Molina et al v. Ace Homecare LLC

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

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CasaSFOBélbo229421BODTGIGypogument 7925 „ Filed 12 / 19 / 17 _ Page 1 of 50 PageID 653 CasfaseSelBEA2Q221BODTGIGvPOSUITHEnt63 - 2 " Filed 09 / 05 / 17 Page 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, V. CASE NO .: 8: 16 - cy - 02214JDW - TGW ACE HOMECARE, LLC, BRL INVESTMENTS, LLC, ARTHUR BARLAAN, and JOCELYN BARLAAN, . - . - . - . . - - Defendant. . ns - — - - - - - - - - CONSENT TO JOIN COLLECTIVE ACTION Pursuant to the Fair Labor Standards Act, 29U.S. C. g 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 - . . . ', 117 - - - Name: Name: leo # Le Pelvo Address: S790 Blossom Lake D. City: Seminole State _ _ FL * * * - - - m ' . . - . . . . ' - - - - . - . IS State _ Zip 33772 Telephone: E - Mail: - - rela: . . - - - - - 0 PageID 654 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. — - ' - - www. . . - - Signature: Dato: _ tolklz - - - . . . . . . . - - - - - - - - - - - - - - - - - - - - - - - - - - - LIJI - l - ul re ' - - - - - - - - - - - - - - - - - - ALI U. . . . . . . - . . . . . . . - - du - - | - } ., I - . - . - . —, . . . - - - LJ. . . . . . - . . . - - p: - - -, L. FIE. 3 P - Lm CasB8: 84FKP831442RMFEN BOEHMEAt 73 - 5 fikfo64447 Page 3 Fagag ! P 655 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, I. — CT - . . . - - - - P - RIMARNIR Defendant. CONSENT TO JOIN COLLECTIVE ACTION Pursuant to the Fair Labor Standards Act, 29U.S. C. & 216 (b) Complete and return to: du Trva - - - - 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 r - - . " . . . . . – . . - - IN - - - - - ' . . ' - - ' " IL - L ur " . u - - Juku - Lunumou Name: Name: Biny Pennebaker Address: 4 221 Chern Dave City: Auburndale _ State _ R Address: Zip 33823 Telephone: E - Mail: SILLALLALILLA Lun - - - Lule -: ht Lull. nl Case 8: 16 - cy - 02214 - JDW - IGW Document, 79 - 5 case 8: 6 - CV - 02214 - DW - TGW Document ' 63 - 7 b470A + 7 Le ON F 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. samehamehalen - - - Immrtnerinnenmannunr Signature Date: _ to [ 31 ia - - - - 1 - - Tl. ' ' r tur. * * - en R. . . - - - - - - - - - . bulut - - - - . d. u. . . . . . . 0 PageID 657 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, 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: Address: City: State Zip Telephone: E - Mail: Case 85¢6đ6 - 02 - D2AIDIWYGAW DOOcamente 69 - 5 Filedo02059 / elp 658 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. Signaturel Luan Yerus Dates _ 0311 * My name is Jorian Perez & I ܜܜܛ de in ܛ o rew + ܨܐܵܙܵܐ ܬܚܢܝ Lausit. Tiu persona phone My Home address: 8159 Canterbury Lake Blu) . Tampa, H. 338 14. Thank you ! Casa 61ÓVEDAYA4 ADMA GW DOGMENMt 782 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. - - - - a. w. . . . . . - 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: mypinseannel ATO JACQUELW: Εσβε75 address: _ 5 640 Halifax kan e City: SaKA Se A L State _ FL - - Tu - Luw. lds. . - . HALA OFFIE Zip 3 4233 Telephone: E - Mail: . . . . . . . . - dalari uch. MILL Cass8: 8 & CCD22244IDVYTM RASHMERE 39 - 5 Filed da / 09447 Paage & p£ 5agage47 - 660 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: augustus F. Pohlists Date: _ 16 - S0 417 - . . . - - - - - - ' . . . re - . - - - . . . . . ALLE npr. ILLICILNELISOLL 0 PageID 661 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 - cy - 02214. DW - 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 * - - - - - - - . . d. - - - - - - . Name: Name: _ Lisa Ratcliffe Address: Bab tushut feld Ave City: Sarasota _ State _ PH. mm - IT. ' - - - - - - . . . . . - - osur. . Zip 3443 Telephone: - E - Mail: 0 PageID 662 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: duoca Ratclugar – Date: _ 10 / 97 Signature: Date: - - uumu. . . - m. u - - . - - Jure. ns - - 1 - - Iruval - rua. . . u. . . . . . . - . - LI pus. . . 1: 1 16 = SV - 02214 - JAWATGW, Document, 79 - 5 Eiled 12 / 19 / 17 Page 11 of 50 Page ! 3. 16 - cv - U2214 - IDW - TGW " Document ' 63 - 2 Filed 09 / 05 / 17 Page 1 of 2 PageſD416 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 - 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: Name. Susan Elaine Renaldo. NDSHOLD address: 3508 Indian Trail City: Fuotis _ State _ FL _ Zip _ Damals - - - - - - - - Address: Telephone: E - Mail: 1. ' - . - - . - . . loan Ram - - V — — . - ' . . - - VEL. . LALL. - -, CasaseBST660 - 62212 - 3BW - Pow Document 63 - 2 Filed b5 / 05 / 17 Page 2 of 2 PageID 417 V = JGW, Document 79 - 5 Filed 12 / 19 / 17 Page 12 of 50 PageID 664 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: _ AWAdherurok Date: 10° 30 2011 - - - - - - . . . - mi - - - - - - - - - - rullalaki - - - - - - - - - - - 0 PagelD 665 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, TIBET CASE NO .: 8: 16 - cy - 02214JDW - TGW 1 - T 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: Carmen River a Address: 8417 N. Armenia Ave apt. 733 City: lampa State _ FL State _ Zip 33Loy Telephone: n Mail. 0 PageID 666 ння 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. jo / ro / 17 Signature: Date: NETGW Document. 79 - 5 DW - TGW Document ' 63 - 2 Filed 12 / 19Į17 Page 15 of 50 PageID 667 " Filed 09 / 05 / 17 Page 1 of 2 PageID 416 1, . 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 (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 Nume: (Jolanda ve Address: 912. Samleidge Grose P. Aet. 20 City: Tampen _ State _ FL _ Zip _ 3310 L. L. - . - - - . . d. i. Telephone: E - Mail: LILLA. - - Jumhuluvulla ALAT 0 PageIR 668 Case 8: 16 - cv - 02214 - JDW - TGW Document 63 - 2 Filed 09 / 05 / 17 Pagě 2 of 2 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. & 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: n \ » . hran ' r - nunu - red - in, - - - . . . " - TL. . . TT: " ": . rtl - GIL. . . . . . . . . . Lunin ular - ul - huiuilino D. l. . . - - - - Case 0. 1 se b61669 - 62214 - YUW TGW 8: 166 6V - 02214 - JDWET Document, 79 - 5 Document 63 - 2 1 09 / 09 / 11 UTIO377 Pay 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 LLO. - TITIYANTTILANLAN - UIT ACE HOMECARE, LLC, BRL INVESTMENTS, LLC, ARTHUR BARLAAN, and JOCELYN BARLAAN, - - LP 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 TTTTTTT r. " Name: _ Anita VARASET KORAALSO A ttar | Address: a [ 03 Fivor SHRE DR. City: DA PON L _ State _ FR. State Zip _ 33ST) Telephone: E - Mail: | - - - - - - - - huwa wa 4 - Hr. - MIL. L DLL - - - - Casese: B61 - 64022144OVATECW DDocument 793 Filed og / 09 / 17 Page21 afsageaged 670 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. MET. 