On March 20, 2019 a
Summons
was filed
involving a dispute between
Perez, Esperanza,
and
Brown, Tawna,
Bruun, Tawna,
Does 1 Through 50,
Kaiser Foundation Health Plan Inc A California Corporation,
Kaiser Foundation Hospitals A California Corporation,
Southern California Permanente Medical Group Inc., A Caifornia Corporation,
for Wrongful Termination Unlimited
in the District Court of San Bernardino County.
Preview
Electronica iy FiLED by Superior Court of California County of Los Angeles on 03 26l201 919 4 M Shgrri R Carter Executive UfFicedCierk of Court by S Boiden Deputy Cierk
ST V 967U
sunn oa
AMENDED U M N FORcoaRrusFaxzr
SOIp A Uso OE cn GORTE
CITACION JUDICIAL
NOtICE TQ DEFENDANT
AVISO AL DEMANDADO
KAlSER OUNDATIC7N HSPITALS a California Corporation
KAXSER OUNbATION HEALTH PLAN SEE ATTACHMENT
YOU ARE BEING SUED BY PLAINTIFF
LO ESTA DEMANDANDO EL DEMANDANTE
ESPERAI ZA PEREZ
NOTICE You have been sued The court may decide against you without your being heard unless yau respond within 30 days Read the information
below
You have 3d CALENDAf2 DAYS after this summons and iegal papets are served on you to file a written response at this court and have a copy
served on the plaintiff A letter or phone call will not protect you Your written response must be in prpper legal form if yau want the court to hear your
case There may be a court form that you can use for your response You can find these court forms and more information at the Caiifornia Courts
Online Se1f Neip Center www courtinfo ca govlsetfhelp your county taw library or fhe courthouse nearest you 1f you cannot pay the fiiing fee ask
the caurt derk for a fee waiver form If you da not file your response on time you may lose the case by defaulk and your wages money and praperty
may be taken without further warning fram the court
There are other Iegal raquiremen s Yau may want to cail an attorney ight away tf you do not know an attamey you may wanf ta call an attorney
referral service If you cannot afford an attorney you may be eligible for free legal services from a nonprofd legal servic s program You can lacate
these nonprofit groups at the California Legal Services Web site www lawhelpcalifornia org the California Caurts Online Self Help Center
wuna courtinfo ca govlselfhetp or by contacttng your ocal court or county bar association NOTE The court has a statutory Iien far waived fees at d
costs on any settiement or arbitration award af 10 OOQ or more in a civil case The caurt s lien must be paid before the court will dismiss the case
AVISO Lo han demandado Si no responde dentro de 30 dias a corte puede decidir en su contra s n escuchar su versiBn Lea a informacion a
cantinuscibn
Tiene 30 D AS DE CALENDARIO despu s de que le entreguen esta citacion ypapeles legales para presentar una respuesfa por escrito en esta
corte y hacer que se entregue una copia al demandante Una carta o una llamada telefbnica na lo protegen Su respuesta por escrito tiene que estar
en formafo legat correcfa si desea que procesen su casa en la corte Es posible qus haya un farmularro qus usted pueda usar para su respues a
Puede encontrar estos formularios de la corte y m s informaci6n en el Centro de Ayuda de las Cortes de Califomia www sucorte ca gov en la
biblioteca de leyes de su condado o en la corte que le quede m s cerca Si no puede pagar la cuota de presentacion pida al secretario de la corte
que le de un formulario de exencidn de pago de cuotas Si no presenta su respuesfa a trempo puede perder e1 caso por incumplimisnta y a corte le
podr quitar su suelda dinero y bienes sin mas advertencia
Hay otros reguisitos legales Es recomendable que flame a un abogado inmediatamente Si no conoce a un abogado puede llamar a un servicio de
rerrtision a abogadas Si nopuede pagar a un abogado es pasibfe que cumpJa con los requisitas para obtener servioias legales grafuitos de un
programa de servicios egales sin fines de iucro Puede encontrar estos grupas sin fines de lucro en ei sitio wab de Califomia Lega Services
www lawhelpcalifornia org en e Centro de Ayuda de las Cortes de Califomia www sucorte ca gov o ponikndose en contacto con la corte a el
cotegio de abogadas Jncetes AViSQ Por ley ta corte fiene derecho a reciamar tas cuotas y tos casfos exentas por irrrponer un gravamen sabre
cualquierrecuperacidn de 1d 00Q d mas de valorrecibida mediante un acuerdo o una concesidn de arbifraje en un caso de derecho civiL Tiene que
