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MTORNEY 0R PARTY wmaow ATrORNEY
V CM-010
(Name. State Barnumber, and address):
Thomas H. Schelly SBN 217285 FOR COURT USE 0M. Y
Lipeles Law Group, APC, 880 Apollo St. #336, El Segu ndo. CA 90245
r'ELEpHoNE
E-wuL ADDRESS:
m: (31o) 322-2211 FAX No. (Optional): (31 0) 322-2252 F
SUPERIOR COURT
f L. E D
thomas@kal|aw.com
ATTORNEY FOR (Name): Magdalena Lagunas
COUNTY 0F SAN BERNARDINC
SAN BERNARDINO DISTRICT
M
SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN BERNARDINO
STREET ADDRESS: 247 West Third Street MAR 0 3 2022
MAILING ADDRESS: 247 West Thixd Street
cm ANDZIP cone San Bemardino, CA 92415-0210
BRANCH NAME: San Bemardino Justice Center
CASE NAME:
Lagunas, Magdaleno v Yokohama Tire Corporation et
W7
Achgor yetAC/k-e?’
al
CIVIL CASE COVER SHEET
E Unlimited
(Amount
E Limited
(Amount
E Complex Case Designation
Counter E Joinder 6fV§B 2205157
Filed with first appearance by defendant
demanded demanded is JUDGE:
(Cal. Rules of Court, rule 3.402)
exweds $25,000) $25,000 or less) DEPT;
Items 1—6 below must be completed (see instructions on page 2).
1. Check one box below for the case type that best describes this case:
Auto Tort
E
E Auto(22) D
Contract
D Bleach of contrawwarlanty (06)
Provislonally
E
(Cal.
Complex
Rules of Court, rules
Civil Litigation
$4004.40”
Uninsured motorist(46)
Other PIIPDNVD (Personal lnjurylProperty
DamagoIWrongful Death) Tort
E
E
Rule 3.740 collections (09)
Other collections (09) E
E
AntitustlTrade regulation (O3)
Construction defect (1 0)
E
E Asbestos(o4)
E Insurance coverage (18)
E Mass tort (40)
E Productliabimy(24)
D
Real Property
Other contact (37)
E
E
Secunties litigation
EnvironmentaVToxic
(28)
tort (30)
E Medicalmalpractioe(45)
OtherPIIPD/vvo(23)
Non-PIIPDIWD (Other) Tort E
Eminent domainllnverse
condemnation (14)
Insurance coverage c|aims arising from the
above listed provisionally
types (41)
complex wse
E
E Business tofllunfair business pradioe (07) E Wrongful eviction (33)
Other real properly (26)
Enforcement of Judgment
E Enforcement ofJudgment (20)
D
E
Civiln'gntswa)
Defamationua) E
Unlawful Demlnor
E Commerdal(31)
E
Miscellaneous
RICO
Clvll Complaint
E Fraud(16)
E RaidentiaHBZ)
Drugs (38)
E (27)
Other complaint (not specified above) (42)
E
E
Inteuectualpropenyus)
Professionalnegligenoe(25) JudldaIRele
E
Miscellaneous
E Partnership
Clvll Pofltlon
and corporate governance
Employment
E
Other non-Pl/PDMID ton(35)
E
E
Assetforfeituews)
Petition re:
Writormandatemz)
arbflmh'on award (11) E Other petition (not specified above) (43)
(21)
N
E E E
This case
Wrongiultermination (36)
Otheremployment(15)
is is not
a omerjudicialreviemsg)
complex under rule 3.400 of the California Rules of Court. If the case is complex, mark the
management:
E
factors requiring exceptional judicial
E
a.
b.
Large number of separater represented parties
Extensive motion practice raising difficult or novel e.
d.E
E Large number of witnesses
Coordination with related actions pending in one or more
BY FAX
issues that will be fime—consuming to resolve courts in other counties, states, or countries, or in a federal
D
EE
c. Substantial amount of documentary evidence court
Remedies sought (check all that apply):a. E monetary b.
f. Substantial postjudgmentjudicial supervision
nonmonetary; declaratow or injunctive relief c.
