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FILED: NASSAU COUNTY CLERK 12/20/2019 03:22 PM INDEX NO. 617805/2019
NYSCEF DOC. NO. 2 RECEIVED NYSCEF: 12/20/2019
REQUEST FOR JUDICIAL INTERVENTION 58,4,°g1,)
Nassau Supreme COURT, COUNTY OF Nassau
Index No: Date Index Issued: For Court Use Only:
IAS EntryDate
Long IslandCity Partners, LLC
Judge Assigned
-against- Plaintiff(s)/Petitioner(s)
EliIdi,Vetiver Hotel Managêiriêrit,Inc.
RJIFiled Date
Defendrt)."::por.dent(s)
COMMERCIAL MATRIMONIAL
O Contested
BusinessEntity (includes corporations, partnerships, LLCs,LLPs,etc.)
NOTE: If there are children under the age of 18, complete and attach the
Contract MATRIMONDALRJRAddendum (UCS-840M).
O Insurance(where insurance company is a party, except =±!tet!en) . . .
For UncontestedMatamamal actions, use the UncontestedDivorce RJi(UD-13).
O UCC(includes sales and negotiable instruments)
O Other Co==e.t:al
(specify):
TORTS
NOTE: For CommercialDivision assignment requests pursuant to 22 NYCRR202.70(d),
complete and attach the COMMERCIALDEVISIONRJRADDENDUM (UCS-840C). Asbestos
O Child Victims Act
REAL PROPERTY: Specify how many properties the application includes: Environmental (specify):
O Condemnation Medical,Dental, or Podiatric Malpractice
O O nacidential
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, complete and
O Other ProfessionalMalpractice (specify):
attach the FORECLOSURERJRADDENDUM (UCS-840F). Other Tort (specify):
O
Tax Certiorari - Section: Block: Lot:
Tax Foreclosure SPECIAL PROCEEDINGS
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 incorporation/D|::c:ution
[see NOTE in COMMERCIALsection] Extreme Risk ProtectionOrder
O Emergency MedicalTreatment MHLArticle 9.60 (Kendra's Law)
O HabeasCorpus O MHLArticle 10 (Sex Offender Confinement-Initial)
O LocalCourt Appeal MHLArticle 10 (Sex Offender Confinement-Review)
O Mechanic'sLien MHLArticle 81 (Guardianship)
O NameChange O Other Mental Hygiene (specify):
Pistol Permit Revocation Hearing O Other Special Proceeding(specify):
O Saleor Financeof Religious/Not-for-ProfitProperty
O Other (specify):
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 If yes, date filed:
Hasa summons and complaint or summonswith notice been served? O If yes, date served:
Is this action/proceeding being filed peejudgment? O If yes, judgment date:
NATURE OF JUDICIAL INTERVENTION: Checkone box only and enter additional !nfomet!on where indicated.
O Infant's Compromise
O Extreme Risk ProtectionOrder Application
O Note of Issue/Certificateof Readiness
O Date Issuejoined:
Notice of Medical, Dental, or Podiatric Malpractice
Notice of Motion Relief Requested: Return Date:
O
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
TROand Prelim Injunction
Other (specify):
1 of 2
FILED: NASSAU COUNTY CLERK 12/20/2019 03:22 PM INDEX NO. 617805/2019
RELATED CASES: actions.
List any related For Matrimonial
cases, list any
relatedcriminalor Family
Court cases.If none,
leaveblank.If additional
space
NYSCEF DOC. NO. 2 is required,
complete and attachtheRJI Addendum (UCS-840A). RECEIVED NYSCEF: 12/20/2019
Case Title Index/Case Number Court Judge (ifassigned) Relationship to instantcase
For parties
withoutan attorney,
check the "Un-Rep"box and entertheparty's phone number and email in the
space
PARTIES: address,
provided.If additional
spaceis required,
complete and attach
the RJI Addendum (UCS-840A).
Un- Parties Attorneys and/or Unrepresented Litigants Issue Joined Insurance Carriers
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: Long Island City Partners, LLCJONATHANGOIDEL,Goidel & Siegel, LLP,56 West 45th Street , New York, NY
10036, (212) 840-3737, jgoidel@goidelandsiegel.com O YES 2 NO
Role(s):Plaintiff/Petitioner
Name: Idi, Eli jonathan Goldel, Goldel & Siegel, LLP,56 west 45th street, 3r floor, new york,
NY 10036, 2128403737, jgoidel@goidelandsiegel.com O YES O NO
Role(s):Defendant/Respondent
Name:Vetiver Hotel Management, Inc· 29-11 39th Avenue, Queens, NY 11101
O YES O NO
Role(s):Defendant/Respondent
Name:
0 YES 0 NO
Role(s):
Name:
O YES O NO
Role(s):
Name:
O YES O NO
Role(s):
Name:
0 YES 0 NO
Role(s):
Name:
O YES O NO
Role(s):
Name:
O YES O NO
Role(s):
Name:
0 YES 0 NO
Role(s):
Name:
O YES O NO
Role(s):
Name:
O YES O NO
Role(s):
Name:
0 YES 0 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 FORJUDICIAL INTERVENTION BEEN PREVIOUSLY FILED INTHIS
ACTION OR PROCEEDING.
