Preview
FILED: SULLIVAN COUNTY CLERK 10/11/2022 11:02 AM INDEX NO. E2022-2062
NYSCEF DOC. NO. 2 RECEIVED NYSCEF: 10/11/2022
REQ UEST FOR JUDICIAL INTERVENTION ,;*!m)
Supreme COURT, COUNTY OF Sullivan
For Court Use Only-
Index # E2022-2062 10/19/2022
CAPTION Enter thecompletecase caption.Do not use et al or et ano. If more
space attach
is needed, a captionridersheet. IAS EntryDate
In theMatter ofthe PetitionforJudicialApproval ofthe of
Filing a CertificateofIncorporation for a Religious
Corporation Under and Pursuant to Article9,Section 180 of theReligious Corporations Law forSacred White Deer
Church, Inc. .
Judge Assigned
Plaintiff(s)/Petitioner(s)
-against-
RJ1FiledDate
Defendant(s)/Respondent(s)
NATURE OF ACTION OR PROCEEDING: Check only one box and specify
where indicated.
COMMERCIAL MATRIMONIAL
O BusinessEntity (includes corporations, partnerships, LLCs,LLPs,etc.)¡ Contested
¡ Contract NOTE: if there are children under the age of 18, complete and attach the
insurance (where insurance company is a party, except arbitration) MATRAMONIALRJIAddendum (UCS-840M).
¡
¡ UCC(includes sales and negotiable instruments) For UncontestedMatrimonial actions, use the UncontestedDivorce Rji (UD-13).
O Other Commercial (specify): REAL PROPERTY Specify how many properties the application includes:
¡ Condemnation
NOTE: For CommercialDivision assignment requests pursuant to 22 NYCRR202.70(d),
complete and attach the COMMERCIALDIVISION RJ1ADDENDUM (UCS-84OC)- ¡ Residential
Mortgage Foreclosure(specify):
¡ O Commercial
TORTS Property Address:
O Asbestos NOTE: For Mortgage Foreclosureactions involving a one to four-family, owner-
O ChildVictims Act occupiedresidential property or owner-occupiedcondominium, complete and
atta e FORECOSURE RJIADDENDUM (UCM4M.
¡ Environmental (specify):
O Medical, Dental or Podiatric Malpractice ¡ Partition
¡ Motor Vehicle NOTE: Complete and attach the PART1TIONRJIADDENDUM (UCS-840P).
¡ Products Liability (specify): ¡ Tax Certiarari (specify):
Section: Block: Lot:
¡ Other Negligence(specify): ¡ Tax Foreclosure
¡ Other ProfessionalMalpractice(specify): ¡ Other Real Property (specify):
O Other Tort (specify): OTHER MATTERS
SPECIAL PROCEEDINGS ¡ Certificate of Incorporation/Dissolution
[SeeNOTE in COMMERCIALsection]
¡ Assisted ReproductionO
Child-ParentSecurity Act (specify): O Surrogacy Agreement¡ Emergency MedicalTreatment
¡ CPLRArticle 75 - Arbitration
[see NOTE in COMMERCIALsection] ¡ HabeasCorpus
¡ CPLRArticle 78 - Proceedingagainst a Body or Officer ¡ Local Court Appeal
¡ Election Law ¡ Mechanic'sLien
¡ Extreme Risk ProtectionOrder ¡ Name Change/SexDesignationChange
¡ MHLArticle 9.60 - Kendra'sLaw ¡ Pistol Permit Revocation Hearing
¡ MHLArticle 10 - Sex Offender Confinement (specify):
¡ Initial¡ Review ¡ Saleor Financeof Religious/Not-for-ProfitProperty
¡ MHLArticle 81 (Guardianship) O Other (specify):
¡ Other Mental Hygiene(specify):
¡ Other Special Proceeding(specify):
STATUS OF ACTION OR PROCEEDING Answer YES or NO for every
questionand enteradditional
informationwhere indicated.
LYES_NOj
Hasa summonsand complaint or summonswith notice been filed? If yes, date filed:
Hasa summonsand complaint or summonswith notice been served? If yes, date served:
Is this action/proceeding being filed post-judgment? O If yes, judgment date:
NATURE OF JUDICIAL INTERVENTION Check one box only and enter
additional
informationwhere indicated.
