Case 2:12-cv-00060-RWS Document 1 Filed 03/16/12 Page 1 of 7

IN THE UNITED STATES DISTRICT COURT

FOR THE NORTHERN DISTRICT OF GEORGIA
GAINESVILLE DIVISION
ANNA K. MARTIN,
Plaintiff,
v.
GAINEY TRANSPORTATION SERVICES,
INC. and ACE AMERICAN INSURANCE
COMPANY,
Defendants.
CIVIL ACTION
FILENO.:
JURY TRIAL DEMANDED
COMPLAINT
COMES NOW the plaintiff ANNA K. MARTIN, by and through her undersigned
counsel of record, and files this, her complaint for damages against the defendants and
respectfully shows the Court as follows:
RENEWAL ACTION
1.
This Complaint is a renewal action against these Defendants. The allegations are
essentially the same as those contained in a prior action in this same Court that was assigned
Civil Action File No. 2:11-cv-00063RWS. That action was voluntarily dismissed without
prejudice by stipulation of the parties. The former action was not void and was not dismissed on
its merits. This complaint is a valid action that may be renewed under O.C.G.A. 9-2-61. The
dismissal of the prior action was entered on the court's records on October 5, 2011. All costs
have been paid and this action is being renewed within six months.
1
2:12-CV-0060
Case 2:12-cv-00060-RWS Document 1 Filed 03/16/12 Page 2 of 7
PARTIES AND JURISDICTION
2.
Plaintiff Anna K. Martin (hereinafter "plaintiff') is a resident of Johnson County, Indiana
and is subject to the jurisdiction and venue of this Court.
3.
Defendant Gainey Transportation Services, Inc. (hereinafter "defendant Gainey") is a for
profit corporation maintaining its principal place of business in Grand Rapids, Michigan.
Defendant Gainey is an interstate motor common and/or contract carrier doing business
throughout the state of Georgia, generally, and the northern district of Georgia, specifically and
is subject to the jurisdiction and venue of this Court pursuant to 28 U.S.C. 1332 and 1391.
Defendant Gainey may be served with a copy of the complaint and summons through its
president and chief executive officer, Harvey N. Gainey at 6000 Clay Avenue, S.W., Grand
Rapids, Michigan 49548.
4.
Defendant Ace American Insurance Company (hereinafter "defendant Ace") is a
Delaware corporation, maintaining its principal place of business in Philadelphia, Pennsylvania,
which, at all times relevant to this action, conducted business within the state of Georgia and
provided public liability insurance on the tractor trailer unit owned and operated by Defendant
Gainey when the motor vehicle collision out of which this cause of action arises occurred, and it
is subject to the jurisdiction and venue of this Court pursuant to 28 U.S.C. 1332 and 1391.
Defendant Ace may be served with a copy of the complaint and summons through its registered
agent, Mark G. Irwin, 500 Colonial Center Pkwy #200, Roswell, Georgia 30076.
2
Case 2:12-cv-00060-RWS Document 1 Filed 03/16/12 Page 3 of 7
5.
Jurisdiction in this action is proper pursuant to 28 U.S.C. 1332.
6.
Venue is proper in this action pursuant to 28 U.S.C. 1391(a) and (c).
BACKGROUND
7.
On or about February 26,2009, plaintiffwas occupying a tractor trailer unit parked in the
lot of the Pilot Travel Center, located at 5888 Highway 83, in Braselton, Georgia.
8.
On this date at the same time, Larry Brogan, an employee of defendant Gainey, was
operating a tractor-trailer unit, owned and/or operated by defendant Gainey and covered under a
policy of liability insurance issued by defendant Ace, through the parking lot of the Pilot Travel
Center, located at 5888 Highway 83, in Braselton, Georgia, when he negligently collided with
the tractor-trailer unit that plaintiff was occupying.
9.
The motor vehicle collision was proximately caused by Larry Brogan's negligence, and
as a foreseeable result of said negligence, plaintiff suffered serious bodily injury.
COUNTl
IMPUTED LIABILITY
10.
Plaintiff realleges and incorporates herein the allegations contained in paragraphs
1 through 9 above as if fully restated.
3
Case 2:12-cv-00060-RWS Document 1 Filed 03/16/12 Page 4 of 7
11.
At the time of the motor vehicle collision which is the subject of this action, Larry
Brogan was acting within the scope of his employment as a driver employed by defendant
Gainey.
12.
At the time of the subject collision, Larry Brogan was under dispatch for defendant
Gainey.
13.
At the time of the subject collision, Larry Brogan was operating his tractor-trailer unit on
behalf of defendant Gainey.
14.
Defendant Gainey is an intrastate or interstate motor carrier, and pursuant to federal and
state laws, is responsible for the actions of Larry Brogan in regard to the collision described in
this complaint under the doctrine of respondeat superior, lease liability, agency or apparent
agency.
COUNT 2
NEGLIGENT HIRING, TRAINING & SUPERVISION
15.
Plaintiff realleges and incorporates herein the allegations contained in paragraphs 1
