(Del Rey l2i‘>8)
IN THE UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF DELAWARE
[`ii[.Qw- D . [fijh ggdbgvw
_` (Name of Plaintiff or Plaintiffs)
v. CIVIL ACTION NO.
QQQ ori; D€/Qygqlii , @0*474; QQ;?g;' EV'? iiV¤€6’I" ,..-rg. ` ( . ( I
_ I _ %4A_ M (_ 23
{fiom [HM; ’ .5`€6’7[!0f~ Cé] ig; new
(Name o Defendant or Defendants) 1 5 { $6,
I QV
—¢MPLAlNT .s.¤isti£` i' " Gilat
TFIICTG. -».WAR ( _
l. This action is brought pursuant to ( 2» I Ci 3.2_
(Federal statute on which action is based)
for discrimination related to jurisdiction exists by virtue of
(In what area did discrimination occur? e.g. race. sex. religion)
.0.
(Federal statute on whichjurisdiction is based)
2. Plaintiffresides at Q O O 60 V6) LQQL ( if /0}
(Street Address)
A/QM; (/0iJ%/L }(I72 0 _
(City) (County) (State) (Zip Code)
(30;) S8$;·05xg .
(Area Code) (Phone Number)
3. Defendant resides at, or its business is located at C Q [ VQ/I S ( QL 0 I 3 yd [/JJV;
/_ _A (Street Address) E,
E20 FVQWQL [[2+/* }'(. M;}/M2m9;foV¤ ( Koi
(City) (County) (State) (Zip Code)
4. The alleged discriminatory acts occurred on , , .
(Day) (Month) (Year)
5. The alleged discriminatory practice Q 5 O is not continuing.
Case 1:08—cv—00436-JJF Document 2 Filed 07/15/2008 Page 2 of 2
I I . Plaintiff prays for the following relief: (Indicate the exact relief requested)
Zeéqgézrp QF Qggugy dni,Am?.e/J - /}/2 c//;&d[1»?: {ga? gm J
i
[mick pai}; ,Qu/viggg ,3 q ju}! Qdlwi/LQ gg [ gg A j;/[ V1, O/GM H;.o;/
I
Cl/J7[.s’ /;%?q( /gljgg/g5J jd g d&g/'/76% { / fl; g
I declare under penalty of perjury that the foregoing is true and correct.
Dated: 7/ [/[ _
(gignature of Plaintiff)
Case 1 :08-cv-00436-.1.1 F Document 2-2 Fi led 07/15/2008 Page 1 of 1
so 44
I`he JS 44 CIVII cover sheet and the information contained herein neither reiplace nor supplement the filing and service ofpleadings or other papers as regulred by law, except as provided
by local rules ofcourt This form, approved by the Judlclal Conference o the United tates ln September 1974, rs required tor the use oft e Clerk of ourt for the purpose ofrnltratlng
the clvil docket sheet (SEE INSTRUCTIONS ON THE REVERSE OF THE FORM.)
I. (a) PLAINTIFFS DEFENDANTS D L E _ fm.
. 4 . · gf FDZ/aware, OM? 0 r "@t•"‘=’°
BYI¢f"{Ih3,LIaW`/[A/[I/IGM €*° /, _ ’
1'hém Md}/·.3` oy 1 __ _ 4
(b) County of Residence OPFIISI Listed Plaintiff N (LW Q ;dJ‘7(g ez County of Residence ofFirst Liste Defendant Q I gf fi;
(EXCEPT IN U.S PLAINTIFF CASES) (IN U.S. ' AINT1 It 4 . _ __
NOTE IN LAND CONDE 4 TION ASES. USE THE LOCATION OF V HE
LAND INVOLVED ‘ gl it 1 5 r j
(C) AI‘[OmByiS (Firm Name, Address, and Telephone Number) AUOIIIBVS (If Known) I
4 ~¤.-»¤.»·r.?.·~.m·mr...¤¤t A . . ... ‘
4 U.S. DIE} IIIICT COURT 1
· I : 4 A _ • I . . . -
..
