Preview
CM-010
[ATTO.AIEY OR PARTY WITHOUT ATTORNEY (Ne ‘Bar number, and addres)
Bryan Clark FOR COURT USE ONLY
P.O. Box 283190
Honolulu, HI 96826
TELEPHONENO:: (310) 571-2320 FAX NO. (Optiona) Span FILED
ATTORNEY FOR (Nome): Plaintiff In Pro Per uperior Court of California
County of Los Angeles
SUPERIOR COURT OF CALIFORNIA, COUNTY OF LOS ANGELES
STREET ADDRESS: 1725 Main Street iOV
wAiuiNe aoREss: Same as above 30 2020
lorry ANO zip coe: Santa Monica 90401 Shprri R. Larter, Exgeptive Otficer/Clerk
& 6
BRANCH NAME: Santa Monica Courthouse West District By;
CASE NAME:
Bryan C. Clark v. Marlene Dennis et al
CIVIL CASE COVER SHEET Complex Case Designation CASE NUMBER:
*_] Unlimited (—) Limitea [-_] Counter Joinder G
(Amount (Amount
demanded demanded is
exceeds $25,000) $25,000)
Items 1-6 below must be completed (see instructions on page 2).
Filed with first appearance by defendant [jupce-
(Cal. Rules of Court, rule 3.402) DEPT:
1. Check one box below for the case type that best describes this case:
Auto Tort Contract Provisionally Complex Civil
Auto (22) Breach of contractwarranty (06) _(Cal. Rules of Court, rules 3.400-3.403)
Uninsured motorist (46) 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 Insurance coverage (18) Mass tort (40)
Asbestos (04) Other contract (37) Securities litigation (28)
Product liability (24) Real Property Environmental/Toxic tort (30)
Medical malpractice (45) Eminent domain/inverse sina lated ene cai a from the
Other P/PD/WD (23) condemnation (14) types (41) Provisionally complex case
Non-PU/PDIWD (Other) Tort [7] Wrongful evietion (33) Enforcement of Judgment
Business tort/unfair business practice (07) [_X_] Other real property (26) Enforcement of judgment (20)
Civil rights (08) Untawfiil Detalner Miscellaneous Civil Complaint
Defamation (13) Commercial (31) RICO (27)
Fraud (16) Residential (32) Other complaint (not specified above) (42)
Intellectual property (18) | Drugs (38) Miscellaneous Civil Petition
Professional negligence (25) — Partnership and corporate governance (21)
Other non-PI/PD/WD tort (35) Asset forfeiture (05) —
Employment Petition re: arbitration award (11) Other petition (not specified above) (43)
Wrongful termination (36) Writ of mandate (02)
‘Other employment (15) Other judicial review (39)
2. This case 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. 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. [_x_] monetary b. [_x_] nonmonetary; declaratory or injunctive relief c. Punitive
4. Number of causes of action (specify): 3
5. This case is [isnot — aclass 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: 11/90/2020
Bryan Clark > C4
_CTYPE OR PRINT NAME) (SIGNAWIRE 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. tore
age 1 of
Form Adopted for Mandatory Use CIVIL CASE COVER SHEET Cal, Rules of Court, rules 2.30, 3.220, 3.400-3.403, 3.740;
Judicial Council of California Cal, Standards of Judicial Administration, std. 3.10
(CM-010 [Rev. July 1, 2007] wwew.courts.ca.govINSTRUCTIONS ON HOW TO COMPLETE THE COVER SHEET CM-010
To Plaintiffs and Others Filing First Papers. If you are filing a 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 (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. Atule 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 Breach of ContractWarranty (06) Rules of Court Rules 3.400-3.403)
Damage/Wrongful Death Breach of Rental/Lease Antitrust/Trade Regulation (03)
Uninsured Motorist (46) (if the Contract (not unlawful delainer Construction Defect (10)
‘case involves an uninsured or wrongful eviction) Claims Involving Mass Tort (40)
motorist claim subject to Contract/Warranty Breach-Seller Securities Litigation (28)
arbitration, check this itern Plaintiff (not fraud or negiigence) Environmental/Toxic Tort (30)
instead of Auto) Negligent Breach of Contract’ Insurance Coverage Claims
Other P/PDAVD (Personal Injury/ Warranty (arising from provisionally complex
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 P/PDWD (23)
Premises Liability (e.g., slip
and fall)
Intentional Bodily Injury/PD/WD-
(eg., assault, vandalism)
Intentional infliction of
Emotional Distress
Negligent Infiiction of
Emotional Distress
Other P/PD/WD.
