On October 31, 2019 a
Request,Application
was filed
involving a dispute between
Beletsis, Daphne,
Rainey, Yvonne,
Karki, Bobby,
Leitch, John Dylan,
Thomas, Emmanuel,
and
Davis, Zachary Nash,
Garcia, Moises Tenorio,
Garcia, Rafael,
Guevara, Christopher,
Kahlon, Najpreet Singh,
Karki, Bobby,
King, Derek,
Leitch, John Dylan,
Leon, Stefan Matias,
Mclaughlin, Quinn,
Takayama, Jordan Keiichi,
Theta Chi Fraternity, Inc.,
Theta Iota Chapter Of Theta Chi Fraternity,
Thomas, Emmanuel,
Visacki, Brad,
for (23) Unlimited Other PI / PD / WD
in the District Court of Santa Cruz County.
Preview
CIV-110
ATTORNEY OR PARTY WITHOUT ATTORNEY: 203492
STATE BAR NO: FOR COURT USE ONLY
NAME: Ivo Labar, Douglas E. Fierberg (PHV)*, Jonathon N. Fazzola (PHV)*
FIRM NAME: The Fierberg National Law Group, PLLC
ELECTRONICALLY FILED
STREET ADDRESS: 161 East Front Street, Suite 200
Superior Court of California
CITY: Traverse City STATE: MI ZIP CODE: 49684 County of Santa Cruz
TELEPHONE NO.:231-933-0180 FAX NO. : 231-252-8100 12/22/2021 8:30 AM
E-MAIL ADDRESS:labar@sawyerlabar.com;dfierberg@tfnlgroup.com;jfazzola@tfnlgroup.com Alex Calvo, Clerk
Plaintiffs
ATTORNEY FOR (Name): By: Karen Broughton, Deputy
SUPERIOR COURT OF CALIFORNIA, COUNTY OF Santa Cruz
STREET ADDRESS: 701 Ocean Street
MAILING ADDRESS: 701 Ocean Street
CITY AND ZIP CODE: Santa Cruz, CA 95060
BRANCH NAME:
Plaintiff/Petitioner: Daphne Beletsis; Yvonne Rainey
Defendant/Respondent: Theta Chi Fraternity, Inc., et al.
CASE NUMBER:
REQUEST FOR DISMISSAL 19CV03287
A conformed copy will not be returned by the clerk unless a method of return is provided with the document.
This form may not be used for dismissal of a derivative action or a class action or of any party or cause of action in a class
action. (Cal. Rules of Court, rules 3.760 and 3.770.)
1. TO THE CLERK: Please dismiss this action as follows:
a. (1) With prejudice (2) Without prejudice
b. (1) Complaint (2) Petition
(3) Cross-complaint filed by (name): on (date):
(4) Cross-complaint filed by (name): on (date):
(5) Entire action of all parties and all causes of action
(6) Other (specify):* All causes of action against RAFAEL GARCIA, JR., only.
2. (Complete in all cases except family law cases.)
The court did did not waive court fees and costs for a party in this case. (This information may be obtained fromthe
clerk. If court fees and costs were waived, the declaration on the back of this form must be completed).
Date: December 22, 2021
Douglas E. Fierberg, Esq.
(TYPE OR PRINT NAME OF ATTORNEY PARTY WITHOUT ATTORNEY) (SIGNATURE)
Attorney or party without attorney for:
*If dismissal requested is of specified parties only of specified causes of action only,
or of specified cross-complaints only, so state and identify the parties, causes of
Plaintiff/Petitioner Defendant/Respondent
action, or cross-complaints to be dismissed.
Cross Complainant
3. TO THE CLERK: Consent to the above dismissal is hereby given.**
Date:
(TYPE OR PRINT NAME OF ATTORNEY PARTY WITHOUT ATTORNEY) (SIGNATURE)
** If a cross-complaint – or Response (Family Law) seeking affirmative Attorney or party without attorney for:
relief – is on file, the attorney for cross-complainant (respondent) must sign
this consent if required by Code of Civil Procedure section 581 (i) or (j).
Plaintiff/Petitioner Defendant/Respondent
Cross Complainant
(To be completed by clerk)
4. Dismissal entered as requested on (date): 12/22/2021
x
5 Dismissal entered on (date): as to only (name):
6. Dismissal not entered as requested for the following reasons (specify):
7. a. Attorney or party without attorney notified on (date):
b. Attorney or party without attorney not notified. Filing party failed to provide
a copy to be conformed means to return conformed copy
Date: 12/22/2021 Clerk, by , Deputy Page 1 of 2
Form Adopted for Mandatory Use Code of Civil Procedure, § 581 et seq.; Gov. Code,
Judicial Council of California REQUEST FOR DISMISSAL § 68637(c); Cal. Rules of Court, rule 3.1390
CIV-110 [Rev. Jan. 1, 2013] www.courts.ca.gov
CIV-110
CASE NUMBER:
Plaintiff/Petitioner: Daphne Beletsis; Yvonne Rainey
19CV03287
Defendant/Respondent: Theta Chi Fraternity, Inc., et al.
COURT'S RECOVERY OF WAIVED COURT FEES AND COSTS
If a party whose court fees and costs were initially waived has recovered or will recover $10,000 or more in
value by way of settlement, compromise, arbitration award, mediation settlement, or other means, the
court has a statutory lien on that recovery. The court may refuse to dismiss the case until the lien is
satisfied. (Gov. Code, § 68637.)
Declaration Concerning Waived Court Fees
1. The court waived court fees and costs in this action for (name):
2. The person named in item 1 is (check one below):
a. not recovering anything of value by this action.
b. recovering less than $10,000 in value by this action.
c. recovering $10,000 or more in value by this action. (If item 2c is checked, item 3 must be completed.)
3. All court fees and court costs that were waived in this action have been paid to the court
(check one): Yes No
I declare under penalty of perjury under the laws of the State of California that the information above is true and correct.
Date:
(TYPE OR PRINT NAME OF ATTORNEY PARTY MAKING DECLARATION) (SIGNATURE)
CIV-110 [Rev. January 1, 2013] REQUEST FOR DISMISSAL Page 2 of 2
Document Filed Date
December 22, 2021
Case Filing Date
October 31, 2019
Category
(23) Unlimited Other PI / PD / WD
Status
03/27/2023 Dispositioned
For full print and download access, please subscribe at https://www.trellis.law/.