~s 44 (Rev. 12107) CIVIL COVER SHEET 

The JS 44 civil cover sheet and the information contained herein neither replace norsupplerrentthe filing and service of pleadings or other papers as required by law, except as providei 

by local plies of COfrt. This fonn, approved by the Judicial Conference of the United States in September 1974, is reqmred for the use of the Clerk of Court for the purpose ofmitiatini 

the civil _docket sheet. (SEE INSTRUCTIONS ON THE REVERSE OF THE FORM.) 

DEFENDANTS 

\\v..'f \:o~ ~cc.ts >='V'C.-

(b) County of Residence of First Listed Plaintiff ~lb~C!~<-~l~'~"'~-----­

(EXCEPT IN U.S. PLAINTIFF CASES) 

County of Residence of First Listed Defendant UY\\(V\Mf\ 

(TN U.S. PLAINTIFF CASES ONLY) 

( C) Attorney's (Finn Name, Address, and Telephone Nrnnber) 

JJA 

II. BASIS OF JURISDICTION (Place an ''X" in One Box Only) 

J;(.1 U.S. Government 

Plaintiff 

02 u.s:-Government 

0 3 Federal Question 

(U.S. Government Not a Party) 

-- -- -o 4 Diversity - - -oerenrurnt ·· ··--- -------- -·- ·--------- -------- (Indicate Citizenship of Parties in Item III) 

IV NATURE OF SUIT (Placean"X"inOneBoxOnlv) 

NOTE: IN LAND CONDEMNATION CASES, USE THE LOCATION OF THE 

LA.t'\ID Il'NOLVED. 

Attorneys (IfKnown) 

ill. CITIZENSHIP OF PRINCIPAL P ARTIES(PJ'""" "X" in Ono Box for Plruntift 

(For DiveTSity Cases Only) and One Box for Defendant) 

PTF DEF PTF DEF 

Citizen of This State )( l ~ I Incorporated or Principal Place 0 4 O 4 

of Business In This Stale 

·-- ~~~n~of ~~~e~fafo __ __ Q __ i __ .. SJ_ 2 IricOqioiated anii-PiiiiCfpaT Piace o -5- __ p 5 ·~--OlBUSiit<iSs .. in Another-State-- - -

Citizen or Subject ofa 

Foreil!"ll Coun 

0 3 0 3 Foreigy:i Nation 0 6 0 6 

I' (: '.'.;'.:'-i~~-i.'.CONI'RACT"-'.'>·:~.;_:;~'o:; :-:,.:-.;.::-ox·:i-".~:?-;:~::::~1-~::'.~>C?I'ORTS-~e'.'.'-S?·>:l:·"'.'.;L"-f,1,<t-f~'l'.i1'~7']ft~ ~""""EORFE1TUREleEN"A1/I¥""-'.'- ~;:;.'-"I>'i-::'6BAi~UP.TC¥,;:_.;,;.'t-:~ 'J'>.c:;;;!c;OTHER:srATUTES~~~'t'°''"'" 

0 I IO Insmance PERSONAL INJURY PERSONAL INJURY 0 610 Agriculture 0 422 Appeal 28 USC 158 0 400 State Reapportionment 

0 120 Marine 0 310 Airplane 0 362 Personal fnjwy 4 O 620 Other Food & Dtug O 423 Withdrawal O 410 Antitrust . 

0 130 Miner Act 0 315 Airplane Product Med Malpractice 0 625 Drug Related Seizure 28 USC 157 0 430 Banks and Banking 

0 140 Negotiable Instrument Liability 0 365 Personal Injwy .. of Property 21 USC 881 0 450 Commerce 

0 150 Recovery of Overpayment ~ 320 AS$ault, Libel & Product Liability 0 630 Liquor Laws 1:...:PROPERTY·RIGHTS· -'--:.<- 0 460 Deportation 

&Enforcementof Judgment Slander 0 368 Asbestos Personal 0 640 RR. & Truck 0 820 Copyrights 0 470 Racketeer Influenced and 

0 151 MedicareAct 0 ).30FederaJEmployers' InjwyProduct 0 650AirlineRegs. 0 830Patent CorruptOrganizations. 

