FAX NO. :
`FAX NOA.‘
`
`(626) 799-8419
`
`CASE NUMBER:
`CASE NUMBER:
`
`CM-010
`CM-010
`
`FOR COURT USE ONLY
`FOR COURT USE ONLY
`ELECTRONICALLY
`F I L E D
`
`Superior Court of California,
`County of San Francisco
`11/18/2024
`Clerk of the Court
`BY: MARIVIC VIRAY
`Deputy Clerk
`
`CGC-24-619855
`
`California Debt Collection License No. 12242-99
`California Debt Collection License No. 12242-99
`ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
`ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
`FLINT C ZIDE, SBN 160369 / DAVID C. MCGAFFEY, SBN 315632 / ROBERT KAYVON, SBN 250283
`Scott & Associates
`PO Box 115220, Carrollton, TX 75011
`(866) 298-3155
`TELEPHONE NO.:
`TELEPHONE NO.:
`CAFiIings@scott-pc.com
`EMAIL ADDRESS:
`EMAIL ADDRESS:
`LVNV Funding, LLC
`ATTORNEY FOR (Name):
`ATTORNEY FOR (Name):
`SUPERIOR COURT OF CALIFORNIA, COUNTY OF
`SUPERIOR COURT OF CALIFORNIA, COUNTY OF San Francisco
`STREET ADDRESS: 400 MCAIIister Street
`STREET ADDRESS:
`MAILING ADDRESS:
`MAILING ADDRESS:
`CITY AND ZIP CODE: San Francisco, CA 94102
`CITY AND ZIP CODE:
`BRANCH NAME: San Francisco Courthouse
`BRANCH NAME:
`CASE NAME:
`CASE NAME; LVNV Funding, LLC
`Sergio Diaz
`CIVIL CASE COVER SHEET
`CIVIL CASE COVER SHEET
`Complex Case Designation
`Complex Case Designation
`m Limited
`|:| Unlimited
`Unlimited
`Limited
`|:| Joinder
`|:| Counter
`Joinder
`Counter
`(Amount
`(Amount
`(Amount
`(Amount
`Filed with first appearance by defendant
`Filed with first appearance by defendant
`demanded
`JUDGE:
`JUDGE:
`demanded is
`demanded
`demanded is
`(Cal. Rules of Court, rule 3.402)
`exceeds $35000)
`(Cal. Rules of Court, rule 3.402)
`exceeds $35,000)
`$35,000 or less)
`$35,000 or less)
`DEPT.:
`DEPT.:
`Items 1—6 below must be completed (see instructions on page 2).
`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:
`1. Check one box below for the case type that best describes this case:
`Auto Tort
`Contract
`Auto Tort
`Contract
`E Auto<22>
`E
`Auto (22)
`Breach of contract/warranty (06)
`Breach of contract/warranty (06)
`:l Uninsured motorist (46)
`Uninsured motorist (46)
`Rule 3.740 collections (09)
`Rule 3.740 collections (09)
`:|
`Other PI/PD/WD (Personal Injury/Property
`Other PIIPDIWD (Personal Injury/Property
`Other collections (09)
`Other collections (09)
`Damage/Wrongful Death) Tort
`Damage/Wrongful Death) Tort
`|:| Insurance coverage (18)
`Insurance coverage (18)
`\:| Asbestos (04)
`Asbestos (04)
`|:| Other contract (37)
`Other contract (37)
`:I Productliability (24)
`Product liability (24)
`Real Property
`Real Property
`:I Medical malpractice (45)
`Medical malpractice (45)
`|:| Eminent domain/Inverse
`Eminent domain/Inverse
`Other PI/PD/WD (23)
`:l Other PI/PDNVD (23)
`condemnation (14)
`condemnation (14)
`|:| Wrongful eviction (33)
`Non-PI/PD/WD (Other) Tort
`Wrongful eviction (33)
`Non-PIIPDIWD (Other) Tort
`|:| Other real property (26)
`Other real property (26)
`Business tort/unfair business practice (07)
`Business tort/unfair business practice (07)
`Unlawful Detainer
`Unlawful Detainer
`Civil rights (08)
`Civil rights (08)
`|:| Commercial (31)
`Commercial (31)
`Defamation (13)
`Defamation (13)
`|:| Residential (32)
`Fraud (16)
`Residential (32)
`Fraud (16)
`Drugs (38)
`l:l Drugs (38)
`Intellectual property (19)
`Intellectual property (19)
`Judicial Review
`Judicial Review
`Professional negligence (25)
`Professional negligence (25)
`|:| Asset forfeiture (05)
`Asset forfeiture (05)
`Other non-PI/PD/WD tort (35)
`Other non-PI/PD/WD tort (35)
`CI Petition re: arbitration award (11)
`Petition re: arbitration award (11)
`Employment
`Employment
`|:| Writ of mandate (02)
`Writ of mandate (02)
`:I Wrongful termination (36)
`Wrongful termination (36)
`|:| Otherjudicial review (39)
`:l Other employment (15)
`Other judicial review (39)
`Other employment (15)
`2. This case |:| is m is not
`2. This case
`complex under rule 3.400 of the California Rules of Court. If the case is complex, mark the
`is
`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:
`factors requiring exceptional judicial management:
`d. |:| Large number of witnesses
`Large number of witnesses
`d.
