Preview
FILED: DUTCHESS COUNTY CLERK 12/14/2023 10:47 AM INDEX NO. 2015-52210
NYSCEF DOC. NO. 126 RECEIVED NYSCEF: 12/14/2023
"1"
Exhibit
FILED: DUTCHESS COUNTY CLERK 12/14/2023 10:47 AM INDEX NO. 2015-52210
NYSCEF DOC. NO. 126 RECEIVED NYSCEF: 12/14/2023
Certificate #: U-000001315-F Page I of 1
POUGHKEEPSIE CITY COURT
FEE
. 62 Civic Center Plaza, Poughkeepsie, NY 12601
...-- Phone: (845) 483-8200 Fax: (845) 483-8127
The People of the State of New York Certificate of Disposition
vs. Docket Number: CR-02128-14
Devin J. Carpenter Legacy Docket Number: 14-67875
Defendant DOB: Arrest Date: 11/22/2014 Arraignment Date: 11/24/2014
THIS IS TO CERTIFY that the undersigned has examined the files of the Poughkeepsie City Court concerning the above entitled
matter and finds the following:
PL 120.05 DF Assault -2nd Degree **SEALED
160.55** DF Reduced to (Count #2) 11/19/2015
PL 120.00 02 AM Aslt:Recklsly Cause Phys Injry
2 AM Reduced to (Count #3) 12/01/2016
**Sl5ALED 160.55**
h
3 11/22/2014 PL 240.26 01 V Harassment-2nd:Physical Pled Guilty 12/01/2016 " Conditional Discharge(1 Years
**SEALED Cntact Restitution- $5,000.00)
160.55**
All fines, fees & surcharges imposed at sentence are paid in full.
Dated: September 24, 2019
Chief erk/Clerk of the Court
CAUTION: THIS DOCUMENT IS NOT OFFICIAL UNLESS EMBOSSED WITH THE COURT SEAL
It shall be an unlawful discriminatory practice, unlessspecifically required or permitted by statute, for.any person,agency, bureau, corporation or association, including
the state and any political subdivision thereof, to make any inquiry about, whether in any form of application or otherwise, or to act upon adversely to the individual
involved, any arrest or criminal accusation of such individual not then pending against that individual which was followed by a termination of thät criminal action or
proceeding in favor ofsuch individual, as defined in subdivision two of section I60.50 of the criminal procedure law, or by a youthful offender adjudication, asdefined
in subdivision oneof section 720.35 of the criminal procedure law, or by a conviction for a violation sealedpursuantto section 160.55of the criminal procedurelaw or
by a conviction which is sealedpursuant tosection 160.58or I60.59 of the criminal procedure law, in connection with the licensing, employment or providing of credit
or insurance to such individual; provided, further, that no person shall be required to divulge information pertaining to any arrest or criminal accusationof such
individual not then pending against that individual which was followed by a termination of that criminal action or proceeding in favor of such individual, asdefined in
subdivision two of section 160.50 of the criminal procedure law, or by a youthful offender adjudication, as defined in subdivision one of section 720.35 of the criminal
procedure law, or by a conviction for a violation sealed pursuant to section 160.55of the criminal procedure law, or by a conviction which is sealedpursuantto section
160.5Ror 160.59of the criminal procedure law. The provisions of this subdivision shall not apply to the licensing activities of governmental bodies in relation to the
regulation of guns, firearms and other deadly weapons or in relation to an application for employment as a police officer or peaceofficer as thoseterms are defined in
subdivisions thirty-three and thirty-four of section 1.20 of the criminal procedurelaw; provided further that the provisions of this subdivision shall not apply to an
application for employment or membership in any law enforcement agency with respect to any arrest or criminal accusation which was followed by a youthful offender
adjudication, as defined in subdivision one of section 720.35 of the criminal procedure law, or by a conviction for a violation sealedpursuantto section 160.55of the
criminal procedurelaw, or by a conviction which is sealedpursuant to section 160.58or 160.59 of the criminal procedurelaw. [Executive Law § 296 (I6)]
Conviction chargesmay not be the sarneas the original arrest charges.
Arraignment charges may not be the same as the original arrest charges.
CPL 160.55; Official records related to the arrest and prosecution on file with the Division of Criminal Justice Services,police agenciesand/or the prosecutor's
office are sealed,however, court acords remain available for public inspection.
FILED: DUTCHESS COUNTY CLERK 12/14/2023 10:47 AM INDEX NO. 2015-52210
NYSCEF DOC. NO. 126 RECEIVED NYSCEF: 12/14/2023
ORDER & CONDITIONS OF INTERIM PROBATION SUPERVISION
COUNTY OF DUTCHESS: STATE OF NEW YORK
Poughkeepsie City Court
Honorable Frank M. Mora
.....................................................................................
. THE PEOPLE OF THE STATE OF NEW YORK
- Against - SCl/lND/Docket# : 14-67875
Devin Jordan Carpenter
DOB:
Client ID #: 058048
Defendant
.....................................................................................
Convicted of:
PL 120.00 02 A M 3·- Assault 3rd Degree:
Recklessly Cause Physical Injury
P robation Case No.: CCF-2015-008188
In accordance with Section 390.30 subdivision 6 of the Criminal Procedure Law, of thq Penal Law, you have been
ordered unde r interim supervision for a period of 1 months to expire on U | ( 9 ( ff . Sentencing is hereby
adjourned to n F) /f (. While on interim probation supervision, you shall abide by the conditions of your interim
supervision. violation of these interim probation conditions may result in your being returned to Court for further
Any
legal action which may result in your incarceration.
Your conditions of probation are:
1. You will report to the Probation Officer as directed by the Court or the Probation Officer and permit a Probation Officer
to visit you at your place of residence or elsewhere.
2. You will remain within the jurisdiction of the Court unless granted permission to leave by the Court or the Probation
Officer.
3. You will answer truthfully all reasonable inquiries by a Probation Officer and notify the Probation Officer prior to any
change in address or employment.
4. You will refrain from
violating any federal, state or local law; notify the Probation Officer within 24 hours if arrested or
questioned by any law enforcement official.
5. You will be expected to lead a reasonable and stable lifestyle; work at suitable ernployment or pursue study or training
leading to employment; support your dependents and meet other family responsibilities.
6. Refrain from frequenting unlawful or disreputable places or consorting with disreputable persons.
7. A copy of your pre-sentence report will be released to the appropriate treatment agency and you will be required to
sign release of information forms allowing the Probation Department and the Court access to your treatment records.
