JS-CAND 44 (Rev. 07/16)

The JS-CAND 44 civil cover sheet and the information contained herein neither replace nor supplement the filing and service of pleadings or
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

CIVIL COVER SHEET

Court to initiate the civil docket sheet. (SEE INSTRUCTIONS ON NEXT PAGE OF THIS FORM.)

ol AN red by law,
974, is reduirdd/for the Clerk of

I. (a) PLAINTIFFS
Darryl Carter

(b) County of Residence of First Listed Plaintiff

CONTRA Cote CUPSt2A

(EXCEPT IN U.S. PLAINTIFF CASES)

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

Darryl Carter
2121 Meridian Park Blvd Unit# 6701
Concord, CA 94520

DEFENDANTS

NOTE:
HE TRACT
Attomeys (If Known)

County of Residence of First Listed Defendant

(IN U.S, PLAINTIFF CASES ONLY)

Uber Technologies, Rasier, LLC, CEO Travis Kalanick

SAN FRANCISCO

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

II. BASIS OF JURISDICTION (Place an “x”

in One Box Only)

(For Diversity Cases Only)
PTF

1. CITIZENSHIP OF PRINCIPAL PARTIES (Ptace an “X” in One Box for Plaintiff
and One Box for Defendant)

1 US. Government [E13 Federal Question DEF
Plaintiff (U.S. Government Not a Party) - S,
Citizen of This State 1 1 Incorporated or Principal Place 4 4
Gh! Gh! OSsiness inthis Sine a’ a
2 U.S. Government 4° Diversity Citizen of Another State 2 2 Incorporated and Principal Place 5 a
| Defendant Qa (Indicate Citizenship of Parties in Item III) a a of Business In Another State a a
Citizen or Subject of a [3 G3 Foreign Nation G* we
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  |[]iJ625 Drug Related Seizure [22 Appeal 28 USC § 158 375 False Claims Act
120 Marine 310 Airplane [36s Personal Injury — of Property 21 USC § 881 _ | [423 Withdrawal 376 Qui Tam (31 USC
130 Miller Act 315 Airplane Product Product Liability 1690 Other 28 USC § 157 § 372%a))
140 Negotiable Instrument Liability (i367 Health Care/ 400 State Reapportionment
150 Recovery of Overpayment a 320 Assault, Libel & Pharmaceutical 410 Antitrust
Of Veteran's Benefits Slander Personal Injury 430 Banks and Banking

151 Medicare Act
152 Recovery of Defaulted
‘Student Loans

Product Liability
368 Asbestos Personal
Injury Product

i
:

(Excludes Veterans) 345 Marine Product Liability J LABOR SOCIAL SECURITY
Gi iss Recovery of Overpayment Liability PERSONAL PROPERTY |[xJ710 Fir Labor Standards (61 HIA (13954)
of Veteran's Benefits 350 Motor Vehicle 370 Other Fraud ct $62 Black Lung (923)
160 Stockholders’ Suits A 355 Motor Vehicle Be: Truth in Lending —_{{3J720/abor/Management $63 DIWC/DIWW (405(g))
190 Other Contract Product Liability [380 Other Personal Relations 164 SSID Title XVI
195 Contract Product Liability [J 360 Other Personal Property Damage /40 Railway Labor Act 165 RSI (405(g))
196 Franchise Injury (Gi385 Property Damage 751 Family and Medical
[Gi 362 Personal Injury - Product Liability Leave Act
Medical Malpractice 1790 Other Labor Litigation
[ REAL PROPERTY CIVIL RIGHTS: PRISONER PETITIONS [L791 Employee Retirement FEDERAL TAX SUITS
210 Land Condemnation 440 Other Civil Rights [_ Habeas Corpus: Income Security Act GR70 Taxes (Us. Paint — |
220 Foreclosure 441 Voting 463 Alien Detainee or Defendant) a
230 Rent Lease & Ejectment 442 Employment [510 Motions to Vacate [is71 1rs—Third Party
240 Torts to Land 443 Housing/ Sentence 26 USC § 7609
245 Tort Product Liability Accommodations E [530 General
290 All Other Real Property | [i] 445 Amer. w/Disabilities—[[I]535 Death Penalty IMMIGRATION
Employment Other: [462 Naturalization Application

Other
(Gi 448 Education

[Bi 446 Amer. wiDisabilities—

[540 Mandamus & Other

550 Civil Rights

1555 Prison Condition

560 Civil Detainee
Conditions of

Confinement

a

465 Other Immigration
Actions

450 Commerce

460 Deportation

470 Racketeer Influenced and
Corrupt Organizations

480 Consumer Credit

490 Cable/Sat TV

850 Securities/Commodities/
Exchange

890 Other Statutory Actions

891 Agricultural Acts

893 Environmental Matters

895 Freedom of Information
Act

896 Arbitration

899 Administrative Procedure
‘AcUReview or Appeal of
Agency Decision

950 Constitutionality of
State Statutes,

V. ORIGIN (Place an “X” in One Box Only)
[x]! Original 2 Removed from
Proceeding State Court

[G3 Remanded from
Appellate Court

4 Reinstated or
Ta * Reopened

(specify)

[G5 Transferred from
Another District

[6 Multidistrict
Litigation—Transfer

8 Multidistrict
Litigation—Direct File

29 US.C§ 201 et seq..

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

VI. CAUSE OF ACTION

Brief description of

cause:

[Action brought under FSI.A misclassification giving rise to unpaid hourly wages, overtime pay. and unreimbursed required equipment costs,

VII. REQUESTED IN [Jj CHECK IF THIS IS A CLASS ACTION

DEMAND $ 500,000.00

CHECK YES only if demanded in complaint:

COMPLAINT: UNDER RULE 23, Fed. R. Civ. P. JURY DEMAND: _[]_Yes [No
VIII. RELATED CASE(S),
TF ANY _ (See instructions): JUDGE DOCKET NUMBER

IX. DIVISIONAL ASSIGNMENT (Civil Local Rule 3-2)
GISAN FRANCISCO/OAKLAND _ GJSAN JOSE [J EUREKA-MCKINLEYVILLE

(Place an “X” in One Box Only)

DATE: 01/02/2017

SIGNATURE OF ATTORNEY OF RECORD: