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ATTORNEYS (IF KNOWN) q !ely V foul-K/9in- ) 0 4-)/71__ It. BASIS OF JURISDICTION (PLACE AN X ONE BOX ONLY) O 1. U.S. Government Plaintiff O 2 U.S. Government Defendant III) O 3 Federal Question (U.S. Government Not a Party) X 4 Diversity (Indicate Citizenship of Parties In Item III. CITV.ENSHIP OF P
DEFENDANT PTF DEF Incorporated of Principal Place of O 4 0 4 Business in This Stale Incorporated and Principal Place of O 5 O 5 Business in Another State Foreign Nation O 6 O 6 IV. CAUSE OF ACTION (CITE THE U.S. CIVIL STATUTE UNDER WHICH YOU ARE FILING AND WRITE A BRIEF STATEMENT OF CAUSE. DO NOT
Y WHERE ACTION AROSE: PALM BEACH ATTORNEYS (IF KNOWN) q !ely V foul-K/9in- ) 0 4-)/71__ II. BASIS OF JURISDICTION (PLACE AN X ONE BOX ONLY) O 1. U.S. Government Plaintin O 2 U.S. Government Defendant III) O 3 Federal Question (U.S. Government Not a Party) X 4 Diversity (Indicate Citizenship of Parbes
DEFENDANT PTF DEF Incorporated of Principal Place of O 4 0 4 Business in This Stale Incorporated and Principal Place of O 5 O 5 Business in Another State Foreign Nation O 6 O 6 IV. CAUSE OF ACTION (CITE THE U.S. CIVIL STATUTE UNDER WHICH YOU ARE FILING AND WRITE A BRIEF STATEMENT OF CAUSE. DO NOT
Miami, FL 33180 ATTORNEYS (IF KNOWN) (d) CIRCLE COUNTY WHERE ACTION AROSE: PALM BEACH II. BASIS OF JURISDICTION (PLACE AN X ONE BOX ONLY) O 1. U.S. Government PIadM O 2. U.S. Government Defendant ill) O 3 Federal Question (U.S. Government Not a Party) X 4. Diversity (Indicate Citizenship or Parte/ I
EFENDANT PTF DEF Incorporated of Principal Place of 0 4 CI 4 Business in This Stale Incorporated and Principal Mace of O 5 O 6 Business in Another State Foreign Nation O 8 O 6 oNiiii IV. CAUSE OF ACTION CITE THE U.S. CIVIL STATUTE UNDER WHICH YOU ARE FILING AND WRITE A BRIEF STATEMENT OF CAUSE.
Entities connected to both U.S. Government and Another State

Jeffrey Epstein
PERSON
United States
LOCATION
Virginia Giuffre
PERSONJane Doe
PERSON
Kenneth Marra
PERSONLeon Black
PERSON
Adam D. Horowitz
PERSONthe State of New York
LOCATION
George W. Bush
PERSON
Alan Dershowitz
PERSONJack Goldberger
PERSONCIRCLE COUNTY
LOCATIONTHE U.S. CIVIL STATUTE UNDER WHICH
ORGANIZATION
Palm Beach
LOCATION
Scarlett Johansson
PERSONFBI
ORGANIZATIONJANE DOE NO.
PERSON
the United States District Court
ORGANIZATIONthe Southern District
LOCATION
Jennifer Lopez
PERSON