Case 5:19-cv-00122-R-SHK Document 1 Filed 01/22/19 Page 1 of 7 Page ID #:1 Pro Se MELODY THOMPSON 3249 Mountain Street 3 Lake Elsinore, CA 92530 Telephone:(951)545-2959 4 Facsimile:(310)993-7770 .̀ r~~~~;~~~T~ i~ 5 ~ y~.~~ v..c°~t~~ 5 Pro Se ~~ _„ _~ ~ ~~ ~~ , ~~ r . ~-vW. ~ ~,~ v m ~~, _, R,~,r°7 6 ~ ~ Melody Thompson -n ~ 8 UNITED STATES DISTRICT COURT 9 CENTRAL COURT OF CALIFORNIA ~o 13 ~~9—o ~~. CASE NO.: MELODY THOMPSON 12 ~ r~ ~` w ~-~ ,~- 7 11 ~~ ~ ~ z c~ y ~ FMK COMPLAINT FOR: Plaintiff, v. RIVERSIDE COUNTY SHERIFF DEPARTMENT, OFFICER MOON,as an 15 ~, individual, and Does 1-30 14 1. FALSE ARREST(42 USC 1983) 2. MALICIOUS PROSECUTION 3. CRIMINAL DEFENSE REIMBURSEMENT 4. PUNITIVE DAMAGES 16 17 18 19 Plaintiff,[Melody Thompson], alleges as follows: 20 I. JURISDICTION L 21 x....22 ~23 24 W 25 1. Constitutional rights as protected by on 42 U.S.C. 1983,1983 and the First, Fourth and Fourtteenth Amendments of the United States Constitution. Jurisdiction is founded on 28 U.S.C. 1331 AND 1343 (1),(2),(3) and (4), and the aforementioned statutory and Constitutional provisions. 26 II. 27 28 This civil action is brought for the redress of alleged deprivations of VENUE 2. Venue is proper in the Central District of California. The injury occurred COMPLAINT FOR MELODY THOMPSON Case 5:19-cv-00122-R-SHK Document 1 Filed 01/22/19 Page 2 of 7 Page ID #:2 1 in the County of Riverside, CA On information and belief, the plaintiff alleges that defendants 2 reside with the jurisdictional limits of this court. II1. 3 PARTIES 4 5 3. Plaintiff is an individual who at all times resided in the State of California, County of 6 I I Riverside. 7 8 1 9 4. Plaintiff Melody Thompson, is suing for violations of her civil rights under 42 U.S.C. 5. At all times mentioned herein, defendants, and each ofthem ,were and now are •: 10 ~ ~ Residents of the County of Riverside, State of California. 11 6. At all times mentioned herein, defendant, Riverside County Sheriff is and at all times 12 Mentioned herein, was a duly organized public entity, form unknown, and existing under laws of 13 State of California. 14 7. Plaintiffis informed and believe, and upon such information and belief alleges that 15 Defendant OFFICER MOON,is, and at all times herein mentioned was an individual residing in the 16 County of Riverside ,State of California, and that at all times relevant to the Complaint is, and was, 17 a duly appointed and acting as an officer of the Riverside County Sheriff Department, acting under 18 color of law, to wit, under color ofthe statutes, ordinances, regulations, policies, customs and usages 19 Of the COUNTY of Riverside, and/or the State of California. GENERAL ALLEGATIONS 20 21 1. This action is brought and initiated by Melody Thompson under the laws and protection 22 of Riverside County for False Arrest and Malicious Prosecution. By this action, Melody Thompson 23 seeks to hold Officer Moon responsible for false arrest and the failure of Riverside County 24 25 26 27 Sheriff Department to protect Melody Thompson from such actions. Additionally, The Riverside County Sheriff Department became complicit when the filed unwarranted criminal charges against Melody Thompson in the City of Riverside,in the State of California. 2. Plaintiff is a residence of Lake Elsinore, California and herein remains. 28 COMPLAINT FOR MELODY THOMPSON Case 5:19-cv-00122-R-SHK Document 1 Filed 01/22/19 Page 3 of 7 Page ID #:3 2~ 3. The Plaintiff is informed and believes, and based thereon alleges, that Defendant 2E is a Riverside County Sheriff located in the City of Riverside in the State of California. 2i The Principal place of administration for the Riverside County Sheriff is at the County Building. 