8. You shall submit at any time, without notice and without a search warrant/order to a search of your person, residence,
and other personal property, leased and/or owned that is not your residence and any area under your
vehicle,
immediate control and permit the seizure of any narcotic implements, illegal drugs, gambling records, weapons, stolen
and/or or contraband deemed to be detrimental to the rehabilitative goal of the probationer's
property any property
sentence. Such search is to be conducted by the supervising probation department and its agent.
Page 1 of 2
FILED: DUTCHESS COUNTY CLERK 12/14/2023 10:47 AM INDEX NO. 2015-52210
NYSCEF DOC. NO. 126 RECEIVED NYSCEF: 12/14/2023
9. At the discretion of the Office of Probation, you will faithfully attend and successfully complete a Moral Reconation
Therapy (MRT) Program and/or a Cognitive.Behavibral Therapy (CBT) Program.
10. You will submit to the appropriate DNA testing by providing a DNA sample suitable for testing for the Convicted
Offender Index, as mandated by Executive Law §995-c for designated offenders OR provide a DNA sample suitable for
testing for the Subject Index as authorized by Title 9 NYCRR part 6192. The aforementioned requirement does not
apply to those serving a period of Interim Supervision or those placed on probation supervision subsequent to a Youthful
Offender Adjudication.
11. You will perform __50__ __ hours of community service within __6 months of sentencing for a public or not-for-
profit corporation, association, institution or agency.
12. You shall not consume or possess alcohol, illegal drugs, drugs not prescribed to you or synthetic substances that
duplicate the effect of illegal or prescription drugs, drug paraphernalia and shall submit to recognized tests to determine
their use. Do not use or possess any product designed to alter the results of recognized drug tests. Immediately advise
your supervising probation officer of any medications you are taking.
13. At the discretion of the Probation Department you will complete a mental health, and/or alcohol/substance abuse
evaluation. This evaluation must be completed by an OASAS licensed Alcohol/Substance Abuse Center. . You will
successfully complete any recommended treatment, in-patient, out-patient and/or residential, and follow any other
treatment recommendations, which may include participation in a sobriety support group. A copy of your pre-sentence
report will be released to the appropriate treatment agency, and you will be required to sign release of information forms
allowing the Probation Department and the Court access to your treatment records. You may be responsible for any
costs incurred for said treatment
14. You will not enter or remain in bars, taverns, nightclubs, liquor stores or purchase/possess any alcoholic beverages.
15. You will sign a release of information allowing the Probation Department to receive information about your medical
treatment, and to share information about your probation case with your health care provider(s).
16. You will participate in an Anger Management program and will be responsible for any costs incurred as a result of
said program.
17. You will observe the specified conditions of conduct as set forth in an Order of Protection issued by this or any other
Court.
ENTER
Honora le Frank M. Mora
Poughkeepsie City Coud
Dated this Day of January 2016
I have this day received a copy of the foregoing Conditions of Interim Probation Supervision and understand that I am to
present myself with these Orders at the offices of the Dutchess County Office of Probation and Community Correctioris,
(upon leaving this Court) (tomorrow morning).
9 Defendanßi Witness
Datd ature) ( ture)
RECElVED
POUGHKEEPSIE
CITY COURT
Page 2 of 2
FILED: DUTCHESS COUNTY CLERK 12/14/2023 10:47 AM INDEX NO. 2015-52210
NYSCEF DOC. NO. 126 RECEIVED NYSCEF: 12/14/2023
6
COUNTY OF DUTCHESS
OFFICE OF PROBATION AND COMMUNITY CORRECTIONS
50 MARKET STREET, POUGHKEEPSIE, NY 12601
PHONE: 845-486-2600 FAX: 845-486-2676
INTERIM PROBATION CLOSING / PSI UPDATE
MEMORANDUM
To: Honorable Frank M. Mora
Poughkeepsie City Court
From: Gweneth Hobson
Probation Officer CC
Date: 10/18/16
Re: Carpenter, Devin Jordan
Docket #: 14-67875
CJTN: 66913260K
Case #: CCS-2015-008188-I
Client ID #: 058048
On 1/14/16, Your Honor placed the above named probationer on a 12 month period of interim supervision. Per
CPL 390.30 (6-a) "in no event may sentencing (on an interim case) be adjourned for a period exceeding
entered."
one year from the date the conviction is In keeping with this department's policy to submit a
memorandum to the court summarizing the offender's adjustment to interim supervision, and where
appropriate, to make a recommendation on disposition and/or sentencing, the following is submitted:
The defendant has been reporting to this department for community supervision, as directed, since January
2016. The defendant has remained arrest-free during this time period. He, however, was issued a ticket for a
traffic violation -VTL 1151A - Failure to Yield right of Way to Pedestrian/Crosswalk, on 6/27/16. On 7/26/16,
the defendant paid a fine and the matter was disposed of in Wappingers Falls Village Court. The defendant
has been randomly drug-tested on multiple occasions while being supervised and all tests have been negative.
The defendant has been working with a case plan which stipulates that he conducts a law-abiding lifestyle;
Anger Management training as well as completing 50 hours of Community Service. He attended
completing
Community Transition Center where he successfully completing Anger Management training as well as the 50
hours of Community Service. During this time the defendant continued attending Dutchess Community College
where he studies Criminal Justice. The defendant has also maintained his employment at The ARC of
Dutchess.
CPL 390.30 (6-b) states that if a defendant has satisfactorily completed a term of interim supervision, he or she
shall receive credit for time served under the period of interim supervision towards any probation case
subsequently imposed in that case.
If the defendant is sentenced to a term of probation, please advise this department. Otherwise we will
be closing interest in this case as of the maximum expiration date.
Approved:
Elizab Bobela
FILED: DUTCHESS COUNTY CLERK 12/14/2023 10:47 AM INDEX NO. 2015-52210
NYSCEF DOC. NO. 126 RECEIVED NYSCEF: 12/14/2023
ORI No: NY013021J Criminal Form 2 8/2010
Order No: 2016-000591 At a term of the Poughkeepsie City Court, County of Dutchess, at the Courthouse at 62 ivic
NYSID No: Center Plaza; Poughkeepsie, NY 12601,State of New York
08156924Q
CJTN No: 066913260K
ORDEROFPROTECTION
PRESENT: HonorableFrank M. Mora Offense-C.P.L.530.1s!
Non-Famay
(Notinvolvingvictimsofdomestic
violence) .
PEOPLE OF THE STATE OF NEW YORK
- against - O Youthful Offender(check if applicable) .
