`UNITED STATES DISTRICT COURT
`for the
`__________ District of __________
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`Plaintiff(s)
`v. Civil Action No.
`Defendant(s)
`SUMMONS IN A CIVIL ACTION
`To: (Defendant’s name and address)
`A lawsuit has been filed against you.
`Within 21 days after service of this summons on you (not counting the day you received it) — or 60 days if you
`are the United States or a United States agency, or an officer or employee of the United States described in Fed. R. Civ.
`P. 12 (a)(2) or (3) — you must serve on the plaintiff an answer to the attached complaint or a motion under Rule 12 of
`the Federal Rules of Civil Procedure. The answer or motion must be served on the plaintiff or plaintiff’s attorney,
`whose name and address are:
`If you fail to respond, judgment by default will be entered against you for the relief demanded in the complaint.
`You also must file your answer or motion with the court.
`CLERK OF COURT
`Date:
`Signature of Clerk or Deputy Clerk
`JUUL LABS, INC.,
`c/o its Registered Agent
`The Corporation Trust Company
`Corporation Trust Center, 1209 Orange Street
`Wilmington, DE 19801
`Susan E. Morrison
`Fish & Richardson P.C.
`222 Delaware Avenue, 17th Floor
`Wilmington, DE 19801
`(302)
`652-5070
`Case 1:25-cv-01171-UNA Document 5 Filed 09/22/25 Page 1 of 2 PageID #: 123
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`AO 440 (Rev. 06/12) Summons in a Civil Action (Page 2)
`Civil Action No.
`PROOF OF SERVICE
`(This section should not be filed with the court unless required by Fed. R. Civ. P. 4 (l))
`This summons for (name of individual and title, if any)
`was received by me on (date) .
`’ I personally served the summons on the individual at (place)
`on (date) ; or
`’ I left the summons at the individual’s residence or usual place of abode with (name)
`, a person of suitable age and discretion who resides there,
`on (date) , and mailed a copy to the individual’s last known address; or
`’ I served the summons on (name of individual) , who is
` designated by law to accept service of process on behalf of (name of organization)
`on (date) ; or
`’ I returned the summons unexecuted because ; or
`’ Other (specify):
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`My fees are $ for travel and $ for services, for a total of $ .
`I declare under penalty of perjury that this information is true.
`Date:
`Server’s signature
`Printed name and title
`Server’s address
`Additional information regarding attempted service, etc:
`Case 1:25-cv-01171-UNA Document 5 Filed 09/22/25 Page 2 of 2 PageID #: 124
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