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. sentire Arafal - - - . - . . - - Signature: Date: _ II (1 { laO2 - - - - - - KIT - Tummun - * Il - I - . . - puuuuuuu - - - . - . - LET ' - - Lu ' L - - . . . . . ' - . Sull - ' riul Pw, TheLL " . . . . . . Casa 942ANYMYLIGI Document, 79 - 5 Document 63 - 2 ed 08 / 07 Page 14 af Page 1 of Z ' PageTy41 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 1 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 triciawſ @ wfclaw. com Name: Name: _ Sandra Lynn Sabinon Address: 4315 85 Are Cir E City: arrish Statea State Zip _ 34219 Telephone: H. - * * - * . . . ' enLAILL I. E - Mail: Ld. L. - - Lan. - . Liuial Case 8: 16 - cv - 02214 - JDW JGW Case 8: 16 - cy - 02214 - JDW - TGw UT DocMEMP63 JEID 672 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 AssiduÁ Llemon Date: _ / 24 / 17 0 PageID 673 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: - - - . . . . . . . . . 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: CORLENE ROMAN 4301 mackerel Dr City: _ Sebring Address: State Zip 33870 Telephone: E - Mail: 0 PageID 674 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. & 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. manner = umn - - - - - Alenens Signature: Dato: _ 10 / 17 / 17 Date: - 14 Case F68 6022042JØNDTGIGPopMA 112 / 19 / 17, Page 23 of 50 PageID 675 ited09 / 05717 ' Page 1 of 2 PageTD 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. 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: bhillawfclaw. com triciaw @ wfclaw. com Name: ܓܢܬܐ ܝܬ ܡܛܠ > < ܠ ܠܠ ܗܔܓܩ K ܠܰ Addnes: _ S Address: City: _ Auers _ State _ _ Zip. 33919 Telephone: E - Mail: . t. . ALL. . . . . . . . - LA2. - . t Hilles. . . . . . . . . . . . . . Caséaseoci6O20421DADVGWGPoggeMAI Filed 12 / 19 / 17 Page 24 of 50 PagelD 676 " Fred09 / 05717 ' 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 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: OND Date: _ ALL, Date: _ AL: Lo: Date: - - * 1 * . - - - - - - - - - - . d. - I. - - A - - - - - ., . - . - . ut LureLL - LL Llu A - 1. J. ALU Cag / # # # #: 65 Page, 25: Qf50 PageLD677 Filed 09057L _ PageLOf2PageL416 UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF FLORIDA TAMPA DIVISION ܕܠ ܐ ERICATDVAD ܕ T0NI _ VIOLANA ܕ TARANWARND; INNSGEUREN EDBNAN _ HP ܕܝ CONShJEL P POVETI HALL and DEBBIE BURGESS, ܕ Piaintiff CASE ENCOD,: 8: 16 - Cv - 022l4. HPVN = FFV ܕ ELC ܕ ACE _ FTPHECARRE ܕ BRE ENVASTRANYS, TL _ ܕ ARTPHEUR HAREAAN and JOCELYN BARLAAN, . Detendart. ܕ . ܝ . CONSENT TO JOIN COLLECTIVE ACTION Pursiant to the Fair LuaborStanndards Act, 29USC $ 216 [ b ] Corinplete and feturn to: Brandoin J. Hill, Esquire. Verzel Feniton Cabassa, PA. 1110North FloridaAvelle Suite 300 Tamlpa, Florida 33602 Main Niummber: [ 813) 224: 0431 Facsirmile: (813) 229 - 8712 E - Mailabhill0wiclaW. com triciaWQwiclaW. coml Name: - - - - ܙܣ ܬܝܪ . . . . . . . ܘ . ܓ ܢܥܠܠ ܥ ܢܬܥܛܘ ܠ: Name ܨܬ ܠܥܠܫܥܬܥܥܓܟ Aans ܠܬܨܠ | ܔ so ܢܦܓܥܠܛ ܔܔ dy ܕ݁ܰܥܕ݂ܰ Lip Addrcss: ܢܝܢܢ - ܙܚܕ ܕ ܐ ܘ ' . . -: ܕ: ܕ: ܂: Telephone E - Mail; - - - - - - ܀ " ܢ . - ܢ ܢܙܦ 1Jori - ܇ ܇ ܇ - ܘܠܐ ܝ V Document. W Document 63 2214 - SOW - N | 12 / 19 / 17 ed 09 / 05 / 17 Page 2 2 ' Pagerb41 Page 26 of 50. Pagel 