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1Enforcement Act of 1986 (Health & Safety Code section 25249.5 et seq.) also known as2“Proposition 65,” businesses with ten or more employees must provide a “clear and reasonable3warning” prior to exposing people to this chemical.4II5PARTIES62. Plaintiff ERC is a California non-profit corporation dedicated to, among other causes,7helping safeguard the public from health hazards by reducing the use and misuse of hazardous and8toxic chemicals, facilitating a safe environment for consumers and employees and encouraging9corporate responsibility.103. Defendant Adeeva is a business that develops, manufactures, distributes and/or sells11nutritional health products that have exposed users to lead in the State of California within the12relevant statute of limitations period. These “Covered Products” are “Adeeva Nutritionals Canada13Inc. Body Burn,” and “Adeeva Nutritionals Canada Inc. Lean Mass Plus Natural Vanilla”. Adeeva14is a company subject to Proposition 65 as it employs ten or more persons, and has employed ten or15more persons at all times relevant to this action.164. Defendants Does 1-100, are named herein under fictitious names, as their true names and17capacities are unknown to ERC. ERC is informed and believes, and thereon alleges, that each of18said Does is responsible, in some actionable manner, for the events and happenings hereinafter19referred to, either through said Defendant’s conduct, or through the conduct of its agents, servants or20employees, or in some other manner, causing the harms alleged by ERC in this complaint. When21said true names and capacities of Does are ascertained, ERC will seek leave to amend this complaint22to set forth the same.23III24JURISDICTION AND VENUE25265. This Court has jurisdiction pursuant to California Constitution Article VI, Section 10because this case is a cause not given by statute to other trial courts.276. The Complaint is based on allegations contained in a Notice of Violation dated28January 31, 2014, served on the California Attorney General, other public enforcers and Adeeva.Page 2 of 8COMPLAINT FOR INJUNCTIVE AND DECLARATORY RELIEF AND CIVIL PENALTIES
1The Notice of Violation constitutes adequate notice to Adeeva because it provided adequate2information to allow Adeeva to assess the nature of the alleged violation, consistent with3Proposition 65 and its implementing regulations. Each copy of the Notice of Violation was4accompanied by a certificate of merit and a certificate of service, both of which comply with5Proposition 65 and its implementing regulations. The Notice of Violation served on Adeeva also6included a copy of “The Safe Drinking Water and Toxic Enforcement Act of 1986 (Proposition765): A Summary”. Service of the Notice of Violation and accompanying documents complied8with Proposition 65 and its implementing regulations. A true and correct copy of this Notice of9Violation and associated documents is attached hereto as Exhibit A. More than 60 days have10passed since the Notice of Violation was mailed and no public enforcement entity has filed a11complaint in this case.127. This Court is the proper venue for the action because the causes of action have arisen in13the County of Alameda where some of the violations of law have occurred. Furthermore, this Court14is the proper venue under Code of Civil Procedure section 395.5 and Health & Safety Code section1525249.7.16IV17181920212223STATUTORY BACKGROUND8. The Safe Drinking Water and Toxic Enforcement Act of 1986 is an initiative statutepassed as “Proposition 65” by an overwhelming majority vote of the people in November of 1986.9. The warning requirement of Proposition 65 is contained in Health & Safety Code section25249.6, which provides:No person in the course of doing business shall knowingly and intentionally exposeany individual to a chemical known to the state to cause cancer or reproductivetoxicity without first giving clear and reasonable warning to such individual, exceptas provided in Section 25249.10.242510. Implementing regulations for Proposition 65 define expose as “to cause to ingest,26inhale, contact via body surfaces or otherwise come into contact with a listed chemical.” An27individual may come into contact with a listed chemical through water, air, food, consumer products28and any other environmental exposure as well as occupational exposures.” (Cal. Code Regs., tit. 27,Page 3 of 8COMPLAINT FOR INJUNCTIVE AND DECLARATORY RELIEF AND CIVIL PENALTIES