`a. |:| Large number of separately represented parties
`a.
`Large number of separately represented parties
`e. |:| Coordination with related actions pending in one or more
`e.
`Coordination with related actions pending in one or more
`b. |:| Extensive motion practice raising difficult or novel
`Extensive motion practice raising difficult or novel
`b.
`courts in other counties, states, or countries, or in a federal
`courts in other counties, states, or countries, or in a federal
`issues that will be time-consuming to resolve
`issues that will be time-consuming to resolve
`coun
`.
`court
`.
`c. :l SubstantIaI amount of documentary eVIdence
`f
`Substantial amount of documentary evidence
`c.
`Substantial postjudgment judicial supervision
`|:| Substantial postjudgmentjudicial supervision
`f.
`punitive
`3. Remedies sought (check all that apply):a. IE monetary b. |:| nonmonetary; declaratory or injunctive relief 0. |:| punitive
`3. Remedies sought (check all that apply): a.
`monetary b.
`nonmonetary; declaratory or injunctive relief c.
`4. Number of causes of action (specify):
`4.
`Number of causes of action (specify):
`1
`a class action suit.
`This case |:| is m is not
`a class action suit.
`5. This case
`is
`is not
`5.
`6.
`If there are any known related cases, file and serve a notice of related case. (You may use form CM-015.)
`If there are any known related cases, file and serve a notice of related case. (You may use form CM-015.)
`6.
`November 14, 2024
`Date:
`Date:
`ppm; 3. mm
`Digitally signed by David C. McGaffey
`David C. McGaffey
`DN: o=MJSPC, ou=Lega|, uid=329373094
`Date: 11/14/2024 3:24:54 PM
`(TYPE OR PRINT NAME)
`(TYPE OR PRINT NAME)
`(SIGNATURE OF PARTY OR ATTORNEY FOR PARTY)
`(SIGNATURE OF PARTY OR ATTORNEY FOR PARTY)
`
`Provisionally Complex Civil Litigation
`Provisionally Complex Civil Litigation
`(Cal. Rules of Court, rules 3.400–3.403)
`(Cal. Rules of Court, rules 3.400—3.403)
`Antitrust/Trade regulation (03)
`Antitrust/Trade regulation (03)
`Construction defect (10)
`Construction defect (10)
`Mass tort (40)
`Mass tort (40)
`Securities litigation (28)
`Securities litigation (28)
`Environmental/Toxic tort (30)
`Environmental/Toxic tort (30)
`Insurance coverage claims arising from the
`Insurance coverage claims arising from the
`above listed provisionally complex case
`above listed provisionally complex case
`types (41)
`types (41)
`Enforcement of Judgment
`Enforcement of Judgment
`|:| Enforcement ofjudgment (20)
`Enforcement of judgment (20)
`Miscellaneous Civil Complaint
`Miscellaneous Civil Complaint
`E RICO (27)
`RICO (27)
`|:| Other complaint (not specified above} (42)
`Other complaint (not specified above) (42)
`Miscellaneous Civil Petition
`Miscellaneous Civil Petition
`|:| Partnership and corporate governance (21)
`Partnership and corporate governance (21)
`|:| Other petition (not specified above} (43)
`Other petition (not specified above) (43)
`
`DDDDDD
`
`m|
`
`DUDUDDD
`
`NOTICE
`NOTICE
`Plaintiff must file this cover sheet with the first paper filed in the action or proceeding (except small claims cases or cases filed
`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.
