Preview
FILED: NEW YORK COUNTY CLERK 04/07/2023 10:57 AM INDEX NO. 805145/2022
NYSCEF DOC. NO. 15 RECEIVED NYSCEF: 04/07/2023
REQUEST FOR JUDICIAL INTERVENTION o a
SUPREME COURT, COUNTY OF NEW YORK
805145/2022 Date Index Issued: 04/29/2022
Index No:
wenwo e
Joseph Chan as Administrator of the Estate of YUK CHU CHAN and JOSEPH CHAN,
Individually,
Plaintiff(s)/Petitioner(s; judge Assigned
-against-
Nye Health And Hospitals/Gotham Health Gouverneur, Gotham Health Gouverneur, AMFiledoste
New York Health And Hospitals Corporation
City
Defendant(s)/Respondent[s|
a$Ñ4ERICIAL . MATRE408RAL
BusinessEntity (includes corporations, partnerships, LLCs,LLPs,etc.) Q Contested
Q
Contract NOTE:itthere are children under the age of 18, complete ond attach the
O
Insurance (where insurance company is a party, except arbitration) MATRIMONIAL RJIADDENDUM (UCS-840M).
O
UCC(includes sales and negotiable instruments) For Uncontested Matrimonial actions, use the Uncontested Divorce RJI(UD-13).
O
O Other Commercial (specify): RGALDRO9Gmf $pecify h0W many properties$appketionine|udes:
NOTE: For Commercial Division assignment requests pursuant to 22 NYCRR202.70(d), Q Condemnation
Mortgage Foreclosure (specify): Q Residential Q Commercial
complete and attach the COMMERCIALDMSION RJ\ADDENDUM (UCS-84OC). O
toRTS Property Address:
NOTE:For Mortgage Foreclosure actions involving a one to four-family,
O Asbestos
Child Victims Act owner-occupied residential property or owner-occupied condominium,
O
Environmental (specify): complete and ottach the FORECLOSURE RMADDENDUM (UCS-840F).
O
Medical, Dental or Podiatric Malpractice Q Partition
NOTE: Complete and attach the PARTITIONRMADDENDUM (UCS-840P).
O Motor Vehicle
O Tax Certiorari (specify): Section: Block: Lot:
Q Products Liability (specify):
Other Negligence (specify): OTaxeoreclosure
O
O Other Professional Malpractice (specify): O Other Real Property (specify):
O Other Tort (specify): OTHERNIATTERS .
ess ent O Certificate of Incorporation/Dissolution [see NOTEin COMMERCIALsection]
$MN
Q Child-Parent Security Act (specify): QAssisted Reproduction Q Surrogacy Agreement Q Emergency Medical Treatment
CPLRArticle 75 - Arbitration [see NOTEin COMMERCIALsection] Q HabeasCorpus
Q
CPLRArticle 78 - Proceeding against a Body or officer Q LocalCourt Appeal
O
O Election Law O Mechanies Uen
Extreme RiskProtection Order Q Name Change/SexDesignation Change
O
O MHL Article 9.60 - Kendra's Law O Pistol Permit Revocation Hearing
MHL Article 10 - SexOffender Confinement (specify): Oinitial OReview O Sale or Financeof Religious/Not-for-Profit Property
O
O MHL Article 81 (Guardianship) O Other (specify):
O Other Mental Hygiene (specify):
O Other Special Proceeding (specify):
If yes, date filed: 07/22/2022
Hasa summons and complaint or summons with notice been filed? ® O
If yes, date served: 08/04/2022
Hasa summons and complaint or summons with notice been served? Q
Is this action/proceeding being filed post-judgment? If yes, judgment date:
O infant's Compromise
O Extreme Risk Protection Order Application
Q Note of Issue/Certificate of Readiness
O Notice of Medical, Dental or Podiatric Malpractice Date IssueJoined:
Relief Requested: Leave to file Return Date: 04/28/2023
Notice of Motion
Relief Requested: Return Date:
O Notice of Petition
Relief Requested: Return Date:
O Order to Show Cause
Other ExParte Application Relief Requested:
O
O Partition Settlement Conference
O Poor PersonApplication
O Request for Preliminary Conference
Q Residential Mortgage Foreclosure Settlement Conference
Q Writ of HabeasCorpus
O Other (specify):
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FILED: NEW YORK COUNTY CLERK 04/07/2023 10:57 AM INDEX NO. 805145/2022
NYSCEF DOC. NO. 15 RECEIVED NYSCEF: 04/07/2023
ensense assem/CuseNumber Onet passiped) Relationshipwinstanteese
Un- Pardes Attomeys and U Utigants issue Joined CtMeg
Rap tistpor#esh same order as listed In the For represented parties, provide attorney's name, firm name, address, phone and For each defendent, For eachÆ$$ñlent
caption and indicate roles (e.g., plaintiff, email. For unrepresented parties, provide part(s address, phone and emaiL indicate if issue has indicate nsurance
defendant,3'8party plaintin, etc.) been joined. corder, if applicable.
Name: wchannummerewwh Emate dYUK
CHU
CHAElliot B Sinel , Esq Sinel & Olesen PLLC, 330 7th Ave, 10th Floor,
O Role(s): . New York NY 10001, sinelecf@sinellaw.com, (212) 265-1000 @ YES Q NO
Plaintiff
|Name: JOSEPH CHAN, Elliot B Sinel, Esq Sinel & Olesen PLLC, 330 7th Ave, 10th Floor,
Individually
Role(s): New York NY 10001, sinelecf@sinellaw.com, (212) 265-1000 YES O NO
Name: Newvaaryummmouosumsco m Christine Eliza Femandez Rockwell, Esq, Kaufman Borgeest & Ryan LLP,
O Role(s): 1205 Franklin Avenue, Garden City, NY 11530, crockwell@kbrlaw.com, YES O NO
Defendant (516) 248-6000
Name: nycumru ososmmssommumrueouvs
Christine Eliza Femandez Rockwell, Esq, Kaufman Borgeest & Ryan LLP,
O Role(s): 1205 Franklin Avenue, Garden City, NY 11530, crockwell@kbtlaw.com, YES O NO
Defendant * (516)248-6000
Name: GOTHAMHEALTHGOUVERNEUR Christine Eliza Femandez Rockwell, Esq, Kaufman Borgeest & Ryan LLP,
O Role(s): 1205 Franklin Avenue, Garden City, NY 11530, crockwell@kbrlaw.com, O YES O NO
Defendant ¼
(516) 248-6000
Name:
O Role(s): O YES ONO
Name:
O Role(s): O YES O NO
Name:
O Role(s): O YES O NO
Name:
O Role(s): O YES O NO
Name:
O Role(s): OYES O NO
Name:
O Role(s): O YES O NO
Name:
O Role(s): O YES O NO
Name:
D Role(s): O YES ONO
Name:
O Role(s): O YES O NO
Name:
D Role(s): O YES Q NO
I Al FIRM UNDER THE PENALTY OF PERfURY THAT, UPON INFORMATION AND BELIEF, THERE ARE NO OTHER tiELATED ACTIONS DR PROCEEDINGS,
EXCEPT AS NOTED ABOVE, NOR HAS A REQUEST FOR JUDICIAL INTERVENTION BEEN PREVI USLY FILE I T ION OR PROCEEDING.
Dated:04/07/2073
n ure
5765789 Valerle Hernandez
Attorney Registration Nurnber Print Name
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