.· Case 1 :05-cv-00915-KAJ Document 2 Filed 12/29/2005 Page 1 of 3
V
(Det. Rw. 12/98)
IN THE UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF DELAWARE
(Name of Plaintiff or Plaintiffs)
_ 0 o 0 1 5
v. CIVIL ACTION No.
. t t L il ~ J
(Name of Defendant or Defendants) s
. it f' : -
t DEC ZE C`; .:;GO:t ( .
COMPLAINT UNDER TITLE VII ( (
t . ,
( US "Q "il
OFTHECIVILRIGHTSACTOF1964 __ _. ' I -' ...
l. This action is brought pursuant to Ti/le VII o/`1/ve Civil Rig/its Act of /964, as amendedx for
employment discrimination. Jurisdiction exists by virtue of42 U.S.C. 52000e-5. Equitable and other rclicfarc also
sought under 42 U.S.C. .§2000e-5(g).
2. Plaintiffresides at LQ ‘
(Strcm Address) l
Neu {$:;,5 DE \§‘zz0
(City) (County) (State) (Zip Code)
(Area Code) (Phone Ntunber)
3. Defendant resides at, or its business is located at l NTEQPMNT
(Street Address)
tts,. Qm E Dt; nzgg .
(City) (County) (State) (Zip Code)
4. The discriminatory conduct occurred in connection with plaintiff s employment at, or application to
be employed at, defendants Ayggfxl, CON\ place of bussiness
(Defendant`; Nznne)
located at § §{Et;\]E§ PMN] gimp
(Street Address) ‘
ha.; ttm; CDE tam s
(City) (County) (State`) (Zip Code)
·· _ Case 1 :05-cv-00915-KAJ Document 2 Filed 12/29/2005 Page 2 of 3 .
5. The alleged discriminatory acts occurred on , O Z , .
(Day) (Month) (Year)
6. The alleged discriminatory practice O is not continuing.
` 7. Plaintiff tiled charges with the Department of Labor ofthe State of Delaware,
ggzs N- M¤m<.E.··r Sw. QAM Mmigjpyq
(Agency) (Street Address) (City)
QE , regarding
(County) (State) (Zip Code)
defendant’s alleged discriminatory conduct on , , fzxs .
(Day`) (Month) (Year)
8. Plaintiff filed charges with the Equal Employment opportunity Commission ofthe United States
regarding defendant’s alleged discriminatory conduct on: iO , Og _ fzpjg- .
(Day) (Month) (Year)
9. The Equal Employment Opportunity Commission issued the attached Notice-of-Right-to-Sue letter
which was received by plaintiff on: QQ , Q , ZOO; .
(Day) (Month) (Year)
(ZXOTE: ATTA CH NOTICE-OF-RIGHT-T0-SUE LETTER TO THIS COMPLAINT.)
10. The alleged discriminatory acts, in this suit, concern:
A. O g Failure to employ plaintiff.
B. 6/ Termination of plaintiffs employment.
C. O Failure to promote plaintiff
D. J Other acts (please specify below_)
UN\.•»ygFu\. `x`£»¤u>·<••teM·t Eg gcmee ggmiagvt. ·TE0.m`N\‘f10••l Mm Tas Egg;
T2 msg;-v Tg; g,¤g,g;g< gggggnst Fleas 53 A ima AND Qettati sweet:
Veg, Ctmxw, G•euE‘tx¤. meemumew Mh 5%;*.0,wNB cpgcié
—· Case 1 :05-cv-00915-KAJ Document 2 Filed 12/29/2005 Page 3 of 3
ll. Defendants conduct is discriminatory with respect to the following:
A. sl Plaintiffs race
B. O Plaintiffs color
C. O Plaintiffs sex
` D. O Plaintiffs religion
E. O Plaintiffs national origin
12. Acopy ofthe charges filed with the Equal Employment Opportunity Commission is attached to this
complaint and is submitted as a brief statement of the facts of plaintiffs claim.
13. Ifrelicfis not granted, plaintiffs will be irreparably denied rights secured by Title Vll oI`thc I964
CivilRights Act, as amended,
l4. Plaintiffs has no adequate remedy at law to redress the wrongs described above.
THEREFORE, Plaintiff prays as follows: (Check appropriate lettcr(s))
A, O That all fees, cost or security attendant to this litigation be hereby waived.
B. O That the Court appoint legal counsel.
C. O That the Court grant such reliefas may be appropriate, including inj uncti ve orders, damages,
cost and attorney's fees.
I declare under penalty of perjiury that the foregoing is true and correct.
Dated: Y?-I 2% l @5
I · · »· .
lm A/24 - -
(Signatrrre ot` Plaintill`)
(Signature ofartlditinrral Plaintill`)