Molina et al v. Ace Homecare LLC

Middle District of Florida, flmd-8:2016-cv-02214

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4 PageID 544 PagelD 416 UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF FLORIDA TAMPA DIVISION TONI MOLINA, ERICA TOVAR, TARA WARD, LY NGUYEN, CONSUELO POWELL, DONALD HALL and DEBBIE BURGESS, Plaintiff, CASE NO .: 8: 16 - cy - 02214JDW - TGW ACE HOMECARE, LLC, BRL INVESTMENTS, LLC, ARTHUR BARLAAN, and JOCELYN BARLAAN, Defendant. CONSENT TO JOIN COLLECTIVE ACTION Pursuant to the Fair Labor Standards Act, 29U.S. C. 216 (6) Complete and return to: - LL. - - Brandon J. Hill, Esquire. Wenzel Fenton Cabassa, P. A. 1110 North Florida Avenue Suite 300 Tampa, Florida 33602 Main Number: (813) 224 - 0431 Facsimile: (813) 229 - 8712 E - Mail: bhill @ wfclaw. com triciawawfclaw. com u. - Pan. - - P - itur - - -: - - - - - Name: Name: Rachel Curry address: Zala Andorcad City: holida State FL _ Zip 490. . . - - . - . . . . . Hrn - I. - - - - - - - - - - - - - | - . . k. m Telephone: E - Mail: . . Man. . . - - - - - - - - - - - - - - - - 4 PageID 545 PagelD 417 سعسعصصعد 1. From February 29, 2016 to March 13, 2016 I worked as a nurse employed by Ace Homecare, LLC, and was not paid minimum wage between; or 2. From February 29, 2016 to March 13, 2016 I worked for Ace Homecare, LLC in any position besides as a nurse and was not paid minimum wage. 3. I understand that this lawsuit is brought under the FLSA, 29U.S. C. 29U.S. C. E 201, et seq. I hereby consent, agree, and " opt in " to become a plaintiff herein and to be bound by any judgment by the Court or any settlement of this action. I hereby designate Wenzel Fenton Cabassa, P. A ., 1110 North Florida Avenue, Suite 300, Tampa, Florida 33602, to represent me for all purposes in this action. Signature: AZ Signature: Dato: _ 10 ] IL) — . . – . . . ' - - . - . . . - iniu rrr. . I - L. d d. . . . - . - . - - - - L - UL. . . - - IRL - is ург - ФЭD - MGT8DФbenefin 517 ' Page 1 of 2 PagěID 416 417, Page 3 of 54 PagelD 546 UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF FLORIDA TAMPA DIVISION TONI MOLINA, ERICA TOVAR, TARA WARD, LY NGUYEN, CONSUELO POWELL, DONALD HALL and DEBBIE BURGESS, Plaintiff, CASE NO .: 8: 16 - cy - 02214JDW - TGW - - Imam - . Inu ACE HOMECARE, LLC, BRL INVESTMENTS, LLC, ARTHUR BARLAAN, and JOCELYN BARLAAN, Defendant. CONSENT TO JOIN COLLECTIVE ACTION Pursuant to the Fair Labor Standards Act, 29U.S. C. & 216 (6) Complete and return to: Brandon J. Hill, Esquire. Wenzel Fenton Cabassa, P. A. 1110 North Florida Avenue Suite 300 Tampa, Florida 33602 Main Number: (813) 224 - 0431 Facsimile: (813) 229 - 8712 E - Mail: bhill @ wfclaw. com triciawawfclaw. com Name: Name: Todd B. Cuyler Adres: 234 Axel E City: WintectHay tin _ State FL Zip _ 3388 1 - - . . . . - - r. Telephone: E - Mail: - - - - - - - - - - - - Caséas & 6Q221 % WDocument 63 - 2 Filed 09 / 05 / 17 Page 2 of 2 Page ! D 417 Pogument 79 - 3 Filed 12 / 19 / 17 Page 4 of 54 PagelD 547 From February 29, 2016 to March 13, 2016 I worked as a nurse employed by Ace Homecare, LLC, and was not paid minimum wage between; or 2. From February 29, 2016 to March 13, 2016 I worked for Ace Homecare, LLC in any position besides as a nurse and was not paid minimum wage. 3. I understand that this lawsuit is brought under the FLSA, 29U.S. C. 29U.S. C. & 201, et seg. I hereby consent, agree, and " opt in " to become a plaintiff herein and to be bound by any judgment by the Court or any settlement of this action. I hereby designate Wenzel Fenton Cabassa, P. A ., 1110 North Florida Avenue, Suite 300, Tampa, Florida 33602, to represent me for all purposes in this action. Todd y le Signature: Date: / 0 - 5 - 17 Date: + rmais 4 PageID 548 PageID 416 UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF FLORIDA TAMPA DIVISION TONI MOLINA, ERICA TOVAR, TARA WARD, LY NGUYEN, CONSUELO POWELL, DONALD HALL and DEBBIE BURGESS, Plaintiff, V. CASE NO .: 8: 16 - cv - 02214JDW - TGW ACE HOMECARE, LLC, BRL INVESTMENTS, LLC, ARTHUR BARLAAN, and JOCELYN BARLAAN, Defendant. CONSENT TO JOIN COLLECTIVE ACTION Pursuant to the Fair Labor Standards Act, 29U.S. C. $ 216 (6) Complete and return to: Brandon J. Hill, Esquire. Wenzel Fenton Cabassa, P. A. 1110 North Florida Avenue Suite 300 Tampa, Florida 33602 Main Number: (813) 224 - 0431 Facsimile: (813) 229 - 8712 E - Mail: bhill @ wfclaw. com triciawawfclaw. com Name: Name: Karen Dearborn 1123 Old VG | | Age Wo iy - Oldsmar State F _ Zip. 34017 Address: City: State Telephone: E - Mail: 4 PageID 549 PageID 417 1. From February 29, 2016 to March 13, 2016 I worked as a nurse employed by Ace Homecare, LLC, and was not paid minimum wage between; or 2. From February 29, 2016 to March 13, 2016 I worked for Ace Homecare, LLC in any position besides as a nurse and was not paid minimum wage. 3. I understand that this lawsuit is brought under the FLSA, 29U.S. C. 29U.S. C. & 201, et seq. I hereby consent, agree, and " opt in " to become a plaintiff herein and to be bound by any judgment by the Court or any settlement of this action. I hereby designate Wenzel Fenton Cabassa, P. A ., 1110 North Florida Avenue, Suite 300, Tampa, Florida 33602, to represent me for all purposes in this action. Signature. Muun Daulon Dane. 10 - 18 - 17 4 PageID 550 PagelD 416 UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF FLORIDA TAMPA DIVISION TONI MOLINA, ERICA TOVAR, TARA WARD, LY NGUYEN, CONSUELO POWELL, DONALD HALL and DEBBIE BURGESS, Plaintiff, CASE NO .: 8: 16 - cv - 02214JDW - TGW ACE HOMECARE, LLC, BRL INVESTMENTS, LLC, ARTHUR BARLAAN, and JOCELYN BARLAAN, Defendant. CONSENT TO JOIN COLLECTIVE ACTION Pursuant to the Fair Labor Standards Act, 29U.S. C. $ 216 (6) Complete and return to: Brandon J. Hill, Esquire. Wenzel Fenton Cabassa, P. A. 1110 North Florida Avenue Suite 300 Tampa, Florida 33602 Main Number: (813) 224 - 0431 Facsimile: (813) 229 - 8712 E - Mail: bhill @ wfclaw. com triciawawfclaw. com - - Gi rT. . Name: Donna deila Pia Address: 390L QaK JJarKY KOCL DM City: foran 071 _ State _ FA Zip 33511 Telephone: E - Mail: - - - - . - . — — — 4 PageID 551 PagelD 417 From February 29, 2016 to March 13, 20161 worked as a nurse employed by Ace Homecare, LLC, and was not paid minimum wage between; or 2. From February 29, 2016 to March 13, 2016 I worked for Ace Homecare, LLC in any position besides as a nurse and was not paid minimum wage. 3. I understand that this lawsuit is brought under the