Civil Cover Sheet and Category Sheet — Berteletti Kabbage (Dkt. 1.1)

Record facts

U.S. District Court for the District of Massachusetts · No. 1:20-cv-12114-GAO · Doc. 1-1 · 2020-11-25 · Docket on CourtListener

Full text

JS 44 (Rev. 10/20)

Case 1:20-cv-12114-GRQy  PeseneR sep Ped 11/25/20

Page 1 of 2

The JS 44 civil cover sheet and the information contained herein neither replace nor supplement the filing and service of pleadings or other papers as required by law, except as
provided by local rules of court. This form, approved by the Judicial Conference of the United States in September 1974, is required for the use of the Clerk of Court for the

purpose of initiating the civil docket sheet.

(SEE INSTRUCTIONS ON NEXT PAGE OF THIS FORM.)

I. (a) PLAINTIFFS

(b) County of Residence of First Listed Plaintiff

DEFENDANTS

(EXCEPT IN U.S. PLAINTIFF CASES)

(c) Attorneys (Firm Name, Address, and Telephone Number)

Michael A. Lesser, Esq.
Thornton Law Firm, LLP One Lincoln Street, 13th Floor
Ractan MA 09197 (R17\79N-1 223

NOTE:

Attorneys (If Known)

County of Residence of First Listed Defendant
(IN U.S. PLAINTIFF CASES ONLY)

IN LAND CONDEMNATION CASES, USE THE LOCATION OF
THE TRACT OF LAND INVOLVED

Il. BASIS OF JURISDICTION (Place an “X”’ in One Box Only)

U.S. Government
Plaintiff

[x]!

CL] 2 U.S. Government
Defendant

| 3 Federal Question

(U.S. Government Not a Party)

CL] 4 Diversity

(Indicate Citizenship of Parties in Item II])

(For Diversity Cases Only)

PTF
Citizen of This State | 1
Citizen of Another State []2
Citizen or Subject of a | 3

Foreign Country

Il. CITIZENSHIP OF PRINCIPAL PARTIES (Place an “X” in One Box for Plaintiff

and One Box for Defendant)

DEF PTF DEF
CL] 1 Incorporated or Principal Place | 4 | 4
of Business In This State
CL] 2 Incorporated and Principal Place | 5 | 5
of Business In Another State
im 3 Foreign Nation ] 6 | 6

IV. NATURE OF SUIT (Place an “X” in One Box Only)

Click here for

r: Nature of Suit Code Descriptions.
BANKRUPTCY OTHER STATUTES |

| CONTRACT TORTS FORFEITURE/PENALTY
110 Insurance PERSONAL INJURY PERSONAL INJURY [1625 Drug Related Scizure 422 Appeal 28 USC 158 37S.False Claims Act =
120 Marine 310 Airplane | 365 Personal Injury - of Property 21 USC 881 423 Withdrawal o! ax Px 3 Gui Tampee31 USC
130 Miller Act 315 Airplane Product Product Liability | 1690 Other 28 USC 157 — Op 729a
140 Negotiable Instrument Liability | 367 Health Care/ | 400State Reapportionment
[_] 150 Recovery of Overpayment |] 320 Assault, Libel & Pharmaceutical PROPERTY RIGHTS -0 =J | 4yfrAntitrus
& Enforcement of Judgment Slander Personal Injury 820 Copyrights QO —1_] anks eBanking
151 Medicare Act 330 Federal Employers’ Product Liability 830 Patent =150 |_| Beeomatl
+ 152 Recovery of Defaulted Liability Ol 368 Asbestos Personal 835 Patent - Abbreviat&d oO Gal Deparigiom
Student Loans 340 Marine Injury Product New Drug Applicats i] | 470 Racketéef Tqfluenced and
(Excludes Veterans) 345 Marine Product Liability 840 Trademark ZO =e Corrtipy Qrganizations
[ail 153 Recovery of Overpayment Liability PERSONAL PROPERTY LABOR ] 880 Defend Trade segs mk 480 Constitner Credit
= of Veteran’s Benefits 350 Motor Vehicle - 370 Other Fraud 710 Fair Labor Standards Act of 2016 ie) Bi] 9 (ssc 1681 or 1692)
| _} 160 Stockholders’ Suits 355 Motor Vehicle 371 Truth in Lending Act “| 35 Telephone Consumer
ei) 190 Other Contract Product Liability CL] 380 Other Personal | 720 Labor/Management SOCIAL SECURITY Cc Protegtion Act
| 195 Contract Product Liability 360 Other Personal Property Damage Relations 861 HIA (1395ff) 490 Cable/Sat TV
|_| 196 Franchise Injury [a] 385 Property Damage 740 Railway Labor Act 862 Black Lung (923) 850 Securities/Commodities/
751 Family and Medical 863 DIWC/DIWW (405(g)) Exchange

