Preview
NC-200
[ATTORNEY OR PARTY WITHOUT ATTORNEY STATE BAR NUMBER:
Name: Kyle Anthony Zink
FIRM NAME:
STREET ADDRESS: 10 Sanchez St.
city: San Francisco state: CA zip. cone: 94114
TELEPHONE No.: (650) 400-0898 FAX NO.:
EmaiLaporess: Zeldagoogoobean@gmail.com
| ATTORNEY FOR (name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN FRANCISCO San Francisco County Superior Court
STREET ADDRESS: 400 McAllister St.
MAILING ADDRESS: 499 McAllister St. San Francisco, CA 94102-4515 APR 21 2022
ery AND ZIP CODE: San Francisco, CA 94102-4515, cl FE FHE COURT
BRANCH NAME: Civic Center Courthouse ltd
By-
PETITION OF (name):
Kyle Anthony Zink eer
PETITION FOR CHANGE OF NAME, RECOGNITION OF CHANGE OF 2° - ; 6 8
GENDER, AND ISSUANCE OF NEW BIRTH CERTIFICATE 55 7 0
Before you complete this petition, vou should read the Instructions for Filing on the next page. You must answer all
questions and check all boxes that apply to you on this petition. You must file this petition in the superior court of the
county where the person whose name is to be changed resides.
1. Petitioner (present name): Kyle Anthony Zink is 18 years old or older
and a resident of this county.
2. Petitioner requests that the court decree that petitioner's name is changed, in order to conform to petitioner's gender identity, to
(proposed name): Zelda Lavender Zink
3. Petitioner requests a decree recognizing that the petitioner's gender is changed to:
a. [X] female.
b. [_] male.
c. [_] nonbinary.
4. Petitioner requests that the court order that a new birth certificate be issued reflecting the gender and name changes sought by
this petition.
5. Petitioner requests that the court issue an order directing any interested persons to file written objections to show cause why
the petition for change of name should not be granted.
6, Petitioner provides the following information in support of this petition:
a. The declaration below.
b-f. The information contained in the attachment (attach a completed copy of the attachment Name and Information About the
Person Whose Name Is to Be Changed (form NC-110)).
DECLARATION
| (present name): Kyle Anthony Zink declare under penalty of perjury under the laws of the state of California that the
request for a change in gender to (check one) [X] female [__] male [__] nonbinary is to conform my legal gender to my
gender identity and is not for any fraudulent purpose.
Date:
Kyle Anthony Zink >
(TYPE OR PRINT NAME OF PETITIONER)
JRE OF PETITIONER)
(instructions on next page) Page 1 of
Form Adopted for Mendatery Use PETITION FOR CHANGE OF NAME, RECOGNITION OF CHANGE “tof cil Procedur,§ 1275 ot sea:
Judicial Council of California Health and Safety Code, §§ 103430, 103435
NC-200 [Rev. September 1, 2018] OF GENDER, AND ISSUANCE OF NEW BIRTH CERTIFICATE www.courts.ca.gov
1uIAns2 CAM EDANICIORNNC-110
PETITION OF (Name of petitioner or petitioners): E NUMBER;
Kyle Anthony Zink CHC-22-55 7068
FOR CHANGE OF NAME.
NAME AND INFORMATION ABOUT THE PERSON
WHOSE NAME IS TO BE CHANGED Attachment 4 of 1
Attachment to Petition (form NC-100, form NC-200, or form NC-500)
(You must use a separate attachment for each person whose name is to be changed. If petitioner is a guardian of a minor, a
supplemental attachment, Declaration of Guardian (form NC-110G), must also be completed and attached for each minor whose name
is to be changed.)
7. (Continued) Petitioner applies for a decree to change the name of the following person:
b. [2X] Self [_] Other
(1) Present name (specify): Kyle Anthony Zink
(2) Proposed name (specify): Zelda Lavender Zink
(3) Born on (date of birth): September 10, 1992
and presently [__] under 18 years of age
(4) Born at (place of birth): Redwood City, California
(5) Sex (as stated on original birth certificate): [X] Male [__] Female
(6) Current residence address (street, city, county, and zip code):
10 Sanchez St. , San Francisco, CA, 94114 San Francisco County
c. Reason for name change (explain):
| want to change my name because | no longer go by my birth name as it doesn't reflect my gender and how | present.
| go by Zelda at work, with family and in my community.
