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UNITED STATES DISTRICT COURT, CENTRAL DISTRICT OF CALIFORNIA

CIVIL COVER SHEET

I (a) PLAINTIFFS (Check box if you are representing yourself G) DEFENDANTS


Daylight Chemical Information Systems, Incorporated,
Charles Edward Lincoln, III, pro se, in propia persona Yosef Taitz, Appealing Dentistry, Dr. Orly Taitz, Esq., D.D.S. J.D., Defendant Our
Freedoms Foundation and all John & Jane Does 1-10

(b) Attorneys (Firm Name, Address and Telephone Number. If you are representing Attorneys (If Known)
yourself, provide same.)
603 Elmwood Place, Suite #6 UNKNOWN
Austin, Texas 78705
Telephone (512) 968-2500
E-mail: charles.lincoln@rocketmail.com or
lincoln_for_california@rocketmail.com
II. BASIS OF JURISDICTION (Place an X in one box only.) III. CITIZENSHIP OF PRINCIPAL PARTIES - For Diversity Cases Only
(Place an X in one box for plaintiff and one for defendant.)
G 1 U.S. Government Plaintiff ✔3 Federal Question (U.S.
G PTF DEF PTF DEF
Government Not a Party) Citizen of This State G 1 G 1 Incorporated or Principal Place G4 G4
of Business in this State
G 2 U.S. Government Defendant G 4 Diversity (Indicate Citizenship Citizen of Another State G2 G2 Incorporated and Principal Place G 5 G5
of Parties in Item III) of Business in Another State
Citizen or Subject of a Foreign Country G 3 G3 Foreign Nation G6 G6
IV. ORIGIN (Place an X in one box only.)
✔1 Original
G G 2 Removed from G 3 Remanded from G 4 Reinstated or G 5 Transferred from another district (specify): G 6 Multi- G 7 Appeal to District
Proceeding State Court Appellate Court Reopened District Judge from
Litigation Magistrate Judge
V. REQUESTED IN COMPLAINT: JURY DEMAND: G Yes G No (Check ‘Yes’ only if demanded in complaint.)
✔No
CLASS ACTION under F.R.C.P. 23: G Yes G G MONEY DEMANDED IN COMPLAINT: $ 45,000,000.00
VI. CAUSE OF ACTION (Cite the U.S. Civil Statute under which you are filing and write a brief statement of cause. Do not cite jurisdictional statutes unless diversity.)

VII. NATURE OF SUIT (Place an X in one box only.)

OTHER STATUTES CONTRACT TORTS TORTS PRISONER LABOR


G 400 State Reapportionment G 110 Insurance PERSONAL INJURY PERSONAL PETITIONS G 710 Fair Labor Standards
G 410 Antitrust G 120 Marine G 310 Airplane PROPERTY G 510 Motions to Act
G 430 Banks and Banking G 130 Miller Act G 315 Airplane Product G 370 Other Fraud Vacate Sentence G 720 Labor/Mgmt.
G 450 Commerce/ICC G 140 Negotiable Instrument Liability G 371 Truth in Lending Habeas Corpus Relations
Rates/etc. G 150 Recovery of G 320 Assault, Libel & G 380 Other Personal G 530 General G 730 Labor/Mgmt.
G 460 Deportation Overpayment & Slander Property Damage G 535 Death Penalty Reporting &
✔470 Racketeer Influenced
G Enforcement of G 330 Fed. Employers’ G 385 Property Damage G 540 Mandamus/ Disclosure Act
and Corrupt Judgment Liability Product Liability Other G 740 Railway Labor Act
G 340 Marine
Organizations G 151 Medicare Act BANKRUPTCY G 550 Civil Rights G 790 Other Labor
G 345 Marine Product
G 480 Consumer Credit G 152 Recovery of Defaulted G 422 Appeal 28 USC G 555 Prison Condition Litigation
Liability
G 490 Cable/Sat TV Student Loan (Excl. 158 FORFEITURE / G 791 Empl. Ret. Inc.
G 350 Motor Vehicle
G 810 Selective Service Veterans) G 355 Motor Vehicle G 423 Withdrawal 28 PENALTY Security Act
G 850 Securities/Commodities/ G 153 Recovery of Product Liability USC 157 G 610 Agriculture PROPERTY RIGHTS
Exchange Overpayment of G 360 Other Personal CIVIL RIGHTS G 620 Other Food & G 820 Copyrights
G 875 Customer Challenge 12 Veteran’s Benefits Injury G 441 Voting Drug G 830 Patent
USC 3410 G 160 Stockholders’ Suits G 362 Personal Injury- G 442 Employment G 625 Drug Related G 840 Trademark
G 890 Other Statutory Actions G 190 Other Contract Med Malpractice G 443 Housing/Acco- Seizure of SOCIAL SECURITY
G 891 Agricultural Act G 195 Contract Product G 365 Personal Injury- mmodations Property 21 USC G 861 HIA (1395ff)
G 892 Economic Stabilization Liability Product Liability G 444 Welfare 881 G 862 Black Lung (923)
Act G 196 Franchise G 368 Asbestos Personal G 445 American with G 630 Liquor Laws G 863 DIWC/DIWW
G 893 Environmental Matters REAL PROPERTY Injury Product Disabilities - G 640 R.R. & Truck (405(g))
G 894 Energy Allocation Act G 210 Land Condemnation Liability Employment G 650 Airline Regs G 864 SSID Title XVI
G 895 Freedom of Info. Act G 220 Foreclosure IMMIGRATION G 446 American with G 660 Occupational G 865 RSI (405(g))
G 900 Appeal of Fee Determi- G 230 Rent Lease & Ejectment G 462 Naturalization Disabilities - Safety /Health FEDERAL TAX SUITS
nation Under Equal G 240 Torts to Land Application Other G 690 Other G 870 Taxes (U.S. Plaintiff
Access to Justice G 245 Tort Product Liability G 463 Habeas Corpus- G 440 Other Civil or Defendant)
G 950 Constitutionality of G 290 All Other Real Property Alien Detainee Rights G 871 IRS-Third Party 26
State Statutes G 465 Other Immigration USC 7609
Actions