through 14 above as if fully restated.
16.
Defendant Gainey was negligent in hiring Larry Brogan and entrusting him to drive a
tractor-trailer.
4
Case 2:12-cv-00060-RWS Document 1 Filed 03/16/12 Page 5 of 7
17.
Defendant Gainey was negligent in failing to properly train Larry Brogan.
18.
Defendant Gainey was negligent in failing to properly supervise Larry Brogan.
19.
Defendant Gainey's negligence in hiring Larry Brogan and entrusting him with driving a
commercial vehicle and failing to train and supervise him properly was the sole and proximate
cause of the collision, and plaintiff s resulting injuries.
COUNT 3
DIRECT ACTION
20.
Plaintiff realleges and incorporates herein the allegations contained in paragraphs 1
through 19 above as if fully restated.
21.
Defendant Ace is subject to a direct action as the insurer for defendant Gainey pursuant
to O.C.G.A. 40-2-140 or its predecessor O.C.G.A. 46-7-12.1.
22.
Defendant Ace was the insurer of defendant Gainey at the time of the subject incident
and issued a liability policy to comply with the filing requirements under Georgia law for
intrastate transportation.
23.
Defendant Ace and defendant Gainey are subject to the filing requirements outlined in
O.C.G.A. 40-2-140 or its predecessor O.C.G.A. 46-7-12.1.
5
Case 2:12-cv-00060-RWS Document 1 Filed 03/16/12 Page 6 of 7
24.
Defendant Ace is responsible for any judgment rendered against defendant Gainey up to
its policy limits of coverage.
COUNT 4
DAMAGES
25.
Plaintiff realleges and incorporates herein the allegations contained in paragraphs 1
through 24 above as if fully restated.
26.
As a direct and proximate result of defendants' negligence and breach of duty,
plaintiffhas suffered permanent, disabling and excruciatingly painful bodily injuries and
damages for which she has incurred medical expenses in an amount to be shown at trial, but in
excess of$119,003.29.
27.
As a result of defendants' negligence, plaintiff has incurred past medical expenses and
will continue to incur future medical expenses.
28.
As a result of defendants' negligence, plaintiff has been unable to work and has a claim
for past and future lost wages.
29.
Defendants' negligence is the sole and proximate cause of plaintiff s injuries.
6
Case 2:12-cv-00060-RWS Document 1 Filed 03/16/12 Page 7 of 7
WHEREFORE, plaintiff prays that she have a trial by jury on all issues and that she have
judgment against defendants as follows:
a. That plaintiff recover the full value of past and future medical expenses and past
and future lost wages in an amount to be proven at trial;
b. That plaintiff recover for physical and mental pain and suffering in an amount to
be determined by the enlightened conscience of a jury;
c. That plaintiff recover such other and further relief as is just and proper.
Respectfully submitted, this 16th day of March, 2012.
LAW OFFICES OF R. SHANE SMITH, p.e.
By: lsI R. Shane Smith
7
R. SHANE SMITH
Georgia Bar No. 663357
lsI Jason N. Slate
JASONN. SLATE
Georgia Bar No. 846650
Attorneys for Plaintiff
263 Highway 74 North
Post Office Box 2474
Peachtree City, Georgia 30269
P: (770) 487-8999
F: (770) 631-7667
www.shanesmithlaw.com
JS44 (Rev. lIG8 NDGA) CIVIL COVER SHEET
TIle JS44 chiI_sheet IIDd the iDfonaalioD CODlaiDed ha.tiD lIeitber replace IIOr SIIppl_t the fdillg IIIId Jenice ofpleadlDgs or other papers as reqaired by law, escept as
prcMded by kocaI rules ofcoart. TIlls form Is required for the lISe of the Clerk ofCourt for the purpose ofiDiIIatiDg cbe driI doclld reconI. (SEE INSTRUCTIONS ATrACHED)
I. (a) PLAINTIFF(S)
Anna K.. Martin
(b) COVNTY OF RFSIDENCE OF FIRST LISTED
(EXCEPT 1/11 u.s. PLAINTD'F CASES)
(e) ATTORNEYS (FIRMNAME,ADDlIESS,TELEPBOHEN1IMBER.AND
.MA.ILADDRESS)
Law Offices ofR. Shane Smith. P.C.
263 Highway 74 North
P.O. Box 2474
Peachtree City, Georgia 30269
(770) 487-8999
www.shanesmithlaw.com
DEFENDANT(S)
Gainey Transportation Services, Inc.
Ace American Insurance Company
COVNTY OF RFSIDENCE OF FIRST LISTED
DEFENDANT Kent County. Michigan
lIN u.s. PLAII'I'1'IFI' CASES ONLY)
NOn:. IN LAI'fI) COHDEMHATWN CASES. USE 1'IIE LOCATIO/il OF 1BE TRACT OF
LAI'fI) INVOLVED
ATTORNEYS (ll'KNOWN)
ll. BASIS OF JURISDICTION
(PLACE AN ..X" JIll ONE BOX OI'ILY)
o1 u.s. GOVERNMENT 0' nDERAL QUES110H
PLAINTIFF (lLS. GOVERNMEIIT NOT A PARTY)
02 u.s. GOVERNMENT 0. DIVDSITY
DEFENDAI'IT (INDICAn: ClTlZENSHJP OF PAlI:nES
I/IIJTDIDI)
m. CITIZENSIDP OF PRINCIPAL PARTIES
(PLACE AN "X" JIll ONE BOX POR PLAINTIFF AND ONE BOX PORDEfENDANT)
(poR DIVER.SITY CASES ONLy)
I'Ll' DEP I'Ll' DEl'
0
1
0
1 CIT1'l.EN OF mrs STAn:
0
4
0
4 JlllCORPORAn:D OR PR.IJK]pAL
PLACE OF BUSINESS JIll mrsSTAn:
gJz Oz
CIT1'l.EN OFANOTHER STAn: 0 5
0
5 JIIICOIU'ORAn:D AND PRJlllCIPAL
l'IACE OF IJUSINESS 11'1 A/II011IER
STAn:
O;J CIT1'l.EN OR SUBJECT OF A
0'
