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INDEX NO. 603466/2023
NYSC, sah 300. NO. 21 RECEIVED NYSCE F :uc949 31/2024
REQUEST FOR JUDICIAL INTERVENTION rev. 07/29/2019)
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') SUPREME COURT, COUNTY OF NASSAU
Index No: 603466/2023 Date Index Issued: 02/28/2023 For Court Use Only:
[GAPTION _Entarthe complete case Caption! Do not use et al or et anol if more space ls needed) attach a caption idersheet IAS Entry Date
ZINA DVORKINA,
Plaintiff(s)/Petitioner(s) Judge Assigned
-against-
1610 REALTY HOLDINGS LLC AND FANDOQ RESTAURANT,
Rl Filed Date
Defendant(s)/Respondent(s)
NATURE OF ACTION OR PROCEEDING Check only one box and specify where indicated.
ICOMMERICIAL MATRIMONIAL
'O Business Entity (includes corporations, partnerships, LLCs, LLPs, etc.) 'O Contested
O Contract NOTE: If there are children under the age of 18, complete and attach the
Oo Insurance (where insurance company is a party, except arbitration) MATRIMONIAL Ril ADDENDUM (UCS-840M).
OQ UCC (includes sales and negotiable instruments) For Uncontested Matrimonial actions, use the Uncontested Divorce RJl (UD-13).
'O Other Commercial (specify): [TORTS
NOTE: For Commercial Division assignment requests pursuant to 22 NYCRR 202.70(d), Asbestos
complete and attach the COMMERCIAL DIVISION RJI ADDENDUM (UCS-840C). Child Victims Act
REAL PROPERTY Specify how many properties the application includes: Environmental (specify):
Oo Condemnation Medical, Dental or Podiatric Malpractice
Oo Mortgage Foreclosure (specify): O Residential O commercial Motor Vehicle
Property Address: Products Liability (specify):
NOTE: For Mortgage Foreclosure actions involving a one to four-family, Other Negligence (specify): Premises
owner-occupied residential property or owner-occupied condominium, Other Professional Malpractice (specify):
complete and attach the FORECLOSURE RJI ADDENDUM (UCS-840F). Other Tort (specify):
Oo Tax Certiorari SPECIAL PROCEEDINGS
Oo Tax Foreclosure CPLR Article 75 (Arbitration) [see NOTEin COMMERCIAL section}
iO Other Real Property (specify): CPLR Article 78 (Body or Officer)
OTHER MATTERS Election Law
Certificate of Incorporation/Dissolution [see NOTE in COMMERCIAL section} Extreme Risk Protective Order
Emergency Medical Treatment MHL Article 9.60 (Kendra’s Law)
Habeas Corpus MHL Article 10 (Sex Offender Confinement-Initial)
Local Court Appeal MHL Article 10 (Sex Offender Confinement-Review)
Mechanic's Lien MHL Article 81 (Guardianship)
Name Change Other Mental Hygiene (specify):
Pistol Permit Revocation Hearing Other Special Proceeding (specify):
Sale or Finance of Religious/Not-for-Profit Property
Other (specify):
STATUS OF ACTION OR PROCEEDING Answer YES or NO for every question and enter additional information where indicated.
YES NO
Has a summons and complaint or summons with notice been filed? ® O° If yes, date filed: 02/28/2023
Has a summons and complaint or summons with notice been served? © ° If yes, date served: 03/08/2023
Is this action/proceeding being filed post-judgment? O° ® If yes, judgment dat
NATURE OF JUDICIAL INTERVENTION Check one box only and enter additional information where indicated.
Infant's Compromise
Extreme Risk Protective Order Application
Note of Issue/Certificate of Readiness
Notice of Medical, Dental or Podiatric Malpractice Date Issue Joined
Notice of Motion Relief Requested: AMEND CAPTION/ PLEADINGS Return Date: 02/27/2024
Notice of Petition Relief Requested: Return Date:
Order to Show Cause Relief Requested: Return Date:
Other Ex Parte Application Relief Requested:
Poor Person Application
Request for Preliminary Conference
Residential Mortgage Foreclosure Settlement Conference
Writ of Habeas Corpus
Other (specify):
1 of
iD: NA AU OUN PK DM INDEX NO. 603466/2023
NREGEED Das NOList@ily related actions. For Matrimonial cases, list any related crimin: al or Family Court cases REGdmEVIEDveNGSCEF: 01/31/2024
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).
Un- Parties [Attorneys and Unrepresented Litigants Issue Joined Insurance Carriers
Rep |List parties in same orderas listed in the For represented parties, provide attorney's name, firm name, address, phone and For each defendant, For each defendant,
caption and indicate roles (e.g., plaintiff, lemail. For unrepresented parties, provide party’s address, phone and email. indicate if issue has indicate insurance
defendant, 3” party plaintiff, etc.) been joined. carrier, if applicable.
Name: ZINA DVORKINA RCD. SUBI, £50.
O Role(s): Plaintiff
SUBIN ASSOCIATES LP
150 Groacway, 23rd lr, New York, New York 1003; Phone: (212) 25-3800 O YES ONo
Name: FANDOQ RESTAURANT JOSHUA R. HOFF A, 59
O Role(s): Defendant
HOFFMAN ROTH 6 MATUN, UP
'505 Gghth Avenue, Site 101, New York, New York 1001; Tel: 212) 964-2690 @ YES Ono
Name:
OVYES Ono
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| 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: 01/31/2024 Stinen Mannancan
Signature
5567169 SIMON HANNANIAN, ESQ.
Attorney Registration Number Print Name
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