Infant's Compromise
O Extreme Risk Protection Order Application
Note of ISSue/Certificateof Readiness
Noticeof Medical, Dental or Podiatric Malpractice
Date Issuejoined:
O Noticeof Motion Relief Requested: Retum Date:
O Noticeof Petition Relief Requested: Retum Date:
Order to ShowCause Relief Requested: Retum Date:
O Other Ex ParteApplication Relief Requested:
O Partition Settlement Conference
O PoorPersonApplication
Requestfor Preliminary Conference
O ResidentialMortgage ForeclosureSettlement Conference
O Writ of HabeasCorpus
Other (specify):
JudicialConsent
1 of 2
FILED: SULLIVAN COUNTY CLERK 10/11/2022 11:02 AM INDEX NO. E2022-2062
NYSCEF DOC. NO. 2 RECEIVED NYSCEF: 10/11/2022
RELATED CASES List any related
actions.
For Matrimonialcases,list any related
criminalor FamilyCourtcases.If none,
leave blank.
If additional complete
space is required, and attachtheRJI Addendum (UCS-840A).
Case Title Index/Case Number Court Judge (ifassigned) Relationship to instantcase
For parties
withoutan a torney,
check "Un-Rep" box and enter number
PARTIES the theparty'saddress,phona and emailin thespace
provided.If additional
s lace
is required,
complete and attach
the RJI Addendum (UCS-84CA).
Un- Parties Attorneys and Unrepresented Litigants issue joined insurance Carriers
Rep Ust parties in same order as listed in the
For represented parties, provide attorney's name, firm name, address, phone
For each defendant,
Foreach defendant,
caption and indicate roles (e.g., plaintiff,
and email. For unrepresented parties, provide party's address, phone and
indicate if issue has
indicate insurance
defendant, 3rdparty plaintiff, etcJ ernail. beenjoined. carrier, if applicable.
Name: Deer, Angell ALLISON HOOTS, PlantMedicine Law LLP, PO BOX
Group
565 , ACCORD, NY 12404-0565, (301) 452-2213, O YES E NO
Role(s):Plaintiff/Petitioner ahoots@hootslawpractice.com
Name: Eisenberger, Miriam ALLISON HOOTS, PlantMedicine Law LLP, PO BOX
Group
565 , ACCORD, NY 12404-0S65, (301) 452-2213, O YES O NO
Role(s):Plaintiff/Petitioner aboots@hootslawpractice.com
Name: Larode, Timmie ALLISON HOOTS, PlantMedicine Law Group LLP, PO BOX
565 , ACCORD, NY 12404-0565, (301) 452-2213, O YES E NO
Role(s):Plaintiff/Petitioner ahoots@hootslawpractice.com
Name: Mallozzi,Emilio ALLISON HOOTS, PlantMedicine Law LLP, PO BOX
Group
565 , ACCORD, NY 12404-0S65, (301) 452-2213, O YES O NO
Role(s):Plaintiff/Petitioner aboots@hootslawpractice.com
Name: Anspach, Bruce ALLISON HOOTS, PlantMedicine Law LLP, PO BOX
Group
565 , ACCORD, NY 12404-0565, (301) 452-2213, O O
YES NO
Role(s):Plaintiff/Petitioner ahoots@hootslawpractice.com
Name: Klein,John ALLISON HOOTS, PlantMedicine Law LLP, PO BOX
Group
565 , ACCORD, NY 12404-0S65, (301) 452-2213, O O
YES NO
Role(s):Plaintiff/Petitioner aboots@hootslawpractice.com
Name: Pezza, Caitlyn ALLISON HOOTS, PlantMedicine Law LLP, PO BOX
Group
565 , ACCORD, NY 12404-0565, (301) 452-2213, O O
YES NO
Role(s):Plaintiff/Petitioner ahoots@hootslawpractice.com
Name:
O
O YES O NO
Role(s):
Name:
O
O YES O NO
Role(s):
Name:
O
O YES O NO
Role(s):
I AFFIRM UNDER THE PENALTY OF PERJURY THAT, UPON INFORMATION AND BELIEF, THERE ARE NO OTHER RELATED ACTIONS OR
PROCEEDINGS, EXCEPT AS NOTED ABOVE, NOR HAS A REQUEST FOR JUDICIAL INTERVENTION BEEN PREVIOUSLY FILED INTHIS
ACTION OR PROCEEDING.