POItEJGN COIlNTAY FOREIGN NATION
0' 0'
IV. ORIGIN (l'LACEAN"X "IN ONE BOX ONLY)
010RlGIJIIAL 02 REMOVEDFIlOM OUdXANDmFllOM DUEII'ISTAn:DOR 'MUL1IDISTlUCT
PROCEEDING STAn:COORT APPELLATECOURT REOPENED (SpIdI'fDblric:l) UTIGAnON JUDGMEl'IT
V. CAUSE OF ACTION (CITE 1'IIE u.s. CML STAnm; UNDIl WIIICII Y()U ARE FILING AND WRITE A BRIEF STATEMEl'IT OF CAUSE - DO NOT CITE
JURISDICTIONAL STATUTES UNLESS DJVERSJTYJ
28 U.S.C. 1332 - All parties are completely diverse and the amount in controversy exceeds $75,000.00 exclusive ofinterest and costs.
Plaintiff is bringing a tort cause ofaction for personal injuries sustained when the vehicle she was occupying was negligently struck by
a driver ofdefendant Gainey acting within the course ofhis employment. Defendant Ace is the liability carrier for defendant Gainey.
(IF COMPLEX. CHECK REASON BELOW)
o i. Unusually large number of parties. o 6. Problems locating or preserving evidence
o 2. UnusuaUy large number ofclaims or defenses. o 7. Pending parallel investigations or actions by government.
o 3. Factual issues are exceptionally complex o 8. Multiple use of experts.
o 4. Greater than nonnal volume ofevidence. o 9. Need for discovery outside United States boundaries.
o S. Extended discovery period is needed. o 10. Existence ofhighly technical issues and proof.
CONTINUED ON REVERSE
FOa OmCEVSEONLY
UCEIP'l'II _____
AMOUNT 11--___________ APPLYING IFP_______ MAG. JUDGE {JFP)...___________
JUOOE'--__________ MAG. JUDGE,___:-:::--::-__ NAlUREOF SUlT_______
___________
Case 2:12-cv-00060-RWS Document 1-1 Filed 03/16/12 Page 1 of 2
JS44 (Rev. lIG8 NDGA) CIVIL COVER SHEET
TIle JS44 chiI_ sheet IIDd the iDfonaalioD CODlaiDed ha.tiD lIeitber replace IIOr SIIppl_t the fdillg IIIId Jenice of pleadlDgs or other papers as reqaired by law, escept as
prcMded by kocaI rules of coart. TIlls form Is required for the lISe of the Clerk of Court for the purpose of iDiIIatiDg cbe driI doclld reconI. (SEE INSTRUCTIONS A TrACHED)
I. (a) PLAINTIFF(S)
Anna K.. Martin
(b) COVNTY OF RFSIDENCE OF FIRST LISTED
(EXCEPT 1/11 u.s. PLAINTD'F CASES)
DEFENDANT(S)
Gainey Transportation Services, Inc.
Ace American Insurance Company
COVNTY OF RFSIDENCE OF FIRST LISTED
DEFENDANT Kent County. Michigan
lIN u.s. PLAII'I'1'IFI' CASES ONLY)
NOn:. IN LAI'fI) COHDEMHATWN CASES. USE 1'IIE LOCATIO/il OF 1BE TRACT OF
LAI'fI) INVOLVED
(e) ATTORNEYS (FIRMNAME,ADDlIESS,TELEPBOHEN1IMBER.AND ATTORNEYS (ll'KNOWN)
.MA.ILADDRESS)
Law Offices ofR. Shane Smith. P.C.
263 Highway 74 North
P.O. Box 2474
Peachtree City, Georgia 30269
(770) 487-8999
www.shanesmithlaw.com
ll. BASIS OF JURISDICTION
(PLACE AN .. X" JIll ONE BOX OI'ILY)
o 1 u.s. GOVERNMENT
PLAINTIFF
OJ nDERAL QUES110H
(lLS. GOVERNMEIIT NOT A PARTY)
02 u.s. GOVERNMENT
DEFENDAI'IT
0. DIVDSITY
(INDICAn: ClTlZENSHJP OF PAlI:nES
I/IIJTDIDI)
IV. ORIGIN (l'LACEAN"X "IN ONE BOX ONLY)
m. CITIZENSIDP OF PRINCIPAL PARTIES
I'Ll'
0
1
gJz
OJ
(PLACE AN "X" JIll ONE BOX POR PLAINTIFF AND ONE BOX PORDEfENDANT)
(poR DIVER.SITY CASES ONLy)
DEP I'Ll' DEl'
0
1 CIT1'l.EN OF mrs STAn:
0
4
0
4 JlllCORPORA n:D OR PR.IJK]pAL
PLACE OF BUSINESS JIll mrs STAn:
Oz
CIT1'l.EN OF ANOTHER STAn: 0 5
0
5 JIIICOIU'ORA n:D AND PRJlllCIPAL
l'IACE OF IJUSINESS 11'1 A/II011IER
STAn:
O;J CIT1'l.EN OR SUBJECT OF A
POItEJGN COIlNTAY
0' 0'
FOREIGN NATION
010RlGIJIIAL 02 REMOVEDFIlOM OUdXANDmFllOM DUEII'ISTAn:DOR 'MUL1IDISTlUCT
PROCEEDING STAn:COORT APPELLATECOURT REOPENED (SpIdI'fDblric:l) UTIGAnON JUDGMEl'IT
V. CAUSE OF ACTION (CITE 1'IIE u.s. CML STA nm; UNDIl WIIICII Y()U ARE FILING AND WRITE A BRIEF STATEMEl'IT OF CAUSE - DO NOT CITE
JURISDICTIONAL STATUTES UNLESS DJVERSJTYJ
28 U.S.C. 1332 - All parties are completely diverse and the amount in controversy exceeds $75,000.00 exclusive of interest and costs.
Plaintiff is bringing a tort cause of action for personal injuries sustained when the vehicle she was occupying was negligently struck by
a driver of defendant Gainey acting within the course of his employment. Defendant Ace is the liability carrier for defendant Gainey.
(IF COMPLEX. CHECK REASON BELOW)
o i. Unusually large number of parties. o 6. Problems locating or preserving evidence
o 2. UnusuaUy large number of claims or defenses. o 7. Pending parallel investigations or actions by government.
o 3. Factual issues are exceptionally complex o 8. Multiple use of experts.
o 4. Greater than nonnal volume of evidence. o 9. Need for discovery outside United States boundaries.
o S. Extended discovery period is needed. o 10. Existence of highly technical issues and proof.
CONTINUED ON REVERSE
FOa OmCE VSEONLY
UCEIP'l'II ____ _
AMOUNT 11--___________ APPLYING IFP_______ MAG. JUDGE {JFP) ... __________ _
JUOOE'--__________ MAG. JUDGE, ___ :-:::--::-__ NAlUREOF SUlT ______ _
__________ _
2:12-CV-60
VI. NATURE OF SUIT cPlACEANMX"INOIIEDOXONLY)