1§ 25102, subd. (i).)211. In this case, the exposures at issue are caused by consumer products. Implementing3regulations for Proposition 65 define a consumer product exposure as “ an exposure which results4from a person’s acquisition, purchase, storage, consumption, or other reasonably foreseeable use of5a consumer good, or any exposure that results from receiving a consumer service.” (Cal. Code6Regs., tit. 27, § 25602, subd. (b).)712. Whenever a clear and reasonable warning is required under Health & Safety Code8section 25249.6, the “method employed to transmit the warning must be reasonably calculated9considering the alternative methods available under the circumstances, to make the warning10message available prior to exposure.” (Cal. Code Regs., tit. 27, § 25601.) The warning requirement11may be satisfied by a warning that appears on a product’s label or other labeling, shelf labeling,12signs, a system of signs, public advertising identifying the system and toll-free information services,13or any other system, that provides clear and reasonable warnings. (Cal. Code Regs., tit. 27, §1425603.1, subd. (a)-(d).)1513. Proposition 65 establishes a procedure by which the State is to develop a list of16chemicals “known to the State to cause cancer or reproductive toxicity.” (Health & Safety Code,17§ 25249.8.) There is no duty to provide a clear and reasonable warning until 12-months after the18chemical was published on the State list. (Health & Safety Code, § 25249.10, subd. (b).) Lead19was listed as a chemical known to the State of California to cause developmental toxicity in the20fetus and male and female reproductive toxicity on February 27, 1987. Lead was listed as a21chemical known to the State of California to cause cancer on October 1, 1992. (Cal. Code Regs., tit.2227, § 27001.)2314.The Maximum Allowable Dose Level for lead as a chemical known to cause24reproductive toxicity is 0.5 micrograms per day. (Cal. Code Regs., tit. 27, § 25805.) The No25Significant Risk Level for lead as a carcinogen is 15 micrograms per day. (Cal. Code Regs., tit.2627, § 25705.)2715. Proposition 65 may be enforced by any person in the public interest who provides28notice sixty days before filing suit to both the violator and designated law enforcement officials.Page 4 of 8COMPLAINT FOR INJUNCTIVE AND DECLARATORY RELIEF AND CIVIL PENALTIES
1The failure of law enforcement officials to file a timely complaint enables a citizen suit to be filed2pursuant to Health & Safety Code section 25249.7, subdivisions (c) and (d).316. Proposition 65 provides that any person “violating or threatening to violate” Proposition465 may be enjoined in any court of competent jurisdiction. (Health & Safety Code, § 25249.7,5subd. (a).) To “threaten to violate” means “to create a condition in which there is a substantial6probability that a violation will occur.”7Furthermore, violators are subject to a civil penalty of up to 2,500 per day for each violation.8(Health & Safety Code, § 25249.7, subd. (b)(1).)9(Health & Safety Code, § 25249.11, subd. (e).)V10STATEMENT OF FACTS1117. Adeeva has developed, manufactured, distributed and/or sold the Covered Products12containing lead into the State of California. Consumers have been ingesting these products for13many years, without any knowledge of their exposure to lead, a very dangerous chemical.1418. For many years, Adeeva has knowingly and intentionally exposed numerous persons to15lead, without providing a Proposition 65 warning. Prior to ERC’s Notice of Violation, Adeeva16failed to provide a warning on the label of the Covered Products. Adeeva has at all times relevant17hereto been aware that the Covered Products contained lead and that persons using these products18have been exposed to the chemical.19Through its website, Adeeva has made various representations regarding the quality, purity,20and beneficial nature of the company’s products, as well as the steps purportedly taken to ensure21these qualities:222324 “Adëeva Nutritionals is a producer of high quality natural health products and formulationsdirected towards promoting overall health.” “Each product has been formulated or selected by Dr. James Meschino, DC, MS, ND25(Clinical Director of The RenaiSanté Institute of Integrative Medicine and Author of The Meschino26Optimal Living Program - 7 Steps to a Healthy, Fit, Age-Resistant Body) and is based on the latest27and most substantiated, scientific studies available.”28 Dr. Meschino possesses “a Master's degree in science with specialties inPage 5 of 8COMPLAINT FOR INJUNCTIVE AND DECLARATORY RELIEF AND CIVIL PENALTIES