Dated: 12/20/2019 JONATHAN M. GOIDEL
Signature
2093326 JONATHAN M. GOIDEL
Attorney Registration Number PrintName
This form was generated by NYSCEF
2 of 2
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FILED: NASSAU COUNTY CLERK 12/20/2019 03:22 PM INDEX NO. 617805/2019 NYSCEF DOC. NO. 2 RECEIVED NYSCEF: 12/20/2019 REQUEST FOR JUDICIAL INTERVENTION 58,4,°g1,) Nassau Supreme COURT, COUNTY OF Nassau Index No: Date Index Issued: For Court Use Only: IAS EntryDate Long IslandCity Partners, LLC Judge Assigned -against- Plaintiff(s)/Petitioner(s) EliIdi,Vetiver Hotel Managêiriêrit,Inc. RJIFiled Date Defendrt)."::por.dent(s) COMMERCIAL MATRIMONIAL O Contested BusinessEntity (includes corporations, partnerships, LLCs,LLPs,etc.) NOTE: If there are children under the age of 18, complete and attach the Contract MATRIMONDALRJRAddendum (UCS-840M). O Insurance(where insurance company is a party, except =±!tet!en) . . . For UncontestedMatamamal actions, use the UncontestedDivorce RJi(UD-13). O UCC(includes sales and negotiable instruments) O Other Co==e.t:al (specify): TORTS NOTE: For CommercialDivision assignment requests pursuant to 22 NYCRR202.70(d), complete and attach the COMMERCIALDEVISIONRJRADDENDUM (UCS-840C). Asbestos O Child Victims Act REAL PROPERTY: Specify how many properties the application includes: Environmental (specify): O Condemnation Medical,Dental, or Podiatric Malpractice O O nacidential 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, complete and O Other ProfessionalMalpractice (specify): attach the FORECLOSURERJRADDENDUM (UCS-840F). Other Tort (specify): O Tax Certiorari - Section: Block: Lot: Tax Foreclosure SPECIAL PROCEEDINGS 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 incorporation/D|::c:ution [see NOTE in COMMERCIALsection] Extreme Risk ProtectionOrder O Emergency MedicalTreatment MHLArticle 9.60 (Kendra's Law) O HabeasCorpus O MHLArticle 10 (Sex Offender Confinement-Initial) O LocalCourt Appeal MHLArticle 10 (Sex Offender Confinement-Review) O Mechanic'sLien MHLArticle 81 (Guardianship) O NameChange O Other Mental Hygiene (specify): Pistol Permit Revocation Hearing O Other Special Proceeding(specify): O Saleor Financeof Religious/Not-for-ProfitProperty O Other (specify): 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 If yes, date filed: Hasa summons and complaint or summonswith notice been served? O If yes, date served: Is this action/proceeding being filed peejudgment? O If yes, judgment date: NATURE OF JUDICIAL INTERVENTION: Checkone box only and enter additional !nfomet!on where indicated. O Infant's Compromise O Extreme Risk ProtectionOrder Application O Note of Issue/Certificateof Readiness O Date Issuejoined: Notice of Medical, Dental, or Podiatric Malpractice Notice of Motion Relief Requested: Return Date: O 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 TROand Prelim Injunction Other (specify): 1 of 2 FILED: NASSAU COUNTY CLERK 12/20/2019 03:22 PM INDEX NO. 617805/2019 RELATED CASES: actions. List any related For Matrimonial cases, list any relatedcriminalor Family Court cases.If none, leaveblank.If additional space NYSCEF DOC. NO. 2 is required, complete and attachtheRJI Addendum (UCS-840A). RECEIVED NYSCEF: 12/20/2019 Case Title Index/Case Number Court Judge (ifassigned) Relationship to instantcase For parties withoutan attorney, check the "Un-Rep"box and entertheparty's phone number and email in the space PARTIES: address, provided.If additional spaceis required, complete and attach the RJI Addendum (UCS-840A). Un- Parties Attorneys and/or Unrepresented Litigants Issue Joined Insurance Carriers 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: Long Island City Partners, LLCJONATHANGOIDEL,Goidel & Siegel, LLP,56 West 45th Street , New York, NY 10036, (212) 840-3737, jgoidel@goidelandsiegel.com O YES 2 NO Role(s):Plaintiff/Petitioner Name: Idi, Eli jonathan Goldel, Goldel & Siegel, LLP,56 west 45th street, 3r floor, new york, NY 10036, 2128403737, jgoidel@goidelandsiegel.com O YES O NO Role(s):Defendant/Respondent Name:Vetiver Hotel Management, Inc· 29-11 39th Avenue, Queens, NY 11101 O YES O NO Role(s):Defendant/Respondent Name: 0 YES 0 NO Role(s): Name: O YES O NO Role(s): Name: O YES O NO Role(s): Name: 0 YES 0 NO Role(s): Name: O YES O NO Role(s): Name: O YES O NO Role(s): Name: 0 YES 0 NO Role(s): Name: O YES O NO Role(s): Name: O YES O NO Role(s): Name: 0 YES 0 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 FORJUDICIAL INTERVENTION BEEN PREVIOUSLY FILED INTHIS ACTION OR PROCEEDING. Dated: 12/20/2019 JONATHAN M. GOIDEL Signature 2093326 JONATHAN M. GOIDEL Attorney Registration Number PrintName This form was generated by NYSCEF 2 of 2