Civil Cover Sheet — USA v. Ayvazyan et al (Dkt. 1337.3)

Summary

A Central District of California Civil Cover Sheet (form CV-71), Document 1337-3, filed 12/08/22 in the docket of United States v. Ayvazyan et al., No. 2:20-cr-00579-SVW. Most of the text is the printed form: jurisdiction and origin boxes, nature-of-suit codes and venue questions. The entries that can be read name Richard Ayvazyan and the United States of America as the parties, Los Angeles as a county of residence, and a cause of action of declaratory relief based on Federal Rule of Civil Procedure 60 and 8 U.S.C. § 1451(i). The check boxes are not legible, so the party roles, nature of suit and venue answers cannot be stated.

Summary drafted by a model from the document's text below and checked by script against that text before publication. It is a navigation aid, not a reading of what the document proves. Where AI is used

Record facts

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UNITED STATES DISTRICT COURT, CENTRAL DISTRICT OF CALIFORNIA  
CIVIL COVER SHEET
I. (a) PLAINTIFFS  ( Check box if you are representing yourself   
DEFENDANTS        (
(c) Attorneys (Firm Name, Address and Telephone Number)  If you are 
representing yourself, provide the same information.
II.  BASIS OF JURISDICTION (Place an X in one box only.)
1. U.S. Government 
Plaintiff
3. Federal Question (U.S.  
Government Not a Party)
2. U.S. Government 
Defendant
4. Diversity (Indicate Citizenship 
of Parties in Item III)
III. CITIZENSHIP OF PRINCIPAL PARTIES-For Diversity Cases Only
(Place an X in one box for plaintiff and one for defendant)
Citizen of This State
Citizen or Subject of a  
Foreign Country
Citizen of Another State
PTF
DEF
1
1
3
2
3
Incorporated or Principal Place  
of Business in this State
Incorporated and Principal Place 
of Business in Another State
Foreign Nation
DEF
PTF
4
4
5
5
6
6
2
IV. ORIGIN (Place an X in one box only.)
 1. Original  
     Proceeding
2. Removed from  
    State Court
3. Remanded from
    Appellate Court
4. Reinstated or 
    Reopened
6. Multidistrict 
     Litigation - 
     Transfer
V. REQUESTED IN COMPLAINT:  JURY DEMAND:
Yes
No
(Check "Yes" only if demanded in complaint.)
CLASS ACTION under F.R.Cv.P. 23: 
No
MONEY DEMANDED IN COMPLAINT:     
Yes
VI. CAUSE OF ACTION (Cite the U.S. Civil Statute under which you are filing and write a brief statement of cause.  Do not cite jurisdictional statutes unless diversity.)
VII. NATURE OF SUIT (Place an X in one box only).
CONTRACT
TORTS 
PERSONAL INJURY
PRISONER PETITIONS
LABOR
REAL PROPERTY
IMMIGRATION
BANKRUPTCY
CIVIL RIGHTS
FORFEITURE/PENALTY
PROPERTY RIGHTS
SOCIAL SECURITY
FEDERAL TAX SUITS
375  False Claims Act
400  State  
Reapportionment
410  Antitrust
430  Banks and Banking 
490  Cable/Sat TV
480  Consumer Credit
460  Deportation
896  Arbitration
895  Freedom of Info. 
Act
893  Environmental 
Matters
891  Agricultural Acts
899  Admin. Procedures 
Act/Review of Appeal of 
Agency Decision  
450  Commerce/ICC    
Rates/Etc.
470  Racketeer Influ- 
enced & Corrupt Org.
850  Securities/Com- 
modities/Exchange
890  Other Statutory 
Actions
110 Insurance
120 Marine
130 Miller Act
140 Negotiable   
Instrument
150 Recovery of    
Overpayment & 
Enforcement of 
Judgment
151 Medicare Act
152 Recovery of  
Defaulted Student 
Loan (Excl. Vet.)
153 Recovery of  
Overpayment of 
Vet. Benefits
160 Stockholders'   
 Suits
190 Other 
Contract   
 195 Contract  
Product Liability
196 Franchise
210 Land 
Condemnation
220 Foreclosure
230 Rent Lease & 
Ejectment
REAL PROPERTY CONT.
240 Torts to Land
245 Tort Product  
Liability
290 All Other Real 
Property
310 Airplane
315 Airplane 
Product Liability
320 Assault, Libel & 
Slander 
330 Fed. Employers' 
Liability 
340 Marine
345 Marine Product 
Liability
350 Motor Vehicle
355 Motor Vehicle 
Product Liability
360 Other Personal 
Injury
362  Personal Injury-
Med Malpratice
365 Personal Injury-
Product Liability
367 Health Care/
Pharmaceutical 
Personal Injury 
Product Liability
368 Asbestos 
Personal Injury 
Product Liability
950  Constitutionality of 
State Statutes 
462 Naturalization 
Application
465 Other 
Immigration Actions
370 Other Fraud
371 Truth in Lending
380 Other Personal 
Property Damage
385 Property Damage 
Product Liability  
422 Appeal 28  
USC 158
423 Withdrawal 28     
USC 157
441 Voting
442 Employment
443 Housing/
Accommodations
445 American with 
Disabilities-
Employment
446 American with 
Disabilities-Other
440 Other Civil Rights
448 Education
510 Motions to Vacate 
Sentence 
530 General
535 Death Penalty
540 Mandamus/Other
550 Civil Rights
555 Prison Condition
560 Civil Detainee 
Conditions of 
Confinement
625 Drug Related 
Seizure of Property 21 
USC 881
690 Other
710 Fair Labor Standards   
Act
720 Labor/Mgmt. 
Relations
740 Railway Labor Act
751 Family and Medical 
Leave Act
790 Other Labor 
Litigation
791 Employee Ret. Inc. 
Security Act
820 Copyrights
830 Patent
835 Patent - Abbreviated 
New Drug Application
861 HIA (1395ff)
862 Black Lung (923)
863 DIWC/DIWW (405 (g))
864 SSID Title XVI
865 RSI (405 (g))
870 Taxes (U.S. Plaintiff or 
Defendant)
871 IRS-Third Party 26 USC 
7609
FOR OFFICE USE ONLY:    
Habeas Corpus:
463 Alien Detainee
  Other:
)
 5. Transferred from Another 
      District  (Specify)
OTHER STATUTES 
TORTS 
PERSONAL PROPERTY
Check box if you are representing yourself   
Attorneys (Firm Name, Address and Telephone Number)  If you are  
representing yourself, provide the same information.
)
$
Page 1 of 3
CV-71 (10/20)
CIVIL COVER SHEET
(b) County of Residence of First Listed Plaintiff
County of Residence of First Listed Defendant
(EXCEPT IN U.S. PLAINTIFF CASES)
(IN U.S. PLAINTIFF CASES ONLY)
Case Number:
376 Qui Tam  
(31 USC 3729(a))
8. Multidistrict 
     Litigation - 
     Direct File
840 Trademark
880 Defend Trade Secrets Act 
of 2016 (DTSA)
485 Telephone 
Consumer Protection Act
Carlo Brooks, Esq.
3826 Grand View Boulevard, Suite 661472
Los Angeles, CA 90066
Declaratory Relief based on Federal Rule of Civil Procedure 60(b)(6); 8 U.S.C. § 1451(i) (1990)
RICHARD AYVAZYAN
Los Angeles
UNITED STATES OF AMERICA
Case 2:20-cr-00579-SVW     Document 1337-3     Filed 12/08/22     Page 1 of 3   Page ID
#:20341