FLSA, 29U.S. C. 29U.S. C. & 201, et seq. I hereby consent, agree, and " opt in " to become a plaintiff herein and to be bound by any judgment by the Court or any settlement of this action. I hereby designate Wenzel Fenton Cabassa, P. A ., 1110 North Florida Avenue, Suite 300, Tampa, Florida 33602, to represent me for all purposes in this action. Signature: _ DOLHA Detloff Date: _ 10 | 14 | | 1 Signature: Date: - - - - . . . - - - - - - - - - - - - - - . . LJI. - . . . . L. - - - - - - — . - Case 8 16 Case a: BWYTAW DDoumeen78332 R S / 43 oT 2 Pagerb ' 416 f54 PageIR, 552 UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF FLORIDA TAMPA DIVISION TONI MOLINA, ERICA TOVAR, TARA WARD, LY NGUYEN, CONSUELO POWELL, DONALD HALL and DEBBIE BURGESS, Plaintiff, CASE NO .: 8: 16 - cy - 02214JDW - TGW ACE HOMECARE, LLC, BRL INVESTMENTS, LLC, ARTHUR BARLAAN, and JOCELYN BARLAAN, - - - . . Defendant. CONSENT TO JOIN COLLECTIVE ACTION Pursuant to the Fair Labor Standards Act, 29U.S. C. E 216 (6) Complete and return to: Brandon J. Hill, Esquire. Wenzel Fenton Cabassa, P. A. 1110 North Florida Avenue Suite 300 Tampa, Florida 33602 Main Number: (813) 224 - 0431 Facsimile: (813) 229 - 8712 E - Mail: bhill @ wfclaw. com triciawawfclaw. com Name; Derek J. Moçmick Address: _ I¥313 HomosĄSS A St. City: _ Lapapa _ State _ EL Zip 33 63 Address: Telephone: E - Mail:, . . * * * - - - - - - - - - - - ORDPR - DDIWTIGAGUDqYELAN 12 / 19 / 17, Page 10 of 54 PagelD 553 ed egl35717 Page 2 of ' 2 PagelD 417 From February 29, 2016 to March 13, 2016 I worked as a nurse employed by Ace Homecare, LLC, and was not paid minimum wage between; or 2. From February 29, 2016 to March 13, 2016 I worked for Ace Homecare, LLC in any position besides as a nurse and was not paid minimum wage. 3. I understand that this lawsuit is brought under the FLSA, 29U.S. C. 29U.S. C. g 201, et seq. I hereby consent, agree, and " opt in " to become a plaintiff herein and to be bound by any judgment by the Court or any settlement of this action. I hereby designate Wenzel Fenton Cabassa, P. A ., 1110 North Florida Avenue, Suite 300, Tampa, Florida 33602, to represent me for all purposes in this action .: _ Bd. Date _ 10. - 15. 47 Signature: Date: 10 - 15 - Date: - - - - - - - - - - - - - - - - - - - - la. . . . . - Lu 1 — — - . . – . - - nawu ' . - - . - . - . - - . - . - . - - - - - - - - - . . - CaseCas168CYFDEA iment 793 ed 12 / 19 / 17. Page 11 of 54 PageID. 554 JCment 63 2 " Fred 09 / 05 / 17 Page of 2 PageD416 IGAETPER. FIEFLAUBABA, PPAG184 SARIAB ' . 154 UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF FLORIDA TAMPA DIVISION TONI MOLINA, ERICA TOVAR, TARA WARD, LY NGUYEN, CONSUELO POWELL, DONALD HALL and DEBBIE BURGESS, Plaintiff, CASE NO .: 8: 16 - ev - 02214JDW - TGW ACE HOMECARE, LLC, BRL INVESTMENTS, LLC, ARTHUR BARLAAN, and JOCELYN BARLAAN, Defendant. CONSENT TO JOIN COLLECTIVE ACTION Pursuant to the Fair Labor Standards Act, 29U.S. C. S 216 (b) Complete and return to: Brandon J. Hill, Esquire. Wenzel Fenton Cabassa, P. A. 1110 North Florida Avenue Suite 300 Tampa, Florida 33602 Main Number: (813) 224 - 0431 Facsimile: (813) 229 - 8712 E - Mail: bhill @ wfclaw. com triciawſ @ wfclaw. com. . . . . . . - - Name: Name: _ Pallavi Devagupta pu Adres: _ 3208 _ w _ Riverside ' r Ciy: _ KrF Myers _ State _ FL Address: _ Zip 3390 Telephone: E - Mail: - - . . . tuv * J & SEAL. Jucai | 4 PageID 555 PagelD 416 UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF FLORIDA TAMPA DIVISION TONI MOLINA, ERICA TOVAR, TARA WARD, LY NGUYEN, CONSUELO POWELL, DONALD HALL and DEBBIE BURGESS, Plaintiff, CASE NO .: 8: 16 - cv - 02214JDW - TGW ACE HOMECARE, LLC, BRL INVESTMENTS, LLC, ARTHUR BARLAAN, and JOCELYN BARLAAN, Gant - - - - - - - - + - ruar - Defendant. CONSENT TO JOIN COLLECTIVE ACTION Pursuant to the Fair Labor Standards Act, 29U.S. C. S 216 (6) - - - - - - - - - - - - JL - - - Complete and return to: Brandon J. Hill, Esquire. Wenzel Fenton Cabassa, P. A. 1110 North Florida Avenue Suite 300 Tampa, Florida 33602 Main Number: (813) 224 - 0431 Facsimile: (813) 229 - 8712 E - Mail: bhill @ wfclaw. com triciaw @ wfclaw. com - - - - - . " R ., Name: ww. whizer Angela Dribus address: 3051 letragweul Cele City: Wesley (hapeluca Zip 33543 Address: Telephone: - - - . L. - - - . . . . . . . . . - - Exu. . . ' - . — . . L. ' L - . G. LU E - Mail: - - - - - - - - 4 PageID 556 PagelD 417 1. From February 29, 2016 to March 13, 2016 I worked as a nurse employed by Ace Homecare, LLC, and was not paid minimum wage between; or 2. From February 29, 2016 to March 13, 2016 I worked for Ace Homecare, LLC in any position besides as a nurse and was not paid minimum wage. مرا I understand that this lawsuit is brought under the FLSA, 29U.S. C. 29U.S. C. & 201, et seq. I hereby consent, agree, and " opt in " to become a plaintiff herein and to be bound by any judgment by the Court or any settlement of this action. I hereby designate Wenzel Fenton Cabassa, P. A ., 1110 North Florida Avenue, Suite 300, Tampa, Florida 33602, to represent me for all purposes in this action. Signature: Augehulputet Dates _ 10 / 16 / 17 - - em ' tid. - - . . ! . . . . . . . . . . . . . . . . . . . . . ., . ., . . . Tod - - . . . . . l - . UL l. . . - utes ' . AL2. - — — . . . . 4 PageID 557 PageID 416 UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF FLORIDA TAMPA DIVISION TONI MOLINA, ERICA TOVAR, TARA WARD, LY NGUYEN, CONSUELO POWELL, DONALD HALL and DEBBIE BURGESS, Plaintiff, CASE NO .: 8: 16 - cv - 02214JDW - TGW - - ACE HOMECARE, LLC, . BRL INVESTMENTS, LLC, ARTHUR BARLAAN, and JOCELYN BARLAAN, Defendant. CONSENT TO JOIN COLLECTIVE ACTION Pursuant to the Fair Labor Standards Act, 29 U. SIC. 216 (6) Complete and return to: Brandon J. Hill, Esquire. Wenzel Fenton Cabassa, P. A. 1110 North Florida Avenue Suite 300 Tampa, Florida 33602 Main Number: (813) 224 - 0431 Facsimile: (813) 229 - 8712 E - Mail: bhill @ wfclaw. com triciaw @ wfclaw. com Name: حاليا عطكا علي اك addres 2314 Cender Drumu City: V daliA _ State _ QA Zip 30 444 Telephone: E - Mail: 4 PageID 558 PageID 417 1. From February 29, 2016 to March 13, 2016 I worked as a nurse employed by Ace Homecare, LLC, and was not paid minimum wage between; or 2. From February 29, 2016 to March 13, 2016 I worked for Ace Homecare, LLC in any position besides as a nurse and was not paid minimum wage. 3. I understand that this lawsuit is brought under the FLSA, 29U.S. C. 29U.S. C. E 