d. Relationship of the petitioner to the person whose name will be changed:
(1) self (4) [) near relative (indicate relationship):
(2) [__] parent (8) [_] Other (specify):
(3) [-] guardian
e. Ifthe person whose name will be changed is under 18 years of age, provide the names and addresses, if known, of the
following persons:
(1) Parent (name): (address):
(2) Parent (name): (address):
(3) (Only if neither parent is living) Near relatives (names, relationships, and addresses):
over 18 years of age
f. If the person whose name will be changed is 18 years of age or older, that person must sign the following declaration:
DECLARATION
1 declare under penalty of perjury under the laws of the State of California that (check one) lamnot [_] lam
under the jurisdiction of the California Department of Corrections and Rehabilitation (in state prison or on parole) or in county
jail and (check one) [X] tamnot [__] !am__ required to register as a sex offender under Penal Code section 290.
Date: April 2, 2022 Tne
Kyle Anthony Zink > Lehla!
GIVE OR PRINT NAME OF PERSON WHOSE NAME IS TO BE CHANGED) (SIGNATURE OF PERSON WHOSE NAME IS TO BE CHANGED)
(if petitioner is represented by an attorney, the attorney's signature follows):
Date:
»
(TYPE OR PRINT NAME) (SIGNATURE OF ATTORNEY)
(Each petitioner must sign this petition in the space provided below or, if additional pages are attached, at the end of the last
attachment.) | declare under penalty of perjury under the laws of the State of California that the information in the foregoing petition is
true and correct.
Date: April 2, 2022 r, j i Linke
Kyle Anthony Zink >
(TYPE OR PRINT NAME) (SIGNATURE OF PETITIONER)
Date:
(TYPE OR PRINT NAME) (SIGNATURE OF PETITIONER)
ADD ADDITIONAL SIGNATURE LINES FOR ADDITIONAL PETITIONERS SIGNATURE OF PETITIONERS FOLLOWS LAST ATTACHMENT Page 1 of 1
Form Adopted for Mandatory Use Code of Civil Procedure, § 1275 et seq.
Judicial Council of California. ATTACHMENT TO ve anertecnaey
NC-110 [Rev. September 1, 2018] PETITION FOR CHANGE OF NAME
LHI6043 SAN FRANCISCORyle Anthony Zink ‘ATTORNEY (Name, State Bar number, and address): T FOR COURT USE ONLY
10 Sanchez St.
San Francisco, CA, 94114
TELEPHONE NO:: (650) 400-0898 FAX NO, (Optional:
Eun ADORESS'Z elcbe, oo goolbceon Gym fon
ATTORNEY FOR (Name): San Francisco County Superior Gourt
[SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN FRANCISCO |
STREET ADDRESS: 490 McAllister St. APR 2 1 2022
MAILING ADDRESS: 400 McAllister St. San Francisco, CA 94102-4515
ery ano zi CODE: San Francisco, CA 94102-4515 c Bobo
BRANCH NAME: “Civic Center Courthouse BY,
[CASE NAME: Petition of: Deputy Clark
Kyle Anthony Zink
CIVIL CASE COVER SHEET Complex Case Designation CASE NUMBER:
2X] Untimitea [—] Limited [J counter. = [] soinder CHC-22-557068
amour d Gamourt dis Filed with first appearance by defendant | jupce:
exceeds $25,000) $25,000 or less) (Cal. Rules of Court, rule 3.402) DEPT.
Items 1-6 below must be completed (see instructions on page 2).
