Case 1:19-cv-10219-PBS Document 1-2 Filed 02/01/19 Page 1 of 2

JS« (Rev, 06/] 7) CIVIL COVER SHEET

The JS44 civil cover sheet and the information contained herein neither replace nor supplement the filing and service of pleadings orother papers as required by law. except as
iiciai Conference oftheUnited States inSeptember 1974, is required for the use oftheClerk of Counforthe
provided by local rules of court. This form,approvedby the Judicial
purpose of initiating the civil docket sheet fSEt INSTi<UCTIONSOf^ NE>n FACE OF THIS FOfiMj

(3) plaintiffs cAotY" DEFENDANTS c^WweMtFTSF

CKfeTT5; eV del
(b) County of Residence ofFirst Listed Plaintiff County of ResidenceofFirst Listed Defendant
. (EXCEPTIN U.S. PUINTIFF CASES) (IN U.S. PLAINTIFF CASES ONLY)

Sw/iE- i-OUje,l( MlV NOTE; IN LAND CONDEMNATION CASES, USE THE LOCATION OF
THE TRACT OF LAND INVOLVED

(C) Anornoyo (Firm Name, Address, andTelephone Number) . Attorneys (If Known)

IT BASIS OF JURISDICTION (Plocean •X"wOneBoiOnlyj III. CITIZENSHIP OF PRINCIPAL PARTIES -X"mone Boxfor PlomUff
(For Diversii)'Coie.'On/yj and Ont Boxfor Defendant)
• 1 U.S. Covemmeni Federal Question PTF DEF PTF DEF
Plainlifr (U.S Goyernmeni Noi o Pony) Citizen of This StPiB • 1 incorporatedor Pnncipal Place 0 4 0 4
of Business in This State

O 2 U.S. Government Diversity Citizen of Another State D 2 • 2 Incorporated and Pnncipal Place • 5 0 5
Defendant (Indicoie Ciiimnship of Pariiei in hem HI) of Business In Another State

Citizen or Subjeci of a 3 Foreign Nation D 6 0 6

Foreien Couiim '

IV. NATURE OF SUIT fPlocsan "X"mOneBox Only) Click here for. Nature of Suit Code Descriptions.
CONTRACT TORTS FORFEITURE/PENALTY BAMCRUPTCV OTHER STATUTES

Insurance PERSONAL INJURY PERSONAL INJURY 3 625 Dnrg Related Seizure 422 Appeal 28 USC 158 • 375 False Claims Act

.Manne • 310 .Airplane 3 365 Personal Injury - of Propern 21 USC 881 <23 Withdrawal • 376 Out Tarn (31 USC
Miller Act • 315 .Airplane Product Product Liability • 690 Other 28 USC 157 3729(a):i
Negotiable Insmiinem Liability • 367 Health Care' • 400 State Reapportionmeni
Recovery- of Overpayment • 320 Assault Libel & Phanr.acsuncal PROPERTY RIGHTS • 410 Anntrusi

& Enforcement of Judgment Slander Personal Injury 820 Copyrights • 430 Banks and Banking

D 151 Medicare Act • 330 Federal Employers' Product Liability' 830 Patsni • 450 Commerce

O 152 Recover>'of Defaulted
Student Loans
(Excludes Veterans)
Recoverv nfOverpaymeni
O 153
ofVeieran's Benefits
Stockholders' Suits
Other Contract
Contract Product Liability
Franchise
Liabilirj' • 368 Asbestos Personal 835 Patent • Abbreviated • 460 Deportation
O 340 Marine Injuty Product New Drug Application • 470 Rackeieer Influenced and
• 345 Marine Product Liabiiitv' 840 Trademark Corrupi Organizations
Liabilit)' PERSONAL PROPERTY LABOR SOCIAL SECURITY • 480 Consumer Credit
• 350 Motor Vehicle • 370 Other Fraud • 710 Fait Labor Standards 861 HlA (:395fT) • 490 Cable/Sat TV
• 355 Motor Vehicle • 371 Truth in Lending Act 862 Black Lung (923) • 850 Securities/Commodiries/
Product LiabilttV' O 380 Other Persona! • 720 Labor/Management 863 DIWCVDIWW (405(g)) Exchange
360 Other Personal Property Damage Relations 864 SSID Title XVI • 890 Other Statutor>- Actions
Injury • 385 Properp Damage • 740 Railway Labor .Act 865 RSI (405(gji • 89) •Agricultural Acts
• 362 Psrsonal Injury • Produc; 'L-iabiliN • 751 FamiK and Medical • 893 Environmental Maners
Medical Malnractice Leave Act • 895 Freedom of Information

REAL PROPERTY CIVTL RIGHTS PRISONER PETITIONS • 790 Other Labor Litigation FEDERAL TAX SUITS Act

• 210 Land Condemnation • 440 Other Civil Rights Habeas Corpus: • 791 Employee Retirement 870 Taxes (LfS Plaintiff • 896 Arbitration

• 220 Foreclosure • 1 \'oting • 463 .Alien Detainee Income Secuntv Act or Defendant • 899 .Administrative Procedure