1human nutrition and biology at the University of Bridgeport Conn. He is also . . . an associate2professor at the Canadian Memorial Chiropractic College in Toronto, where he has taught courses3in the biochemistry, nutrition and natural medicine courses since 1984.”45678 “Drawing from the best research available, we have selected proven doses andoptimal standardized grades of each nutrient to help deliver the best possible health outcomes.” “Our formulations are continually updated as new findings become available from importantstudies and clinical trials, published in recognized scientific publications.” “Our manufacturing facility is state of the art. It meets the highest industry standards and is9approved by the Canadian Health Protections Branch (HPB). We take great care to ensure the10quality and safety of our products. Our quality control teams monitor each step of the manufacturing11process to ensure optimal purity, potency and safety. Our post-production testing includes tests for12bioavailability of each product, as demonstrated by meeting U.S.P. proposed disintegration13standards. Adëeva products are approved for sale in the United States, Canada and abroad.”14151617 “For added assurance, our finished products are tested on a regular and random basis by anindependent laboratory to ensure that potencies meet or exceed content levels shown on our labels.” “We are very proud of the line of products that we have developed and stand behind themwith our unconditional guarantee of quality, potency and purity.”18Given the company’s attention to product formulation, the extensive experience and19expertise of the company’s founder in biology, biochemistry, nutrition, and nutritional products, and20the various testing conducted by or on behalf of the company, Adeeva has undoubtedly been aware21of the presence of lead in the Covered Products. Nevertheless, the company’s website touts22Adeeva’s commitment to consumers, and represents to the public that’s its products are of the23highest quality and completely pure. Adeeva has been aware of the lead in the Covered Products24and has failed to disclose the presence of this chemical to the public, who undoubtedly believe they25have been ingesting totally healthy and pure products pursuant to the company’s statements.2619. Both prior and subsequent to ERC’s Notice of Violation, Adeeva failed to provide27consumers of the Covered Products with a clear and reasonable warning that they have been28exposed to a chemical known to the State of California to cause cancer, birth defects and otherPage 6 of 8COMPLAINT FOR INJUNCTIVE AND DECLARATORY RELIEF AND CIVIL PENALTIES
1reproductive harm.2FIRST CAUSE OF ACTION3(Violation of Section 25249.6 of the Health and Safety Code, Failure to Provide Clearand Reasonable Warning under Proposition 65)45620.ERC refers to paragraphs 1-19, inclusive, and incorporates them herein by thisreference.721. By committing the acts alleged above, Adeeva has, in the course of doing business,8knowingly and intentionally exposed users of the Covered Products to lead, a chemical known to9the State of California to cause cancer, birth defects and other reproductive harm without first giving10clear and reasonable warning to such individuals, within the meaning of Health & Safety Code11section 25249.6.121322. Said violations render Adeeva liable for civil penalties up to 2,500 per day, for eachviolation.14SECOND CAUSE OF ACTION15(Declaratory Relief)161723.ERC refers to paragraphs 1-22, inclusive, and incorporates them herein by thisreference.1824. There exists an actual controversy relating to the legal rights and duties of the parties,19within the meaning of Code of Civil Procedure section 1060, between ERC and Adeeva concerning20whether Adeeva has exposed individuals to a chemical known to the State of California to cause21cancer, birth defects and other reproductive harm without providing clear and reasonable warning.22VI23PRAYER24WHEREFORE ERC prays for relief as follows:25261. On the First Cause of Action, for civil penalties for each and every violation according toproof;272. On the First Cause of Action, and pursuant to Health & Safety Code section 25249.7,28subdivision (a), for such temporary restraining orders, preliminary and permanent injunctive orders,Page 7 of 8COMPLAINT FOR INJUNCTIVE AND DECLARATORY RELIEF AND CIVIL PENALTIES
