CIVIL COVER SHEET Form 1.997 The civil cover sheet and the information contained herein neither replaces nor supplement the filing and service of pleadings or other papers as required by law. This form shall be filed by the plaintiff or petitioner for the use of the Clerk of Court for the purpose of reporting judicial workload data pursuant to Florida Statute section 25.075. (See instructions for completion.) 1. CASE STYLE In the Circuit Court of the Thirteenth Judicial Circuit for Hillsborough County, Florida Case Number: Plaintiff(s), Division: vs. , Defendant(s). American LegalNet, Inc. www.FormsWorkFlow.com 2. TYPE OF CASE (If the case fits more than one type of case, select the most definitive category.) If the most descriptive label is a subcategory (is indented under a broader category), place an X in both the main category and subcategory boxes. Condominium Nonhomestead residential Contracts and indebtedness Foreclosure $50,001 - $249,999 Eminent domain Nonhomestead residential Auto negligence Foreclosure $250,000 or more Negligence 226 other Other real property actions $0 226 Business governance $50,000 Business torts Other real property actions $50,001 226 Environmental/Toxic tort $249,999 Third party indemnification Other real property actions $250,000 Construction defect or more Mass tort Professional malpractice Negligent security Malpractice 226 business Nursing home negligence Malpractice 226 medical Premises liability 226 commercial Malpractice 226 other professional Premises liability 226 residential Other Products liability Antitrust / trade regulation Real property / Mortgage foreclosure Business transactions Commercial foreclosure $0- Constitutional challenge 226 statute or $50,000 ordinance Commercial foreclosure $50,001 - Constitutional challenge 226 proposed $249,999 amendment Commercial foreclosure Corporate trusts $250,000 or more Discrimination 226 employment or Homestead residential foreclosure other $0 - $50,000 Insurance claims Homestead residential foreclosure Intellectual property $50,001 - $249,999 Libel / Slander Homestead residential foreclosure Shareholder derivative action $250,000 or more Securities litigation Nonhomestead residential Trade secrets Foreclosure $0 - $50,000 Trust litigation American LegalNet, Inc. www.FormsWorkFlow.com THIS CASE IS APPROPRIATE FOR ASSIGNMENT TO THE COMPLEX LITIGATION BUSINESS DIVISION. PLEASE SEE ATTACHED COMPLEX BUSINESS LITIGATION DIVISION ADDENDUM FORM. 3. REMEDIES SOUGHT (Check all that apply): Monetary; Non-monetary declaratory or injunctive relief; Punitive 4. NUMBER OF CAUSES OF ACTION: [ ] (Specify) 5. IS THIS CASE A CLASS ACTION LAWSUIT? Yes No 6. HAS NOTICE OF ANY KNOWN RELATED CASE BEEN FILED? No Yes If 223yes224, list all related cases by name, case number and court. 7. IS JURY TRIAL DEMANDED IN COMPLAINT? Yes No 8. IS TRIAL EXPECTED TO LAST MORE THAN TEN (10) TRIAL DAYS (2 WEEKS)? Yes No I CERTIFY that the information I have provided in this cover sheet is accurate to the best of my knowledge and belief. Signature FL Bar Number Attorney or Party (Bar Number if attorney) Type or Print Name Date American LegalNet, Inc. www.FormsWorkFlow.com COMPLEX BUSINESS LITIGATION DIVISION ADDENDUM Party or Attorney Filing Action Must Place an 223X224 in One of the Boxes Below The categories of cases set out below shall guide the parties and the Court in the designation of cases for the Complex Business Litigation Division (223CBLD224). AMOUNT IN CONTROVERSY GREATER THAN $150,000.00 Non-consumer UCC-related transactions; Purchases and sales of businesses or the assets of a business, including contract disputes, commercial landlord- tenant claims, and business torts; Non-consumer sale of goods or services by or to business enterprises; Non-consumer bank or brokerage accounts, including loan, deposit, cash management, and investment accounts; Purchase, sale, lease of commercial (real or personal) property or security interests therein; Commercial surety bonds; Franchisee / franchisor relationships and liabilities; Malpractice against professionals, except health care providers, in connection with rendering services relating to a business enterprise; Business torts, including unfair competition, breach of fiduciary duty, and tortious interference with contracts; Complex construction litigation, other than consumer home construction disputes, unless a court determines that the home construction dispute is business-related and complex; or Insurance coverage, bad faith litigation, and third party indemnity actions against insurers arising under policies issued to businesses, such as claims arising under a commercial general liability policy, commercial property policy, or title insurance policy, not including claims where the underlying dispute is a personal injury claim, unless a court determines that the personal injury insurance claim is business-related and complex. ANY AMOUNT IN CONTROVERSY Internal affairs or governance, dissolution or liquidation rights, obligations between or among owners (shareholders, partners, members), or liability or indemnity of managers (officers, directors, managers, trustees, or members or partners functioning as managers) of corporations, partnerships, limited partnerships, limited liability companies or partnerships; Trade secrets and non-compete agreements; Intellectual property; Securities or state securities laws; Antitrust statutes; Shareholder derivative actions and related class actions; and Corporate trust affairs or director and officer liability. NOTE: A copy of the Civil Cover Sheet and this Addendum must be served with the Complaint for all Complex Business Litigation Division cases. See Administrative Order S-2013-021 for further Complex Business Litigation Division requirements. American LegalNet, Inc. www.FormsWorkFlow.com