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Date Created:January 25, 2018
Date Uploaded to the Library:January 30, 2018
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Case 3:17-cv-02436-BEN-NLS Document Filed 12/05/17 PageID.1 Page 17CV2436 BEN NLS Case 3:17-cv-02436-BEN-NLS Document Filed 12/05/17 PageID.2 Page Case 3:17-cv-02436-BEN-NLS Document Filed 12/05/17 PageID.3 Page Case 3:17-cv-02436-BEN-NLS Document Filed 12/05/17 PageID.4 Page Case 3:17-cv-02436-BEN-NLS Document Filed 12/05/17 PageID.5 Page Case 3:17-cv-02436-BEN-NLS Document 1-1 Filed 12/05/17 PageID.6 Page CIVIL COVER SHEET (Rev. 06/17) The civil cover sheet and the information contained herein neither replace nor supplement the filing and service pleadings other papers required law, except provided local rules court. This form, approved the Judicial Conference the United States September 1974, required for the use the Clerk Court for the purpose initiating the civil docket sheet. (SEE INSTRUCTIONS NEXT PAGE THIS FORM.) (a) PLAINTIFFS DEFENDANTS U.S. EQUAL EMPLOYMENT OPPORTUNITY COMMISSION UNIVERSAL PROTECTION SERVICE, LP, d/b/a ALLIED UNIVERSAL SECURITY SERVICES San Diego County Residence First Listed Defendant (b) County Residence First Listed Plaintiff (EXCEPT U.S. PLAINTIFF CASES) NOTE: (c) Attorneys (Firm Name, Address, and Telephone Number) (IN U.S. PLAINTIFF CASES ONLY) LAND CONDEMNATION CASES, USE THE LOCATION THE TRACT LAND INVOLVED. Attorneys (If Known) 17CV2436 BEN NLS Anna Park, EEOC 255 East Temple Street, Fourth Floor, Los Angeles, 90012, (213)894-1083, firstname.lastname@example.org II. BASIS JURISDICTION (Place One Box Only) U.S. Government Plaintiff U.S. Government Defendant III. CITIZENSHIP PRINCIPAL PARTIES (Place One Box for Plaintiff (For Diversity Cases Only) PTF Citizen This State Federal Question (U.S. Government Not Party) Diversity (Indicate Citizenship Parties Item III) DEF and One Box for Defendant) PTF DEF Incorporated Principal Place Business This State Citizen Another State Incorporated and Principal Place Business Another State Citizen Subject Foreign Country Foreign Nation IV. NATURE SUIT (Place One Box Only) CONTRACT Click here for: Nature Suit Code Descriptions. TORTS 110 Insurance 120 Marine 130 Miller Act 140 Negotiable Instrument 150 Recovery Overpayment Enforcement Judgment 151 Medicare Act 152 Recovery Defaulted Student Loans (Excludes Veterans) 153 Recovery Overpayment Veteran Benefits 160 Stockholders Suits 190 Other Contract 195 Contract Product Liability 196 Franchise REAL PROPERTY 210 Land Condemnation 220 Foreclosure 230 Rent Lease Ejectment 240 Torts Land 245 Tort Product Liability 290 All Other Real Property PERSONAL INJURY 310 Airplane 315 Airplane Product Liability 320 Assault, Libel Slander 330 Federal Employers Liability 340 Marine 345 Marine Product Liability 350 Motor Vehicle 355 Motor Vehicle Product Liability 360 Other Personal Injury 362 Personal Injury Medical Malpractice CIVIL RIGHTS 440 Other Civil Rights 441 Voting 442 Employment 443 Housing/ Accommodations 445 Amer. w/Disabilities Employment 446 Amer. w/Disabilities Other 448 Education FORFEITURE/PENALTY PERSONAL INJURY 365 Personal Injury Product Liability 367 Health Care/ Pharmaceutical Personal Injury Product Liability 368 Asbestos Personal Injury Product Liability PERSONAL PROPERTY 370 Other Fraud 371 Truth Lending 380 Other Personal Property Damage 385 Property Damage Product Liability PRISONER PETITIONS Habeas Corpus: 463 Alien Detainee 510 Motions Vacate Sentence 530 General 535 Death Penalty Other: 540 Mandamus Other 550 Civil Rights 555 Prison Condition 560 Civil Detainee Conditions Confinement 625 Drug Related Seizure Property USC 881 690 Other LABOR 710 Fair Labor Standards Act 720 Labor/Management Relations 740 Railway Labor Act 751 Family and Medical Leave Act 790 Other Labor Litigation 791 Employee Retirement Income Security Act BANKRUPTCY 422 Appeal USC 158 423 Withdrawal USC 157 PROPERTY RIGHTS 820 Copyrights 830 Patent 835 Patent Abbreviated New Drug Application 840 Trademark SOCIAL SECURITY 861 HIA (1395ff) 862 Black Lung (923) 863 DIWC/DIWW (405(g)) 864 SSID Title XVI 865 RSI (405(g)) FEDERAL TAX SUITS 870 Taxes (U.S. Plaintiff Defendant) 871 IRS Third Party USC 7609 IMMIGRATION 462 Naturalization Application 465 Other Immigration Actions OTHER STATUTES 375 False Claims Act 376 Qui Tam (31 USC 3729(a)) 400 State Reapportionment 410 Antitrust 430 Banks and Banking 450 Commerce 460 Deportation 470 Racketeer Influenced and Corrupt Organizations 480 Consumer Credit 490 Cable/Sat 850 Securities/Commodities/ Exchange 890 Other Statutory Actions 891 Agricultural Acts 893 Environmental Matters 895 Freedom Information Act 896 Arbitration 899 Administrative Procedure Act/Review Appeal Agency Decision 950 Constitutionality State Statutes ORIGIN (Place One Box Only) Original Proceeding Removed from State Court Remanded from Appellate Court Reinstated Reopened Transferred from Another District Multidistrict Litigation Transfer (specify) Cite the U.S. Civil Statute under which you are filing (Do not cite jurisdictional statutes unless diversity): Multidistrict Litigation Direct File Title VII the Civil Rights Act 1964, amended; U.S.C. 2000e seq