Anda di halaman 1dari 9

Case 4:16-cv-00004-MWB-JFS Document 1 Filed 01/04/16 Page 1 of 9

lN THE UNITED STATES DISTRICT COURT


FOR THE M\t(' f DISTRICT OF~--
- - - - DIVISION
(Write the Dislrict and Division. ifany, ojihe
court in \rhich the complaint is.filed.)

~NEW W\\ > \f?\M~Th\,


omplaint for a Civil Case
P\A'~~\J:"F

(Wrile !he full name ofeach plaint!ffwho is.filing


asct.CV 16-QO~:
(to be.filled in by 1he Clerk's Office)
!his complaint. {(!he names ofall the plaintiffs
cannot fit in the space above. please write "see
Jury Trial: efves D No
al/ached" in the space and a/fach an additional
(check one)
page with the full lisl ofnames.)

-against-

\) bk'2.1\:\Uffie.-Q! i?+=>D co .rlf'/


ca \QT\:\O \COE.~~Me.R-
-~~~~~.&.::!~JOl~fii~~~~~hib
(Wrile the Juli name ofeach de en ant who 1soemg
sued. Jf the names ofall the defendanls cannot.fir
in lhe space above, please write "see al/ached" in
the space and allach an additional page with the
full lis1 ofnames.)

.
Case 4:16-cv-00004-MWB-JFS Document 1 Filed 01/04/16 Page 2 of 9

Continued Full List of Defendants

Attachment "A"

- Wu~.'63" ') a) ~QSZ'f\-\UMP..2 co ~"


Afib\PTA.~
D\'QTR\C...T A..T'T~ U'.''' 1 \f\M COl r 1 At...:>D '-\)
fiu~E.'/ "'AT\-\' g:E.\..l A~NE- L\~COLN ...
Case 4:16-cv-00004-MWB-JFS Document 1 Filed 01/04/16 Page 3 of 9

I. The Parties to This Complaint

A. The Plaintiff(s)

Provide the information below for each plaintiff named in the complaint. Attach
additional pages if needed.

Name ~Py\i-') U)u L\MJ\ \?A~"'TA\


Street Address "h\4 E.Af:>\"6E.\,E\\SX\:\ 'OD<EE"\
City and County M~-J C.&QME.L 1 ~RI\.:\UID~R\..P\~'t
State and Zip Code f?t:.~L\.)f\\;)\A., \l'1i'O\
Telephone Number i;,"]O- 0~0- \02'.:A
E-mail Address d. \'0'6otO.\ f)!l ltO @ \,\)t., CL'X'f\
B. The Dcfcndant(s)

Provide the information below for each defendant named in the complaint,
whether the defendant is an individual, a government agency. an organization, or
a corporation. For an individual defendant, include the person's job or title (if
known). Attach additional pages if needed.

Defendant No. I
Name
Job or Title
(if known)
Street Address dO\ t.JBR\':,.E=[ efRE.1:.-1", Qt'd l="L.
City and County Put..:R;l \'il.'/ 1 ~KI\:\\ )ffifif S.~t::>
State and Zip Code 0::.~"i~~A.. ~T'l'iO\
Telephone Number f>']O-C\'B'i-L.\\\d]
E-mail Address
(if known)

Defendant No. 2
Name ~\.\UM&.Q~ CO. :t"uoG,\!..
Job or Title :f'Ut)(bE \i:lO'\.\..\~ lQE\6\"
(if known)
Street Address
City and County

2
Case 4:16-cv-00004-MWB-JFS Document 1 Filed 01/04/16 Page 4 of 9

State and Zip Code Q:~W~\&, , \!J'SO\


Telephone Number f)~C\'SS 4\lo!'I
E-mail Address
(if known)

Defendant No. 3
Name ~,, '"M Co' &:
Job or Title l\!:fOY5n""~NI t)\E>~C.T ~n~y
(if known) ~urne:E~~c ~
Street Address SQ\, ~r fJCRt;.t::C 1 a.9'iS:\....
City and County 'b >h'2i >W:J' '4n9D:\uroeSll "'~
State and Zip Code ~~L\IA'>}\A t \"1i()\
Telephone Number
E-mail Address
(if known)

