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FILED: NEW YORK COUNTY CLERK 07/28/2020 11:47 AM INDEX NO. 152176/2020
NYSCEF DOC. NO. 9 RECEIVED NYSCEF: 07/28/2020
58,4g°
REQUEST FOR JUDICIAL INTERVENTION ,)
New York Supreme COURT, COUNTY OF New York
Index No: 152176/2020 Date Index Issued: 02/28/2020 For Court Use Only:
IAS EntryDate
.:-'
DAMIAN SKIBA |.. a||yand on behalf ofallother persons similarlys:tered who were employed by KRANG
GROUP, INC.and AFL GENERAL CONSTRUCTION, INC., along with other entitiese"!!!2tedor by.
cGiiti-G||êd KRANG
GROUP, INC.and AFL GENERAL CONSTRUCTION, INC. with respect to certainPublic Wo... Judge Assigned
-against- Plaintiff(s)factitionã(s)
AFL GENERAL CONSTRUCTION, INC.,KRANG GROUP, INC.
RJIFiled Date
Defendant(s)/Respondent(s)
COMMERCIAL MATRIMONIAL
O Contested
O BusinessEntity (includes corporations, partnerships, LLCs,LLPs,etc.)
NOTE: if there are children under the age of 18, complete and attach the
O Contract MATR1MONDALRJRAddendum (UCS-84OM).
O Insurance(where insurance company is a party, except arbitration)
For UncontestedMatn'moniaiactions, use the UncontestedDivorce 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 COMMERCRALDEV151ON
RJRADDENDUM (UCS-84OC). O Asbestos
O Child Victims Act
REAL PROPERTY: Specify how many properties the application includes: .
--..--m .
(specify):
O Condemnation O Medical,Dental, or Podiatric Malpractice
O O itesideniioi
Mortgage Foreclosure(specify): O Commercial O Motor Vehicle
Property Address: O Products Liability (specify):
O Other Negligence(specify):
NOTE: For Mortgage Foreclosureactions involving a one to four-family, owner-
occupied residential property or owner-occupiedcondominium, compiete and
O Other ProfessionalMalpractice (specify):
attach the FORECLOSURERJRADDENDUM (UCS-84OF). Other Tort (specify):
O
O Tax Certiorari - Section: Block: Lot:
Tax Foreclosure SPECIAL PROCEEDINGS
O
Other Real Property (specify): O CPLRArticle 75 (Arbitration)
[see NOTE in COMMERCIALsection]
O
O CPLRArticle 78 (Body or Officer)
OTHER MATTERS
O Election Law
O Certificate of Incorporatior./D|::::st|:n
[see NOTE in COMMERCIALsection] O 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 O MHLArticle 10 (Sex Offender Ceasaamaat-Review)
O Mechanic'sLien O MHLArticle 81 (9-rd!anship)
O NameChange O Other Mental Hygiene (specify):
O Pistol Permit Revocation Hearing O Other Special Proceeding(specify):
O Saleor Financeof Religious/Not-for-ProfitProperty
Other (specify): Contract - Other
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 02S°S020
If yes, date filed:
Hasa summons and complaint or summonswith notice been served? O 03/03R020
If yes, date served:
Is this action/proceeding being filed post-judgment? If yes, judgment date:
NATURE OF JUDICIAL INTERVENTION: Checkone box only and enter additional info=2tion
where indicated.
O Infant's Compromise
O Extreme Risk ProtectionOrder App!!cat!en
O Note of Issue/Certificateof Readiness
O Date Issuejoined:
Notice of Medical, Dental, or Podiatric Malpractice
ludgment - Default
Relief Requested: Return Date:08/07R020
Notice of Motion
Notice of Petition Relief Requested: Return Date:
O
Order to ShowCause Relief Requested: Return Date:
O
Other Ex ParteApplication Relief Requested:
O
O PoorPersonApplication
O Requestfor Preliminary Conference
O ResidentialMortgage ForeclosureSettlement Conference
O Writ of HabeasCorpus
O Other (specify):
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FILED: NEW YORK COUNTY CLERK 07/28/2020 11:47 AM INDEX NO. 152176/2020
NYSCEF DOC. NO. 9 RECEIVED NYSCEF: 07/28/2020
RELATED CASES: List any related
actions.For Matrimonial
cases,list any
relatedcriminal
or FamilyCourtcases.If none,
leave blank.If additional
space
is required,
complete and attachthe RJI Addendum (UCS-840A).
Case Title Index/Case Number Court Judge (ifassigned) Relationship to instantcase
For parties
withoutan attorney,
check the"Un-Rep" box and enter
the party's phone number and emailin thespace
PARTIES: address,
provided.If additional
space is required,
completeand attachthe RJI Addendum (UCS-840A).
Un- Parties | Attorneys and/or Unrepresented Litigants Issue Joined | Insurance
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; 3rdparty plaintiff, etC.) email. beenjoined. carrier, if applicable.
Name: DAMIAN SKIBA individually LLOYD AMBINDER, Virginia& Ambinder, LLP, 40 Broad
and on behalfof allother persons Street 7th Floor,New York, NY 10004, 212-943-9080,
s... lambinder@vandallp.com E YES O NO
Role(s):Plaintiff/Petitioner
Name: PAWEL POLIWKA LLOYD AMBINDER, Virginia& Ambinder, LLP, 40 Broad
individuallyand on behalfof all Street 7th Floor,New York, NY 10004, 212-943-9080,
other persons ··· lambinder@vandallp.com E YES O NO
Role(s):Plaintiff/Petitioner
Name: AFL GENERAL 36 Commerce Drive, Farmingdale, NY 11735
CONSTRUCTION, INC.
O YES E NO
Role(s):Defendant/Respondent
Name: KRANG GROUP, INC· 1073 Ovington Ave., Apt 2f,Brooklyn, NY 11219
O YES E NO
Role(s):Defendant/Respondent
Name:
O YES O NO
Role(s):
Name:
O YES O NO
Role(s):
Name:
O YES O NO
Role(s):
Name:
O YES O NO
Role(s):
Name:
O YES O NO
Role(s):
Name:
O YES O 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 INTHIS
ACTION OR PROCEEDING.
Dated: 07/28/2020 LLOYD R AMBINDER
Signature
2301950 LLOYD R AMBINDER
Attorney Registration Number PrintName
This form was generated by NYSCEF
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FILED: NEW YORK COUNTY CLERK 07/28/2020 11:47 AM INDEX NO. 152176/2020
Caption
NYSCEF Rider
DOC. Sheet9
NO. RECEIVED NYSCEF: 07/28/2020
DAMIAN SKIBA and
individually on behalf ofallother persons similarlysituated who were employed by KRANG GROUP, INC. and AFL
GENERAL CONSTRUCTION, INC., along withother entities or
affiliated controlled by. KRANG GROUP, INC. and AFL GENERAL
CONSTRUCTION, INC. withrespect to certainPublic Works Projects awarded by THE CITY OF NEW YORK and THE STATE OF NEW
YORK, PAWEL POLIWKA individuallyand on behalf ofallother persons situated
similarly who were employed by KRANG GROUP, INC.
and AFL GENERAL CONSTRUCTION, INC., along withother entities or
affiliated controlledby. KRANG GROUP, INC. and AFL
GENERAL CONSTRUCTION, INC. with respect tocertain PublicWorks Projects awarded by THE CITY OF NEW YORK and THE
STATE OF NEW YORK
Plaintiff(s)/Petitioner(s)
VS.
Defendant(s)/Respondent(s)
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