1. Check one box below for the case type that best describes this case:
Auto Tort Contract Provisionally Complex Civil Litigation
[[] Auto (22) [] Breach of contractwarranty (06) (Cal. Rules of Court, rules 3.400-3.403)
[1 Uninsured motorist (48) [1] Rule 3.740 collections (09) [] Antitrust/Trade regulation (03)
Other PUPD/WD (Personal Injury/Property — [—] Other collections (09) [) Construction defect (10)
Damage/Wrongful Death) Tort [J Insurance coverage (18) [) Mass tort (40)
[) Asbestos (04) [J Other contract (37) [) Securities litigation (28)
[| Product liability (24) Real Proporty [1 Environmental/Toxic tort (30)
[-) Medical malpractice (45) [J Eminent domain/inverse {J Insurance coverage claims arising from the
CI Other P/PD/WD (23) condemnation (14) above aye provisionally complex case
Non-PI/PD/WD (Other) Tort [[] Wrongful eviction (33) Enforce of Judgment
[[] Business tortunfair business practice (07) [__] Other real property (26) [1 Enforcement of judgment (20)
[] Civil rights (08) Unlawful Detainer Miscellaneous Civii Complaint
[_] Detamation (13) CJ Commercial (91) [71 rico 27)
[]] Fraud (16) [J Residentia (32) [J Other comptaint (not specified above) (42)
CI wrctectial property (19) - [1 Drugs (38) Miscellaneous Civil Petition
fessional negligence
= other een puppMD vor ea) [7] Asset forfeiture (05) [J Partnership and corporate governance (21)
Employment [1] Petition re: arbitration award (11) [XX] Other petition (not specified above) (43)
[1 Wrongful termination (36) {—_] writ of mandate (02) Petition for Change of Name and
[J Other employment (15) [J Other judicial review (39) Recognition of Gender Change
2. Thiscase [_] is [X]isnot complex under rule 3.400 of the California Rules of Court. If the case is complex, mark the
factors requiring exceptional judicial management:
a. [__] Large number of separately represented parties d. [__] Large number of witnesses
b. [__] Extensive motion practice raising difficult or novel e. [7] Coordination with related actions pending in one or more
issues that will be time-consuming to resolve courts in other counties, states, or countries, or in a federal
c. [__] Substantial amount of documentary evidence court
f._ [[_] Substantial postjudgment judicial supervision
3. Remedies sought (check all that apply): a. [__] monetary b. [X_] nonmonetary; declaratory or injunctive relief c. [— ] punitive
4, Number of causes of action (specify): 1
5. This case [_] is isnot a class action suit.
6. If there are any known related cases, file and serve a notice of related case. (You may use form CM-015.)
Date: ‘oe
Kyle Anthony Zink > Tbe Lol—
(TYPE OR PRINT NAME) {SIGNATURE OF PARTY OR ATTORNEY FOR PARTY)
NOTICE
* Plaintiff must file this cover sheet with the first paper filed in the action or proceeding (except small claims cases or cases filed
under the Probate Code, Family Code, or Welfare and Institutions Code). (Cal. Rules of Court, rule 3.220.) Failure to file may result
in sanctions.
* File this cover sheet in addition to any cover sheet required by local court rule.
* If this case is complex under rule 3.400 et seq. of the California Rules of Court, you must serve a copy of this cover sheet on all
other parties to the action or proceeding.
* Unless this is a collections case under rule’3.740 or a complex case, this cover sheet will be used for statistical purposes only.
Pago 4 of 2
Form Adopted for Mandatory Use Cal, Rules of Court, rules 2.90, 3.220, 3.400~3.403, 3.740;
Judicial Council of California CIVIL CASE COVER SHEET Cal, Standards of Judicial Administration. std. 3.10,INSTRUCTI ON HOW TO COMPLETE THE COVE™ ~""EET CM-010
To Plaintiffs and Others Filing First Pe . If you are filing a first paper (for example, plaint) in a civil case, you must
complete and file, along with your first paper, the Civil Case Cover Sheet contained on paye 1. This information will be used to compile
statistics about the types and numbers of cases filed. You must complete items 1 through 6 on the sheet. In item 1, you must check
‘one box for the case type that best describes the case. If the case fits both a general and a more specific type of case listed in item 1,
check the more specific one. If the case has multiple causes of action, check the box that best indicates the primary cause of action.
To assist you in completing the sheet, examples of the cases that belong under each case type in Item 1 are provided below. A cover
sheet must be filed only with your initial paper. Failure to file a cover sheet with the first paper filed in a civil case may subject a party,
its counsel, or both to sanctions under rules 2.30 and 3.220 of the California Rules of Court.
To Parties in Rule 3.740 Collections Cases. A “collections case" under rule 3.740 is defined as an action for recovery of money owed
in a sum stated to be certain that is not more than $25,000, exclusive of interest and attorney's fees, arising from a transaction in which
property, services, or money was acquired on credit. A collections case does not include an action seeking the following: (1) tort
damages, (2) punitive damages, (3) recovery of real property, (4) recovery of personal property, or (5) a prejudgment writ of
attachment. The identification of a case as a rule 3.740 collections case on this form means that it will be exempt from the general
time-for-service requirements and case management rules, unless a defendant files a responsive pleading. A rule 3.740 collections
case will be subject to the requirements for service and obtaining a judgment in rule 3.740.
