Civil Case Cover SheetCal. Super. - 6th Dist.March 5, 2021' CM-010 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name Slate Bar numbel. and address) FOR COURT USE ONLY Your Legal Name: Lev“ (rem .QUX U(Q‘flCA Your Address: 08% Uflw't'isggm AWZQ twink; (A qséag TELEPHONENO. LID? 14%“3i FAxno I L EATTORNEYFORmame) 36'?-Represen d - SUPERIOR COURTOF CALIFORNIACOUMY or Santa Clara MAR _ 5 2m STREEI ADDRESS 191 North Flrst Street L" MNLINGADDRESS 191 North Fll'st Street CITY ANDzlp cone San Jose, CA 95113 BRANCH NAME Civil Courthouse of he Court CASE NAME: , ~ fCW Wwd X V u Mmom CIVIL CASE COVER SHEET Complex Case Designation cAse NUMBERm awaifid D aggzgt D Counter D Jolnder 2 1 Cf! flfl 99 1 3 demanded demanded is Filed with first appearance by defendant JUDGE: exceeds $25,000) $25,000 or less) (Cal. Rules of Court, rule 3.402) DEPT. Items 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 Provlslonally Complex Clvll thlgatlon Auto (22) Breach of contract/warranty (06) Cal. Rules of Court, rules 1400-1403) Uninsured motorist (46) Rule 3.740 collections (09) Antitrust/Trade regulation (03) Other collections (09) Construction defect (10) 32:; Peljcvorgxoftlpeoxz?¥gglwlpmpeuy Insurance coverage (18) Mass tort (40) g g Other contract (37) Securities litigation (28) Asbestos (04) Environmentalrroxic tort (30)Pmdua "ab'my (24) Real Pmpeny Insurance covera e claims arisin from the Medical malpractice (45) t D Eminent domain/Inverse above listed rovigsionany com leg case Other Pl/PDNVD (23) condemnation (14) p p Wrongful eviction (33) types (41) Other real property (26) Entorcement of Judgment Enforcement of judgment (20) Non-PIIPDNVD (Other) Tort Business tortlunfair business practice (07) Civil rights (08) Unlawful Detalnor Defamation (13) Commercial (31) Mlscellaneous Civil Complaint Fraud (16) Residential (32) a Rico (27)Intellectual property (1 9) Drugs (38) Other complaint (no! specified above) (42) meesswna' ”eg'igenw (25) Judicial Review Miscellaneous CIvII Petmon Other nm'Pl/PDNVD ton (35) Asset forfeiture (05) a Partnership and corporate governance (21)Employment Petition re: arbitration award (1 1) Other petition (not specified above) (43) Wrongful termination (36) Writ of mandate (02) Other employment (1 5) Other judicial review (39) 2. This case E] 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. a 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 3. Remedies sought (check all that apply): a. D monetary b.fm nonmonetary; declaratory or injunctive relief c D punitive 4. Number of causes of actions ecify). 5. This case D is fi is not a class action suit. 6. If there are any known related cases, file and serve a notice of related case.(You may use form CM-015.) Date: NJ? (WW) Wm} Lew ($$$$$ng ) NOTICE o Plaintiff must file this cover sheet with the first paper filed in the action or proceeding (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 o! 2 Form t . IRI t rt 2W3032203400-34 7 ‘ wg$d§§mc§°§fmalg€2rgi U” L56) “m“9"" CIVIL CASE COVER SHEET ca (gaelssotagggrdsngfejudlual Admhlstratfinhg‘ad 33' 1400' ev u y 7] N MI“ "Rm" www coal ca. gov flow Mc/Jus-u CM-010 INSTRUCTIONS ON HOW TO COMPLETE THE COVER SHEET To Plaintiffs and Others Filing First Papers. lf you are filing a first paper (for example. a complaint) in a civil case. you must complete and file, along with your first pa r. the Civil Case Cover Sheet contained on page 1. This information will be used to compile statistics about the types and numbers o cases filed‘ You must complete items 1 through 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 c 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 thesheet, 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, servnces, or mone was acquired on credit. A collections case does not