Part:Criminal-FMM CaseNo.: CR-02128-14
Devin J Carpenter ,
Defendant
DOB: , DefendantPresentin Court
NOTICE: YOURFAILURETO OBEYTHIS ORDERMAY SUBJECTYOUTO MANDATORYARRESTANDCRIMINAL P SECUTION,WHICHMAY
RESULTIN YOURINCARCERATION FORUPTO SEVENYEARSFORCONTEMPTOFCOURT.IF THISIS A TEMPOR Y ORDEROFPROTECTION
ANDYOUFAIL TOAPPEARIN COURTWHENYOUAREREQUIREDTO DO SO,THISORDERMAYBEEXTENDE N YOUR·ABSENCE ANDTHEN
CONTINUESINEFFECTUNTILA NEWDATESETBY THECOURT.
O TEMPORARY ORDER OF PROTECTION eWhereasgood causehas beenshown for the issuanc f a temporary order of protection
ORDER OF PROTECTION - Whereasdefendanthasbeenconvicted of[specify crimeor vior on]:
PL 240.26 01 V Harassment-2nd:Physical Cntact, 1 count(s) of Viol
And the Court having madea determination in accordancewith section 530.13 ofIhe Crimin ProcedureLaw,
IT IS HEREBY ORDERED that the above-narOeddefendantDevin J Carpenter(DOB: 03/ 1991) observethe following conditions of
behavior:
Stay away from KENNETH GAROFOLO;
the homeof KENNETH GAROFOLO;
the school of KENNETH OAROFOLO;
the businessof lRNNETH GAROFOLO;
the placeof employment of KENNETH GAROFOLO;
Refrain from communication or any other contact by mail, tele lone, e-mail, voice-mail or other electronic or any other meanswith
KENNETH GAROFOLO;
Refrain from assault,stalking, harassment,aggravatedhara sment,memicing, recklessendangerment,strangulation, criminal
obstruction of breathing or circulation, disorderly conduc , criminal mischief, sexual abitse,sexual misconduct, forcible touching,
intimidation, throats,identity theft, grand larceny, coer on or any criminal offenseagainstKENNETH OAROFOLO;
'
IT IS FURTHER ORDERED that this order of protec n shall remain in force until and including 12/01/2018.
DATED: 12/01/2016
Defendant advisedin Court of issuanceand · ntents of Order. onor ém
O Order to be served by other means [spe fy]: 7
Warrant issuedfor Defendant
Order personally servedon Defenda in Court
tDefenda ssignature)
ADDITIONAL SERVICE INFO ATION [specify]
TheCriminalProcedure Lawprovidesth presentation of a copyof thisorderof pmtection to anypoliceofficerorpeaceofficeractingpursuant to hisorherspecialduties
shallauthorize, andin somesituations m require,suchofficerto arresta defendant whohasviolateditstermsandto bringhimor herbeforetheCourttofacepenalties
aulhorized by law.
Federallawrequiresthatthisorderm behonored andenforecd by stateandtribalcourts,includingcourtsof astate,theDistrictof Columbia,a commonweahh, terrhoryor
possession ortheUnitedStates, if the againstwhomtheorderis soughtisanintimatepartneroftheprotecEcd ponyamihasbeenorwill beafforded reasonable noticeand
opportunity tobeheardinaccordance ithstatelawsufficienttoprotectthatperson's
rights(18USC§§2265, 2266).
It isa federalcrimeto:
" crossstatelinestov'iolate
thisor ortostalk,harass orconunitdomestic violenceagainstanintimate orfamilymember;
partner
- buy,possess a han un,rific, shotgunor otherfirearmor ammunition
or transfer whilethisOrderremains ineffect(Note:thereis nlimitedexception for militaryor law
enforcemem officersbutonlyw Intheyareonduty);and
" buy,possess ah
ortransfer dgun,rifle, shotgun o rotherf ireannor ammunitionafteraconviction o fadomesticviolence-relatedcrime involvingtheuse or attempteduseof
physicalforceoradeadlywefponagainst anintimateparmeror familymember, evenafierthisOrderhasexpired. (18U.S.C§§922(g)(8), 922(g)(9),
2261,2261A, 22ti2).
e.ca sumwi
due teclamm
r Imeeginy cPL
&rEmL5221e[I)mMII(ILMItU).Unn
CCs: KENNET 'GAROFOLO
Poughke sie City Police Department
FILED: DUTCHESS COUNTY CLERK 12/14/2023 10:47 AM INDEX NO. 2015-52210
NYSCEF DOC. NO. 126 RECEIVED NYSCEF: 12/14/2023
fr( \
ORI No: NY013021J Criminal Form 2 8/2010
Order No: 2016-000020 At a term of the Poughkeepsie ity Court, County of Dutchess, at the Courthouse at 62 Civic
NYSID No: 08156924Q Center Plaza, Poughkeepsic,NY 12601,State of New York
CJTN No:
ORDEROFPROTECTION
PRESENT: HonorableFrank M. Mora Non-Family Offense- C.P.L.530.131
(Norinvolvingvicthnsof domesticrialence)
PEOPLE OF THE STATE OF NEW YORK
- against - “_] Youthful Offender(checkif applicable)
DEVIN J CARPENTER , Part:DV CaseNo.: 14-67875
Defendant Charges: PL 120.05DJ DF, 1 count(s) of D Fel, 1 count(s) of A Misd
DOB. DefendantPresentin Court
NOTICE: YOUR FAILURETO OBEYT@lIS ORDERMAY SUBJECTYOUTOMANDATORYARREST ANDCRIMINALPROSECUTION,W1II h MAY
RESULTIN YOURINCARCERATION FORUPTOSEVENYEARSFORCONTEMPTOFCOURT.IF TIHSTSATEMPORARYORDEROFPR ' ECTION
ANDYOUFAIL TO A PEARIN COURTWHENYOUAREREQUIREDTO DOSO,TlIIS ORDERMAYREEXTENDED IN YOURABSENCFANDTHEN
CUNTINUES IN EFFECTUNTILA NEWDATESETBYTilE COURT.
[M TEMPORARY ORDER OF PROTECTION - Whereasgood causehasbeenshownfor theissuanceof a temporaryord ·of protection
[asa condition of: releaseon bail]
ORDER OF PROTECTiON - Whereasdefendanthasbecnconvicted of[specify crime or violation]:
And the Court having madea determinationin accordancewith section530.13of theCriminal ProcedureLaw,
IT IS HEREHY ORDERED that the above-nameddefendantDEVIN J CARPENTER (DOB: 03/14/1991)obser e the following conditions
of behavior:
Stay away from KENNETH GAROFOLO:
the hornc of KENNETll GAROFOLO;
Iheschool of KENNETH GAROFOLO;
the businessof KENNETH GAROFOLO;
theplace of employmentofKENNETH GARQFOLOf
Refrain from commumcanonor any other contact by mail, telephone,e-mail, voice-n ill.or otherclectronic or any other meanswith
KENNETH GAROFOLO;
IT IS FURTHER ORDERED fhat this order of protection shall remain in force u til and including 01/31/2017,but if Youfail to appear
in court on this date, the order may be e.xtendedandcominue in effect umil a new da set by theCouri.
