Proof of Service Summons DLR Civil

Cal. Super. - 6th Dist.March 1, 2021

Electronically Filed by Superior Court of CA, County of Santa Clara, on 4/22/2021 4:40 PM Reviewed By: System System Case #21CV378917 Envelope: 6299234 21CV378917 Santa Clara - Civil System System POS-O1 0 ATTORNEY OR PARTY WITHOUT ATI'ORNEY (Name, State Barnumber, and address): FOR COURT USE ONLY ELIZABETH C. PRITZKER, ESQ. (146267)_ PRITZKER LEVINE LLP 1900 Powell Street, Suite 450 Emeryville, CA 94608 TELEPHONE NO.: (415) 692-0772 FAX No. (Optional): (415) 366-6110 E-MAIL ADDRESS (Opb'onal): A'I'I'ORNEY FOR (NamE): Plaintiffs, KEN ALLEN; ET AL. SUPERIOR COURT 0F CALIFORNIA, COUNTY 0F SANTA CLARA STREETADDRESS: 191 North First Street, Room 102 MAILING ADDRESS: CITY AND ZIP CODE: San Jose, California BRANCH NAME: PLAINTIFF/PETITIONER: KEN ALLEN; ET AL. CASE NUMBER: 21CV3789 17 DEFENDANT/RESPONDENT: 3M COMPANY, ET. AL. Ref. No. or File No.: Amended PROOF 0F SERVICE 0F SUMMONs Wl29492 (Separate proof of service is required for each party served.) 1. At the time of service l was at least 18 years of age and not a party to this action. 2. I served copies of: 3- summons complaint Alternative Dispute Resolution (ADR) package Civil Case Cover Sheet (served in complex cases only) cross-complaint other (specify documents): CIVIL LAWSUIT NOTICE flsvslov EEEEBE 3. a. Party served (specify name ofpan‘y as shown on documents served): THE CHEMOURS COMPANY, LLC 0' .E Person (other than the party in item 3a) served on behalf of an entity or as an authorized agent (and not a person under item 5b on whom substituted service was made) (specify name and relationship to the art named in item 3a): DAISY MONTENEGRO, Authorized Agent of CT CORPORATION SYSTEM, The Registere Agent or ervice of Process. 4. Address where the party was sewed: 818 West Seventh Street, Suite 930 Los Angeles, CA 90017 5. | served the party (check proper box) a E by personal service. I personally delivered the documents listed in item 2 to the party or person authorized to receive service of process for the party (1) on (date).'4/ 15/2021 (2) at (time): 12:15 p.m. b. CI by substituted service. 0n (date): at (time): I left the documents listed in item 2 with or in the presence of (name and title or relationship to person indicated in item 3): (1) E (business) a person at least 18 years of age apparently in charge at the office or usual place of business ofthe person to be served. | informed him or her of the general nature ofthe papers. (2) E (home) a competent member ofthe household (at least 18 years of age) at the dwelling house or usual place of abode ofthe party. l informed him or her ofthe general nature ofthe papers. (3) E (physical address unknown) a person at least 18 years of age apparently in charge at the usual mailing address of the person to be sewed, other than a United States Postal Service post office box. | informed him or her of the general nature of the papers. (4) E | thereafter mailed (by first-class. postage prepaid) copies of the documents to the person to be served at the place where the copies were left (Code Civ. Proc., § 41 5.20). | mailed the documents on (date): from (city): orE a declaration of mailing is attached. (5) E | attach a declaration of diligence stating actions taken first to attempt personal service. Page 1 ofz Form Adopted for Mandatory Use PROOF OF SERVICE OF SUMMONS Code of Civil Procedure, § 417.10 Judicial Council of Califomia POS-01O [Rev‘ January 1. 2007] PLAINTIFF/PETITIONER; KEN ALLEN; ET AL. CASE NUMBER: ~- 21CV378917 DEFENDANT/RESPONDENT: 3M COMPANY, ET. AL- 5. C_ E by mail and acknowledgment of receipt of service. l mailed the documents listed in item 2 to the party, to the address shown in Item 4, by first-class mail, postage prepaid. (1) on (date): (2) from (city): (3) E with two copies of the Notice and Acknowledgment ofReceipt and a postage-paid return envelope addressed to me. (Attach completed Notice and Acknowledgement of Receipt.) (Code Civ. Proc., § 415.30.) (4) E to an address outside California with return receipt requested. (Code Civ. Proc., § 415.40.) d_ E by other means (specify means of service and authorizing code section): E Additional page describing service is attached. 6. The "Notice to the Person Served" (on the summons) was completed as follows: a D as an individual defendant. - as the person sued under the fictitious name of (specify): as occupant. On behalf of {specify):THE CHEMOURS COMPANY, LLC under the following Code of Civil Procedure section: BED.aocr E 416.10 (corporation) E 415.95 (business organization, form unknown) I: 416.20 (defunctcorporation) E 416.60 (minor)E 416.30 (joint stock company/association) E 416.70 (ward or conservatee)E 416.40 (association or partnership) E 416.90 (authorized person)E 416.50 (public entity) E 415-46 (occupant)E other; Corporation Code 17701.16 7. Person who served papers a. Name: Bruce Anderson Address: Wheels of Justice, 848 Folsom Street, Suite 102, San Francisco, California 94107 Telephone number: (415) 546-6000 The fee for service was: $ F9999" Iarn: (1) E not a registered California process server. (2) E exempt from registration under Business and Professions Code section 22350(b). (3) E a registered California process server: (i) E owner Eemployee EC] independentcontractor. (ii) Registration No.1 2016038557 (iii) County: Los Angeles 8. E | declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. or 9. l am a California sheriff or marshal and | certify that the foregoing is true and correct. Date: April 16, 2021 Bruce Anderson } fldfl., (NAME OF PERSON WHO SERVED PAPERSISHERIFF OR MARSHAL) / (SIGNATURE) POS-010 [RevvJanuaryL2007] PROOF OF SERVICE OF SUMMONS PageZofz