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  • James Geoffrey v. Smitell Llc, Smitell B-1 Llc, Extell Development Company, Sunshine Mf Ii Llc, Silverlining Interiors, Inc.Torts - Other Negligence (PREMISES) document preview
  • James Geoffrey v. Smitell Llc, Smitell B-1 Llc, Extell Development Company, Sunshine Mf Ii Llc, Silverlining Interiors, Inc.Torts - Other Negligence (PREMISES) document preview
  • James Geoffrey v. Smitell Llc, Smitell B-1 Llc, Extell Development Company, Sunshine Mf Ii Llc, Silverlining Interiors, Inc.Torts - Other Negligence (PREMISES) document preview
  • James Geoffrey v. Smitell Llc, Smitell B-1 Llc, Extell Development Company, Sunshine Mf Ii Llc, Silverlining Interiors, Inc.Torts - Other Negligence (PREMISES) document preview
						
                                

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FILED: KINGS COUNTY CLERK 10/16/2023 03:08 PM INDEX NO. 508174/2023 NYSCEF DOC. NO. 61 RECEIVED NYSCEF: 10/16/2023 SUPREME COURT OF THE STATE OF NEW YORK COUNTY OF KINGS -------------------------------------------------------------------X JAMES GEOFFREY, Index No.: 508174/2023 Plaintiff, DEMAND PURSUANT TO MANDATORY INSURER -against- REPORTING LAW §111 OF PUBLIC LAW 110-173 SMITELL LLC SMITELL B-1 LLC and EXTELL DEVELOPMENT COMPANY, Defendants. -------------------------------------------------------------------X SMITELL LLC SMITELL B-1 LLC and EXTELL DEVELOPMENT COMPANY, Third-Party Plaintiffs, -against- SUNSHINE MF II LLC and SILVERLINING INTERIORS, INC., Third-Party Defendants. -------------------------------------------------------------------X PLEASE TAKE NOTICE, that pursuant to the Mandatory Insurer Reporting Law (Section 111 of Public Law 110-173), the plaintiff is required to provide the following information since the plaintiff is pursuing a claim for bodily injury, medical payments, workers’ compensation or no-fault benefits: 1. Has the plaintiff made claims or does the plaintiff intend to make claims for Medicare and/or Medicaid Benefits? 2. If your response to No. 1 is in the affirmative, provide the following information for the plaintiff: a. First and last name; b. Gender; c. Date of Birth; d. Social Security Number; e. Medicare Health Insurance Claim Number 1 of 2 FILED: KINGS COUNTY CLERK 10/16/2023 03:08 PM INDEX NO. 508174/2023 NYSCEF DOC. NO. 61 RECEIVED NYSCEF: 10/16/2023 PLEASE TAKE FURTHER NOTICE, that this is a continuing demand and should any of the information requested become available or known in the future, then you are required to furnish same at such time. Dated: Purchase, New York October 16, 2023 MILBER MAKRIS PLOUSADIS & SEIDEN, LLP By: ____________________ Elise Herlihy Attorneys for Third-Party Defendant Sunshine MF II, LLC 100 Manhattanville Road, Suite 4E20 Purchase, New York 10577 (914) 231-8075 File No.: 712-24998 eherlihy@milbermakris.com TO: Jason T. Herbert, Esq. KRENTSEL GUZMAN HERBERT, LLP. Attorneys for Plaintiff 17 Battery Place, Suite 604 New York, New York 10004 (212) 227-2900 Timothy J. Dunn, III REBORE, THORPE & PISARELLO, P.C. Attorneys for Defendants/Third-Party Plaintiffs Smitell LLC, Smittell B-1 LLC, and Extell Development Company 500 Bi-County Blvd., Suite 102 Farmingdale, New York 11735 (631) 249-6600 SILVERLINING INTERIORS, INC. 2091 Broadway, 3rd Floor New York, New York 10004 2 2 of 2