1)ATED: 0 lml/2016
l ÌDefendamadvisedin Court of issuanceand contentsof Order. HatforabÍë)rt Morn
l..]Order to be scrYed by other means |specify|:
Warrant issuedfor Defendant
[ Order personally servedon Defendantin Court
Defendancssig ure)
ADDITIONAL SERVICE INFORMÄTION [specify]:
TheCrhninalProcedure 1.awprovidesthatpre.iemation ofacopyof thisor crofprotection É anypoliceofficerorpeace officeractingpursuantlohisorherspecial duties
shallmithorize. andin somesituations mayrequire,suchonicertoarresta lefendant whohasviologed itstennsandto bringhimor herbeforetheCountofacepenalties
authorizedby law.
FederniInwrequiresthatthisordermusibehonored andenlbreed bystai andtribalcoults.inctoding courtsofastate.gheDisgriel
of Columbia. acommonweahh. Ierritorycr
possessionof theUnitedSimes, if theperson againsiwhomtheorderiss shiisanimimate parmer oftheproiceledpartyandhasheenorwill beofforded reasonable noticeund
oppolluIitytobeheardinaccotdance withstate lawsoilicienttoprolect ·uperson's rights(I8 USCsk22M,226M.
It isafederalcrimeto:
" er ssunelinestoviolatethisorderortosudk,harass oncommig donesticviolence against anintimagepariner
or familymember;
· huy.possess or transfera handgun, rifle,shoIpnorotherfireari orammunition whilethisOrder-remains in effect(Note:thereis alimitedexception
for militaryoctow
enforcemem oOicers butonlywhiletheyareonduty).and
. huy.possessortransfera handgun. rifle,shote.unorotherlirear orammunition ailera convictionofadomestic violenec-rchned
crimeinvolvingtheuseornuempted useof
physienlforceora deadlyweapon againspin intimatepartnerorf· nily member. evenunerthisOrderhasexpired. (ISU.Sr. §§922(g)(3), 2261,2261A,2262).
922(g)(9),
iøwd puunm
so rwnwrg.w
ú tw.4t ily,"| ..immOmume st ha.mAal
0mily owm'wa,.l.irmi,"i
upward
aamthemit2.ehow icr1"1lem
eq|icy.SS
FmL)rd ;ct 5%It{Q S¼lM|s,s3u.13
CCs: KENNETH GAROFOLO
PoughkeepsieCily Police Department
FILED: DUTCHESS COUNTY CLERK 12/14/2023 10:47 AM INDEX NO. 2015-52210
NYSCEF DOC. NO. 126 RECEIVED NYSCEF: 12/14/2023
Criminal Form 2 1/11
ORI No: NY013021J
Order
Poughkeepsie City Court, County of Dutchess
No: 62 Civic Center Plaza, Poughkeepsie, NY 12601
NYSID No:
CNN No- ORDER OF PROTECTION
Present: Hon Katherine A. Moloney/Frank 530.13'
M. Mora, Non-Fàmily Offense - C.P.L.
(Not involving victims of.domestic violence)
People of the State of New York O Youthful Offender (check if a plicable
-against-
Part_ Index/Docket No.
Indictment if any·
No.,
Charges /20. Of
Defendant (Check one): O Ex parte
Date of Birth: . , efendant Present in Court
NOTICE: YOUR FAILURE TO OBEY THIS ORDER MAY SUBJECT YOU TO MANDATORY ARREST AND
CRIMINAL PROSECUTION, MAY RESULT WHICH YEARS FOR
IN YOUR INCARCERATION FOR UP TO SEVEN
CONTEMPT OF COURT. IF THIS IS A TEMPORARY ORDER OF PROTECTION AND YOU FAIL TO APPEAR IN
COURT WHEN YOU ARE REQUIRED TO DO SO, THIS ORDER MAY BE EXTENDED IN YOUR ABSENCE AND
CONTINUE IN EFFECT UNTIL YOU REAPPEAR IN COURT.
IPO R ORDER F PROTE . ereas good caus 1 e n sÎo for t e suance o a tempÎra order of
protection [as a condition of O recognizance release on bail O adjournment in contemplation of dismissal],
O ORDER OF PROTECTION. Whereas d dant has been convicted of [specify crime or violation]:
And the Court having made a determination in accordance with section 530.13 of the Criminal Procedure Law,
IT IS HEREBY ORDERED that the above-named defendant observe the following conditions of behavior:
(Chee applicable paragraphs and subliaragraphs):
Stay away from )('[name(s) of protected person(s) or witness(es)]: ha 4 V-5 O G
and/or from the ome of
school of
usiness of
place of employment of __ 4
O other ;
· other electronic·or
Refrain from communication or any other contact by mail, telephone, e-mail, voice-mail,o any other
means with [specify protected person(s)]: Kehne5 . ÓaYD x0
O Refrain fi-om assault, stalking, harassment, aggravated harassment, menacing, reckless endangerment, disorderly conduct,
criminal mischief, sexual abuse, sexual misconduct, forcible touching, intimidation, threats or any criminal offense or
interference with the victim or victims of , or designated witnesses to, the alleged offense and such members of the family or
household of such victim(s) or witness(es) as shall be specifically named [specify]:
O Refrain from intentionally injuring or killing without justification the following companion animal(s) (pet(s))[specify type(s)
and, if available, name(sy:
O Surrender any and all handguns, shotguns and other fireanns owned or possessed, including, but not
pistols, revolvers, rifles,
other
limited to, the following: __ and do not obtain any further guns or
firearms. Such surrender shall take place immediately, but no later than [specify date/time]
at·
O Specify other conditions defendant must observe for the purposes of protection: ______
ff IS FURTHER ORDERED that the above-named Defendanes license to carry, possess, repair, sell or otherwise dispose
of a firearm or firearms, if any, pursuant to Penal Law §400.00, is hereby suspended or O revoked (note: final order only),
(Check all
and/or the Defendant hsall remain ineligible to receive a firearm license uring the period of this order.
applicab e boxes). NOTE: If this paragraph is checked, a copy of this form rhust be sent to : New York State Police,
Pitol Permit Section, State Campus Building #22, 1220 Washington Avenue, Albany, New York 12226-2252.