Non-PH/PDIWD (Other) Tort
Business Tort/Unfair Business
Practice (07)
Civil Rights (e.g., discrimination,
false arrest) (not civil
harassment) (08)
Defamation (e.g., slander, libel)
(13)
Fraud (16)
Intellectual Property (19)
Professional Negligence (25)
Legal Malpractice
Other Professional Malpractice
Other Breach of Contract/Warranty
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, landiord/tenant, or
foreclosure)
Unlawful Detainer
Commercial (31)
Residential (32)
Drugs (38) (if the case involves illegal
drugs, check this item; otherwise,
report as Commercial or Residential)
Judicial Review
Asset Forfeiture (05)
Petition Re: Arbitration Award (11)
Writ of Mandate (02)
Writ-Administrative Mandamus
Writ-Mandamus on Limited Court
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 Retief Only (non-
harassment)
Mechanics Lien
Other Commercial Complaint
Case (non-tortinon-complex)
Other Civil Complaint
(non-tort/non-complex)
Miscellaneous Civil Petition
Partnership and Corporate
Governance (21)
Other Petition (not specified
above) (43)
Civil Harassment
Workplace Violence
Elder/Dependent Adult
‘Abuse
Election Contest
Case Matter i
(not medical or legal) ‘ Petition for Name Change
Other Non-P/PDIWD Tort (35) ee Limked Court Case Petition for Relief From Late
Empk Claim
me rongh Termination (36) Other Judicial Review (39) Other Civil Petition
Review of Health Officer Order
ee eee Notice of Appeal-Labor
Commissioner Appeals.
(CM-010 [Rev. July 1, 2007]
CIVIL CASE COVER SHEET
Page 2 0f2SHORT TITLE: BRYAN C. CLARK V. MARLENE DENNIS ET AL
CIVIL CASE COVER SHEET ADDENDUM AND
STATEMENT OF LOCATION
‘CASE NUMBER
(CERTIFICATE OF GROUNDS FOR ASSIGNMENT TO COURTHOUSE LOCATION)
This form is required pursuant to Local Rule 2.3 in all new civil case filings in the Los Angeles Superior Court. |
Step 1: After completing the Civil Case Cover Sheet (Judicial Council form CM-010), find the exact case type in
Column A that corresponds to the case type indicated in the Civil Case Cover Sheet.
Step 2: in Column B, check the box for the type of action that best describes the nature of the case.
Step 3: in Column C, circle the number which explains the reason for the court filing location you have
chosen.
| Applicable Reasons for Choosing Court Filing Location (Column C)
4. Class actions must be filed in the Stanley Mosk Courthouse, Central District. 7. Location where petitioner resides.
2
3.
4.
8
6.
Permissive filing in central district.
Location where cause of action arose.
Mandatory personal injury fling in North District.
Location where performance required or defendant resides.
8. Location wherein defendant/respondent functi
Location of property or permanently garaged vehicle.
ions wholly.
9, Location where one or more of the parties reside.
10. Location of Labor Commissioner Office.
11. Mandatory filing location (Hub Cases — unlawful detainer, limited
non-collection, limited collection, or personal injury).
A B c
Civil Case Cover Sheet Type of Action Applicable Reasons -
Category No. (Check only one) See Step 3 Above
Auto (22) Motor Vehicle - Personal Injury/Property Damage/Wrongful Death
Zt
ae Uninsured Motorist (46) Personal Injury/Property Damage/Wrongful Death ~ Uninsured Motorist
Asbestos Property Damage
Asbestos (04) :
be Asbestos - Personal Injury/Wrongful Death
=
5
S = Product Liability (24) Product Liability (not asbestos or toxic/environmental)
£8
so Medical Malpractice - Physicians & Surgeons
=e Medical Malpractice (45)
=2 Other Professional Health Care Malpractice
s
2s
S
g = Premises Liability (e.g., slip and fall)
Se hes Property Intentional Bodily Injury/Property Damage/Wrongful Death (e.9.,
ga Damage Wrongful assault, vandalism, etc.)