`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.
`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
`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.
`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 only.
`Unless this is a collections case under rule 3.740 or a complex case, this cover sheet will be used for statistical purposes only.
`Page 1 of 2
`Page 1 of 2
`CIVIL CASE COVER SHEET
`CIVIL CASE COVER SHEET
`Form Adopted for Mandatory Use
`Form Adopted for Mandatory Use
`Cal. Rules of Court, rules 2.30, 3.220, 3.400–3.403, 3.740;
`Cal. Rules of Court, rules 230, 3.220, 3.400—3.403, 3.740;
`Judicial Council of California
`Judicial Council of California
`Cal. Standards of Judicial Administration, std. 3.10
`Cal. Standards of Judicial Administration, std. 3.10
`CM-010 [Rev. January 1, 2024]
`CM-010 [Rev. January 1, 2024]
`www.courts.ca.gov
`www.courts.ca.gov
`
`• •
`
`FLINT C ZIDE, SBN 160369 / DAVID C. MCGAFFEY, SBN 315632 / ROBERT KAYVON, SBN 250283
`
`Scott & Associates
`
`PO Box 115220, Carrollton, TX 75011
`
`(866) 298-3155
`
`(626) 799-8419
`
`CAFilings@scott-pc.com
`
`400 McAllister Street
`
`LVNV Funding, LLC
`
`LVNV Funding, LLC
`
`San Francisco
`
`San Francisco, CA 94102
`
`San Francisco Courthouse
`
`Sergio Diaz
`
`
`
`X
`
`X
`
`
`
`X
`
`X
`
`1
`
`X
`
`November 14, 2024
`
`Digitally signed by David C. McGaffey
`
`David C. McGaffey
`
`David C. McGaffey
`
`DN: o=MJSPC, ou=Legal, uid=329373094
`
`Date: 11/14/2024 3:24:54 PM
`
`
`

`

`CM-010
`INSTRUCTIONS ON HOW TO COMPLETE THE COVER SHEET
`CM-010
`INSTRUCTIONS ON HOW TO COMPLETE THE COVER SHEET
`To Plaintiffs and Others Filing First Papers. If you are filing a first paper (for example, a complaint) in a civil case, you must
`To Plaintiffs and Others Filing First Papers.
`If you are filing a first paper (for example, a complaint) in a civil case, you must
`complete and file, along with your first paper, the Civil Case Cover Sheet contained on page 1. This information will be used to compile
`complete and file, along with your first paper, the Civil Case Cover Sheet contained on page 1. This information will be used to compile
`statistics about the types and numbers of cases filed. You must complete items 1 through 6 on the sheet. In item 1, you must check
`statistics about the types and numbers of cases filed. You must complete items 1 through 6 on the sheet.
`In item 1, you must check
`one box for the case type that best describes the case. If the case fits both a general and a more specific type of case listed in item 1,
`one box for the case type that best describes the case.
`If the case fits both a general and a more specific type of case listed in item 1,
`check the more specific one. If the case has multiple causes of action, check the box that best indicates the primary cause of action.
`check the more specific one. If the case has multiple causes of action, check the box that best indicates the primary cause of action.
`To assist you in completing the sheet, examples of the cases that belong under each case type in item 1 are provided below. A cover
`To assist you in completing the sheet, examples of the cases that belong under each case type in item 1 are provided below. A cover
`sheet must be filed only with your initial paper. Failure to file a cover sheet with the first paper filed in a civil case may subject a party,
`sheet must be filed only with your initial paper. Failure to file a cover sheet with the first paper filed in a civil case may subject a party,
`its counsel, or both to sanctions under rules 2.30 and 3.220 of the California Rules of Court.