IT IS FURTHER ORDERED that this order of protection shall remain in effect until [specify date]:
DATED:
Judge
Katherine A. nk M. Mora, City Court
Defendant advised in Court of issuance and contents of Order. R EfS/
Preview
FILED: DUTCHESS COUNTY CLERK 12/14/2023 10:47 AM INDEX NO. 2015-52210 NYSCEF DOC. NO. 126 RECEIVED NYSCEF: 12/14/2023 "1" Exhibit FILED: DUTCHESS COUNTY CLERK 12/14/2023 10:47 AM INDEX NO. 2015-52210 NYSCEF DOC. NO. 126 RECEIVED NYSCEF: 12/14/2023 Certificate #: U-000001315-F Page I of 1 POUGHKEEPSIE CITY COURT FEE . 62 Civic Center Plaza, Poughkeepsie, NY 12601 ...-- Phone: (845) 483-8200 Fax: (845) 483-8127 The People of the State of New York Certificate of Disposition vs. Docket Number: CR-02128-14 Devin J. Carpenter Legacy Docket Number: 14-67875 Defendant DOB: Arrest Date: 11/22/2014 Arraignment Date: 11/24/2014 THIS IS TO CERTIFY that the undersigned has examined the files of the Poughkeepsie City Court concerning the above entitled matter and finds the following: PL 120.05 DF Assault -2nd Degree **SEALED 160.55** DF Reduced to (Count #2) 11/19/2015 PL 120.00 02 AM Aslt:Recklsly Cause Phys Injry 2 AM Reduced to (Count #3) 12/01/2016 **Sl5ALED 160.55** h 3 11/22/2014 PL 240.26 01 V Harassment-2nd:Physical Pled Guilty 12/01/2016 " Conditional Discharge(1 Years **SEALED Cntact Restitution- $5,000.00) 160.55** All fines, fees & surcharges imposed at sentence are paid in full. Dated: September 24, 2019 Chief erk/Clerk of the Court CAUTION: THIS DOCUMENT IS NOT OFFICIAL UNLESS EMBOSSED WITH THE COURT SEAL It shall be an unlawful discriminatory practice, unlessspecifically required or permitted by statute, for.any person,agency, bureau, corporation or association, including the state and any political subdivision thereof, to make any inquiry about, whether in any form of application or otherwise, or to act upon adversely to the individual involved, any arrest or criminal accusation of such individual not then pending against that individual which was followed by a termination of thät criminal action or proceeding in favor ofsuch individual, as defined in subdivision two of section I60.50 of the criminal procedure law, or by a youthful offender adjudication, asdefined in subdivision oneof section 720.35 of the criminal procedure law, or by a conviction for a violation sealedpursuantto section 160.55of the criminal procedurelaw or by a conviction which is sealedpursuant tosection 160.58or I60.59 of the criminal procedure law, in connection with the licensing, employment or providing of credit or insurance to such individual; provided, further, that no person shall be required to divulge information pertaining to any arrest or criminal accusationof such individual not then pending against that individual which was followed by a termination of that criminal action or proceeding in favor of such individual, asdefined in subdivision two of section 160.50 of the criminal procedure law, or by a youthful offender adjudication, as defined in subdivision one of section 720.35 of the criminal procedure law, or by a conviction for a violation sealed pursuant to section 160.55of the criminal procedure law, or by a conviction which is sealedpursuantto section 160.5Ror 160.59of the criminal procedure law. The provisions of this subdivision shall not apply to the licensing activities of governmental bodies in relation to the regulation of guns, firearms and other deadly weapons or in relation to an application for employment as a police officer or peaceofficer as thoseterms are defined in subdivisions thirty-three and thirty-four of section 1.20 of the criminal procedurelaw; provided further that the provisions of this subdivision shall not apply to an application for employment or membership in any law enforcement agency with respect to any arrest or criminal accusation which was followed by a youthful offender adjudication, as defined in subdivision one of section 720.35 of the criminal procedure law, or by a conviction for a violation sealedpursuantto section 160.55of the criminal procedurelaw, or by a conviction which is sealedpursuant to section 160.58or 160.59 of the criminal procedurelaw. [Executive Law § 296 (I6)] Conviction chargesmay not be the sarneas the original arrest charges. Arraignment charges may not be the same as the original arrest charges. CPL 160.55; Official records related to the arrest and prosecution on file with the Division of Criminal Justice Services,police agenciesand/or the prosecutor's office are sealed,however, court acords remain available for public inspection. FILED: DUTCHESS COUNTY CLERK 12/14/2023 10:47 AM INDEX NO. 2015-52210 NYSCEF DOC. NO. 126 RECEIVED NYSCEF: 12/14/2023 ORDER & CONDITIONS OF INTERIM PROBATION SUPERVISION COUNTY OF DUTCHESS: STATE OF NEW YORK Poughkeepsie City Court Honorable Frank M. Mora ..................................................................................... . THE PEOPLE OF THE STATE OF NEW YORK - Against - SCl/lND/Docket# : 14-67875 Devin Jordan Carpenter DOB: Client ID #: 058048 Defendant ..................................................................................... Convicted of: PL 120.00 02 A M 3·- Assault 3rd Degree: Recklessly Cause Physical Injury P robation Case No.: CCF-2015-008188 In accordance with Section 390.30 subdivision 6 of the Criminal Procedure Law, of thq Penal Law, you have been ordered unde r interim supervision for a period of 1 months to expire on U | ( 9 ( ff . Sentencing is hereby adjourned to n F) /f (. While on interim probation supervision, you shall abide by the conditions of your interim supervision. violation of these interim probation conditions may result in your being returned to Court for further Any legal action which may result in your incarceration. Your conditions of probation are: 1. You will report to the Probation Officer as directed by the Court or the Probation Officer and permit a Probation Officer to visit you at your place of residence or elsewhere. 2. You will remain within the jurisdiction of the Court unless granted permission to leave by the Court or the Probation Officer. 3. You will answer truthfully all reasonable inquiries by a Probation Officer and notify the Probation Officer prior to any change in address or employment. 