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POS-040
street agoress: 1255 Treat Blvd., Suite 600
ey: Walnut Creek
TELEPHONENO: 925.932.2468
EmaLaopress: jmann@littler.com
Brookdale Senior Living Communities, Inc,, and Emeritus
ATTORNEY FOR (name): Corporation
state CA 2p cone:94597
FAxNO.: 925.407.2812
ATTORNEY OR PARTY WITHOUT ATTCRNEY: STATE BAR NO: 253440, ‘ ror cout eBom
awe Jeffrey J. Mann * 2018 0) TOCk roy
rratawse, Littler Mendelson, P.C. EC 4 py | ;
moe
‘SUPERIOR COURT OF CALIFORNIA, COUNTY OF San Joaquin
streeT appress: 222 E. Weber Ave,, Room 303
MAILING ADDRESS:
CITY AND 21 cope: Stockton, CA 95202
BRANCH NAME:
CASE NUMBER:
Plaintiff/Petitioner: Mishelle Neverson
STK-CV-UOE-2017-43568
JUDICIAL OFFICER:
Defendant/Respondent: Brookdale Senior Living Communities, Inc., et al.
. PROOF OF SERVICE—CIVIL
Check method of service (only one):
(1 _sByPersonal Service By Mail
o By Fax
By Overnight Delivery
(By Messenger Service
Carter Holly
DEPARTMENT:
41
Do not use this form to show service of a summons and complaint or for electronic service.
See USE OF THIS FORM on page 3.
1. At the time of service | was over 18 years of age and nota party to this action.
2. My residence or business address is:
1255 Treat Blvd., Suite 600, Walnut Creek, CA 94597
3.0
4, On (date); December 4; 2018
Case Management Statement
l-served the following documents (specify):
The fax number from which | served the documents is (complete if service was by fax):
(The documents are listed in the Attachment to Proof of Service—Civil (Documents Served) (form POS-040(D)).
5. | served the documents on the person or persons below, as follows:
a. Name of person served: Jennifer R. Bagosy; Suzy E. Lee
6X
Business or residential address where person was served:
(Complete if service was by personal service, mail, overnight delivery, or messenger service.)
Capstone Law APC, 1875 Century Park East, Suite 1000, Los Angeles, GA 90067
c. (1 (Complete if service was by fax.)
Fax number where person was served:
(1 The names, addresses, and other applicable information about persons served is on the-Attachment to Proof of Service—
Civil (Persons Served) (form POS-040(P)).
6. The documents were served by the following means (specify):
ay By personal service. | personally delivered the documents lo thé persons at the addresses listed in item 5. (1) Fora
party represented by an attorney, delivery was made (a) to the attorney personally; or (b) by leaving the documents al the
attorney's office, in an envelope or package clearly labeled to identify the attomey being served, with a receptionist or an
individual in charge of the office; or (c) if there was no person in the office with whom the notice or papers could be left, by
leaving them in 2 conspicuous place in the office between the hours of nine in the moming and five in the evening. (2) For
a party, delivery was made to the party or by leaving the documents at the party's residence with some person not
younger than 18 years of age between the hours of elght in the morning and six in the evening.
Page $ of 3
PROOF OF SERVICE—CIVIL
(Proof of Service)
Foam Approved fer Optional Use
Judicial Council of Caltornia
POS-040 Rev, February 4, 2017)
Gode of Givi Procedure, 6§ 1031, 1013, 10132,
2015.5; Cal, Rules of Cour, rule 2.306
vnnncourts.ca.goy
Americar LegalNer, Ine.
www FormWorkFloy.com
BY FAXPOS-040
CASE NAME: CASE NUMBER:
Neverson v. Brookdale Senior Living Communities, Inc., et al. STK-CV-UOE-2017-4356
6. b. EX By United States mail. | enclosed the documents ina sealed envelope or package addressed to the persons at the
addresses in item 5 and (specify one):
(1) deposited the sealed envelope with the United States Postal Service, with the postage fully prepaid.
