UNA 890 00:0000 Document 1-2 Filed 06/21/24 Page 1 of 3

Case 1:24-mi-00052-UNA
JS44 (Rev. 10/2020 NDGA) CIVIL COVER SHEET 1
I
I 2 4 -M\- 0 0 5 2
The JS44 civil cover sheet and the information contained herein neither replace nor supplement the tiling and service of pleadings or other papers as required by law, except as provided by
local rules of court This form is required for the use of the Clerk of Court for the purpose of initiating the civil docket record. (SEE INSTRUCTIONS ATTACHED)

I. (a) PLAINTIFF(S) DEFENDANT(S)

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(b) COUNTY OF RESID~ F FIRST LISTED COUNTY OF RE~ DENCE OF FIRST LISTED
PLAINTIFF_ _."fu
,_..--.:~'""""-'-'-- - - - - DEFENDANT .. ..,"'- - 'II\A' •""' •
(EXCEPT IN U.S. PLAINTIFF CASES) (IN U.S. PIAffiTIFF CASES ONLY) V

NOTE: IN LAND CONDEMNATION CASES, USE THE LOCATION OF THE TRACT OF LAND
INVOLVED

ATTORNEYS (IFKNOWN)

II. BASIS OF JURISDICTION III. CITIZENSHIP OF PRINCIPAL PARTIES

(PLACE AN "X" IN ONE BOX ONLY) (PLACE AN "X" IN ONE BOX FOR PLAINTIFF AND ONE BOX FOR DEFENDANT)
(FOR DIVERSITY CASES ONLY)

PLF DEF PLF DEF

01 U.S.GOVERNMENT
PLAINTIFF
D J FEDERAL QUESTION
(U.S. GOVERNMENT NOT A PARTY)
D1 D . CITIZEN OF THIS STATE D4 D4 INCORPORATED OR PRINCIPAL
PLACE OF BUSINESS IN THIS STATE
Dz U.S. GOVERNMENT
DEFENDANT
□4 DIVERSITY D2 D2 CITIZEN OF ANOTHER STATED 5
[!( INCORPORATED AND PRINCIPAL
(INDICATE CITIZENSHIP OF PARTIES PLACE OF BUSINESS IN ANOTHER STATE

~
IN ITEM Ill)
DJ DJ CITIZEN OR SUBJECT OF A D6 FOREIGN NATION
FOREIGN COUNTRY

IV. p RI GIN (PLACE AN "X "IN ONE BOX ONLY)

S1 ORIGINAL
PROCEEDING
Dz REMOVED FROM
STATE COURT
DJ REMANDED FROM D
APPELLATE COURT
4 REINSTATED OR D
REOPENED
TRANSFERRED FROM
5 ANOTHER DISTRICT
(Specify District)
D MULTIDISTRICT D
6 LITIGATION·
APPEAL TO DISTRICT JUDGE
7 FROM MAGISTRATE JUDGE
TRANSFER JUDGMENT

MULTIDISTRICT
D 8 LITIGATION •
DIRECT FILE

V. CAUSE OF ACTION (CITE THE U.S. CIVIL STATUTE UNDER WHICH YOU ARE FILING AND WRITE A BRIEF STATEMENT OF CAUSE. oo NOT CITE
n I
JURISDICTIONAL STATUTES UNLESS DIVERSITY)

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n~ ~ ~ - 0 1 - ~· ~ ~ ~ ~ ~
(IF COMPLEX, CHECK REASON BELOW)

D 1. Unusually large number of parties. Problems locating or preserving evidence

D 2. Unusually large number of claims or defenses. Pending parallel investigations or actions by government.
D 3. Factual issues are exceptionally complex Multiple use of experts.
D 4. Greater than normal volume of evidence. Need for discovery outside United States boundaries.
D 5. Extended discovery period is needed. Existence of highly technical issues and proof.

CONTINUED ON REVERSE
FOR OFFICE USE ONLY
' '

APPL YING I F P - - - ~ -
 Case 1:24-mi-00052-UNA Document 1-2 Filed 06/21/24 Page 2 of 3

VI. NATURE OF SUIT (PLACEAN"X"INONE BOXONLY)

CONTRACT - "O" MONTHS DISCOVERY TRACK CIVIL RIGHTS - "4" MONTHS DISCOVERY TRACK SOCIAL SECURITY - "O" MONTHS DISCOVERY
LJ 150RECOVERY OF OVERPAYMEl'IT & 440 OTHER CIVIL RIGI-ITS TRACK
ENFORCEMENT OF JUDGMENT 441 VOTING 86 1 HIA (139511)
LJ 152 RECOVERY OF DEFAULTED STUDENT 442 EMPLOYMENT 862 BLACK LUNG (923)
LOANS (Exel. Veterans) 443 HOUSING/ ACCOMMODATIONS 863 DIWC (405(&))
□ 153 RECOVERY OF OVERPAYMEl'IT OF 445 AMERICANS with DISABILITIES - Employment 863 DIWW (405(g))
VETERAN'S BENEmS

