on 44 oo- tooo CIVIL COVER SHEET
The JS 44 civil cover sheet and the infomation contained herein neither replace nor sugplement the filing and service ofpleadings or other papers as reguired by law, except as provided
by local rules ofcoun. This fomt, approved by the Judicial Conference o the United rates in September 1974, is required for the use oft e Clerk of ourt for the purpose oftnitiating
the civil docket sheet. (SEE INSTRUCTIONS ON THE REVERSE OF THE FORM.) .
. I S .t E I ITS
I (al ttli&Ail2llSOFnE 11115 Cavendish, NO. 908 , 0l}l.itcl3tiitDl'31l`d.
Ville St. Laruent, H4R ZM9, Quebec, Canada c/o CorpAmerica, Inc., 2711 Centerville Road,
Suite 400, Wilmington, DE 19808
(b) County of Residence ofFirst Listed Plaintiff | SIE E | County of Residence ofFirst Listed Defendant New (ja St | E
Bar Larom, lEI‘P€t"15" ‘0Sa‘
Vllle St I Laruent ’ HAR ZM9 , Quebec , Canada NOTE. IIZIALQINEQCZNEEEINATION CASES. USE THE LOCATION OF THE
I and The New Piper Aircraft Inc. , c/o The
(Q Anwmyswmnmmaammeamtawmmwmma) Premtmcekhull Corporation System, Inc.,
Albert H. Manwaring, IV 2711 Centerville Road, Suite 400,
Pepper Hamilton LLP, Hercules Plaza, Suite ¤100, Wilmington, DE 19808
atdffliilt-i`IlllQIltI'llgI;@Ii§) PARTIESlPIace an "X" in One Box for PlatnttI`I`
2 • 7 7 · 6 (For Diversity Cases Only) and One Box for Defendant)
D I U3SQGoveZnment 5 D 3 Federal Ouestion PTF DEF PTF DEF
Plaintiff (U.S. Government Not a Party) Citizen of`This State D 1 Cl 1 Incorporated or Principal Place Cl 4 XIX1
of`Business In This State
D 2 U.S. Govemment X54 Diversity Citizen of Another State C] 2 Il 2 Incorporated and Principal Place D 5 CI 5
D°f°""""‘ ttnaieate Citizenship nrvnnies in ttern tit) "' B“s'"°“ l" A"°'h"' S‘“‘°
Citizen or Subject ofa XX3 D 3 Foreign Nation 3 6 Fl 6
Forei ·n Countrv
IV. NATURE OF SUIT (Place an "X" in One Box Onlv)
CONTRACT TORTS FORFEITURE/PENALTY BANKRUPTCY OTHER STATUTES
CI 110 Insurance PERSONAL INJURY PERSONAL INJURY D 610 Agriculture D 422 Appeal 28 USC 158 CI 400 State Reapportionment
CJ 120 Marine XK 310 Airplane lj 362 Personal Injury- D 620 Other Food & Drug D 423 Withdrawal D 410 Antitrust
Cl 130 Miller Act [I 315 Airplane Product Med, Malpractice D 625 Drug Related Seizure 28 USC 157 U 430 Banks and Banking
D 140 Negotiable Instmment Liability CI 365 Personal Injury — of Property 21 USC 881 D 450 Commerce
EI 150 Recovery of Overpayment CI 320 Assault, Libel & Product Liability CI 630 Liquor Laws PROPERTY RIGHTS lj 460 Deportation
& Enforcement ofludgment Slander D 368 Asbestos Personal CI 640 R.R. & Truck CI 820 Copyrights CJ 470 Racketeer Influenced and
D 151 Medicare Act U 330 Federal EmpIoyers` Injury Product CI 650 Airline Regs. Cl 830 Patent Corrupt Organizations
I] 152 Recovery of Defaulted Liability Liability [I 660 Occupational lj 840 Trademark D 480 Consumer Credit
Student Loans O 340 Marine PERSONAL PROPERTY Safety/Health D 490 Cable/Sat T\l
(Excl. Veterans) lj 345 Marine Product I:] 370 Other Fraud D 690 Other lj 810 Selective Service
lj 153 Recovery ofOverpayment Liability I:] 371 Truth in Lending LABOR SOCIAL SECURITY CI 850 Securities/Cointrtoditics.
