• JS·.i4 '\'Rov. 12112) CIVIL COVER SHEET 

The JS 44 civil cover sheet and the i!lfonnation contained herein _n~ither replace nor supple~?ent the fil_ing and service ofp!eadin&s or other papers as required by Jaw, except as provided by local rules of court. Thts fonn, approved by the Judtctal Conference of the Umted States m September 1974, ts requtred for the use of the Clerk of Court for the 

purpose of initiating the civil docket sheet (SEE INSTRUCTIONS ON NEXT PAGE OF THIS FORM.) 

(b) County of Residence ofF irst Listed Plaintiff 

(EXCEPT IN U.S. P UINTIFF CASES) 

NOTE: 

(c) Attorneys (Firm Name, Address, and Telophone Numbod 

II. BASIS 0 F JURISD I CTJ 0 N (Place an "X" in One Box Only) III. CITIZENSHIP OF PRINCIPAL PARTIES (Place an "X"' in One Borfor Plaintiff 

(For Diversity Cases Only) and One Borfor Defendant) 

OJ U.S. Govermnent 03 F edomll Question PTF DEF PTF DEF 

Plaintiff (U.S. Government Not a Parry} Citizen of This State I» I 0 1 lncol'jlor:>ted or Principal Place 0 4 ID4 

of Business In This State 

Q2 U.S. Govermnont 04 Diversity Citizen of Another State 0 2 0 2 Incol'jloratcd and Principal Place 0 5 05 

Defendant (Indicate Cliizenship of Parties In Item Ill) of Business In Another State 

D. 3 0 3 Foreign Nation 0 6 0 6 

IV . NATURE OF SUIT (PI ace an "X"' tn 0 ne B or 01~ nry) ... · ":.o:·· CONTRACT. : 

. .. ... :.·.· TORTS" .. · .·.· . . FORFEITURE/PENALTY. . . BANKRUPTCY . . OTHER STATUTES 

0 II 0 Insurance PERSONAL INJURY PERSONAL INJURY 0 625 Drug Related Seizure 0 422 Appeal 28 USC I 58 0 375 False Claims Act 

0 120 Marine 0 31 0 Airplane 0 365 Pcrsonal!njwy - ofPropcrty21 USC 881 0 423 Withdrawal 0 400 State Reapportionment 

0 130 Miller Act 0 3 I 5 Airplane Product Product Liability 0 690 Other 28 usc 157 0 410 AntitruSt 

0 140 Negotiable Instrument Liability 0 367 Health Carcf 0 430 Banks and Banking 

0 150 Recovery ofOvel'jlaymcnt 0 320 Assaul~ Libel & Pharmaceutical 'PR PERTY RIGHTS' . " 0 450 Commerce 

& Enforcement of Judgmont Slander Personal lnjwy 0 820 Copyrights 0 460 Deportation 

0 151 Medi~c Act · 0 330 Federal Employers' Product Liability 0 830 Patent 0 470 Racketeer Influenced and 

0 152 Recovery ofDefaultcd Liability 0 368 Asbestos Personal 0 840 Trademark Corrupt Organizations 

Student Loans 0 340 Marine Injury Product 0 480 Consumer Credit 

(Excludes V ctcrans) 0 345 Marine Product Liability :: ... i'LAR R'' ·.:,,,s :)CIAL SEC:TJRTTY 0 490 Cable/Sat TV 

0 153 Rcc9vcry ofOvcl'jlayment Liability PERSONAL PROPERTY 0 710 Fair Labor Standards 0 86! H!A (139Sft) 0 SSO Securities/Commodities/ 

ofVctcran"s Benefits 0 350 Motor Vehicle 0 370 _Other Fraud Act 0 862 Black Lung (923) Exchange 

0 160 Stockholders" Suits 0 355 Motor Vehicle 0 371 Truth in Lending 0 720 Labor/Management 0 863 DIWCJDIWW (405(g)) 0 890 Other Statutory Actions 

0 190 Other Contract Product Liability 0 380 Other Personal Relations 0 864 SSID Title XV! 0 891 Agricultural Acts 

0 195 Contract Product Liability 0 360 Other Personal Property Damage 0 740 Railway Labor Act 0 865 RSI (405(g)) 0 893 Environmental Maners 

0 196 Franchise lnjuiy 0 385 Property Damage 0 751 Family and Medical 0 895 Freedom oflnformation 

0 362 Personal Injury- Product Liability Leave Act Act 

Medical Mal~ractice 0 790 0\her Labor Litigation 0 896 Arbitration 

r --~,,;,'"REAL 'PROPERTY ·• "L' ·:· · ·. CJVlL'RIGHTS" PRISONER PETmONS 0 791 Employee Retirement .... FEDERAL TAX SUITS· 0 899 Administrative Procedure 

0 210 Land Condemnation 0 440 Other Civil Rights Habeas Corpus: Income Security Act 0 870 Taxes (U.S. Plaintiff Act/Review or Appeal of 

0 220 Foreclosure 0 441 Voting 0 463 Alien Detainee or Defendant) Agency Decision 

0 230 Ront Lease & Ejccunent 0 442 Employment 0 510 Motions to Vacate 0 B711RS-Third Party 0 950 Constitutionality of 

0 240 Torts to Land Sl 443 Housing/ Sentence 16 usc 7609 State Statutes 

0 245 Tort Product Liability Accommodations 0 530 General 

0 290 All Other Real Property 0 445 Amcr. wJDisabilitics- 0 535 Death Penalty ·. ''·'·' IMMIGRATION, ..... ._ .. · 

Employment Other: 0 462 Naruralization Application 

0 446 Amer. wJDisabilitics - 0 540 Mandanms & Other 0 465 Oth~r Immigration 

Other 0 550 Civil Rights Actions 

0 448 Education 0 555 Prison Condition 

0 560 Civil DetaineeConditions of 

Confinement 

V. ORIGIN.(Piacean "X" in Om BorOnly) 

0 I Original ~ 0 2 Removed from 0 3 Remanded from 

Appellate Court 

0 4 Reinstated or 0 5 Transferred from li§ 6 Multidistrict 

Proceeding State Court Reopened Another District Litigation (specify) 

VII. REQUESTED IN 

COMPLAINT: 

0 CHECK IF THIS IS A CLASS ACTION ~ J>EMAJ:jDJ3 8 /?'V"'' 

UNDER RULE 23, F.R.Cv.P. f ...t- r r /? . f VV 

CHECK YES only if demanded in complaint: 

JURY DEMA.ND: Ill Yes 0 No 

VIIL RELATED CASE(S) 

IF ANY 

DA'IE 

FOR OFFICE USE ONLY 

RECEIPT# AMOUNT 

(See instroctions): 

JUDGE DOCKET NUMBER 

SIGNATURE OF ATTORNEY OF RECORD 

APPLYING IFP JUDGE MAG. JUDGE 

I 

Case 6:14-cv-01630-TC Document 1-2 Filed 10/14/14 Page 1 of 1