Alexander Stross v. Houzz, Inc.

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UNITED STATES DISTRICT COURT

8 CENTRAL DISTRICT OF CALIFORNIA

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Alexander Stross, Case No. 2:23-cv-00211-WLH(PDx)

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Plaintiff,

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v. STIPULATED PROTECTIVE

12 ORDER1

Houzz, Inc.

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14 Defendant.

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16 1. A. PURPOSES AND LIMITATIONS

17 Discovery in this action is likely to involve production of confidential,

18 proprietary, or private information for which special protection from public

19 disclosure and from use for any purpose other than prosecuting this litigation may be

20 warranted. Accordingly, the parties hereby stipulate to and petition the Court to enter

21 the following Stipulated Protective Order. The parties acknowledge that this Order

22 does not confer blanket protections on all disclosures or responses to discovery and

23 that the protection it affords from public disclosure and use extends only to the

24 limited information or items that are entitled to confidential treatment under the

25 applicable legal principles.

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1 This Stipulated Protective Order is substantially based on the model protective

1 B. GOOD CAUSE STATEMENT

2 This action is likely to involve trade secrets, customer lists, and other valuable

3 commercial, financial, technical, and/or proprietary information for which special

4 protection from public disclosure and from use for any purpose other than

5 prosecution of this action is warranted. Such confidential and proprietary materials

6 and information consist of, among other things, confidential business or financial

7 information, information regarding confidential business practices, or other

8 confidential commercial information (including information implicating privacy

9 rights of third parties), information otherwise generally unavailable to the public, or

10 which may be privileged or otherwise protected from disclosure under state or

11 federal statutes, court rules, case decisions, or common law. Accordingly, to expedite

12 the flow of information, to facilitate the prompt resolution of disputes over

13 confidentiality of discovery materials, to adequately protect information the parties

14 are entitled to keep confidential, to ensure that the parties are permitted reasonable

15 necessary uses of such material in preparation for and in the conduct of trial, to

16 address their handling at the end of the litigation, and serve the ends of justice, a

17 protective order for such information is justified in this matter. It is the intent of the

18 parties that information will not be designated as confidential for tactical reasons

19 and that nothing be so designated without a good faith belief that it has been

20 maintained in a confidential, non-public manner, and there is good cause why it

21 should not be part of the public record of this case.

22 C. ACKNOWLEDGMENT OF PROCEDURE FOR FILING UNDER SEAL

23 The parties further acknowledge, as set forth in Section 12.3, below, that this

24 Stipulated Protective Order does not entitle them to file confidential information

25 under seal; Local Civil Rule 79-5 sets forth the procedures that must be followed and

26 the standards that will be applied when a party seeks permission from the court to

27 file material under seal.

1 There is a strong presumption that the public has a right of access to judicial

2 proceedings and records in civil cases. In connection with non-dispositive motions,

3 good cause must be shown to support a filing under seal. See Kamakana v. City and

4 County of Honolulu, 447 F.3d 1172, 1176 (9th Cir. 2006), Phillips v. Gen. Motors

5 Corp., 307 F.3d 1206, 1210-11 (9th Cir. 2002), Makar-Welbon v. Sony Electrics,

6 Inc., 187 F.R.D. 576, 577 (E.D. Wis. 1999) (even stipulated protective orders require

7 good cause showing), and a specific showing of good cause or compelling reasons

8 with proper evidentiary support and legal justification, must be made with respect to

9 Protected Material that a party seeks to file under seal. The parties’ mere designation

10 of Disclosure or Discovery Material as CONFIDENTIAL does not—without the

11 submission of competent evidence by declaration, establishing that the material

12 sought to be filed under seal qualifies as confidential, privileged, or otherwise

13 protectable—constitute good cause.

14 Further, if a party requests sealing related to a dispositive motion or trial, then

15 compelling reasons, not only good cause, for the sealing must be shown, and the

16 relief sought shall be narrowly tailored to serve the specific interest to be protected.

17 See Pintos v. Pacific Creditors Ass’n, 605 F.3d 665, 677-79 (9th Cir. 2010). For each

18 item or type of information, document, or thing sought to be filed or introduced under

19 seal in connection with a dispositive motion or trial, the party seeking protection

20 must articulate compelling reasons, supported by specific facts and legal

21 justification, for the requested sealing order. Again, competent evidence supporting

22 the application to file documents under seal must be provided by declaration.

