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Electronically FILED by Superior Court of California, County of Los Angeles on 02/20/2020 10:35 AM Sherri R. Carter, Executive Officer/Clerk of Court, by N. Alvarez,Deputy Clerk
20STCV07221
CM- I
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Ber number, end
address),'ruce
Fagel, State Ba.r No. 103674
G.
FDR cotrR7 USE oNLY
Law Offices of Bruce G. Fagel and Associates
100 North Crescent Drive, Suite 360
Beverly Hills, Californ,ia 90210
TELEPHONENOu (310) 281-8700 FAxNO.; (310) 281-5656
T DRNEYFCR Name.'lainti f f s STACXE JACOBSEN
sUPERIQR coURT oF CALIFQRNIA, coUNTY QF LOS ANGELES
sTREETADDREss'1 1 1 North Hill Street
MAIUNGADoREss. Los Angeles, Cali f ornia 90012
CITY AND ZIP CODE:
BRANOH NAME,'tanle Ivjosk Courthouse
CASE NAMEI S TAC I E JACOBS EN V KH 1 EM P V NGUYEN r M D
e't al ~
~X
CIVIL CASE COVER SHEET
Unlimited
(Amount
demanded
~ Limited
(Amount
demanded is
Counter
NUMBER,'UDGE,'EPT.'tems ~
Complex Case Designation
Joinder
Flied with first appearance by defendant
CASE
exceeds 25 000 25 000 or less (Cal, Rules of Court, rule 3 402)
1-6 below must be corn leted see instructions on age 2,
1, Check one box below for the case type that best describes this case;
~
Auto Tort
~ Auto (22)
Contract
~
~
Breach of contract/warranty (06)
Provisionally Complex Civil Litigation
~
(Cal. Rules of Court, rules 3.400-3A03)
~
Uninsured motorist (46) Rule 3,740 collections (09) Antitrust/Trade regulation (03) '
Other Pl/PD/WD (Personal Injury/Property
Damage/Wrongful Death) Tort
~ ~
~
Other collections (09)
Insurance coverage (18) ~
M
Construction defect (10)
Mass tort (40)
E3
Asbestos (04)
Product liability (24)
Other contract (37)
Real Property
M
~
~
Securities litigation (28)
Environmental/Toxic tort (30)
~~X Medical malpractice (46)
Other Pl/PD/WD (23)
M
Eminent domain/Inverse
condemnation (14)
Insurance coverage claims arising from the
above listed provisionally complex case
~
Non-Pl/PD/WD (Other) Tort
~ Business tort/unfair business practice (07)
Wrongful eviction (33)
M
Other real property (26)
types (41)
Enforcement OF Judgment
~
~
Civil rights (08)
Defamation (13) ~
Unlawful Detainer
~
Commercial (31)
C3 Enforcement of Judgment (20)
~
Miscellaneous Civil Complaint
~
~
Fraud (16)
Intellectual property (19) ~
Residential (32)
Drugs (38) M
RICO (27)
Other complalltt (not specified above) (42)
~ Professional negligence (26)
Other non-Pl/PD/WD tort (36) ~
Judicial Review
~
Asset forfeiture (06) ~
Miscellaneous Civil Petition
~ Partnership and corporate governance (21)
~
Employment
~ Wrongful termination (36) ~
~
Petition re: arbitration award (11)
Writ of mandate (02)
Other petition (not specified above) (43)
2. This ~
case
Other employment (16)
is
Other Judicial review (39)
~X is not complex under rule 3,400 ofthe California Rules ofCourt. Ifthe case is complex, mark the
a.
b.
~
factors requiring exceptional judicial management:
~ Large number of separately represented parties d,
Extensive motion practice raising difficult or novel e,
~
Large number of witnesses"!~r:;s
M
Coordination with related actions pending in one or more courts
c, ~ Issues that will be time-consuming to resolve
Substantial amount of documentary evidence
3, Remedies sought (cl)eck all that apply): a, ~X monetary b,
f.
~~
in other counties, states, or countries, or in a federal court
Substantial post/udgment Judicial supervision
nonmonetary; declaratory or injunctive relief c, punitive ~
4, Number of causes of action (specify); 1
5, This case Is M MX is not a class action suit,
6, If there are any known related cases, file and serve a notice of related case. ay use fo CM-0
Date: February 19, 2020
Bruce G. Fa el State Bar No. 1036 4
(TYPE OR PRINT NAME) (SIGNATURE F 0 OR FOR PARTY)
NOTICE
a 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.
a 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.
~ 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 1 of 2
Form Adopted for Mandatory Use
Judloial Counoll ot california CIVIL CASE COVER SHEET I',etryaj cal, Rules of Court, rules 2,30,3.220, 3,400-3,403, 3,740I
CM-010 [Rey, July 1, 2007] SOjutana. Cal, Standards of Judloial Administration, sld, 3,10
Q+ Plus