Environmental Research Center3111 Camino Del Rio North, Suite 400San Diego, CA 92108619-500-3090January 31, 2014NOTICE OF VIOLATIONS OFCALIFORNIA HEALTH & SAFETY CODE SECTION 25249.5 ET SEQ.(PROPOSITION 65)Dear Alleged Violator and the Appropriate Public Enforcement Agencies:I am the Executive Director of the Environmental Research Center (“ERC”). ERC is a Californianon-profit corporation dedicated to, among other causes, helping safeguard the public from health hazardsby bringing about a reduction in the use and misuse of hazardous and toxic chemicals, facilitating a safeenvironment for consumers and employees, and encouraging corporate responsibility.ERC has identified violations of California’s Safe Drinking Water and Toxic Enforcement Act of1986 (“Proposition 65”), which is codified at California Health & Safety Code §25249.5 et seq., withrespect to the products identified below. These violations have occurred and continue to occur becausethe alleged Violator identified below failed to provide required clear and reasonable warnings with theseproducts. This letter serves as a notice of these violations to the alleged Violator and the appropriatepublic enforcement agencies. Pursuant to Section 25249.7(d) of the statute, ERC intends to file a privateenforcement action in the public interest 60 days after effective service of this notice unless the publicenforcement agencies have commenced and are diligently prosecuting an action to rectify theseviolations.General Information about Proposition 65. A copy of a summary of Proposition 65, preparedby the Office of Environmental Health Hazard Assessment, is an attachment with the copy of this letterserved to the alleged Violator identified below.Alleged Violator. The name of the company covered by this notice that violated Proposition 65(hereinafter the “Violator”) is:Adeeva Nutritionals Canada Inc.Consumer Products and Listed Chemicals. The products that are the subject of this notice andthe chemical in that product identified as exceeding allowable levels are:Adeeva Nutritionals Canada Inc. Body Burn - LeadAdeeva Nutritionals Canada Inc. Lean Mass Plus Natural Vanilla - LeadOn February 27, 1987, the State of California officially listed lead as a chemical known to causedevelopmental toxicity, and male and female reproductive toxicity. On October 1, 1992, the State ofCalifornia officially listed lead and lead compounds as chemicals known to cause cancer.
Notice of Violations of California Health & Safety Code §25249.5 et seq.January 31, 2014Page 2It should be noted that ERC may continue to investigate other products that may reveal furtherviolations and result in subsequent notices of violations.Route of Exposure. The consumer exposures that are the subject of this notice result from thepurchase, acquisition, handling and recommended use of these products. Consequently, the primary routeof exposure to these chemicals has been and continues to be through ingestion, but may have alsooccurred and may continue to occur through inhalation and/or dermal contact.Approximate Time Period of Violations. Ongoing violations have occurred every day since atleast January 31, 2011, as well as every day since the products were introduced into the Californiamarketplace, and will continue every day until clear and reasonable warnings are provided to productpurchasers and users or until these known toxic chemicals are either removed from or reduced toallowable levels in the products. Proposition 65 requires that a clear and reasonable warning be providedprior to exposure to the identified chemicals. The method of warning should be a warning that appears onthe product label. The Violator violated Proposition 65 because it failed to provide persons handlingand/or using these products with appropriate warnings that they are being exposed to these chemicals.Consistent with the public interest goals of Proposition 65 and a desire to have these ongoingviolations of California law quickly rectified, ERC is interested in seeking a constructive resolution ofthis matter that includes an enforceable written agreement by the Violator to: (1) reformulate theidentified products so as to eliminate further exposures to the identified chemicals, or provide appropriatewarnings on the labels of these products; and (2) pay an appropriate civil penalty. Such a resolution willprevent further unwarned consumer exposures to the identified chemicals, as well as an expensive andtime consuming litigation.Please direct all questions concerning this notice to ERC at the above listed address and telephonenumber.Sincerely,Chris HeptinstallExecutive DirectorEnvironmental Research CenterAttachmentsCertificate of MeritCertificate of ServiceOEHHA Summary (to Adeeva Nutritionals Canada Inc. for Service of Process only)Additional Supporting Information for Certificate of Merit (to AG only)