CONTRACf- "0" MONTHS DISCOVERY TRACK' CIVIL RIGHTS - "4" MON1lIS DISCOVERY TRACK SOCIAL SECURITY "0" MON11IS DISCOVERY
c::J ISO IIECOVDY 01' OVElU'AYMEI'IT A TRACK
ENFORCEMENT O' IUlIGMI'JIn'
-c:r-1161 BIA (lJ95II)
c::J In IlECOVDY O' DIPAULTED STUDENT 4U BOWING' ACCOMMODAnoNS Cl .1Q BlACK LVNG (9D)
,. LOANS (Ezd. V_I
"'WELFARE CJ I16JDJWC(4II!(a))
c::J 153IlECOVEBYO' OVEIU'AYMEI'ITO' ..0OTHER avo. RIGBTS II6J DJWW
VETEKAl'l'S BEHEPlTS 44S AMIUCAffS willa DISABILI11S - EcnpIo)'_ 164 ssm1TIl.E XVI
... AMIUCAffS willa DISABWTIES - 0tIM!I'

1165 RSI (4II!(a))
CONTRACf " .. " MON11lS DISCOVERY TRACK
c::J IIOIMSUlW'lCE - "0" MONTHS DISCOVERY TRACK
FEDERAL TAX SUITS - " .." MONTHS DISCOVERY
E::I 120 MAJUNE 46Z NA1'llRALIZATIOJII APPLlCAnoH TRACK
E::I 130 MlLLERACf Cl 40 HABEASCORPU5-AlilD_ ---a-170 TAXES (11.5. I"WAtIIr .... Pof'aIdut)
E::I 140 NEGO'ItABLE INSTallMENT Cl 4155 OTHER IMMIGRATION ACfIONS CJ I'I'llRSTHDlDPAKrYZIIVSC'_
E::I lSI MEDICARE ACf
E::I 140STOCKBOLDEIIS' stIlTS
01lIERSTATUTES - .... " MONlHS DISCOVERY
E::I I!IO 0I'BEIl CONT1tACT
TRACK TRACK
E::I 195 CON1"IlACT PRODOCT LIAIIILn'Y
--c:r_STATREA.PPORTIONMEHT
-r=r510 MOTIONS TO VACAT 5EH'J'ENCE
E::I I"fBAIIICBlSI: Q 00 BAIIKS AND BAlQWIIG
Cl S:JO HABEAS CORPUS
c:::J 5.'15 HABEAS CO.RPIIS DEATH PENALTY Cl 450 COMMERCEIICC RATESIETC.
REAL PROPERTY - "4" MON1lIS DiSCOVERY Cl MMAlIDAMVSA OTHER
CJ (60 Dl'OIt1'ATION
TRACK Cl _ OVILIUGlITS FlIed PTa.., Cl .70 RACK1'EER INl'U1ENCED AND CORRVPT
---c:r110 LAND COIIIDDDlAnoN CJ 5551'1t1SON COIIIDmoH(S) - PlIed PTa Ie ORGANIZATIONS
E::I 120 f'ORECLOS1l'RJ: - CONSIlMERCRJ:Drr
eoCABLElSATLLI1'ETV
E3 E::I l:JO JIEIIIT LEASE A ElECTMEHT PRISONER PE11!JONS - ...... MONTHS DISCOVERY
1:=1 110 SE1.ECTlVESERVJCE
E::I 245 TORI' PRODUCf LIAIIILn'Y
E::I 140 TOKTSTO LAND

