Original Filing Form {MOED-0033}

UNITED STATES DISTRICT COURTEASTERN DISTRICT OF MISSOURI) ,))Plaintiff,))v.)Case No.),)) Defendant,))ORIGINAL FILING FORMTHIS FORM MUST BE COMPLETED AND VERIFIED BY THE FILING PARTYWHEN INITIATING A NEW CASE.THIS SAME CAUSE, OR A SUBSTANTIALLY EQUIVALENT COMPLAINT, WASPREVIOUSLY FILED IN THIS COURT AS CASE NUMBER AND ASSIGNED TO THE HONORABLE JUDGE .THIS CAUSE IS RELATED, BUT IS NOT SUBSTANTIALLY EQUIVALENT TO ANY PREVIOUSLY FILED COMPLAINT. THE RELATED CASE NUMBER IS AND THAT CASE WAS ASSIGNED TO THE HONORABLE . THIS CASE MAY, THEREFORE, BE OPENED AS AN ORIGINAL PROCEEDING.NEITHER THIS SAME CAUSE, NOR A SUBSTANTIALLY EQUIVALENTCOMPLAINT, HAS BEEN PREVIOUSLY FILED IN THIS COURT, AND THEREFOREMAY BE OPENED AS AN ORIGINAL PROCEEDING.The undersigned affirms that the information provided above is true and correct.Date: Signature of Filing Party American LegalNet, Inc. www.FormsWorkFlow.com