Civil Cover Sheet — United States ex rel. SideSolve LLC v. Docklight Brands Inc. (W.D. Wash., Document 1-1)

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Civil Cover Sheet (form JS 44) filed September 27, 2022 as Document 1-1 in Case 2:22-cv-01371-JNW. It lists the plaintiff as United States of America ex rel. SIDESOLVE, LLC and the defendant as DOCKLIGHT BRANDS INC., with counsel listed as Bracker & Marcus LLC. Under nature of suit the form carries the categories 375 False Claims Act and 376 Qui Tam (31 USC 3729(a)). Under cause of action it cites 31 U.S.C. 3729-33 and gives the brief description of cause as False Claims Act, PPP loan fraud.

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Case 2:22-cv-01371-JNW Document 1-1 Filed 09/27/22 Page1of1
1844 (Rev. 4721) CIVIL COVER SHEET 2:22-cv-01371-BJR

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 DEFENDANTS
UNITED STATES OF AMERICA ex rel. SIDESOLVE, LLC DOCKLIGHT BRANDS INC.

(b) County of Residence of First Listed Plaintiff County of Residence of First Listed Defendant King
(EXCEPT IN U.S. PLAINTIFF CASES) (IN U.S. PLAINTIFF CASES ONLY)

NOTE: INLAND CONDEMNATION CASES, USE THE LOCATION OF
THE TRACT OF LAND INVOLVED.

(c) Attorneys (Firm Name, Address, and Telephone Number) Attomeys (if Known) FILED (DROP BOX)
Bracker & Marcus LLC, Tel. 770-988-5035
3355 LenoxRd., Ste. 660, Atlanta, GA 30326

sep 27 2022

Il. BASIS OF JURISDICTION (Place an “X” in One Box Only) Il. CITIZENSHIP OF PRINCIPAL PARTIES (Ptace an “x” in One Box for Plaintiff
(For Diversity Cases Only) SATE, and One Box for a
[_]1 U.S. Government [X]3 Federal Question PIF DEF clerks E gisik Fe GTON DEF
Plaintiff (U.S. Government Not a Party) Citizen of This State CI 1 a Westie as: SAHES 10 MESHING meu? 4 | 4
of Business In This State
[]2 U.S. Government [_]4 Diversity Citizen of Another State (]2 [J 2. Incorporated and Principal Place [[]5 []5
Defendant (indicate Citizenship of Parties in Item II) of Business In Another State
Citizen or Subject ofa [13 (] 3. Foreign Nation Lie (Je
Foreign Country
IV. NATURE OF SUIT (etace an “x” in One Box Only) Click here for: Nature of Suit Code Descriptions.
| CONTRACT TORTS FORFEITURE/PENALTY BANKRUPTCY OTHER STATUTES ]
110 Insurance PERSONAL INJURY PERSONAL INJURY | 625 Drug Related Seizure 422 Appeal 28 USC 158 375 False Claims Act
120 Marine 310 Airplane LJ 365 Personal Injury - of Property 21 USC 881 423 Withdrawal xX! 376 Qui Tam (3! USC
130 Miller Act 315 Airplane Product Product Liability | 1690 Other 28 USC 157 3729(a))
140 Negotiable Instrument Liability CL] 367 Health Care/ INTELLECTUAL | 400 State Reapportionment
[_] 150 Recovery of Overpayment 320 Assault, Libel & Pharmaceutical PROPERTY RIGHTS 410 Antitrust
& Enforcement of Judgment Slander Personal Injury 820 Copyrights 430 Banks and Banking
151 Medicare Act 330 Federal Employers’ Product Liability 830 Patent 450 Commerce
H 152 Recovery of Defaulted Liability LC] 368 Asbestos Personal q 835 Patent - Abbreviated 460 Deportation
Student Loans 340 Marine Injury Product New Drug Application 470 Racketeer Influenced and
(Excludes Veterans) 345 Marine Product Liability 840 Trademark Corrupt Organizations
L] 153 Recovery of Overpayment Liability PERSONAL PROPERTY LABOR 880 Defend Trade Secrets | 480 Consumer Credit
_ of Veteran’s Benefits 350 Motor Vehicle 370 Other Fraud | _|710 Fair Labor Standards Act of 2016 (15 USC 1681 or 1692)
|_| 160 Stockholders’ Suits 355 Motor Vehicle H 371 Truth in Lending Act | 485 Telephone Consumer
[_] 190 Other Contract Product Liability [_] 380 Other Personal |_]720 Labor/Management SOCIAL SECURITY Protection Act
[| 195 Contract Product Liability 360 Other Personal Property Damage Relations 861 HIA (1395ff) - 490 Cable/Sat TV
|_| 196 Franchise Injury CT 385 Property Damage 740 Railway Labor Act 862 Black Lung (923) |_| 850 Securities/Commodities/
362 Personal Injury - Product Liability 75} Family and Medical 863 DIWC/DIWW (405(g)) | Exchange
Medical Malpractice Leave Act 864 SSID Title XVI | 890 Other Statutory Actions
REAL PROPERTY CIVIL RIGHTS PRISONER PETITIONS 790 Other Labor Litigation |_| 865 RSI (405(g)) |_| 891 Agricultural Acts
|_| 210 Land Condemnation | 440 Other Civil Rights Habeas Corpus: | 791 Employee Retirement | | 893 Environmental Matters
[_|220 Foreclosure 441 Voting - 463 Alien Detainee Income Security Act FEDE X SUITS 895 Freedom of Information
[| 230 Rent Lease & Ejectment 442 Employment 510 Motions to Vacate 870 Taxes (U.S. Plaintiff Act
|_| 240 Torts to Land 443 Housing/ Sentence or Defendant) |] 896 Arbitration
|_} 245 Tort Product Liability Accommodations |) 530 General [|] 871 IRS—Third Party Hy 899 Administrative Procedure
[_]290 All Other Real Property |_| 445 Amer. w/Disabilities -[_] 535 Death Penalty | IMMIGRATION. _| 26 USC 7609 Act/Review or Appeal of
Employment |__- Other: 462 Naturalization Application Agency Decision
446 Amer. w/Disabilities - a 540 Mandamus & Other 465 Other Immigration |_| 950 Constitutionality of
Other | 550 Civil Rights Actions State Statutes
448 Education 555 Prison Condition
560 Civil Detainee -
Conditions of
Confinement

V. ORIGIN (Place an “X” in One Box Only)
[x] 1 Original mc Removed from i 3 Remanded from Oo 4 Reinstated or CT 5 Transferred from ol 6 Multidistrict | 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 (De not cite jurisdictional statutes unless diversity):
31 U.S.C. 3729-33

Brief description of cause:
False Claims Act, PPP loan fraud

VI. CAUSE OF ACTION

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: [x]¥es [_]No
VIII. RELATED CASE(S) s

IF ANY (See instructions): Ge DOCKET NUMBER

DATE __ f SIGNATURE OF ATTORNEY O) VOT 2

FOR mM USE ONLY

RECEIPT # AMOUNT APPLYING IFP JUDGE MAG. JUDGE


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