EFTA00194790 Case 9:10-cv-80309-WJZ Document 1 Entered on FLSD Docket 03/09/2010 Page 18 of 19 JS 4c (Rev. 2/08) CIVIL COVER SHEET wie 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 THE REVERSE OF THE FORM.) NOTICE: Attorneys MUST Indicate Required Cases Below. 1. (a) PLAINTIFFS Jane Doe No. 103 10-80309 DEVENANTS Jolley Epstein (b) County of Residence of First Listed Plaintiff West Palm Beach (EXCEPT IN U.S. PLAINTIFF CASES) (c) Attorney's (Firm Name, Address, and Telephone Number) Robert C. Josefsberg, Esq./Katherine W. Ezell, Esq. Podhurst Orseck, P.A. 25 W. Flagler St., Suite 800 Miami FL 33130 Journey Epstein County of Residence of First Listed Defendant (IN U.S. PLAINTIFF CASES ONLY) NOTE: IN LAND CONDEMNATION CASES, USE THE COURT OF THE TRACT LAND INVOLVED. Attorneys (If Known) Robert D. Critton, Esq., Burman, Critton, Hunter J. Connolly, LLP, 303 Banyan Blvd., Suite 400, West Palm Beach, FL 33401 (4) Check County Where Action Arose: ☐ MIAMI- DADE ☐ MONROE ☐ BROWARD ✔ PALM BEACH ☐ MARTIN ☐ ST. LUCIE ☐ INDIAN RIVER ☐ OKEECHOBEE HIGHLANDS # II. BASIS OF JURISDICTION (Place an "X" in One Box Only) ## III. CITIZENSHIP OF PRINCIPAL PARTIES (Place an "X" in One Box for Plaintiff and One Box for Defendant) | | | | PTF | DEF | PTF | DEF | | :---: | :---: | :---: | :---: | :---: | :---: | :---: | | ☐ 1 U.S. Government Plaintiff | ✓ 3 Federal Question (U.S. Government Not a Party) | ✓ | 1 | 1 | Incorporated or Principal Place of Business In This State | ☐ 4 ☐ 4 | | ☐ 2 U.S. Government Defendant | ☐ 4 Diversity (Indicate Citizenship of Parties in Item III) | ☐ | 2 ✓ 2 | 2 Incorporated and Principal Place of Business In Another State | ☐ 5 ☐ 5 | | | | ☐ | 3 ☐ 3 | Foreign Nation | ☐ 6 ☐ 6 | - **U.S. Government Plaintiff** - **U.S. Government Defendant** # IV. NATURE OF SUIT (Place an "X" in One Box Only) ## CONTRACT - 110 Insurance - 120 Marine - 130 Act - 140 Negotiable Instrument - 150 Recovery of Overpayment & Endorsement of Judgment - 155 Medication Act - 155 Recovery of Diffused Student Loans (Excl Veterans) - 159 Recovery of Overpayment of Veteran's Benefit - 160 Stockholders' Suits - 190 Other Contract - 195 Contest Product Liability - 200 All Other Real Property ## PERSONAL INJURY - 110 Airplane - 120 Airplane Product Liability - 130 Assault, Libel & Shudder - 130 Federal Employer's Liability - 140 Marine - 145 Marine Product Liability - 150 Vehicle Service Liability - 155 Motor Vehicle Product Liability - 160 Other Personal Injur | AMOUNT | RECEIPT # | | :--- | :--- | | 350.00 | 1018042 | IFP | | | 2/23/10 | EFTA00194791 Case 9:10-cv-80309-WJZ Document 1 Entered on FLSD Docket 03/09/2010 Pa # UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF FLORIDA WEST PALM BEACH DIVISION # ATTACHMENT TO CIVIL COVER SHEET FOR: Jane Doe 103 Jeffrey Epstein ## VI. RELATED PENDING CASES | Example | | :--- | | 08-80119 - KAM | | 08-80232 - KAM | | 08-80380 - KAM | | 08-80381 - KAM | | 08-80811 - KAM | | 08-80893 - KAM | | 08-80993 - KAM | | 08-80994 - KAM | | 09-80469 - KAM | | 09-80802 - KAM | | 09-81092 - KAM | EFTA00194792
| ROY BLACK |
| HOWARD M. SREBNICK |
| SCOTT A. KORÑSPAN |
| LARRY A. STUMPF |
| MARIA NEYRA |
| JACKIE PERCZEK |
| MARK A.J. SHAPIRO |
| JARED |