Dimuzio, et al. v. Blazin Wings, Inc., et al.

Eighth Judicial District Court, Clark County, Nevada  - Case No. A-18-771424-C

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CLAIM FORM

DIMUZIO, ET AL. V. BLAZIN WINGS, INC., ET AL. EIGHTH JUDICIAL DISTRICT COURT, CLARK COUNTY, NEVADA CASE NO. A-18-771424-C

InSTRUCTIONS

Please read this Claim Form and the Notice of Proposed Class Action Settlement (“Class Notice”) carefully. This Claim Form relates to the settlement with Blazin Wings, Inc. d/b/a Buffalo Wild Wings (“BWW”) of a class action lawsuit entitled Tonya DiMuzio and Megan Grilz, et al. v. Blazin Wings, Inc., et al., currently pending in the Eighth Judicial District Court, Clark County, Nevada (the “Action”). Please read this Claim Form carefully.

You previously received the Class Notice and a Claim Form because you have been identified as an hourly paid non-exempt employee of BWW at one or more Buffalo Wild Wings locations in Nevada during specified dates, who may be entitled to receive a settlement benefit if the settlement is approved by the Court.

This Claim Form must be completed and submitted no later than April 30, 2019 if you wish to make a claim and receive your share of the settlement as set forth in the Class Notice and in Section II below.

For further information concerning this lawsuit, the settlement, this Claim Form, and your rights and options in the lawsuit, please read the Class Notice and the Settlement Agreement which is available on this Settlement Website here.

Failure to complete the information in this Claim Form may result in your claim being delayed or denied. You will need to electronically sign this Claim Form at the end to certify under penalty of perjury that the information you provide is true and correct to the best of your knowledge. Claim Forms that are not signed will be considered invalid, will prevent you from receiving payment, and the settlement with BWW and release of claims will be binding on you (unless you have timely excluded yourself from the class or the settlement).

If you change your mailing address or any of your other contact information before final distribution, please send your updated contact information to the Settlement Administrator at the address provided below.

DiMuzio v. Blazin Wings Administrator
C/O CPT Group, Inc.
50 Corporate Park
Irvine, CA 92606
Fax: 1 (949) 419-3446
Email:
BuffaloWildWingsSettlementNV@cptgroup.com

Questions:
Please note that additional information is available here on this Settlement Website. You may also contact CPT Group, Inc. at the above-referenced address or telephone number or Class Counsel at:

Mark R. Thierman
Joshua D. Buck
Leah L. Jones
THIERMAN BUCK LLP
7287 Lakeside Drive
Reno, Nevada 89511
Tel.: 775-284-1500

Christian Gabroy
Kaine Messer
GABROY LAW OFFICES
170 S. Green Valley Pkwy.
Henderson, Nevada 89012
Tel.: 702-259-7777

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