201, et seq. I hereby consent, agree, and " opt in " to become a plaintiff herein and to be bound by any judgment by the Court or any settlement of this action. I hereby designate Wenzel Fenton Cabassa, P. A ., 1110 North Florida Avenue, Suite 300, Tampa, Florida 33602, to represent me for all purposes in this action. siente. Skuta u dio Due _ olatin Signature: Date: - - - - - - - - - - - - - - - - - - - - - - - 4 PageID 559 UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF FLORIDA TAMPA DIVISION TONI MOLINA, ERICA TOVAR, TARA WARD, LY NGUYEN, CONSUELO POWELL, DONALD HALL and DEBBIE BURGESS, Plaintiff, V. CASE NO .: 8: 16 - cv - 02214JDW - TGW L - Umwy u. . - - - - - - . " TT ACE HOMECARE, LLC, BRL INVESTMENTS, LLC, ARTHUR BARLAAN, and JOCELYN BARLAAN, Defendant. - - - - - - - - CONSENT TO JOIN COLLECTIVE ACTION Pursuant to the Fair Labor Standards Act, 29U.S. C. & 216 (6) . Complete and return to: * * 1. - . . . - - in -, -, - . . . Brandon J. Hill, Esquire. Wenzel Fenton Cabassa, P. A. 1110 North Florida Avenue Suite 300 Tampa, Florida 33602 Main Number: (813) 224 - 0431 Facsimile: (813) 229 - 8712 E - Mail: bhillawfclaw. com triciaw @ wfclaw. com Name: Megli ne. Eduards Address: 508 MCKinleef A fe Ciy: Lehige Aus _ State _ R _ zip _ 33972 Telephone: E - Mail: 4 PageID 560 1. From February 29, 2016 to March 13, 2016 I worked as a nurse employed by Ace Homecare, LLC, and was not paid minimum wage between; or From February 29, 2016 to March 13, 2016 I worked for Ace Homecare, LLC in any position besides as a nurse and was not paid minimum wage. 3. I understand that this lawsuit is brought under the FLSA, 29U.S. C. 29U.S. C. & 201, et seq. I hereby consent, agree, and " opt in " to become a plaintiff herein and to be bound by any judgment by the Court or any settlement of this action. I hereby designate Wenzel Fenton Cabassa, P. A ., 1110 North Florida Avenue, Suite 300, Tampa, Florida 33602, to represent me for all purposes in this action. + Signature: Merlot Edwardcə Dates _ 10 | 14 17 Signature: Date: * * - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - " PageID 416 4 PageID 561 UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF FLORIDA TAMPA DIVISION TONI MOLINA, ERICA TOVAR, TARA WARD, LY NGUYEN, CONSUELO POWELL, DONALD HALL and DEBBIE BURGESS, Plaintiff, lur = - - - Juu V. CASE NO .: 8: 16 - cy - 02214JDW - TGW ACE HOMECARE, LLC, BRL INVESTMENTS, LLC, ARTHUR BARLAAN, and JOCELYN BARLAAN, P. SJKI. . Defendant. . - . - . - - - - -: . . . in. . = ', — . . . . . . CONSENT TO JOIN COLLECTIVE ACTION Pursuant to the Fair Labor Standards Act, 29U.S. C. & 216 (b) Complete and return to: Brandon J. Hill, Esquire. Wenzel Fenton Cabassa, P. A. 1110 North Florida Avenue Suite 300 Tampa, Florida 33602 Main Number: (813) 224 - 0431 Facsimile: (813) 229 - 8712 E - Mail: bhill @ wfclaw. com triciaw @ wfclaw. com " TH IHomer 11 - - - - . . - . LUL. . . - . - . - - Name: Name: Sonia hgueIOA Adres 1550 old Us 27. Hy Colf Ag City: Cleau) istor _ State Fl _ zip 3340 J ' - - - J - . L. - - - A Telephone: E - Mail: - - - LARACILIau hinLIL LILL I winud case 8: 16 - cv - 02214 - JDW - TGW Document 63 - 2 Filed 09 / 05 / 17 Page 2 of 2 PageID 417 4 PageID 562 From February 29, 2016 to March 13, 2016 I worked as a nurse employed by Ace Homecare, LLC, and was not paid minimum wage between; or 2. From February 29, 2016 to March 13, 2016 I worked for Ace Homecare, LLC in any position besides as a nurse and was not paid minimum wage. TTTTT - l. Iun 3. I understand that this lawsuit is brought under the FLSA, 29U.S. C. 29U.S. C. & 201, et seq. I hereby consent, agree, and " opt in " to become a plaintiff herein and to be bound by any judgment by the Court or any settlement of this action. I hereby designate Wenzel Fenton Cabassa, P. A ., 1110 North Florida Avenue, Suite 300, Tampa, Florida 33602, to represent me for all purposes in this action. * I - - - LL: - 1 1. - - uru Signature: RCnHA oln Dauer | 20 - - Y 1 - . - R - - RIL. - — · · -, ' . . . . . . . . . . - - VHHALINLLI. . . . . . . . . - - - . - - L - . - . - . - . - Male L. L. U. ALL - . . . . . . . . . . . . . - - M. slu ILL. . L. L. L. H. . JLI. d. - ' . . cui si 4 PageID 563 PagelD 416 UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF FLORIDA TAMPA DIVISION TONI MOLINA, ERICA TOVAR, TARA WARD, LY NGUYEN, CONSUELO POWELL, DONALD HALL and DEBBIE BURGESS, Plaintiff, CASE NO .: 8: 16 - cv - 02214JDW - TGW ACE HOMECARE, LLC, BRL INVESTMENTS, LLC, ARTHUR BARLAAN, and JOCELYN BARLAAN, Defendant. CONSENT TO JOIN COLLECTIVE ACTION Pursuant to the Fair Labor Standards Act, 29U.S. C. & 216 (b) Complete and return to: Brandon J. Hill, Esquire. Wenzel Fenton Cabassa, P. A. 1110 North Florida Avenue Suite 300 Tampa, Florida 33602 Main Number: (813) 224 - 0431 Facsimile: (813) 229 - 8712 E - Mail: bhill @ wfclaw. com triciawawfclaw. com Nume: Noctu lua forSEOA Adres: Soys Berney R) City: Olawistm _ State FI Telephoneſ - - - - Zip 33YYO E - Mail: Ah - minutna tilaa. - - - | 4 PageID 564 PageID 417 1. From February 29, 2016 to March 13, 2016 I worked as a nurse employed by Ace Homecare, LLC, and was not paid minimum wage between; or 2. From February 29, 2016 to March 13, 2016 I worked for Ace Homecare, LLC in any position besides as a nurse and was not paid minimum wage. 3. I understand that this lawsuit is brought under the FLSA, 29U.S. C, 29U.S. C. & 201, et seg. I hereby consent, agree, and " opt in " to become a plaintiff herein and to be bound by any judgment by the Court or any settlement of this action. I hereby designate Wenzel Fenton Cabassa, P. A ., 1110 North Florida Avenue, Suite 300, Tampa, Florida 33602, to represent me for all purposes in this action. Signature: _ YOUJI Signature: Date: 10 - 19 - 17 * - - - 1. iur. - . . = rin. - - - - - - - . - . - . - . - . - . - . - — — . . . - - . - . - . - . - . - . - - - - - - - 3: — 4 | - . . - - - HH - Te: Wall - - - 4 PagelD 565 PagelD 415 Email: bfredricksonasolomonlaw. com mmt mit muu +, - - Pru meratus raturarikaudu. Aww. un. o. t. l. . . 