Notice of Violations of California Health & Safety Code §25249.5 et seq.January 31, 2014Page 3CERTIFICATE OF MERITRe:Environmental Research Center’s Notice of Proposition 65 Violations by AdeevaNutritionals Canada Inc.I, Chris Heptinstall, declare:1. This Certificate of Merit accompanies the attached 60-day notice in which it is allegedthe party identified in the notice violated California Health & Safety Code Section 25249.6 byfailing to provide clear and reasonable warnings.2. I am the Executive Director for the noticing party.3. I have consulted with one or more persons with relevant and appropriate experience orexpertise who have reviewed facts, studies, or other data regarding the exposure to the listedchemicals that are the subject of the notice.4. Based on the information obtained through those consultants, and on other informationin my possession, I believe there is a reasonable and meritorious case for the private action. Iunderstand that “reasonable and meritorious case for the private action” means that theinformation provides a credible basis that all elements of the plaintiff’s case can be establishedand that the information did not prove that the alleged Violator will be able to establish any ofthe affirmative defenses set forth in the statute.5. Along with the copy of this Certificate of Merit served on the Attorney General isattached additional factual information sufficient to establish the basis for this certificate,including the information identified in California Health & Safety Code §25249.7(h)(2), i.e., (1)the identity of the persons consulted with and relied on by the certifier, and (2) the facts, studies,or other data reviewed by those persons.Dated: January 31, 2014Chris Heptinstall
Notice of Violations of California Health & Safety Code §25249.5 et seq.January 31, 2014Page 4CERTIFICATE OF SERVICEI, the undersigned, declare under penalty of perjury under the laws of the State of California thatthe following is true and correct:I am a citizen of the United States, over the age of 18 years of age, and am not a party to thewithin entitled action. My business address is 306 Joy Street, Fort Oglethorpe, Georgia 30742. I am aresident or employed in the county where the mailing occurred. The envelope or package was placed inthe mail at Fort Oglethorpe, Georgia.On January 31, 2014, I served the following documents: NOTICE OF VIOLATIONS OFCALIFORNIA HEALTH & SAFETY CODE §25249.5 ET SEQ.; CERTIFICATE OF MERIT;“THE SAFE DRINKING WATER AND TOXIC ENFORCEMENT ACT OF 1986(PROPOSITION 65): A SUMMARY” on the following party by placing a true and correct copy thereofin a sealed envelope, addressed to the party listed below and depositing it in a U.S. Postal Service Officewith the postage fully prepaid for delivery by Certified Mail:Current President or CEOAdeeva Nutritionals Canada Inc.3800 Steeles Avenue, West #201 WWoodbridge, Ontario L4L4G9CanadaOn January 31, 2014, I electronically served the following documents: NOTICE OFVIOLATION, CALIFORNIA HEALTH & SAFETY CODE §25249.5 ET SEQ.; CERTIFICATEOF MERIT; ADDITIONAL SUPPORTING INFORMATION FOR CERTIFICATE OF MERITAS REQUIRED BY CALIFORNIA HEALTH & SAFETY CODE §25249.7(d)(1) on the followingparty by uploading a true and correct copy thereof on the California Attorney General’s website, whichcan be accessed at https://oag.ca.gov/prop65/add-60-day-notice :Office of the California Attorney GeneralProp 65 Enforcement Reporting1515 Clay Street, Suite 2000Post Office Box 70550Oakland, CA 94612-0550On January 31, 2014, I served the following documents: NOTICE OF VIOLATION,CALIFORNIA HEALTH & SAFETY CODE §25249.5 ET SEQ.; CERTIFICATE OF MERIT oneach of the parties on the Service List attached hereto by placing a true and correct copy thereof in asealed envelope, addressed to each of the parties on the Service List attached hereto, and depositing itwith the U.S. Postal Service with the postage fully prepaid for delivery by Priority Mail.Executed on January 31, 2014, in Fort Oglethorpe, Georgia.Tiffany Capehart
