JS44 (Rev. 09/19) CIVIL COVER SHEET

I- (a) PLAINTIFFS DEFENDANTS

(b)

(c) Atto eys (Firm Name, Address, and Telephone Number) Attorneys (If Known)

II. BASIS OF JURISDICTION (Placean X" in One Box Only)

(For Diversity Cases Only)

IV. NATURE OF SUIT (Place an X" in One Box O ly) Click here for: Nature of Suit Code Descriptions.

CONTRACT TORTS FORFEITURE/PENALTY BANKRUPTCY OTHER STATUTES

O

LABOR

O

o

PRISONER PETITIONS

UG 1 4 2023

(specify)

VI. CAUSE OF ACTION

DATE SIGNATU E OF TTO1

FOR OFFICE USE ONLY

a

o

a

a

a

o

o

a

o

a

o

a

861 HIA(1395ff)

862 Black Lung (923)

863 DIWC/DIWW (405(g))

864 SSID Title XVI

865 RSI (405(g))

110 Insura ce

120 Marine

130 Miller Act

140 Negotiable Instrument

150 Recovery of Overpayment

& Enforcement of Judgment

151 Medicare Act

152 Recovery of Defaulted

Student Loans

(Excludes Veterans)

153 Recovery of Overpayment

of Veteran s Benefits

160 Stockholders Suits

190 Other Contract

195 Contract Product Liability

196 Franchise

Habeas Corpus:

463 Alien Detainee

510 Motions to Vacate

Sentence

530 General

535 Death Penalty

Other:

540 Mandamus & Other

550 Civil Rights

555 Prison Condition

560 Civil Detainee -

Conditions of

Confinement

820 Copyrights

830 Patent

835 Patent - Abbreviated

New Di g Application

840 Trademark

8 Multidistrict

Litigation -

Direct File

710 Fair Labor Standards

Act

720 Labor/Management

Relations

740 Railway Labor Act

751 Family and Medic l

Leave Act

790 Other Labor Litigation

791 Employee Retirement

Income Security Act

4 Reinstated or

Reopened

422 Appeal 28 USC 158

423 Withdrawal

28 USC 157

VII. REQUESTED IN

COMPLAINT:

375 False Claims Act

376 Qui Tam (31 USC

3729(a))

400 State Reapportionment

410 Antitrust

430 Banks and Banking

450 Commerce

460 Deportation

470 Racketeer Influenced and

Corrupt Organizations

480 Consumer Credit

(15 USC 1681 or 1692)

485 Telephone Consumer

Protection Act

490 Cable/Sat TV

850 Secuiities/Commodities/

Exchange

890 Other Statutory Actions

891 Agricultural Acts

893 Environmental Matters

895 Freedom of Information

Act

896 Ar bitration

899 Administrative Procedure

Act/Review or Appeal of

Agency Decision

950 Constitutionality of

State Statutes

462 Naturalizatior

465 Other Immigrj

Actions

PERSONAL INJURY

J 365 Personal Injury -

Product Liability

J 367 Health Caie/

Pharmaceutical

Personal Injury

Product Liability

J 368 Asbestos Personal

Injury Product

Liability

PERSONAL PROPERTY

J 370 Other Fraud

J 371 Truth in Lending

J 380 Other Personal

Property Damage

J 385 Property Damage

Product Liability

625 Drug Related Seizure

of Property 21 USC 881

690 Other

County of Residence of First Listed Plaintiff

(EXCEPTIN U.S. PLAINTIFF CASES)

Brief description of cad : * z

71 c i o 0 11

CHECK IF THIS IS A CLASS ACTION

UNDER RULE 23, F.R.Cv.P.

County of Residence of First Listed Defendant

(IN U.S. PLAINTIFF CASES ONLY)

NOTE: IN LAND CONDEMNATION CASES, USE THE LOCATION OF 

THE TRACT OF LAND INVOLVED.

CLERK U.S. DIST ICT COURT

3 Remanded from

Appellate Court

III. CITIZENSHIP OF PRINCIPAL PARTIES (Place an "X" in One Box for Plaintiff

and One Box for Defendant)

Transfer

Cite the U.S. Civil St tute under which you are filing (Do not cite juri dictional stat tes unless div rsity) 

The JS 44 civil cover sheet and the infor ation contained herein neither replace nor supplement the filing and service of pleadin s or other pa ers as required by la , except as

provided by local rules of court. This form, approved by the Judicial Conference of the United States in September 1974, is required 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.)

V. ORIGIN (Place an X in One Box Only)

Bi 1 Original 2 Removed from

Proceeding State Court

SOCIAL SECURITY

PROPERTY RIGHTS

FEDER L TAX SUITS

870 Taxes (U.S. Plaintiff

or Defenda t)

871 IRS Third Party

26 USC 7609

RE L PROPERTY

210 Land Condemnation

220 Foreclosure

230 Rent Lease & Ejectment

240 Torts to Land

245 Tort Product Liability

290 All Other Real Property

VIII. RELATED CASE(S)

ttt a xt z (See instructions): IF ANY JUDGE

PERSONAL INJURY

310 Airplane

315 Airplane Product

Liability

320 Assault, Libel &

Slander

330 Federal Employers’

Liability

340 Marine

345 Marine Product

Liability

350 Motor Vehicle

355 Moto Vehicle

Product Liability

360 Other Personal

Injury

362 Personal Injury -

Medical Malpractice

CIVIL RIGHTS

440 Other Civil Rights

441 Voting

442 Employment

443 Housing/

Accommodations

445 Amer. w/Disabilities -

Employment

O 446 Amer. w/Disabilities -

Other

448 Education

1 U.S. Gove ment

Plaintiff

O 3 Federal Question

(U.S. Government Not a Party) Citizen of This State

PTF

tx 1

DEF

1 Incorporated or Principal Place

of Business In This State

PTF

M.4

DEF

4

2 U.S. Government 4 Diversity Citizen of Another State O 2 X Incorporated and Principal Place 5 JG

Defendant (Indicate Citizenship of Parties in Item III) £ of Business In Another State

Citizen or Subject of a O 3 3 Foreign Nation O 6 6

Foreign Country

RECEIPT # AMOUNT APPLYING IFP JUDGE MAG. JUDGE

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