VIII.   VENUE:  Your answers to the questions below will determine the division of the Court to which this case will be initially assigned.  This initial assignment is subject 
to change, in accordance with the Court's General Orders, upon review by the Court of your Complaint or Notice of Removal.
QUESTION A:   Was this case removed 
from state court? 
                          
  
If "no, " skip to Question B.  If "yes," check the 
box to the right that applies, enter the  
corresponding division in response to  
Question E, below, and continue from there.
No
Yes
STATE CASE WAS PENDING IN THE COUNTY OF:
INITIAL DIVISION IN CACD IS:
Los Angeles, Ventura, Santa Barbara, or San Luis Obispo
Orange
Riverside or San Bernardino
Western
Southern
Eastern
QUESTION B:   Is the United States, or 
one of its agencies or employees, a 
PLAINTIFF in this action? 
  
  
          
  
If "no, " skip to Question C.  If "yes," answer 
Question B.1, at right.
No
Yes
NO.  Continue to Question B.2.
YES.  Your case will initially be assigned to the Eastern Division.  
Enter "Eastern" in response to Question E, below, and continue 
from there.
Page 2 of 3
CV-71 (10/20)
CIVIL COVER SHEET
UNITED STATES DISTRICT COURT, CENTRAL DISTRICT OF CALIFORNIA  
CIVIL COVER SHEET
YES.  Your case will initially be assigned to the Southern Division. 
Enter "Southern" in response to Question E, below, and continue 
from there.
A.  
  
Orange County
B. 
Riverside or San 
Bernardino County
Indicate the location(s) in which 50% or more of plaintiffs who reside in this district 
reside.  (Check up to two boxes, or leave blank if none of these choices apply.)
Indicate the location(s) in which 50% or more of defendants who reside in this 
district reside.  (Check up to two boxes, or leave blank if none of these choices 
apply.)
D.1.  Is there at least one answer in Column A?
D.2.  Is there at least one answer in Column B?
If "yes," your case will initially be assigned to the  
SOUTHERN DIVISION. 
 Enter "Southern" in response to Question E,  below, and continue from there. 
 If "no," go to question D2 to the right. 
QUESTION E: Initial Division? 
Enter the initial division determined by Question A, B, C, or D above:
INITIAL DIVISION IN CACD
QUESTION D:  Location of plaintiffs and defendants?
If "yes," your case will initially be assigned to the  
EASTERN DIVISION. 
 Enter "Eastern" in response to Question E,  below. 
 If "no," your case will be assigned to the WESTERN DIVISION.   
Enter "Western" in response to Question E, below. 
Yes
No
Yes
No
NO.  Your case will initially be assigned to the Western Division.  
Enter "Western" in response to Question E, below, and continue 
from there.
QUESTION C:   Is the United States, or 
one of its agencies or employees, a 
DEFENDANT in this action? 
  
