Request,Application: ISABELLA SAEEDY VS CHILDREN'S HOSPITAL LOS ANGELES

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                                CIV-010
                                               ATTORNEY(Name, State Bar number, and address):                                                          FOR COURT use ONLY

                                                 Daniel M. Modes, Esq., SEN 101773
                                                 MODES MILMAN,LLP
                                                9210 Irvine Center Drive
                                                 Irvine, California 92618
                                                      TELEPHONE NO.: (949)640-8222 FAX NO.(Optional). (949)336-8114
                                               E-MAIL ADDRESS (Optional): dhodes@hodesmilman.eom
                                                  ATTORNEY FOR (Name;. Plaintiff, Isabella Saeedy, a minor
                                               SUPERIOR COURT OF CALIFORNIA, COUNTY OF LoS AngeleS
                                                         STREET ADDRESS;         111 N Hill St.
                                                         MAILING ADDRESS:        1 1 1 N Hill St.
                                                      CITY AND ZIP CODE: Los Angclcs, CA 90012
                                                           BRANCH NAME: Stanley Mosk Courthouse
                                                         PLAINTIFF/PETITIONER; Isabella Saeedy, a minor
                                                DEFENDANT/RESPONDENT: Children's Mospltal Los Angeles
                                                                                                                                           CASE NUMBER:
                                                                       APPLICATION AND ORDER FOR APPOINTMENT
                                                                             OF GUARDIAN AD LITEM—CIVIL                                       19STCV41013
                                                                                         CZ] EXPARTE
                                                 NOTE: This form is for use in civii proceedings in which a party is a minor, an incapacitated person, or a person for
                                                 whom a conservator has been appointed. A party who seeks the appointment of a guardian ad iitem in a famiiy law or
                                                 Juvenile proceeding should use form FL-935. A party who seeks the appointment of a guardian ad iitem in a probate
                                                 proceeding should use form DE-350/GC-100. An individual cannot act as a guardian ad iitem unless he or she is
                                                 represented by an attorney or is an attorney.

                                              1. Applicant(name): Isabella Saeedy                                                   is
                                                 a. □□ the parent of (name):
Electronically Received 11/22/2019 02:02 PM




                                                  b. □□ the guardian of (name):
                                                  c. □□ the conservator of (name):
                                                  d. □ a party to the suit.
                                                  e. I / I the minor to be represented (if the minor is 14 years of age oroider).
                                                  f. I        I another interested person (specify capacity):

                                              2. This application seeks the appointment of the following person as guardian ad Iitem (state name, address, and teiephone number):
                                                  Azadeh Famili, 254 Oakland Road, Glendora, CA 91741, (626) 253-3149.


                                              3. The guardian ad Iitem is to represent the interests of the following person (state name, address, and teiephone number):
                                                  Isabella Saeedy, 254 Oakland Road, Glendora, CA 91741, (626) 253-3149.


                                              4. The person to be represented is:
                                                  a. LjLJ a minor (date of birth): 8/10/2004
                                                  b. n an incompetent person.
                                                  c. n a person for whom a conservator has been appointed.
                                              5. The court should appoint a guardian ad Iitem because:
                                                  a. I / I the person named in item 3 has a cause or causes of action on which suit should be brought (describe):
                                                                 Isabella Saeedy has a Medical Negligence case against Children's Hospital Los Angeles.



                                                 n Continued on Attachment 5a.

                                                                                                                                                                                Pa2e_1_of_2_
                                              Form Adopted for Mandatocy Use                                                                                         Code of Cnril Procedure,
                                                Judictal Council of California
                                                                                                APPLICATION AND ORDER FOR APPOINTMENT                                           § 372 et seq.
                                               CIV-010 (Rev. January 1.2008]                          OF GUARDIAN AD LITEM—CIVIL