23 Any document that is not confidential, privileged, or otherwise protectable in

24 its entirety will not be filed under seal if the confidential portions can be redacted. If

25 documents can be redacted, then a redacted version for public viewing, omitting only

26 the confidential, privileged, or otherwise protectable portions of the document, shall

27 be filed. Any application that seeks to file documents under seal in their entirety

1 should include an explanation of why redaction is not feasible.

2 2. DEFINITIONS

3 2.1 Action: this pending federal lawsuit.

4 2.2 Challenging Party: a Party or Non-Party that challenges

5 the designation of information or items under this Order.

6 2.3 “CONFIDENTIAL” Information or Items: information (regardless of

7 how it is generated, stored or maintained) or tangible things that qualify for

8 protection under Federal Rule of Civil Procedure 26(c), and as specified above in the

9 Good Cause Statement.

10 2.4 Counsel: Outside Counsel of Record and House Counsel (as well as

11 their support staff).

12 2.5 Designating Party: a Party or Non-Party that designates information or

13 items that it produces in disclosures or in responses to discovery as

14 “CONFIDENTIAL.”

15 2.6 Disclosure or Discovery Material: all items or information, regardless

16 of the medium or manner in which it is generated, stored, or maintained (including,

17 among other things, testimony, transcripts, and tangible things), that are produced or

18 generated in disclosures or responses to discovery in this matter.

19 2.7 Expert: a person with specialized knowledge or experience in a matter

20 pertinent to the litigation who has been retained by a Party or its counsel to serve as

21 an expert witness or as a consultant in this Action.

22 2.8 House Counsel: attorneys who are employees of a party to this Action.

23 House Counsel does not include Outside Counsel of Record or any other outside

24 counsel.

25 2.9 Non-Party: any natural person, partnership, corporation, association, or

26 other legal entity not named as a Party to this action.

27 2.10 Outside Counsel of Record: attorneys who are not employees of a party

1 to this Action but are retained to represent or advise a party to this Action and have

2 appeared in this Action on behalf of that party or are affiliated with a law firm which

3 has appeared on behalf of that party, and includes support staff.

4 2.11 Party: any party to this Action, including all of its officers, directors,

5 employees, consultants, retained experts, and Outside Counsel of Record (and their

6 support staffs).

7 2.12 Producing Party: a Party or Non-Party that produces Disclosure or

8 Discovery Material in this Action.

9 2.13 Professional Vendors: persons or entities that provide litigation

10 support services (e.g., photocopying, videotaping, translating, preparing exhibits or

11 demonstrations, and organizing, storing, or retrieving data in any form or medium)

12 and their employees and subcontractors.

13 2.14 Protected Material: any Disclosure or Discovery Material that is

14 designated as “CONFIDENTIAL.”

15 2.15 Receiving Party: a Party that receives Disclosure or Discovery Material

16 from a Producing Party.

17 3. SCOPE

18 The protections conferred by this Stipulation and Order cover not only

19 Protected Material (as defined above), but also (1) any information copied or

20 extracted from Protected Material; (2) all copies, excerpts, summaries, or

21 compilations of Protected Material; and (3) any testimony, conversations, or

22 presentations by Parties or their Counsel that might reveal Protected Material.

23 Any use of Protected Material at trial shall be governed by the orders of the

24 trial judge. This Order does not govern the use of Protected Material at trial.

25 4. DURATION

26 FINAL DISPOSITION of the action is defined as the conclusion of any

27 appellate proceedings, or, if no appeal is taken, when the time for filing of an appeal

1 has run. Except as set forth below, the terms of this protective order apply through

2 FINAL DISPOSITION of the action. The parties may stipulate that the they will be

3 contractually bound by the terms of this agreement beyond FINAL DISPOSITION,

4 but will have to file a separate action for enforcement of the agreement once all

5 proceedings in this case are complete.

6 Once a case proceeds to trial, information that was designated as

7 CONFIDENTIAL or maintained pursuant to this protective order used or introduced

8 as an exhibit at trial becomes public and will be presumptively available to all

9 members of the public, including the press, unless compelling reasons supported by

10 specific factual findings to proceed otherwise are made to the trial judge in advance

11 of the trial. See Kamakana, 447 F.3d at 1180-81 (distinguishing “good cause”

12 showing for sealing documents produced in discovery from “compelling reasons”

13 standard when merits-related documents are part of court record). Accordingly, for

14 such materials, the terms of this protective order do not extend beyond the

15 commencement of the trial.

