Case: 4:20-cv-00731-SEP Doc.

#: 1 Filed: 06/01/20 Page: 1 of 5 PageID #: 1

Pw Sc l (R~v. 12116) Complaint for a Civil Case

AECliVID UNITED STATES DISTRICT COURT

for the J
JUN ~:-t 20l0 1

f'l{S/ellL District of .l;/lJjDWJ

U.S. Dletrlot Ool!ft
Eastern District of Ms £('5kL11 Division

Jao1on 1e1re/) f1-}J1 ) Case No.

4:20-cv-00731 SEP
) (to. be filled in l~~· the Clerk:~ Oj}lce)
)
)
Plaintf{f(s)
(Write the full name ofeach plaintij)'who is filing this complaint.
if the names qfall the plaintiff.~ cmmot fit in the space abm,e,
please write "see attached" in the space and attach an additional
)
)
Jury Trial: (check one) ru Yes 0No

page with 'the fill! list ofnamesJ )

-v- )
)
)
)
)
De.fendant(i)
(Write thejidl name ofeach dejendani who is being sued. if the
)
names ofall the defendants cannot fit in the space above, please · )
write "see attached" in ihe space and attach an additimwl page )
with the jhll list of names.)

C01VrPLAlNT FOR A CIVIL CASE

I. , ' The Parties to This Complaint

A. The Plaintiff(s)

Provide the infoimation below for each plaintiff named in the complaint. Attach additional pages if
needed.
Name
Street Address 3~L/f fl Sfv.,f) q11Jo4k !Iv<!..
City and County 0t; ,',J latt'iJ Ca '.fl(
. State and Zip Code /110 ! b)l/1J
Telephone Number
E-mail Address

B. The Defendant(s)

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

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Pro Sc l (Rev. 12/16) Complaint fora Civil Case

Defendant No. I
Name fJpple !nc.
Job or Title (!(/mmm)
Street Address
Olli~ flppft. pq,/l LJa'{
City and County Wper-1-/nD 1 CA 15 O/L{
State ·and Zip Code
Telephone Number (L/D~) qq(o-/0)0
E-mail Address (if/mown)

Defendant No. 2
Name
Job or Title (if/mown)
Street Address
City and County
State and Zip Code
Telephone Number
E-mail Address (if/mown)

Defendant No. 3
Name
Job or Title (if knaw11)
Street Address
City and County
State and Zip Code
Telephone Number
E-mail Address (if known)

Defendant No. 4
Name
Job or Title (ifknown)
Street Address
City and County
State and Zip Code
Telephone Number
E-mail Address (if!mown)

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 Case: 4:20-cv-00731-SEP Doc. #: 1 Filed: 06/01/20 Page: 3 of 5 PageID #: 3

Pro Sc 1 (Rev. 12116) Complaint for a Civil Case

II. Basis for Jurisdiction

Federal courts arc courts oflimitcd jurisdiction (limited power). Gc1ierally, only two types of cases can be
heard in federal cou1t: cases involving a federal question and cases involving diversity of citizenship of the
parties. Under 28 U.S.C. § 1331, a case atising under the United States Constitution or federal laws ortr~aties­
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 defenda.nt may be a citizen of the same State as any plaintiff.

What is the basis for federal court jurisdiction? (check all that app~y)
0Fcdcral question . ~Diversity of citizenship

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

A. If the Basis for .Jurisdiction fa a Federal Question

List the specific federal statutes, federal treaties, and/or provisions of the United States Constitutioi1 that
areatissueinthiscase.tfl. .• J __ •_I
.
IvV /fJ ,f.k..l
rp/ilttta!/teYl::t ·. , •r~rJOn4 ropr1'l( tuas f a&n fui"' pu/};'G
l<Sl, aod fk_, {J/t;,'Afif·fl haf, ml hcu, t'07>1p¢~11,/g/

B. If the Basis for Jurisdiction is Diversity of Citizenship

1. TI1e Plaintiff(s)

a. If the plaintiff is an individual Q_ "f) J. .