E punitive
91:5.“
6. If
E E
Number of causes of action (specify): Seven
This case
there are any known
is
related
is not
wses.
a class action suit
file and serve a notice of related case. (You ma
fl
Date: March 3, 2022
Todd Vollucci
(TYPE 0R PRINT NAME) (SIGNATURE 0F PARTY OR ATTORNEY FOR PARTY)
5'
NOTICE
must file this cover sheet with the first paper filed in the action or proceeding (except small claims cases or cases filed
Plaintiff
under the Probate Code, Famiry Code. orWelfare and Institutions Code). (Cal. Rules of Court, rule 3.220.) Failure to file may result
in sanctions.
File this cover sheet in addition to any cover sheet required by local court rule.
- If this case is complex under rule 3.400 et seq. of me Califomia RuIes of Court, you must sewe a copy of this cover sheet on all
other parties to the action or proceeding.
- Unless this is a collections case under rule 3.740 or a complex case. this cover sheet will be used for statistical purposes only.
Pige1n12
Form Adopted tor Manatery Use Cd. Rule: of Court. lulu Z30. 320, 3.400-3.403. 3.740;
Judicial mum" d Camomla CIVIL CASE COVER SHEET Cd. Sandal“ of Judidal Administmfion, sm. 3.10
CM-mo [Rev.Sapmbar 1. 2021] www.oourts.cagov
V fivsazzosts";
INSTRUCTIONS 0N HOW TO COMPLETE THE COVER SHEET CM-o‘m
To Plaintiffsand Others Filing First Papers. If you are filing a first paper (for exanple, a complaint) in a civil
case, you must
complete and filehalong with your first paper, the Civil Case Cover Sheet contained on page 1. This
information will be used to compile
statistics about the types and numbers of cases filed. You must complete items 1 through
6 on the sheet. In item 1. you must check
one box for the case type that best describes the case. If the case fits both a general and a more specific
type of case listed in item 1.
check the more specific one. If the case has multiple causes of action, check the box that best indicam the
primary cause of action.
To assist you in completing the sheet, examples of the cases that belong under each case type in item 1 are provided
below. A cover
sheet must be filed only with your initial paper. Failure to file a cover sheet wim the first paper filed in a
civil case may subject a party,
its counsel. or both to sanctions under rules 2.30 and 3.220 of the
California Rules of Court
To Parfies in Rule 3.740 Collections Cases. A "collections case" under rule 3.740 is defined as an action for
recovery of money owed
in a sum stated to be certain that is not more than $25,000. exclusive
of interest and attomey‘s fees, arising from a transaction in which
property, services. or money was acquired on credit A collections case does not include an action seeking
the following: (1) tort
damages, (2) punitive damages, (3) recovery of real property, (4) recovery of personal property. or
(5) a prejudgment writ of
attachment The identification of a case as a mle 3.740 collections mse on this form means that it will be
exempt from the general
time—for—servioe requirements and case management rules, unless a defendant files a responsive
pleading. A rule 3.740 collections
case will be subject to the requirements for service and obtaining a judgment in rule 3.740.
To Parties in Complex Cases. In complex cases only, parties must also use the Civil Case Cover Sheet to designate
whether the
case is complex. If a plaintiff believes the mse is complex under rule 3.400 of the California Rules of Court, this
must be indicated by
completing the appropriate boxes in Items 1 and 2. If a plaintiff designates a case as complex, the cover
sheet must be sewed with the
complaint on all parties to the action. A defendant may file and serve no later than the time of its first appearance
a joinder in the
plaintist designation, a counter-designation that the case is not complex. or, if the plaintiff has made
no designation, a designation that
the case is complex. “CASE TYPES AND EXAMPLES
Auto Tort Provlslonally Complex Civil Litigation (Cal.
Auto (22)—Personal Injury/Property Breach of Cimmnamy (06) Rules of Court Rules 1400-1403)
DamageNVrongful Death mag" ° Remam-easiful Antitrust/Trade Regulation (03)
Uninsured Motorist (46) (irthe ”mad ("°t ‘1’"? deta,”’9’ Construction Defect (10)
case involves an uninsured or mngf" 3mm)
.