2F 4. Melody Thompson is informed and believes, and based thereon alleges, that Riverside 2c County Sheriffs, agents, directors, representatives, employees, officials, or affiliates, at all times 3C relevant to this action had a legal and supervisory interest in Officer Moon, whether as 31 directors, administrators, employers, officials, affiliates, superiors, counselors, or managing 3~ officers as alleged herein. 3~ 5. Melody Thompson is informed and believes, and based thereon alleges that the Riverside 34 County Sheriff Department is responsible to protect citizens appropriately from inappropriate conduct 35 in some manner consistent to those rules under the State and Federal Constitution as alleged herein. 36 6. Melody Thompson is informed and believes, and based thereon alleges, that Defendant, 37 Riverside County Sheriff Department(hereinafter"RCSD")is responsible for regulation and supervise 38 of Officer Moon, of, officers, supervisors, directors, employees, officials, or affiliates, at 39 all times relevant to this action had legal interest in Officer Moon as 40 director, administrator, officials, affiliates, representatives, overseers, directors, agent, or 41 managing officers failed in that capacity to prevent further harassment as alleged herein. 42 43 44 7. is therefore, responsible in some manner for the derelict of duties contrary and in v i o 1 a t i o n o f n o t fo 11 o w i n g State and United State Codes against False Arrest as alleged herein. 45 46 47 48 Melody Thompson is informed and believes, and based thereon alleges, RCS D 8. Melody Thompson is further informed and believes, and based thereon alleges RCSD has an legal interest in Officer Moon, whether as an, director, officer, manager, representative, employer, andlor affiliate, and is, therefore, responsible in some manner for the false arrest actions of Officer Moon as alleged herein. 49 9. Melody Thompson is informed and believes, that Defendant, Officer Moon 25 is an Officer at the Riverside County Sheriff Department. 26 Melody Thompson encountered Officer Moon at the Old Court House in Riverside, 27 California, Shortly thereafter, Melody Thompson was falsely arrested. 28 /// COMPLAINT FOR MELODY THOMPSON Case 5:19-cv-00122-R-SHK Document 1 Filed 01/22/19 Page 4 of 7 Page ID #:4 l 10. The true names and capacities of DOES l through 30, inclusive, are unknown to 2 the Plaintiff, which therefore sues said defendants by such fictitious names pursuant to Code 3 of Civil Procedure section. 474.When the true names and capacities of said fictitiously named 4 defendants have been ascertained, the Plaintiff will seek leave of this Court to amend this 5 Complaint to insert the true names and capacities of said defendants in lieu of such fictitious 6 names. 7 11. Melody Thompson is informed and believes, and based thereon alleges, that at all 8 relevant to this action, DOES 1 through 30, inclusive, have a legal interest in Officer 9 Moon and the appropriate supervision of officers located. thereon, whether as directors, 10 officers, manager, counselors, employers, employees, administrators ,affiliates, 11 agents, or managing officers. 12 12. Whenever in this Complaint reference is made to any act of Defendants, such 13 allegation shall be deemed to mean each and every individually named Defendant, their 14 officers, directors, agents, managers, representatives, employees, or affiliates, or DOES 1 15 through 30, inclusive, who authorized such acts while engaged in the supervision, 16 management, direction or control of the affairs of Defendants at the Defendants' direction, 17 while acting within the course and scope of their duties. 