`its counsel, or both to sanctions under rules 2.30 and 3.220 of the California Rules of Court.
`To Parties in Rule 3.740 Collections Cases. A "collections case" under rule 3.740 is defined as an action for recovery of money owed
`To Parties in Rule 3.740 Collections Cases. A "collections case" under rule 3.740 is defined as an action for recovery of money owed
`in a sum stated to be certain that is not more than $25,000, exclusive of interest and attorney's fees, arising from a transaction in which
`in a sum stated to be certain that is not more than $25,000, exclusive of interest and attorney's fees, arising from a transaction in which
`property, services, or money was acquired on credit. A collections case does not include an action seeking the following: (1) tort
`property, services. or money was acquired on credit. A collections case does not include an action seeking the following: (1) tort
`damages, (2) punitive damages, (3) recovery of real property, (4) recovery of personal property, or (5) a prejudgment writ of
`damages, (2) punitive damages, (3) recovery of real property, (4) recovery of personal property, or (5) a prejudgment writ of
`attachment. The identification of a case as a rule 3.740 collections case on this form means that it will be exempt from the general
`attachment. The identification of a case as a rule 3.740 collections case on this form means that it will be exempt from the general
`time-for-service requirements and case management rules, unless a defendant files a responsive pleading. A rule 3.740 collections
`time-for-service requirements and case management rules, unless a defendant files a responsive pleading. A rule 3.740 collections
`case will be subject to the requirements for service and obtaining a judgment in rule 3.740.
`case will be subject to the requirements for service and obtaining a judgment in rule 3.740.
`To Parties in Complex Cases. In complex cases only, parties must also use the Civil Case Cover Sheet to designate whether the
`To Parties in Complex Cases. In complex cases only, parties must also use the Civil Case Cover Sheet to designate whether the
`case is complex. If a plaintiff believes the case is complex under rule 3.400 of the California Rules of Court, this must be indicated by
`case is complex. It a plaintiff believes the case is complex under rule 3.400 of the California Rules of Court, this must be indicated by
`completing the appropriate boxes in items 1 and 2. If a plaintiff designates a case as complex, the cover sheet must be served with the
`completing the appropriate boxes in items 1 and 2.
`If a plaintiff designates a case as complex, the cover sheet must be served with the
`complaint on all parties to the action. A defendant may file and serve no later than the time of its first appearance a joinder in the
`complaint on all parties to the action. A defendant may file and serve no later than the time of its first appearance a joinder in the
`plaintiff's designation, a counter-designation that the case is not complex, or, if the plaintiff has made no designation, a designation that
`plaintiff's designation, a counter-designation that the case is not complex, or, if the plaintiff has made no designation, a designation that
`the case is complex.
`the case is complex.
`CASE TYPES AND EXAMPLES
`CASE TYPES AND EXAMPLES
`Auto Tort
`Auto Tort
`Auto (22)–Personal Injury/Property
`Auto (22)—Persona| Injury/Property
`Damage/Wrongful Death
`Damage/Wrongful Death
`Uninsured Motorist (46) (if the
`Uninsured Motorist (46) (if the
`case involves an uninsured
`case involves an uninsured
`motorist claim subject to
`motorist claim subject to
`arbitration, check this item
`arbitration, check this item
`instead of Auto)
`instead of Auto)
`Other PI/PD/WD (Personal Injury/
`Other Pl/PDIWD (Personal lnjuryl
`Property Damage/Wrongful Death) Tort
`Property Damage/Wrongful Death) Tort
`Asbestos (04)
`Asbestos (04)
`Asbestos Property Damage
`Asbestos Property Damage
`Asbestos Personal Injury/
`Asbestos Personal Injury/
`Wrongful Death
`Wrongful Death
`Product Liability (not asbestos or
`Product Liability (not asbestos or
`toxic/environmental) (24)
`toxic/environmental) (24)
`Medical Malpractice (45)
`Medical Malpractice (45)