c:::J m CIISTOMER CllA.LLEl'lGE 11VSC :MIG
CJ - avo. 1UGlITS- PlIed b)' eou-t 1:=I ftl AGRlCVLTVRALACTS
CJ l!IO ALL 0I'BEIl REAL PROPEK'IY
Cl 555 PRISON CONDmoNCS)- PlIed b)' c .........
c:::J m ECONOMIC STABD.lZAnoN ACf
1::1 I"t:HYIJI.ONMENTAL MATIERS
TORTS PERSONAL iNJURY - "4" MONTHS
Q 194 ENERGY ALLOCATIOJII ACf
DISCOVERYTRACK
i;;;:;-"'" ao>mtiDmoovERX c:::J us PREDOM Ol'II'Ift)RMATION ACf
E3
CJ JIOAIRPIANE Cl !lOG APPEAL O. PEE DEl'ERMINATION tINDER
E::I 315 AIRPlANE PRODUCT LIABILITY EQUAL ACCESS TO JUSTICE
noASSAULT.LlllELASLANDER 6H DRUG RELATED SElZVIlE O. PROPEIn'Y CI 950CONmTIJTIONALlTYOl'STATSTAT1JTES
l:JO FEDERAL EMPLOYERS' LIABILITY ZIVSCIII CI 890OI'BEIlSTATVTORY ACT'IONS
E::I 340 MAJUNE