18 13. Petitioner had a court hearing at the Riverside County Court House on January 19 20, 2017 in Department 8 for a trust litigation hearing on an 850 petition. Petitioner's court time 20 was changed. She decided to go back to the car to inform her son to wait to pay for parking. As 21 the Petitioner started to leave the building, she saw two people in the metal detector area, one 22 sitting in the chair while the other performed metal detector procedures. Petitioner asked a 23 simple question regarding the time change." Clerks change the time," stated the worker. 24 14. Petitioner responds,' I'm glad that Trump is being inaugurated today, because 25 the government will be given back to the people.' The person sitting in the chair responded, I 26 don't like Trump because he's racist. Petitioner said," oh, no, he's not racist, but you must view ~ 27 many news outlets for the proper assessment."The worker replies,"I don't want to hear thisl!" 28 15. Petitioner invited the lady to further their discussion and they both started walking 4 COMPLAINT FOR MELODY THOMPSON Case 5:19-cv-00122-R-SHK Document 1 Filed 01/22/19 Page 5 of 7 Page ID #:5 1 2 toward the courtyard. As Petitioner looked up, Sheriffs were aggressively walking toward her. 16. The female officer was yelling," leave the court house now!" Petitioner was in 3 shock. She wondered if she was speaking to her. As Moon continued to yell and got closer, 4 she seemed out of control. At that point, Petitioner requested to speak to a watch commander, 5 she stated, `you are under arrest. She then aggressively hand cuffed Petitioner and pushed her 6 ~ into the metal detector area .Petitioner again, asked to speak to the watch commander. 7 17. A Corporal Officer, Identified himself as the watch commander. He allowed Moon 8 to stay in control. They then paraded Petitioner through the court house to a basement area. 9 Moon continued her abusive behavior and searched Petition's brief case. The actual watch com 10 -mander, and a sergeant joined the officers. They were questioning the Petitioner. She said," if 11 she is under arrest, she would speak only to her attorney." The sergeant explained, she was only 12 being detained. If she cooperated there would be no arrest. They kept trying to make Petitioner 13 agree that she did something worthy of being arrested. She would not agree because she did. 14 nothing wrong. Petitioner told them that it was very important she gets to her hearing. They had 15 informed the judge they had her. This also horrified her as she needed the judge to view her in 16 a positive light. They held her for approximately 70 minutes. They then cited and let her go. 17. 18. Petitioner's whole future flashed before her eyes. She wouldn't be able to continue 18 law school and would lose all her current licenses. Petitioner therefore hired a criminal defense 19 attorney to defend herself against the false allegations. The District Attorney rejected the case. FIRST CAUSE OF ACTION 20 (False Arrest)42 U.S. Code ss 1983 21 22 19. Plaintiff repeat and reallege as if fully set forth herein the allegation set forth in 23 allegations contained in paragraphs number 1 through 18. 20. Officer Moon falsely arrested Melody Thompson. In the United States our right 25 to move freely is a civil right. That right cannot be violated lightly. Officer Moon did not 26 follow proper protocol of a reasonable officer before making an arrest. The RCSD breached 27 their duty when it failed to protect Melody Thompson from the further bullying of others 28 in addition to Moon. Officer Moon was the direct and proximate cause of the false arrest. COMPLAINT FOR MELODY THOMPSON Case 5:19-cv-00122-R-SHK Document 1 Filed 01/22/19 Page 6 of 7 Page ID #:6 1 Melody Thompson was humiliated as she was paraded through the Court House in front of 2 her adversaries to whom she had to face in court soon after. She was further harassed after the 3 false arrest as the sheriffs followed her into her court room. She