Preview
NC-100
ATTORNEY OR PARTY WITHOUT ATTORNEY STATE BAR NUMBER:
Charles Zhang / CVS & Associates
NAME: 157 Waverly Place, 3/F
Firmname: JOHNSON NYON San Francisco, cA 94108
street aooress: 531 NAPLES STREET Se coun a reD 0208 F
cry: SAN FRANCISCO state: CA zcove: 94112 .
tetepHoneno: 415-321-0486 FAX NO. Superlor Court of California
unty of San Francisco
E-MAIL ADDRESS:
ATTORNEY FOR (name IN PRO PER L
SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN FRANCISCO JUN 0 7 2019
streeranoress: 400 MCALLISTER STREET CLEB! = THE COURT
MAILING ADDRESS: BY
crtyanozipcove: SAN FRANCISCO, CA 94102 * Deputy Clerk
BRANCH NAME: BOWMAN eRe
PETITION OF (name of each petitioner):
JOHNSON NYON
PETITION FOR CHANGE OF NAME oN 6 = 1 9 = 5 4 9 4 8
Before you complete this petition, you should read the Instructions for Filing a Petition for Change of Name (form NC-100-INFO). 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): JOHNSON NYON resides in this county.
2. Petitioner requests that the court decree the following name changes (list every name that you are seeking to change):
Present name Proposed name
a. JOHNSON NYON changed to JOHNSON K. NYON
b. aka JOHNSON K. NYON changed to
c. aka KYUN SHOUNG JOHNSON NYON changed to
d. changed to
(J Continued (if you are seeking to change additional names, you must prepare a list and attach it to this petition as
Attachment 2.)
3. Petitioner requests that the court issue an order directing all interested persons to appear or file objections to show cause why
this petition for change of name of the persons identified in item 2 should not be granted.
4. The number of persons under 18 years of age whose names are to be changed is (specify): 0
If this petition requests the change of name of any person or persons under 18 years, this request is being made by
a. (C) two parents.
b. [2] one parent.
c. [} near relative (name and relationship):
d. (C9 guardian (name):
e. [) other (specify):
6. (] This petition seeks to change name of (check one) (_]petitioner [J] (name):
to conform to that person's gender identity.
7. For each person whose name is to be changed, petitioner provides the following information (you must attach a completed copy of
the attachment Name and Information About the Person Whose Name Is to Be Changed (form NC-110) for each person identified in
item 2):
a. The number of attachments included in this petition is (specify number): 1
b-f. (These are the items on the attached page or pages of Form NC-110.)
Page 1 of 1
form Adopted for Mandatory Use PETITION FOR CHANGE OF NAME Code of Civil Procedure, § 1275 et seq,
NEGo Rev September 1.2018) (Change of Name) wnenicours.ca.gor
EB | Essential NYON, JOHNSON
cchcom | 2) Forms"NC-110
PETITION OF (Name of petitioner or petitioners): CASE NUMBER:
JOHNSON NYON
FOR CHANGE OF NAME
NAME AND INFORMATION ABOUT THE PERSON Attachment 1 of 1
WHOSE NAME IS TO BE CHANGED
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. EQ) Self CC) Other
(1) Present name (specify): JOHNSON NYON, aka: JOHNSON K. NYON, KYUN SHOUNG JOHNSON NYON
(2) Proposed name (specify): JOHNSON K. NYON
(3) Born on (date of birth): 12/05/1959
and presently [L} under 18 years of age [XQ over 18 years of age
(4) Born at (place of birth): MYANMAR
(5) Sex (as stated on original birth certificate): CG] Male (J Female
(6) Current residence address (street, city, county, and zip code):
531 NAPLES STREET, SAN FRANCISCO, CA 94112
c. Reason for name change (explain):
TO ADD AN MIDDLE INITIAL TO MY CURRENT NAMES
d. Relationship of the petitioner to the person whose name will be changed:
(1) QY self (4) (Cc) near relative (indicate relationship):
(2) CQ parent (6) CCQ Other (specify):
(3) CQ guardian
e. If the 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):
f.___If the person whose name will be changed is 18 years of age or older, that person must sign the following declaration:
DECLARATION
| declare under penalty of perjury under the laws of the State of California that (check one) [KJ lamnot [J 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) [) lamnot [J lam required to register as a sex offender under Penal Code section 290.
Date: 6/6/2019
JOHNSON NYON > Daman Nyon.