4 PageID 566 PagelD 414 If you participate in this lawsuit, you will be represented by the following attorneys: BRANDON J. HILL Florida Bar Number: 37061 Direct No .: 813 - 337 - 7992 WENZEL FENTON CABASSA, P. A. 1110 North Florida Ave ., Suite 300 Tampa, Florida 33602 Main No .: 813 - 224 - 0431 Facsimile: 813 - 229 - 8712 Email: bhillawfclaw. com Email: mk @ wfclaw. com Attorneys for Plaintiff and CHAD A. JUSTICE Florida Bar Number: 121559 Direct No. 813 - 254 - 1777x106 BLACK ROCK TRIAL LAWYERS 201 s Westland Avenue Tampa, Florida 33606 Main No .: 813 - 254 - 1777 Facsimile: 813 - 254 - 3999 E - mail: chadjusticeablackrocklaw. com E - mail: prelitigationſ @ blackrocklaw. com Co - Counsel for Plaintiffs - r, - - - - - ' - - . - - 10. FURTHER INFORMATION Further information about this Notice, the attached Notice of Consent form, the deadline for filing your form, or any other aspect of this lawsuit may be obtained by contacting Plaintiffs counsel at the number and address stated above. If you desire to communicate with the attorneys representing Defendants, you can contact: - . . . . . . . - . - . - . - - . . . . . . - . - -: . - . . . . . . - - Stanford R. Solomon Florida Bar No. 302147 Blake J. Fredrickson Florida Bar No. 91086 THE SOLOMON LAW GROUP, P. A. 1881 West Kennedy Boulevard Tampa, FL 33606 Telephone: (813) 225 - 1818 Facsimile: (813) 225 - 1050 Email: ssolomon asolomonlaw. com. . - . - . - . - l. m. - - - - - - . . - . - 21 - 4. Ld - 1. . . - - . L .) . . . - . In - - - - - - - - Case 8: 16 - cv - 02214 - JDW - TGW. Document, 63 - 1 Filed, 09 / 05 / 7 Page 3 of f PageID, 412 Case 8: 16 - CV - 02214 - JDW - TGW " Document 79 - 3 * Filed 12 / 19 / 17 Page 24 of 54 * PageTD567 1. PURPOSE OF THIS NOTICE The purpose of this Notice is to inform you that you are eligible to participate in a lawsuit against Defendants, and to inform you of the procedure you must follow to participate in the lawsuit if you so desire. DESCRIPTION OF THE LAWSUIT This lawsuit is brought by Toni Molina, Erica Tovar, Tara Ward, Ly Nguyen, Consuelo Powell, Donald Hall, and Debbie Burgess, former employees of Defendants, on behalf of themselves and all other similarly - situated employees ("Plaintiffs") . Plaintiffs assert that Defendants failed to pay them minimum wage in violation of the FLSA. Further, Plaintiffs allege that Defendants failed to compensate them from February 29, 2016 until March 13, 2016. Defendant, Ace Homecare does not deny that Ace Homecare failed to pay some of the employees minimum wage. However, Defendants, Arthur Barlaan and Joy Barlaan do deny that they should be responsible for Ace Homecare's failure to pay minimum wage. This lawsuit is currently in the early pretrial stage in the United States District Court for the Middle District of Florida in Tampa, Florida. The Court overseeing this lawsuit has not made any determination whether anyone is entitled to any compensation. 3. PERSONS ELIGIBLE TO PARTICIPATE IN THE LAWSUIT You are eligible to join this lawsuit if you worked as a nurse employed by Ace Homecare, LLC, and were not paid minimum wage between February 29, 2016 to March 13, 2016. You are also eligible to become part of this lawsuit if you worked as any other type of employee for ACE Homecare, LLC and were not paid minimum wage between February 29, 2016 to March 13, 2016. YOUR CHOICE TO PARTICIPATE IN THE LAWSUIT The named Plaintiff seeks to sue on behalf of any and all other persons employed by Defendants who did not receive at least minimum wage for all hours worked, for the period February 29, 2016 to March 13, 2016. If you fit the definition above, you may choose to join this action by mailing, faxing, or emailing the attached Consent Form to Plaintiffs ' Counsel (at the address below) for filing with the Court. If you are reading this Notice at your place of employment, you may contact Plaintiffs ' Counsel directly for a copy of the Consent Form: i Brandon J. Hill, Esq. Wenzel Fenton Cabassa, P. A. 1110 North Florida Avenue Suite 300 Tampa, Florida 33602 Direct Dial: (813) 337 - 7992 Main Number: (813) 224 - 0431 Facsimile: (813) 229 - 8712 E - Mail: bhill @ wfclaw. com E - Mail: mk @ wfclaw. com - - . . . L. L. M. FETT Casase 816 - 02972: 9DWYERN DBAGHERE46331 ffile / 12 / PS / 17 Page 2500 BAFdge4D568 The Consent Form must be received by Plaintiffs Counsel on or before for you to participate in this case. If you fail to return the completed consent form to Plaintiffs ' counsel by you may not be able to participate in this lawsuit. It is entirely your own decision whether or not to join this suit. YOUR RIGHT TO DECLINE PARTICIPATION IN THIS LAWSUIT You are not required to participate in this lawsuit. If you do not want to participate in this lawsuit you do not have to do anything at this time. A recovery of money is not certain for those who do participate in the lawsuit. However, if you do not participate in the lawsuit, you will not be eligible to receive any portion of any recovery that might be obtained by the Plaintiffs. If you choose not to join this lawsuit, you are free to retain your own attorney and file your own lawsuit. 6. EFFECT OF JOINING THE LAWSUIT If you join this lawsuit, you will be bound by any judgment of the Court, whether favorable or unfavorable. If you choose to join this suit, you may be required to provide information, sit for depositions and testify in Court while the suit is proceeding. If requeste with a translator if English is not your first language at no charge to you. By joining this lawsuit, you designate the named Plaintiff as your agent to make decisions on your behalf concerning the litigation, the method and manner of conducting this litigation, the entering of an agreement with Plaintiffs ' counsel concerning attorneys ' fees and costs, and all other matters pertaining to this lawsuit. These decisions and agreements made and entered into by the representative Plaintiffs will be binding on you if you join this lawsuit. The attorneys for the Plaintiffs may be entitled to receive the payment of attorneys ' fees and costs in this lawsuit should there be a recovery or judgment in Plaintiffs ' favor. If there is no recovery or judgment in Plaintiffs ' favor, you will not be responsible for any attorneys ' fees. - - * * * 7. ANY RETALIATION IS FORBIDDEN BY FEDERAL LAW Federal law prohibits Defendants from firing or in any way discriminating against you because you have joined this lawsuit. Therefore, Defendants are prohibited from discharging you or retaliating against you in any other manner because you choose to participate in this lawsuit. Participating in the lawsuit does not excuse current ernployees from complying with Defendants existing policies and work rules. . . . ' - - . . . " . - - - . . . . . 