II. BASIS OF JURISDICTION (pim an ex" rn one Box Only) III. CITIZENSHIP OF PRINCIPAL ' 4 ‘ (P me an · rrr •·- B .· . .. rrr
(For Diversity Cases Only) and One Box for Defendant)
lj 1 U.S Govemment X3 Federal Question PTF DEF PTF DEF
Plalntlff (U.S Goverrunent Not a Party) Cltlzen of This State CI I E] 1 Incorporated rrr Prrncipal Place 1] 4 CI 4
of Business In This State
D 2 U.S GOVCITIIUCHI D 4 Dlversrty Cltlzen of Another State lj 2 D 2 Incorporated and Prlnclpal Place D 5 U 5
Defendant (Indicate Cltlzenshrp of Parties ln Itetn Ill) or Business in Another Siam
CIIIZCH or Subject ofa CI 3 CI 3 Foreign Nation CI 6 CI 6
Forei n Coun
IV. (Place an "X" IH One Box Onl
ONTRACT ? I A . T I RTS , FORFEITURE/PENALT Y ’ I BANKRUPTCY OTHER STAT UTES
CI I 10 Insurance PERSONAL INJURY PERSONAL INJURY I`] 610 Agrlculture lj 422 Appeal 28 USC 158 CI 400 State Reapportionmerrl
lj 120 Manne CI 310 Airplane tj 362 Personal Injury - 1] 620 Other Food & Drug D 423 Withdrawal [I 410 Antitrust
G 130 Miller Act CI 315 Alrplane Product Med Malpractice D 625 Drug Related Seizure 28 USC 157 D 430 Banks and Bankllrg
D 140 Negotiable Instrument Llabrllty CI 365 Personal Injury - of Property 21 USC 881 D 450 Commerce
[I 150 Recovery of Overpaylnent In 320 Assault, Lrbel & Product Llablllty C] 630 Liquor Laws PROP RTY RIG lj 460 Deportatlon
& EnforcementofJudgment Slander lj 368 Asbestos Personal 1] 640 RR. & Truck U 820 Copyrights CI 470 Racketeer Influenced and
lj 151 Medicare Act D 330 Federal Employers` Ilrjury Product D 650 Alrlllre Regs lj 830 Patent Corrupt Organlmtlons
[I 152 Recovery of Defaulted Lrabrlrty Llablllty D 660 Occupational lj 840 Trademark CI 480 Consumer Credit
Student Loans lj 340 Manne PERSONAL PROPERTY Safetyr/Health Cl 490 Cable/Sal TV
(Excl Veterans) lj 345 Manne Product lj 370 Other Fraud D 690 Other *'l 810 Selective Service
CI 153 Recovery of Overpayment Llabllltyr lj 371 Truth ln Lendlng LABOR U 850 S€C\.ll'III€S/COII'Il`lIOd1II€S/
of Veteran’s Bene1'lts CI 350 Motor Vehicle EI 380 Other Personal [I 710 Farr Labor Standards lj 861 I-IIA (1395II) Exchange
D 160 Stockholders Suits CI 355 Motor Vehicle Property Damage Act lj 862 Black Lung(923) 1] 875 Customer Challenge
[I 190 Other Contract Product Llahlllty D 385 Property Damage U 720 Labor/Mgmt Relations CI 863 DIWC/DIWW (405(g)) 12 USC 3410
CI 195 Contract Product Llablllly lj 360 Other Personal Product LI8bIIlIy D 730 Labor/Mgmt.Repor1ing lj 864 SSID Tltle XVI lj 890 Other Statutory Acttons
[I 196 Franchise In ury & Disclosure Act D 865 RSI (405( )) U 891 }\gl`|CIIIII1I`HI Acts
REAL PROPERTY CIVIL RIGHTS PRISONER PETITIONS CI 740 Railway Labor Act FEDERAL TAX SUITS D 892 Econolrllc Stabilization Act
CI 210 Land Condemnation lj 441 Voting tj 510 Motions to Vacate D 790 Other Labor Litigation CI 870 Taxes (U.S PIZIIIIIITIJ U 893 Envlronlnental Matters
CI 220 Foreclosure lj 442 Employment Sentence CI 791 Elnpl Ret Inc or Defendant) D 894 Energy Allocatlon Act
CI 230 Rent Lease & Ejectment G 443 I‘IO\lSI1Ig/ Ilabeas Corpus: Security Act U 871 IRS—Thlrd Party CI 895 Freedom of Infonrratlon
U 240 Torts to Land Accommodations CI 530 General 26 USC 7609 Act
EI 145 Torr Product Liablllty lj 444 Welfare lj 535 Death Penalty IMMIGRATION lj 900Appeal ofFee Determination
[I 290 All Other Real Property EI 445 Amer w/Drsabllltles - [I 540 IVIBTICIEIITILIS & Other [I 462 Naturalization Application Untler Equal Access
Employment CI 550 CIVII Rights EI 463 Habeas Corpus - I0 JUSTICE
G 446 AIHCI wr'Dlsabl1rtles - CI 555 Prison Conrlrtlon Allen Detarnee 1] 950 COI)S1lIIlI10I1HIlIy of
Other D 465 Other Immigration State Statutes
D 440 Other (JIVII Rights Actions
V ORIGIN (Place an ··x4* rrr one Box Only) _ Alzpcal t0 District
%l Original [I 2 Removed from lj 3 Remanded from [I 4 Relnstated or [I 5 Traxfcrggfi ttgm [I 6 Multldlstrlct I'] 7 pj gc from
Proceeding State Court Appellate Court Reopencd am Sr IS NL Litigation aglmatc
s ecl Jud ment
Cite the U S CIVII Statute under which you are tiling (Do not cite jurisdictional statutes unless diversity) Ll z` {A I q
VI. CAUSE OF ACTION B . _
rlct descrlptlon ofcause 2 _; 0/ , — /
C G IGTOYI an Md,/ICIV‘4·$ 3 Q/Idllf
VII. REQUESTED IN KJ CHECK IF THIS IS A CLASS ACTION DEMAND $ CHECK YES only rfdcmyaon complaint
COMPLAINT: UNDER F R CP 23 JURY DEMAND: Yes C1 No
VIII. RELATED CASE(S) (S
t r
IF ANY €° `“S “‘° ‘°"S) JUDGE DOCKET NUMBER
DATE SIGNATURE OF ATTORNEY OF RECORD
FOR OFFICE USE ONLY
RECEIPT Z4 AMOUNT APPLYING IFP JUDGE MAG JUDGE
Case 1:08-cv-00436-JJF
Document 2
Filed 07/15/2008
Page 1 of 2
Case 1:08-cv-00436-JJF
Document 2
Filed 07/15/2008
Page 2 of 2
Case 1:08-cv-00436-JJF
Document 2-2
Filed 07/15/2008
Page 1 of 1
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