Hernandez v. Mitad del Mundo Bar Restaurant Corp. et al

Filing 12

ORDER granting 11 Motion to Certify FLSA Collective Action. The Proposed Order, at 12 , is so-ordered, with the modifications to Exhibits A and B (correcting the courthouse address and adjusting the Notice date to May) as reflected in the attachments hereto. Ordered by Magistrate Judge Peggy Kuo on 5/6/2016. (Attachments: # 1 Exhibit A, # 2 Exhibit B) (Feldman, Shira)

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UNITED STATES DISTRICT COURT EASTERN DISTRICT OF NEW YORK Vilma “Carolina” Hernandez and Mary Cruz Garcia, on behalf of themselves and all other persons similarly situated, DOCKET NO. 15-CV-6571 (MKB) (PK) Plaintiffs, - vs. – Mitad del Mundo Bar Restaurant Corp., Segundo Minchala, and John Does #1-10, CONSENT TO JOIN COLLECTIVE ACTION AND BECOME A PARTY PLAINTIFF Defendants. By my signature below, I hereby authorize the filing and prosecution of the above styled Fair Labor Standards Act action in my name and on my behalf by the representative plaintiffs Vilma Hernandez and Mary Cruz Garcia as my agents to make decisions on my behalf concerning the litigation, the method and manner of conducting this litigation and all other matters pertaining to this lawsuit. By joining, I understand that I will be bound by any judgment of the court or Settlement of this action. I understand that I will be represented by Samuel & Stein without prepayment of costs or attorneys’ fees. I understand that if plaintiffs are successful, costs expended by attorneys on my behalf will be deducted from my settlement or judgment first. I understand that my attorneys may petition the court for an award of fees and costs to be paid by defendants on my behalf. I understand that the fees retained by the attorneys will be the amount received from the defendants, approximately 1/3 of my total settlement or judgment (including fees), whichever is greater, or such other amount as approved by the Court. Printed Name Signature Date Signed _________________________ (Street Address) (City, State, Zip Code) (Email address) _________________________ Telephone Job title/Position Approximate Dates of Employment PLEASE RETURN THIS FORM IN TIME FOR FILING WITH THE COURT BY [60 days] to: MITAD DEL MUNDO COLLECTIVE ACTION C/O SAMUEL & STEIN 38 West 32nd Street, Suite 1110 New York, NY 10001 If your address or telephone number changes after you have submitted this form, please notify SAMUEL & STEIN immediately at 212-563-9884 or dstein@samuelandstein.com.

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