(2) &] placed the envelope for collection and 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 that 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.
lam a resident or employed in the county where the mailing occurred. The envelope or package was placed in the mail at
(city and state): Walnut Creek, CA
. O By overnight delivery. | enclosed the documents in an envelope or package provided by an overnight delivery carrier
and addressed to the persons at the addresses in item 5. | placed the envelope or package for collection and overnight
delivery at an office or a regularly utilized drop box of the overnight delivery carrier.
a. (] By messenger service. | served the documents by placing them in an envelope or package addressed to the persons at
the addresses listed in item 5 and providing them to a professional messenger service for service. (A declaration by the
messenger must accompany this Proof of Service or be contained in the Declaration of Messenger below.)
e. C1 By fax transmission. Based on an agreement of the parties to accept service by fax transmission, | faxed the documents
to the persons at the fax numbers listed in item 5. No error was reported by the fax machine that | used. A copy of the
record of the fax transmission, which | printed out, is attached.
! declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date: December 4, 2018
Gina Camacho > ina
{TYPE OR PRINT NAME OF DECLARANT) (SIGNATURE OF DECLARANT)
Gf item 6d above is checked, the declaration below must be completed or 8 separate declaration from 2 messenger must be attached.)
DECLARATION OF MESSENGER
[1 By personal service. } personally delivered the envelope or package received from (the declarant above to the persons at the
addresses listed in item 5. (1) For a party represented by an attorney, delivery was made (a) to the attorney personally; or (b) by
leaving the documents at the attorney's office, in an envelope or package clearly labeled to identify the attorney being served,
with a receptionist or an individual in charge of the office; or (c) if there was no person in the office with whom the notice or
papers could be left, by leaving them in a conspicuous place in the office between the hours of nine in the morning and five in the
evening. (2) For a party, delivery was made to the party or by leaving the documents at the party's residence with some person
not younger than 18 years of age between the hours of eight in the morning and six in the evening.
At the time of service, | was over 18 years of age. | am not a party to the above-referenced legal proceeding.
| served the envelope or package, as stated above, on (date):
| declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date:
>
{NAME OF DECLARANT) (SIGNATURE OF DECLARANT)
PROOF OF SERVICE—CIVIL
POS-049 [Rev. February 1, 2017] (Proof of Service) Page 2ot3
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POS-040 street agoress: 1255 Treat Blvd., Suite 600 ey: Walnut Creek TELEPHONENO: 925.932.2468 EmaLaopress: jmann@littler.com Brookdale Senior Living Communities, Inc,, and Emeritus ATTORNEY FOR (name): Corporation state CA 2p cone:94597 FAxNO.: 925.407.2812 ATTORNEY OR PARTY WITHOUT ATTCRNEY: STATE BAR NO: 253440, ‘ ror cout eBom awe Jeffrey J. Mann * 2018 0) TOCk roy rratawse, Littler Mendelson, P.C. EC 4 py | ; moe ‘SUPERIOR COURT OF CALIFORNIA, COUNTY OF San Joaquin streeT appress: 222 E. Weber Ave,, Room 303 MAILING ADDRESS: CITY AND 21 cope: Stockton, CA 95202 BRANCH NAME: CASE NUMBER: Plaintiff/Petitioner: Mishelle Neverson STK-CV-UOE-2017-43568 JUDICIAL OFFICER: Defendant/Respondent: Brookdale Senior Living Communities, Inc., et al. . PROOF OF SERVICE—CIVIL Check method of service (only one): (1 _sByPersonal Service By Mail o By Fax By Overnight Delivery (By Messenger Service Carter Holly DEPARTMENT: 41 Do not use this form to show service of a summons and complaint or for electronic service. See USE OF THIS FORM on page 3. 1. At the time of service | was over 18 years of age and nota party to this action. 2. My residence or business address is: 1255 Treat Blvd., Suite 600, Walnut Creek, CA 94597 3.0 4, On (date); December 4; 2018 Case Management Statement l-served the following documents (specify): The fax number from which | served the documents is (complete if service was by fax): (The documents are listed in the Attachment to Proof of Service—Civil (Documents Served) (form POS-040(D)). 