Death (23)
Intentional Infliction of Emotional Distress
Other Personal Injury/Property Damage/Wrongful Death
LASC CIV 109 Rev. 12/18
For Mandatory Use
CIVIL CASE COVER SHEET ADDENDUM
AND STATEMENT OF LOCATION
Local Rule 2.3
Page 1 of 4‘ ® 6
SHORTTITLE: BRYAN C. CLARK V. MARLENE DENNIS ET AL CARE UME
A B C Applicable
Civil Case Cover Sheet Type of Action Reasons - See Step 3
Category No. (Check only one) Above
Business Tort (07) C1 A6029 Other Commercia/Business Tort (not fraud/breach of contract) 1,2,3
- =
ge Civil Rights (08) 1 A600S Civil Rights/Discrimination 1,2,3
2
$6 Detamation (13) 1 A6010 Defamation (standerfibel) 1,2,3
25
£2 Fraud (16) © A6013 Fraud (no contract) 1,2,3
ge
35 - A6017 Legal Malpractice 1,23
S & | Professional Negligence (25)
. 2 ‘A6050_ Other Professional Malpractice (not medical or legal) 1,2,3
26
Other (35) A6025 Other Non-Personal Injury/Property Damage tort 1,2,3
Le
¢ ‘Wrongful Termination (36) | © 6037 Wrongful Termination 1,2,3
5
E
se © 6024 Other Employment Complaint Case 12,3
a Other Employment (15) .
5 1 A6109 Labor Commissioner Appeals 10
1 A6004 Breach of Rental/Lease Contract (not unlawful detainer or wrongful
eviction) 25
Breach of Contract/ Wé
re 08) farranty | 6) 46008 ContractWarranty Breach -Seller Plaintiff (no fraud/negligence)
(net insurance) 1 A6019 Negligent Breach of Contract/Warranty (no fraud)
(2 A6028 Other Breach of ContractWarranty (not fraud or negligence)
g 1 A002 Collections Case-Seller Plaintiff
= Collections (09)
g A6012 Other Promissory Note/Collections Case
° (1 A6034 Collections Case-Purchased Debt (Charged Off Consumer Debt
Purchased on or after January 1, 2014)
Insurance Coverage (18) | 1 A6015 Insurance Coverage (not complex) 1,2,5,8
1 A6008 Contractual Fraud 1,2,3,5
Other Contract (37) 1 A6031 Tortious Interference 1,2,3,5
1 A6027 Other Contract Dispute(not breach/insurance/fraud/negligence) 1,2,3,8,9
Eminent Domain/inverse ;
‘Condemnation (14) C1 A7300 Eminent Domain/Condemnation Number of parcels, 2.6
=
3 Wrongful Eviction (33) | 2 A6023. Wrongful Eviction Case 2,6
2
a
3 O A6018 Mortgage Foreclosure 2,6
& Other Real Property (26) | A6032 Quiet Title 2.6
A6060 Other Real Property (not eminent domain, landlord/tenant, foreclosure) | 2. 6
. Uniawn a 10 A6021 Unlawful Detainer-Commercial (not drugs or wrongful eviction) 611
=
3 (2 A6020. Unlawful Detainer-Residential (not drugs or wrongful eviction) 611
= 1 A6020F Unlawtul Detainer-Post-Foreclosure 26,11
&
5 A6022 Unlawful Detainer-Drugs 2,6,11
Ase cit ioa eavane CIVIL CASE COVER SHEET ADDENDUM Local Rule 2.3
= AND STATEMENT OF LOCATION Page 2 of 4
For Mandatory UseSHORT TILE: BRYAN C. CLARK V. MARLENE DENNIS ET AL
Enforcement
Miscellaneous
Miscellaneous
Judicial Review
Provisionally Complex Litigation
‘CASE NUMBER:
A
Civil Case Cover Sheet
Category No.