FOR OFFICE USE ONLY: Case Number: .


AFTER COMPLETING THE FRONT SIDE OF FORM CV-71, COMPLETE THE INFORMATION REQUESTED BELOW.

CV-71 (05/08) CIVIL COVER SHEET Page 1 of 2


UNITED STATES DISTRICT COURT, CENTRAL DISTRICT OF CALIFORNIA
CIVIL COVER SHEET

✔No G Yes
VIII(a). IDENTICAL CASES: Has this action been previously filed in this court and dismissed, remanded or closed? G
If yes, list case number(s):

✔No
VIII(b). RELATED CASES: Have any cases been previously filed in this court that are related to the present case? G G Yes
If yes, list case number(s):

Civil cases are deemed related if a previously filed case and the present case:
(Check all boxes that apply) G A. Arise from the same or closely related transactions, happenings, or events; or
G B. Call for determination of the same or substantially related or similar questions of law and fact; or
G C. For other reasons would entail substantial duplication of labor if heard by different judges; or
G D. Involve the same patent, trademark or copyright, and one of the factors identified above in a, b or c also is present.

IX. VENUE: (When completing the following information, use an additional sheet if necessary.)

(a) List the County in this District; California County outside of this District; State if other than California; or Foreign Country, in which EACH named plaintiff resides.
G Check here if the government, its agencies or employees is a named plaintiff. If this box is checked, go to item (b).
County in this District:* California County outside of this District; State, if other than California; or Foreign Country
Plaintiff has divided his residence in 2010 between Orange County, California,
Palm Beach County, Florida, Williamson County, Texas, and Los Angeles County,
California

(b) List the County in this District; California County outside of this District; State if other than California; or Foreign Country, in which EACH named defendant resides.
G Check here if the government, its agencies or employees is a named defendant. If this box is checked, go to item (c).
County in this District:* California County outside of this District; State, if other than California; or Foreign Country

Orange County---all Defendants

(c) List the County in this District; California County outside of this District; State if other than California; or Foreign Country, in which EACH claim arose.
Note: In land condemnation cases, use the location of the tract of land involved.
County in this District:* California County outside of this District; State, if other than California; or Foreign Country

Orange County, California

* Los Angeles, Orange, San Bernardino, Riverside, Ventura, Santa Barbara, or San Luis Obispo Counties
Note: In land condemnation cases, use the location of the tract of land involved .

X. SIGNATURE OF ATTORNEY (OR PRO PER): Date Thursday, October 14, 2010

Notice to Counsel/Parties: The CV-71 (JS-44) Civil Cover Sheet and the information contained herein neither replace nor supplement the filing and service of pleadings
or other papers as required by law. This form, approved by the Judicial Conference of the United States in September 1974, is required pursuant to Local Rule 3-1 is not filed
but is used by the Clerk of the Court for the purpose of statistics, venue and initiating the civil docket sheet. (For more detailed instructions, see separate instructions sheet.)

Key to Statistical codes relating to Social Security Cases:


Nature of Suit Code Abbreviation Substantive Statement of Cause of Action

861 HIA All claims for health insurance benefits (Medicare) under Title 18, Part A, of the Social Security Act, as amended.
Also, include claims by hospitals, skilled nursing facilities, etc., for certification as providers of services under the
program. (42 U.S.C. 1935FF(b))

862 BL All claims for “Black Lung” benefits under Title 4, Part B, of the Federal Coal Mine Health and Safety Act of 1969.
(30 U.S.C. 923)

863 DIWC All claims filed by insured workers for disability insurance benefits under Title 2 of the Social Security Act, as
amended; plus all claims filed for child’s insurance benefits based on disability. (42 U.S.C. 405(g))

863 DIWW All claims filed for widows or widowers insurance benefits based on disability under Title 2 of the Social Security
Act, as amended. (42 U.S.C. 405(g))

864 SSID All claims for supplemental security income payments based upon disability filed under Title 16 of the Social Security
Act, as amended.

865 RSI All claims for retirement (old age) and survivors benefits under Title 2 of the Social Security Act, as amended. (42
U.S.C. (g))

CV-71 (05/08) CIVIL COVER SHEET Page 2 of 2

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