16 5. DESIGNATING PROTECTED MATERIAL

17 5.1 Exercise of Restraint and Care in Designating Material for Protection.

18 Each Party or Non-Party that designates information or items for protection under

19 this Order must take care to limit any such designation to specific material that

20 qualifies under the appropriate standards. The Designating Party must designate for

21 protection only those parts of material, documents, items, or oral or written

22 communications that qualify so that other portions of the material, documents, items,

23 or communications for which protection is not warranted are not swept unjustifiably

24 within the ambit of this Order.

25 Mass, indiscriminate, or routinized designations are prohibited. Designations

26 that are shown to be clearly unjustified or that have been made for an improper

27 purpose (e.g., to unnecessarily encumber the case development process or to impose

1 unnecessary expenses and burdens on other parties) may expose the Designating

2 Party to sanctions.

3 If it comes to a Designating Party’s attention that information or items that it

4 designated for protection do not qualify for protection, that Designating Party must

5 promptly notify all other Parties that it is withdrawing the inapplicable designation.

6 5.2 Manner and Timing of Designations. Except as otherwise provided in

7 this Order (see, e.g., second paragraph of section 5.2(a) below), or as otherwise

8 stipulated or ordered, Disclosure or Discovery Material that qualifies for protection

9 under this Order must be clearly so designated before the material is disclosed or

10 produced.

11 Designation in conformity with this Order requires:

12 (a) for information in documentary form (e.g., paper or electronic

13 documents, but excluding transcripts of depositions or other pretrial or trial

14 proceedings), that the Producing Party affix at a minimum, the legend

15 “CONFIDENTIAL” (hereinafter “CONFIDENTIAL legend”), to each page that

16 contains protected material. If only a portion or portions of the material on a page

17 qualifies for protection, the Producing Party also must clearly identify the protected

18 portion(s) (e.g., by making appropriate markings in the margins).

19 A Party or Non-Party that makes original documents available for inspection

20 need not designate them for protection until after the inspecting Party has indicated

21 which documents it would like copied and produced. During the inspection and

22 before the designation, all of the material made available for inspection shall be

23 deemed “CONFIDENTIAL.” After the inspecting Party has identified the

24 documents it wants copied and produced, the Producing Party must determine which

25 documents, or portions thereof, qualify for protection under this Order. Then, before

26 producing the specified documents, the Producing Party must affix the

27 “CONFIDENTIAL legend” to each page that contains Protected Material. If only a

1 portion or portions of the material on a page qualifies for protection, the Producing

2 Party also must clearly identify the protected portion(s) (e.g., by making appropriate

3 markings in the margins).

4 (b) for testimony given in depositions that the Designating Party identify

5 the Disclosure or Discovery Material on the record, before the close of the deposition

6 all protected testimony.

7 (c) for information produced in some form other than documentary and for

8 any other tangible items, that the Producing Party affix in a prominent place on the

9 exterior of the container or containers in which the information is stored the legend

10 “CONFIDENTIAL.” If only a portion or portions of the information warrants

11 protection, the Producing Party, to the extent practicable, shall identify the protected

12 portion(s).

13 5.3 Inadvertent Failures to Designate. If timely corrected, an inadvertent

14 failure to designate qualified information or items does not, standing alone, waive

15 the Designating Party’s right to secure protection under this Order for such material.

16 Upon timely correction of a designation, the Receiving Party must make reasonable

17 efforts to assure that the material is treated in accordance with the provisions of this

18 Order.

19 6. CHALLENGING CONFIDENTIALITY DESIGNATIONS

20 6.1 Timing of Challenges. Any Party or Non-Party may challenge a

21 designation of confidentiality at any time that is consistent with the Court’s

22 Scheduling Order.

23 6.2 Meet and Confer. The Challenging Party shall initiate the dispute

24 resolution process under Local Rule 37.1 et seq.