Asset Forfeiture (05)
B
Type of Action
(Check only one)
C A6108 Asset Forfeiture Case
C Applicable
Reasons - See Step 3
Above
|_
Petition re Arbitration (11) A6115 Petition to Compel/Confirm/Vacate Arbitration
0 A6151 Writ- Administrative Mandamus
Writ of Mandate (02) © A612 Writ - Mandamus on Limited Court Case Matter 2
1 A6153 Writ - Other Limited Court Case Review
Other Judicial Review (39)
Antitrust/Trade Regulation (03)
A6150 Other Writ /Judicial Review
© A6003 Antitrust/Trade Regulation
Environmental (30)
Construction Detect (10) | C1 6007 Construction Defect
ene Mass Tort | > Ag006 Claims involving Mass Tort 4,2,8 “|
[ Securities Litigation (28) | C1 AG035 Securities Litigation Case 1.2.8
Toxic Tort
A6036 Toxic Torv/Environmental
| insurance Coverage Claims
from Complex Case (41)
(1 A6014 Insurance Coverage/Subrogation (complex case only)
A6141 Sister State Judgment 2,5,11
¢ (© A6160 Abstract of Judgment 2,6
é Enforcement (0 A6107 Confession of Judgment (non-domestic relations) 2,9
>
3 of Judgment (20) (1 A6140 Administrative Agency Award (not unpaid taxes) 2,8
3
sS CO A6114 Petition/Certificate for Entry of Judgment on Unpaid Tax 28
(2 A6112. Other Enforcement of Judgment Case 2,8,9
RICO (27) 1 A6033. Racketeering (RICO) Case 1,2,8
2
= ox
2 © A6030 Declaratory Relief Only 1,2,8
5 Other Complaints (2 A6040_ injunctive Relief Only (not domestic/harassment) 2,8
= (Not Specified Above) (42) | 6011 Other Commercial Complaint Case (non-torvnon-complex) 1,2,8
6 © A6000 Other Civil Complaint (non-tortinon-complex)
Partnership Corporation i
Seeiunes Gal) ( A6113. Partnership and Corporate Govemance Case 2,8
1 A6121 Civil Harassment With Damages 3,
g (1 A6123 Workplace Harassment With Damages 2,3,9
3 4 de it Case Witl 9
3 Giier Bewione’ el 1 A6124 Elder/Dependent Adult Abuse fh Damages 2.3,
= Specified Above) (43) 1 A6190 Election Contest 2
=
oO A6110 Petition for Change of Name/Change of Gender 27
A6170 Petition for Relief from Late Claim Law 2,38
© A6100 Other Civil Petition 2,9 =
= ———
Ade Giviibd ev HE CIVIL CASE COVER SHEET ADDENDUM Local Rule 2.3
ev. AND STATEMENT OF LOCATION Page 3 of 4
For Mandatory UseStep 4: Statement of Reason and Address: Check the appropriate boxes for the numbers shown under Column C for the
type of action that you have selected. Enter the address which is the basis for the filing location, including zip code.
(No address required for class action cases).
‘ADDRESS.
REASON: 5735 Dawn Creek
Los Angeles, CA 900:
01.82.03.04.06.06.07.08.0 9.010.011, ———_
orry: STATE ZIP CODE:
Los Angeles CA 90094
Step 5: Certification of Assignment: | certify that this case is properly filed in the West District District of
the Superior Court of California, County of Los Angeles [Code Civ. Proc., §392 et seq., and Local Rule 2.3(a)(1)(E)].
Dated: 11/30/2020 b g On
(SIGNATURE OF ATTORNEY/FILING PARTY)
PLEASE HAVE THE FOLLOWING ITEMS COMPLETED AND READY TO BE FILED IN ORDER TO PROPERLY
COMMENCE YOUR NEW COURT CASE:
1. Original Complaint or Petition.
2. If filing a Complaint, a completed Summons form for issuance by the Clerk.
3. Civil Case Cover Sheet, Judicial Council form CM-010.
4
Civil Case Cover Sheet Addendum and Statement of Location form, LACIV 109, LASC Approved 03-04 (Rev.
02/16).
a
Payment in full of the filing fee, unless there is court order for waiver, partial or scheduled payments.
6. Asigned order appointing the Guardian ad Litem, Judicial Council form ClV-010, if the plaintiff or petitioner is a
minor under 18 years of age will be required by Court in order to issue a summons.
7. Additional copies of documents to be conformed by the Clerk. Copies of the cover sheet and this addendum
must be served along with the summons and complaint, or other initiating pleading in the case.