4. You will refrain from violating any federal, state or local law; notify the Probation Officer within 24 hours if arrested or questioned by any law enforcement official. 5. You will be expected to lead a reasonable and stable lifestyle; work at suitable ernployment or pursue study or training leading to employment; support your dependents and meet other family responsibilities. 6. Refrain from frequenting unlawful or disreputable places or consorting with disreputable persons. 7. A copy of your pre-sentence report will be released to the appropriate treatment agency and you will be required to sign release of information forms allowing the Probation Department and the Court access to your treatment records. 8. You shall submit at any time, without notice and without a search warrant/order to a search of your person, residence, and other personal property, leased and/or owned that is not your residence and any area under your vehicle, immediate control and permit the seizure of any narcotic implements, illegal drugs, gambling records, weapons, stolen and/or or contraband deemed to be detrimental to the rehabilitative goal of the probationer's property any property sentence. Such search is to be conducted by the supervising probation department and its agent. Page 1 of 2 FILED: DUTCHESS COUNTY CLERK 12/14/2023 10:47 AM INDEX NO. 2015-52210 NYSCEF DOC. NO. 126 RECEIVED NYSCEF: 12/14/2023 9. At the discretion of the Office of Probation, you will faithfully attend and successfully complete a Moral Reconation Therapy (MRT) Program and/or a Cognitive.Behavibral Therapy (CBT) Program. 10. You will submit to the appropriate DNA testing by providing a DNA sample suitable for testing for the Convicted Offender Index, as mandated by Executive Law §995-c for designated offenders OR provide a DNA sample suitable for testing for the Subject Index as authorized by Title 9 NYCRR part 6192. The aforementioned requirement does not apply to those serving a period of Interim Supervision or those placed on probation supervision subsequent to a Youthful Offender Adjudication. 11. You will perform __50__ __ hours of community service within __6 months of sentencing for a public or not-for- profit corporation, association, institution or agency. 12. You shall not consume or possess alcohol, illegal drugs, drugs not prescribed to you or synthetic substances that duplicate the effect of illegal or prescription drugs, drug paraphernalia and shall submit to recognized tests to determine their use. Do not use or possess any product designed to alter the results of recognized drug tests. Immediately advise your supervising probation officer of any medications you are taking. 13. At the discretion of the Probation Department you will complete a mental health, and/or alcohol/substance abuse evaluation. This evaluation must be completed by an OASAS licensed Alcohol/Substance Abuse Center. . You will successfully complete any recommended treatment, in-patient, out-patient and/or residential, and follow any other treatment recommendations, which may include participation in a sobriety support group. A copy of your pre-sentence report will be released to the appropriate treatment agency, and you will be required to sign release of information forms allowing the Probation Department and the Court access to your treatment records. You may be responsible for any costs incurred for said treatment 14. You will not enter or remain in bars, taverns, nightclubs, liquor stores or purchase/possess any alcoholic beverages. 15. You will sign a release of information allowing the Probation Department to receive information about your medical treatment, and to share information about your probation case with your health care provider(s). 16. You will participate in an Anger Management program and will be responsible for any costs incurred as a result of said program. 17. You will observe the specified conditions of conduct as set forth in an Order of Protection issued by this or any other Court. ENTER Honora le Frank M. Mora Poughkeepsie City Coud Dated this Day of January 2016 I have this day received a copy of the foregoing Conditions of Interim Probation Supervision and understand that I am to present myself with these Orders at the offices of the Dutchess County Office of Probation and Community Correctioris, (upon leaving this Court) (tomorrow morning). 9 Defendanßi Witness Datd ature) ( ture) RECElVED POUGHKEEPSIE CITY COURT Page 2 of 2 FILED: DUTCHESS COUNTY CLERK 12/14/2023 10:47 AM INDEX NO. 2015-52210 NYSCEF DOC. NO. 126 RECEIVED NYSCEF: 12/14/2023 6 COUNTY OF DUTCHESS OFFICE OF PROBATION AND COMMUNITY CORRECTIONS 50 MARKET STREET, POUGHKEEPSIE, NY 12601 PHONE: 845-486-2600 FAX: 845-486-2676 INTERIM PROBATION CLOSING / PSI UPDATE MEMORANDUM To: Honorable Frank M. Mora Poughkeepsie City Court From: Gweneth Hobson Probation Officer CC Date: 10/18/16 Re: Carpenter, Devin Jordan Docket #: 14-67875 CJTN: 66913260K Case #: CCS-2015-008188-I Client ID #: 058048 On 1/14/16, Your Honor placed the above named probationer on a 12 month period of interim supervision. Per CPL 390.30 (6-a) "in no event may sentencing (on an interim case) be adjourned for a period exceeding entered." one year from the date the conviction is In keeping with this department's policy to submit a memorandum to the court summarizing the offender's adjustment to interim supervision, and where appropriate, to make a recommendation on disposition and/or sentencing, the following is submitted: The defendant has been reporting to this department for community supervision, as directed, since January 2016. The defendant has remained arrest-free during this time period. He, however, was issued a ticket for a traffic violation -VTL 1151A - Failure to Yield right of Way to Pedestrian/Crosswalk, on 6/27/16. On 7/26/16, the defendant paid a fine and the matter was disposed of in Wappingers Falls Village Court. The defendant has been randomly drug-tested on multiple occasions while being supervised and all tests have been negative. The defendant has been working with a case plan which stipulates that he conducts a law-abiding lifestyle; Anger Management training as well as completing 50 hours of Community Service. He attended completing