Case 1 :05-cv-00915-KAJ Docu ment 2-3 Filed 12/29/2005 Page 1 of 1
.:' fd
M 44 <**¢V· **’*>4> CIV IL COVER SHEET
The JS 44 civil cover sheet and the infomation contained herein neither rqplace nor supplement the tiling and service ofpleadings or other papers as required bylaw, except as provided
by local rules ofcourt. This form, approved by the Judicial Conference 0 the United States rn September 1974, is required for the use oft e Clerk of Court for the purpose ofrnrtrating
the civil docket sheet. (SEE INSTRUCTIONS ON THE REVERSE OF THE FORM.)
I. (a) PLAINTIFFS DEFENDANTS
Gun.; \N\¤ap_t5 Amazon . c¤•-
(IJ) County of Residencc of First Listed Plaintiff County of Residence of First Listed Defendant ·
(EXCEPT IN U.S. PLAINTIFF CASES) (IN U.S. PLAINTIFF CASES ONLY) I
NOTE: IN LAND CONDEMNATION CASES, USE THE LOQATIONQOF THE
LAND INVOLVED. .
(C) Att0mey’S (FimrNa§:érQdress and Telephone Number) Attvmeys (HKUUWH) Z I;
II. OF (Place an “X" in One Box Only) PARTIES(Place an "En One Box for PlaintiIT
(For Diversity Cases Only) and One Box for Defendant)
FJ 1 U.S. Govemment u 3 Federal Question PTF DEF PTF DEF
Plaintiff (U.S. Govemment Not a Party) Citizen ofThis State n 1 B 1 Incorporated or Principal Place Cl 4 M 4
of Business In This State
lj 2 U.S. Government CI 4 Diversity Citizen ofAnother State lj 2 D 2 Incorporated and Principal Place lj 5 B 5
Defendant (Indicate Citizenship of Parties in Item III) Of Business In Another smc
Citizen or Subject ofa U 3 [I 3 Foreign Nation lj 6 lj 6
Forei n Count
Place an "X" in One Box Onl
. - CONTRACT . ` : . ‘ TORTS ‘ . FORFEITUREIPENALTY BANKRUPTCY O'I`lIER·STA'l`UTES
E1 110 Insurance PERSONAL INJURY PERSONAL INJURY D 610 Agriculture U 422 Appeal 28 USC 158 Cl 400 State Reapportionment
G 120 Marine Cl 310 Airplane U 362 Personal Injury - CI 620 Other Food & Dnrg 1] 423 Withdrawal CI 410 Antitrust
lj 130 MillerAct lj 315 Airplane Product Med. Malpractice El 625 Drug Related Seizure 28 USC 157 Cl 430 Banks and Banking
D 140 Negotiable Instrument Liability CI 365 Personal Injury - ofProperty 21 USC 881 CI 450 Commerce
CI 150 Recovery of Overpayurent G 320 Assault, Libel & Product Liability C1 630 Liquor Laws PROPERTY RIGHTS . G 460 Deportation
& Enforcement of Judgment Slander Cl 368 Asbestos Personal Cl 640 R.R. & Truck lj 820 Copyrights lj 470 Racketeer Intluenced and
lj 151 Medicare Act C1 330 Federal Employers’ Injury Product lj 650 Airline Regs. lj 830 Patent Corrupt Organizations .
D 152 Recovery ofDefau1ted Liability Liability D 660 Occupational lj 840 Trademark I] 4110 Consumer Credit
Student Loans 1] 340 Marine PERSONAL PROPERTY Safety/Health D 490 Cable/Sat TV
(Excl. Veterans) lj 345 Marine Product lj ‘370 Other Fraud III 690 Other E1 810 Selective Service
C1 153 Recovery of Overpayment Liability 1] 371 Truth in Lending - . -LABOR SOCIAL SECURITY Cl 850 Securities/Comm0dities/
of Veteran‘s Benefits El 350 Motor Vehicle Cl 380 Other Personal EI 710 Fair Labor Standards CI 861 I·[IA (139511) Exchange
D 160 Stockholders} Suits U 355 Motor Vehicle Property Damage Act U 862 Black Lung (923) U 875 Customer Challenge
D 190 Other Contract Product Liability [I 385 Property Damage lj 720 Labor/Mgmt. Relations I`.] 863 DIWC/DIWW (405(g)) 12 USC 3410
U 195 Contract Product Liability lj 360 Other Personal Product Liability lj 730 Labor/Mgmt,Repor1ing lj 864 SSID Title XVI lj 890 Other Statutory Actions
Cl 196 Franchise ln`u & Disclosure Act CI 865 RSI 405 ; lj 891 Agricultural Acts
. REAL PROPERTY ‘ . CIVIL RIGHTS ’ IPRISONER PETITIONS CI 740 Railway Labor Act FEDERAL TAX SUITS . D 892 Economic Stabilization Act
lj 210 Land Condemnation El 441 Voting Cl 510 Motions to Vacate lj 790 Other Labor Litigation lj 870 Taxes (U.S. Plaintiff D 893 Environmental Matters
EI 220 Foreclosure E 442 Employment Sentence U 791 Empl. Ret. Inc. or Defendant) D 894 Energy Allocation Act
I] 230 Rent Lease & Ejectment El 443 Housing! Habeas Corpus: Security Act lj 871 IRS—'1"hird Party C] 895 Freedom of Information
D 240 Torts to Land Accommodations Cl 530 General 26 USC 7609 Act
EI 245 Tort Product Liability lj 444 Welfare Cl 535 Death Penalty C1 900Appeal of Fee Determination
EI 290 All Other Real Property lj 445 Amer. w/Disabilities — 1:1 540 Mandamus & Other Under Equal Access
Employment D 550 Civil Rights to Justice
U 446 Amer. w/Disabilities - D 555 Prison Condition U 950 Constitutionality of
Other ‘ State Statutes
lj 440 Other Civil Rights
V. ORIGIN (Place an ·=x·· in One amt Only) Arépcal *0 District
ml _ _ lj 2 D 3 EI 4 _ D 5 Transferred from lj 6 _ _ _ U 7 Ju ge from
Original Removed from Remanded from Rernstated or another district Multrdrstrrct Magistrate
Proceedin State Court A ellate Court Reo ened s eci Lrti ation Jud ment
Cite tl}-1 U.S. CWI gang under which ég are fging (Do not cite jurisdictional statutes unless diversity);
VL CAUSE OF ACTIQN Brief descriptirzrgof cause:
NLAN t=ur.. E~`0t.¤\t MEN'? i
VII. REQUESTED IN I] curscrq ir rnrs is A cLAss Action DEMAND S CHECK YES ¤¤|y if demanded i¤ ¢<>mr>1=¤i¤t¤
COMPLAINT: UNDER F·R·C-P- 23 JURY DEMAND: CI Yes E No
VIH. RELATED CASE(S) (S _ tm { )»
TF ANY “ ms ° ‘°"‘ ‘ JUDGE oockar NUMBER
DATE J SIGNA ATTORNEY OF
1 2 2 °l ·‘ ¢> f W `
FOR OFFICE USE ONLY
RECEIPT # AMOUNT APPLYING IFP JUDGE MAG. JUDGE