Civil Case Cover SheetCal. Super. - 6th Dist.January 20, 2021CM-010 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, Slate Bar number. and address) FOR COURT USE ONLY Your Legal Name: “e(ad‘ég W “ten“ Your Address: 85'3 Phd-(rC‘d A'VC “‘3 gS'C TELEPHONE NO dc q lg m 3 } FAX NO, ag‘é 2 l L Emoanev Foe (Name) elf-Represented SUPERIOR coum 0F CALIFORNIA. COUNTY 0F Santa Clara JAN 2 0 2 0 ,, . STREET ADDRESS 191 North First Street MAILING ADDRESS 191 North First Street cmmozwcooe San Jose, CA 95113 S Clerk of the Court BRANCHNAME CIVII courthouse RVWCOURN Coun olSama aura . ' DEPUTYCASE NAME. , , M&medz; flu«cm v- M usg Honk) CIVIL CASE COVER SHEET Complex Case Designation eAse NUMBERm Unlimited D Limited . 2 1 C H 00 98 1 7 (Amount (Amount D Counter D Jomder I demanded demanded is Filed with first appearance by defendant JUDGE exceeds $25,000) 325.000 or less) (Cal. Rules of Coun, rule 3.402) ospr- ltems 1-6 below must be completed (see instructions on page 2). 1. Check one box below for the case type that best describes this case: Auto Tort Contract Provlsionally Complex Clvll thlgatlon Auto (22) Breach of contract/warranty (O6) Cal. Rules of Court, rules 3.400-3.403) Uninsured motorist (46) Rule 3.740 collections (09) AntitrustlTrade regulation (03) Other collections (09) Construction defect (10) 32:; P;xvorgxof£7°o:;::l1,lgirrylpmpeny Insurance coverage (18) Mass tort (40) g 9 Other contract (37) Securities litigation (28) ASbeStOS (04) Environmental/Toxic tort (30) PrOdUCt “ability (24) Real Pmpeny Insurance covera e claims arisin from the Medical malpractice (45) D Eminent domain/Inverse above listed rovigsionany com leg case Other PI/PDNVD (23) condemnation (14) p p Wrongful eviction (33) wpes (41’ Other real property (26) Enforcement of JudgmentD Enforcement of judgment (20) Non-PIIPDNVD (Other) Tort Business ton/unfair business practice (07) Civil rights (08) Unlawful Detalner Defamation (13) Commercial (31) Miscellaneous Civil Complaint Fraud (16) Residential (32) a Rico (27)Intellectual property (1 9) Drugs (38) Other complaint (no! specified above) (42) 2::Zssgczllrpegxgleonfgnegg Judicial Revleuf Miscellaneous. Clvll Petl‘lon Asset forfeiture (05) Partnership and corporate governance (21) Employment Petition re: arbitration award (1 1) a Other petition (not specified above) (43) Wrongful termination (36) Writ of mandate (02) Other employment (1 5) Other judicial review (39) 2. This case D is m is not complex under rule 3.400 of the California Rules of Court. If the case is complex, mark the factors requiring exceptional judicial management: a. Large number of separately represented parties d. B Large number of witnessesb. Extensive motion practice raising difficult or novel Coordination with related actions pending in one or more courts issues that will be time--consuming to resolve in other counties, states or countries, or in a federal court c. D Substantial amount of documentary evidence D Substantial postjudgment judicial supervision Remedies sought (check all that apply) a D monetary b.fm nonmonetary; declaratory or injunctive relief c. D punitive Number of causes of actions ecify). This case D is fl is not a class action suit. If there are any known related cases file and serve a notice of related case. (You may use form CM-015.) Date \ILO IN ‘ Mercdism M”45ngan , mw+w ) NOTICE /o Plaintiff must file this cover sheet with the first paper filed in the action or prooA g (except small claims cases or cases filed under the Probate Code Family Code or Welfare and Institutions Code).)(Cal Rules of Court rule 3.220. ) Failure to file may result in sanctions o File this cover sheet in addition to any cover sheet required by local court rule. o If this case is complex under rule 3.400 et seq. of the California Rules of Court, you must serve a copy of this cover sheet on all other parties to the action or proceeding. o Unless this is a collections case under rule 3.740 or a complex case, this cover sheet will be used for statistical purposes only. Page 1 ol F A led! dim: CIRI fCOfl I 2303220 1.4003403 3.740;ma! gundlorf%arl'ifgmiu L ) WWW“ CIVIL CASE COVER SHEET a EaefglandgrdsmofejuduciamAdrni'ru'stratlon std. 3.10M410 Rev. J y1 2007] "EfiTm mm»; wwwmum‘nfocagov CM-010 INSTRUCTIONS ON HOW TO COMPLETE THE COVER SHEET To Plaintiffs and Others Filing First Papers. If you are filing a first paper (for example, a complaint) in a civil case, you must complete and file, along with your first pa er, the Civil Case Cover Sheet contained on gage 1. This information will be used to compile statistics about the types and numbers o cases filed. You must complete items 1 throug 6 on the sheet. In item 1, you must check one box for the case pe that best describes the case. If the case fits both a general and a more specific type of case listed in item 1, check the more speci Ic one. If the case has multiple causes of action, check the box that best indicates the primary cause of action. To assist you in completing the sheet, examples of the cases that belong under each case type in item 1 are provided below. A cover sheet must be filed only with your initial paper. Failure to file a cover sheet with the first paper filed in a civil case may subject a party, its counsel, or both to sanctions under rules 