  
          
  
If "no, " skip to Question D.  If "yes," answer 
Question C.1, at right.
Yes
No
B.1.  Do 50% or more of the defendants who reside in 
the district reside in Orange Co.? 
  
check one of the boxes to the right
B.2.  Do 50% or more of the defendants who reside in 
the district reside in Riverside and/or San Bernardino 
Counties?  (Consider the two counties together.) 
  
check one of the boxes to the right
C.1.  Do 50% or more of the plaintiffs who reside in the 
district reside in Orange Co.? 
  
check one of the boxes to the right
C.2.  Do 50% or more of the plaintiffs who reside in the 
district reside in Riverside and/or San Bernardino 
Counties?  (Consider the two counties together.) 
  
check one of the boxes to the right
YES.  Your case will initially be assigned to the Southern Division. 
Enter "Southern" in response to Question E, below, and continue 
from there.
NO.  Continue to Question C.2.
YES.  Your case will initially be assigned to the Eastern Division.  
Enter "Eastern" in response to Question E, below, and continue 
from there.
NO.  Your case will initially be assigned to the Western Division.  
Enter "Western" in response to Question E, below, and continue 
from there.
C.  
Los Angeles, Ventura, 
Santa Barbara, or San 
Luis Obispo County
QUESTION F: Northern Counties?
Do 50% or more of plaintiffs or defendants in this district reside in Ventura, Santa Barbara, or San Luis Obispo counties?
Yes
No
WESTERN
Case 2:20-cr-00579-SVW     Document 1337-3     Filed 12/08/22     Page 2 of 3   Page ID
#:20342

IX(a).  IDENTICAL CASES:  Has this action been previously filed in this court?    
  
        
NO
YES
IX(b). RELATED CASES:  Is this case related (as defined below) to any civil or criminal case(s) previously filed in this court? 
NO
YES
Civil cases are related when they (check all that apply): 
Notice to Counsel/Parties:  The submission of this Civil Cover Sheet is required by Local Rule 3-1.  This Form CV-71 and the information contained herein 
neither replaces nor supplements the filing and service of pleadings or other papers as required by law, except as provided by local rules of court.  For 
more detailed instructions, see separate instruction sheet (CV-071A).
Key to Statistical codes relating to Social Security Cases:
861 
 
     HIA 
 
862 
 
     BL 
 
863 
 
     DIWW  
863 
 
     DIWC 
 
864 
 
     SSID 
 
865 
 
     RSI 
 
Nature of Suit Code      Abbreviation 
 
Substantive Statement of Cause of Action
All claims for health insurance benefits (Medicare) under Title 18, Part A, of the Social Security Act, as amended.  Also, 
include claims by hospitals, skilled nursing facilities, etc., for certification as providers of services under the program.  
(42 U.S.C. 1935FF(b))
All claims for "Black Lung" benefits under Title 4, Part B, of the Federal Coal Mine Health and Safety Act of 1969. (30 U.S.C. 
923)
All claims filed by insured workers for disability insurance benefits under Title 2 of the Social Security Act, as amended; plus 
all claims filed for child's insurance benefits based on disability.  (42 U.S.C. 405 (g))
All claims filed for widows or widowers insurance benefits based on disability under Title 2 of the Social Security Act, as 
amended. (42 U.S.C. 405 (g))
All claims for supplemental security income payments based upon disability filed under Title 16 of the Social Security Act, as 
amended.
All claims for retirement (old age) and survivors benefits under Title 2 of the Social Security Act, as amended.   
(42 U.S.C. 405 (g))
If yes, list case number(s):
If yes, list case number(s):  
DATE:
X.  SIGNATURE OF ATTORNEY  
(OR SELF-REPRESENTED LITIGANT): 
CV-71 (10/20)
Page 3 of 3
CIVIL COVER SHEET
UNITED STATES DISTRICT COURT, CENTRAL DISTRICT OF CALIFORNIA  
CIVIL COVER SHEET
A.  Arise from the same or a closely related transaction, happening, or event;
B.  Call for determination of the same or substantially related or similar questions of law and fact; or
C.  For other reasons would entail substantial duplication of labor if heard by different judges.
Note:  That cases may involve the same patent, trademark, or copyright is not, in itself, sufficient to deem cases related.  
A.  Arise from the same or a closely related transaction, happening, or event;
B.  Call for determination of the same or substantially related or similar questions of law and fact; or
A civil forfeiture case and a criminal case are related when they (check all that apply):
C.  Involve one or more defendants from the criminal case in common and would entail substantial duplication of 
labor if heard by different judges.
CR No. 2:20-cr-579-SVW
Decvember 8, 2022
/s/ Carlo Brooks
Case 2:20-cr-00579-SVW     Document 1337-3     Filed 12/08/22     Page 3 of 3   Page ID
#:20343

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