pagar el gravamen de la corte antes de que la corte pueda desechar e caso
The name and address of the court is case NurwaeR
Numero del Caso
E nombre y direccidn de la co te es Los A geles
County Supexior Court
11 Nortlz Hill Street Los Angeles CA 90012
lV 1 9 2 0 3
The name address and telephone number of plaintiffs attorney or plaintiff without an attarney is
E nomb e la direccion y el numern de felcfono de abagado del demandante o dei demandante que no fiene abagado es
Twila S White L O of Twila S White 6033 West Century Boulevard Suite 810 Los Angeles CA 90045
DATE Q J Clerk by Deputy
Ut c3 g4 4 8C1
Fecha Sherri R Catter Executive Ufl icer Clerk of Caurt Secrefario Adjunfo
For proof of service of this summons use Proof of Service of Summons form POS 010
Para prueba de entrega de esta citation use el farmula 7o Proaf of Service of Summans POS 010
NC7TiCE TO TNE PERSON SERVED You are served
SEALJ
1 0 as an individual defendant
2 0 as the person sued under the fictitious nams of specify
s
k
c 3 0 on behalf o specify
e
under 0 CCP 416 10 corporation CCP 416 60 minor
O CCP 416 20 defunct corporatian CCP 416 7fl canssrvatee
a CCP 416 40 association or partnership CCP 416 90 authorized persan
e Aw
ather specify
4 py persanal delivery an date Page 1 of t
F Acwat a ror rna aat y u5e AMENDED SllMMONS cflag or crr P ocsa g a 2 zo ass
Judiciai Council of Catitornia www courtinfo ca gav
SUM 100 Rev July 1 2009J
sum aoata
casENUMeeR
SHORT TITLE
Esperanza Perez v Kaiser Foundation Hospztals et al
INSTRUGTIONS FOR USE
This orm rr ay be used as an attachrnent ko any sumr ons i space daes not permit the listing o all parties on fhe summons
If this atfachment is used insert the following statement in the piaintiff ar defendant box on the sumrnons Additional Parties
Attachment form is attached
L1st additianal parties Check nnly one box Use a separate page for each type nf party
Pleintiffi Defendant Cross Complainant Cross Defendant
0
INC a Califo nia Ca poratian ai d SOLJTHERN CALIFORNIA PERMANENTE MEDICAL GR4UP
INC a California Carporation TAWNA BRUiJN an Individual and DOES 1 through 50 Inclusive
Page 2 of 2
Page 1 oE 1
F doPtea ror r na dato y use
Jutlicial Council of California
ADDI710NAL PARTIES ATTACHMENT
SUM 2p0 A Rev January 1 2007 Attachment to Summons
Document Filed Date
March 26, 2019
Case Filing Date
March 20, 2019
Category
Wrongful Termination Unlimited
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Preview
Electronica iy FiLED by Superior Court of California County of Los Angeles on 03 26l201 919 4 M Shgrri R Carter Executive UfFicedCierk of Court by S Boiden Deputy Cierk ST V 967U sunn oa AMENDED U M N FORcoaRrusFaxzr SOIp A Uso OE cn GORTE CITACION JUDICIAL NOtICE TQ DEFENDANT AVISO AL DEMANDADO KAlSER OUNDATIC7N HSPITALS a California Corporation KAXSER OUNbATION HEALTH PLAN SEE ATTACHMENT YOU ARE BEING SUED BY PLAINTIFF LO ESTA DEMANDANDO EL DEMANDANTE ESPERAI ZA PEREZ NOTICE You have been sued The court may decide against you without your being heard unless yau respond within 30 days Read the information below You have 3d CALENDAf2 DAYS after this summons and iegal papets are served on you to file a written response at this court and have a copy served on the plaintiff A letter or phone call will not protect you Your written response must be in prpper legal form if yau want the court to hear your case There may be a court form that you can use for your response You can find these court forms and more information at the Caiifornia Courts Online Se1f Neip Center www courtinfo ca govlsetfhelp your county taw library or fhe courthouse nearest you 1f you cannot pay the fiiing fee ask the caurt derk for a fee waiver form If you da not file your response on time you may lose the case by defaulk and your wages money and praperty may be taken without further warning fram the court There are other Iegal raquiremen s Yau may want to cail an attorney ight away tf you do not know an attamey you may wanf ta call an attorney referral service If you cannot afford an attorney you may be eligible for free legal services from a nonprofd legal servic s program You can lacate these nonprofit groups at the California Legal Services Web site www lawhelpcalifornia org the California Caurts Online Self Help Center wuna courtinfo ca govlselfhetp or by contacttng your ocal court or county bar