6:JO LIQUOR u.ws
E::I .M5 MARINE PRODUCT LlABlLtTY 64CI R.R. A TRUCK OTHER ST ATIJTES - "8" MON11JS DISCOVERY
tzJ J50 MOTOR VEBlCLE
iI.5O AIRLINE.REGS.
TRACK
CJ l55 MOl'OIt VEHICLE PRODUCT LIABIUTY
CJ dCIOOCCVPATIONALSAl'TY/BEALTB
CJ .10 ANTITRUST
E3
340 0I'BEIl PEJISONAL INJURY
CJ eoOTHER CJ 150 SEC'URlTllSI COMMODITIESI EXCBANCE
.1Q I'EJISOIIIAL DUVRY MEDICAL
MALl'RACTJCJ:
LABOR- ...." MONTHS DISCOVERY TRACK OTHER STATIJTES - "0" MONlHS DISCOVERY
c:::J .M5 PERSmlALDUVRY - PRODUCT LIABILITY

'IO.AIR LA.8OIl STANDAJtDS ACf
E::I 16II ASBESTOS PERSONAL INJURY PRODUCT

120 u.BORlMGMT. RELATIONS
CJ ARBITRATION (CoafinzI/Vacall::/Onkr IMocIIr,)
UABILtTY
7:JO u.BORIMGMT.IlEPORl1JCG A DISCLOSVIlE
ACT
(Note: MarkuDderlyiDI NatareofSuitaswell)
TORTS-PERSONALPR0PERT!-"4"NKH!fHS CJ 740RAILWAYu.BORACT
DISCOVERY TRACK D 7!IOOTHERu.BORLmGATION
t:J 310 0I'BEIl FRAUD CJ 191 EMPL. RET. INC. SEC\J1UTY ACT
c:::J 371 TIWTB IN lDIl)lNG
r:::::J 38001BER PERSONAL I'ROPJI:1'Y DAMAGE
PROPERTY RIGHTS - " .... MON1lIS DISCOVERY
c:::J :115 PROPEItTY DAMAGE PRODUCT LIABIUTY
TRACK
-c:rIlOCOPYJUGBTS
* PLEASE NOTE DISCOVERY
Cl U01'JW)EMA1U(
BANKRUPTCY - "0" MONTIIS DiscoVERY
TRACK FOR EACH CASE TYPE.
TRACK
SEE LOCAL RULE 26.3
PROPERTY RIGHTS - ..... MONlHS DISCOVERY
E::I 4U Al'PAL 21VSC 151
TRACK
c:::J m W1TBDRAWAL2IVSC 157
--0S:JO PATENT
VII. REQUESTED IN COMPLAINT:
o CHECK IF CLASS ACTION UNDERF.R.Civ.P.:z3 DEMAND $,__________
JURy DEMAND (In:s DNO DEMANDED IN COMPLAIN1)
VID. RELATEDIREFILED CASE(S) IF ANY
JUDGE Richard W. Story DOCKET NO. 2: ll-cv--OOO63RWS
CML CASES ARE DEEMED RELATED IF THE PENDING CASE INVOLVES: (OIECKAPPROPRIATE BOX)
o I. PROPERTY INCLUDED IN AN EARLIER NUMBERED PENDING SUIT.
a
o 1. SAME ISSUE OF FACf OR ARISES our OF THE SAME EVENT OR TRANSACTION INCWDED IN AN EARLIER NUMBERED PENDING SUIT.
;J. VALIDITY ORINFRJNGEMENT OF THE SAME PATENT, COPYRIGHT OR TltADEMARK INCLUDED IN AN EARLIER NUMBERED PENDING SUIT.
4. APPEALS ARISING our OF THE SAME BANKRUPTCY CASE AND ANY CASE RELATED THERETO WHICH HAVE BEEN DECIDED BY THE SAME
BANKRUPTCY JUDGE.
o 5. R.EPTITJVE CASES fILED BY PRO SE UTiGANTS..
6. COMPANION OR RELATED CASE TOCASE(S) BEING SIMULTANEOUSLY FILED (INCLUDE ABBREVIATED STYLE OF OTHER CASE(S)):
D
IZI
7. EnlIER SAME OR ALL OF THE PARTIES AND ISSUES IN THIS CASE WERE PREVIOUSLY INVOLVED IN CASE NO.2: 11-cv-63RWS , WHICH WAS
DISMISSED. 1l&is-0IS 0 IS NOT (dtcck ODe boll) SUBSTANTIALLY THE SAME CASE.
lsi Jason N. Slate II March 16,2012
S1GNA11lREOF ATIORNEY OF RECORD DATE
Case 2:12-cv-00060-RWS Document 1-1 Filed 03/16/12 Page 2 of 2
VI. NATURE OF SUIT cPlACEANMX"INOIIEDOXONLY)
CONTRACf - "0" MONTHS DISCOVERY TRACK'
c::J ISO IIECOVDY 01' OVElU'AYMEI'IT A
ENFORCEMENT O' IUlIGMI'JIn'
c::J In IlECOVDY O' DIPAULTED STUDENT
,. LOANS (Ezd. V_I
c::J 153IlECOVEBY O' OVEIU'AYMEI'IT O'
VETEKAl'l'S BEHEPlTS
CONTRACf " .. " MON11lS DISCOVERY TRACK
c::J IIOIMSUlW'lCE
E::I 120 MAJUNE
E::I 130 MlLLERACf
E::I 140 NEGO'ItABLE INSTallMENT
E::I lSI MEDICARE ACf
E::I 140STOCKBOLDEIIS' stIlTS
E::I I!IO 0I'BEIl CONT1tACT
E::I 195 CON1"IlACT PRODOCT LIAIIILn'Y
E::I I" fBAIIICBlSI:
REAL PROPERTY - "4" MON1lIS DiSCOVERY
TRACK
---c:r 110 LAND COIIIDDDlA noN
E::I 120 f'ORECLOS1l'RJ:
E::I l:JO JIEIIIT LEASE A ElECTMEHT
E::I 140 TOKTSTO LAND
E::I 245 TORI' PRODUCf LIAIIILn'Y
CJ l!IO ALL 0I'BEIl REAL PROPEK'IY
TORTS PERSONAL iNJURY - "4" MONTHS
DISCOVERYTRACK
CJ JIOAIRPIANE
E::I 315 AIRPlANE PRODUCT LIABILITY
E3
noASSAULT.LlllELASLANDER
l:JO FEDERAL EMPLOYERS' LIABILITY
E::I 340 MAJUNE
E::I .M5 MARINE PRODUCT LlABlLtTY
tzJ J50 MOTOR VEBlCLE
CJ l55 MOl'OIt VEHICLE PRODUCT LIABIUTY
E3
340 0I'BEIl PEJISONAL INJURY
.1Q I'EJISOIIIAL DUVRY MEDICAL
MALl'RACTJCJ:
c:::J .M5 PERSmlALDUVRY - PRODUCT LIABILITY
E::I 16II ASBESTOS PERSONAL INJURY PRODUCT
UABILtTY
TORTS-PERSONALPR0PERT!-"4"NKH!fHS
DISCOVERY TRACK
t:J 310 0I'BEIl FRAUD
c:::J 371 TIWTB IN lDIl)lNG
r:::::J 38001BER PERSONAL I'ROPJI:1'Y DAMAGE
c:::J :115 PROPEItTY DAMAGE PRODUCT LIABIUTY
BANKRUPTCY - "0" MONTIIS DiscoVERY
TRACK
E::I 4U Al'PAL 21VSC 151
c:::J m W1TBDRAWAL2IVSC 157
CIVIL RIGHTS - "4" MON1lIS DISCOVERY TRACK