Notice of Violations of California Health & Safety Code §25249.5 et seq.January 31, 2014Page 5Service ListDistrict Attorney, Alameda County1225 Fallon Street, Suite 900Oakland, CA 94612District Attorney, Los Angeles County210 West Temple Street, Suite 18000Los Angeles, CA 90012District Attorney, San Diego County330 West Broadway, Suite 1300San Diego, CA 92101District Attorney, Tuolumne County423 N. Washington StreetSonora, CA 95370District Attorney, Alpine CountyP.O. Box 248Markleeville, CA 96120District Attorney, Madera County209 West Yosemite AvenueMadera, CA 93637District Attorney, San Francisco County850 Bryant Street, Suite 322San Francsico, CA 94103District Attorney, Ventura County800 South Victoria Ave, Suite 314Ventura, CA 93009District Attorney, Amador County708 Court StreetJackson, CA 95642District Attorney, Marin County3501 Civic Center Drive, Room 130San Rafael, CA 94903District Attorney, San Joaquin County222 E. Weber Ave. Rm. 202Stockton, CA 95202District Attorney,Yolo County301 2nd StreetWoodland, CA 95695District Attorney, Butte County25 County Center Drive, Suite 245Oroville, CA 95965District Attorney, Mariposa CountyPost Office Box 730Mariposa, CA 95338District Attorney, San Luis Obispo County1035 Palm St, Room 450San Luis Obispo, CA 93408District Attorney, Yuba County215 Fifth Street, Suite 152Marysville, CA 95901District Attorney, Calaveras County891 Mountain Ranch RoadSan Andreas, CA 95249District Attorney, Mendocino CountyPost Office Box 1000Ukiah, CA 95482District Attorney, San Mateo County400 County Ctr., 3rd FloorRedwood City, CA 94063Los Angeles City Attorney's OfficeCity Hall East200 N. Main Street, Suite 800Los Angeles, CA 90012District Attorney, Colusa County346 Fifth Street Suite 101Colusa, CA 95932District Attorney, Merced County550 W. Main StreetMerced, CA 95340District Attorney, Santa Barbara County1112 Santa Barbara StreetSanta Barbara, CA 93101District Attorney, Contra Costa County900 Ward StreetMartinez, CA 94553District Attorney, Modoc County204 S Court Street, Room 202Alturas, CA 96101-4020District Attorney, Santa Clara County70 West Hedding StreetSan Jose, CA 95110District Attorney, Del Norte County450 H Street, Room 171Crescent City, CA 95531District Attorney, Mono CountyPost Office Box 617Bridgeport, CA 93517District Attorney, Santa Cruz County701 Ocean Street, Room 200Santa Cruz, CA 95060District Attorney, El Dorado County515 Main StreetPlacerville, CA 95667District Attorney, Monterey CountyPost Office Box 1131Salinas, CA 93902District Attorney, Shasta County1355 West StreetRedding, CA 96001District Attorney, Fresno County2220 Tulare Street, Suite 1000Fresno, CA 93721District Attorney, Napa County931 Parkway MallNapa, CA 94559District Attorney, Sierra CountyPO Box 457Downieville, CA 95936District Attorney, Glenn CountyPost Office Box 430Willows, CA 95988District Attorney, Nevada County110 Union StreetNevada City, CA 95959District Attorney, Siskiyou CountyPost Office Box 986Yreka, CA 96097District Attorney, Humboldt County825 5th Street 4th FloorEureka, CA 95501District Attorney, Orange County401 West Civic Center DriveSanta Ana, CA 92701District Attorney, Solano County675 Texas Street, Ste 4500Fairfield, CA 94533District Attorney, Placer County10810 Justice Center Drive, Ste 240Roseville, CA 95678District Attorney, Sonoma County600 Administration Drive,Room 212JSanta Rosa, CA 95403District Attorney, Imperial County940 West Main Street, Ste 102El Centro, CA 92243District Attorney, Inyo County230 W. Line StreetBishop, CA 93514District Attorney, Kern County1215 Truxtun AvenueBakersfield, CA 93301District Attorney, Plumas County520 Main Street, Room 404Quincy, CA 95971District Attorney, Riverside County3960 Orange StreetRiverside, CA 92501District Attorney, Kings County1400 West Lacey BoulevardHanford, CA 93230District Attorney, Sacramento County901 “G” StreetSacramento, CA 95814District Attorney, Lake County255 N. Forbes StreetLakeport, CA 95453District Attorney, San Benito County419 Fourth Street, 2nd FloorHollister, CA 95023District Attorney, Lassen County220 South Lassen Street, Ste. 8Susanville, CA 96130District Attorney,San Bernardino County316 N. Mountain View AvenueSan Bernardino, CA 92415-0004District Attorney, Stanislaus County832 12th Street, Ste 300Modesto, CA 95354District Attorney, Sutter County446 Second StreetYuba City, CA 95991District Attorney, Tehama CountyPost Office Box 519Red Bluff, CA 96080District Attorney, Trinity CountyPost Office Box 310Weaverville, CA 96093District Attorney, Tulare County221 S. Mooney Blvd., Room 224Visalia, CA 93291San Diego City Attorney's Office1200 3rd Avenue, Ste 1620San Diego, CA 92101San Francisco, City AttorneyCity Hall, Room 2341 Dr Carlton B Goodlett PLSan Francisco, CA 94102San Jose City Attorney's Office200 East Santa Clara Street,16th FloorSan Jose, CA 95113
“Adëeva Nutritionals is a producer of high quality natural health products and formulations directed towards promoting overall health.” “Each product has been formulated or selected by Dr. James Meschino, DC, MS, ND of The RenaiSanté Institute of Integra