`Medical Malpractice–
`Medical Malpractice—
`Physicians & Surgeons
`Physicians & Surgeons
`Other Professional Health Care
`Other Professional Health Care
`Malpractice
`Malpractice
`Other PI/PD/WD (23)
`Other PI/PD/WD (23)
`Premises Liability (e.g., slip
`Premises Liability (e.g., slip
`and fall)
`and fall)
`Intentional Bodily Injury/PD/WD
`Intentional Bodily Injury/PD/WD
`(e.g., assault, vandalism)
`(e.g., assault, vandalism)
`Intentional Infliction of
`Intentional Infliction of
`Emotional Distress
`Emotional Distress
`Negligent Infliction of
`Negligent Infliction of
`Emotional Distress
`Emotional Distress
`Other PI/PD/WD
`Other PI/PD/WD
`Non-PI/PD/WD (Other) Tort
`Non-PIIPDIWD (Other) Tort
`Business Tort/Unfair Business
`Business Tort/Unfair Business
`Practice (07)
`Practice (07)
`Civil Rights (e.g., discrimination,
`Civil Rights (e.g., discrimination,
`false arrest) (not civil
`false arrest) (not civil
`harassment) (08)
`harassment) (08)
`Defamation (e.g., slander, libel) (13)
`Defamation (e.g., slander, libel) (13)
`Fraud (16)
`Fraud (16)
`Intellectual Property (19)
`Intellectual Property (19)
`Professional Negligence (25)
`Professional Negligence (25)
`Legal Malpractice
`Legal Malpractice
`Other Professional Malpractice
`Other Professional Malpractice
`(not medical or legal)
`(not medical or legal)
`Other Non-PI/PD/WD Tort (35)
`
`Other Non-Pl/PD/WD Tort (35)
`Employment
`Employment
`Wrongful Termination (36)
`Wrongful Termination (36)
`Other Employment (15)
`Other Employment (15)
`
`Contract
`Contract
`Breach of Contract/Warranty (06)
`Breach of Contract/Warranty (O6)
`Breach of Rental/Lease
`Breach of Rental/Lease
`Contract (not unlawful detainer
`Contract (not unlawful detainer
`or wrongful eviction)
`or wrongful eviction)
`Contract/Warranty Breach–Seller
`Contract/Warranty Breach—Seller
`Plaintiff (not fraud or negligence)
`Plaintiff (not fraud or negligence)
`Negligent Breach of Contract/
`Negligent Breach of Contract/
`Warranty
`Warranty
`Other Breach of Contract/Warranty
`Other Breach of Contract/Warranty
`Collections (e.g., money owed, open
`Collections (e.g., money owed, open
`book accounts) (09)
`book accounts) (09)
`Collection Case–Seller Plaintiff
`Collection Case—Seller Plaintiff
`Other Promissory Note/Collections Case
`Other Promissory Note/Collections Case
`Insurance Coverage (not provisionally
`Insurance Coverage (not provisionally
`complex) (18)
`complex) (18)
`Auto Subrogation
`Auto Subrogation
`Other Coverage
`Other Coverage
`Other Contract (37)
`Other Contract (37)
`Contractual Fraud
`Contractual Fraud
`Other Contract Dispute
`Other Contract Dispute
`Real Property
`Real Property
`Eminent Domain/Inverse
`Eminent Domain/Inverse
`Condemnation (14)
`Condemnation (14)
`Wrongful Eviction (33)
`Wrongful Eviction (33)
`Other Real Property (e.g., quiet title) (26)
`Other Real Property (e.g., quiet title) (26)
`Writ of Possession of Real Property
`Writ of Possession of Real Property
`Mortgage Foreclosure
`Mortgage Foreclosure
`Quiet Title
`Quiet Title
`Other Real Property (not eminent
`Other Real Property (not eminent
`domain, landlord/tenant, or
`domain, landlord/tenant, or
`foreclosure)
`foreclosure)
`Unlawful Detainer
`Unlawful Detainer
`Commercial (31)
`Commercial (31)
`Residential (32)
`Residential (32)
`Drugs (38) (if the case involves illegal
`Drugs (38) (if the case involves illegal
`drugs, check this item; otherwise,
`drugs, check this item; otherwise,
`report as Commercial or Residential)
`report as Commercial or Residential)
`Judicial Review
`Judicial Review
`Asset Forfeiture (05)
`Asset Forfeiture (05)
`Petition Re: Arbitration Award (11)
`Petition Re: Arbitration Award (11)
`Writ of Mandate (02)
`Writ of Mandate (02)
`Writ–Administrative Mandamus
`Writ—Administrative Mandamus
`Writ–Mandamus on Limited Court
`Writ—Mandamus on Limited Court
`Case Matter
`Case Matter
`Writ–Other Limited Court Case Review
`Writ—Other Limited Court Case Review
`Other Judicial Review (39)
`Other Judicial Review (39)
`Review of Health Officer Order
`Review of Health Officer Order
`Notice of Appeal–Labor Commissioner
`Notice of Appeal—Labor Commissioner
`Appeals
`Appeals
`CIVIL CASE COVER SHEET
`CIVIL CASE COVER SHEET
`
`
`
`Provisionally Complex Civil Litigation (Cal.