The plaintiff, (name) /(tl,etJCJY) rl1YU:/ , is a citizen oft.he
Statc of (name) rnA•11 ~5<1kl'

b. lfthe plaintiff is a corporation

TI1e plaintiff, (name) , is incorporated
~~~~~~~~~~~~~~~~~

under the laws of the State of (name)

and has its principal place of business in the State of (name)

armore than one plaintijfis named in the complain(. attach an additional page providing the
same information for each additional platnt{ff) ,

2. l11e 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)

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. Pro Sc 1 (Rev. 12/16) Co111plaini: for a Civil Case

b. If the defendant is a corporation

The defendant, (name) __/Jpp~ f;Jc, , is incorporated under
the laws of the State of (name) l'.fi,tji61""17/i; , and has its
principal place of business in the State of (name) --'~~""'"l_._/_,~'""'o"'"'r.'-'"/}'-'-'-,._'~_,_ _ _ _ _ _ __
Or is incorporated under the laws of (foreign nation)
and has its principal place of business in (name)

'-
(If more than one defendant is named in the complaint, auach an additional page providing the
same iriformation for each additional 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 cmmting interest and costs of court, because (explain): t"t?se.., 'f'k
ti-tals w;Jlu rw01ut; iA 4 ~motuVI: o/ lr///,'on dolbr s)~.fctS •
_/

III. Statement of Claim

Write a short and plain statement of the claim. Do not make legal argmnents. State as briefly as possible the
facts showing that 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 harm or violated the plaintiff's rights, including
the dates and places of that involvement or conduct. If more than one claim is asserted, nun1ber each claim and
write a short and plain statement of ca.ch claim in a separate paragraph. Attach additional pages if needed.
On Octow 2G., iv1y ··Rtuwn Pav~·:wcrzt k & /ljJ{J~ Sli;r~ .,IJ ~ &;,/r6 louJJ ~Jlen'q
J'o ( Ct me (.(f,f/lcfioll ·~ k;} ee)ft«lf, rfeu j~ ~ ~ ,.ttffei111attb /IL ~ .fl/Ji-t.1 S,.for~ (',~ //iv itiJke,;
bub Ktpt I{ bl{ ·clu:fd,;hef ~ Pftt,~(f .Know;~' fhJ ;+ IU<i~·. ~ f1 Yf.t ph:Jnt; tu htJv e.; 1

/UUJ r~.t:we-~ I

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 continuii1g at the present time. Include
the amounts of any actuai damages claimed for the acts alleged and the basis for these amounts. In~lude any
punitive or exemplary danmges clai1ned, the amounts, and the reasons you claim you are entitled to actual or
punitive money damages.'fAe· tlti~ei tab fk pfQ/;t/-/Cf /s
sul:)d/ /~ 4, ./-r//f,'o11 do/krf.
fu~ ./-;:, ht:)~;J-4(;Z4-l-/011{ 1 fr~.u.l 1 cl15.fre,ss1 luun//,4f/o/J, emblrass ~, c/i4;~-l'o11,
a.f2. C:liarl!c+f'I, f, Joftf fllri{i.;,:·.fltaf ·~ pfa/11.f/{!P @n be, Cofllp.!Cuir) For ~~
Iaf)e;l<fa eraF...lf ' . ·

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Pro Sc 1 (Rev. 12/16) Complaint for a Civil Case

V. Certification and Closing

Under Federal Ruic of Civil Procedure 11, by signing below, Tcertify to the best of my knowledge, infonnation,
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 oflitigation; (2) is suppo1ted by existing law or by a
nonfiivolous 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 othenvise complies with the
requirements of Rule 11. · ·

A. For Parties Without an Attorney

I agree to provide the Clerk's Office withany 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: 5-l9- l0

Signature of Plaintiff
Printed Name of Plaintiff

B. For Attorneys

Date of signing:

Signature of Attorney
Printed Name of Attorney
BarNtimber
Name of Law Finn
Street AddressI
State and Zip Code
Telephone Number
E-mail Address

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