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. usu 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: Date: LLLL. - " N LE ' L. L Case 8: 16 - FX - 02214. JPW: IGW, Document 79 - 5. Filed 12 / 19 / 17 Page 27 of 50 PageID 679 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 (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: Name: _ Viiki / Sargent Addres: 810 Pine Tree Dove City: fl LE. Myers _ State El Address: State Zip 33917 | Telephone: E - Mail: 0 PagelD 680 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 Homeçare, 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: Lula Aangeil Signature: Date: 10 / 15 / 17 Date: LI — . - - umu. . n. . -, - - - - - - - - - - - - - Pulau - -, - ru cas JOIM / . PYUMIGA, Document IDW - TGW " Document 63 - 2 d 12 / 19 / 17 Page, 29. of 50 PageLD 681 led 09 / 05 / 17 Page 1 of 2 ' PageO416 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 Name: _ Deborah L. Schenk Address: 1531 Sussef Rd, yn City: Vonce _ State _ Florida _ Zip _ 34 243 Address: Telephone: E - Mail:: Jacint. . - - - Luik. . . . . . - - - - - - - - - ninus Case 8: 46 - 5 - 022143 JRW TG4, Pocument 79 Else ' 8: - V - 62214 - JDw - Gw Document 63 - 2 Filed dG / 09447 af 50 Pagel 2 OT Z 682 " Pagbagelo 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: DWY SIL _ Date: | | - | | - 11 mw. — — — . - . n. r - wa - - -, - LL - - - + - - - - - W - - - - - - u l - Eww ' n HALJI. . . L. I A. . . d - u M. N. L. u CasaEftvO2Q14 IDALFGAV Ddenmeent7085 filled DB / 09 / 17 PageBafa BagegeIDB 683 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: Tww - * * - PFT. 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: Jennifer Sue. Seidel Address: _ 5D2D 4th St. N City: St. Petersburg _ - _ State _ I } . Zip _ 33709 Telephone: E - Mail: . . - — — — — . - . . al. - . - C — — . " usilaut. . – . Casas8: 18 - êV 0027143øOWTURN DOCUMENE B9 - 8 Filed 9 / 09477 Pagged If soplayeID 684 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: la Lan - - Lelatila Date: _ 10 | | 417 · A Date: - - - - r - - - - - - - - - I, . . . . . . . . . . . . . . . . . . . . UL. . . . . . . . . . . . . . . . . l. ' . ' T - - - - - - - . . . . . . . . - - . - 0 PageID 685 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 Name: Mitchell sheaffer Address: P. O. Box 51613 City: Fort myers State FI Zip 33994 Telephone: E - Mail: Case 8: 16 - cy - 02214 - JDW - TGW. Document 79 - 5 Filed 12 / 19 / 17 Page 34 of 50 Pa PageID 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. 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. INA Signature: Date: 07 / 10 / 2017 Cases: B6LGEDØ44DUVWTFW DOSTUIMEN 79 - 5 Filed data947 Page134 OffalyEAUFIG 687 UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF FLORIDA TAMPA DIVISION TONI MOLINA, ERICA TOVAR, TARA WARD, LY NGUYÊN, CONSUELO POWELL, DONALD HALL and DEBBIE BURGESS, Plaintiff, CASE NO .: 8: 16 - cy - 02214JDW - TGW ACE HOMECARE, LLC, BRIL INVESTMENTS, LLC, ARTHUR BARLAAN, and JOCELYN BARLAAN, Defendant. futur. I - I. Luur - - - - - - - - - - - - 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 " . . - - . - ru ' . ATY I. . ' - - ' - - ' I rule: . . . . - - IP V. J. - - Name: _ ice E. S. Hectt med Address: _ 4Soo Sw ILS * * * M City: _ _ Ocaka - _ State Florida _ Zip _ 34476 