`Provisionally Complex Civil Litigation (Cal.
`Rules of Court Rules 3.400–3.403)
`Rules of Court Rules 3.400—3.403)
`Antitrust/Trade Regulation (03)
`Antitrust/Trade Regulation (03)
`Construction Defect (10)
`Construction Defect (10)
`Claims Involving Mass Tort (40)
`Claims Involving Mass Tort (40)
`Securities Litigation (28)
`Securities Litigation (28)
`Environmental/Toxic Tort (30)
`Environmental/Toxic Tort (30)
`Insurance Coverage Claims
`Insurance Coverage Claims
`(arising from provisionally complex
`(arising from provisionally complex
`case type listed above) (41)
`case type listed above) (41)
`Enforcement of Judgment
`Enforcement of Judgment
`Enforcement of Judgment (20)
`Enforcement of Judgment (20)
`Abstract of Judgment (Out of County)
`Abstract of Judgment (Out of County)
`Confession of Judgment (non-domestic
`Confession of Judgment (non-domestic
`relations)
`relations)
`Sister State Judgment
`Sister State Judgment
`Administrative Agency Award
`Administrative Agency Award
`(not unpaid taxes)
`(not unpaid taxes)
`Petition/Certification of Entry of
`Petition/Certification of Entry of
`Judgment on Unpaid Taxes
`Judgment on Unpaid Taxes
` Other Enforcement of Judgment Case
`Other Enforcement of Judgment Case
`Miscellaneous Civil Complaint
`Miscellaneous Civil Complaint
`RICO (27)
`RICO (27)
`Other Complaint (not specified above) (42)
`Other Complaint (not specified above) (42)
`Declaratory Relief Only
`Declaratory Relief Only
`Injunctive Relief Only (non-
`Injunctive Relief Only (non-
`harassment)
`harassment)
`Mechanics Lien
`Mechanics Lien
`Other Commercial Complaint
`Other Commercial Complaint
`Case (non-tort/non-complex)
`Case (non-tort/non-complex)
`Other Civil Complaint
`Other Civil Complaint
`(non-tort/non-complex)
`(non-tort/non-complex)
`
`Miscellaneous Civil Petition
`Miscellaneous Civil Petition
`Partnership and Corporate
`Partnership and Corporate
`Governance (21)
`Governance (21)
`Other Petition (not specified above) (43)
`Other Petition (not specified above) (43)
`Civil Harassment
`Civil Harassment
`Workplace Violence
`Workplace Violence
`Elder/Dependent Adult Abuse
`Elder/Dependent Adult Abuse
`Election Contest
`Election Contest
`Petition for Name Change
`Petition for Name Change
`Petition for Relief From Late Claim
`Petition for Relief From Late Claim
`Other Civil Petition
`Other Civil Petition
`
`
`
`
`
`
`
`
`
`CM-010 [Rev. January 1, 2024]
`CM-O10 [Rev. January 1, 2024]
`
`Page 2 of 2
`Page 2 of 2
`
`