Dated: 10/11/2022 ALLISON MELISSA HOOTS
Signature
5666201 ALLISON MELISSA HOOTS
Attorney Registration Number PrintName
This form was generated by NYSCEF
2 of 2
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FILED: SULLIVAN COUNTY CLERK 10/11/2022 11:02 AM INDEX NO. E2022-2062 NYSCEF DOC. NO. 2 RECEIVED NYSCEF: 10/11/2022 REQ UEST FOR JUDICIAL INTERVENTION ,;*!m) Supreme COURT, COUNTY OF Sullivan For Court Use Only- Index # E2022-2062 10/19/2022 CAPTION Enter thecompletecase caption.Do not use et al or et ano. If more space attach is needed, a captionridersheet. IAS EntryDate In theMatter ofthe PetitionforJudicialApproval ofthe of Filing a CertificateofIncorporation for a Religious Corporation Under and Pursuant to Article9,Section 180 of theReligious Corporations Law forSacred White Deer Church, Inc. . Judge Assigned Plaintiff(s)/Petitioner(s) -against- RJ1FiledDate Defendant(s)/Respondent(s) NATURE OF ACTION OR PROCEEDING: Check only one box and specify where indicated. COMMERCIAL MATRIMONIAL O BusinessEntity (includes corporations, partnerships, LLCs,LLPs,etc.)¡ Contested ¡ Contract NOTE: if there are children under the age of 18, complete and attach the insurance (where insurance company is a party, except arbitration) MATRAMONIALRJIAddendum (UCS-840M). ¡ ¡ UCC(includes sales and negotiable instruments) For UncontestedMatrimonial actions, use the UncontestedDivorce Rji (UD-13). O Other Commercial (specify): REAL PROPERTY Specify how many properties the application includes: ¡ Condemnation NOTE: For CommercialDivision assignment requests pursuant to 22 NYCRR202.70(d), complete and attach the COMMERCIALDIVISION RJ1ADDENDUM (UCS-84OC)- ¡ Residential Mortgage Foreclosure(specify): ¡ O Commercial TORTS Property Address: O Asbestos NOTE: For Mortgage Foreclosureactions involving a one to four-family, owner- O ChildVictims Act occupiedresidential property or owner-occupiedcondominium, complete and atta e FORECOSURE RJIADDENDUM (UCM4M. ¡ Environmental (specify): O Medical, Dental or Podiatric Malpractice ¡ Partition ¡ Motor Vehicle NOTE: Complete and attach the PART1TIONRJIADDENDUM (UCS-840P). ¡ Products Liability (specify): ¡ Tax Certiarari (specify): Section: Block: Lot: ¡ Other Negligence(specify): ¡ Tax Foreclosure ¡ Other ProfessionalMalpractice(specify): ¡ Other Real Property (specify): O Other Tort (specify): OTHER MATTERS SPECIAL PROCEEDINGS ¡ Certificate of Incorporation/Dissolution [SeeNOTE in COMMERCIALsection] ¡ Assisted ReproductionO Child-ParentSecurity Act (specify): O Surrogacy Agreement¡ Emergency MedicalTreatment ¡ CPLRArticle 75 - Arbitration [see NOTE in COMMERCIALsection] ¡ HabeasCorpus ¡ CPLRArticle 78 - Proceedingagainst a Body or Officer ¡ Local Court Appeal ¡ Election Law ¡ Mechanic'sLien ¡ Extreme Risk ProtectionOrder ¡ Name Change/SexDesignationChange ¡ MHLArticle 9.60 - Kendra'sLaw ¡ Pistol Permit Revocation Hearing ¡ MHLArticle 10 - Sex Offender Confinement (specify): ¡ Initial¡ Review ¡ Saleor Financeof Religious/Not-for-ProfitProperty ¡ MHLArticle 81 (Guardianship) O Other (specify): ¡ Other Mental Hygiene(specify): ¡ Other Special Proceeding(specify): STATUS OF ACTION OR PROCEEDING Answer YES or NO for every questionand enteradditional informationwhere indicated. LYES_NOj Hasa summonsand complaint or summonswith notice been filed? If yes, date filed: Hasa summonsand complaint or summonswith notice been served? If yes, date served: Is this action/proceeding being filed post-judgment? O If yes, judgment date: NATURE OF JUDICIAL INTERVENTION