25 6.3 The burden of persuasion in any such challenge proceeding shall be on

26 the Designating Party. Frivolous challenges, and those made for an improper purpose

27 (e.g., to harass or impose unnecessary expenses and burdens on other parties) may

1 expose the Challenging Party to sanctions. Unless the Designating Party has waived

2 or withdrawn the confidentiality designation, all parties shall continue to afford the

3 material in question the level of protection to which it is entitled under the Producing

4 Party’s designation until the Court rules on the challenge.

5 7. ACCESS TO AND USE OF PROTECTED MATERIAL

6 7.1 Basic Principles. A Receiving Party may use Protected Material that is

7 disclosed or produced by another Party or by a Non-Party in connection with this

8 Action only for prosecuting, defending, or attempting to settle this Action. Such

9 Protected Material may be disclosed only to the categories of persons and under the

10 conditions described in this Order. When the Action has been terminated, a

11 Receiving Party must comply with the provisions of section 13 below (FINAL

12 DISPOSITION).

13 Protected Material must be stored and maintained by a Receiving Party at a

14 location and in a secure manner that ensures that access is limited to the persons

15 authorized under this Order.

16 7.2 Disclosure of “CONFIDENTIAL” Information or Items. Unless

17 otherwise ordered by the court or permitted in writing by the Designating Party, a

18 Receiving Party may disclose any information or item designated

19 “CONFIDENTIAL” only to:

20 (a) the Receiving Party’s Outside Counsel of Record in this Action, as well

21 as employees of said Outside Counsel of Record to whom it is reasonably necessary

22 to disclose the information for this Action;

23 (b) the House Counsel of the Receiving Party to whom disclosure is

24 reasonably necessary for this Action;

25 (c) Experts (as defined in this Order) of the Receiving Party to whom

26 disclosure is reasonably necessary for this Action and who have signed the

27 “Acknowledgment and Agreement to Be Bound” (Exhibit A);

1 (d) the court and its personnel;

2 (e) court reporters and their staff;

3 (f) professional jury or trial consultants, mock jurors, and Professional

4 Vendors to whom disclosure is reasonably necessary for this Action and who have

5 signed the “Acknowledgment and Agreement to Be Bound” (Exhibit A);

6 (g) the author or recipient of a document containing the information or a

7 custodian or other person who otherwise possessed or knew the information;

8 (h) during their depositions, witnesses, and attorneys for witnesses, in the

9 Action to whom disclosure is reasonably necessary provided: (1) the deposing party

10 requests that the witness sign the form attached as Exhibit 1 hereto; and (2) they will

11 not be permitted to keep any confidential information unless they sign the

12 “Acknowledgment and Agreement to Be Bound” (Exhibit A), unless otherwise

13 agreed by the Designating Party or ordered by the court. Pages of transcribed

14 deposition testimony or exhibits to depositions that reveal Protected Material may

15 be separately bound by the court reporter and may not be disclosed to anyone except

16 as permitted under this Stipulated Protective Order; and

17 (i) any mediator or settlement officer, and their supporting personnel,

18 mutually agreed upon by any of the parties engaged in settlement discussions.

19 8. PROTECTED MATERIAL SUBPOENAED OR ORDERED PRODUCED

20 IN OTHER LITIGATION

21 If a Party is served with a subpoena or a court order issued in other litigation

22 that compels disclosure of any information or items designated in this Action as

23 “CONFIDENTIAL,” that Party must:

24 (a) promptly notify in writing the Designating Party. Such notification shall

25 include a copy of the subpoena or court order;

26 (b) promptly notify in writing the party who caused the subpoena or order

27 to issue in the other litigation that some or all of the material covered by the subpoena

1 or order is subject to this Protective Order. Such notification shall include a copy of

2 this Stipulated Protective Order; and

3 (c) cooperate with respect to all reasonable procedures sought to be pursued

4 by the Designating Party whose Protected Material may be affected.

5 If the Designating Party timely seeks a protective order, the Party served

6 with the subpoena or court order shall not produce any information designated in this

7 action as “CONFIDENTIAL” before a determination by the court from which the

8 subpoena or order issued, unless the Party has obtained the Designating Party’s

9 permission. The Designating Party shall bear the burden and expense of seeking

10 protection in that court of its confidential material and nothing in these provisions

11 should be construed as authorizing or encouraging a Receiving Party in this Action

12 to disobey a lawful directive from another court.