T- "4 " MONTHS DISCOVERY TRACK

LJ
446 AMERICANS with DISABILITIES - Other
448 EDUCATION B 864 SSID mLE XVI
865 RSl(405(g))

110 INSURANCE FEDERAL TAX SUITS - "4" MONTHS DISCOVERY

120MARINE IMMIGRATION - "O" MONTHS DISCOVERY TRACK TRACK
462 NATURALIZATION APPLICATION --□- 870 TAXES (U.S. Plai ntiff or Defendant)
0MILLERACT
140 NEGOTIABLE INSTRUMEl'IT
151 MEDICARE ACT
B 465 OTHER IMMIGRATION ACTIONS 0 87 1 IRS - THIRD PARTY 26 USC 7609

I60 STOCKHOLDERS' SUITS PRISONER PETITIONS - "O" MONTHS DISCOVERY OTHER STATUTES - "4" MONTHS DISCOVERY
190 OTHER CONTRACT TRACK TRACK
195 COITTRACT PRODUCT LIABILITY
196 FRANCHISE

REAL PROPERTY - "4" MONTHS DISCOVERY

- ~ 463 HABEAS CORPUS- Al ien Detainee
510 MOTIONS TO VACATE SENTENCE
530 HABEAS CORPUS B 375FALSECLAIMSACT
376 Qui Tam 31 USC 3729(a)
400 STATE REAPPORTIONMENT

~
535 HABEAS CORPUS DEATH PENALTY 430 BANKS AND BANKING
TRACK 540 MANDAMUS & OTHER 450 COMMERCE/ICC RA TES/ETC.
- ~ 210 LAND CONDEMNATION 550 CIVIL RIGI-ITS - Filed Pro se 460 DEPORTATION
220 FORECLOSURE 555 PRISON CONDmON(S) - Filed Prose 470 RACKETEER INFLUENCED AND CORRUPT
230 RENT LEASE & EJECTMENT 0 560 CIVIL DETAINEE: CONDmONS OF ORGANIZATIONS
240 TORTS TO LAND CONFINEMEl'IT
§
480 CONSUMER CREDIT
245 TORT PRODUCT LIABILITY 485 TELEPHONE CONSUMER PROTECTION ACT
290 ALL OTHER REAL PROPERTY PRISONER PETITIONS - "4 " MONTHS DISCOVERY 490 CABLE/SATELLITE TV
TRACK
TORTS - PERSONAL INJURY - "4" MONTHS
DISCOVERY TRACK
-i:::::J
0
550 CIVIL RIGI-ITS - Fil ed by Counsel B 890 OTHER STATUTORY ACTIONS
89 1 AGRICULTURAL ACTS
555 PRISON CONDmON(S) - Fi led by Counsel
8 893 ENVIRONMENTAL MATTERS
4

~ ;1~
310 AIRPLANE 895 FREEDOM OF INFORMATION ACT 899

=
315 AIRPLANE PRODUCT LIABILITY FORFEITURE/PENALTY- "4" MONTHS DISCOVERY 0 899 ADMINISTRATIVE PROCEDURES ACT /
320 ASSAULT, LIBEL & SLANDER TRACK
330 FEDERAL EMPLOYERS' LIABILITY ---□ 625 DRUG RELATED SEIZURE OF PROPERTY 0 950 ~~;~i:~fn?~t~i:iE\~~~~

