Molina et al v. Ace Homecare LLC

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

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vase 8. 10 - CV - 02214 - JDW - TGW Document 63 - 2 Fileg 99 / 05 / 47 PaF126 PagePD + 103 6 PageID 704 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 nauna - — 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. L. - T NN Signature: (legetni a leanann Dates _ M11 / 12 - riv. - - Lu - - Maun - - - - . - . - - . 11 - . - - - . . . - us - . - - . . . LL - LUL. - - - - - - - - - . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - - 2. . . . - . . . - . . . . . . . . . . . . - 6 PageID 705 PagelD 416 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, 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: Kimber ly Torres Address: 4021 Ice Castle way # 2 City: Naples _ State _ FL _ Zip 34112 Telephone: E - Mail: 6 PageID 706 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. 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: Kimberly Gosses Date: _ 10 / 15 / 17 cass8886 GV022444 - JENIL - TOW Document GG6 FIREHOPAP5477 Ppagd of PedgALD6707 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, Aqua - luvul Murray Plaintiff, V. CASE NO .: 8: 16 - cv - 02214JDW - TGW - u - mu ACE HOMECARE, LLC, BRL INVESTMENTS, LLC, ARTHUR BARLAAN, and JOCELYN BARLAAN, - - - - - - - - - hi " wn. AFTER FIT 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: KAREN VAN HALL Address: 349 LAUREL FALLS Dk. CityHOLLO BEACH State _ PL. Humurmur _ Zipు &:: | . - - Lulus. . . - - L. . – . . - - - - - - - - - - - . . . . l .::: ' ', / . * . . . . Iun. . . L. . - * * * u. R — . 1. - ILL L. Telephone: E - Mail: Casase: 80 - EFOD2244DIDVYF GW mument 79 - Filed aa / 1947 Pandez DPH26agegFN708 oLeuPATIONALT HERAPIST 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: Thle (esley Signature: Date _ lefprefiz _ Date: - - - nummurn - . . . . . - - - - - - - - - - - - 1 * * - . - . - Ca881: 46YP8214AINM DOEHMERt - fikfldH65447 pagge GPS PAGAS4P6709 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 triciaw @ wfclaw. com Name: Suzanne. M. Wade Adres: ba18 Eaglebrook Ave City: _ Tam pa _ State _ FL Zip 33LAS - - - - - - - - - - - . - . - . - . - . uk muun Telephone: E - Mail: - wl. LILL - - - - - - - - di manna CaasB3166 72244 JBW - TEW BOEHMEtapp filerbHASA47 pagge 8ff AfgEAgap7710 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. Signatures _ drug anys M burde Dates _ aa 17 - - -, -, - - LL. . . - - " . .: . . . - - - * - - - " | " - ' - 11 - teatr. - - - - - J. . . . - . - - - . . - - - - - un - Am. . . erLL. 6 PagelD 711 PagelD 416 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 (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 - - eter - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - TTT - T. T Name: Coliseej m. LJALIL Name: ܠܨ ܜ & Jot ܘܠܐܳܟ݂ܠܺ: Adrs City, literaturg _ State _ FL. _ Zip _ 33 707 Telephone: E - Mail: 0 I m m 6 PageID 712 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 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. TTT 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. مهول لمطر: Signature Signature: los 2 Date: 16 - 17 - 27 Date: - - - I l. - - - liu. - - . - 1 - . - - - 1. - | - - - - - - Casa & # 1516 020AA4RMAT DOSHIMAH 172362 iled by 8 / 17 AF 1844 P & PAGGA 713 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 (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: Beverly Wallace addres: S170 Highbury Circle. CitySQL State Zip _ 3438 Telephone E - Mail: - - - . . . - L - lu. Casasa: 886CD22244IDUVWTOM DOSAURESNR 63 - 6 Filed dalá947 Page Of2f4EDD419 714 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 FLŞA, 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: PDRAMAWACAQue Date: 10 - 16 - a017 Occupational Therapist - - - - SIM. ' ' . . . - - . . t. d. . l. . . . . . . i. - - - . - . - . - S. . . . . . . - Cast81. 6EX 23314BANG - FEW BOEHMERE - fikfo65M47 Pag99 BF2FAHRAGANB 715 UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF FLORIDA TAMPA DIVISION TONI MOLINA, ERICA TOVAR, TARA WARD, LY NGUYEN, CONSUELO POWELL, DONALD ILALL and DEBBIE BURGESS, Plaintiff, V. CASE NO .: 8: 16 - cy - 02214JDW - TGW ACE HOMECARE, LLC, BRL INVESTMENTS, LLC, ARTHUR BARLAAN, and JOCELYN BARLAAN, ar - - . - - - 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 - - - . . . I - - . . - - Ir: . . - - LL. - -, - . . . . . - I Name: Elizabeth An leadby len ligger višOR Address: SL300 3rd avE N City: ST Rechre _ State _ F. Zip _ 3373 Telephone = = SETTEL E - Mail: Cases8: 86 - OVGOROZP44DOVATFLOW DDocument 79 - Q Filed oa / 1917 Page21A of & yeageD 716 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. Sigmune dlialaidd. Liloually Dutc _ 10 - 19 - 17. . + arty. ' Lla - d, . linum. - - - . . . . - - HIL. Eiled 12 / 19 / 17 Page 15 of 26 Page Filed 0905717 ' Page 1 of 2. Pagelo 717 Case 8: 16 - C 62214FBW - TGw Document 63 - 2 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, * h + - - - - - - - - - - - - - - - - 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 - - " - - - 1 - 1P LI " " - Name: Tamera C. worden 1526 Van Pel + Rd. City. Sebring _ State FL. - - Moulun Address: + Zip _ 33870 - - - - - - - Telephone: E - Mail: IklandLLELILILL LALAhme HSVL IMBLERS ALL 6 PageID 718 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. 