To Parties in Complex Cases. In complex cases only, parties must also use the Civil Case Cover Sheet to designate whether the
case is complex. If a plaintiff believes the case is complex under rule 3.400 of the California Rules of Court, this must be indicated by
completing the appropriate boxes in items 1 and 2. If a plaintiff designates a case as complex, the cover sheet must be served with the
complaint on all parties to the action. A defendant may file and serve no later than the time of its first appearance a joinder in the
plaintiff's designation, a counter-designation that the case is not complex, or, if the plaintiff has made no designation, a designation that
the case is complex. CASE TYPES AND EXAMPLES
Auto Tort Contract Provisionally Complex Civil Litigation (Cal.
Auto (22}-Personal Injury/Property reach of Contract/Warranty (06) Rules of Court Rules 3.400-3.403)
Damage/Wrongful Death
Uninsured Motorist (46) (if the
case involves an uninsured
motorist claim subject to
arbitration, check this item
instead of Auto)
Other PI/PD/WD (Personal Injury/
Property Damage/Wrongful Death)
Tort
Asbestos (04)
‘Asbestos Property Damage
Asbestos Personal Injury/
Wrongful Death
Product Liability (not asbestos or
toxic/environmental) (24)
Medical Malpractice (45)
Medical Malpractice—
Physicians & Surgeons
Other Professional Health Care
Malpractice
Other PI/PD/WD (23)
Premises Liability (e.g., slip
and fall)
Intentional Bodily Injury/PD/WD.
(e.g., assault, vandalism)
Intentional Infliction of
Emotional! Distress
Negligent Infliction of
Emotional Distress
Breach of Rental/Lease
Contract (not unlawful detainer
or wrongful eviction)
Contract/Warranty Breach—Seller
Plaintiff (not fraud or negligence)
Negligent Breach of Contract/
Warranty
Other Breach of ContractWarranty
Collections (e.g., money owed, open
book accounts) (09)
Collection Case—Seller Plaintiff
Other Promissory Note/Collections
Case
Insurance Coverage (not provisionally
complex) (18)
Auto Subrogation
Other Coverage
Other Contract (37)
Contractual Fraud
Other Contract Dispute
Real Property
Eminent Domain/Inverse
Condemnation (14)
Wrongful Eviction (33)
Other Real Property (e.g., quiet title) (26)
Writ of Possession of Real Property
Mortgage Foreclosure
Quiet Title
Other Real Property (not eminent
domain, landlord/tenant, or
Antitrust/Trade Regulation (03)
Construction Defect (10)
Claims Involving Mass Tort (40)
Securities Litigation (28)
Environmental/Toxic Tort (30)
Insurance Coverage Claims
(arising from provisionally complex
case type listed above) (41)
Enforcement of Judgment
Enforcement of Judgment (20)
Abstract of Judgment (Out of
County)
Confession of Judgment (non-
domestic relations)
Sister State Judgment
Administrative Agency Award
(not unpaid taxes)
Petition/Certification of Entry of
Judgment on Unpaid Taxes
Other Enforcement of Judgment
Case
Miscellaneous Civil Complaint
RICO (27)
Other Complaint (not specified
above) (42)
Declaratory Relief Only
{njunctive Relief Only (non-
harassment)
Mechanics Lien
Other PI/PD/WD. Other Commercial Complaint
Non-PI/PDIWD (Other) Tort foreclosure) Case (non-tort/non-complex)
Business Tort/Unfair Business Unlawful Detainer Other Civil Complaint
Practice (07) Commercial (31) (non-tort/non-complex)
Civil Rights (e.9., discrimination, Residential (32) , Miscellaneous Civil Petition
false arrest) (not civil Drugs (38) (if the case involves illegal Partnership and Corporate
harassment) (08) drugs, check this item; otherwise, Governance (21)
Defamation (e.g., slander, libel) report as Commercial or Residential) Other Petition (not specified
(13) Judicial Review above) (43)
Fraud (16) Asset Forfeiture (05) Civil Harassment
Intellectual Property (19) Petition Re: Arbitration Award (11) Workplace Violence
Professional Negligence (25) Writ of Mandate (02) Elder/Dependent Adult
Legal Malpractice Writ-Administrative Mandamus ‘Abuse
Other Professional Malpractice wre Mangamus on Limited Court Election Contest
(not medical or legal) Petition for Name Change
Other Non-PI/PD/WD Tort (35) Writ-Other Limited Court Case Paton for Relief From Late
Employment Review A Claim
‘Wrongful Termination (36) Other Judicial Review (39) Other Civil Petition
Other Employment (18) Review of Health Officer Order
Notice of Appeal-Labor
Commissioner Appeals