8 WAIVER OF RIGHTS NOT PERMITTED - . " - - - - - Under Federal Law, you may not waive your right to recover wages and other damages under the Fair Labor Standards Act unless your employer has obtained approval by theU.S. Department of Labor or a Court of competent jurisdiction. Even if you have signed a contract that prohibits you from participating in this particular case, you are still entitled to assert your right to recover wages and / or claims for retaliation under the Fair Labor Standards Act. 9 YOUR LEGAL REPRESENTATION IF YOU JOIN - - LIR LLAL. Case 8: 16 - CV - 02214ND Case 8: 16 - cv - 02214 - DW HAmen93 - Filege ge 26 of 54 PageID 569 ge2 of 6 PageD 411 UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF FLORIDA TAMPA DIVISION TONI MOLINA, ERICA TOVAR, TARA WARD, LY NGUYEN, CONSUELO POWELL DONALD HALL, and DEBBIE BURGESS, on behalf of themselves and all others similarly situated, Plaintiffs, V. Case Number: 8: 16 - cy - 02214 - JDW - TGW ACE HOMECARE, LLC, BRL INVESTMENTS, LLC, ARTHUR BARLAAN, and JOCELYN BARLAAN, Defendants. NOTICE OF LAWSUIT To: NURSE PUTATIVE FLAS MINIMUM WAGE CLASS: All nurses employed by Ace Homecare, LLC, who were not paid minimum wage between February 29, 2016 to March 13, 2016. NON - NURSE PUTATIVE _ MINIMUM WAGE CLASS: All other employees employed by ACE Homecare, LLC who were not paid minimum wage between February 29, 2016 to March 13, 2016. - - Re: This is a Fair Labor Standards Act ("FLSA") lawsuit against ACE HOMECARE, LLC, BRL INVESTMENTS, LLC, ARTHUR BARLAAN, and JOCELYN BARLAAN (* * Defendants"), for Defendants ' alleged failure to pay minimum wages. This Notice and its contents have been authorized by the above - styled Court. Although authorized, the Court has taken no position on the merits of this case, or as to the claims or defenses. Please do not call or write the Judge assigned to this matter. The Judge cannot answer questions concerning this lawsuit or this notice. 4 PageID 570 PagelD 416 UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF FLORIDA TAMPA DIVISION TONI MOLINA, ERICA TOVAR, TARA WARD, LY NGUYEN, CONSUELO POWELL, DONALD HALL and DEBBIE BURGESS, Plaintiff, V. CASE NO .: 8: 16 - cv - 02214JDW - TGW ACE HOMECARE, LLC, BRL INVESTMENTS, LLC, ARTHUR BARLAAN, and JOCELYN BARLAAN, - - - - Defendant. CONSENT TO JOIN COLLECTIVE ACTION Pursuant to the Fair Labor Standards Act, 29U.S. C. E 216 (6) Complete and return to: Brandon J. Hill, Esquire. Wenzel Fenton Cabassa, P. A. 1110 North Florida Avenue Suite 300 Tampa, Florida 33602 Main Number: (813) 224 - 0431 Facsimile: (813) 229 - 8712 E - Mail: bhill @ wfclaw. com triciaw @ wfclaw. com Name: Name: _ KATHE CON 7. FREAS E * addres: 251, Derey Bay DR. City: l ' aum HansOR _ State _ FL _ Zip _ 34684 Pro / Address: Telephone: E - Mail: A New ADDRESS 4 PageID 571 PageID 417 1. From February 29, 2016 to March 13, 2016 I worked as a nurse employed by Ace Homecare, LLC, and was not paid minimum wage between; or 2. From February 29, 2016 to March 13, 2016 I worked for Ace Homecare, LLC in any position besides as a nurse and was not paid minimum wage. 3. I understand that this lawsuit is brought under the FLSA, 29U.S. C. 29U.S. C. S 201, et seg. I hereby consent, agree, and " opt in " to become a plaintiff herein and to be bound by any judgment by the Court or any settlement of this action. I hereby designate Wenzel Fenton Cabassa, P. A ., 1110 North Florida Avenue, Suite 300, Tampa, Florida 33602, to represent me for all purposes in this action. Signature: Kalhuiu fluar Date: 10l / 9 / 7 Date: " urbo - ir. . . . . . . . . . . . . . - - - . - - -; - - L J. . . - - - - . . . . . . . – . 4 PageID 572 PageID 416 UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF FLORIDA TAMPA DIVISION TONI MOLINA, ERICA TOVAR, TARA WARD, LY NGUYEN, CONSUELO POWELL, DONALD HALL and DEBBIE BURGESS, Plaintiff, CASE NO .: 8: 16 - cy - 02214JDW - TGW ACE HOMECARE, LLC, BRL INVESTMENTS, LLC, ARTHUR BARLAAN, and JOCELYN BARLAAN, Defendant. CONSENT TO JOIN COLLECTIVE ACTION Pursuant to the Fair Labor Standards Act, 29U.S. C. E 216 (6) - - - - - - - - - - - Complete and return to: Brandon J. Hill, Esquire. Wenzel Fenton Cabassa, P. A. 1110 North Florida Avenue Suite 300 Tampa, Florida 33602 Main Number: (813) 224 - 0431 Facsimile: (813) 229 - 8712 E - Mail: bhill @ wfclaw. com triciaw @ wfclaw. com Name: Miral ERE A REIS E address: 251 Douy Bay De * 201 City: him frust State _ FL _ Zip _ 34694 - - - . . . Address: Telephone: E - Mail: 4 PageID 573 PagelD 417 1. From February 29, 2016 to March 13, 2016 I worked as a nurse employed by Ace Homecare, LLC, and was not paid minimum wage between; or From February 29, 2016 to March 13, 2016 I worked for Ace Homecare, LLC in any position besides as a nurse and was not paid minimum wage. 3. I understand that this lawsuit is brought under the FLSA, 29U.S. C. 29U.S. C. E 201, et seq. I hereby consent, agree, and " opt in " to become a plaintiff herein and to be bound by any judgment by the Court or any settlement of this action. I hereby designate Wenzel Fenton Cabassa, P. A ., 1110 North Florida Avenue, Suite 300, Tampa, Florida 33602, to represent me for all purposes in this action. Signature leheks. Signature: Datei: _ sel9 / 7 Date: - - - - HIP " . - - - - ' . - - - - - - . . - - JL. LVuel 4 PageID 574 UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF FLORIDA TAMPA DIVISION TONI MOLINA, ERICA TOVAR, TARA WARD, LY NGUYEN, CONSUELO POWELL, DONALD HALL and DEBBIE BURGESS, u u Plaintiff, umum. - . - . - . . . . . . V. CASE NO .: 8: 16 - cv - 02214JDW - TGW ACE HOMECARE, LLC, BRL INVESTMENTS, LLC, ARTHUR BARLAAN, and JOCELYN BARLAAN, - - - - - - - Defendant. CONSENT TO JOIN COLLECTIVE ACTION Pursuant to the Fair Labor Standards Act, 29U.S. C. S 216 (b) - - - - - - - - Complete and return to: - - - - TIr Brandon J. Hill, Esquire. Wenzel Fenton Cabassa, P. A. 1110 North Florida Avenue Suite 300 Tampa, Florida 33602 Main Number: (813) 224 - 0431 Facsimile: (813) 229 - 8712 E - Mail: bhillawfclaw. com triciawawfclaw. com Name: Na GUAYYO | 20 IX NA ŽAn TATTAR City: Cape Carol State P _ Zip _ 53113 • J. dul - - - - - - . . . . . . . . . . - - . - ' . . . . - - - - - - Jur. - . . . . - b. dirtirati. " Hi ' - - . . . PLIG Address: Telephone: - - - - - 4 PageID 575 1. From February 29, 2016 to March 13, 2016 I worked as a nurse employed by Ace Homeçare, LLC, and was not paid minimum wage between; or 2. From February 29, 2016 to March 13, 2016 I worked for Ace Homecare, LLC in any