a requied by law, excep s

provided by local rules of court,
purpose of initiating the civil do

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
cket sheet. (SEE INSTRUCTIONS ON NEXT PAGE OF THIS. FORM.)

1. (a) PLAINTIFFS
Janet Craven

(b) County of Residence of First Listed Plaintiff Carrol County of Residence of First Listed Defendant
(EXCEPT IN U.S. PLAINTIFF CA

DEFENDANTS

CARROLTON AERIE #2815 FOE; GRAND AERIE OF THE FOE;
DALE HENDRICKS;DAVID FLANNERY;FRANK BLAKE

(IN U.S. PLAINTIFF CASES ONLY)

NOTE: IN LAND CONDEMNATION CASES, USE THE LOCATION OF
‘THE TRACT OF LAND INVOLVED.

(€) Attorneys (Firm Name, Address, and Telephone Number) Attorneys (If Known)

Chris P. Wido - The Spitz
Beachwood, OH 44122

Law Firm, 25200 Chagrin Blvd, Ste 200,

Il. BASIS OF JURISDICTION (Place an “x” in One Box Only) 111. CITIZENSHIP OF PRINCIPAL PARTIES (Place an “X” in One Box for Plaintiff
(For Diversity Cases Only) and One Box for Defendant)
1 US. Government $3 Federal Question PTF DEF PTF DEF
Plaintiff (U.S. Government Not a Party) Citizen of This State o1 G1 Incorporated or Principal Place a4 a4
of Business In This State
© 2 US. Government 04 Diversity Citizen of Another State G2  G 2 Incorporated and Principal Place as as
Defendant (Indicate Citizenship of Parties in Item Il) ‘of Business In Another State
Citizen or Subject of a 03 © 3° Foreign Nation o6 06
Foreign Country
IV. NATURE OF SUIT (Place an “x” in One Box Only) Suit Code Deseriptions,
[ ‘CONTRACT TORTS FORFEITURE/PENALTY. OTHER UTES,
© 110 Insurance PERSONAL INJURY PERSONAL INJ | 625 Drug Related Seizure 422 Appeal 28 USC 158 © 375 False Claims Act
© 120 Marine © 365 Personal Injury - of Property 21 USC 881 | 423 Withdrawal © 376 Qui Tam (31 USC
8 130 Miller Act Product Liability 0 690 Other 28 USC 157 +3729(a))
(7 140 Negotiable Instrument Liability 0 367 Health Care/ 0 400 State Reapportionment
J 150 Recovery of Overpayment | 320 Assault, Libel & Pharmaceutical PROPERTY RIGHTS 0 410 Antitrust
& Enforcement of Judgment Slander Personal Injury 820 Copyrights 0 430 Banks and Banking
0 151 Medicare Act © 330 Federal Employers’ Product Liability, 830 Patent © 450 Commerce
© 152 Recovery of Defaulted Liability GF 368 Asbestos Personal © 840 Trademark G 460 Deportation
Student Loans: © 340 Marine Injury Product © 470 Racketeer Influenced and
(Excludes Veterans) (7-345 Marine Product Liability LABOR SOCIAL SECURITY Corrupt Organizations
© 153 Recovery of Overpayment Liability PERSONAL PROPERTY |? 710 Fair Labor Standards © 861 HIA (1395f8) (480 Consumer Credit
of Veteran's Benefits 1 350 Motor Vehicle (0 370 Other Fraud Act 1 862 Black Lung (923) © 490 Cable/Sat TV
© 160 Stockholders’ Suits 0-355 Motor Vehicle 7 371 Truth in Lending © 720 Labor/Management © 863 DIWC/DIWW (405(g))_ | 850 Securities/Commodities!
(© 190 Other Contract Product Liability © 380 Other Personal Relations C864 SSID Title XVI Exchange
195 Contract Product Liability | 360 Other Personal Property Damage 1 740 Railway Labor Act 865 RSI (405(g)) 890 Other Statutory Actions.
1 196 Franchise Injury © 385 Property Damage J 751 Family and Medical © 891 Agricultural Acts
(9 362 Personal Injury - Product Liability Leave Act © 893 Environmental Matters
Medical Malpractice 790 Other Labor Litigation (0 895 Freedom of Information
[ REAL PROPERTY CIVIL RIGHTS: PRISONER PETITIONS _|( 791 Employee Retirement FEDERAL TAX SUITS. Act
210 Land Condemnation 7 440 Other Civil Rights Habeas Corpus: Income Security Act 1 870 Taxes (U.S. Plaintiff 896 Arbitration
1 220 Foreclosure 441 Voting 0 463 Alien Detainee or Defendant) F899 Administrative Procedure
© 230 Rent Lease & Ejectment © 442 Employment G1 510 Motions to Vacate ‘© 871 IRS—Third Party Act/Review or Appeal of
0 240 Torts to Land 0 443 Housing/ Sentence 26 USC 7609 Agency Decision
© 245 Tort Product Liability Accommodations (F530 General 1 950 Constitutionality of
G 290 All Other Real Property ©) 445 Amer. w/Disabilities -]( 535 Death Penalty s IMMIGRATION State Statutes
Employment Other: (C463 Naturalization Application
446 Amer. w/Disabilities -] 540 Mandamus & Other [C4 465 Other Immigration
Other 550 Civil Rights Actions
© 448 Education © 555 Prison Condition
© 560 Civil Detainee -
Conditions of
‘Confinement
V. ORIGIN (Place an “X” in One Box Only)
O11 Original 12 Removed from 3 Remanded from «1.4 Reinstatedor © 5 Transferred from © 6 Multidistrict 8 Multidistrict
Proceeding State Court Appellate Court Reopened Another District Litigation - Litigation -
(specifi) Transfer Direct File
Cite the U.S. Civil Statute under which you are filing (Do not cite jurisdictional statutes unless diversity):
CAUSE TION 29 USC 216 (FLSA)
vi OF AC Brief description of cause: ; —
Wage & Hour; State Law Claims for Sexual Harassment and retaliation
VI. REQUESTED IN CO CHECK IF THIS IS A CLASS ACTION DEMAND $ CHECK YES only if demanded in complaint:
COMPLAINT: UNDER RULE 23, F.R.Cv.P. JURY DEMAND: yes No
VI. RELATED CASE(S)
7 (See instructions):
IF ANY JUDGE ee ______ DOCKET NUMBER -
DATE SIGNATURE OF ATTORNEY OF RECORD
03/17/2017 /s/ Chris P. Wido
FOR OFFICE USE ONLY
RECEIPT # AMOUNT APPLYING IFP- JUDGE MAG. JUDGE,