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r-lectromoatty rueu Liy OupenoT UIDUR 01 uawarrua, t,ounty or orange, uerur/ZUZo u4-.I14:.SO rlvl. - -010 ATTORNEY OR PARTY WITHOUT ATTORNEY(Name,Slate Barnumber,and address); FOR COURT USEONLY PAYTON EMPLOYMENT LAW, PC Marissa L. Simmons,Esq.(SBN: 293215);Rayne A.Brown,Esq.(342011) 3807 W.Sierra Highway,Suite 206 Acton,California 93510 T] y q 1 TELEPHONE NO.: 7(�6}6 1) 434-1 144 FAX No,; (661) 434-1144 ATTORNEY FOR(Name): Plaintiff r a.loma Ortiz SUPERIOR COURT OF CALIFORNIA,COUNTY OFT�Orange ' STREET ADDRESS: 700 Civic Center Drive`�v�Y7est MAILING ADDRESS: 700 Civic Center Drive West CITY AND ZIP CODF: Santa Ana, CA, 92701 BRANCH NAME: Central Justice Center CASE NAME: Paloma Ortiz v. City of Santa Ana Parks and Recreation CIVIL CASE COVER SHEET Complex Case Designation CASE NUMBER: 30-2023-01348523-CIJ-W-CJC 0 Unlimited = Limited (Amount (Amount = Counter Joinder Assifn-Pd for All Purpoies� demanded demanded is Filed with first appearance by defendant JUDGE, judge Deborah S e ry i n o exceeds$25,000) $25,000 or less) (Cal. Rules of Court, rule 3.402) DEPT: Items 1-6 below must be completed(see instructions on page 2). 1. Check one box below for the case type that best describes this case: Auto Tort Contract Provisionally Complex Civil Litigation Auto(22) = Breach of contract/warranty(06) (Cal.Rules of Court,rules 3.400-3.403) Uninsured motorist(46) Rule 3.740 collections(09) Antitrust/Trade regulation(03) Other PIIPDMD(Personal Injury/Property = Other collections(09) = Construction defect(10) DamageMrongful Death)Tort = Insurance coverage(18) Mass tort(40) Asbestos(04) = Other contract 37( ) � Securities litigation(28) Product liability(24) Real Property Environmental/Toxic tort(30) = Medical malpractice(45) Eminent domain/inverse Insurance coverage claims arising from the = Other PI/PD/WD(23) condemnation(14) above listed provisionally complex case Non 11-PIIPDIWD(Other)Tort = Wrongful eviction(33) types(41) I�—JI Business tortlunfair business practice(07) = Other real property(26) Enforcement of Judgment III Civil rights(08) Unlawful Detainer = Enforcement of judgment(20) LJ Defamation(13) = Commercial(31) Miscellaneous Civil Complaint Fraud(16) = Residential(32) RICO(27) = Intellectual property(19) = Drugs(38) Other complaint(not specified above)(42) = Professional negligence(25) Judicial Review Miscellaneous Civil Petition = Other non-PI/PDIWD tort(35) = Asset forfeiture(05) = Partnership and corporate governance(21) Employment = Petition re:arbitration award(11) = Other petition(not specified above)(43) �✓ Wrongful termination(36) Writ of mandate(02) = Other employment(15) Other judicial review(39) 2. This case is L-&—/J is not complex under rule 3.400 of the California Rules of Court. If the case is complex, mark the factors requiring exceptional judicial management: a. = Large number of separately represented parties d. = Large number of witnesses b. = Extensive motion practice raising difficult or novel e. = Coordination with related actions pending in one or more courts issues that will be time-consuming to resolve in other counties, states, or countries, or in a federal court c. = Substantial amount of documentary evidence f. = Substantial postjudgment judicial supervision 3. Remedies sought(check all that apply): a.0 monetary b.0 nonmonetary; declaratory or injunctive relief c.=punitive 4. Number of causes of action (specify): Three (3) 5. This case = is 0 is not a class action suit. 6. If there are any known related cases,file and serve a notice of related case. (You may use form CM-015.) Date: September 7, 2023 Marissa L. Simmons, Esq. (TYPE OR PRINT NAME) {SIGN TURE �Alll ATTORNEY FOR PARTY) NOTICE a Plaintiff must file this cover sheet with the first paper filed in the action or proceeding (except small claims cases or cases filed under the Probate Code, Family Code, or Welfare and Institutions Code). (Cal. Rules of Court, rule 3.220.) Failure to file may result in sanctions. • File this cover sheet in addition to any cover sheet required by local court rule. • If this case is complex under rule 3,400 et seq. of the California Rules of Court, you must serve a copy of this cover sheet on all other parties to the action or proceeding. • Unless this is a collections case under rule 3.740 or a complex case,this cover sheet will be used for statistical purposes onlf. a eiof2 Form Adopted for Mandatory Use CIVIL CASE COVER SHEET Cal.Rules of Court,rules 2,30,3.220,3.400-3.403,3740, Judicial Council of California Cal.Standards of Judicial Administration,std.3.10 CM-010[Rev.July 1,2007] www.courlinfo.ca.gov