association NOTE The court has a statutory Iien far waived fees at d costs on any settiement or arbitration award af 10 OOQ or more in a civil case The caurt s lien must be paid before the court will dismiss the case AVISO Lo han demandado Si no responde dentro de 30 dias a corte puede decidir en su contra s n escuchar su versiBn Lea a informacion a cantinuscibn Tiene 30 D AS DE CALENDARIO despu s de que le entreguen esta citacion ypapeles legales para presentar una respuesfa por escrito en esta corte y hacer que se entregue una copia al demandante Una carta o una llamada telefbnica na lo protegen Su respuesta por escrito tiene que estar en formafo legat correcfa si desea que procesen su casa en la corte Es posible qus haya un farmularro qus usted pueda usar para su respues a Puede encontrar estos formularios de la corte y m s informaci6n en el Centro de Ayuda de las Cortes de Califomia www sucorte ca gov en la biblioteca de leyes de su condado o en la corte que le quede m s cerca Si no puede pagar la cuota de presentacion pida al secretario de la corte que le de un formulario de exencidn de pago de cuotas Si no presenta su respuesfa a trempo puede perder e1 caso por incumplimisnta y a corte le podr quitar su suelda dinero y bienes sin mas advertencia Hay otros reguisitos legales Es recomendable que flame a un abogado inmediatamente Si no conoce a un abogado puede llamar a un servicio de rerrtision a abogadas Si nopuede pagar a un abogado es pasibfe que cumpJa con los requisitas para obtener servioias legales grafuitos de un programa de servicios egales sin fines de iucro Puede encontrar estos grupas sin fines de lucro en ei sitio wab de Califomia Lega Services www lawhelpcalifornia org en e Centro de Ayuda de las Cortes de Califomia www sucorte ca gov o ponikndose en contacto con la corte a el cotegio de abogadas Jncetes AViSQ Por ley ta corte fiene derecho a reciamar tas cuotas y tos casfos exentas por irrrponer un gravamen sabre cualquierrecuperacidn de 1d 00Q d mas de valorrecibida mediante un acuerdo o una concesidn de arbifraje en un caso de derecho civiL Tiene que pagar el gravamen de la corte antes de que la corte pueda desechar e caso The name and address of the court is case NurwaeR Numero del Caso E nombre y direccidn de la co te es Los A geles County Supexior Court 11 Nortlz Hill Street Los Angeles CA 90012 lV 1 9 2 0 3 The name address and telephone number of plaintiffs attorney or plaintiff without an attarney is E nomb e la direccion y el numern de felcfono de abagado del demandante o dei demandante que no fiene abagado es Twila S White L O of Twila S White 6033 West Century Boulevard Suite 810 Los Angeles CA 90045 DATE Q J Clerk by Deputy Ut c3 g4 4 8C1 Fecha Sherri R Catter Executive Ufl icer Clerk of Caurt Secrefario Adjunfo For proof of service of this summons use Proof of Service of Summons form POS 010 Para prueba de entrega de esta citation use el farmula 7o Proaf of Service of Summans POS 010 NC7TiCE TO TNE PERSON SERVED You are served SEALJ 1 0 as an individual defendant 2 0 as the person sued under the fictitious nams of specify s k c 3 0 on behalf o specify e under 0 CCP 416 10 corporation CCP 416 60 minor O CCP 416 20 defunct corporatian CCP 416 7fl canssrvatee a CCP 416 40 association or partnership CCP 416 90 authorized persan e Aw ather specify 4 py persanal delivery an date Page 1 of t F Acwat a ror rna aat y u5e AMENDED SllMMONS cflag or crr P ocsa g a 2 zo ass Judiciai Council of Catitornia www courtinfo ca gav SUM 100 Rev July 1 2009J sum aoata casENUMeeR SHORT TITLE Esperanza Perez v Kaiser Foundation Hospztals et al INSTRUGTIONS FOR USE This orm rr ay be used as an attachrnent ko any sumr ons i space daes not permit the listing o all parties on fhe summons If this atfachment is used insert the following statement in the piaintiff ar defendant box on the sumrnons Additional Parties Attachment form is attached L1st additianal parties Check nnly one box Use a separate page for each type nf party Pleintiffi Defendant Cross Complainant Cross Defendant 0 INC a Califo nia Ca poratian ai d SOLJTHERN CALIFORNIA PERMANENTE MEDICAL GR4UP INC a California Carporation TAWNA BRUiJN an Individual and DOES 1 through 50 Inclusive Page 2 of 2 Page 1 oE 1 F doPtea ror r na dato y use Jutlicial Council of California ADDI710NAL PARTIES ATTACHMENT SUM 2p0 A Rev January 1 2007 Attachment to Summons