JS-CAND 44 (Rev. 07/16) CIVIL COVER SHEET
The JS-CAND 44 civil cover sheet and the information contained herein neither replace nor supplement the filing and service of pleadings ox other
except as provided by local rules of court. This form, approved in its original form by the Judicial Conference of the United States in September 19
Court to initiate the civil docket sheet. (S/ VSTRUCTIONS ON NEXT PAGE OF THIS FORM)

papers as required by law,
4, is required for the Clerk of

I, (a) PLAINTIFFS
Brant E. Kinnsch, an individual
(b) County of Residence of First Listed Plaintiff [Ventu
(EXCEPT IN U.S. PLAINTIFF CASES)

(¢) Attorneys (Firm Name, Address, and Telephone Number)
Strauss Law Group, APC

121 N. Fir St., Ste. F

Ventura, CA 93001

DEFENDANTS
Zwick, USA LP, and DOES | through 100, inclusive

County of Residence of First Listed Defendant [
(IN U.S. PLAINTIFF CASES ONLY)

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

Attorneys (if Known)
Donald W. Benson, Esq./Hall Booth Smith (404) 954-5000
191 Peachtree St., NE, Ste. 2900

Atlanta, GA 303-1775

NOTE:

TI. BASIS OF JURISDICTION (Place an “x” in One Box Only)

III. CITIZENSHIP OF PRINCIPAL PARTIES (Place an

in One Box for Plaintiff

(For Diversity Cases Only) and One Box for Defendant)
PTF PIF DEF

LW! US. Government 3. Federal Question DEF
Poe (2S. GovernmentNota Party) Citizen of This State 1 1 Incorporated or Principal Pl
it or Principal Place 4g
GH ceSusiness in This Sine a‘a@
2 U.S. Government 4 Diversity Citizen of Another State G2 2 Incorporated and Principal Place Gs ws:
De? Betendant et iii Citizenship of Parties in Item Il) a? a of Business In Another State a
Citizen or Subject of a 3 3 Foreign Nation le ws
Foreign Country a @ a‘ a
IV. NATURE OF SUIT (Piace an “x” in One Box Only)
[ CONTRACT TORTS FORFEITURD/PENADTY. BANKRUPTCY. OTHERSTATOIES J
[i 110 insurance PERSONAL INJURY PERSONAL INJURY [i625 Drug Related Seizure [+22 Appeal 28 USC § 158 375 False Claims Act
[gf 120 Marine {ij 310 Airplane [365 Personal Injury — of Property 21 USC § 881 |[gf423 Withdrawal Ld 376 Qui Tam (31 USC
[af 130 Miller Act [id 315 Airplane Product Product Liability [lll690 Other 28 USC § 157 §3729(a))
[gj 140 Negotiable Instrument Liability [367 Health Care/ 400 State Reapportionment
Lil 150 Recovery of Overpayment | [iJ 320 Assault, Libel & Pharmaceutical 410 Antitrust
Of Veteran's Benefits Slander Personal Injury 430 Banks and Banking
(id 151 Medicare Act 330 Federal Employers” Product Liability 450 Commerce
il 152 Recovery of Defaulted Liability [368 Asbestos Personal [840 Trademark 460 Deportation
Student Loans FI 340 Marine Injury Product 470 Racketeer Influenced and
(Excludes Veterans) 345 Marine Product, Liability TABOR, SOGIAT SECURTIY. Corrupt Organizations
Li 153 Recovery of Overpayment Liability PERSONAL PROPERTY |[3710 Fair Labor Standards 161 HIA (139588) fii] 480 Consumer Credit
of Veteran’s Benefits [ij 350 Motor Vehicle [370 Other Fraud ‘Act 1862 Black Lung (923) 490 Cable/Sat TV
[ij 160 Stockholders” Suits lu 355 Motor Vehicle [4371 Truth in Lending —_{[JiJ720 Labor/Management 163 DIWC/DIWW (405(g)) | i 850 Securities/Commodities/
[gj 190 Other Contract Product Liability [jj 380 Other Personal Relations }64 SSID Title XVI Exchange
[dij 195 Contract Product Liability |[Ji 360 Other Personal Property Damage _|fiJ740 Railway Labor Act 865 RSI (405(g)) 890 Other Statutory Actions
[i 196 Franchise [Hi385 Property Damage —_{[gg751 Family and Medical 891 Agricultural Acts

Injury
362 Personal Injury - Product Liability

Medical Malpractice

893 Environmental Matters
895 Freedom of Information

Leave Act
790 Other Labor Litigation

fi)

[ REAL PROPERTY. CIE RIGHTS, PRISONER PETITIONS:

‘Habeas Corpus:

[2] 463 Alien Detainee

[l510 Motions to Vacate
Sentence

[ii]s30 General

lad 535 Death Penalty

[a] 440 Other Civil Rights

[ig 441 Voting

[i 442 Employment

[a 443 Housing
Accommodations

445 Amer. w/Disabilities—

[i 210 Land Condemnation
[ij 220 Foreclosure

fief 230 Rent Lease & Bjectment
[if 240 Torts to Land

[aq 245 Tort Product Liability
[a 290 All Other Real Property

Employment Other:

446 Amer, w/Disabilities— 540 Mandamus & Other
Other 550 Civil Rights

448 Education 555 Prison Condition

560 Civil Detainee~
Conditions of

Confinement

1791 Employee Retirement FEDERAL TAN SUITS Act
Income Security Act 170 Taxes (U.S. Plaintiff 896 Arbitration
or Defendant) 899 Administrative Procedure
[is71 1Rs—Third Party ‘Act/Review or Appeal of
26 USC § 7609 Ageney Decision,
950 Constitutionality of
IMMIGRATION State Statutes

[462 Naturalization Application
}465 Other Immigration
Actions

V. ORIGIN (Place an “X” in One Box Only)
[el! Original [2 Removed from

ij 3 Remanded from
Proceeding State Court

Appellate Court,

4 Reinstated or
a Reopened

5 Transferred from
Another District
(specify)

6 Multidistrict

eRiiesi
Litigation-Transfer Wil ° Mulistrict

Litigation-Direct File

(Cite the U.S. Civil Statute under which you are fil
Fair Labor Standards Act 29 USC 20765

ling (Do not cite jurisdictional statutes unless diversity)

VI. CAUSE OF ACTION [rf description of cause:

Failure to pay overtime and related claims

VII. REQUESTEDIN fj CHECK IF THIS IS A CLASS ACTION
COMPLAINT: UNDER RULE 23, Fed. R. Civ. P.

DEMAND $ 100,000.00 CHECK YES only if demanded in complaint:

JURY DEMAND: Yes [J No

VIII. RELATED CASE(S),
TF ANY _ (See instructions) JUDGE

DOCKET Chace

IX. DIVISIONAL ASSIGNMENT (Civil Local Rule 3-2)
(Place an “X” in One Box Only)

GISAN FRANCISCO/OAKLAND [SAN JOSE

KA-MCKINLEYVILLE

DATE: 01/05/2017

SIGNATURE OF ATTORNEY OF RECORD:

(A