Hudson v. Square Inc.

Filing 13

MEMORANDUM AND ORDER : IT IS HEREBY ORDERED that either Plaintiff's amended complaint or Plaintiff's response to Square, Inc.'s Motion to Dismiss must be filed by April 21, 2021. IT IS FURTHER ORDERED that if Plaintiff does not file either an amended complaint or a response to the Defendant's Motion to Dismiss by April 21, 2021, the Court will either dismiss this action for Plaintiffs failure to comply with its orders, or proceed to decide the Defendant's Motion to Dismiss without any response by Plaintiff. IT IS FURTHER ORDERED that the Clerk shall send Plaintiff a form Employment Discrimination Complaint. ( Response to Court due by 4/21/2021.) Signed by District Judge Ronnie L. White on 03/31/2021. (Attachments: # 1 EMPLOYMENT DISCRIMINATION COMPLAINT)(KCD)

Clear Form
UNITED STATES DISTRICT COURT
EASTERN DISTRICT OF MISSOURI
DIVISION

Plaintiff(s),
v.

Defendant(s). (Enter above the full name(s)
of all defendants in this lawsuit. Please
attach additional sheets if necessary.)

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Case No. __________________
(to be assigned by Clerk of District Court)

JURY TRIAL DEMANDED
YES

NO

EMPLOYMENT DISCRIMINATION COMPLAINT
1.

This employment discrimination lawsuit is based on (check only those that apply):

Title VII of the Civil Rights Act of 1964, as amended, 42 U.S.C. §§ 2000e, et seq., for
employment discrimination on the basis of race, color, religion, gender, or national origin.
NOTE: In order to bring suit in federal district court under Title VII, you must first obtain
a right-to-sue letter from the Equal Employment Opportunity Commission.
Age Discrimination in Employment Act of 1967, as amended, 29 U.S.C. §§ 621, et seq., for
employment discrimination on the basis of age (age 40 or older).
NOTE: In order to bring suit in federal district court under the Age Discrimination in
Employment Act, you must first file charges with the Equal Employment Opportunity
Commission.
Americans with Disabilities Act of 1990, as amended, 42 U.S.C. §§ 12101, et seq.,
for employment discrimination on the basis of disability.
NOTE: In order to bring suit in federal district court under the Americans with
Disabilities Act, you must first obtain a right-to-sue letter from the Equal Employment
Opportunity Commission.

Rehabilitation Act of 1973, as amended, 29 U.S.C. §§ 701, et seq., for employment
discrimination on the basis of a disability by an employer which constitutes a program or
activity receiving federal financial assistance.
NOTE: In order to bring suit in federal district court under the Rehabilitation Act of 1973,
you must first file charges with the appropriate Equal Employment Office representative or
agency.
Other (Describe)

PARTIES
2.

Plaintiff’s name:
Plaintiff’s address:
Street address or P.O. Box

City/ County/ State/Zip Code

Area code and telephone number
3.

Defendant’s name:
Defendant’s address:
Street address or P.O. Box

City/County/State/ Zip Code

Area code and telephone number
NOTE: IF THERE ARE ADDITIONAL PLAINTIFFS OR DEFENDANTS, PLEASE
PROVIDE THEIR NAMES, ADDRESSES AND TELEPHONE NUMBERS ON A
SEPARATE SHEET OF PAPER.
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4.
If you are claiming that the discriminatory conduct occurred at a different location,
please provide the following information:
(Street Address)
5.

(City/County)

(State)

(Zip Code)

When did the discrimination occur? Please give the date or time period:

ADMINISTRATIVE PROCEDURES
6.

Did you file a charge of discrimination against the defendant(s) with the Missouri

Commission on Human Rights?
Yes

Date filed:

No
7.

Did you file a charge of discrimination against the defendant(s) with the Equal

Employment Opportunity Commission or other federal agency?
Yes

Date filed:

No
8.

Have you received a Notice of Right-to-Sue Letter?
Yes

No

If yes, please attach a copy of the letter to this complaint.
9.

If you are claiming age discrimination, check one of the following:
60 days or more have passed since I filed my charge of age discrimination with the

Equal Employment Opportunity Commission.
fewer than 60 days have passed since I filed my charge of age discrimination with the
Equal Employment Opportunity Commission.

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NATURE OF THE CASE
10.

The conduct complained of in this lawsuit involves (check only those that apply):
failure to hire me
termination of my employment
failure to promote me
failure to accommodate my disability
terms and conditions of my employment differ from those of similar employees
retaliation
harassment
other conduct (specify):

Did you complain about this same conduct in your charge of discrimination?
Yes

No

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11.

I believe that I was discriminated against because of my (check all that apply):
race
religion
national origin
color
gender
disability
age (birth year is:

)

other:

Did you state the same reason(s) in your charge of discrimination?
Yes

No

12.
State here, as briefly and clearly as possible, the essential facts of your claim.
Describe specifically the conduct that you believe is discriminatory and describe how each defendant
is involved in the conduct. Take time to organize your statement; you may use numbered paragraphs
if you find it helpful. It is not necessary to make legal arguments, or to cite cases or statutes.

(Continue to page 6, if additional space is needed.)
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(Attach additional sheets as necessary).

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13.

The acts set forth in paragraph 12 of this complaint:
are still being committed by the defendant.
are no longer being committed by the defendant.
may still be being committed by the defendant.
REQUEST FOR RELIEF

State briefly and exactly what you want the Court to do for you. Make no legal arguments;
cite no cases or statutes.

Under Federal Rule of Civil Procedure 11, by signing below, I certify to the best of
14.
my knowledge, information, and belief that this complaint: (1) is not being presented for an
improper purpose, such as to harass, cause unnecessary delay, or needlessly increase the cost of
litigation; (2) is supported by existing law or by a nonfrivolous argument for extending,
modifying, or reversing existing law; (3) the factual contentions have evidentiary support or, if
specifically so identified, will likely have evidentiary support after a reasonable opportunity for
further investigation or discovery; and (4) the complaint otherwise complies with the requirements
of Rule

7

I agree to provide the Clerk’s Office with any changes to my address where case-related
papers may be served. I understand that my failure to keep a current address on file with the Clerk’s
Office may result in the dismissal of my case.
I declare under penalty of perjury that the foregoing is true and correct.
Signed this ______ day of ________________________, 20______.
Signature of Plaintiff

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