Telephone; - - - - - - - - - - GIL. - E - Mail: تألعادل - لارا و ديارا . Cast81: 68 - 2114JDMIFEMMI DEGUment 39 - 5 FieldH069117 Pagge 36 DPageRegelD 688 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: 7 / Date: 2e z لكل منها: Signature Date: . . . . . . . . . . . Case8. P616VCUDILLADDAWANEGOW DOocument TP38 Filed 02 / 1977 Page137 af BayPageID 689 UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF FLORIDA TAMPA DIVISION S 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 @ wſclaw. com - - lii, mii, 4 - Nan lane 20ackle Timmons Ada 23 Davis dy: Ft. yhyers _ State _ ll Zip 33105. . . . . . . . . . . - - - - . - 1. . . . . . . . . . Telephone: E - Mail: . - - ' . m. MILL LLAWNLOAL -, - L - . . - - Liba. . . . . . . . . * * * . * * frr: KANZASLUti Cases8: 88 CO222A4JOWTGEW Document 69 - 8 Filled aZDEDIT7 Pagg238 DP50eageID 690 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 E 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. . I. - - - - LMLA - - - - - - - - - - - - Micrathyruklarında Signature: Date: _ I / 1517 Date: - - - - - - - - - - ' . . . . LI - - - - + - . . | . . . . . . - . - . - . - . - . - . - . . . Alice. * - 1 * * ' kriis, * ti L - . . . ' I. . . . - — — . . . . . . - - PALEIT. J. LU L IL LYTTLIN. - - Casag: P616 / OUZ2144JAVAFCBVV Ddocumenti 739 Filed da / 09 / 17 Page139 of SayeAgeLB 691 I 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 - 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 MIT SI ' YNG - JE ! Name: _ Zar ' a OMMONS Address: _ | 2308 Davis Blvd. City: FŁ . Myers _ State _ EL _ Zip 3390S Telephone: L. - . - - . - . - . - . - . - . L. M. M. - - - . . . . . . . . . . . - . . . . - - - - Luh. ILLE - Lula. Il - LA - - . - . . . ALLA E - Mail: Casase: 80 - EFO222443ØDVWTGW Document B9 - 3 Filed 99 % D77 Page 40 afsopageID 692 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: Basuo nonno Date: 10, 2011 - - EN - - . . - - - - - - - - - - - LLLLLLL - I. - - - - - - - - . - - JLuum LPI. . ' - - - YArthur — . . - . - . - . - . - . . . LLL. - - - - ıE ' ILE - . . . - - J. . . U. L O E Case 8: 16 - cv - 02214 - JDW - TGW. Rocument 79 - 5, . Case 8: 16 - CV - 02214 - JDW - TGW Document 63 - 2 SE WR: PHANERPERANAN YANG MELAYU: PRAECLARELTWEMMER HARPEET. HIERDINET - FILLTIR STYRMIRESI - Rummam RTTRARRESTATWYM TH. I T - TITTYMWELTHAT WHEROPELTATAILL. EGPARAMETRALLY PODAWAN, LANCEN FWYAF ENSATSWIFT EKADER MIDDLE DISTRICT OF FLORIDA TAMPA DIVISION TONI MOLINA, ERICA TOVAR, TARA WARD, LY NGUYEN, CONSUELO POWELL, DONALD HALL and DEBBIE BURGESS, Fisikia XYROMETA HAMASEHINYAMAPORE AIRGREISER KARRIERESHWATERBEHEREETAKTMETA TRAFF125 KATRAINER SEMANTI STATEXAMEN VANAVANAISAKATARZYSTATECHANGESKAKEL VANAFILAKWENAYAH 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 - - BEZUIDEN YW. CATTLEILA LIH 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: Vlma I skyers Address: _ 7 le 13 Lavender Lane City: Tampa _ State _ FL Zip _ 33219 - S¢33 Address: Telephone: E - Mail: Ms. Vilma i. Skyers 7613 Lavender Ln, Tampa, FL 33619 - 5633 case 16: 18 - 227AIDYBTGEWPOSXUDAR 784. 