JS-CAND 44 (Rev. 07/16)

except as provided by local rules of court.

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 or other papers as required by law,

Court to initiate the civil docket sheet. (S22 INSTRUCTIONS ON NEXT PAGE OF THIS FORM)

‘This form, approved in its original form by the Judicial Conference of the United States in September 19/4, is required for the Clerk of

T. (a) PLAINTIFFS

People of the United States of America and the State of

California

(b) County of Residence of First Listed Plaintiff

San Francisco

(EXCEPT IN U.S PLAINTIFF CASES)

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

Andrew W. Shalaby
1417 Solano Avenue
Albany, CA 94706

sbn 206841

Tel. 510-551-8500

DEFENDANTS

Attorneys (5 Znown)

County of Residence of First Listed Defendant

Donald Trump; United States of America

San Franciseo

(IN US. PLAINTIFF CASES ONLY)

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

TI. BASIS OF JURISDICTION (ace ax “in One Box Only) HI. CITIZENSHIP OF PRINCIPAL PARTIES (Place an “in One Box for Plant
(For Diversity Cases Only) and One Box for Defendant)
1 U.S. Government G 3 Federal Question PIF DEF PIF DEF
Plaintiff (US. Government Not a Party) or Princ
Citizen of This State G 1 B 1 Tresparated 7 Penal Place G 4 G 4
TE? BS .Sorenment 4 Dee cnamsuipof Farner in Bamim) | henotAnethersite [2 [2 Ineoported onde = 6S
Citizen or Subject of a [2 GB Foreign Nation G* ws
Foreign Country
IV. NATURE OF SUIT (2lace an “x” in One Box Only)
[ CONTRACT TORTS FORFEITURE/PENALTY. BANKRUPTCY OTHER STATUTES |
| 110 Insurance PERSONAL INJURY PERSONAL INJURY |[jJ625 Drug Related Seizure [Gis22 Appeal 28 USC § 158 A 375 False Claims Act
120 Marine A 310 Airplane [i365 Personal Injury — of Property 21 USC § 881 | [}123 Withdrawal 376 Qui Tam (31 USC
130 Miller Act 315 Airplane Product Product Liability |Eil690 other 28 USC § 157 § 3729(a))
140 Negotiable Instrument Liability [i367 Health Care 400 State Reapportionment
150 Recovery of Overpayment oa 320 Assault, Libel & Pharmaceutical PROPERTY RIGHTS. 410 Antitrust
Of Veteran’s Benefits Slander Personal Injury [820 Copyrights 430 Banks and Banking
A 151 Medicare Act [i 330 Federal Employers? Product Liability Es Patent 450 Commerce
152 Recovery of Defaulted Liability 1368 Asbestos Personal [40 Trademark 460 Deportation
Student Loans 340 Marine Injury Product 470 Racketeer Influenced and
(Excludes Veterans) 345 Marine Product Liability LABOR SOCIAL SECURITY Corrupt Organizations
153 Recovery of Overpayment Liability PERSONAL PROPERTY [[J710 Fair Labor Standards [861 HIA (1395ff) A 480 Consumer Credit
of Veteran’s Benefits 350 Motor Vehicle 370 Other Fraud Act 1862 Black Lung (923) 490 Cable/Sat TV
160 Stockholders’ Suits A 355 Motor Vehicle Be Truth in Lending |] 720 Labor/Management i863 DIWC/DIWW (405(g)) 850 Securities/Commodities/
190 Other Contract Product Liability |380 Other Personal Relations 864 SSID Title XVI Exchange
195 Contract Product Liability [Gj] 360 Other Personal Property Damage —_[[[5] 740 Railway Labor Act 65 RSI (405(g)) 890 Other Statutory Actions
196 Franchise Injury [Gisss Property Damage [J 751 Family and Medical 891 Agricultural Acts
[Gd 362 Personal Injury - Product Liability Leave Act 893 Environmental Matters
Medical Malpractice 790 Other Labor Litigation 895 Freedom of Information
[| REAT PROPERTY. CIVIL RIGHTS PRISONER PETITIONS |L]791 Employee Retirement FEDERAL TAX SUITS Act
210 Land Condemnation 440 Other Civil Rights Habeas Corpus: Income Security Act [870 Taxes (U.S. Plaintiff Bi 896 arbitration
220 Foreclosure 441 Voting 463 Alien Detainee or Defendant) [Bl 899 Administrative Procedure
230 Rent Lease & Ejectment 442 Employment 1510 Motions to Vacate [Gis71 ms—Third Party Act/Review or Appeal of
240 Torts to Land 443 Housing/ Sentence 26 USC § 7609 Agency Decision
245 Tort Product Liability Accommodations [7] s30 General [Bi 950 Constitutionality of
290 All Other Real Property | [ij 445 Amer. w/Disabilities— [Ei] 535 Death Penalty State Statutes
Employment Other:
[=] 446 Amer. w/Disabilities—| 540 Mandamus & Other 465 Other Immigration
Other 550 Civil Rights Actions
[i 448 Education [555 Prison Condition
560 Civil Detainee—
Conditions of
Confinement

V. ORIGIN (Place an “%” in One Box Only)

fH! Original [G2 Removed from 3 Remandedfrom [Gj 4 Reinstated or [J] 5 Transferred from [6 Multidistrict
Proceeding State Court Appellate Court Reopened Another District Litigation—Transfer
(specify)

[8 Multidistrict
Litigation—Direct File

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:

Injunction of Presidential Executive Order dated January 27, 2017

VII. REQUESTEDIN = [Jj CHECK IF THIS IS A CLASS ACTION DEMAND $ CHECK YES only if demanded in complaint:
COMPLAINT: UNDER RULE 23, Fed. R. Civ. P. JURY DEMAND: [J] Yes [J No
VIIL RELATED CASE(S),
TF ANY _ (see instruct JUDGE DOCKET NUMBER
IX. DIVISIONAL ASSIGNMENT (Civil Local Rule 3-2)
(lace an “X” in One Box Only) [SAN FRANCISCO/OAKLAND [GSANJOSE [Jj EUREKA-MCKINLEYVILLE

DATE: 01/28/2017

SIGNATURE OF ATTORNEY OF RECORD: s/Andrew W. Shalaby