struggled to maintain her 4 demeanor as she argued her case for the sake of her law suit and others relying on her. 5 The Sheriffs remained in the court room as she argued her case. This action could have further 6 prejudiced the judge against her as the Sheriffs already informed the judge earlier that they 7 had Melody Thompson in custody. Petitioner lost her case in the sum of $200,000.00 8 SECOND CAU5E OF ACTION 9 (Malicious Prosecution) Code 1501 10 21. Plaintiff repeat and reallege as if fully set forth herein the allegations contained 1 1 In paragraphs numbered 1-18. 12 22. That the Defendant Riverside County Sheriff Department filed intentional 13 criminal charges against Melody Thompson. The defendant had access to a video that 14 demonstrated that Officer Moon had no constitutional grounds to arrest Melody Thompson. 15 Regardless, the Riverside County Sheriff's Department still proceeded with criminal charges. 16 Melody Thompson attempted to gain justice by reporting the incident to the Riverside 17 County Sheriff's Department, but was informed that she could not launch a complaint as 18 long as criminal charges were pending against her. This time framed was extended 19 due to her arrest date being changed. The Riverside County Sheriff's claimed that they could not legible read the arrest date. Melody Thompson,then proceeded to contact other 21~ government entities that could assist her in obtaining justice, but was constantly redirected 22 back to the officers that originally harassed and attempted to intimidate her in the basement 23 ofthe Riverside County Old Court House. 24 25 PRAYER FOR RELIEF 26 To the first cause of action 27 WHEREFORE Plaintiff respectfully request thatjudgment be granted as follows: 28 Awarding compensatory damages for reimbursement for being falsely arrested and humiliated COMPLAINT FOR MELODY THOMPSON Case 5:19-cv-00122-R-SHK Document 1 Filed 01/22/19 Page 7 of 7 Page ID #:7 1 2 3 4 5 6 7 8 9 1( 11 1~ 1~ 1~ 1 _` lE 1. 1~ 15 2C 2l 2L 2? 24 2~ 2E 2i 2~ prior to a trust hearing in the sum of $200,000.00. In addition pursuant to code: 4372, the plaintiff's pain and suffering as authorized under United States Civil code. As to the second cause of action WHEREFORE Plaintiff respectfully request thatjudgment be granted as follows: Award compensatory damages for reimbursement to defend against a malicious lawsuit Infliction distress/and loss wages in the sum of $25,000. In addition, RCSD were aware ofthis type of harassment being perpetrated against American Citizen, but did nothing to correct it. Plaintiff is requesting punitive damages as well as pain and suffering as authorized under United States civil code 4372. And any additional compensation or relief that the court sees fit. Law Firm: Pro Se Plaintiff: Melody Thompson 3 Signatures ~ %%pit -..,; ~..~4, ,:' REQUEST FOR JURY TRIAL Plaintiff request trial by jury. -k Signature`...' vfit,; r,~ u - ,;~ ~ ?~ ~ /// /// COMPLAINT FOR MELODY THOMPSON ~ALQ~OR6~oA CO2l~T. CEP~TFiId~ ~i5Y6~OC'~ ~~ l~~9i~'~E3 5~'A'T~S ~IS'TRi~~" Case 5:19-cv-00122-R-SHK Document 1-1 Filed 01/22/19 Page 1 of 3 Page ID #:8 C11fOL CO°✓ER SF6EEY ~EFEh9DAtV~5 d 1. {a) PLb41G~97"OF~S (Check box if you are representing yourself[~) MELODY THOMPSON OFFICER MOON County of Residence of first Listed Defendant (b) County of Residence of First Listed Plaintiff RIVERSIDE (FXCEPTINU.S.PLAINTIFFCASES) (IN U.S. PLAINTIFF CASES ONLY) Attorneys (Firm Name,Address and Telephone Number) If you are representing yourself, provide the same information. (c) Attorneys (Firm Name,Address and Telepf~one Number) Ifyou are representing yourself, provide the same information. 