position besides as a nurse and was not paid minimum wage. 3. I understand that this lawsuit is brought under the FLSA, 29U.S. C. 29U.S. C. & 201, et seq. I hereby consent, agree, and " opt in " to become a plaintiff herein and to be bound by any judgment by the Court or any settlement of this action. I hereby designate Wenzel Fenton Cabassa, P. A ., 1110 North Florida Avenue, Suite 300, Tampa, Florida 33602, to represent me for all purposes in this action. Signature: M Signature: - t Date: 10 / 11 / . Date: - - . IE 193, Pied Cageasil SAN w PPSHIRIK782, FARS, ARKALA, PAGE 139L FAGAGAP, 576 NA Filed 12 / 19 / 17 Page 33 of 54 PageID 576 neht 63 - 2 ' Fired 0905 / 17 Page 1 of 2 PagelD 416 UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF FLORIDA TAMPA DIVISION TONI MOLINA, ERICA TOVAR, TARA WARD, LY NGUYEN, CONSUELO POWELL, DONALD HALL and DEBBIE BURGESS, Plaintiff, V. CASE NO .: 8: 16 - cv - 02214JDW - TGW ACE HOMECARE, LLC, BRL INVESTMENTS, LLC, ARTHUR BARLAAN, and JOCELYN BARLAAN, Defendant. CONSENT TO JOIN COLLECTIVE ACTION Pursuant to the Fair Labor Standards Act, 29U.S. C. $ 216 (b) Complete and return to: Brandon J. Hill, Esquire. Wenzel Fenton Cabassa, P. A. 1110 North Florida Avenue Suite 300 Tampa, Florida 33602 Main Number: (813) 224 - 0431 Facsimile: (813) 229 - 8712 E - Mail: bhill @ wfclaw. com triciaw @ wfclaw. com Name: _ MELyellen Ga 118 ghee for Address: 18é Belle - mer pe D City: Cless Water State _ FL _ Zip _ 13183 - - - - . . . - Irvul * ser ', a. n. 14 erair do - - . . . - - - - - - 1 ir 1 ' A. WIK: Telephone: E - Mail: - - - nii. . - - — . . — 2: . . . - - - - - - Case & 16 G4 - 02214 - IDW - TGW Document 79 - 3 Filed 12 / 19 / 17 Page 34 of 54 PageID 577 se 3: 16 - CV - 02214 - JDW - TGW Document 63 - 2 Filed 09 / 05 / 17 Page 2 of 2 PagelD 417 From February 29, 2016 to March 13, 2016 I worked as a nurse employed by Ace Y Homecare, LLC, and was not paid minimum wage between; or 2. From February 29, 2016 to March 13, 2016 I worked for Ace Homecare, LLC in any position besides as a nurse and was not paid minimum wage. 3. I understand that this lawsuit is brought under the FLSA, 29U.S. C. 29U.S. C. S 201, et seq. I hereby consent, agree, and " opt in " to become a plaintiff herein and to be bound by any judgment by the Court or any settlement of this action. I hereby designate Wenzel Fenton Cabassa, P. A ., 1110 North Florida Avenue, Suite 300, Tampa, Florida 33602, to represent me for all purposes in this action. Signatures _ shule kw LSI - E Dato: _ of12 17 lw Co1 - Date: Signature: Date: - * * * - . - . . . . . – . . A AL Muun. . . - - PageID 416 4 PagelD 578 UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF FLORIDA TAMPA DIVISION TONI MOLINA, ERICA TOVAR, TARA WARD, LY NGUYEN, CONSUELO POWELL, DONALD HALL and DEBBIE BURGESS, Plaintiff, CASE NO .: 8: 16 - cy - 02214JDW - TGW ACE HOMECARE, LLC, BRL INVESTMENTS, LLC, ARTHUR BARLAAN, and JOCELYN BARLAAN, * - see - - . . . . Defendant. CONSENT TO JOIN COLLECTIVE ACTION Pursuant to the Fair Labor Standards Act, 29U.S. C. E 216 (6) Complete and return to: Brandon J. Hill, Esquire. Wenzel Fenton Cabassa, P. A. 1110 North Florida Avenue Suite 300 Tampa, Florida 33602 Main Number: (813) 224 - 0431 Facsimile: (813) 229 - 8712 E - Mail: bhill @ wfclaw. com triciaw @ wfclaw. com. - - - . . . . . . . . . . . . . - - - - - - - - - - - - - - - - - . . . d. - - - - Asi " (مسعد بالعيحصل Name: address: J14. S. San Pedro St. City: Cleanism State FC. . . I ., . . . . . . . . . . . . Zip 3344 Telephone: E - Mail: - - li. sel ., N. . . . . . . . . . . . . . . . . . k. PagelD 417 4 PagelD 579 From February 29, 2016 to March 13, 2016 I worked as a nurse employed by Ace Homecare, LLC, and was not paid minimum wage between; or 2. From February 29, 2016 to March 13, 2016 I worked for Ace Homecare, LLC in any position besides as a nurse and was not paid minimum wage, 3. I understand that this lawsuit is brought under the FLSA, 29U.S. C. 29U.S. C. E 201, et seq. I hereby consent, agree, and " opt in " to become a plaintiff herein and to be bound by any judgment by the Court or any settlement of this action, I hereby designate Wenzel Fenton Cabassa, P. A ., 1110 North Florida Avenue, Suite 300, Tampa, Florida 33602, to represent me for all purposes in this action. laud li unum Date: 102117 Signature: Date: - * Pes - - - - - - - - - - - - - - - - . . . . - - " . - Jules - llum - * ip - . . . . - - . L. - . . . . - Casag616 - OZVALIDMAT GAN DDoumeen t78B3 Filesdi ven9 / 17 Page BTF BASEADA DE 580 UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF FLORIDA TAMPA DIVISION TONI MOLINA, ERICA TOVAR, TARA WARD, LY NGUYEN, CONSUELO POWELL, DONALD HALL and DEBBIE BURGESS, Plaintiff, CASE NO .; 8: 16 - cv - 02214JDW - TGW ACE HOMECARE, LLC, BRL INVESTMENTS, LLC, ARTHUR BARLAAN, and JOCELYN BARLAAN, I. R. A. M O. G. . . . . ELL - LLL. . . . . . . Defendant. CONSENT TO JOIN COLLECTIVE ACTION Pursuant to the Fair Labor Standards Act, 29U.S. C. & 216 (6) - - - - - - - - - Complete and return to: Brandon J. Hill, Esquire. Wenzel Fenton Cabassa, P. A. 1110 North Florida Avenue Suite 300 Tampa, Florida 33602 Main Number: (813) 224 - 0431 Facsimile: (813) 229 - 8712 E - Mail: bhill @ wfclaw. com triciawawfclaw. com - - - . . . . - . ' - ul. . . . . . . - . - . - . - - - Name: MARIE G pree A Address: S3 áo Seunden lov City: _ YANAlius Chapel State _ Y - - - - - - - - * . . . - - - . . . . ' I - - - - - - - - - - - - - - _ Zip _ 335 Y. Telephone: * . . * * * . . - - - - - - - - - - - - - - - - - * * - - - - - - * E - Mail: * * * . - - M - . Cases @ @ q - Q221A1R6YGUpogument 79 - 3 Filed 12 / 19 / 17 Page 38 of 54 PageID 581 W - TGW Document 63 - 2 Filed 09 / 05 / 17 Page 2 of 2 PagelD 417 1. From February 29, 2016 to March 13, 2016 I worked as a nurse employed by Ace Homecare, LLC, and was not paid minimum wage between; or 2, From February 29, 2016 to March 13, 2016 I worked for Ace Homecare, LLC in any position besides as a nurse and was not paid minimum wage. 3. I understand that this lawsuit is brought under the FLSA, 29U.S. C. 29U.S. C. g 201, et seq. I hereby consent, agree, and " opt in " to become a plaintiff herein and to be bound by any judgment by the Court or any settlement of this action. I hereby designate Wenzel Fenton Cabassa, P. A ., 1110 North Florida Avenue, Suite 300, Tampa, Florida 33602, to represent me for all purposes in this action. Signature _ Neru fleuren Datei _ 10 / 14 / 7 _ . . - - . . m. . irn -, - - - - . . . nu - . - . - . - . - . - - - - - - - . A. L. N. - - - - - - - - - - - - Casese: B616VC02DAADWAIT Fw DostumRNA 79 - 3 Filed dald947 Page 3 of 54EAgełR 582 UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF FLORIDA TAMPA DIVISION TONI MOLINA, ERICA TOVAR, TARA WARD, LY NGUYEN, CONSUELO POWELL, DONALD HALL and DEBBIE BURGESS, Plaintiff, CASE NO .: 8: 16 - cy - 02214JDW - TGW ACE HOMECARE, LLC, BRL INVESTMENTS, LLC, ARTHUR BARLAAN, and JOCELYN BARLAAN, Defendant. CONSENT TO JOIN COLLECTIVE ACTION Pursuant to the Fair Labor Standards Act, 29U.S. C. $ 216 (6) Complete and return to: Brandon J. Hill, Esquire. Wenzel Fenton Cabassa, P. A. 1110 North Florida Avenue Suite 300 Tampa, Florida 33602 Main Number: (813) 224 - 0431 Facsimile: (813) 229 - 8712 E - Mail: bhill @ wfclaw. com triciaw @ wfclaw. com * * * " . r. . - JCI - Name; Name: _ Lisz herduño. N. Address: bl01 Oleanside har City: Sebring _ State _ EL Zip 33876 Telephone: E - Mail: . . . – . . . . . . . Haip. . - 45 TA. - -: ' . . . - - IL L. dan LLL. . . . . . . . . . . . . . . . . . . . . . . Cass8: 446PB2244IDWTFEW DOCUMEnt 79 - 3 Filed dø659177 pagge 40 efahy Eagelp 583 (1 .) From February 29, 2016 to March 13, 2016 I worked as a nurse employed by Ace Hefnecare, LLC, and was not paid minimum wage between; or From February 29, 2016 to March 13, 2016 I worked for Ace Homecare, LLC in any position besides as a nurse and was not paid minimum wage. I understand that this lawsuit is brought under the FLSA, 29U.S. C. 29U.S. C. & 201, et seq. I hereby consent, agree, and " opt in " to become a plaintiff herein and to be bound by any judgment by the Court or any settlement of this action. I hereby designate Wenzel Fenton Cabassa, P. A ., 1110 North Florida Avenue, Suite 300, Tampa, Florida 33602, to represent me for all purposes in this action. Sirentures daun tasodifael Dae _ Ioltella HPH. L. - M. CL - - - - - P - urned a ' IN. " . . - . . . - . . . - - - - - - - - - - - - . . . ' - I - . I - - - - - - . . . . ' . . . ' . . ' l d ' IMWL: . L - - - - . . . . . . . . . - . . . . - . . . . . . 16NA2BIATHBHF MAER78332 Filed, 12 / 19 / 17 Filed 9 / 05 / 17 Page 41, 9f 54 Page 584 Păge 1 of 2 PageID 416 UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF FLORIDA TAMPA DIVISION TONI MOLINA, ERICA TOVAR, TARA WARD, LY NGUYEN, CONSUELO POWELL, DONALD HALL and DEBBIE BURGESS, Plaintiff, CASE NO .: 8: 16 - cv - 02214JDW - TGW ACE HOMECARE, LLC, BRL INVESTMENTS, LLC, ARTHUR BARLAAN, and JOCELYN BARLAAN, - - HIP. L. L. H. Defendant. CONSENT TO JOIN COLLECTIVE ACTION Pursuant to the Fair Labor Standards Act, 29U.S. C. & 216 (b) Complete and return to: Brandon J. Hill, Esquire. Wenzel Fenton Cabassa, P. A. 1110 North Florida Avenue Suite 300 Tampa, Florida 33602 Main Number: (813) 224 - 0431 Facsimile: (813) 229 - 8712 E - Mail: bhill @ wfclaw. com triciawawfclaw. com Name: Name: Sylvia R Gaur ys LPN City: Beverly Hills _ State _ L _ Zip _ Blubs Address: Telephone E - Mail: . . Il - ew ' ' . . . - - . - . - . . . . . . . . . 12 - - - - JUJU U ! 16 - cv - 02214 - JDW - TGW Document 79 - 3 Filed 12 / 19 / 17 „ PagePageſ 54PageID 585 Case 8: 16 - cv - 02214 - JDW - TGW Document 63 - 2. Filed 09 / 05 / 17 Page 2 PagePagelf54Rage 1. From February 29, 2016 to March 13, 20161 worked as a nurse employed by Ace Homecare, LLC, and was not paid minimum wage between; or From February 29, 2016 to March 13, 2016 I worked for Ace Homecare, LLC in any position besides as a nurse and was not paid minimum wage. 3. I understand that this lawsuit is brought under the FLSA, 29U.S. C. 29U.S. C. E 201, et seq. I hereby consent, agree, and " opt in " to become a plaintiff herein and to be bound by any judgment by the Court or any settlement of this action. I hereby designate Wenzel Fenton Cabassa, P. A ., 1110 North Florida Avenue, Suite 300, Tampa, Florida 33602, to represent me for all purposes in this action. Signature: Date: _ betober 18, O 17 Date: 4 PagelD 586 Păgel8416 UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF FLORIDA TAMPA DIVISION. TONI MOLINA, ERICA TOVAR, TARA WARD, LY NGUYEN, CONSUELO POWELL, DONALD HALL and DEBBIE BURGESS, Plaintiff, V. CASE NO .: 8: 16 - cv - 02214JDW - TGW ACE HOMECARE, LLC, BRL INVESTMENTS, LLC, ARTHUR BARLAAN, and JOCELYN BARLAAN, Defendant. CONSENT TO JOIN COLLECTIVE ACTION Pursuant to the Fair Labor Standards Act, 29U.S. C. $ 216 (6) Complete and return to: Brandon J. Hill, Esquire. Wenzel Fenton Cabassa, P. A. 1110 North Florida Avenue Suite 300 Tampa, Florida 33602 Main Number: (813) 224 - 0431 Facsimile: (813) 229 - 8712 E - Mail: bhillawfclaw. com triciaw @ wfclaw. com - - u. Name: Name: _ 2ano led Hall Address: tw33 tiwest fidemphre RA City: Avar RRE _ State _ Flandela _ Zip _ 3382 Address: Telephone: E - Mail: 4 PagelD 589 PagelD417 1. From February 29, 2016 to March 13, 2016 I worked as a nurse employed by Ace Homecare, LLC, and was not paid minimum wage between; or 2. From February 29, 2016 to March 13, 2016 I worked for Ace Homecare, LLC in any position besides as a nurse and was not paid minimum wage. 3. I understand that this lawsuit is brought under the FLSA, 29U.S. C. 29U.S. C. E 201, et seg. I hereby consent, agree, and " opt in " to become a plaintiff herein and to be bound by any judgment by the Court or any settlement of this action. I hereby designate Wenzel Fenton Cabassa, P. A ., 1110 North Florida Avenue, Suite 300, Tampa, Florida 33602, to represent me for all purposes in this action. Signature: Date: 19 / 7 / 17 — Date: - LA - - - - - - - - - . . . - - - . . - - - . . . LL - - - - - - - - - 4 PageID 590 PagelD 416 UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF FLORIDA TAMPA DIVISION TONI MOLINA, ERICA TOVAR, TARA WARD, LY NGUYEN, CONSUELO POWELL, DONALD HALL and DEBBIE BURGESS, Plaintiff, CASE NO .: 8: 16 - cv - 02214JDW - TGW ACE HOMECARE, LLC, BRL INVESTMENTS, LLC, ARTHUR BARLAAN, and JOCELYN BARLAAN, Defendant. - T - T - - - . - YW Y Hrt TI - - ITHIYI CONSENT TO JOIN COLLECTIVE ACTION Pursuant to the Fair Labor Standards Act, 29U.S. C. E 216 (b) Complete and return to: - - - - - - - - - - - - - - - Brandon J. Hill, Esquire. Wenzel Fenton Cabassa, P. A. 1110 North Florida Avenue Suite 300 Tampa, Florida 33602 Main Number: (813) 224 - 0431 Facsimile: (813) 229 - 8712 E - Mail: bhill @ wfclaw. com triciaw @ wfclaw. com Name: Me 115Sa Harris Address: _ (270 E LMI S + City: (aspis State _ State Fu - - - . . - . . . - - m. - - ' ' . . . . . . . . ' - ' . . . . . . - - . . . . . . . . . . . . . . . . . . . . . . . . . . . - - - - - - - - - - - _ Zip _ 34189 Telephone: E - Mail: - - . - . . . . . YY L. - -: - - - 4 PageID 591 PagelD 417 From February 29, 2016 to March 13, 2016 I worked as a nurse employed by Ace Homecare, LLC, and was not paid minimum wage between; or From February 29, 2016 to March 13, 2016 I worked for Ace Homecare, LLC in any position besides as a nurse and was not paid minimum wage. 3. I understand that this lawsuit is brought under the FLSA, 29U.S. C. 29U.S. C. E 201, et seg. I hereby consent, agree, and " opt in " to become a plaintiff herein and to be bound by any judgment by the Court or any settlement of this action. I hereby designate Wenzel Fenton Cabassa, P. A ., 1110 North Florida Avenue, Suite 300, Tampa, Florida 33602, to represent me for all purposes in this action. Signature: hml Signature: Date: _ Lyo uu) Date: - - - - - - - - - - - - - - - - - - - - L - - R - - . . . - LL. . . - - . " T. ' L - 11 - I - . - . l. . . - . . . . . . . . . . - - - - . . - ' . - - . L. E. L - - " - - . . i. Case &: 86 OVEOZZVAIDDWF GW Dmmument 79 - 3 Filed 02 / 1977 Page149 8ffSYPlage6 592 UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF FLORIDA TAMPA DIVISION TONI MOLINA, ERICA TOVAR, TARA WARD, LYNGUYEN, CONSUELO POWELL, DONALD HALL and DEBBIE BURGESS, Plaintiff, CASE NO .: 8: 16 - cy - 02214. JDW - TGW ACE HOMECARE, LLC, BRL INVESTMENTS, LLC, ARTHUR BARLAAN, and JOCELYN BARLAAN, Defendant, CONSENT TO JOIN COLLECTIVE ACTION Pursuant to the Fair Labor Standards Act, 29U.S. C. $ 216 (6) Complete and return to: Brandon J. Hill, Esquire, Wenzel Fenton Cabassa, P. A. 1110 North Florida Avenue Suite 300 Tampa, Florida 33602 Main Number: (813) 224 - 0431 Facsimile: (813) 229 - 8712 E - Mail: bhill @ wfclaw. com triciawawfclaw. com THAT Name: _ (Noi ca Hown as Address: _ 4G 4a Tar ceaa St. City: Sebina _ State _ EL Zip _ 33872 Address: Luc. LILLI ' - - - - - - - - - tu. - 1: I - - - - - - - - - - - - - NIMILLuu Telephone: E - Mail: L. Yllern - . . - - -, -, - Castftf 824 - - TEW BOEUMENT JR3 Fileo / O£A $ 7 Pagge 5DDF54 tagaD 593 1. From February 29, 2016 to March 13, 2016 I worked as a nurse employed by Ace Homecare, LLC, and was not paid minimum wage between; or 2. From February 29, 2016 to March 13, 2016 I worked for Ace Homecare, LLC in any position besides as a nurse and was not paid minimum wage. 3. I understand that this lawsuit is brought under the FLSA, 29U.S. C. 29U.S. C. & 201, et seg. I hereby consent, agree, and " opt in " to become a plaintiff herein and to be bound by any judgment by the Court or any settlement of this action. I hereby designate Wenzel Fenton Cabassa, P. A ., 1110 North Florida Avenue, Suite 300, Tampa, Florida 33602, to represent me for all purposes in this action. Signature: Vlorissettoniman PT. Dates _ 10 / 15 / 17 Signature: TTOMAMA Date: MALFRUAR — JUML. LULI — — — — — . Bu Casase 1616C946 A4YDW ' R JPW. TG Document, 79 - 3 Document 63 - 2 iled 12 / 19 / 17 Filea d8 / 07 aeИ . 40 UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF FLORIDA TAMPA DIVISION TONI MOLINA, ERICA TOVAR, TARA WARD, LY NGUYEN, CONSUELO POWELL, DONALD HALL and DEBBIE BURGESS, Plaintiff, ETT TINIAI CASE NO .: 8: 16 - cv - 02214JDW - TGW YY - İGN ACE HOMECARE, LLC, BRL INVESTMENTS, LLC, ARTHUR BARLAAN, and JOCELYN BARLAAN, muun T - n - r - - rur = = ' un Defendant. - - - - CONSENT TO JOIN COLLECTIVE ACTION Pursuant to the Fair Labor Standards Act, 29U.S. C. $ 216 (6) Complete and return to: Brandon J. Hill, Esquire. Wenzel Fenton Cabassa, P. A. 1110 North Florida Avenue Suite 300 Tampa, Florida 33602 Main Number: (813) 224 - 0431 Facsimile: (813) 229 - 8712 E - Mail: bhill @ wfclaw. com triciaw @ wfclaw. com Name: _ AQur en HopelS Adres: al Old Oak Circle Ciy Omkv _ State NL _ zip ZULK3 Telephone E - Mail: . - - - . - - - Casaso: - êF0222445ØDVWTCW DOHNANÉ - Filed 99 / / 477 Paragelse afspplage7 595 From February 29, 2016 to March 13, 2016 I worked as a nurse employed by Ace Homecare, LLC, and was not paid minimum wage between; or 1. From February 29, 2016 to March 13, 2016 I worked for Ace Homecare, LLC in any position besides as a nurse and was not paid minimum wage. 3. I understand that this lawsuit is brought under the FLSA, 29U.S. C. 29U.S. C. E 201, et seq. I hereby consent, agree, and " opt in " to become a plaintiff herein and to be bound by any judgment by the Court or any settlement of this action. I hereby designate Wenzel Fenton Cabassa, P. A ., 1110 North Florida Avenue, Suite 300, Tampa, Florida 33602, to represent me for all purposes in this action. signum haushell & „ Politikan Signature: Date: . . . - . - M - titrl " LILL - - . - . - . - . Pri II, IAR 4 PagelD 596 UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF FLORIDA TAMPA DIVISION TONI MOLINA, ERICA TOVAR, TARA WARD, LY NGUYEN, CONSUELO POWELL, DONALD HALL and DEBBIE BURGESS, Plaintiff, CASE NO .: 8: 16 - cy - 02214JDW - TGW ACE HOMECARE, LLC, BRL INVESTMENTS, LLC, ARTHUR BARLAAN, and JOCELYN BARLAAN, - - Muar. - HILL - Mru ru - - - - Tu - - - -: - - -, - - - - - - Defendant. CONSENT TO JOIN COLLECTIVE ACTION Pursuant to the Fair Labor Standards Act, 29U.S. C. $ 216 (6) Complete and return to: Brandon J, Hill, Esquire. Wenzel Fenton Cabassa, P. A. 1110 North Florida Avenue Suite 300 Tampa, Florida 33602 Main Number: (813) 224 - 0431 Facsimile: (813) 229 - 8712 E - Mail: bhill @ wfclaw. com triciaw @ wfclaw. com Name: Amanda Hudson (DRAP (ZA) Addres: 1834 N. Crystal Lake Dr # City: LLAD State FL _ Zip _ 338D State Telephone: E - Mail: 4 PageID 597 1. From February 29, 2016 to March 13, 2016 I worked as a nurse employed by Ace Homecare, LLC, and was not paid minimum wage between; or From February 29, 2016 to March 13, 2016 I worked for Ace Homecare, LLC in any position besides as a nurse and was not paid minimum wage. 3. I understand that this lawsuit is brought under the FLSA, 29U.S. C. 29U.S. C. & 201, et seq. I hereby consent, agree, and " opt in " to become a plaintiff herein and to be bound by any judgment by the Court or any settlement of this action. I hereby designate Wenzel Fenton Cabassa, P. A ., 1110 North Florida Avenue, Suite 300, Tampa, Florida 33602, to represent me for all purposes in this action. Signature: Audem Date: _ 102oļin — - - . - I, - " . . . - - - - - - - - w ' re. . - . . . . . . . . . . .