Check one box only and enter additional informationwhere indicated. Infant's Compromise O Extreme Risk Protection Order Application Note of ISSue/Certificateof Readiness Noticeof Medical, Dental or Podiatric Malpractice Date Issuejoined: O Noticeof Motion Relief Requested: Retum Date: O Noticeof Petition Relief Requested: Retum Date: Order to ShowCause Relief Requested: Retum Date: O Other Ex ParteApplication Relief Requested: O Partition Settlement Conference O PoorPersonApplication Requestfor Preliminary Conference O ResidentialMortgage ForeclosureSettlement Conference O Writ of HabeasCorpus Other (specify): JudicialConsent 1 of 2 FILED: SULLIVAN COUNTY CLERK 10/11/2022 11:02 AM INDEX NO. E2022-2062 NYSCEF DOC. NO. 2 RECEIVED NYSCEF: 10/11/2022 RELATED CASES List any related actions. For Matrimonialcases,list any related criminalor FamilyCourtcases.If none, leave blank. If additional complete space is required, and attachtheRJI Addendum (UCS-840A). Case Title Index/Case Number Court Judge (ifassigned) Relationship to instantcase For parties withoutan a torney, check "Un-Rep" box and enter number PARTIES the theparty'saddress,phona and emailin thespace provided.If additional s lace is required, complete and attach the RJI Addendum (UCS-84CA). Un- Parties Attorneys and Unrepresented Litigants issue joined insurance Carriers Rep Ust parties in same order as listed in the For represented parties, provide attorney's name, firm name, address, phone For each defendant, Foreach defendant, caption and indicate roles (e.g., plaintiff, and email. For unrepresented parties, provide party's address, phone and indicate if issue has indicate insurance defendant, 3rdparty plaintiff, etcJ ernail. beenjoined. carrier, if applicable. Name: Deer, Angell ALLISON HOOTS, PlantMedicine Law LLP, PO BOX Group 565 , ACCORD, NY 12404-0565, (301) 452-2213, O YES E NO Role(s):Plaintiff/Petitioner ahoots@hootslawpractice.com Name: Eisenberger, Miriam ALLISON HOOTS, PlantMedicine Law LLP, PO BOX Group 565 , ACCORD, NY 12404-0S65, (301) 452-2213, O YES O NO Role(s):Plaintiff/Petitioner aboots@hootslawpractice.com Name: Larode, Timmie ALLISON HOOTS, PlantMedicine Law Group LLP, PO BOX 565 , ACCORD, NY 12404-0565, (301) 452-2213, O YES E NO Role(s):Plaintiff/Petitioner ahoots@hootslawpractice.com Name: Mallozzi,Emilio ALLISON HOOTS, PlantMedicine Law LLP, PO BOX Group 565 , ACCORD, NY 12404-0S65, (301) 452-2213, O YES O NO Role(s):Plaintiff/Petitioner aboots@hootslawpractice.com Name: Anspach, Bruce ALLISON HOOTS, PlantMedicine Law LLP, PO BOX Group 565 , ACCORD, NY 12404-0565, (301) 452-2213, O O YES NO Role(s):Plaintiff/Petitioner ahoots@hootslawpractice.com Name: Klein,John ALLISON HOOTS, PlantMedicine Law LLP, PO BOX Group 565 , ACCORD, NY 12404-0S65, (301) 452-2213, O O YES NO Role(s):Plaintiff/Petitioner aboots@hootslawpractice.com Name: Pezza, Caitlyn ALLISON HOOTS, PlantMedicine Law LLP, PO BOX Group 565 , ACCORD, NY 12404-0565, (301) 452-2213, O O YES NO Role(s):Plaintiff/Petitioner ahoots@hootslawpractice.com Name: O O YES O NO Role(s): Name: O O YES O NO Role(s): Name: O O YES O NO Role(s): I AFFIRM UNDER THE PENALTY OF PERJURY THAT, UPON INFORMATION AND BELIEF, THERE ARE NO OTHER RELATED ACTIONS OR PROCEEDINGS, EXCEPT AS NOTED ABOVE, NOR HAS A REQUEST FOR JUDICIAL INTERVENTION BEEN PREVIOUSLY FILED INTHIS ACTION OR PROCEEDING. Dated: 10/11/2022 ALLISON MELISSA HOOTS Signature 5666201 ALLISON MELISSA HOOTS Attorney Registration Number PrintName This form was generated by NYSCEF 2 of 2