On March 13, 2024 a
Miscellaneous
was filed
involving a dispute between
Port Charlotte Hma Llc Dba Shorepoint Health Port Charlotte,
and
Hines, Cassidy,
for Matters Involving Claims 501 - 2500
in the District Court of Charlotte County.
Preview
Filing # 193973163 E-Filed 03/13/2024 05:52:01 PM
FORM 1.997. CIVIL COVER SHEET
The civil cover sheet and the information contained in it neither replace nor supplement the filing
and service of pleadings or other documents as required by law. This form must be filed by the
plaintiff or petitioner with the Clerk of Court for the purpose of reporting uniform data pursuant
to section 25.075, Florida Statutes. (See instructions for completion.)
I CASE STYLE
IN THE CIRCUIT/COUNTY COURT OF THE TWENTIETH JUDICIAL CIRCUIT,
IN AND FOR CHARLOTTE COUNTY, FLORIDA
Port Charlotte Hma LLC Dba Shorepoint Health Port Charlotte
Plaintiff Case # _24000449SP
Judge
VS.
Cassidy Hine:
Defendant
Il. AMOUNT OF CLAIM
Please indicate the estimated amount of the claim, rounded to the nearest dollar. The estimated amount of
the claim is requested for data collection and clerical processing purposes only. The amount of the claim
shall not be used for any other purpose.
$8,000 or less
C1 $8,001 - $30,000
CF $30,001- $50,000
0 $50,001- $75,000
OD $75,001 - $100,000
O over $100,000.00
Til. TYPE OF CASE (If the case fits more than one type of case, select the most
definitive category.) If the most descriptive label is a subcategory (is indented under a broader
category), place an x on both the main category and subcategory lines.
-1-
CIRCUIT CIVIL
O Condominium
CO Contracts and indebtedness
CO Eminent domain
O Auto negligence
O Negligence—other
CO Business governance
O Business torts
O Environmental/Toxic tort
O Third party indemnification
CO Construction defect
C Mass tort
O Negligent security
O Nursing home negligence
O Premises liability—commercial
O Premises liability—residential
O Products liability
OC Real Property/Mortgage foreclosure
O Commercial foreclosure
OC Homestead residential foreclosure
OC Non-homestead residential foreclosure
O Other real property actions
UProfessional malpractice
O Malpractice—business
0 Malpractice—medical
0 Malpractice—other professional
O Other
O Antitrust/Trade regulation
CO Business transactions
0 Constitutional challenge—statute or ordinance
O Constitutional challenge—proposed amendment
O Corporate trusts
0 Discrimination—employment or other
C Insurance claims
C Intellectual property
C Libel/Slander
O Shareholder derivative action
0 Securities litigation
O Trade secrets
O Trust litigation
COUNTY CIVIL
Small Claims up to $8,000
O Civil
O Real property/Mortgage foreclosure
-2-
O Replevins
O Evictions
O Residential Evictions
O Non-residential Evictions
O Other civil (non-monetary)
COMPLEX BUSINESS COURT
This action is appropriate for assignment to Complex Business Court as delineated and mandated by the
Administrative Order. Yes L) No
Iv. REMEDIES SOUGHT (check all that apply):
Monetary;
O Nonmonetary declaratory or injunctive relief;
O Punitive
Vv. NUMBER OF CAUSES OF ACTION: [ ]
(Specify)
i1
VI IS THIS CASE A CLASS ACTION LAWSUIT?
0 yes
& no
VI. HAS NOTICE OF ANY KNOWN RELATED CASE BEEN FILED?
& no
O yes If “yes,” list all related cases by name, case number, and court.
Vil. IS JURY TRIAL DEMANDED IN COMPLAINT?
O yes
& no
IX. DOES THIS CASE INVOLVE ALLEGATIONS OF SEXUAL ABUSE?
O yes
& no
I CERTIFY that the information I have provided in this cover sheet is accurate to the best of
my knowledge and belief, and that I have read and will comply with the requirements of
Florida Rule of Judicial Administration 2.425.
Signature: s/ Troy R. Lotan Fla. Bar# 163015
Attorney or party (Bar # if attorney)
Troy R. Lotane 03/13/2024
(type or print name) Date
-3-
Document Filed Date
March 13, 2024
Case Filing Date
March 13, 2024
Category
Matters Involving Claims 501 - 2500
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