Alex Pygin v. Bombas LLC, Shopify (USA) Inc., and Shopify Inc.

Case No. 4:20-cv-04412-JSW

UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF CALIFORNIA OAKLAND DIVISION

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ISSUE WITH YOUR CLAIM

The claim you submitted was incomplete or otherwise deficient.

1. CLASS MEMBER INFORMATION (REQUIRED)
DOCUMENTATION

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    2. CERTIFICATION

    I declare under penalty of perjury under the laws of the United States and the state where this Claim Form is signed that the information I have supplied in this Claim Form is true and correct to the best of my recollection, and that this form was executed on the date set forth below.

    I understand that all information provided on this Claim Form is subject to verification and that I may be asked to provide supplemental information by the Claims Administrator or Claims Referee before my claim will be considered complete and valid.

    Your Deficiency Response has been submitted successfully.

    HOWEVER, it appears one or more of the documents you uploaded were not successfully received. Please see below for which file(s) had errors and log back in to your existing Claim online to re-upload your document(s). Alternatively, you can send your documents with your Submitted Claim ID to the Settlement Administrator by email to: info@BombasSettlement.com.

    Please print this page for your records.

    Your Claim Details

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    Confirmation Code:
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    CLAIM INFORMATION
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    MI
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    Zip Code
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    Email
    Signature
    Date

    If you have any questions regarding your Claim, please provide the Submitted Claim ID listed above and email us at info@BombasSettlement.com

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