Acknowledgement Receipt

Cal. Super. - 6th Dist.March 24, 2021

21 CV381 078 Santa Clara - Civil POS-OlSNang ATTORNEY 0R PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY __ERN|E ZACHARY PARK, State Bar #82616 Electronically Filed BEWLEY, LASSLEBEN & MILLER, LLP - 13215 E. Penn Street, Suite 51o by Superior Court of CA, Whittier, CA 90602-1797 C°unty °f santa Clara! TELEPHoNE No: (562) 698-9771 FAxNo. (optional).- (562) 309-8063 0n 5/9/2021 9154 AM E-MAILADDRESS(0ptionaI): Ernie.Park@Bewley|aw.com Reviewed By: L. Wang ATrORNEY FOR (Name).- Plaintiff case #21 CV381 078 SUPERIOR COURT 0F CALIFORNIA, COUNTY 0F SANTA CLARA Envelope: 6612223 STREETADDRESS: 191 North First Street MAILING ADDRESS: CITY AND ZIP CODE: San Jose, CA 951 13 BRANCH NAME; PLAINTIFF/PETITIONER: AUGUSTINE BOWERS ||, a Delaware limited liability company DEFENDANT/RESPONDENT: OPA! SANTA CLARA, L.P., a California limited partnership, CASE NUMBER: NOTICE AND ACKNOWLEDGMENT OF RECEIPT-CIVIL 21CV381078 TO (insert name ofparty being served): MOLLY ADAMS NOTICE The summons and other documents identified below are being served pursuant to section 415.30 of the California Code of Civil Procedure. Your failure to complete this form and return it within 20 days from the date of mailing shown below may subject you (or the party on whose behalf you are being served) to liability for the payment of any expenses incurred in serving a summons on you in any other manner permitted by law. If you are being served on behalf of a corporation, an unincorporated association (including a partnership), or other entity, this form must be signed by you in the name of such entity or by a person authorized to receive service of process on behalf of such entity. In all other cases, this form must be signed by you personally or by a person authorized by you to acknowledge receipt of summons. If you return this form to the sender. service of a summons is deemed complete on the day you sign the acknowledgment of receipt below. Date of mailing: 5-17-21 Ernie Zachary Park } 7/_:’:f/33:=“7 (Z'd’-’ (TYPE OR PRINT NAME) (SIGNATURE OF SENDER-MUST NOT BE A PARTY IN THIS CASE) ACKNOWLEDGMENT OF RECEIPT This acknowledges receipt of (to be completed by sender before mailing): 1. g A copy of the summons and of the complaint. 2. E Other (specify): ADR package; Civil Lawsuit Notice (To be completed by recipient): Datethisformissigned: June4,2021 t ' Z6 Thomas J. D'Amato TYPE OR PRINT YOUR NAME AND NAME OF ENTITY, IF ANY, (SIGNATURE OF PERSON ACKNOWLEDGING RECEIPT, WITH TITLE IF 0N WHOSE BEHALF THIS FORM IS SIGNED) ACKNOWLEDGMENT IS MADE ON BEHALF OF ANOTHER PERSON OR ENTITY) Page 1 of1 Form Adopted for Mandatory se _ Code of Civil Procedure, Judicial Council of California NOTICE AND ACKNOWLEDGMENT OF RECEIPT CIVIL §§ 415.30, 417.10 POS-015 [Rev. January 1, 2005] www.courtinfo‘cagov American LegalNet, Inc. www.USCourtForrns.com