{TYPE OR PRINT NAME OF PERSON WHOSE NAME IS TO BE CHANGED) {SIGNATURE OF PERSON fitiose 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.
DHNS' Yi & i N YOu
NSON NYON > ~) arse :
Date: 6/6/2019
(TYPE OR PRINT NAME) (SIGNATURE OF PETITIONER)
Date:
(TYPE OR PRINT NAME) . (SIGNATURE OF PETITIONER)
Oo ADD ADDITIONAL SIGNATURE LINES FOR ADDITIONAL PETITIONERS oO SIGNATURE OF PETITIONERS FOLLOWS LAST ATTACHMENT Page 1 of 1
farm adopt for Mandan Use CEB | Eazensat ATTACHMENT TO Code of Gi Proce, § 275 sea
NEA10 Rov September, 2019) cebcom | fe]Forms PETITION FOR CHANGE OF NAME wnncous cage"
NYON, JOHNSONCM-010
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, Ste sumber, and address): FOR COURT USE ONLY
| JOHNSON NYON
531 NAPLES STREET Charles Zhang / CVS & Associates
SAN FRANCISCO, CA 94112 Sei eneiBT Waverly Place, 3F Supertor Cour of Calforia
reuernoneno: 415-321-0486 FAX NO: San Francisco, CA 98008 Ounty of San Francisco
ATTORNEY FOR (Name): TN PRO PER SF County “415-788-0203 JUN‘07 2019
SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN FRANCISCO
street appress: 400 MCALLISTER STREET
MAILING ADDRESS:
cryanpzipcooe: SAN FRANCISCO, CA 94102
BRANCH NAME:
CASE NAME: JOHNSON NYON
CIVIL CASE COVER SHEET Complex Case Designation CASE NYMBER, oO
(QQ Unlimited ~() Limited UWt-19-554918
(Amount (Amount (Cc) Counter [2] Joinder NE 5 9
demanded demanded is Filed with first appearance by defendant URGE:
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 contractiwarranty (06) (Cal. Rules of Court, rules 3.400-3.403)
Uninsured motorist (46) Ruie 3.740 collections (09) Antitrust/Trade regulation (03)
Other PY/PDIWD (Personal injury/Property Other collections (09) Construction defect (10)
Damage/Wrongful Death) Tort Insurance coverage (18) Mass tort (40)
‘asbestos (04) Other contract (37) Securities litigation (28)
Produc abity (24) Res! Property Insurance coverage clams ang fom th
Medical malpractice (45) (CQ Eminent domain/inverse above listed rovintonall com on toes e
Other P/PDWD (23) condemnation (14) types (41) p 'y comp!
Wrongful eviction (33)
Non-PUPDIWD (Other) Tort Other real property (28) Enforcement of Judgment
Business tort/unfair business practice (07) Qi Enforcement of judgment (20)
Civil rights (08) Unlawful Detainer
Defamation (13) Commercial (31) Miscellaneous Civil Complaint
Fraud (16) Residential (32) RICO (27)
Intellectual property (19) Drugs (38) . Other complaint (not specified above) (42)
Professional negligence (26) Judicial Review Miscellaneous Civil Petition
Other non-PUPDIWD tort (35) Asset forfeiture (05) Partnership and corporate governance (21)
Employment Petition re: arbitration award (11) Other petition (not specified above) (43)
Wrongful termination (36) Writ of mandate (02) NAME CHANGE
Other employment (15) Other judicial review (39)
2. Thiscase [) is [QQ 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. 4 Large number of witnesses.
b. Extensive motion practice raising difficult or novel —e. Coordination with related actions pending in one or more courts
issues that will be time-consuming to resolve in other counties, states, or countries, or in a federal court
c. [) Substantial amount of documentary evidence Substantial postjudgment judicial supervision
Remedies sought (check all that apply): a. (_} monetary b. nonmonetary; declaratory or injunctive relief c. [C] punitive
Number of causes of action Se
Thiscase (LJis is not a class action suit.
\f there are any known related cases, file and serve a notice of related case. (You may use form CM-015.)
Date: 6/6/2019
JOHNSON NYON > eke Ny ge:
(TYPE OR PRINT NAME) (SIGNATURE OF PARTYOR ATTORNEY FOR PARTY)
NOTICE
e 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.
e File this cover sheet in addition to any cover sheet required by local court rule.
e 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. .
e Unless this is a collections case under rule 3.740 or a complex case, this cover sheet will be used for statistical purposes only.