2 Filade Case 8: 16 - cv - 02214 - JDW - IGw, Pocument 7975 Çaşe 8: 16 - CV - 02214 - JDW - TGWP DOCUFIRI 7 5 4177 Page 420625eagatgefİ 694 IGF WESTERN PLAYSTAATSBEHE. ALVARICAREA SAFFi PranormATTI " PAUL 4 ESINESSMAN ALINMA PAMAMARAAN PAREMMIN. Emire. FRANKENSTAN ALL FAHMAT. UMFEREAFUTE MASCARGARET THATCHEWAmir Hömeçare, 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 seg. I hereby consent, agree, and " opt in " to become a plaintiff herein and to be bound by any ATKREIPTIETILENyasagtATEMATIKEMIITOIHry settlement on this action Thereby esemnate were Kenton Chase P. A ., 1110 North Florida Avenue, Suite 300, Tampa, Florida 33602, to represent me for all purposes in this action. SAZANIT. - X: YEAR, T =, . M. MAXISTER - S - SEN ! 17 PERPETRATES Signature: Milme L. Regera Date: _ ofru / 17 Date: * * * PASAN: PEMANASANXERER TEVE TILBYN " . . SHP: 0 PageID 695 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. S 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: _ Angela Slabach address: _ 4140 METAISh rd. City: _ Sarasota _ State _ n Address: _ Zip _ 34933 Telephone: E - Mail: Case 8: 16 - cv - 02214 - JDW - IGW Rocument 7975 Filed 12 / 1947 Page 44 of 5 Case 8: 16 - cv - 02214 - JDW - TGW Document 63 - 2. Filëd D9 / 05717 ' Page2 of 2 Pă 696 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 _ Quanfon Palol Dale _ biula Signature: Date: Cas ument. 795 Ocurent ' 63 - 2 Fage452 FRGERIER 69 FAHYFREAPSAR 697 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 Name: Name: _ MARCİA A. SMITH Address: _ ja3A SW 4FA 4 City: Cape Coral _ State _ A Zip _ 3399 / Telephone: E - Mail: Cask8 44642824422BWFEW PELIMENA 39 - 5 filed 13 / 1947 PageAF 2ÍFGERIG { 9 698 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 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. sian - Marcilldrela. Lollip. Signature ! Date: 0 PageID 699 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, uuuuuu - mu. L. - - JP 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 triciaw @ wfclaw. com T - -, - - T Name: Name: MATIC Sm tu TN Addres: Q54o 66 " Sy w Luo 18 City: Pinedas er _ State _ Á _ Zip. 331 su L. . . . . . . – . . - . L LIL L. I. . . . LLLLLLLLL Telephone: E - Mail: 0 PageID 700 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. g 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. nmır - Il - L - hr I - but due - - Im S. " " " " L. - - 1 - - - 1. . . . . - . I Signature: hn A. Date: _ { { 2 | 9 Date: A. . . - . . . . . 1 - Jit. . . l. - . . . . . . . . - - - L. . . . . . . . . . - - . . - JL VAL - . . . - - L - - - - Case 8: 16 - cy - 02214 - JDW - TGW. Document 79 - 5 Ejled 12 / 19 / 17 Page 49 of 50 PagelR 701 Case ' 8: 16 - cv - 02214 - JDW - TGW Document 63 - 2 filed 09705717 ' Page 1 of 2 Pagelb415 + 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, Plain tiff, CASE NO .: 8: 16 - cv - 02214JDW - TGW ACE HOMECARE, LLC, BRL INVESTMENTS, LLC, ARTHUR BARLAAN, and JOCELYN BARLAAN, Defendant. aurumunu P - UP - P - - J. - L. - ' - ' . 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 ' m ', ': ' . . . ' . . . . . . . . . . . . . . . – . . - - Name: PETER STRueil Adress: _ 51 = lake Davenport Circle City: Davenport _ State _ FL. _ Zip _ 33 837 Address: Telephone: E - Mail: L. — — . . - - - . . . - . . – . E. - - - - - - . . L. - - - - . - . - 0 Pă | 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. wonga. Malahan (r Signature: Date: _ o 12 port Date: - - - - - - . - . - rural. . - Yal. lular - Larser. ' - de - . - -