Civil Cover Sheet — No. 4:20-cv-06451 (Dkt. 1-1, N.D. Cal.)

Summary

A civil cover sheet (JS 44), filed September 10, 2020 as Document 1-1 in Case 4:20-cv-06451-YGR. It lists the plaintiff as the United States of America ex rel Bryan Quesenberry, with a county of residence of Utah County, Utah, and the defendants as Bay Wire, Inc. et al., with a county of residence of Alameda, CA. The attorneys line reads Pro Se. The form has sections for basis of jurisdiction, citizenship, nature of suit, jury demand and related cases.

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Case 4:20-cv-06451-YGR Document 1-1 Filed 09/10/20
CIVIL COVER SHEET

The JS 44 civil cover sheet and the information contained herein neither replace nor supplement the filing and service of pleadings 0
provided by local rules of court. This form, approved by the Judicial Conference of the United States in September 1974, is required fo

JS 44 (Rev. 09/19)

pery agrgquired by law, except as
e/use of fhe Clerk of Court for the

purpose of initiating the civil docket sheet. (SEE INSTRUCTIONS ON NEXT PAGE OF THIS FORM.)

I. (a) PLAINTIFFS
United States of America ex rel Bryan Quesenberry

(b) County of Residence of First Listed Plaintiff Utah County, Utah

DEFENDANTS
Bay Wire, Inc. et al.

County of Residence of First Listed Defendant _Alameda, CA

(EXCEPT IN U.S. PLAINTIFF CASES)

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

(IN U.S, PLAINTIFF CASES ONLY)

NOTE: INLAND CONDEMNATION CASES, USE THE LOCATION OF
THE TRACT OF LAND INVOLVED. ‘ gait
Attorneys (If Known)

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

NSHIP OF PRINCIPAL PARTIES (Place an “X” in One Box for Plainti
(For Diversity Cases Only) and One Box for Defendant)

O 1 US. Government 2&3 Federal Question PTF DEF PTF DEF
Plaintiff (U.S. Government Not a Party) Citizen of This State 01 (XK 1 Incorporated or Principal Place o4 (4
of Business In This State
O 2 U.S. Government 4 Diversity Citizen of Another State (2 © 2 Incorporated and Principal Place go5 O05
Defendant (Indicate Citizenship of Parties in Item II) of Business In Another State
Citizen or Subject of a oO 3 O 3. Foreign Nation o6 46
Foreign Country
IV. NATURE OF SUIT (Place an “Xx” in One Box Only) Click here for: Nature of Suit Code Descriptions.
| CONTRACT. TORTS FORFEITURE/PENALTY HER STATUTES
© 110 Insurance PERSONAL INJURY PERSONAL INJURY | 625 Drug Related Seizure C1 422 Appeal 28 USC 158 1 375 False Claims Act
© 120 Marine G6 310 Airplane © 365 Personal Injury - of Property 21 USC 881 |© 423 Withdrawal i Tam (31 USC
© 130 Miller Act © 315 Airplane Product Product Liability © 690 Other 28 USC 157 729(a))
1 140 Negotiable Instrument Liability © 367 Health Care/ 1 400 State Reapportionment
(1 150 Recovery of Overpayment | 320 Assault, Libel & Pharmaceutical PROPERTY RIGHTS \.
& Enforcement of Judgment Slander Personal Injury © 820 Copyrights © 430 Banks and Banking
1 151 Medicare Act C1 330 Federal Employers’ Product Liability © 830 Patent © 450 Commerce
1 152 Recovery of Defaulted Liability 1 368 Asbestos Personal C1 835 Patent - Abbreviated 460 Deportation
Student Loans 1 340 Marine Injury Product New Drug Application | 470 Racketeer Influenced and
(Excludes Veterans) C1 345 Marine Product Liability 1 840 Trademark Corrupt Organizations
© 153 Recovery of Overpayment Liability PERSONAL PROPERTY LABOR SOCIAL SECURITY O 480 Consumer Credit
of Veteran’s Benefits © 350 Motor Vehicle © 370 Other Fraud © 710 Fair Labor Standards O 861 HIA (1395ff) (15 USC 1681 or 1692)
160 Stockholders’ Suits © 355 Motor Vehicle © 371 Truth in Lending Act 1 862 Black Lung (923) © 485 Telephone Consumer
© 190 Other Contract Product Liability © 380 Other Personal 1 720 Labor/Management O 863 DIWC/DIWW (405(g)) Protection Act
(1 195 Contract Product Liability | 360 Other Personal Property Damage Relations 0 864 SSID Title XVI O 490 Cable/Sat TV
1 196 Franchise Injury O 385 Property Damage O 740 Railway Labor Act 1 865 RSI (405(g)) O 850 Securities/Commodities/
C1 362 Personal Injury - Product Liability © 751 Family and Medical Exchange
Medical Malpractice Leave Act © 890 Other Statutory Actions
| REAL PROPERTY CIVIL RIGHTS PRISONER PETITIONS | 790 Other Labor Litigation FEDERAL TAX SUITS O 891 Agricultural Acts
210 Land Condemnation © 440 Other Civil Rights Habeas Corpus: © 791 Employee Retirement © 870 Taxes (U.S. Plaintiff 893 Environmental Matters
1 220 Foreclosure 0 441 Voting 0 463 Alien Detainee Income Security Act or Defendant) © 895 Freedom of Information

© 230 Rent Lease & Ejectment
© 240 Torts to Land
© 245 Tort Product Liability

© 510 Motions to Vacate
Sentence
530 General

O 442 Employment
O 443 Housing/
Accommodations

© 871 IRS—Third Party
26 USC 7609

Act
1 896 Arbitration
1 899 Administrative Procedure

© 290 All Other Real Property

1 445 Amer. w/Disabilities -
Employment

OG 446 Amer. w/Disabilities -
Other

535 Death Penalty
Other:

O 540 Mandamus & Other

© 550 Civil Rights

IMMIGRATION

462 Naturalization Application
( 465 Other Immigration
Actions

Act/Review or Appeal of
Agency Decision

1 950 Constitutionality of

State Statutes

© 448 Education C1 555 Prison Condition
1 560 Civil Detainee -
Conditions of

Confinement

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

1 Original 2 Removed from O 3 Remanded from O14 Reinstatedor © 5 Transferred from © 6 Multidistrict O 8 Multidistrict
Proceeding State Court Appellate Court Reopened Another District Litigation - Litigation -
(specify) Transfer Direct File
Cite the U.S. Civil Statute under which you are filing (Do not cite jurisdictional statutes unless diversity):
31 USC 3729

VI. CAUSE OF ACTION

Brief description of cause: . .
Federal PPP funds/fraud case under False Claims Act/Qui Tam

VII. REQUESTED IN O) 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: Yes No
VIII. RELATED CASE(S)
IF ANY (See instructions): JUDGE DOCKET ER
DATE /. / SIGNATURE OF A’ Paw $e
FOR OFFICE USE ONLY i : :
RECEIPT # AMOUNT APPL G IFP MAG. JUDGE

JUDGE


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