3249 Mountain Street make Elsinore, ~A 92530 (951)545-2959 II. BASIS OF JtiRISI31CTlON (Place an X in one box onfy.) 1. US.Government PfaintifF 2.U,S. Government Defendant (Check box ifyou are representing yourself[]) ~ 3. Federal Question (U.S. lll. ~171ZEiVSH1~ OF PRINCIPAL PARTIES-For Diversity Cases Only (Place an X in one box for plaintiff and one for defendant) Citizen ofThis State Government Not a Party) Citizen of Another5tate ~4.Diversity(Indicate Citizenship of Parties in Item III) Cit;zen orSubject ofa Foreign Country PTF ~ ~ DEF ~ ~ Incorporated or Principal Place ofBusiness in this State ~ 2 ~ 2 Incorpo2ted and Principal Place of Business in Another State ~ 3 ~ 3 Foreign Nation IV. ORIGIN (Place an X in one box only.) 4. Reinstated or ~ 5. Transferred from Another ~ 3. Remanded from 2 Removed from l.Origmal District (Specify) ~ Appellate Court ~ Reopened Proceeding ~ State Court V.RE~UES`TED IiV COMPLAINY: JURY DE~IiAND: [~ Yes ~ No 6. Multidistrict Litigation Transfer ~ DEF PTF 4 4 ❑ 5 ❑ $ ❑ 6 ❑ s 8. Multidistrict Litigation Direct File (Check "Yes" only if demanded in complaint) ~. ~ MONEY DEMANDED IPA COMPLAIfVT: $ CLASS ACTIOfV under F.R.Cv.P. 23: ~Yes ~ No , Vf. CAUSE OF ACTION (Cite the US. Civil Statute under which you are filing and write a briefstatement of cause. Do not citejurisdictional statutes unless diversity.) Violation of Civil Rights (C42U S C VII. NATURE OF SUiT(Place an X in one box only). 1983) ;:PRID1fERTKf{fGHTS;.,'.• : ``r-.:_.i.=<:.s';. '. .'-`:~RISONER' : ❑ 530 General 400 State 140 Negotiable 84DTrademark .:. . 7 0R7 ~=~!.~,;';`-_` ❑ -_ ~; 535 DeathPenafty ❑ Instrument ❑ ,'pERSD,ALPROP.ERTI'; ReaPPortionment - ~` "=~ . ~.. . . ,:PERSDNALALyl1RY.". ❑ ;?::s`: ,. -" ; t.SOCIdL~ECURlTY: ==:~• 41D Antitrust 3700therFraud . ... .. . 150 Recovery of - Other: Overpayment & ~ 370 Airplane ~ 861 HIA (1395f~ Bankin Banks and Mandamus/Other 540 430 ❑ 9 ~ Enforcement of ❑ 371 Truth in Lendin9 ❑ 315 Airplane 450 Commerce/ICC Judg ment ❑ 862 Black Lung ~923~ 550 Qvi.i Rights ~ Product Liability 380 Other Personal ❑ Rates/Etc. 863 DIWUDIWW (405(g)) Damage ~ ❑ Property 555 Prison Condition derault, Libel & ❑ X51 Medicare Act ~ 460 Deportation Sla~ ~ 864 SSID Title XVi 560 Civil Detainee 385 Property Damage 152 Recovery of 47D Racketeer Influ330 Fed. Em to ers' ~ Product Liability ❑ Conditions of p Y ❑ enced &Corrupt Org. ~ Defaulted Student ❑ Liabili ` _ tY Confinement ❑ 865 R51(405 fig)) =~:~ BAN~U~~~Y:.` Loan (Exd. Vet.) ❑ 480 Consumer Credit ~ 340 Marine . `.•_. = DERAL'~TAXSUiTS°:'_~_:"`.': - ;.-;_FE _~ .. .-. . ,. ' 28 .. =;FORF~IFURE7PENA~T]!':~;~r;~,= ...•- .:. _,-..-: ,. - }; 422 Appeal 153 Recovery of 490 Cable/SatN 345 Marine Product ❑ USC 158 ..:. Related Dru .... 625 Overpayment of Taxes (U.S. Plaintiff or , 870 ❑ Liability g ❑ Defendant) 850 Securities/ComVet Benefits 423 Withdrawal 28 ~ Seizure of Property 21 USC 881 m odifies/Exchange 350 Motor Vehicle ❑ USC 157 871 IRS-Third Party 26 USC 160 Stockholders' ~ 6900ther ❑ ❑ 7609 355 MotorVehide ~ ~ ~-=;;EML:RIGH:TS=:=:,=,',; Suits ~ Statutory 890 Other Product Liability .„ :=_~; Actions ~pBOR °; ``= _ -`~D Other Civil Rights 190 Other 360 Other Personal ~ 841 Agricultural Acts ~ Contract FairLabor5landards 710 ❑ Injury ~ 441 Voting ❑ A~ 893 Environmental X 95 Contract 362 Personal InjuryEmployment 442 ~ Matters 7z0 Labor/Mgmt, ❑ ❑ Product Liability ❑ Med Malpratice Relations 443 Housing/ 895 Freedom of Info. 365 Personal Injury196 Franchise q~ ❑ ~ Accommodations Liability _ Product ~ 740 Railway Labor Act _ :~,:6EAL ' 445 American with --:~> ~ ~_~:_•-, :.: -:.~.-~.•: --PROPERTY 367 Health Care/ 896 Arbitration ~ 751 FamilY and Medical ❑ DisabilitiesPharmaceutical 210 Land Leave Act Employment 899 Admin. Procedures ~ Condemnation ~ Personal Injury 790 Other Labor American with ] Act/Review of Appeal of 446 Liability Product ~0 Foreclosure ~ Litigation Agency Decision ~ ~ Disabilities-0ther 368 Asbestos Lease & Rent ? 