10 2 13 “4 15 16 7 18 19 20 21 22 23 IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF MULTNOMAH. ROSE WAKEFIELD, an individual, Case No.: 200V36224 veRDICT PACWEST ENERGY, LLC, dba Jacksons Food Stores #514, a Delaware corporation, JACKSONS. FOOD STORES, INC., a Nevada ‘corporation, Defendants, SS freee eae oe benants Ifyou found for plaintiff on Question 1, proceed to Questions 2, 3, and 4. Ifyou found for defendants, do not answer Questions 2, 3, and 4, and have your Presiding Juror sgn and date this form, PAGE 1 - VERDICT10 u 12 13 14 15 16 17 18 19 20 21 22 2 2. What amount of damages, ifany, do you award for damages [caused to plaintiff due to the discrimination? answer: $4) 000 3. What amoant of punitive damages, if any, should be assessed on defendant Pacwest Energy, LLC? answer: $440,000 4. What amoant of punitive damages, if any, should be assessed on defendant Jacksons Food Stores, Inc.? answer: $340 000 When you have finished answering the questions, have your Presiding, [Juror sign and date this verdict. Datea:_1/ 23125 PAGE 2- VERDICT a PRESIDING JUROR NUMBER