UNITED STATES DISTRICT COURT, EASTERN DISTRICT OF CALIFORNIA

CIVIL COVER SHEET

I (a) PLAINTIFFS (Check box if you are representing yourself 0) DEFENDANTS

JADWIN, David F., D.O. (See Attachment I)

(b) County of Residence of First Listed Plaintiff (Except in U.S. Plaintiff Cases): County of Residence of First Listed Defendant (In U.S. Plaintiff Cases Only):
Los Angeles County, California. Kern County, California

(c) Attorneys (Firm Name, Address and Telephone Number. If you are representing Attorneys (If Known)
yourself, provide same.)
Eugene Lee (S8# 236812)
LAW OFFICE OF EUGENE LEE
555 West Fifth St, Suite 3100, Los Angeles, CA 90013
Telephone: (213) 992-3299

II. BASIS OF JURISDICTION (Place an X in one box only.) III. CITIZENSHIP OF PRINCIPAL PARTIES - For Diversity Cases Only
(Place an X in one box for plaintiff and one for defendant.)
o I U.S. Government Plaintiff KI 3 Federal Question (U.S. PTF DEF PTF DEF
Government Not a Party) Citizen of This State 01 01 Incorporated or Principal Place 04 04
of Business in this State
02 U.S. Government Defendant 04 Diversity (Indicate Citizenship Citizen of Another State 02 02 Incorporated and Principal Place 05 05
of Parties in Item III) of Business in Another State
Citizen or Subject of a Foreign Country 0 3 0 3 Foreign Nation 06 06
IV. ORIGIN (Place an X in one box only.)
~ I Original 02 Removed from 03 Remanded from 04 Reinstated or 05 Transferred from another district (specify): 06 Multi- o7 Appeal to District
Proceeding State Court Appellate Court Reopened District Judge from
Litigation Magistrate Judge
V. REQUESTED IN COMPLAINT: JURY DEMAND: KJ Yes 0 No (Check 'Yes' only if demanded in complaint.)
CLASS ACTION under F.R.C.P. 23: 0 Yes 0 No 0 MONEY DEMANDED IN COMPLAINT: $ To Be Detennined
VI. CAUSE OF ACTION (Cite the U.S. Civil Statute under which you are filing and write a brief statement of cause. Do not cite jurisdictional statutes unless diversity.)
29 U.S.C. §§ 2601, et seq., Interference with FMLA Rights; ; 42 U.S.C. § 1983, Violation of Procedural Due Process Guaranteed byl4th Amendment of
U.S. Constitution; 29 U.S.C. §201 et seq., Violation ofFLSA (unpaid wages); and pendent state claims.

VII. NATURE OF SUIT (Place an X in one box only.)

0400 State Reapportionment 0110 Insurance Fair Labor Standards

0410 Antitrust 0120 Marine 0310 Airplane 0510 Motions to Act
0430 Banks and Banking 0130 Miller Act 0315 Airplane Product o 370 Other Fraud Vacate Sentence o 720 Labor/Mgmt.
0450 Commerce/ICC 0140 Negotiable Instrument Liability 0371 Truth in Lending Habeas Corpus Relations
Rates/etc. 0150 Recovery of 0320 Assault, Libel & 0380 Other Personal 0530 General o 730 Labor/Mgmt.
0460 Deportati on Overpayment & Slander Property Damage 0535 Death Penalty Reporting &
0470 Racketeer Influenced Enforcement of 0330 Fed. Employers' o 385 Property Damage 0 540 Mandamus/ Disclosure Act
and Corrupt Judgment Liability Product Liability Other o 740 Railway Labor Act
Organizations 0151 Medicare Act 0340 Marine Ilill:IJi!I!!!~_.III¢YI'II 0 550 Civil Rights o 790 Other Labor
o 480 Consumer Credit 0152 Recovery of Defaulted 0345 Marine Product o 422 Appeal 28 USC 0 555 Prison Condition Litigation
o 490 Cable/Sat TV Student Loan (Exc1. Liability 158 Empl. Ret. Inc.
o 810 Selective Service Veterans) 0350 Motor Vehicle 0423 Withdrawal28
o 850 Securities/Commodities 0153 Recovery of 0355 Motor Vehicle USC 157 Agriculture
/Exchange Overpayment of Product Liability l:i.CIl\Il1.iig• • illli: •.• ··· Other Food & o 820 Copyrights
0875 Customer Challenge 12 Veteran's Benefits 0360 Other Personal 0441 Voting Drug 0830 Patent
USC 3410 0160 Stockholders' Suits Injury iii 442 Employment 0625 Drug Related o 840 Trademark
0891 Agricultural Act 0190 Other Contract 0362 Personal Injury- o 443 Housing!Acco- Seizure of Th.~$~~lImI\,).'W.~;:
0892 Economic Stabilization 0195 Contract Product Med Malpractice mmodations Property 21 USC o 861 HIA (1395fl)
Act Liability 0365 Personal Injury- 0444 Welfare 881 0862 Black Lung (923)
0893 Environmental Matters Product Liability o 445 American with 0630 Liquor Laws 0863 DIWC/DIWW
0894 Energy Allocation Act 0368 Asbestos Personal Disabilities - 0640 R.R. & Truck (405(g»
0895 Freedom of Info. Act 0210 Land Condemnation Injury Product Employment 0650 Airline Regs o 864 SSID Title XVI
0900 Appeal of Fee Determi- 0220 Foreclosure Liability o 446 American with 0660 Occupational [] 8?5 RSI(495(g)J . ......•
nation Under Equal 0230 Rent Lease & Ejectment Disabilities - Safety /Health .::::H:~~~_$ ••l~
Access to Justice 0240 Torts to Land Other 0690 Other o 870 Taxes (U.S. Plaintiff
0950 Constitutionality of 0245 Tort Product Liability o 440 Other Civil or Defendant)
State Statutes 0290 All Other Real Property Rights o 871 IRS-Third Party 26
0890 Other Statutory Actions USC 7609

VIII(a). IDENTICAL CASES: Has this action been previously filed and dismissed, remanded or closed? III No 0 Yes
If yes, list case number(s):
FOR OFFICE USE ONLY: Case Number: _

EDCA-JS44 (01/05) CIVIL COVER SHEET Page I of2

 SHORT TITLE: JADWIN v. COUNTY OF KERN, et al. CASE NUMBER:

1 ATTACHMENT 1
2 DEFENDANTS
3
COUNTY OF KERN,
4
PETER BRYAN (both individually and in his former official capacity as Chief Executive Officer Of
5 Kern Medical Center),
6 IRWIN HARRIS, M.D;
7 EUGENE KERCHER, M.D. (both individually and in his official capacity as a President of Medical
Staff of Kern Medical Center);
8
JENNIFER ABRAHAM, M.D. (both individually and in her official capacity as Immediate Past
9 President of Medical Staff at Kern Medical Center);
10 SCOTT RAGLAND, M.D. (both individually and in his official capacity as President-Elect of Medical
Staff of Kern Medical Center);
11
TONI SMITH, (both individually and in her official capacity as Chief Nurse Executive of Kern Medical
12 Center);
13 WILLIAM ROY, M.D.; and
14 DOES 1 through 10, inclusive
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1
ATTACHMENT