Defendant No. 4
Name ~\-\\ F~~ ~LI.XO'-".\
Job or Title QLA\~1:\G"\:;, QE.s=)..)<' JS cou~\.-
(if known)
Street Address \oO\ Y;;;i ~L~\A A\IE..
City and County f.J' )h\~ \RY' ~ A2Ql l>t'I'>
State and Zip Code
~' ''~"' . YtSO\
Telephone Number
E-mail Address
(if known)

II. Basis for Jurisdiction

Federal courts are courts of limite~ jurisdiction (limited power). Generally, only two
types of cases can be heard in federal court: cases involving a federal question and cases
involving diversity of citizenship of the parties. Under 28 U.'S.C. 1331 , a case arising
under the United States Constitution or federal laws or treaties is a federal question case.
Under 28 U.S.C. 1332, a case in which a citizen of one State sues a citizen of another
State or nation and the amount at stake is more than $75,000 is a diversity of citizenship
case. In a diversity of citizenship case, no defendant may be a citizen of the same State
. as any plaintiff.
.

3
Case 4:16-cv-00004-MWB-JFS Document 1 Filed 01/04/16 Page 5 of 9

What is the basis for federal court jurisdiction? (checyll that apply)

igfederal question ml'Diversity of citizenship


Fill out the paragraphs in this section that apply to this case.

A. If the Basis for Jurisdiction Is a Federal Question

List the specific federal statutes, federal treaties, and/or provisions of the United
States Constitution that are at issue in this case.

~ .Qoo~- rnLDa~, >l=\E <?Eot>' e.., 12.:tc.., R2..~,


VT~ E. ~Cd()\- I ~bnt.. (~N ""'. \"i'OQ.}01.D
B. If the Basis for Jurisdiction Is Diversity of Citizenship

I. The Plaintiff(s)

a. If the plaintiff is an individual

The plaintiff, (name)AwJSE1AW . ~~is a citizen of


the State of (name)~L\lB"\A

b. If the plaintiff is a corporation

The plaintiff, (name) , is incorporated


under the laws of the State of (name) _ _ _ _ __ _ _ __,
and has its principal place of business in the State of (name)

(If more than one plaintiff is named in the complaint. a1tach an additional
page providing the same information for each additional plaint[ff.)

2. The Defendant(s)

a. If the defendant is an individual

The defendant, {name) _ _ _ _ __ ____, is a citizen of


the State of (name) _ .Or is a citizen of
(foreign nation)_ _ _ _ __ _ _ __

4
Case 4:16-cv-00004-MWB-JFS Document 1 Filed 01/04/16 Page 6 of 9

Continued list of Defendants (Individual)

Attachment "B"

c. If the defendant is a corporation

The defendant, (name)~t> CO. C ()\Kr\:Vl ff.is incorporated under the


laws of the State (name) ~W"~\~ . and has its principal place
of business in the State of(name) -~
.........-~.._.--.,,,__NL.l\e\t~.....
IN .....~&...=.....
\ ""-"11.------------

d. If the defendant is an individual


~UM~~OC..0.
The defendant, (name) ~1'"A~ t>-A. \UUlAM COLE , is a citizen of the State of
(name) \?e-\.)~'IL\)A~A

e. If the defendant is an individual

The defendant, (name) ~W\YE~b l"P'"fr Wus;$J. is a citizen of the State of

(name) ~~'./L\IA\..\\A

e. If the defendant is an individual

The defendant, (name) A~E.'I ~' EEN ~N , is a citizen of the State of


(name) ~'l\....'l~\j,\
Case 4:16-cv-00004-MWB-JFS Document 1 Filed 01/04/16 Page 7 of 9

b. If the defendant is a corporation


~\-\,J\~L~b Co .
The defendant, (name)~Ho.Jf:.. , 1s
incorporated under the laws of the State of (name)
~:./L"~ll\. , and has its principal place of
business in the State of (name) ~'S"iL\}A,N\f\. .Or is
incorporated under the laws of (foreign
nation) . and has its principal place of
business in (name)_ _ __ _ __ _ __

(((more than one defendant is named in the complain!, allach an


additional page providing the same in.formation.for each addilional
defendant.)

