*0 FILED IN 5th COURT OF APPEALS DALLAS, TEXAS 12/17/2015 1:54:29 PM LISA MATZ Clerk

*1 ACCEPTED 05-15-01516-CV FIFTH COURT OF APPEALS DALLAS, TEXAS 12/17/2015 1:54:29 PM LISA MATZ CLERK FIFTH COURT OF APPEALS CIVIL APPEAL MEDIATION DOCKETING STATEMENT RETURN WITHIN 15 DAYS TO: CLERK, FIFTH COURT OF APPEALS; 600 COMMERCE STREET, SUITE 200, DALLAS, TEXAS 75202-4658 I. General Information: Appellant(s): Appellate Cause No.: JOHN PATMAN 05-15-01516-CV

Trial Ct. Cause No.: Appellee(s): CC-14-01094-B STATE FARM LLOYDS County:

DALLAS Other: Trial Court: COUNTY COURT 2 II. Timetable: Appeal stayed by bankruptcy. Date bankruptcy filed: NOT APPLICABLE List: name of bankruptcy court: NOT APPLICABLE

bankruptcy case number: NOT APPLICABLE style of bankruptcy filing: NOT APPLICABLE

III. Jurisdiction: Will you challenge this court’s jurisdiction?

No X Yes  IV. Indigency Of Party (TRAP 32.1(k)): (Attach file-stamped copy of affidavit) Event Date N/A Filed *2 Check as appropriate Affidavit filed No X Yes  Contest filed No X Yes  Date ruling on contest due: Ruling on contest: Sustained  Overruled  VI. Alternative Dispute Resolution/Mediation (if applicable) Instructions: This information will be used in conjunction with the Rule 32.1 docketing statement to evaluate your case for possible referral to an alternative dispute resolution procedure. See T EX . R. A PP . P. 32.1. The court will not consider your answers if the case is submitted on the merits. Each party (except where noted) must complete and file a completed docketing form in the Court of Appeals after the appeal is perfected. Check Y for yes or N for no. Fill in all blanks or check appropriate boxes. 1. Should this case be referred to mediation? Yes X No  (use additional sheets if necessary) If no, why? (The court makes the final decision regarding referral of a case to mediation) 2. Has this case been through an ADR procedure in the trial court? Yes  No X If you answered yes: a. Who was the mediator? b. What type of ADR procedure? c. At what stage did the case go through ADR?

pre-trial trial post-trial other _______________ *3 3. Rate the case for complexity. Use 1 for the least complex and 5 for the most complex. Check one: 1  2 X 3  4  5  VII. Signature: Rogelio Garcia /S/ Date: 12/17/2015 Signature of counsel (or pro se party) State Bar No.:07645800 Printed Name: ROGELIO GARCIA Address: 1317 TELEPHONE ROAD, HOUSTON, TEXAS 77023 Email Address: UTLAW82@GMAIL.COM Telephone Number: 713-926-8800 Facsimile Number: 713-926-7700 Representing: APPELLANT