of Veteran`s Benefits lj 350 Motor Vehicle CI 380 Other Personal C] 710 Fair Labor Standards lj 861 H1A(1395ff) Exchange .
lj 160 Stockholders Suits CI 355 Motor Vehicle Property Damage Act D 862 Black Lung (923) U 875 Customer Challenge
D 190 Other Contract Product Liability lj 385 Property Damage lj 720 Labor/Mgmt. Relations D 863 DIWC/DIWW (405(g)) I2 USC 3410
CI I95 Contract Product Liability lj 360 Other Personal Product Liability D 730 Labor/Mgmt,Repor‘ting G 864 SSID Title XVI CI 890 Other Statutory Actions
lj 196 Franchise Injury & Disclosure Act D 865 RSI (405l ·)) D 891 Agricultural Acts
REAL PROPERTY CIVIL RIGHTS PRISONER PETITIONS CI 740 Railway Labor Act FEDERAL TAX SUITS lj 892 Economic Stabilization Act
[I 210 Land Condemnation lj 441 Voting lj 510 Motions to Vacate lj 790 Other Labor Litigation D 870 Taxes (U.S. Plaintiff lj 893 Environmental Matters
D 220 Foreclosure Cl 442 Employment Sentence Cl 791 Empl, Ret. Inc. or Defendant) lj 894 Energy Allocation Act
lj 230 Rent Lease & Ejectment [I 443 Housing/ Haltcas Corpus: Security Act U 871 IRSvTltird Party lj 895 Freedom oflnlkirtnatttin
D 240 Torts to Land Accommodations D 530 General 26 USC 7609 Act
Ci 245 Tort Product Liability lj 444 Welfare O 535 Death Penalty lj 900Appeal of lice Detenntnattott
D 290 All Other Real Property lj 445 Amer. w/Disabilities - [I 540 Mandamus & Other Under Equal Access
Employment D 550 Civil Rights to Justice
lj 446 Amer. w/Disabilities - lj 555 Prison Condition 1:] 950 Constttuttonaltty of
Other State Statutes
lj 440 Other Civil Rights
V. ORIGIN (Place an "X" in One Box Only) T f d { ?%P€“1_l9 DISIIICI
, rans en·e rom _ u ge rom
gx Original D 2 Removed from G 3 Remanded from D 4 Reinstated or 3 5 another district D 6 Multidistrict D 7 Magistrate
Proceedin > State Court A ellate Coun Reo ened is ectfv) Litigation Judgment
Citeztlée l{jS. §ivEl;Statutc under whichlyénu age filing (D0 not cite jurisdictional statutes unless diversity):
. . . Section 3
VI' CAUSE OF ACTION Brief description ofcause:
Wrong ul death and survival action arisin from air lane accident
VII. REQUESTED IN CI cnectc tr rats is A cLAss Acrtots DEMAND S CHECK YES only tfdomoodod in complaint:
COMPLAINT: UNDER ER-C·E 23 in Excess gf $75 ogg Jutzv otatvtprtvnt Xgt veg Ct No
VIII. RELATED CASE(S) (S I [_ )
s r c s z
IF ANY " "` “ '°“ tumor oocicer NUMBER
DATE SIGNATURE OF ATTORNEY OF RECORD
12/ 3 0/ 05 7 Aj 33
FOR OFFICE USE ONLY
RECEIPT it AMOUNT APPLYING IFP JUDGE MAG. JUDGE
is 44 Reverse tw. it/<>4> Case 1 :05-cv-00922-JJF Document 1-2 Filed 05/30/2005 Page 2 of 2
INSTRUCTIONS FOR ATTORNEYS COMPLETING CIVIL COVER SHEET FORM JS 44
A Authority For Civil Cover Sheet
The JS 44 civil cover sheet and the infomation contained herein neither replaces nor supplements the filings and service of pleading or other papers as required
by law, except as provided by local rules of court. This form, approved by the Judicial Conference ofthe United States in September 1974, is required for the use
ofthe Clerk ofCourt for the purpose ofinitiating the civil docket sheet. Consequently, a civil cover sheet is submitted to the Clerk ofCourt for each civil complaint ,
filed. The attomey filing a case should complete the form as follows: '
I. (a) Plaintiffs-Defendants. Enter names (last, first, middle initial) ofplaintiffand defendant. Ifthe plaintiffor defendant is a government agency. use only
the full name or standard abbreviations. Ifthe plaintiff or defendant is an official within a govemment agency, identify first the agency and then the official, giving
both name and title.