‘CM-010 [Rev. September 1, 2021} CIVIL CASE COVER SHEET Page 2 of 2
LHI6043 SAN FRANCISCO
Preview
NC-200 [ATTORNEY OR PARTY WITHOUT ATTORNEY STATE BAR NUMBER: Name: Kyle Anthony Zink FIRM NAME: STREET ADDRESS: 10 Sanchez St. city: San Francisco state: CA zip. cone: 94114 TELEPHONE No.: (650) 400-0898 FAX NO.: EmaiLaporess: Zeldagoogoobean@gmail.com | ATTORNEY FOR (name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN FRANCISCO San Francisco County Superior Court STREET ADDRESS: 400 McAllister St. MAILING ADDRESS: 499 McAllister St. San Francisco, CA 94102-4515 APR 21 2022 ery AND ZIP CODE: San Francisco, CA 94102-4515, cl FE FHE COURT BRANCH NAME: Civic Center Courthouse ltd By- PETITION OF (name): Kyle Anthony Zink eer PETITION FOR CHANGE OF NAME, RECOGNITION OF CHANGE OF 2° - ; 6 8 GENDER, AND ISSUANCE OF NEW BIRTH CERTIFICATE 55 7 0 Before you complete this petition, vou should read the Instructions for Filing on the next page. You must answer all questions and check all boxes that apply to you on this petition. You must file this petition in the superior court of the county where the person whose name is to be changed resides. 1. Petitioner (present name): Kyle Anthony Zink is 18 years old or older and a resident of this county. 2. Petitioner requests that the court decree that petitioner's name is changed, in order to conform to petitioner's gender identity, to (proposed name): Zelda Lavender Zink 3. Petitioner requests a decree recognizing that the petitioner's gender is changed to: a. [X] female. b. [_] male. c. [_] nonbinary. 4. Petitioner requests that the court order that a new birth certificate be issued reflecting the gender and name changes sought by this petition. 5. Petitioner requests that the court issue an order directing any interested persons to file written objections to show cause why the petition for change of name should not be granted. 6, Petitioner provides the following information in support of this petition: a. The declaration below. b-f. The information contained in the attachment (attach a completed copy of the attachment Name and Information About the Person Whose Name Is to Be Changed (form NC-110)). DECLARATION | (present name): Kyle Anthony Zink declare under penalty of perjury under the laws of the state of California that the request for a change in gender to (check one) [X] female [__] male [__] nonbinary is to conform my legal gender to my gender identity and is not for any fraudulent purpose. Date: Kyle Anthony Zink > (TYPE OR PRINT NAME OF PETITIONER) JRE OF PETITIONER) (instructions on next page) Page 1 of Form Adopted for Mendatery Use PETITION FOR CHANGE OF NAME, RECOGNITION OF CHANGE “tof cil Procedur,§ 1275 ot sea: Judicial Council of California Health and Safety Code, §§ 103430, 103435 NC-200 [Rev. September 1, 2018] OF GENDER, AND ISSUANCE OF NEW BIRTH CERTIFICATE www.courts.ca.gov 1uIAns2 CAM EDANICIORNNC-110 PETITION OF (Name of petitioner or petitioners): E NUMBER; Kyle Anthony Zink CHC-22-55 7068 FOR CHANGE OF NAME. NAME AND INFORMATION ABOUT THE PERSON WHOSE NAME IS TO BE CHANGED Attachment 4 of 1 Attachment to Petition (form NC-100, form NC-200, or form NC-500) (You must use a separate attachment for each person whose name is to be changed. If petitioner is a guardian of a minor, a supplemental attachment, Declaration of Guardian (form NC-110G), must also be completed and attached for each minor whose name is to be changed.) 7. (Continued) Petitioner applies for a decree to change the name of the following person: b. [2X] Self [_] Other (1) Present name (specify): Kyle Anthony Zink (2) Proposed name (specify): Zelda Lavender Zink (3) Born on (date of birth): September 10, 1992 and presently [__] under 18 years of age (4) Born at (place of birth): Redwood City, California (5) Sex (as stated on original birth certificate): [X] Male [__] Female (6) Current residence address (street, city, county, and zip code): 10 Sanchez St. , San Francisco, CA, 94114 San Francisco County c. Reason for name change (explain): | want to change my name because | no longer go by my birth name as it doesn't reflect my gender and how | present. | go by Zelda at work, with family and in my community. d. Relationship of the petitioner to the person whose name will be changed: (1) self (4) [) near relative (indicate relationship): (2) [__] parent (8) [_] Other (specify): (3) [-] guardian e. Ifthe person whose name will be changed is under 18 years of age, provide the names and addresses, if known, of the following persons: (1) Parent (name): (address): (2) Parent (name): (address): (3) (Only if neither parent is living) Near relatives (names, relationships, and addresses): over 18 years of age f. If the person whose name will be changed is 18 years of age or older, that person must sign the following declaration: DECLARATION 1 declare under penalty of perjury under the laws of the State of California that (check one) lamnot [_] lam under the jurisdiction of the California Department of Corrections and Rehabilitation (in state prison or on parole) or in county jail and (check one) [X] tamnot [__] !am__ required to register as a sex offender under Penal Code section 290. Date: April 2, 2022 Tne Kyle Anthony Zink > Lehla! GIVE OR PRINT NAME OF PERSON WHOSE NAME IS TO BE CHANGED) (SIGNATURE OF PERSON WHOSE NAME IS TO BE CHANGED) (if petitioner is represented by an attorney, the attorney's signature follows): Date: » (TYPE OR PRINT NAME) (SIGNATURE OF ATTORNEY) (Each petitioner must sign this petition in the space provided below or, if additional pages are attached, at the end of the last attachment.) | declare under penalty of perjury under the laws of the State of California that the information in the foregoing petition is true and correct. Date: April 2, 2022 r, j i Linke Kyle Anthony Zink > (TYPE OR PRINT NAME) (SIGNATURE OF PETITIONER) Date: (TYPE OR PRINT NAME) (SIGNATURE OF PETITIONER) ADD ADDITIONAL SIGNATURE LINES FOR ADDITIONAL PETITIONERS SIGNATURE OF PETITIONERS FOLLOWS LAST ATTACHMENT Page 1 of 1 Form Adopted for Mandatory Use Code of Civil Procedure, § 1275 et seq. Judicial Council of California. ATTACHMENT TO ve anertecnaey NC-110 [Rev. September 1, 2018] PETITION FOR CHANGE OF NAME LHI6043 SAN FRANCISCORyle Anthony Zink ‘ATTORNEY (Name, State Bar number, and address): T FOR COURT USE ONLY 10 Sanchez St. San Francisco, CA, 94114 TELEPHONE NO:: (650) 400-0898 FAX NO, (Optional: Eun ADORESS'Z elcbe, oo goolbceon Gym fon ATTORNEY FOR (Name): San Francisco County Superior Gourt [SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN FRANCISCO | STREET ADDRESS: 490 McAllister St. APR 2 1 2022 MAILING ADDRESS: 400 McAllister St. San Francisco, CA 94102-4515 ery ano zi CODE: San Francisco, CA 94102-4515 c Bobo BRANCH NAME: “Civic Center Courthouse BY, [CASE NAME: Petition of: Deputy Clark Kyle Anthony Zink CIVIL CASE COVER SHEET Complex Case Designation CASE NUMBER: 2X] Untimitea [—] Limited [J counter. = [] soinder CHC-22-557068 amour d Gamourt dis Filed with first appearance by defendant | jupce: exceeds $25,000) $25,000 or less) (Cal. Rules of Court, rule 3.402) DEPT. Items 1-6 below must be completed (see instructions on page 2). 1. Check one box below for the case type that best describes this case: Auto Tort Contract Provisionally Complex Civil Litigation [[] Auto (22) [] Breach of contractwarranty (06) (Cal. Rules of Court, rules 3.400-3.403) [1 Uninsured motorist (48) [1] Rule 3.740 collections (09) [] Antitrust/Trade regulation (03) Other PUPD/WD (Personal Injury/Property — [—] Other collections (09) [) Construction defect (10) Damage/Wrongful Death) Tort [J Insurance coverage (18) [) Mass tort (40) [) Asbestos (04) [J Other contract (37) [) Securities litigation (28) [| Product liability (24) Real Proporty [1 Environmental/Toxic tort (30) [-) Medical malpractice (45) [J Eminent domain/inverse {J Insurance coverage claims arising from the CI Other P/PD/WD (23) condemnation (14) above aye provisionally complex case Non-PI/PD/WD (Other) Tort [[] Wrongful eviction (33) Enforce of Judgment [[] Business tortunfair business practice (07) [__] Other real property (26) [1 Enforcement of judgment (20) [] Civil rights (08) Unlawful Detainer Miscellaneous Civii Complaint [_] Detamation (13) CJ Commercial (91) [71 rico 27) []] Fraud (16) [J Residentia (32) [J Other comptaint (not specified above) (42) CI wrctectial property (19) - [1 Drugs (38) Miscellaneous Civil Petition fessional negligence = other een puppMD vor ea) [7] Asset forfeiture (05) [J Partnership and corporate