CIVIL CASE COVER SHEET ADDENDUM Local Rule 2.3
AND STATEMENT OF LOCATION Page 4 of 4
LASC CIV 109 Rev. 12/18
For Mandatory Use
Preview
CM-010 [ATTO.AIEY OR PARTY WITHOUT ATTORNEY (Ne ‘Bar number, and addres) Bryan Clark FOR COURT USE ONLY P.O. Box 283190 Honolulu, HI 96826 TELEPHONENO:: (310) 571-2320 FAX NO. (Optiona) Span FILED ATTORNEY FOR (Nome): Plaintiff In Pro Per uperior Court of California County of Los Angeles SUPERIOR COURT OF CALIFORNIA, COUNTY OF LOS ANGELES STREET ADDRESS: 1725 Main Street iOV wAiuiNe aoREss: Same as above 30 2020 lorry ANO zip coe: Santa Monica 90401 Shprri R. Larter, Exgeptive Otficer/Clerk & 6 BRANCH NAME: Santa Monica Courthouse West District By; CASE NAME: Bryan C. Clark v. Marlene Dennis et al CIVIL CASE COVER SHEET Complex Case Designation CASE NUMBER: *_] Unlimited (—) Limitea [-_] Counter Joinder G (Amount (Amount demanded demanded is exceeds $25,000) $25,000) Items 1-6 below must be completed (see instructions on page 2). Filed with first appearance by defendant [jupce- (Cal. Rules of Court, rule 3.402) DEPT: 1. Check one box below for the case type that best describes this case: Auto Tort Contract Provisionally Complex Civil Auto (22) Breach of contractwarranty (06) _(Cal. Rules of Court, rules 3.400-3.403) Uninsured motorist (46) 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 Insurance coverage (18) Mass tort (40) Asbestos (04) Other contract (37) Securities litigation (28) Product liability (24) Real Property Environmental/Toxic tort (30) Medical malpractice (45) Eminent domain/inverse sina lated ene cai a from the Other P/PD/WD (23) condemnation (14) types (41) Provisionally complex case Non-PU/PDIWD (Other) Tort [7] Wrongful evietion (33) Enforcement of Judgment Business tort/unfair business practice (07) [_X_] Other real property (26) Enforcement of judgment (20) Civil rights (08) Untawfiil Detalner Miscellaneous Civil Complaint Defamation (13) Commercial (31) RICO (27) Fraud (16) Residential (32) Other complaint (not specified above) (42) Intellectual property (18) | Drugs (38) Miscellaneous Civil Petition Professional negligence (25) — Partnership and corporate governance (21) Other non-PI/PD/WD tort (35) Asset forfeiture (05) — Employment Petition re: arbitration award (11) Other petition (not specified above) (43) Wrongful termination (36) Writ of mandate (02) ‘Other employment (15) Other judicial review (39) 2. This case 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. 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. [_x_] monetary b. [_x_] nonmonetary; declaratory or injunctive relief c. Punitive 4. Number of causes of action (specify): 3 5. This case is [isnot — aclass 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: 11/90/2020 Bryan Clark > C4 _CTYPE OR PRINT NAME) (SIGNAWIRE 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. tore age 1 of Form Adopted for Mandatory Use CIVIL CASE COVER SHEET Cal, Rules of Court, rules 2.30, 3.220, 3.400-3.403, 3.740; Judicial Council of California Cal, Standards of Judicial Administration, std. 3.10 (CM-010 [Rev. July 1, 2007] wwew.courts.ca.govINSTRUCTIONS ON HOW TO COMPLETE THE COVER SHEET CM-010 To Plaintiffs and Others Filing First Papers. If you are filing a 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 (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. Atule 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 Breach of ContractWarranty (06) Rules of Court Rules 3.400-3.403) Damage/Wrongful Death Breach of Rental/Lease Antitrust/Trade Regulation (03) Uninsured Motorist (46) (if the Contract (not unlawful delainer Construction Defect (10) ‘case involves an uninsured or wrongful