5. | served the documents on the person or persons below, as follows: a. Name of person served: Jennifer R. Bagosy; Suzy E. Lee 6X Business or residential address where person was served: (Complete if service was by personal service, mail, overnight delivery, or messenger service.) Capstone Law APC, 1875 Century Park East, Suite 1000, Los Angeles, GA 90067 c. (1 (Complete if service was by fax.) Fax number where person was served: (1 The names, addresses, and other applicable information about persons served is on the-Attachment to Proof of Service— Civil (Persons Served) (form POS-040(P)). 6. The documents were served by the following means (specify): ay By personal service. | personally delivered the documents lo thé persons at the addresses listed in item 5. (1) Fora party represented by an attorney, delivery was made (a) to the attorney personally; or (b) by leaving the documents al the attorney's office, in an envelope or package clearly labeled to identify the attomey being served, with a receptionist or an individual in charge of the office; or (c) if there was no person in the office with whom the notice or papers could be left, by leaving them in 2 conspicuous place in the office between the hours of nine in the moming and five in the evening. (2) For a party, delivery was made to the party or by leaving the documents at the party's residence with some person not younger than 18 years of age between the hours of elght in the morning and six in the evening. Page $ of 3 PROOF OF SERVICE—CIVIL (Proof of Service) Foam Approved fer Optional Use Judicial Council of Caltornia POS-040 Rev, February 4, 2017) Gode of Givi Procedure, 6§ 1031, 1013, 10132, 2015.5; Cal, Rules of Cour, rule 2.306 vnnncourts.ca.goy Americar LegalNer, Ine. www FormWorkFloy.com BY FAXPOS-040 CASE NAME: CASE NUMBER: Neverson v. Brookdale Senior Living Communities, Inc., et al. STK-CV-UOE-2017-4356 6. b. EX By United States mail. | enclosed the documents ina sealed envelope or package addressed to the persons at the addresses in item 5 and (specify one): (1) deposited the sealed envelope with the United States Postal Service, with the postage fully prepaid. (2) &] placed the envelope for collection and 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 that 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. lam a resident or employed in the county where the mailing occurred. The envelope or package was placed in the mail at (city and state): Walnut Creek, CA . O By overnight delivery. | enclosed the documents in an envelope or package provided by an overnight delivery carrier and addressed to the persons at the addresses in item 5. | placed the envelope or package for collection and overnight delivery at an office or a regularly utilized drop box of the overnight delivery carrier. a. (] By messenger service. | served the documents by placing them in an envelope or package addressed to the persons at the addresses listed in item 5 and providing them to a professional messenger service for service. (A declaration by the messenger must accompany this Proof of Service or be contained in the Declaration of Messenger below.) e. C1 By fax transmission. Based on an agreement of the parties to accept service by fax transmission, | faxed the documents to the persons at the fax numbers listed in item 5. No error was reported by the fax machine that | used. A copy of the record of the fax transmission, which | printed out, is attached. ! declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: December 4, 2018 Gina Camacho > ina {TYPE OR PRINT NAME OF DECLARANT) (SIGNATURE OF DECLARANT) Gf item 6d above is checked, the declaration below must be completed or 8 separate declaration from 2 messenger must be attached.) DECLARATION OF MESSENGER [1 By personal service. } personally delivered the envelope or package received from (the declarant above to the persons at the addresses listed in item 5. (1) For a party represented by an attorney, delivery was made (a) to the attorney personally; or (b) by leaving the documents at the attorney's office, in an envelope or package clearly labeled to identify the attorney being served, with a receptionist or an individual in charge of the office; or (c) if there was no person in the office with whom the notice or papers could be left, by leaving them in a conspicuous place in the office between the hours of nine in the morning and five in the evening. (2) For a party, delivery was made to the party or by leaving the documents at the party's residence with some person not younger than 18 years of age between the hours of eight in the morning and six in the evening. At the time of service, | was over 18 years of age. | am not a party to the above-referenced legal proceeding. | served the envelope or package, as stated above, on (date): | declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: > {NAME OF DECLARANT) (SIGNATURE OF DECLARANT) PROOF OF SERVICE—CIVIL POS-049 [Rev. February 1, 2017] (Proof of Service) Page 2ot3