Community Transition Center where he successfully completing Anger Management training as well as the 50 hours of Community Service. During this time the defendant continued attending Dutchess Community College where he studies Criminal Justice. The defendant has also maintained his employment at The ARC of Dutchess. CPL 390.30 (6-b) states that if a defendant has satisfactorily completed a term of interim supervision, he or she shall receive credit for time served under the period of interim supervision towards any probation case subsequently imposed in that case. If the defendant is sentenced to a term of probation, please advise this department. Otherwise we will be closing interest in this case as of the maximum expiration date. Approved: Elizab Bobela FILED: DUTCHESS COUNTY CLERK 12/14/2023 10:47 AM INDEX NO. 2015-52210 NYSCEF DOC. NO. 126 RECEIVED NYSCEF: 12/14/2023 ORI No: NY013021J Criminal Form 2 8/2010 Order No: 2016-000591 At a term of the Poughkeepsie City Court, County of Dutchess, at the Courthouse at 62 ivic NYSID No: Center Plaza; Poughkeepsie, NY 12601,State of New York 08156924Q CJTN No: 066913260K ORDEROFPROTECTION PRESENT: HonorableFrank M. Mora Offense-C.P.L.530.1s! Non-Famay (Notinvolvingvictimsofdomestic violence) . PEOPLE OF THE STATE OF NEW YORK - against - O Youthful Offender(check if applicable) . Part:Criminal-FMM CaseNo.: CR-02128-14 Devin J Carpenter , Defendant DOB: , DefendantPresentin Court NOTICE: YOURFAILURETO OBEYTHIS ORDERMAY SUBJECTYOUTO MANDATORYARRESTANDCRIMINAL P SECUTION,WHICHMAY RESULTIN YOURINCARCERATION FORUPTO SEVENYEARSFORCONTEMPTOFCOURT.IF THISIS A TEMPOR Y ORDEROFPROTECTION ANDYOUFAIL TOAPPEARIN COURTWHENYOUAREREQUIREDTO DO SO,THISORDERMAYBEEXTENDE N YOUR·ABSENCE ANDTHEN CONTINUESINEFFECTUNTILA NEWDATESETBY THECOURT. O TEMPORARY ORDER OF PROTECTION eWhereasgood causehas beenshown for the issuanc f a temporary order of protection ORDER OF PROTECTION - Whereasdefendanthasbeenconvicted of[specify crimeor vior on]: PL 240.26 01 V Harassment-2nd:Physical Cntact, 1 count(s) of Viol And the Court having madea determination in accordancewith section 530.13 ofIhe Crimin ProcedureLaw, IT IS HEREBY ORDERED that the above-narOeddefendantDevin J Carpenter(DOB: 03/ 1991) observethe following conditions of behavior: Stay away from KENNETH GAROFOLO; the homeof KENNETH GAROFOLO; the school of KENNETH OAROFOLO; the businessof lRNNETH GAROFOLO; the placeof employment of KENNETH GAROFOLO; Refrain from communication or any other contact by mail, tele lone, e-mail, voice-mail or other electronic or any other meanswith KENNETH GAROFOLO; Refrain from assault,stalking, harassment,aggravatedhara sment,memicing, recklessendangerment,strangulation, criminal obstruction of breathing or circulation, disorderly conduc , criminal mischief, sexual abitse,sexual misconduct, forcible touching, intimidation, throats,identity theft, grand larceny, coer on or any criminal offenseagainstKENNETH OAROFOLO; ' IT IS FURTHER ORDERED that this order of protec n shall remain in force until and including 12/01/2018. DATED: 12/01/2016 Defendant advisedin Court of issuanceand · ntents of Order. onor ém O Order to be served by other means [spe fy]: 7 Warrant issuedfor Defendant Order personally servedon Defenda in Court tDefenda ssignature) ADDITIONAL SERVICE INFO ATION [specify] TheCriminalProcedure Lawprovidesth presentation of a copyof thisorderof pmtection to anypoliceofficerorpeaceofficeractingpursuant to hisorherspecialduties shallauthorize, andin somesituations m require,suchofficerto arresta defendant whohasviolateditstermsandto bringhimor herbeforetheCourttofacepenalties aulhorized by law. Federallawrequiresthatthisorderm behonored andenforecd by stateandtribalcourts,includingcourtsof astate,theDistrictof Columbia,a commonweahh, terrhoryor possession ortheUnitedStates, if the againstwhomtheorderis soughtisanintimatepartneroftheprotecEcd ponyamihasbeenorwill beafforded reasonable noticeand opportunity tobeheardinaccordance ithstatelawsufficienttoprotectthatperson's rights(18USC§§2265, 2266). It isa federalcrimeto: " crossstatelinestov'iolate thisor ortostalk,harass orconunitdomestic violenceagainstanintimate orfamilymember; partner - buy,possess a han un,rific, shotgunor otherfirearmor ammunition or transfer whilethisOrderremains ineffect(Note:thereis nlimitedexception for militaryor law enforcemem officersbutonlyw Intheyareonduty);and " buy,possess ah ortransfer dgun,rifle, shotgun o rotherf ireannor ammunitionafteraconviction o fadomesticviolence-relatedcrime involvingtheuse or attempteduseof physicalforceoradeadlywefponagainst anintimateparmeror familymember, evenafierthisOrderhasexpired. (18U.S.C§§922(g)(8), 922(g)(9), 2261,2261A, 22ti2). e.ca sumwi due teclamm r Imeeginy cPL &rEmL5221e[I)mMII(ILMItU).Unn CCs: KENNET 'GAROFOLO Poughke sie City Police Department FILED: DUTCHESS COUNTY CLERK 12/14/2023 10:47 AM INDEX NO. 2015-52210 NYSCEF DOC. NO. 126 RECEIVED NYSCEF: 12/14/2023 fr( \ ORI No: NY013021J Criminal Form 2 8/2010 Order No: 2016-000020 At a term of the Poughkeepsie ity Court, County of Dutchess, at the Courthouse at 62 Civic NYSID No: 08156924Q Center Plaza, Poughkeepsic,NY 12601,State of New York CJTN No: ORDEROFPROTECTION PRESENT: HonorableFrank M. Mora Non-Family Offense- C.P.L.530.131 (Norinvolvingvicthnsof domesticrialence) PEOPLE OF THE STATE OF NEW YORK - against - “_] Youthful Offender(checkif applicable) DEVIN J CARPENTER , Part:DV CaseNo.: 14-67875 Defendant Charges: PL 120.05DJ DF, 1 count(s) of D Fel, 1 count(s) of A Misd DOB. DefendantPresentin Court NOTICE: YOUR FAILURETO OBEYT@lIS ORDERMAY SUBJECTYOUTOMANDATORYARREST ANDCRIMINALPROSECUTION,W1II h MAY RESULTIN YOURINCARCERATION FORUPTOSEVENYEARSFORCONTEMPTOFCOURT.IF TIHSTSATEMPORARYORDEROFPR ' ECTION ANDYOUFAIL TO A PEARIN COURTWHENYOUAREREQUIREDTO DOSO,TlIIS ORDERMAYREEXTENDED IN YOURABSENCFANDTHEN CUNTINUES IN EFFECTUNTILA NEWDATESETBYTilE COURT. [M TEMPORARY ORDER OF PROTECTION - Whereasgood causehasbeenshownfor theissuanceof a temporaryord ·of protection [asa condition of: releaseon bail] ORDER OF PROTECTiON - Whereasdefendanthasbecnconvicted of[specify crime or violation]: And the Court having madea determinationin accordancewith section530.13of theCriminal ProcedureLaw, IT IS HEREHY ORDERED that the above-nameddefendantDEVIN J CARPENTER (DOB: 03/14/1991)obser e the following conditions of behavior: Stay away from KENNETH GAROFOLO: the hornc of KENNETll GAROFOLO; Iheschool of KENNETH GAROFOLO; the businessof KENNETH GAROFOLO; theplace of employmentofKENNETH GARQFOLOf Refrain from commumcanonor any other contact by mail, telephone,e-mail, voice-n ill.or otherclectronic or any other meanswith KENNETH GAROFOLO; IT IS FURTHER ORDERED fhat this order of protection shall remain in force u til and including 01/31/2017,but if Youfail to appear in court on this date, the order may be e.xtendedandcominue in effect umil a new da set by theCouri. 