0 l52"RecoveryofDefaulted Liability Liability 0 6600ccupational 0 840Trademark 0 480ConsumerCredit 

Student Loans 0 340 Marine PERSONAL PROPERTY Safety/Health 0 490 Cable/Sat TV 

(Exel. Veterans) 0 345 Marine Product 0 370 Other Fraud 0 690 Other 0 810 Selective Service 

0 153 Recovery of Overpayment Liability 0 371 Truth in Lending ,.;:;;'~~li:·?""•°'~IUJOR'-- -:;:!&1:0:-SC~ '..,:.~OQ.f8DSEGUR1~;.;s3_;__, 0 850 Securities/Commodities/ 

of Veteran's Benefits 0 350 Motor Vehicle O 380 Other Personal CJ 710 Fair Labor Standards CJ S61 HIA (1395ft) Exchange 

CJ J60Stcckholders' Suits 0 355Mo!orVehicle Property Damage Act 0 862BlackLung(923) 0 875Ctis!omerChallenge 

0 190 Other Contract Product Liability 0 385 Property Damage CJ 720 LaborlMgmt Relations CJ 863 DIWCIDP.VW (405(g)) 12 Use 3410 

0 195 Contract Product Liability 0 360 Other Personal Product Liability 0 730 LaborltvfgmlReporting 0 864 SSID Title XVI 0 890 Other Statutory Actions 

0 196 Franchise .. - Injury & Disclosure Act 0 865 RSI (405(g)) 0 891 Agricultural Acts 

\_•.;:~~REE'.-PR"OPERTMJ\~ :::- ~~"t!'-s::~,CMt'.·RIGHl'S-0::;;;;:-.· .~~ 0-=iPRISOJ\'ERPET-UIONS~ 0 740RailwayLabor Act h~EDER;,\£.:,,T~::SU1TS·1·9,: 0 892Economic Stabilization Act 

0 210 Land Condemnation 0 441 Voting 0 510 Motions to Vacate 0 790 Other Labor Litigation 0 870 Taxes(U.S. Plaintiff 0 893 Environmental Matters 

0 220 Foreclosure 0 442 Employment Sentence 0 791 Empl. Ret. Inc. or Defendant) 0 894 Energy Allocation Act 

0 230 Rent Lease& Ejectment 0 443 Housing! Habe:is Corpus: Security Act 0 871 IRS-Third Party 0 895 Freedom ofinfonnation 

0 240 Torls to Land· Accommodations 0 530 General 26 Use 7609 Act 

0 245 Tort Product Liability 0 444 Welfare 0 535 Death Penalty ~~--';';'i":U~R;ITGRA:,TION:::.4J,.:-,,,i~ 0 900Appeal of Pee Detenninatio: 

0 290 All Other Real Property 0 445 Amer. w/Disabilities .. 0 540 Mandamus & Other O 462 Naturalization Application Under Equa] Access 

Employment 0 550 Civil Rights 0 463 Habeas Corpus 4 to JU.Stice 

0 446 Amer. w/Disabilities 4 0 555 Prison Condition Alien Detainee 0 950 Constitutionality of 

Other 0 465 Other Immigration State Statutes 

V. ORIGIN 

0 1 Original 

Proceeding 

0 440 Other Civil rughts Actions 

{Place an "X" in One Box Only) 

O 2 Removed from O 

State Court 

3 · Remanded from 

Appellate Court 

0 4 Reinstated or O 5 Transferr~d {rom 0 6 Wfultidislrict 

Reopened anoth:;:r district Litigation s ec1 ) 

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: 

0 7 

Appeal to District 

Judg(!.from 

Magistrate 

·JudE!ment 

VII. REQUESTED l!~ 

COi.YIPLAil~T: 

0 CHECK IF TffiS rs A CLASS ACTION 

UNDERF.R.C.P. 23 

DEMA>'ID S CHECK YES only if demanded in complaint: 

VTII. RELATED CASE(S) 

IF ANY 

DATE 

FOR OFFICE USE ONLY 

RECEIPT II- A1fOUNT 

(See instructions): JUDGE 

SIGNATURE OF A TIORNEY OF RECORD 

APPL YING IFP ---- ------- ------

JURY DEMAND: 0 Yes 0 No 

DOCKET NUMBER 

JUDGE MAG.JUDGE ----- --------

Case 6:16-cv-00205-BR Document 2-2 Filed 02/03/16 Page 1 of 1