OAR w
Page 1 of 2
Form Adgpted for Mandatory Use . CIVIL CASE COVER SHEET Cal. Rules of Court, rules 2,30, 3,220, 3.400-3.403, 3.740;
SSSI” CEB | Essential Le LE aL
NYON, JOHNSONCM-010
INSTRUCTIONS ON HOW TO COMPLETE THE COVER SHEET
To Plaintiffs and Others Filing First Papers. If you are filing. first paper (for example, a complaint) in a civil case, you must
complete and file, along with your first paper, the Civil Case Cover Sheet contained on page 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 (9) 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. |n 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
plaintiffs designation, a counter-designation that the case is not complex, or, if the plaintiff has made no designation, a d
the case is complex.
Auto Tort
Auto (22)-Personal Injury/Property
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 PYPD/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
Other PI/PD/WD
Non-Pl/PD/WD (Other) Tort
Business Tort/Unfair Business
Practice (07)
Civil Rights (e.g., discrimination,
false arrest) (not civil
CASE TYPES AND EXAMPLES
Contract
Breach of Contract/Warranty (06)
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
foreclosure)
Unlawful Detainer
Commercial (31)
Residential (32)
Drugs (38) (if the case involves illegal
drugs, check this item; otherwise,
Provisionally Complex Civil Litigation (Cal.
Rules of Court Rules 3.400-3.403)
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
Injunctive Relief Only (non-
harassment)
Mechanics Lien
Other Commercial Complaint
Case (non-tort/non-complex)
Other Civil Complaint
(non-tort/non-complex)
Miscellaneous Civil Petition
Partnership and Corporate
harassment) (08) jz ic iz 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
« i Writ-Mandamus on Limited Court Election Contest
Other Professional Malpractice Case Matter ct -
(not medical or legal) Writ-Other Limited Court Case Betton for Name hangs
Other Non-PUPD/WD Tort (35) Review Petition for Relief from Late
Employment Other Judicial Review (39) ivil Petiti
Wrongful Termination (36) Review of Health Officer Order Other Civil Petition
Other Employment (15) Notice of Appeal-Labor
Commissioner Appeals.
CIVIL CASE COVER SHEET Page 2 0f2
CM-010 (Rev. July 1, 2007] CER Essential
B | spore
nYON, JOHNSON
Preview
NC-100 ATTORNEY OR PARTY WITHOUT ATTORNEY STATE BAR NUMBER: Charles Zhang / CVS & Associates NAME: 157 Waverly Place, 3/F Firmname: JOHNSON NYON San Francisco, cA 94108 street aooress: 531 NAPLES STREET Se coun a reD 0208 F cry: SAN FRANCISCO state: CA zcove: 94112 . tetepHoneno: 415-321-0486 FAX NO. Superlor Court of California unty of San Francisco E-MAIL ADDRESS: ATTORNEY FOR (name IN PRO PER L SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN FRANCISCO JUN 0 7 2019 streeranoress: 400 MCALLISTER STREET CLEB! = THE COURT MAILING ADDRESS: BY crtyanozipcove: SAN FRANCISCO, CA 94102 * Deputy Clerk BRANCH NAME: BOWMAN eRe PETITION OF (name of each petitioner): JOHNSON NYON PETITION FOR CHANGE OF NAME oN 6 = 1 9 = 5 4 9 4 8 Before you complete this petition, you should read the Instructions for Filing a Petition for Change of Name (form NC-100-INFO). 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): JOHNSON NYON resides in this county. 2. Petitioner requests that the court decree the following name changes (list every name that you are seeking to change): Present name Proposed name a. JOHNSON NYON changed to JOHNSON K. NYON b. aka JOHNSON K. NYON changed to c. aka KYUN SHOUNG JOHNSON NYON changed to d. changed to (J Continued (if you are seeking to change additional names, you must prepare a list and attach it to this petition as Attachment 2.) 3. Petitioner requests that the court issue an order directing all interested persons to appear or file objections to show cause why this petition for change of name of the persons identified in item 2 should not be granted. 4. The number of persons under 18 years of age whose names are to be changed is (specify): 0 If this petition requests the change of name of any person or persons under 18 years, this request is being made by a. (C) two parents. b. [2] one parent. c. [} near relative (name and relationship): d. (C9 guardian (name): e. [) other (specify): 6. (] This petition seeks to change name of (check one) (_]petitioner [J] (name): to conform to that person's gender identity. 