Claims Involving Mass Ton (40)
motorist claim subjed to c°mracwyamnty Bream'sefler Securities Litigation (28)
amitrafian. check this item ,P'a'm'fi ("0t flaud °’ ”egl’ge’we)
EnvironmentallToxic Ton (30)
instead afAuto) Neg‘fig'r‘éizyeach
°f contra“!
.
Insurance Coverage Claims
Other PIIPDIWD (Personal Injury! . . . .
(a nsmg fram pruwsmnally complex
Property DamageIWrongful Death) Other Br of Comm arramy
case type listed above) (41)
Tort Collections (e.g.. money owed. open Enforcement of Judgment
Asbestos (04) book accounts) (09)
. . . Enforcement of Judgment (20)
Asbestos Property Damage °°"e°"°“ Qase‘se'm ”3"“?
Abstract of Judgment (Out or
Asbestos Personal Injury, Other Promnssory NoteICollechons
County)
Wrongful Death case
_ Confession of Judgment (non-
Product Liability (not asbestos or '"summe “"3399 fm‘PmV'S’ma’”
domestic relations)
taxic/environmentao (24) ”Mplex) (1 3)
, Sister State Judgment
Medical Malpractice (45) Am“ Submga‘m"
Administrative Agency Award
Medical Malpractice- om” 6°”er
Physicians & Surgeons Other 0mm (37)
(not unpaid taxes)
PetitionICenification of Entry of
Other Professional Health Care C°ma°tual Frau?
Judgment on Unpaid Taxes
Malpractice Other comma D'sm‘e
Other Enforcement of Judgment
Other PI/PDIWD (23) Rm P'.’°"°'1’
Case
Premises Liability (e.g.. slip
Emma” D°maifmnvem Miscellaneous Clvll Complaint
and fan) Rico
Intentional Bodi ln'u IPDNVD
ngggfieécingng? (27)
, _ Other Complaint (not specified
Other Real Property (e.g.. quuet tune) (26)
(egq assamt Jaggansm) above) (42)
Intentional Infliction of
Writ of Possession of Real Property
Declaratory Relief Only
Emotional Distress gfigfigtféhmdwme lnjunctive Relief
Only (non-
Negligent Inflicfion of harassment)
Emotional Distress 0"“ Rea' Pmpeny ("°' 9mm” .
Mechanics Lien
Otha’ PIIPDNVD domain, Iandlardflenant, or
Non-Pupnrwo (Other) Tort WWW) Other Commercial Complaint
Case {nomtort/noneomplex)
unlm' Deming
Business TortIUnfair Business
Practice (07)
Civil Rights (e.g.. discrimination.
CW”
Res'dent'a' (32)
(31)
Other Civfl Complaint
(non-tmt/nan-complex)
Miscellamous Civil Peuuon
Drugs (38) (if the case involves illegal
Partnershiand Co orate
Etszlngggmfl dmgs' Check W5 ”e,” “germs“
Govenfanoe (213p
Defamation (e.g.. slander. libel)
”Pm 3‘ Cmme’c'a’ 9' es'de’m) I
,
Other Petition (not specified
Judiclal ROVIOYV
(13) above) (43)
Fraud (16) “”9“” (05)
Asse‘
Civil Harassment
Awa'“
Propeny (19)
Intellectual
afimm‘m ”WU?“
‘
(1 1)
Workplace Violence
Professional Negligence (25)
'
W it
ammafisfimzjve
’‘d Mandamus Eldeszepeendem Adult
m
16:91:: graolfperzgigil
Malpractice w. °“ Limited cw”
let‘s“:
"62:1: Election Contest
(not medical or legal) _ , Petition for Name Change
Other Non-PIIPD/wo Ton (35)
Employment
“Tam “mite“ 00"” Case Petiticonjor Relief From Late
Ialm
Wrongful Termination (36) OtheRrei‘i’gvcg Other Civil Petition
:ziemwogfiir Order
Other Emp'oymem (15)
Nofioe of Appeal—Labor
Commissioner Appeals
CM-O10 [Rev‘ September 2021]
1.
CIVIL CASE COVER SHEET Page 2 ofz