eviction) Claims Involving Mass Tort (40) motorist claim subject to Contract/Warranty Breach-Seller Securities Litigation (28) arbitration, check this itern Plaintiff (not fraud or negiigence) Environmental/Toxic Tort (30) instead of Auto) Negligent Breach of Contract’ Insurance Coverage Claims Other P/PDAVD (Personal Injury/ Warranty (arising from provisionally complex 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 P/PDWD (23) Premises Liability (e.g., slip and fall) Intentional Bodily Injury/PD/WD- (eg., assault, vandalism) Intentional infliction of Emotional Distress Negligent Infiiction of Emotional Distress Other P/PD/WD. Non-PH/PDIWD (Other) Tort Business Tort/Unfair Business Practice (07) Civil Rights (e.g., discrimination, false arrest) (not civil harassment) (08) Defamation (e.g., slander, libel) (13) Fraud (16) Intellectual Property (19) Professional Negligence (25) Legal Malpractice Other Professional Malpractice Other Breach of Contract/Warranty 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, landiord/tenant, or foreclosure) Unlawful Detainer Commercial (31) Residential (32) Drugs (38) (if the case involves illegal drugs, check this item; otherwise, report as Commercial or Residential) Judicial Review Asset Forfeiture (05) Petition Re: Arbitration Award (11) Writ of Mandate (02) Writ-Administrative Mandamus Writ-Mandamus on Limited Court 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 Retief Only (non- harassment) Mechanics Lien Other Commercial Complaint Case (non-tortinon-complex) Other Civil Complaint (non-tort/non-complex) Miscellaneous Civil Petition Partnership and Corporate Governance (21) Other Petition (not specified above) (43) Civil Harassment Workplace Violence Elder/Dependent Adult ‘Abuse Election Contest Case Matter i (not medical or legal) ‘ Petition for Name Change Other Non-P/PDIWD Tort (35) ee Limked Court Case Petition for Relief From Late Empk Claim me rongh Termination (36) Other Judicial Review (39) Other Civil Petition Review of Health Officer Order ee eee Notice of Appeal-Labor Commissioner Appeals. (CM-010 [Rev. July 1, 2007] CIVIL CASE COVER SHEET Page 2 0f2SHORT TITLE: BRYAN C. CLARK V. MARLENE DENNIS ET AL CIVIL CASE COVER SHEET ADDENDUM AND STATEMENT OF LOCATION ‘CASE NUMBER (CERTIFICATE OF GROUNDS FOR ASSIGNMENT TO COURTHOUSE LOCATION) This form is required pursuant to Local Rule 2.3 in all new civil case filings in the Los Angeles Superior Court. | Step 1: After completing the Civil Case Cover Sheet (Judicial Council form CM-010), find the exact case type in Column A that corresponds to the case type indicated in the Civil Case Cover Sheet. Step 2: in Column B, check the box for the type of action that best describes the nature of the case. Step 3: in Column C, circle the number which explains the reason for the court filing location you have chosen. | Applicable Reasons for Choosing Court Filing Location (Column C) 4. Class actions must be filed in the Stanley Mosk Courthouse, Central District. 7. Location where petitioner resides. 2 3. 4. 8 6. Permissive filing in central district. Location where cause of action arose. Mandatory personal injury fling in North District. Location where performance required or defendant resides. 8. Location wherein defendant/respondent functi Location of property or permanently garaged vehicle. ions wholly. 9, Location where one or more of the parties reside. 10. Location of Labor Commissioner Office. 