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 omuna Cubden Date: " Islaor1. — L - ST - . . . . . . - . CALL - - . - . - . n. i. . . - - Hil ILAGHIHL. IUL. ILMALLA LE - - 29 AWSW Document, 79 - 6 iled 12 / 19 / 17 Page 17. gf 26 PageID 719 Filed 09 / 05 / 17 Page 1 of 2 ' PagelBAI6 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 triciaw @ wfclaw. com - - ' . " - " " . . . . - - - - - Names _ Belindung IJsght Adres: faan Odess gle Cif leitn Park _ State _ Address: Zip 3383 Telephone: E - Mail: . - . - . . . .: P. . - . L LULL ' abr ' ALAI: - - - - - - - - - - - . t. t. . * stved. - - . - . - . . . Case 8: 16 - cv - 02214 - JDWETGW ., Document 79 - 6, Case ' 8: 16 - cv - 02214 - IDW - TGW Document ' 63 - 2 Filed 12 / 19 / 17 Page 18. of 26 PageID, 720 Filed 09 / 05 / 17 Page 2 of 2 ' Pageid 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. 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. signation blyndi Signature: LA Date: Loftufe - SIT. Inuulit. * * . - . * • " - - - - - " . . . . . . . . . - - . . . - . . - . . . - . . ' - Tor - . - . rum. - - ILL. . . - - . - . - . - . - . - . - . - . - . - . lu. - - - - CaSASE: B6rGYP224FYWIRW POLYMEt 38 - 6 Filed data9447 Pagg9 19 OPGERIRIB 721 Casase 86 ment Uiteit 6 CON ed 09705717 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: Name: Tffany Wight Address: 302 Wilhite Street City: Avon Parle _ State _ FL Address: Zip 338 25 - - - - - - - - - Telephone: E - Mail: . . up. a. . . . usuu. – HE, L. . . - . . . . - . . . . . . . . . . . . 4 - l. r. l } - . . - - - . . Plfa - X, - 62144 ' RYX - Rocument DOCurrent 63 NO TO) IP 722 CUNI 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. 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. Signature: IngaAugWriglit Drie 10 | 14 | | 7 — — — — — . - - - - Casasi 1616 - Q2814 GUmfatte | 17 09 / 05 / I / PageTOT PagePaf ZJIAXI + 7 26 P # ay 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 triciawawfclaw. com Name: Address: Stephanie Yount | 2105 sw Emha Ter City: _ Cayu Cered _ State _ _ Telephone: Zip 33951 N. L. W. . - . . . - - - - - - - - - . . . WILLIELL SAJA leir la E - Mail: - - - . - . - . - . - . - . - - . . - - - - - Casase: B61 GVCO224AIGUVISIW DIGUment 73 - 6 Filɛd d8 / 1917 Page224 Df2fyBAI & 9 724 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. Smrtwrnar - new Aru m. in. L ' H - Signatures solteplasuu faud Dnies _ n | 2 | 11 — Signature: Date: - - - . . . . ILL. . . . . . . . .: . - Phe - hill D. . . dwustur - - Cass8. 46EGY % 22145W - TEW BREUMER 846 FÖRELPPAA5417 Page 95 ? OF QGHagefÐ 725 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 ва 1 I L ., un 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: SM ILI KA ZE LIKO VIC Address: _ 613 SE 41 * Plece City: Cope Cogol _ State _ H Zip _ 33220 - - - ' t - iru tu - L. - - - - . . . . M. Address: Telephone: P. - - Firls - - LL -, E - Mail: Lau tar - - - - -, i L. - - . . . Lu cass886 - EFYo2214 - JBW - TEW BRUMERt67926 F # REPPI / 877PapageÍA AF Þagé7D 726 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. stenen Stiliu. Da korte nume _ o / 14 / 12 Signature: Date: - LI. L - u J - LLUAJ. . . . — P. ' 14 - - - - 6 PagelD 727 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. & 216 (b) Complete and return to: - - - . * . * * 1. * " " . . . . . . . . . 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: Chantell D ' Avignon. Adres: 5320 Cairo Drive State FL - . . . . . . . . . . . . . . . . . . . . . . . . . . . civy: Sebring _ Zip 33875 Telephone: E - Mail: 6 PagelD 728 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. NH THIMH TUInn - Inır AN ITT 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. NY " JNE. LINNATUUR EN 111 = Signature Catell Dougron nale _ 12 1217. LI - - Twm I. ni. ' ' - - - . - . di ' i. . . Im - . . . . . . . . . . . . . . . . . . . - - - - - - - - - - - - - | - - - - - - - - - - . . . . . . . . . - - - - - - - - - - - - . - . . . . . . . . . . . . - - L - H4 + - - - + ", " - - - - - - - - - - - - - - - - البسسست علتسللت السلس - - . . it