1)ATED: 0 lml/2016 l ÌDefendamadvisedin Court of issuanceand contentsof Order. HatforabÍë)rt Morn l..]Order to be scrYed by other means |specify|: Warrant issuedfor Defendant [ Order personally servedon Defendantin Court Defendancssig ure) ADDITIONAL SERVICE INFORMÄTION [specify]: TheCrhninalProcedure 1.awprovidesthatpre.iemation ofacopyof thisor crofprotection É anypoliceofficerorpeace officeractingpursuantlohisorherspecial duties shallmithorize. andin somesituations mayrequire,suchonicertoarresta lefendant whohasviologed itstennsandto bringhimor herbeforetheCountofacepenalties authorizedby law. FederniInwrequiresthatthisordermusibehonored andenlbreed bystai andtribalcoults.inctoding courtsofastate.gheDisgriel of Columbia. acommonweahh. Ierritorycr possessionof theUnitedSimes, if theperson againsiwhomtheorderiss shiisanimimate parmer oftheproiceledpartyandhasheenorwill beofforded reasonable noticeund oppolluIitytobeheardinaccotdance withstate lawsoilicienttoprolect ·uperson's rights(I8 USCsk22M,226M. It isafederalcrimeto: " er ssunelinestoviolatethisorderortosudk,harass oncommig donesticviolence against anintimagepariner or familymember; · huy.possess or transfera handgun, rifle,shoIpnorotherfireari orammunition whilethisOrder-remains in effect(Note:thereis alimitedexception for militaryoctow enforcemem oOicers butonlywhiletheyareonduty).and . huy.possessortransfera handgun. rifle,shote.unorotherlirear orammunition ailera convictionofadomestic violenec-rchned crimeinvolvingtheuseornuempted useof physienlforceora deadlyweapon againspin intimatepartnerorf· nily member. evenunerthisOrderhasexpired. (ISU.Sr. §§922(g)(3), 2261,2261A,2262). 922(g)(9), iøwd puunm so rwnwrg.w ú tw.4t ily,"| ..immOmume st ha.mAal 0mily owm'wa,.l.irmi,"i upward aamthemit2.ehow icr1"1lem eq|icy.SS FmL)rd ;ct 5%It{Q S¼lM|s,s3u.13 CCs: KENNETH GAROFOLO PoughkeepsieCily Police Department FILED: DUTCHESS COUNTY CLERK 12/14/2023 10:47 AM INDEX NO. 2015-52210 NYSCEF DOC. NO. 126 RECEIVED NYSCEF: 12/14/2023 Criminal Form 2 1/11 ORI No: NY013021J Order Poughkeepsie City Court, County of Dutchess No: 62 Civic Center Plaza, Poughkeepsie, NY 12601 NYSID No: CNN No- ORDER OF PROTECTION Present: Hon Katherine A. Moloney/Frank 530.13' M. Mora, Non-Fàmily Offense - C.P.L. (Not involving victims of.domestic violence) People of the State of New York O Youthful Offender (check if a plicable -against- Part_ Index/Docket No. Indictment if any· No., Charges /20. Of Defendant (Check one): O Ex parte Date of Birth: . , efendant Present in Court NOTICE: YOUR FAILURE TO OBEY THIS ORDER MAY SUBJECT YOU TO MANDATORY ARREST AND CRIMINAL PROSECUTION, MAY RESULT WHICH YEARS FOR IN YOUR INCARCERATION FOR UP TO SEVEN CONTEMPT OF COURT. IF THIS IS A TEMPORARY ORDER OF PROTECTION AND YOU FAIL TO APPEAR IN COURT WHEN YOU ARE REQUIRED TO DO SO, THIS ORDER MAY BE EXTENDED IN YOUR ABSENCE AND CONTINUE IN EFFECT UNTIL YOU REAPPEAR IN COURT. IPO R ORDER F PROTE . ereas good caus 1 e n sÎo for t e suance o a tempÎra order of protection [as a condition of O recognizance release on bail O adjournment in contemplation of dismissal], O ORDER OF PROTECTION. Whereas d dant has been convicted of [specify crime or violation]: And the Court having made a determination in accordance with section 530.13 of the Criminal Procedure Law, IT IS HEREBY ORDERED that the above-named defendant observe the following conditions of behavior: (Chee applicable paragraphs and subliaragraphs): Stay away from )('[name(s) of protected person(s) or witness(es)]: ha 4 V-5 O G and/or from the ome of school of usiness of place of employment of __ 4 O other ; · other electronic·or Refrain from communication or any other contact by mail, telephone, e-mail, voice-mail,o any other means with [specify protected person(s)]: Kehne5 . ÓaYD x0 O Refrain fi-om assault, stalking, harassment, aggravated harassment, menacing, reckless endangerment, disorderly conduct, criminal mischief, sexual abuse, sexual misconduct, forcible touching, intimidation, threats or any criminal offense or interference with the victim or victims of , or designated witnesses to, the alleged offense and such members of the family or household of such victim(s) or witness(es) as shall be specifically named [specify]: O Refrain from intentionally injuring or killing without justification the following companion animal(s) (pet(s))[specify type(s) and, if available, name(sy: O Surrender any and all handguns, shotguns and other fireanns owned or possessed, including, but not pistols, revolvers, rifles, other limited to, the following: __ and do not obtain any further guns or firearms. Such surrender shall take place immediately, but no later than [specify date/time] at· O Specify other conditions defendant must observe for the purposes of protection: ______ ff IS FURTHER ORDERED that the above-named Defendanes license to carry, possess, repair, sell or otherwise dispose of a firearm or firearms, if any, pursuant to Penal Law §400.00, is hereby suspended or O revoked (note: final order only), (Check all and/or the Defendant hsall remain ineligible to receive a firearm license uring the period of this order. applicab e boxes). NOTE: If this paragraph is checked, a copy of this form rhust be sent to : New York State Police, Pitol Permit Section, State Campus Building #22, 1220 Washington Avenue, Albany, New York 12226-2252. IT IS FURTHER ORDERED that this order of protection shall remain in effect until [specify date]: DATED: Judge Katherine A. nk M. Mora, City Court Defendant advised in Court of issuance and contents of Order. R EfS/