3. The Amount in Controversy

The amount in controversy-the amount the plaintiff claims the defendant


owes or the amount at stake- is more than $75,000, not counting interest
and costs of court, because (explain):

T\:\E. Pv\\~\EF REO' \E.fil DEEEN~T PA.'/


\00 ,c:x:x:>. 00 'kOR. 2>1ML RE\JDCA:f\OW

III. Statement of Claim

Write a short and plain statcmcntofthe claim.Do not make legal arguments. State as
briefly as possible the facts show111g tnat each plaintiff is entitled to the damages or other
relief sought. State how each defendant was involved and what each defendant did that
caused the plaintiff hann or vio lated the plaintiff's rights, including the dates and places
of that involvement or conduct.If more than one claim is asserted, number each claim and
write a short and plain statement of each claim in a separate paragraph. Attach additional
pages if needed.

\. N' t:>EENt>A\...\Ti:> \\)E,Q.~ ~\)OL'JEO 'O'I "I\.\Q.EA'I.N\~


'"IO 3M. \J\'I e,J.\\L A'+.lP..'/ {&E'\t0c:9'I~) ~ J:. t:>\ 0 ~ 9\.~~
Q>un'l. ,-\.\\'ta \rio~~E5 !1\'i Q.\<a\.\1~. ffi C O\~Q:J\:\t)..).~ ON '\jqj 15
Q. A\.L OU:E.~...;n~ 'rSilE. ~'10L'-IEI:> SJ>"i 'O'S'O\ \)\~
1 ~ \.l~t>c.R.=t\:\C. CAQE. ('&" A. OOC...\oR. Ah.)O Q..C.E WE.I:) .. ..
( ~ AT('lllC~'-'e.3'{")
.

5
Case 4:16-cv-00004-MWB-JFS Document 1 Filed 01/04/16 Page 8 of 9

"Continued Statement of Claim"

Attachment "C"

~QCCfi\C..C:, \\)k\\C._\....\ \MPbM<E.D MY :),~a.JS M..:)h"TQJ]:ltMC.

~L P...\A)/:)N \E ""L t>\t>ST ftrW, \). "t. b\t> $ . 0 \) UP ~t)y\ilz J\\E

\~S:' L-:>AC E A.Ub COk>.' l::> NOi \..A@\Yl- A '*OU 1\S{P\Q:'/ P' E~ ..

-f<X\Y> 0A('E- A.T C(')\\QT\.\Ol ~ '"' k\cNeM~R C\ I aC>\'b p


Case 4:16-cv-00004-MWB-JFS Document 1 Filed 01/04/16 Page 9 of 9

IV. Relief

State briefly and precisely what damages or other relief the plaintiff asks the court to
order. Do not make legal arguments. Include any basis for claiming that the wrongs
alleged are continuing at the present time. Include the amounts of any actual damages
claimed for the acts alleged and the basis for these amounts. Include any punitive or
exemplary damages claimed, the amounts, and the reasons you claim you are entitled to
actual or punitive money damages.

Q.E\~:IMEM~T" OE~ OS:: \).\.')E)E,.C )9..E.. P\A\~6


QEO 1fn-s f.\oo,cx;c, .ro t:a' ' AA'O \ ~'L ,e, ffc, \REb.
\?lA-.n\R: RE.On\t:ffi" t)\b\.M~ 0 A'' E~E.t:>AhUE.TC)
~~coe~
Wt. ).LT\Pl \t\CA.M\0"'-\ C Q.\C',\.\"l'O
V. Certification and Closing

Under Federal Rule of Civil Procedure 11, by signing below, I certify to the best of my
knowledge, information, and belief that this complaint: (1) is not being presented for an
improper purpose, such as to harass, cause unnecessary delay, or needlessly increase the
cost of litigation; (2) is supported by existing law or by a nonfrivolous argument for
extending, modifying, or reversing existing law; (3) the factual contentions have
evidentiary support or, if specifically so identified, will likely have evidentiary support
after a reasonable opportunity for further investigation or discovery; and (4) the
complaint otherwise complies with the requirements of Rule 11.

A. For PartiesWithout an Attorney

I agree to provide the Clerk's Office with any changes to my address where case-
related papers may be served. I understand that my failure to keep a current
address on file with the Clerk's Office may result in the dismissal of my case.

Date of signing: O\ / 04 , 20.dP

Signature of Plaintiff ~J,. 6t.09 \Y.tl ..airv:~iJ


Printed Name of PlaintiUA~ttQ-W\\...l 'l\W\':. ~\t.0\:4\
3\c1 Cf.\~-\ l~h ~"\rte.\
\-\ov-.f\~ ~~L\ 1 ?i\ \"l~S \
B. For Attorneys

Date of signing: _ _ _ _, 20_ .


'