D 230 Rent Lease & Ejectmeni • 442 Employment
• 240 Toru 10 Land • 443 Housing'
• 245 Ton Product Liability Accommodations
• 290 All Other Real Property • 445 Amer. w/Disabilities •
Employment
• 446 Amer. w/Disabiltties
Other
D 448 Education
• 510 Motions ic N'acate 871 IRS—Third Party Act/Review or Appeal of
Sentence 26 USC 7609 Agency Decisian
• 530 General • 950 Constitutionality of
O 535 Death Penalty' Ib^lGRATION Slate Statutes
Other. • 462 Naturalization Apphcanon
• 540 Mandamus k. Other • 465 Other Immigration
• 550 Civil Rights Actions
• 555 Prison Condition
• 560 Civil Detainee -
Conditions of
Confinement

.v. ORIGIN (Pioceon "X" ir.One5nx Only;

1 Original D 2 Removed from Remanded from • - Reinstated or S Transferred from 3 6 MultidisL-ici • S Multidistnct
f\ Proceeding S'^ate Court .Appellate Coan Rsooened •Anomsr District Lttieation - Litigation -
tspeajy- Transfer Direct File

Cite the 'J Civil Statute under whichvou are films (Do nojcltr iurisdiciionai siaiuies unless divcrfUv
M. C.AUSE OF ACTION
isr iL^c. j iTiu^c. \na-g

Ml. REQUESTED IN • CHECK IPr-ilS IS ACLaSS tS^lON O

•Nb AtSTlON
ACr-tlUN DEA^.Np
f4.:vt..A;xy S
y"V Dp?!^,Np^ j, .q
-j C-LcCK TES oni)' if demanded in•complaint.
COMPLAINT: ^"N^ER RULE 23. F.ILCv.P^ ^ JL'R'^'DEMAND:
VIII. RELATED CAS£(S)
ISee inxiruciians):
IF ANY JUDGE DOCKET' NUMBER

SIGNAT'i-fP.E QF^'i OK-TT'' OF RECORD

OFFICE USE ONLY

RECEIPT* AMOUNT APPLYING IFF MAG JUDGE

 Case 1:19-cv-10219-PBS Document 1-2 Filed 02/01/19 Page 2 of 2

UNITED STATES DISTRICT COURT

DISTRICT OF MASSACHUSETTS

1. Title of case (name of first party on each side only)_ C mnn

2. Category in which the case belongs based upon the numbered nature of suit code listed on the civil cover sheet (See local
rule 40.1(a)(1)).

I. 410, 441, 470, S35, 830-, 835*, 831. 893, 895, R.23, REGARDLESS OF NATURE OF SUIT.

II. 110, 130, 140,160, 190,196, 230, 240, 290,320,362, 370, 371, 380, 430, 440, 442, 443, 445, 446, 448, 710,720,
740, 790, 820'. 840*, 850, 870, 871.

III. 120,150,151,152,153,195, 210, 220, 245, 310, 315, 330, 340, 345, 350, 355, 360, 365, 367, 368, 375, 376. 385,
400, 422, 423, 450, 460, 462, 463, 465, 480, 490, 510, 530, 540, 550, 555, 625, 690, 751, 791, 861-865, 890, 896,
899, 950.

*Also complete A0120 or AO 121. for patent, trademark or copyright cases.

3. Title and number, if any, of related cases. (See local rule 40.1(g)). If more than one prior related case has been filed in this
district please indicate the title and number of the first filed case In this court I 1^3 3-j
i& U&c /Og-g' y/i^U-lion AyyAA-g f4uwv^
4. Has aprior action between the same parties and based on the same claim ever been filed in this cour 2^
YES I I NO
5. Does the complaint In this case question the constitutionality of an act of congress affecting the public interest? (See 28 USC
§2403)

if so, Is the U.S.A. or an ofTicer, agent or employee of the U.S. a party?

YES • NO S]
YES • NO

6. •iant to title 28US.(

Is this case required to be heard and determined by a district court of three judges pursuant to title 28 US.C §2284?

YES NO 0
7. Do all of the parties in this action, excluding govemmental agencies of the United States and the Commonwealth of
Massachusetts ("govemmental agencies"),^residing
;"),^rc3iaing in Massachusetts^estde in the san e division? - (See Local Rule 40.1(d)).
In Massachusetts^estse

NO

A. If yes. In which division do all of the non-governmental ferties reside?

Eastern Division Central Division Western Division Q

B. If no, In which division do the majority of the plaintiffs or the only parties, excluding governmental agencies,
residing in Massachusetts reside?

Eastern Division I i Central Division I \ Western Division i—1

8.
submitaseparatesheet identifying the motions) ^^ V
if fifing a Notice of Removal - are there any motions pending in the state court requiring the attention of this Court? (Ifyes,

YES I NO

(PLEASE TYPE OR PRINT)

<6^em»rs-NAME C^Sul "tZU'l Jkdd/ryiL
ADDRESS.

TELEPHONE N0._
(CategoryForTn6-2017.wpd