11. Mandatory filing location (Hub Cases — unlawful detainer, limited non-collection, limited collection, or personal injury). A B c Civil Case Cover Sheet Type of Action Applicable Reasons - Category No. (Check only one) See Step 3 Above Auto (22) Motor Vehicle - Personal Injury/Property Damage/Wrongful Death Zt ae Uninsured Motorist (46) Personal Injury/Property Damage/Wrongful Death ~ Uninsured Motorist Asbestos Property Damage Asbestos (04) : be Asbestos - Personal Injury/Wrongful Death = 5 S = Product Liability (24) Product Liability (not asbestos or toxic/environmental) £8 so Medical Malpractice - Physicians & Surgeons =e Medical Malpractice (45) =2 Other Professional Health Care Malpractice s 2s S g = Premises Liability (e.g., slip and fall) Se hes Property Intentional Bodily Injury/Property Damage/Wrongful Death (e.9., ga Damage Wrongful assault, vandalism, etc.) Death (23) Intentional Infliction of Emotional Distress Other Personal Injury/Property Damage/Wrongful Death LASC CIV 109 Rev. 12/18 For Mandatory Use CIVIL CASE COVER SHEET ADDENDUM AND STATEMENT OF LOCATION Local Rule 2.3 Page 1 of 4‘ ® 6 SHORTTITLE: BRYAN C. CLARK V. MARLENE DENNIS ET AL CARE UME A B C Applicable Civil Case Cover Sheet Type of Action Reasons - See Step 3 Category No. (Check only one) Above Business Tort (07) C1 A6029 Other Commercia/Business Tort (not fraud/breach of contract) 1,2,3 - = ge Civil Rights (08) 1 A600S Civil Rights/Discrimination 1,2,3 2 $6 Detamation (13) 1 A6010 Defamation (standerfibel) 1,2,3 25 £2 Fraud (16) © A6013 Fraud (no contract) 1,2,3 ge 35 - A6017 Legal Malpractice 1,23 S & | Professional Negligence (25) . 2 ‘A6050_ Other Professional Malpractice (not medical or legal) 1,2,3 26 Other (35) A6025 Other Non-Personal Injury/Property Damage tort 1,2,3 Le ¢ ‘Wrongful Termination (36) | © 6037 Wrongful Termination 1,2,3 5 E se © 6024 Other Employment Complaint Case 12,3 a Other Employment (15) . 5 1 A6109 Labor Commissioner Appeals 10 1 A6004 Breach of Rental/Lease Contract (not unlawful detainer or wrongful eviction) 25 Breach of Contract/ Wé re 08) farranty | 6) 46008 ContractWarranty Breach -Seller Plaintiff (no fraud/negligence) (net insurance) 1 A6019 Negligent Breach of Contract/Warranty (no fraud) (2 A6028 Other Breach of ContractWarranty (not fraud or negligence) g 1 A002 Collections Case-Seller Plaintiff = Collections (09) g A6012 Other Promissory Note/Collections Case ° (1 A6034 Collections Case-Purchased Debt (Charged Off Consumer Debt Purchased on or after January 1, 2014) Insurance Coverage (18) | 1 A6015 Insurance Coverage (not complex) 1,2,5,8 1 A6008 Contractual Fraud 1,2,3,5 Other Contract (37) 1 A6031 Tortious Interference 1,2,3,5 1 A6027 Other Contract Dispute(not breach/insurance/fraud/negligence) 1,2,3,8,9 Eminent Domain/inverse ; ‘Condemnation (14) C1 A7300 Eminent Domain/Condemnation Number of parcels, 2.6 = 3 Wrongful Eviction (33) | 2 A6023. Wrongful Eviction Case 2,6 2 a 3 O A6018 Mortgage Foreclosure 2,6 & Other Real Property (26) | A6032 Quiet Title 2.6 A6060 Other Real Property (not eminent domain, landlord/tenant, foreclosure) | 2. 6 . Uniawn a 10 A6021 Unlawful Detainer-Commercial (not drugs or wrongful eviction) 611 = 3 (2 A6020. Unlawful Detainer-Residential (not drugs or wrongful eviction) 611 = 1 A6020F Unlawtul Detainer-Post-Foreclosure 26,11 & 5 A6022 Unlawful Detainer-Drugs 2,6,11 Ase cit ioa eavane CIVIL CASE COVER SHEET ADDENDUM Local Rule 2.3 = AND STATEMENT OF LOCATION Page 2 of 4 For Mandatory UseSHORT TILE: BRYAN C. CLARK V. MARLENE DENNIS ET AL Enforcement Miscellaneous Miscellaneous Judicial Review Provisionally Complex Litigation ‘CASE NUMBER: A Civil Case Cover Sheet Category No. Asset Forfeiture (05) B Type of Action (Check only one) C A6108 Asset Forfeiture Case C Applicable Reasons - See Step 3 Above |_ Petition re Arbitration (11) A6115 Petition to Compel/Confirm/Vacate Arbitration 