VI. CAUSE ACTION Brief description cause: Civil Rights and Employment Discrimination VII. REQUESTED COMPLAINT: VIII. RELATED CASE(S) ANY DATE CHECK THIS CLASS ACTION UNDER RULE 23, F.R.Cv.P. (See instructions): CHECK YES only demanded complaint: Yes JURY DEMAND: DEMAND JUDGE DOCKET NUMBER SIGNATURE ATTORNEY RECORD /s/ Anna Park 12/05/2017 FOR OFFICE USE ONLY RECEIPT AMOUNT APPLYING IFP JUDGE MAG. JUDGE Case 3:17-cv-02436-BEN-NLS Document 1-1 Filed 12/05/17 PageID.7 Page Reverse (Rev. 06/17) INSTRUCTIONS FOR ATTORNEYS COMPLETING CIVIL COVER SHEET FORM Authority For Civil Cover Sheet The civil cover sheet and the information contained herein neither replaces nor supplements the filings and service pleading other papers required law, except provided local rules court. This form, approved the Judicial Conference the United States September 1974, required for the use the Clerk Court for the purpose initiating the civil docket sheet. Consequently, civil cover sheet submitted the Clerk Court for each civil complaint filed. The attorney filing case should complete the form follows: I.(a) (b) (c) Plaintiffs-Defendants. Enter names (last, first, middle initial) plaintiff and defendant. the plaintiff defendant government agency, use only the full name standard abbreviations. the plaintiff defendant official within government agency, identify first the agency and then the official, giving both name and title. County Residence. For each civil case filed, except U.S. plaintiff cases, enter the name the county where the first listed plaintiff resides the time filing. U.S. plaintiff cases, enter the name the county which the first listed defendant resides the time filing. (NOTE: land condemnation cases, the county residence the defendant the location the tract land involved.) Attorneys. Enter the firm name, address, telephone number, and attorney record. there are several attorneys, list them attachment, noting this section (see attachment). II. Jurisdiction. The basis jurisdiction set forth under Rule 8(a), F.R.Cv.P., which requires that jurisdictions shown pleadings. Place one the boxes. there more than one basis jurisdiction, precedence given the order shown below. United States plaintiff. (1) Jurisdiction based U.S.C. 1345 and 1348. Suits agencies and officers the United States are included here. United States defendant. (2) When the plaintiff suing the United States, its officers agencies, place this box. Federal question. (3) This refers suits under U.S.C. 1331, where jurisdiction arises under the Constitution the United States, amendment the Constitution, act Congress treaty the United States. cases where the U.S. party, the U.S. plaintiff defendant code takes precedence, and box should marked. Diversity citizenship. (4) This refers suits under U.S.C. 1332, where parties are citizens different states. When Box checked, the citizenship the different parties must checked. (See Section III below; NOTE: federal question actions take precedence over diversity cases.) III. Residence (citizenship) Principal Parties. This section the completed diversity citizenship was indicated above. Mark this section for each principal party. IV. Nature Suit. Place the appropriate box. there are multiple nature suit codes associated with the case, pick the nature suit code that most applicable. Click here for: Nature Suit Code Descriptions. Origin. Place one the seven boxes. Original Proceedings. (1) Cases which originate the United States district courts. Removed from State Court. (2) Proceedings initiated state courts may removed the district courts under Title U.S.C., Section 1441. When the petition for removal granted, check this box. Remanded from Appellate Court. (3) Check this box for cases remanded the district court for further action. Use the date remand the filing date. Reinstated Reopened. (4) Check this box for cases reinstated reopened the district court. Use the reopening date the filing date. Transferred from Another District. (5) For cases transferred under Title U.S.C. Section 1404(a). not use this for within district transfers multidistrict litigation transfers. Multidistrict Litigation Transfer. (6) Check this box when multidistrict case transferred into the district under authority Title U.S.C. Section 1407. Multidistrict Litigation Direct File. (8) Check this box when multidistrict case filed the same district the Master MDL docket. PLEASE NOTE THAT THERE NOT ORIGIN CODE Origin Code was used for historical records and longer relevant due changes statue. VI. Cause Action. Report the civil statute directly related the cause action and give brief description the cause. not cite jurisdictional statutes unless diversity. Example: U.S. Civil Statute: USC 553 Brief Description: Unauthorized reception cable service VII. Requested Complaint. Class Action. Place this box you are filing class action under Rule 23, F.R.Cv.P. Demand. this space enter the actual dollar amount being demanded indicate other demand, such preliminary injunction. Jury Demand. Check the appropriate box indicate whether not jury being demanded. VIII. Related Cases. This section the used reference related pending cases, any. there 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.