ras 44 ter- ¤¤4r4> CIVIL COVER SHEET
The IS 44 civil cover shcct and the int`orrnation contained herein neither replace nor supplement thc lil ing and seryiee ofplcadings or other papers as 1c%uired by law, except as proyided
by local rules ofeourt, This form, approved by the Judicial Conference ot the Un Itcd States in September 1974, is required for the use of t c Clerk of ourt for the purpose of rnittating
thc civil docket sheet. (SEE INSTRUCTIONS ON THE REVERSE OF THE FORM.)
I. (a) PLAINTIFFS DEFENDANTS
urses Inc.
Mulegwa, Theresa C. P€ff@Ct Care N '
(ill) CDUDTY of RGSid<=t'tC¤ 0i`Fil‘ST Listed Plaintiff K EI] jj County of Residence ot` First Listed Defendant KCDE
(EXCEPT IN U.S. PLAINTIPF CASES) ` (IN U.S. PLAINTIFF CASES ONLY)
NOTE; IN LAND CONDEMNATION CASES, USE THE LOCATION OF THE
LAND INVOLVED.
[C) Att0rney`s (Firm Name, Address, and Telephone Number) AUUUTCYS (ii: KDDWIU
. . 1
R•nald P•1_• _n
II. BASIS OF IURISDICTION (Place an "X" in One Box Only} III. CITIZENSHIP OF PRINCIPAL PARTIES(Place an “X" in One Box for Plaintit`t`
A (For Diversity Cases Only) ·` and One Box for Defendant)
lj I U.S. Government 3 Federal Question PTF DEF PTF DEF
Plaintiff (U.S. GovernmentNot aParty) Citizen o1’This State Q l lj l incorporated or Principal Place 1] 4 X3 4
L` ofldusiness in This State
`
I] 2 U.S. Government D 4 Diversity Citizen ol*`Another State Cl 2 lj 2 incorporated and Principal Place I:] 5 lj 5
Defendant (Indicate Citizenship of Parties in Item HI) ol"Bus1ness ln Another State
Citizen or Subject ofa I] 3 I] 3 Foreign Nation EI 6 CI 6
Forei ri Count
__ NAT RE OF Place an "X" in One Box Onlvl _
CONTRACT TORTS FORFEITUREIPENALTY BANKRUPTCY OTHER STATUTES
Cl 1l0 lnsnmnce PERSONAL INJURY PERSONAL INJURY U 610 Agriculture lj 422 Appeal'28 USC 158 lj 400 State Reapportionment
CI 120 Marine C1 310Airplane D 362 Personal Injury - E] 620 Other Food & Drug 1:1 423 Withdrawal 1] 410 Antitmst
EI 130 Miller Act 1] 315 Airplane Product Med. Malpractice I] 625 Dntg Related Seizure 28 USC 157 lj 430 Banks and Banking
Q l40 Negotiable Instrument Liability lj 365 Personal Injury - ot` Property2l USC 881 lj 450 Commerce V
I] 150 Recovery o1`Overpayrnent lj 320 Assault, Libel & Product Liability CI 630 Liquor Laws PROPERTY RIGHTS lj 460 Deportation
& Ent`orcement of Judgment Slander D 368 Asbestos Personal CI 640 R,R. & Truck lj S20 Copyrights EI 470 Raeketeer Influenced and
lj 151 Medicare Act U 330 Federal Employers’ Injury Product ij 650 Airline Regs. CI S30 Patent Corrupt Organizations
Ei 152 Recovery ofDefanlted Liability Liability I] 660 Occupational 1] 840 Trademark CI 480 Consumer Credit
Stntlent Loans CI 340 Marine PERSONAL PROPERTY Safetyftlealth I] 490 CabletSatT‘V
(Excl. Veterans) Cl 345 Marine Product lj 370 Other Fraud 13 690 Other 1] 810 Selective Service
I] 153 Recovery ol`Overpayment Liability lj 371 Truth in Lending LABOR SOCIAL SECURITY 1] 850 SecuI‘ities/Commodities.’
ofVeteran's Beneiits lj 350 Motor Vehicle D 380 Other Personal C] 710 Fair Labor Standards CI 861 HTA (1395ff) Exchange
I] E60 Stocl
lj 195 Contract Product Liability lj 360 Other Personal Product Liability lj 730 Labor/Mgmt.Reponing‘ lj 864 SSID Title XV] ij S90 Other Statutory Actions
CI 196 Franchise In`uty & Disclosure Act EI 865 RSI (405 )) lj B91 Agricultural Acts
REAL PROPERTY CIVIL RIGHTS PRISONER PETITIONS G 740 Railway Labor Act FEDERAL TAX SUITS El 892 Economic Stabilization Act
lj 2l0 Land Condemnation 1] 441 Voting Cl 510 Motions to Vacate lj 790 Other Labor Litigation lj 870 Taxes (U.S. Plaintiff I] S93 Environmental Matters
D 220 Foreclosure lj 442 Employment Sentence CI 791 Empl. Ret. inc. or Defendant) 1] 894 Energy Allocation Act
1] 230 Rent Lease & Ejectment 1] 4-43 Honsihgf I-[abeas Corpus: Security Act lj 871 lRS—Third Party lj 895 Freedom of` Infomation
lj 240 Torts to Land Aecommodations U 530 General 26 USC 7609 Act
EI 245 Tort ProductLiahility Cl 444 Welfare CI 535 Death Penalty 1] 900Appeal oI’Fee Determination
Cl 290 All Othcr Real Property qi 445 Amer. w7Disabi1ities - CI 540 Mandamus & Other Under Equal Access
Employment EI 550 Civil Rights to Justice
1] 446 Amer. w/Disabilities - U 555 Prison Condition 1] 950 Constitutionality of
Other State Statutes
lj 4-40 Other Civil Rights
V. (Place an "X" in One Box Only) Atépettl to District
QI _ _ lj 2 U 3 U 4 _ G 5 Transferred from U 6 D 7 Ju ge from
Original Removed from Rcmanded tiom Rcrnstatcd or another district Multidistrict Magistrate
Proecedtne State Court A cllatc Court Reo cncd s ccif Liti ation Jud ment
Circ the U.S. Civil Statute under which you are tiling (Do not cite jurisdictional statutes unless diversity):
s I
VL CAUSE OF ACTION Brief description ofcausc: _ _ _
;‘g__‘n‘.- ‘.. · .• • tu~ricans Wlth D1sab1l1t1ee Act
VII. REQUESTED IN 13 enact; tr tins is A CLASS Action DEMAND S CHECK YES 0424 it ¤l¤m¤¤d<=4 *¤ ¤¤mt>l¤l¤t=
COMPLAINT; UNDER F.R.C.P. 23 JURY DEMAND: L3(Ycs lj No
VIII. RELATED CASE(S) S _ _
n*r ·I : :
IF ( EC] S 1‘1.l(.lDl'I\)
DATE ‘ V F ATTOR RECOR
r t'? 4 in
FOR OFF1 E USE ONLY
RECEIPT 4 AMOUNT AP YING IFP JUDGE MAG. JUDGE -
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