governance (21) Employment [1] Petition re: arbitration award (11) [XX] Other petition (not specified above) (43) [1 Wrongful termination (36) {—_] writ of mandate (02) Petition for Change of Name and [J Other employment (15) [J Other judicial review (39) Recognition of Gender Change 2. Thiscase [_] is [X]isnot complex under rule 3.400 of the California Rules of Court. If the case is complex, mark the factors requiring exceptional judicial management: a. [__] Large number of separately represented parties d. [__] Large number of witnesses b. [__] Extensive motion practice raising difficult or novel e. [7] Coordination with related actions pending in one or more issues that will be time-consuming to resolve courts in other counties, states, or countries, or in a federal c. [__] Substantial amount of documentary evidence court f._ [[_] Substantial postjudgment judicial supervision 3. Remedies sought (check all that apply): a. [__] monetary b. [X_] nonmonetary; declaratory or injunctive relief c. [— ] punitive 4, Number of causes of action (specify): 1 5. This case [_] is isnot a class action suit. 6. If there are any known related cases, file and serve a notice of related case. (You may use form CM-015.) Date: ‘oe Kyle Anthony Zink > Tbe Lol— (TYPE OR PRINT NAME) {SIGNATURE OF PARTY OR ATTORNEY FOR PARTY) NOTICE * Plaintiff must file this cover sheet with the first paper filed in the action or proceeding (except small claims cases or cases filed under the Probate Code, Family Code, or Welfare and Institutions Code). (Cal. Rules of Court, rule 3.220.) Failure to file may result in sanctions. * File this cover sheet in addition to any cover sheet required by local court rule. * If this case is complex under rule 3.400 et seq. of the California Rules of Court, you must serve a copy of this cover sheet on all other parties to the action or proceeding. * Unless this is a collections case under rule’3.740 or a complex case, this cover sheet will be used for statistical purposes only. Pago 4 of 2 Form Adopted for Mandatory Use Cal, Rules of Court, rules 2.90, 3.220, 3.400~3.403, 3.740; Judicial Council of California CIVIL CASE COVER SHEET Cal, Standards of Judicial Administration. std. 3.10,INSTRUCTI ON HOW TO COMPLETE THE COVE™ ~""EET CM-010 To Plaintiffs and Others Filing First Pe . If you are filing a first paper (for example, plaint) in a civil case, you must complete and file, along with your first paper, the Civil Case Cover Sheet contained on paye 1. This information will be used to compile statistics about the types and numbers of cases filed. You must complete items 1 through 6 on the sheet. In item 1, you must check ‘one box for the case type that best describes the case. If the case fits both a general and a more specific type of case listed in item 1, check the more specific one. If the case has multiple causes of action, check the box that best indicates the primary cause of action. To assist you in completing the sheet, examples of the cases that belong under each case type in Item 1 are provided below. A cover sheet must be filed only with your initial paper. Failure to file a cover sheet with the first paper filed in a civil case may subject a party, its counsel, or both to sanctions under rules 2.30 and 3.220 of the California Rules of Court. To Parties in Rule 3.740 Collections Cases. A “collections case" under rule 3.740 is defined as an action for recovery of money owed in a sum stated to be certain that is not more than $25,000, exclusive of interest and attorney's fees, arising from a transaction in which property, services, or money was acquired on credit. A collections case does not include an action seeking the following: (1) tort damages, (2) punitive damages, (3) recovery of real property, (4) recovery of personal property, or (5) a prejudgment writ of attachment. The identification of a case as a rule 3.740 collections case on this form means that it will be exempt from the general time-for-service requirements and case management rules, unless a defendant files a responsive pleading. A rule 3.740 collections case will be subject to the requirements for service and obtaining a judgment in rule 3.740. To Parties in Complex Cases. In complex cases only, parties must also use the Civil Case Cover