2.30 and 3.220 of the California Rules of Court. To Parties In Rule 3.740 Collections Cases. A "collections case" under rule 3.740 is defined as an action for recovery of money owed in a sum stated to be certain that is not more than $25,000. exclusive of interest and attorney's fees, arising from a transaction in which property, services. or moneg was acquired on credit. A collections case does not include an action seeking the following: (1) tort damages, (2 punitive damages, ( ) recovery of real property, (4) recovery of personal property. or (5) a prejudgment writ of attachment he identification of a case as a rule 3.740 collections case on this form means that it will be exempt from the eneral time-for-service requirements and case management rules, unless a defendant files a responsive pleading. A rule 3,740 co lections case will be subject to the requirements for service and obtaining a judgment in rule 3.740. To Parties In Complex Casean com lex cases only, parties must also use the Civil Case Cover Sheet to designate whether the case is complex. If a plaintiff believest e case is complex under rule 3.400 of the California Rules of Court, this must be indicated by completing the appropriate boxes in items 1 and 2. If a plaintiff designates a case as complex. the cover sheet must be served with the complaint on all parties to the action. A defendant may file and serve no later than the time of its first appearance a joinder in the plaintiffs designation, a counter-designation that the case is not complex. or. if the plaintiff has made no designation, a designation that the case is complex. Auto Ton Auto (22)-Personal lnjurylPropeny DamageNVrongful Death Uninsured Motorist (46) (if the case involves an uninsured motorist claim subject to arbitration. check this item instead of Auto) Other P|IPDNVD (Personal Injury! Property DamagoIWrongful Death) Tort Asbestos (04) Asbestos Property Damage Asbestos Personal Injury] Wrongful Death Product Liability (no! asbestos or toxic/envimnmenral) (24) Medical Malpractice (45) Medical Malpractzce PhysiCIans 8. Sutgeons Other Professional Health Care Malpractice Other PI/PDNVD (23) Premises Liability (e.g., slip and fall) Intentional Bodily Injury/PDNVD (e.g.. assault. vandalism) Intentional lnfliction of Emotional Distress Negligent lnfliclion of Emotional Distress Other Pl/PDIWD Non-PIIPD/WD (Other) Ton Business Tort/Unfair Business Practice (07) Civil Rights (e.g., discrimination, false arrest) (not civil harassment) (08) Defamation (e g.. slander, libel) (13) Fraud (16) Intellectual Propeny (19) Professional Negligence (25) Legal Malpractice Other Professional Malpractice (no! medical or legal) Other Non-Pl/PDIWD Tort (35) Employment Wrongful Termination (36) Other Employment (1 5) CASE TYPES AND EXAMPLES Contract Breach of Contracl/Warranty (06) Breach of Rental/Lease Contract (no! unlawful detainer or wrongful eviction) Contract/Warranty Breach-Seller Plaintifl (not fraud or negligence) Negligent Breach of Contract! Warranty Other Breach of Contract/Warranty Collections (e.g., money owed. open book accounts) (09) Collection Case-Seller Plaintiff Other Promissory Note/Collections Case Insurance Coverage (no! provisionally complex) (1 8) Auto Subrogation Other Coverage Other Contract (37) Contractual Fraud Other Contract Dispute Real Property Eminent Domain/lnverse Condemnation (14) Wrongful Eviction (33) Other Real Property (e.g., quiet tine) (26) Wn'! of Possession of Real Property Mortgage Foreclosure Quiet Title Other Real Property (not eminent domain, Iandlord/renant. or foreclosure) Unlawful Detalner Commercial (31) Residential (32) Drugs (38) (if the case involves Illegal drugs, check this item; otherwise. report as Commercial or Residential) Judlclal Review Asset Forfeiture (05) Petition Re: Arbitration Award (1 1) Writ of Mandate (02) Writ-Administrative Mandamus Writ-Mandamus on Limited Court Case Matter Writ-Other Limited Court Case Review Other Judicial Review (39) Review of Health Officer Order Notice of AppeaI-Labor Commissioner Appeals Provisionauy Complex Clvll Litigatlon (Cal. Rules of Court Rules 1400-1403) Antitrust/Trade Regulation (03) Construction Defect (10) Claims Involving Mass Tort (40) Securities Litigation (28) EnvironmenlaI/Toxic Tort (30) Insurance Coverage Claims (arising from provisionally complex case type listed above) (41) Enforcement of Judgment Enforcement of Judgment (20) Abstract of Judgment (Out o! County) Confession of Judgment (non- domestic relations) Sister State Judgment Administrative Agency Award (no! unpaid taxes) PetitionlCertification of Entry of Judgment on Unpaid Taxes Other Enforcement of Judgment Case Miscellaneous Civil Complalnt RICO (27) Other Complaint (no! specified above) (42) Declaratory Relief Only Injunctive Relief Only (non- harassment) Mechanics Lien Other Commercial Complaint Case (non-tort/non-complex) Other Civil Complaint (non-tort/non-complex) Miscellaneous Clvll Petltlon Partnership and Corporate Governance (21) Other Petition (not specified above) (43) Civil Harassment Workplace Violence EIder/Dependent Adult Abuse Election Contest Petition for Name Change Petition for Relief from Late Claim Other Civil Petition cumo [Roy Jay 1. 2007] L _ mm ”:3 -nm-" CIVIL CASE COVER SHEET Page 2 M2