4U BOWING' ACCOMMODAnoNS
"'WELFARE
..0 OTHER avo. RIGBTS
44S AMIUCAffS willa DISABILI11S - EcnpIo)'_
... AMIUCAffS willa DISABWTIES - 0tIM!I'
- "0" MONTHS DISCOVERY TRACK
46Z NA1'llRALIZATIOJII APPLlCAnoH
Cl 40 HABEASCORPU5-AlilD_
Cl 4155 OTHER IMMIGRATION ACfIONS

TRACK
-r=r 510 MOTIONS TO VACAT 5EH'J'ENCE
Cl S:JO HABEAS CORPUS
c:::J 5.'15 HABEAS CO.RPIIS DEATH PENALTY
Cl MMAlIDAMVSA OTHER
Cl _ OVILIUGlITS FlIed PTa..,
CJ 5551'1t1SON COIIIDmoH(S) - PlIed PTa Ie
PRISONER PE11!JONS - ...... MONTHS DISCOVERY

CJ - avo. 1UGlITS- PlIed b)' eou-t
Cl 555 PRISON CONDmoNCS)- PlIed b)' c .........
i;;;:;-"'" ao>mtiDmoovERX
6H DRUG RELATED SElZVIlE O. PROPEIn'Y
ZIVSCIII

6:JO LIQUOR u.ws
64CI R.R. A TRUCK
iI.5O AIRLINE.REGS.
CJ dCIOOCCVPATIONALSAl'TY/BEALTB
CJ eoOTHER
LABOR- .... " MONTHS DISCOVERY TRACK