(b) County ofResidence. For each civil case filed, except U.S. plaintiff cases, enter the name ofthe county where the first listed plaintiffresides at the time
of filing. In U.S. plaintiff cases, enter the name ofthe county in which the first listed defendant resides at the time of filing. (NOTE: In land condemnation cases.
the county ofresidence ofthe "defendant" is the location ofthe tract ofland involved.)
(c) Attomeys.fEnter the firm name. address, telephone number. and attorney of record. Ifthere are several attorneys, list them on an attachment, noting
in this section "(see attachment)".
ll. Jurisdiction. The basis ofjurisdiction is set forth under Rule 8(a). F.R.C.P., which requires thatjurisdictions be shown in pleadings. Place an "X" in one
ofthe boxes. Ifthere is more than one basis ofjurisdiction, precedence is given in the order sltown below.
United States plaintiff. (1) Jurisdiction based on 28 U.S.C. 1345 and 1348. Suits by agencies and officers ofthe United States are included here.
United States defendant. (2) When the plaintiffis suing the United States, its officers or agencies. place an "X" in this box.
Federal question. (3) This refers to suits under 28 U.S.C. 1331. where jurisdiction arises under the Constitution of the United States, an amendment to the
Constitution, an act ofCongress or a treaty ofthe United States. ln cases where the U.S. is a party, the U.S. plaintiff or defendant code takes precedence. and box
l or 2 should be marked.
Diversity ofcitizenship. (4) This refers to suits under 28 U.S.C. 1332. where parties are citizens ofdifferent states. When Box 4 is checked, the citizenship ofthe
different parties must be checked. (See Section lll below; federal question actions take precedence over diversity cases.)
III. Residence (citizenship) ofPrincipal Parties. This section ofthe JS 44 is to be completed ifdiversity ofcitizensliip was indicated above. Mark this section .
for each principal party.
IV. Nature ofSuit. Place an "X" in the appropriate box. Ifthe nature ofsuit cannot be determined, be sure the cause ofaction, in Section Vl below, is sufficient
to enable the deputy clerk or the statistical clerks in the Administrative Office to determine the nature of suit. Ifthe cause fits more than one nature ofsuit. select
the mcsl definitive.
V. Origin. Place an "X" in one ofthe seven boxes.
Original Proceedings. (1) Cases which originate in the United States district courts.
Removed from State Court. (2) Proceedings initiated in state courts may be removed to the district courts under Title 28 U.S.C.. Section 1441. When the petition
for removal is granted, check this box.
Remanded from Appellate Court. (3) Check this box for cases remanded to the district court for further action. Use the date of remand as the filing date.
Reinstated or Reopened. (4) Check this box for cases reinstated or reopened in the district court. Use the reopening date as the filing date.
Transferred from Another District. (5) For cases transferred under Title 28 U.S.C. Section l404(a). Do not use this for within district transfers or multidistrict
litigation transfers.
Multidistrict Litigation. (6) Check this box when a multidistrict case is transferred into the district under authority ofTitle 28 U.S.C. Section 1407. When this box
is checked. do not check (5) above.
Appeal to District Judge from Magistrate Judgment. (7) Check this box for an appeal from a magistratejudge`s decision. ·
Vl. Cause 0fAction. Report the civil statute directly related to the cause ofaction and give a briefdescription ofthe cause. Do not citejurisdictional statutes
unless diversity. Example: U.S. Civil Statute: 47 USC 553 _ (
Brief Description: Unauthorized reception of cable service
Vll. Requested in Complaint. Class Action. Place an "X" in this box ifyou are filing a class action under Rule 23. F.R.Cv.P.
Demand. In this space enter the dollar amount (in thousands of dollars) being demanded or indicate other demand such as a preliminary injunction.
Jury Demand. Check the appropriate box to indicate whether or not ajury is being demanded.
Vlll. Related Cases. This section ofthe JS 44 is used to reference related pending cases if any. Ifthere are related pending cases. insert the docket numbers
and the corresponding judge names for such cases.
Date and Attorney Signature. Date and sign the civil cover sheet.
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