7. For each person whose name is to be changed, petitioner provides the following information (you must attach a completed copy of the attachment Name and Information About the Person Whose Name Is to Be Changed (form NC-110) for each person identified in item 2): a. The number of attachments included in this petition is (specify number): 1 b-f. (These are the items on the attached page or pages of Form NC-110.) Page 1 of 1 form Adopted for Mandatory Use PETITION FOR CHANGE OF NAME Code of Civil Procedure, § 1275 et seq, NEGo Rev September 1.2018) (Change of Name) wnenicours.ca.gor EB | Essential NYON, JOHNSON cchcom | 2) Forms"NC-110 PETITION OF (Name of petitioner or petitioners): CASE NUMBER: JOHNSON NYON FOR CHANGE OF NAME NAME AND INFORMATION ABOUT THE PERSON Attachment 1 of 1 WHOSE NAME IS TO BE CHANGED 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. EQ) Self CC) Other (1) Present name (specify): JOHNSON NYON, aka: JOHNSON K. NYON, KYUN SHOUNG JOHNSON NYON (2) Proposed name (specify): JOHNSON K. NYON (3) Born on (date of birth): 12/05/1959 and presently [L} under 18 years of age [XQ over 18 years of age (4) Born at (place of birth): MYANMAR (5) Sex (as stated on original birth certificate): CG] Male (J Female (6) Current residence address (street, city, county, and zip code): 531 NAPLES STREET, SAN FRANCISCO, CA 94112 c. Reason for name change (explain): TO ADD AN MIDDLE INITIAL TO MY CURRENT NAMES d. Relationship of the petitioner to the person whose name will be changed: (1) QY self (4) (Cc) near relative (indicate relationship): (2) CQ parent (6) CCQ Other (specify): (3) CQ guardian e. If the 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): f.___If the person whose name will be changed is 18 years of age or older, that person must sign the following declaration: DECLARATION | declare under penalty of perjury under the laws of the State of California that (check one) [KJ lamnot [J 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) [) lamnot [J lam required to register as a sex offender under Penal Code section 290. Date: 6/6/2019 JOHNSON NYON > Daman Nyon. {TYPE OR PRINT NAME OF PERSON WHOSE NAME IS TO BE CHANGED) {SIGNATURE OF PERSON fitiose 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. DHNS' Yi & i N YOu NSON NYON > ~) arse : Date: 6/6/2019 (TYPE OR PRINT NAME) (SIGNATURE OF PETITIONER) Date: (TYPE OR PRINT NAME) . (SIGNATURE OF PETITIONER) Oo ADD ADDITIONAL SIGNATURE LINES FOR ADDITIONAL PETITIONERS oO SIGNATURE OF PETITIONERS FOLLOWS LAST ATTACHMENT Page 1 of 1 farm adopt for Mandan Use CEB | Eazensat ATTACHMENT TO Code of Gi Proce, § 275 sea NEA10 Rov September, 2019) cebcom | fe]Forms PETITION FOR CHANGE OF NAME wnncous cage" NYON, JOHNSONCM-010 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, Ste sumber, and address): FOR COURT USE ONLY | JOHNSON NYON 531 NAPLES STREET Charles Zhang / CVS & Associates SAN FRANCISCO, CA 94112 Sei eneiBT Waverly Place, 3F Supertor Cour of Calforia reuernoneno: 415-321-0486 FAX NO: San Francisco, CA 98008 Ounty of San Francisco ATTORNEY FOR (Name): TN PRO PER SF County “415-788-0203 JUN‘07 2019 SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN FRANCISCO street appress: 400 MCALLISTER STREET MAILING ADDRESS: cryanpzipcooe: SAN FRANCISCO, CA 94102 BRANCH NAME: CASE NAME: JOHNSON NYON CIVIL CASE COVER SHEET Complex Case Designation CASE NYMBER, oO (QQ Unlimited ~() Limited UWt-19-554918 (Amount (Amount (Cc) Counter [2] Joinder NE 5 9 demanded demanded is Filed with first appearance by defendant URGE: 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 contractiwarranty (06) (Cal. Rules of Court, rules 3.400-3.403) Uninsured motorist (46) Ruie 3.740 collections (09) Antitrust/Trade regulation (03) Other PY/PDIWD (Personal injury/Property Other collections (09) Construction defect (10) Damage/Wrongful Death) Tort Insurance coverage (18) Mass tort (40) ‘asbestos (04) Other contract (37) Securities litigation (28) Produc abity (24) Res! Property Insurance coverage clams ang fom th Medical malpractice (45) (CQ Eminent domain/inverse above listed rovintonall com on toes e Other P/PDWD (23) condemnation (14) types (41) p 'y comp! Wrongful eviction (33) Non-PUPDIWD (Other) Tort Other real property (28) Enforcement of Judgment Business tort/unfair business practice (07) Qi Enforcement of judgment (20) Civil rights (08) Unlawful Detainer Defamation (13) Commercial (31) Miscellaneous Civil Complaint Fraud (16) Residential (32) RICO (27) Intellectual property (19) Drugs (38) . Other complaint (not specified above) (42) Professional negligence (26) Judicial Review Miscellaneous Civil Petition Other non-PUPDIWD tort (35) Asset forfeiture (05) Partnership and corporate governance (21) Employment Petition re: arbitration award (11) Other petition (not specified above) (43) Wrongful termination (36) Writ of mandate (02) NAME CHANGE Other employment (15) Other judicial review (39) 2. Thiscase [) is [QQ 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. 4 Large number of witnesses. b. Extensive motion practice raising difficult or novel —e. Coordination with related actions pending in one or more courts issues that will be time-consuming to resolve in other counties, states, or countries, or in a federal court c. [) Substantial amount of documentary evidence Substantial postjudgment judicial supervision Remedies sought (check all that apply): a. (_} monetary b. nonmonetary; declaratory or injunctive relief c. [C] punitive Number of causes of action Se Thiscase (LJis is not a class action suit. \f there are any known related cases, file and serve a notice of related case. (You may use form CM-015.) Date: 6/6/2019 JOHNSON NYON > eke Ny ge: (TYPE OR PRINT NAME) (SIGNATURE OF PARTYOR ATTORNEY FOR PARTY) NOTICE e 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. e File this cover sheet in addition to any cover sheet required by local court rule. e 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. . e Unless this is a collections case under rule 3.740 or a complex case, this cover sheet will be used for statistical purposes only. OAR w Page 1 of 2 Form Adgpted for Mandatory Use . CIVIL CASE COVER SHEET Cal. Rules of Court, rules 2,30, 3,220, 3.400-3.403, 3.740; SSSI” CEB | Essential Le LE aL NYON, JOHNSONCM-010 INSTRUCTIONS ON HOW TO COMPLETE THE COVER SHEET To Plaintiffs and Others Filing First Papers. If you are filing. first paper (for example, a complaint) in a civil case, you must complete and file, along with your first paper, the Civil Case Cover Sheet contained on page 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 (9) 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. |n 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 plaintiffs designation, a counter-designation that the case is not complex, or, if the plaintiff has made no designation, a d the case is complex. Auto Tort Auto (22)-Personal Injury/Property 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 PYPD/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 Other PI/PD/WD Non-Pl/PD/WD (Other) Tort Business Tort/Unfair Business Practice (07) Civil Rights (e.g., discrimination, false arrest) (not civil CASE TYPES AND EXAMPLES Contract Breach of Contract/Warranty (06) 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 foreclosure) Unlawful Detainer Commercial (31) Residential (32) Drugs (38) (if the case involves illegal drugs, check this item; otherwise, Provisionally Complex Civil Litigation (Cal. Rules of Court Rules 3.400-3.403) 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 Injunctive Relief Only (non- harassment) Mechanics Lien Other Commercial Complaint Case (non-tort/non-complex) Other Civil Complaint (non-tort/non-complex) Miscellaneous Civil Petition Partnership and Corporate harassment) (08) jz ic iz 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 « i Writ-Mandamus on Limited Court Election Contest Other Professional Malpractice Case Matter ct - (not medical or legal) Writ-Other Limited Court Case Betton for Name hangs Other Non-PUPD/WD Tort (35) Review Petition for Relief from Late Employment Other Judicial Review (39) ivil Petiti Wrongful Termination (36) Review of Health Officer Order Other Civil Petition Other Employment (15) Notice of Appeal-Labor Commissioner Appeals. CIVIL CASE COVER SHEET Page 2 0f2 CM-010 (Rev. July 1, 2007] CER Essential B | spore nYON, JOHNSON