362 Personal Injury -
Medical Malpractice

Product Liability

Leave Act
790 Other Labor Litigation

230 Rent Lease & Ejectment
240 Torts to Land

245 Tort Product Liability
|_| 290 All Other Real Property

ILI

442 Employment

443 Housing/
Accommodations

445 Amer. w/Disabilitics -
Employment

446 Amer. w/Disabilities -
Other

448 Education

REAL PROPERTY CIVIL RIGHTS PRISONER PETITIONS
| _} 210 Land Condemnation 440 Other Civil Rights Habeas Corpus:
| _} 220 Foreclosure 441 Voting | 463 Alien Detainee

|_| 510 Motions to Vacate

Sentence

|] 530 General

cS] 535 Death Penalty

Other:

540 Mandamus & Other

550 Civil Rights

555 Prison Condition

560 Civil Detainee -
Conditions of
Confinement

791 Employee Retirement

[| 865 RSI (405(g))

864 SSID Title XVI

890 Other Statutory Actions
891 Agricultural Acts
893 Environmental Matters

I

Income Security Act

FEDERAL TAX SUITS

895 Freedom of Information

IMMIGRATION
462 Naturalization Application
465 Other Immigration
Actions

[_] 870 Taxes (U.S. Plaintiff

[_] 871 IRS—Third Party

or Defendant)

26 USC 7609

Act
896 Arbitration
899 Administrative Procedure
Act/Review or Appeal of
Agency Decision
| 950 Constitutionality of
State Statutes

V. ORIGIN (Place an “X” in One Box Only)

| Original
A Proceeding

2 Removed from
State Court

3

Remanded from
Appellate Court

C4

Reinstated or ca 5 Transferred from 6 Multidistrict 8 Multidistrict
Reopened Another District Litigation - Litigation -
(specify) Transfer Direct File

VI. CAUSE OF ACTION

31 U.S.C. 3729

Cite the U.S. Civil Statute under which you are filing (Do not cite jurisdictional statutes unless diversity):

Qui Tam

Brief description of cause:

VII. REQUESTED IN

[] CHECK IF THIS IS A CLASS ACTION

DEMAND $

CHECK YES only

if demanded in complaint:

COMPLAINT: UNDER RULE 23, F.R.Cv.P. JURY DEMAND: [xlyes [No
VU. RELATED CASE(S)
IF ANY (Bee mmsiruction’): NGE DOCKET NUMBER
DATE SIGNATURE OF ATTORNEY OF RECORD
11/25/2020 /s/ Michael A. Lesser
FOR OFFICE USE ONLY
RECEIPT # AMOUNT APPLYING IFP JUDGE MAG. JUDGE

Case 1:20-cv-12114-GAO Documenti-1 Filed 11/25/20 Page 2of2

UNITED STATES DISTRICT COURT
DISTRICT OF MASSACHUSETTS

* Ey amv
1. Title of case (name of first party on each side only) SFALAD M ArreR * = S [a]

Roerreleh  v-  Kadbuye Frc.

L

e

2. Category in which the case belongs based upon the numbered nature of suit code listed on the civil cover sheet. (See local
rule 40.1(a)(1)).

I. 160, 400, 410, 441, 535, 830*, 835*, 850, 891, 893, R.23, REGARDLESS OF NATURE OF SUIT.

Ca Il. 110, 130, 190, 196, 370, 375, 376, 440, 442, 443, 445, 446, 448, 470, 751, 820*, 840*, 895, 896, 899.
[_] 120, 140, 150, 151, 152, 153, 195, 210, 220, 230, 240, 245, 290, 310, 315, 320, 330, 340, 345, 350, 355, 360, 362,
Il. 365, 367, 368, 371, 380, 385, 422, 423, 430, 450, 460, 462, 463, 465, 480, 490, 510, 530, 540, 550, 555, 560, 625,

690, 710, 720, 740, 790, 791, 861-865, 870, 871, 890, 950.

*Also complete AO 120 or AO 121. for patent, trademark or copyright cases.

3. Title and number, if any, of related cases. (See local rule 40.1(g)). If more than one prior related case has been filed in this
district please indicate the title and number of the first filed case in this court.

4. Has a prior action between the same parties and based on the same claim ever been filed in this court?
YES NO

5. Does the complaint in this case question the constitutionality of an act of congress affecting the public interest? (See 28 USC

§2403)
YES L] NO
YES L] NO []

6. Is this case required to be heard and determined by a district court of three judges pursuant to title 28 USC §2284?
YES

A

If so, is the U.S.A. or an officer, agent or employee of the U.S. a party?

7. Doall of the parties in this action, excluding governmental agencies of the United States and the Commonwealth of
Massachusetts (“governmental agencies”), residing in Massachusetts reside in "Tl e division? - . Rule 40.1(d)).

YES
A. If yes, in which divis 0 all of the non-governmental parties reside?
Eastern Division a Central Division | Western Division L
B. If no, in which division do the majority of the plaintiffs or the only parties, excluding governmental agencies,

residing in Massachusetts reside?

Eastern Division LAT Central Division L] Western Division |

8. If filing a Notice of Removal - are there any motions pending in the state court requiring the attention of this Court? (If yes,

submit a separate sheet identifying the motions)

(PLEASE TYPE OR PRINT)

ATTORNEY'S NA iM chug Le SS Of>

ADDRESS Thucalen LAs FRM LLineln st floyor Mi Cal) |
TELEPHONENO._4/7~— 7A0 - 132%

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