STATE OF WISCONSIN CIRCUIRT COURT FOND DU LAC COUNTY CHAD L. VAN LOO, Case Number: 25CV296 Plaintiff, COMPCARE HEALTH SERVICES INSURANCE CORPORATION d/b/a ANTHEM BLUE CROSS BLUE SHIELD, Involuntary Plaintiff, v. MAIN STREET AMERICA PROTECTION INSURANCE COMPANY, ERIE INSURANCE EXCHANGE, and AlECIA B. PIEKARSKI, Defendants. 45 DAYS SUMMONS THE STATE OF WISCONSIN, TO: Alecia B. Piekarski 209 Belleville Street Ripon, WI 54971 YOU ARE HEREBY NOTIFIED that the Plaintiff named above has filed a lawsuit or other legal action against you. Within forty-five (45) days after September 8, 2025 you must respond with a written demand for a copy of the Summons and Complaint. The demand must be sent or delivered to the Court, whose address is: Clerk of Court Fond du Lac County Courthouse 160 South Macy Street Fond du Lac, WI 54935 and to the Plaintiff's attorney, whose address is: Robert J. Domol, Esq. Hupy and Abraham, S.C. 2830 Ramada Way, Suite 100 Green Bay, WI 54304 You may have an attorney help or represent you. If you do not demand a copy of the Complaint within forty-five (45) days, the Court may grant judgment against you for the award of money or other legal action requested in the Complaint, and you may lose your right to object to anything that is or may be incorrect in the Complaint. A judgment may be enforced as provided by law. A judgment awarding money may become a lien against any real estate that you own now or may own in the future, and may also be enforced by garnishment or seizure of property. DATED at Green Bay, Wisconsin this 4th day of September, 2025. HUPY AND ABRAHAM, S.C. Attorneys for Plaintiff /electronically signed by Robert J. Domol _____________________________ Robert J. Domol State Bar Number: 1091411 Post Office Address: 2830 Ramada Way, Suite 100 Green Bay, WI 54304 Phone: (920) 593-5050 Fax: (920) 593-5055 Email: rdomol@hupy.com WNAXLP Publication Dates LWIX0366023