'IO.AIR LA.8OIl STANDAJtDS ACf
120 u.BORlMGMT. RELATIONS
7:JO u.BORIMGMT.IlEPORl1JCG A DISCLOSVIlE
ACT
CJ 740RAILWAYu.BORACT
D 7!IOOTHERu.BORLmGATION
CJ 191 EMPL. RET. INC. SEC\J1UTY ACT
PROPERTY RIGHTS - " .... MON1lIS DISCOVERY
TRACK
-c:r IlOCOPYJUGBTS
Cl U01'JW)EMA1U(
PROPERTY RIGHTS - ..... MONlHS DISCOVERY
TRACK
--0 S:JO PATENT
VII. REQUESTED IN COMPLAINT:
SOCIAL SECURITY "0" MON11IS DISCOVERY
TRACK
-c:r-1161 BIA (lJ95II)
Cl .1Q BlACK LVNG (9D)
CJ I16JDJWC(4II!(a))

II6J DJWW
164 ssm 1TIl.E XVI
1165 RSI (4II!(a))
FEDERAL TAX SUITS - " .. " MONTHS DISCOVERY
TRACK
---a-170 TAXES (11.5. I"WAtIIr .... Pof'adut)
CJ I'I'llRSTHDlDPAKrYZIIVSC'_
01lIER STATUTES - .... " MONlHS DISCOVERY
TRACK
--c:r _STATREA.PPORTIONMEHT
Q 00 BAIIKS AND BAlQWIIG
Cl 450 COMMERCEIICC RATESIETC.
CJ (60 Dl'OIt1'ATION
Cl .70 RACK1'EER INl'U1ENCED AND CORRVPT
ORGANIZATIONS
E3
- CONSIlMER CRJ:Drr
eo CABLElSATLLI1'E TV
1:=1 110 SE1.ECTlVESERVJCE
c:::J m CIISTOMER CllA.LLEl'lGE 11VSC :MIG
c:::J
1:=I ftl AGRlCVLTVRALACTS
m ECONOMIC STABD.lZAnoN ACf
1::1 I" t:HYIJI.ONMENTAL MATIERS
Q 194 ENERGY ALLOCATIOJII ACf
c:::J us PREDOM Ol'II'Ift)RMATION ACf
Cl !lOG APPEAL O. PEE DEl'ERMINATION tINDER
EQUAL ACCESS TO JUSTICE
CI 950CONmTIJTIONALlTYOl'STATSTAT1JTES
CI 890OI'BEIlSTATVTORY ACT'IONS
OTHER ST ATIJTES - "8" MON11JS DISCOVERY
TRACK
CJ .10 ANTITRUST
CJ 150 SEC'URlTllSI COMMODITIES I EXCBANCE
OTHER STATIJTES - "0" MONlHS DISCOVERY

CJ ARBITRATION (CoafinzI/Vacall::/Onkr IMocIIr,)
(Note: MarkuDderlyiDI NatareofSuitaswell)
* PLEASE NOTE DISCOVERY
TRACK FOR EACH CASE TYPE.
SEE LOCAL RULE 26.3
o CHECK IF CLASS ACTION UNDERF.R.Civ.P.:z3 DEMAND $, _________ _
JURy DEMAND (In:s DNO DEMANDED IN COMPLAIN1)
VID. RELATEDIREFILED CASE(S) IF ANY
JUDGE Richard W. Story DOCKET NO. 2: ll-cv--OOO63RWS
CML CASES ARE DEEMED RELATED IF THE PENDING CASE INVOLVES: (OIECKAPPROPRIATE BOX)
o I. PROPERTY INCLUDED IN AN EARLIER NUMBERED PENDING SUIT.
o 1. SAME ISSUE OF FACf OR ARISES our OF THE SAME EVENT OR TRANSACTION INCWDED IN AN EARLIER NUMBERED PENDING SUIT.
a
o
D
IZI
;J. VALIDITY ORINFRJNGEMENT OF THE SAME PATENT, COPYRIGHT OR TltADEMARK INCLUDED IN AN EARLIER NUMBERED PENDING SUIT.
4. APPEALS ARISING our OF THE SAME BANKRUPTCY CASE AND ANY CASE RELATED THERETO WHICH HAVE BEEN DECIDED BY THE SAME
BANKRUPTCY JUDGE.
5. R.EPTITJVE CASES fILED BY PRO SE UTiGANTS..
6. COMPANION OR RELATED CASE TOCASE(S) BEING SIMULTANEOUSLY FILED (INCLUDE ABBREVIATED STYLE OF OTHER CASE(S)):
7. EnlIER SAME OR ALL OF THE PARTIES AND ISSUES IN THIS CASE WERE PREVIOUSLY INVOLVED IN CASE NO.2: 11-cv-63RWS , WHICH WAS
DISMISSED. 1l&is -0 IS 0 IS NOT (dtcck ODe boll) SUBSTANTIALLY THE SAME CASE.
lsi Jason N. Slate II March 16.2012
S1GNA11lREOF ATIORNEY OF RECORD DATE