~
21 USC 88 1
PRODUCT LIABILITY 0 690OTHER OTHER STATUTES - "8" MONTHS DISCOVERY
350 MOTOR VEHICLE
355 MOTOR VEHICLE PRODUCT LIABILITY LABOR - "4" MONTHS DISCOVERY TRACK TRACK
360 OTHER PERSONAL INNRY 0 710 FAIR LABOR STANDARDS ACT 0 . 410 ANTITRUST
362 PERSONAL INNRY - MEDICAL 720 LABOR/MGMT. RELATIONS IJT 850 SECURITIES / COMMODITIES / EXCHANGE
MALPRACTICE
0 365 PERSONAL INJURY - PRODUCT LIABILITY
0 367 PERSONAL INNRY - HEALTH CARE/
§ 740 RAILWAY LABOR ACT
751 FAMILY and MEDICAL LEAVE ACT
790 OTHER LABOR LmGATION
OTHER STATUTES - "0" MONTHS DISCOVERY
TRACK
PHARMACEUTICAL PRODUCT LIABILITY
LJ 368 ASBESTOS PERSONAL INJURY PRODUCT
8 791 EMPL. RET. INC. SECURITY ACT ~ 896 ARBITRATION
(Confinn / Vacate / Order / Modify)
LIABILITY PROPERTY RJGHTS - "4" MONTHS DISCOVERY
TRACK
TORTS - PERSONAL PROPERTY - "4" MONTHS --0 820 COPYRIGHTS
* PLEASE NOTE DISCOVERY
8
DISCOVERY TRACK
370 OTHER FRAUD
371 TRUTH IN LENDING
B 840 TRADEMARK
880 DEFEND TRADE SECRETS ACT OF 20 16 (DTSA)
TRACK FOR EACH CASE
B 380 OTHER PERSONAL PROPERTY DAMAGE
385 PROPERTY DAMAGE PRODUCT LIABILITY
PROPERTY RJGHTS - "8" MONTHS DISCOVERY
TRACK
---□ 830PATENT
TYPE. SEE LOCAL RULE 26.3
BANKRUPTCY - "O" MONTHS DISCOVERY TRACK
0 835 PATENT-ABBREVIATED NEW DRUG
B 422 APPEAL 28 USC 158
423 WITHDRAWAL 28 USC 157
APPUCA TIO NS (ANDA) - a/k/a
Hatch-Waxman cases

VII. REQUESTED IN COMPLAINT:

□ CHECK IF CLASS ACTION UNDER F.R.Civ,P. 23 DEMAND $
- - - - -- - -- - --
JURY DEMAND □ YES □ NO (CHEC K YES illJ.1X IF DEMANDED IN COMPLA INT)

VIII. RELATED/REFILED CASE(S) IF ANY

JUDGE_ _ _ _ _ __ _ ~ - - - DOCKET NO._ _ _ _ _ __ __

CIVIL CASES ARE DEEMED RELAT ED IF THE PENDING CASE INVOLVES: (CHECK APPROPR IATE BOX)
0 I. PROPERTY INCLUDED IN AN EARLIER NUM BERED PENDING SU IT.
0 2. SAME ISSUE OF FACT OR ARISES OUT OF THE SAME EVENT OR TRANSACTION INCLUDED IN AN EARLIER NUMBERED PENDING SUIT.
□ 3. VALIDITY OR INFRING EMENT OF THE SAME PATENT, COPYRIGHT OR TRADEMARK INCLUDED IN AN EARLIER NUMBERED PENDING SUIT.
LJ 4. APPEALS ARISING OUT OF THE SAME BAN KRUPTCY CASE AND ANY CASE RE LATED THERETO WHJCH HA VE BEEN DECIDED BY THE SAME
BANKRUPTCY JUDG E.
0 5. REPETITIVE CASES FILED BY PRO SE LITIGANTS.
0 6. COMPANION OR RELATED CASE TO CASE(S) BEING SIMULTANEOUSLY FILED (INCLUDE ABBREVIATED STYLE O F OTHER CASE(S)):

0 7. EITHER SAME OR ALL OF THE PARTIES AND ISSUES IN THIS CASE WERE PREVIOUSLY INVOLVED IN CASE NO. ,WHJCHWAS
DISMI SSED. This case □ IS O IS NOT (check one box) SUBSTANTIALLY THE SAME CASE.

URE OF ATTORN EY OF RECORD DATE

 Case 1:24-mi-00052-UNA Document 1-2 Filed 06/21/24 Page 3 of 3

Generated: Jun 21, 2024 4:42PM Page 1/1

1 ': 2 4 ~Ml- 0 0 5 2
U.S. District Court

Georgia Northern • Atlanta

Receipt Date: Jun 21, 2024 4:42PM
FELIPE DEMAR ROZIER

Rcpt. No: 100012407 Trans. Date: Jun 21, 2024 4:42PM Cashier ID: #SW

CD Purpose Case/Party/Defendant Qty Price Amt

205 Miscellaneous Filing Fees 1 52.00 52.00

100 Copies (Paper) 16 0.50 8.00

CD Tender Amt

CA Cash $60.00

Total Due Prior to Payment: $60.00

Total Tendered: $60.00

Total Cash Received: $60.00

Cash Change Amount: $0.00

Comments: NEW CASE # 1:24-Ml-0052 PRINTED 16 PAGES

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