13 9. A NON-PARTY’S PROTECTED MATERIAL SOUGHT

14 TO BE PRODUCED IN THIS LITIGATION

15 (a) The terms of this Order are applicable to information produced by a

16 Non-Party in this Action and designated as “CONFIDENTIAL.” Such information

17 produced by Non-Parties in connection with this litigation is protected by the

18 remedies and relief provided by this Order. Nothing in these provisions should be

19 construed as prohibiting a Non-Party from seeking additional protections.

20 (b) In the event that a Party is required, by a valid discovery request, to

21 produce a Non-Party’s confidential information in its possession, and the Party is

22 subject to an agreement with the Non-Party not to produce the Non-Party’s

23 confidential information, then the Party shall:

24 (1) promptly notify in writing the Requesting Party and the Non-Party

25 that some or all of the information requested is subject to a confidentiality agreement

26 with a Non-Party;

27 (2) promptly provide the Non-Party with a copy of the Stipulated

1 Protective Order in this Action, the relevant discovery request(s), and a reasonably

2 specific description of the information requested; and

3 (3) make the information requested available for inspection by the

4 Non-Party, if requested.

5 (c) If the Non-Party fails to seek a protective order from this court within

6 14 days of receiving the notice and accompanying information, the Receiving Party

7 may produce the Non-Party’s confidential information responsive to the discovery

8 request. If the Non-Party timely seeks a protective order, the Receiving Party shall

9 not produce any information in its possession or control that is subject to the

10 confidentiality agreement with the Non-Party before a determination by the court.

11 Absent a court order to the contrary, the Non-Party shall bear the burden and expense

12 of seeking protection in this court of its Protected Material.

13 10. UNAUTHORIZED DISCLOSURE OF PROTECTED MATERIAL

14 If a Receiving Party learns that, by inadvertence or otherwise, it has disclosed

15 Protected Material to any person or in any circumstance not authorized under this

16 Stipulated Protective Order, the Receiving Party must immediately (a) notify in

17 writing the Designating Party of the unauthorized disclosures, (b) use its best efforts

18 to retrieve all unauthorized copies of the Protected Material, (c) inform the person or

19 persons to whom unauthorized disclosures were made of all the terms of this Order,

20 and (d) request such person or persons to execute the “Acknowledgment and

21 Agreement to Be Bound” that is attached hereto as Exhibit A.

22 11. INADVERTENT PRODUCTION OF PRIVILEGED OR OTHERWISE

23 PROTECTED MATERIAL

24 When a Producing Party gives notice to Receiving Parties that certain

25 inadvertently produced material is subject to a claim of privilege or other protection,

26 the obligations of the Receiving Parties are those set forth in Federal Rule of Civil

27 Procedure 26(b)(5)(B). This provision is not intended to modify whatever procedure

1 may be established in an e-discovery order that provides for production without prior

2 privilege review. Pursuant to Federal Rule of Evidence 502(d) and (e), insofar as the

3 parties reach an agreement on the effect of disclosure of a communication or

4 information covered by the attorney-client privilege or work product protection, the

5 parties may incorporate their agreement in the stipulated protective order submitted

6 to the court.

7 12. MISCELLANEOUS

8 12.1 Right to Further Relief. Nothing in this Order abridges the right of any

9 person to seek its modification by the Court in the future.

10 12.2 Right to Assert Other Objections. By stipulating to the entry of this

11 Protective Order no Party waives any right it otherwise would have to object to

12 disclosing or producing any information or item on any ground not addressed in this

13 Stipulated Protective Order. Similarly, no Party waives any right to object on any

14 ground to use in evidence of any of the material covered by this Protective Order.

15 12.3 Filing Protected Material. A Party that seeks to file under seal any

16 Protected Material must comply with Civil Local Rule 79-5. Protected Material may

17 only be filed under seal pursuant to a court order authorizing the sealing of the

18 specific Protected Material at issue. If a Party's request to file Protected Material

19 under seal is denied by the court, then the Receiving Party may file the information

20 in the public record unless otherwise instructed by the court.

21 12.4 No Limitation on Legal Representation. Nothing in this Stipulated

22 Protective Order shall preclude or impede Outside Counsel of Record’s ability to

23 communicate with or advise their client in connection with this litigation based on

24 such counsel’s review and evaluation of Protected Material, provided however, that

25 such communications or advice shall not disclose or reveal the substance or content

26 of any Protected Material other than as permitted under this Protective Order.