30 ❑ Constitutionality of ~ 791 Employee Ret. Inc. 950 personal Injury ~ 44g Education Security Act ~ E'ectment State Statutes ProductLiabili 375 False Claims Act FOR OFFICE USE ONLY: CV-7i (05/17) ❑ 110 Insurance Case Number: 1 C E ~ Page 1 of3 ~ ~~ s~oz z z Nor Case 5:19-cv-00122-R-SHK Document 1-1 Filed 01/22/19 Page 2 of 3 Page ID #:9 C~UR~~ CENTRAL ~[5~R[~g ~~ ~ALGL~ORF~9oA IPP~I~~~ 5~'6~'YES ~➢SY~@CY C➢'~/CL CO'EfER SE~~~~' assigned. This initial assignment is subject °~i81f. aIEiVU~: Your answers to the questions below will determine the division ofthe Court to which this case will be initially Removal. Notice of or to change, in accordance with the Court's General Orders, upon review by the Court of your Complaint -. _: : ~ _ ~ ~ QUESTION A: V6fas this case removed ~= _ INITIAL_DIVISIONIN CAtD IS COUNTI'OF THE WA5 PENDINGIN G45E STATE ..., .. _ X from sfafe court? ..;;,_ ~ ~ - -~ -- - . .:..... .. .. .. ..... ..... ._.:. ~ Yes ~ No Western Los Angeles, Ventura,Santa Barbara, or San Luis Obispo If"no,"skip to Question B. if "yes," check the ❑Orange box to the right that applies, enter the corresponding division in response to Riverside or San Bernardino Question E, below,and continue {rom there. ❑ .,:-,-. .._~ • ..•~ 5outhern ~ Eastern - : QUESTI0111 B: Is the United States;or 6.7. Do 50% or more ofthe defendants who reside in the district reside in Orange Co.? one of its agencies or employees,a PLAINTIFF in this action? check one ofthe boxes to the right No Yes ii"no,"skip to Question C. If "yes,° answer Question B.1,at right. B.2. Do 50°h or more ofthe defendants who reside in the district reside in Riverside and/or San Bernardino Counties? (Considerthetwo counties together.) yam, Your case will initially be assigned to the Southern Division. ~ Enter "Southern" in responseto Question E, below,and continue from there. ~ NO. Continue to Question 6.2. yES, your case will initially be assigned to the Eastern Division. ~ Enter "Eastern" in response to Question E, below,and continue from there. NO. Your case will initially be assigned to the Western Division. Errter"Western" in response to Question E,below,and continue from there. ~ check one ofthe boxes to the right yam. Your case will initially be assigned to the Southern Division, QUESTION C: Is the United States, or C.1. Do 509'0 or more of the plaintiffs who reside in the a? ; a~d~-0r~tinue resideinAr~nge~ es,-a^siist~i~t --rein-response#tj-Question€,-below cies-or-employe fl—Enter"Souther one-o€-ifs-agen there. from ~EFENl3AflIT in this action? check one ofthe boxes to the right Yes ~ No ~ NO. Continue to Question C.2, If"n o,"skip to Question D. If"yes;'answer Question C.i,at right, C.2. Do 50% or more of the plaintiffs who reside in the yES, Your case will initially be assigned to the Eastern Division. ~ Enter "Eastern" in response to Question E, below, and continue district reside in Riverside and/or San Bernardino Counties? (Consider the two counties together.) from there. checkone ofthe boxes to the right ._ .., :.:. .: :c.,-. > ,- ., __ - -- Riversidecir San. ~; ~~ Orange.Couniy `: ..;--fBemardino County - _ and defendanfs~ plaintiffs ~}U~STI~N D:~. Lotataoe _ _ = mf _ ; - -- NO. Your case will initially be assigned to the Western Division. Ercter"Western" in response to Question E, below, and continue from there. ~ - Indicate the locations)in which 50°/o ~o%more of plaintiffs who reside in this district reside. (Check up to two boxes,or leave blank if none of these choices apply.) Indicate the locations) in which 50% or more of defendants who residein this district reside. (Check up to two boxes,or leave blank if none ofthese choices LosAngeles, Venfura; S~nfa Barbara, or San ::tuffs 06ispo=Countjr [] [~ [] apP~y,) D.2. Is