0 A6151 Writ- Administrative Mandamus Writ of Mandate (02) © A612 Writ - Mandamus on Limited Court Case Matter 2 1 A6153 Writ - Other Limited Court Case Review Other Judicial Review (39) Antitrust/Trade Regulation (03) A6150 Other Writ /Judicial Review © A6003 Antitrust/Trade Regulation Environmental (30) Construction Detect (10) | C1 6007 Construction Defect ene Mass Tort | > Ag006 Claims involving Mass Tort 4,2,8 “| [ Securities Litigation (28) | C1 AG035 Securities Litigation Case 1.2.8 Toxic Tort A6036 Toxic Torv/Environmental | insurance Coverage Claims from Complex Case (41) (1 A6014 Insurance Coverage/Subrogation (complex case only) A6141 Sister State Judgment 2,5,11 ¢ (© A6160 Abstract of Judgment 2,6 é Enforcement (0 A6107 Confession of Judgment (non-domestic relations) 2,9 > 3 of Judgment (20) (1 A6140 Administrative Agency Award (not unpaid taxes) 2,8 3 sS CO A6114 Petition/Certificate for Entry of Judgment on Unpaid Tax 28 (2 A6112. Other Enforcement of Judgment Case 2,8,9 RICO (27) 1 A6033. Racketeering (RICO) Case 1,2,8 2 = ox 2 © A6030 Declaratory Relief Only 1,2,8 5 Other Complaints (2 A6040_ injunctive Relief Only (not domestic/harassment) 2,8 = (Not Specified Above) (42) | 6011 Other Commercial Complaint Case (non-torvnon-complex) 1,2,8 6 © A6000 Other Civil Complaint (non-tortinon-complex) Partnership Corporation i Seeiunes Gal) ( A6113. Partnership and Corporate Govemance Case 2,8 1 A6121 Civil Harassment With Damages 3, g (1 A6123 Workplace Harassment With Damages 2,3,9 3 4 de it Case Witl 9 3 Giier Bewione’ el 1 A6124 Elder/Dependent Adult Abuse fh Damages 2.3, = Specified Above) (43) 1 A6190 Election Contest 2 = oO A6110 Petition for Change of Name/Change of Gender 27 A6170 Petition for Relief from Late Claim Law 2,38 © A6100 Other Civil Petition 2,9 = = ——— Ade Giviibd ev HE CIVIL CASE COVER SHEET ADDENDUM Local Rule 2.3 ev. AND STATEMENT OF LOCATION Page 3 of 4 For Mandatory UseStep 4: Statement of Reason and Address: Check the appropriate boxes for the numbers shown under Column C for the type of action that you have selected. Enter the address which is the basis for the filing location, including zip code. (No address required for class action cases). ‘ADDRESS. REASON: 5735 Dawn Creek Los Angeles, CA 900: 01.82.03.04.06.06.07.08.0 9.010.011, ———_ orry: STATE ZIP CODE: Los Angeles CA 90094 Step 5: Certification of Assignment: | certify that this case is properly filed in the West District District of the Superior Court of California, County of Los Angeles [Code Civ. Proc., §392 et seq., and Local Rule 2.3(a)(1)(E)]. Dated: 11/30/2020 b g On (SIGNATURE OF ATTORNEY/FILING PARTY) PLEASE HAVE THE FOLLOWING ITEMS COMPLETED AND READY TO BE FILED IN ORDER TO PROPERLY COMMENCE YOUR NEW COURT CASE: 1. Original Complaint or Petition. 2. If filing a Complaint, a completed Summons form for issuance by the Clerk. 3. Civil Case Cover Sheet, Judicial Council form CM-010. 4 Civil Case Cover Sheet Addendum and Statement of Location form, LACIV 109, LASC Approved 03-04 (Rev. 02/16). a Payment in full of the filing fee, unless there is court order for waiver, partial or scheduled payments. 6. Asigned order appointing the Guardian ad Litem, Judicial Council form ClV-010, if the plaintiff or petitioner is a minor under 18 years of age will be required by Court in order to issue a summons. 7. Additional copies of documents to be conformed by the Clerk. Copies of the cover sheet and this addendum must be served along with the summons and complaint, or other initiating pleading in the case. CIVIL CASE COVER SHEET ADDENDUM Local Rule 2.3 AND STATEMENT OF LOCATION Page 4 of 4 LASC CIV 109 Rev. 12/18 For Mandatory Use