27 13. FINAL DISPOSITION

1 After the final disposition of this Action, as defined in paragraph 4, within 60

2 days of a written request by the Designating Party, each Receiving Party must return

3 all Protected Material to the Producing Party or destroy such material. As used in

4 this subdivision, “all Protected Material” includes all copies, abstracts, compilations,

5 summaries, and any other format reproducing or capturing any of the Protected

6 Material. Whether the Protected Material is returned or destroyed, the Receiving

7 Party must submit a written certification to the Producing Party (and, if not the same

8 person or entity, to the Designating Party) by the 60 day deadline that (1) identifies

9 (by category, where appropriate) all the Protected Material that was returned or

10 destroyed and (2)affirms that the Receiving Party has not retained any copies,

11 abstracts, compilations, summaries or any other format reproducing or capturing any

12 of the Protected Material. Notwithstanding this provision, Counsel are entitled to

13 retain an archival copy of all pleadings, motion papers, trial, deposition, and hearing

14 transcripts, legal memoranda, correspondence, deposition and trial exhibits, expert

15 reports, attorney work product, and consultant and expert work product, even if such

16 materials contain Protected Material. Any such archival copies that contain or

17 constitute Protected Material remain subject to this Protective Order as set forth in

18 Section 4 (DURATION).

19 14. Any violation of this Order may be punished by any and all appropriate

20 measures including, without limitation, contempt proceedings and/or monetary

21 sanctions.

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1 IT IS SO STIPULATED, THROUGH COUNSEL OF RECORD.

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3 DATED: August 16, 2023

4 /s/ Ben Tookey

Stephen M. Doniger (SBN 179314)

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stephen@donigerlawfirm.com

6 Benjamin F. Tookey (SBN 330508)

btookey@donigerlawfirm.com

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DONIGER / BURROUGHS

8 603 Rose Avenue

Venice, California 90291

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Telephone: (310) 590-1820

10 Attorneys for Plaintiff

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12 DATED: August 16, 2023

13 /s/ Alexandra Fellowes

Stefan Szpajda (CA SBN 282322)

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stefan@foliolaw.com

15 Cristofer Leffler (CA SBN 208129)

cris.leffler@foliolaw.com

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David Schumann (CA SBN 223936)

17 david.schumann@foliolaw.com

Alexandra Fellowes (CA SBN 261929)

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Alexandra.fellowes@foliolaw.com

19 FOLIO LAW GROUP PLLC

1200 Westlake Ave. N., Ste. 809

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Seattle, WA 98109

21 Telephone: (206) 880-1802

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William H. Edmonson (CA SBN 243445)

23 will@whelawfirm.com

9157 Sunset Blvd., Suite 213

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West Hollywood, CA 90069

25 Telephone: (424) 248-9581

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Attorneys for Defendant

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1 || FOR GOOD CAUSE SHOWN, IT IS SO ORDERED.

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3 || DATED: August 16, 2023

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; AP abevie Lena hoe

6 Patricia Donahue

, United States Magistrate Judge

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1 EXHIBIT A

2 ACKNOWLEDGMENT AND AGREEMENT TO BE BOUND

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4 I, ________________________ [print or type full

5 name], of _________________ [print or type full address], declare under

6 penalty of perjury that I have read in its entirety and understand the Stipulated

7 Protective Order that was issued by the United States District Court for the Central

8 District of California on [date] in the case of Alexander Stross v. Houzz, Inc., et

9 al., Case No. 2:23-cv-00211-WLH-PD. I agree to comply with and to be bound by

10 all the terms of this Stipulated Protective Order and I understand and acknowledge

11 that failure to so comply could expose me to sanctions and punishment in the nature

12 of contempt. I solemnly promise that I will not disclose in any manner any

13 information or item that is subject to this Stipulated Protective Order to any person

14 or entity except in strict compliance with the provisions of this Order.

15 I further agree to submit to the jurisdiction of the United States District Court

16 for the Central District of California for the purpose of enforcing the terms of this

17 Stipulated Protective Order, even if such enforcement proceedings occur after

18 termination of this action. I hereby appoint ________________________ [print or

19 type full name] of _________ [print or type full address and telephone number] as

20 my California agent for service of process in connection with this action or any

21 proceedings related to enforcement of this Stipulated Protective Order.

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23 Date: __________________________

24 City and State where sworn and signed: _____________________________

25 Printed name: ____________________________________

26 Signature: ________________________________

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