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FILED: KINGS COUNTY CLERK 02/15/2021 09:11 AM INDEX NO. 522991/2020
NYSCEF DOC. NO. 14 RECEIVED NYSCEF: 02/15/2021
REQUEST FOR JUDICIAL INTERVENTION 58,4g°g1,)
Kings Supreme COURT, COUNTY OF Kings
Index No: 522991/2020 Date Index Issued: 11/18/2020 For Court Use Only:
CAA tfr iftfr sheet. IAS Entry Date
SHAFAQ NASEER
Judge Assigned
-against- Plaintiff(s)/Petitioner(s)
CLINT D POlMPEY, COMPU-PHONE VOICE & DATA, EDGAR A MATHODS
RJIFiled Date
Dehndant(c),=espondent(s)
dicated.
COMMERCIAL MATRIMONIAL
O Contested
O BusinessEntity (includes corporations, pa•+nerch!ps,LLCs,LLPs,etc.)
NOTE: If there are children under the age of 18, complete and attach the
Contract MATRIMONIAL RJIAddendum (UCS-84OM).
O Insurance(where insurance company is a party, except arbitration) . . .
For Uncunlested Matnmonial actions, use the Uncuniesieu Divorce RJi(UD-13).
O UCC(includes sales and negotiable instruments)
O Other Commercial(specify):
| TORTS
NOTE: For CommercialDivision assignment requests pursuant to 22 NYCRR202.70(d),
complete and attach the COMMERCIALDIVISION RJIADDENDUM (UCS-840C). Asbestos
O Child Victims Act
REAL PROPERTY: Specify how many properties the epp!!cet!enincludes: Environmental (specify):
O Coreemnct!en O Medical,Dental, or Podiatric Malpractice
O Mortgage Foreclosure(specify): O Resiuentiai O Commercial Motor Vehicle
Property Address: O ProductsLiability (specify):
NOTE: For Mortgage Foreclosureactions involving a one to four-family, owner- O Other Negligence(specify):
occupied residential property or owner-occupiedcondominium, complete and O Other ProfessionalMalpractice (specify):
attach the FORECLOSURERJIADDENDUM (UCS-840F).
O Other Tort (specify):
Tax Certiorari - Section: Block: Lot:
O Tax Foreclosure | SPECIAL PROCEEDINGS
O Other Real Property (specify): O CPLRArticle 75 (Arbitration) [see NOTE in COMMERCIALsection]
OTHER MATTERS
O CPLRArticle 78 (Body or Officer)
O Election Law
O Certificate of Incorporatior."'|::::st::= [see NOTE in COMMERCIALsection] Extreme Risk ProtectionOrder
O Emergency MedicalTreatment O MHLArticle 9.60 (Kendra's Law)
O HabeasCorpus O MHLArticle 10 (Sex Offender Confinement-Initial)
O LocalCourt Appeal MHLArticle 10 (Sex Offender Cuniiuement-Review)
O Mechanic'sLien MHLArticle 81 (ran=rd!=nch|p)
O NameChange O Other Mental Hygiene (specify):
Pistol Permit Revocation Hearing O Other Special Proceeding(specify):
O Saleor Financeof Religious/Not-for-ProfitProperty
O Other (specify):
STATUS OF ACTION OR PROCEEDING: AnswerYESor NOfor every question and enter additional information where indicated.
YES NO
Hasa summons and complaint or summonswith notice been filed? O If yes, date filed: 11/18/2020
Hasa summons and complaint or summonswith notice been served? O If yes, date served: 11/18/2020
Is this action/proceeding being filed post-judgment? O If yes, judgment date:
NATURE OF JUDICIAL INTERVENTION: Checkone box only and enter additional information where indicated.
O Infant's Compromise
O Extreme Risk ProtectionOrder Application
O Note of Issue/Certificateof Readiness
O Notice of Medical, Dental, or Podiatric Malpractice Date Issuejoined:
Notice of Motion Relief Requested: Return Date:
O
Notice of Petition Relief Requested: Return Date:
O
Order to ShowCause Relief Requested: Return Date:
O
Other Ex ParteApplication Relief Requested:
O PoorPersonApplication
Requestfor Preliminary Conference
O ResidentialMortgage ForeclosureSeM!ementConference
O Writ of HabeasCorpus
O Other (specify):
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FILED: KINGS COUNTY CLERK 02/15/2021 09:11 AM INDEX NO. 522991/2020
NYSCEF DOC. NO. 14 RECEIVED NYSCEF: 02/15/2021
RELATED CASES: List any related actions. For Matrimonial cases, list any related criminal or Family Court cases. If none, leave blank. If additional space
is required, complete and attach the RJI Addendum (UCS-840A).
Case Title Index/Case Number Court Judge (if assigned) Relationship to instant case
PARTIES: For parties without an attorney, check the "Un-Rep" box and enter the party's address, phone number and email in the space
provided. If additional space is required, complete and attach the RJI Addendum (UCS-840A).
Parties Attorneys and/or Unrepresented Litigants Issue Joined Insurance
Un-
Rep List parties in same order as listed in the For represented parties, provide attorney's name, firm name, address, phone For each defendant, For each 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; 3rd party plaintiff, etc.) email. been joined. carrier, if applicable.
Name: NASEER, SHAFAQ
☐ MARK LINDER, HARMON, LINDER & ROGOWSKY, ESQS., 3
Park Avenue Suite 2300, New York, NY 10016, 212-732- ☒ YES ☐ NO
Role(s): Plaintiff/Petitioner 3665, Harmon.Linder.Rogowsky@gmail.com
Name: POIMPEY, CLINT D.
☐ LATICIA SPEARS, The Law Office of Jennifer S Adams, One
Executive Boulevard - Ste. 280 , Yonkers, NY 10701, 718- ☒ YES ☐ NO
Progressive
Insurance
Role(s): Defendant/Respondent 440-1548, laticia_M_Wright@progressive.com
Name: COMPU-PHONE VOICE &
☐ DATA
GREGORY LEWIS, Law Office of Tobias & Kuhn, 100
William Street, Suite 920 , New York, NY 10038, ☒ YES ☐ NO
Role(s): Defendant/Respondent 2125538790, gregory.lewis@thehartford.com
Name: MATHODS, EDGAR A.
☐ GREGORY LEWIS, Law Office of Tobias & Kuhn, 100
William Street, Suite 920 , New York, NY 10038, ☒ YES ☐ NO
Role(s): Defendant/Respondent 2125538790, gregory.lewis@thehartford.com
Name:
☐ ☐ YES ☐ NO
Role(s):
Name:
☐ ☐ YES ☐ NO
Role(s):
Name:
☐ ☐ YES ☐ NO
Role(s):
Name:
☐ ☐ YES ☐ NO
Role(s):
Name:
☐ ☐ YES ☐ NO
Role(s):
Name:
☐ ☐ YES ☐ 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 IN THIS
ACTION OR PROCEEDING.
Dated: 02/15/2021 LATICIA MAE SPEARS
Signature
5034848 LATICIA MAE SPEARS
Attorney Registration Number Print Name
This form was generated by NYSCEF
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