Party Notice: San Jose Sharks LLC, et al. v. Factory Mutual Insurance Company, et al.

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                                MC-040
    ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, Stato Bar number, and address):                                                      FOR COURT USE ONLY
     James Dal Bon           157942
     Law Offices of James Dal Bon
     1999 South Bascom Ave #748
     Campbell, CA 95008
               TELEPHONE NO.          (650) 630-2447                       FAX NO. (Optional):
    E-MAIL ADDRESS (Optiona): jbd@wagedefenders.net
       ATTORNEY FOR (Namo) Plantiff
    SUPERIOR COURT OF CALIFORNIA, COUNTY OF                        Santa Clara County
             ‘STREET ADDRESS:         191 North Ist Street
             MAILING ADDRESS:         191 North Ist Street
            CITY AND ZIP CODE:        San Jose,CA 95112
                 [BRANCH NAME:        Civil
                                                                                                                    CASE NUMBER:
           PLAINTIFF/PETITIONER:              Darrell Volentine                                                                         19CV356625
DEFENDANT/RESPONDENT:                         369 Nutritution, LLC et al                                            JUDICIAL OFFICER:

                                                                                                                    DEPT.
                                    NOTICE OF CHANGE OF ADDRESS OR OTHER
                                               CONTACT INFORMATION
1     Please take notice that, as of (date):
      [1         the following self-represented party or
                 the attorney for:
                                    plaintiff (name): Darrell Volentine
                                    defendant (name):
                                    petitioner (name):
                                 respondent (name):
                 e CI            other (describe):

       has changed his or her address for service of notices and documents or other contact information in the above-captioned
       action.
      (}         Alist of additional parties represented is provided in Attachment 1.
      The new address or other contact information for (name):
       is as follows:
      a      Street: 1999 South Bascom Ave 748
      b.     City: Campbell
      ©.     Mailing address (if different from above):

             State and zip code:

             Telephone number:

      f.     Fax number (if available):
      g.     E-mail address (if available):
       All notices and documents regarding the action should be sent to the above address.
      Date: 03/3/22

      James Dal Bon
                                       (TYPE OR PRINT NAME)                                      ae      (SIGNAT}       ‘OF PARTY OR ATTORNEY)               Page 1 of 2
Form Approved for Optional Use                                NOTICE OF CHANGE1                   RFORBATION
                                                                                                 OF  AD!                OTHER Cal Rules of Court, ules  2.200 and 8816
  “Judicial Council of California                                                                                                                  wwnw courts.ca.gov
(MC-040 (Rev. January 1, 2013]                                         CONTAGT                   INFO!
MC-040
        PLAINTIFF/PETITIONER: Darrell Volentine                                                       CASE NUMBER’
                                                                                                                         19CV356625
    DEFENDANT/RESPONDENT: 369 Nutritution, LLC et al

                                                   PROOF OF SERVICE BY FIRST-CLASS MAIL
                                 NOTICE OF CHANGE            OF ADDRESS OR OTHER CONTACT INFORMATION

(NOTE: This page may be used for proof of service by first-class mail of the Notice of Change of Address or Other Contact
Information. Please use a different proof of service, such as Proof of Service—Civil (form POS-040), if you serve this notice
by a method other than first class-mail, such as by fax or electronic service. You cannot serve the Notice of Change of
Address or Other Contact Information if you are a party in the action. The person who served the notice must complete this
proof of service.)

1      At the time of service, | was at least 18 years old and not a party to this action.
2      | am a resident ofor employed in the county where the mailing took place. My residence or business address is (specify):

       | served a copy of the Notice of Change of Address or Other Contact Information by enclosing it in a sealed envelope addressed
       to the persons at the addresses listed in item 5 and (check one).
       a. [__] deposited the sealed envelope with the United States Postal Service with postage fully prepaid.
       b.            placed the sealed envelope for collection and for mailing, following our ordinary business practices. | am readily
                    familiar with this business's practice for collecting and processing correspondence for mailing. On the same day
                    correspondence is placed for collection and mailing, it is deposited in the ordinary course of business with the
                    United States Postal Service in a sealed envelope with postage fully prepaid.

       The Notice of Change of Address or Other Contact Information was placed in the mail:
       a    on (date): 3/3/22
       b.   at (city and state): Campbell, CA

       The envelope was addressed and mailed as follows:

       a.   Name of person served:                                      c.   Name of person served:
            Stephen Arthur Horner
            Street address: 575 Anton Blvd, Ste 750                          Street address:
            City: Costa Mesa                                                 City:
            State and zip code: CA 92626-7671                                State and zip code:


            Name of person served:                                           Name of person served:


            Street address:                                                  Street address:
            City:                                                            City:
            State and zip code:                                              State and zip code:


[__] Names and addresses of additional persons served are attached. (You may use form POS-030(P).)
| declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
                                                                                      A
Date: 3/3/22                                                                                                         \

Feruz Ahmed                                                                                                  wie

                                                                                     UO
                         (TYPE OR PRINT NAME OF DECLARANT)                                         —          DECLARANT)


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'MC-040 [Rev. January 1, 2013}                         NOTICE OF CHANGE OF ADDRESS
                                                                                                                                          Page 2 0f2
                                                      OR OTHER CONTACT INFORMATION