include an action seeking the following: (1) tort damages. (2)rfiunitive damages, ( ) recovery of real property, (4) recovery of personal property, or (5) a prejudgment writ of attachment. e identification of a case as a rule 3.740 collections case on this form means that it will be exempt from the ene:al 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 ccver 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 Injury/Property Damage/Wrongful Death Uninsured Motorist (46) (if the case involves an uninsured motorist claim subject to arbitration, check this item instead of Auto) Other PIIPDNVD (Personal Injury! Property DamagelWrongful Death) Ton Asbestos (04) Asbestos Property Damage Asbestos Personal Injury/ Wrongful Death Ploduct Liability (no! asbestos or toxic/environmemal) (24) Medical Malpractice (45) Medical Malpractice- Physicians 3 Surgeons Other Professional Health Care Malpractice Other PI/PDNVD (23) Premises Liability (e.g.. slip and fall) Intentional Bodity Injury/PDNVD (e.g.. assault. vandalism) Intentional lnfliction of Emotional Disuess Negligent lnfliction 01 Emotional Distress Other Pl/PDNVD Non-PIIPD/WD (Other) Ton Business Tort/Unfair Business Practice (07) Civil Rights (e.g.. discrimination. false arrest) (no! civil harassment) (08) Defamation (e.g., slander. libel) (13) Fraud (16) Intellectual Property (19) Professional Negligence (25) Legal Malpractice Other Professional Malpractice (not medical OI IegaD Other Non-Pl/PD/WD Tort (35) Employment Wrongful Termination (36) Other Employment (15) CASE TYPES AND EXAMPLES Contract Breach of ContracWVarranty (06) Breach of RentaI/Lease Contract (no! unlawful delainer or wrongful eviction) Contract/Warranty Breach-Seller Plaintiff (not fraud or negligence) Negligent Breach o! 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 (not provisionally complex) (18) Auto Subrogation Other Coverage Other Contract (37) Contractual Fraud Other Contract Dispute Real Property Eminent Domain/Inverse Condemnation (14) Wrongful Eviction (33) Other Real Property (e.g.. quiet title) (26) Writ of Possession of Real Propeny Mongage Foreclosure Quiet Title Other Real Propeny (no! eminent domain, Iandlord/fenant. 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) Judicial Review Asset Forfeiture (05) Petition Re: Arbitration Award (1 1) Writ of Mandate (02) Writ-Administrative Mandamus Wril-Mandamus on Limited Court Case Matter Writ-Other Limited Court Case Review Other Judicial Review (39) Review of Health Officer Order Notice of Appeal-Labor Commissioner Appeals Provlslonally Complex Civil LItlgatlon (Cal. Rules of Court Rules 3100-3403) Antitrust/Trade Regulation (03) Construction Defect (10) Claims Involving Mass Ton (40) Securities Litigation (28) EnvironmentaI/Toyic Ton (30) Insurance Coverage Claims (arising from provisionally complex case type listed above) (41) Enforcement of Judgment Enforcement of Judgment (20) Abstract o' Judgment (Out of County) Confession of Judgment (non- domestic relations) Sister Stale Judgment Administrative Agency Award (not unpaid taxes) Petition/Cemfication of Entry of Judgment on Unpaid Taxes Other Enforcement of Judgment Case Miscellaneous Clvll Complaint RICO (27) Other Complaint (not specified above) (42) Declaratory Relief Only lnjunctive Relief Only (non- harassment) Mechanics Lien Other Commercial Complaint Case (non-ton/non-complex) Other Civil Complaint (non-ton/non-complex) Miscellaneous Clvll Petltlon Partnership and Corporate Governance (21) Other Petition (no! specified above) (43) Civil Harassment Workplace Violence Elder/Dependent Adult Abuse Election Contest Petition for Name Change Petition for Relief from Late Claim Other Civil Petition cumo [Ru July 1‘ 20071 L _ yttrium t_smnu mus" CIVIL CASE COVER SHEET Pug. 2 on