Sheet to designate whether the case is complex. If a plaintiff believes the case is complex under rule 3.400 of the California Rules of Court, this must be indicated by completing the appropriate boxes in items 1 and 2. If a plaintiff designates a case as complex, the cover sheet must be served with the complaint on all parties to the action. A defendant may file and serve no later than the time of its first appearance a joinder in the plaintiff's designation, a counter-designation that the case is not complex, or, if the plaintiff has made no designation, a designation that the case is complex. CASE TYPES AND EXAMPLES Auto Tort Contract Provisionally Complex Civil Litigation (Cal. Auto (22}-Personal Injury/Property reach of Contract/Warranty (06) Rules of Court Rules 3.400-3.403) Damage/Wrongful Death Uninsured Motorist (46) (if the case involves an uninsured motorist claim subject to arbitration, check this item instead of Auto) Other PI/PD/WD (Personal Injury/ Property Damage/Wrongful Death) Tort Asbestos (04) ‘Asbestos Property Damage Asbestos Personal Injury/ Wrongful Death Product Liability (not asbestos or toxic/environmental) (24) Medical Malpractice (45) Medical Malpractice— Physicians & Surgeons Other Professional Health Care Malpractice Other PI/PD/WD (23) Premises Liability (e.g., slip and fall) Intentional Bodily Injury/PD/WD. (e.g., assault, vandalism) Intentional Infliction of Emotional! Distress Negligent Infliction of Emotional Distress Breach of Rental/Lease Contract (not unlawful detainer or wrongful eviction) Contract/Warranty Breach—Seller Plaintiff (not fraud or negligence) Negligent Breach of Contract/ Warranty Other Breach of ContractWarranty Collections (e.g., money owed, open book accounts) (09) Collection Case—Seller Plaintiff Other Promissory Note/Collections Case Insurance Coverage (not provisionally complex) (18) Auto Subrogation Other Coverage Other Contract (37) Contractual Fraud Other Contract Dispute Real Property Eminent Domain/Inverse Condemnation (14) Wrongful Eviction (33) Other Real Property (e.g., quiet title) (26) Writ of Possession of Real Property Mortgage Foreclosure Quiet Title Other Real Property (not eminent domain, landlord/tenant, or Antitrust/Trade Regulation (03) Construction Defect (10) Claims Involving Mass Tort (40) Securities Litigation (28) Environmental/Toxic Tort (30) Insurance Coverage Claims (arising from provisionally complex case type listed above) (41) Enforcement of Judgment Enforcement of Judgment (20) Abstract of Judgment (Out of County) Confession of Judgment (non- domestic relations) Sister State Judgment Administrative Agency Award (not unpaid taxes) Petition/Certification of Entry of Judgment on Unpaid Taxes Other Enforcement of Judgment Case Miscellaneous Civil Complaint RICO (27) Other Complaint (not specified above) (42) Declaratory Relief Only {njunctive Relief Only (non- harassment) Mechanics Lien Other PI/PD/WD. Other Commercial Complaint Non-PI/PDIWD (Other) Tort foreclosure) Case (non-tort/non-complex) Business Tort/Unfair Business Unlawful Detainer Other Civil Complaint Practice (07) Commercial (31) (non-tort/non-complex) Civil Rights (e.9., discrimination, Residential (32) , Miscellaneous Civil Petition false arrest) (not civil Drugs (38) (if the case involves illegal Partnership and Corporate harassment) (08) drugs, check this item; otherwise, Governance (21) Defamation (e.g., slander, libel) report as Commercial or Residential) Other Petition (not specified (13) Judicial Review above) (43) Fraud (16) Asset Forfeiture (05) Civil Harassment Intellectual Property (19) Petition Re: Arbitration Award (11) Workplace Violence Professional Negligence (25) Writ of Mandate (02) Elder/Dependent Adult Legal Malpractice Writ-Administrative Mandamus ‘Abuse Other Professional Malpractice wre Mangamus on Limited Court Election Contest (not medical or legal) Petition for Name Change Other Non-PI/PD/WD Tort (35) Writ-Other Limited Court Case Paton for Relief From Late Employment Review A Claim ‘Wrongful Termination (36) Other Judicial Review (39) Other Civil Petition Other Employment (18) Review of Health Officer Order Notice of Appeal-Labor Commissioner Appeals ‘CM-010 [Rev. September 1, 2021} CIVIL CASE COVER SHEET Page 2 of 2 LHI6043 SAN FRANCISCO