there at least one answer in Column B? D.7. Is there at least one answer in Column A? Yes ~]Yes ~] No ~ No If"yes;' your case will initially be assigned to the If'~es," your case will initially be assigned to the SOUTHERN DNISION. EASTERN DIV1510N. Enter "Soufhern" in response to Question E, below,and continue from there. Enter "Eastern" in response to Question E, below. if"no," go to question D2 to the right If"no," your case wifI be assigned to the WE~ERN DMSION. ~ ~, Enter "Western" in response to Question E, below. Enterthe initial division determined by Question A, B, C,or D above: ~ ~UES71~i~1 ~ l~for~hern Count~es7 - 1NI~JA~. DMSIONITV G9CG.~, - _ ~17E5TION-~ Mrti~1 D~u~sion~ -_ EASTERN _ Luis Obispo counties? Do 50% or more of plaintiffs or defendants in this district reside in Ventura, Santa Barbara, or San CV-71 ~OS/17) CIVIL COVER SHEET - ~ Yes - ~ No Page 2 of 3 C~4~~~~~i~llPa ~IS~~i9~T OILPage i&~P~L01/22/19 ~~~JR~, Case 5:19-cv-00122-R-SHK Document 1-1 ~E~i Filed 3 of 3 Page ID #:10 17~91~"~D STA~'~S ~05~~9~1P Cl~i'EL COOPER 5~3L~`~ [~ NO YES IX(b). FdELATED C1~SE5: Is this case related (as defined below)to any civil or criminal cases) previously filed in Phis court? ~] NO YES iX(a). EDEfVY9CA~. Ce4SE5: Has this action been previously filed in this court? ' If yes, list case number(s): ifyes, list case number(s): Civil cases are related when they(check all that apply): A. Arise from the same or a closely related transaction, happening,or event; B. Ca11 for determination of the same or substantially related or similar questions of law and fact; or C. For other reasons would entail substantial duplication of labor if heard by differentjudges. Note: That cases may involve the same patent,trademark, or copyright is not,in itself, sufficient to deem cases related. A civil fo.rfeitare case and a criminal case are related when they(check all that apply): A. Arise from the same or a closely related transaction, happening,or event; B. Call for determination ofthe same or substantially related or similar questions of law and fact; or C. Involve one or more defendants from the criminal case in common and would entail substantial duplication of labor if heard by differentjudges. .~ X. 5lGNATUFdE OIF A7TOR~fEY (1 (ORSELF-REPRESEPVTED LITIGAPJT): ,~' ~~~G'Q-~~ DATE: 1/22/19 Nofice to Counsel/Parties: The submission ofthis Civil Cover Sheet is required by Local Rule 3-]. This Form CV-71 and the information contained herein of court. For neither replaces nor supplements the filing and service of pleadings or other papers as required by law, except as provided by focal rules (CV-077A). sheet instruction separate see instru~ions, more detailed Key to Statistical codes relating to Social Security Cases: Nature of Suit Code Abbreviation Substantive Statement of Cause of Action All claims for health insurance benefits(Medicare) under Title 18, Part A,ofthe Social Security Act,as amended. Also, include claims by hospitals,skilled nursing facilities, etc.,for certification as providers of services under the program. (4Z US.C.1935FF(6)) 861 N1A 862 BL All claims for "Black Lung" benefits under Title 4,Part B,ofthe 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 Art, as amended;plus all claims filed for child's insurance benefits based on disability. (42 US.G 405(g)) 863 DIWW Ail claims filed for widows or widowers insurance benefits based on disability under Title 2 ofthe Social Security Act, as amended.(42 U.S.C.4D5(g)) 864 SSID All claims for supplemental security income payments based upon disabilityfiled underTitle 16 ofthe Social Security Act, as amended. 865 R51 CV-77 (OS/17) All claims for retirement(old age)and survivors benefits underTitle 2 ofthe Social Security Act, as amended. (42 US.C.405(g)) CAVIL COVER SHE~f Page 3 of3