Preview
FILED: NASSAU COUNTY CLERK 11/26/2019 04:53 PM INDEX NO. 613533/2019
NYSCEF DOC. NO. 10 RECEIVED NYSCEF: 11/26/2019
uc5-840
REQUEST FOR JUDICIAL INTERVENTION ltev. oi /29/20791
SUPREME COURT, couNTY oF NASSAU
lndex No: 613533/2019 Date lndex lssued: 09/30/2079 For Court Use Only:
CAPTION Enter the complete case Do not use et al or et ano. lf more is needed, attach a caption rider sheet. IAS Entry Date
RAEL AUTOMATIC SPRINKLER COMPANY, INC.,
P la i ntiff(s)/Petitio n e r(s) Judge Assigned
-aga inst-
SLOW FOOD LLC,
RJI Filed Date
Defenda nt(s)/Respondent(s)
NATURE OF ACTION OR PROCEEDING Check only one box and specify where indicated.
COMMERICIAL MATRIMONIAT
o Business Entity (includes corporations, partnerships, LLCS, LLPS, etc.) O Contested
o Contract NOTE: lf there are children under the oge of 18, complete ond ottoch the
o lnsurance (where insurance company is a party, except arbitration) MATRI M O N IAL N I ADDE NDU M (U CS-840M ).
o UCC (includes sales and negotiable instruments) For Uncontested Motrimonial actions, use the Uncontested Divorce RJI (UD-73).
o Other Commercial (specify): TORTS
NOTE: For Commerciol Division ossignment requests pursuont to 22 NYCRR 202.70(d), o Asbestos
complete ond dttoch the COMMERCIAL DMSION RJI ADDENDUM (UCS-840C). o Child Victims Act
REAL PROPERfi Specify how many properties the application includes: o Environmental (specify)
O Condemnation o Medical, Dental or Podiatric Malpractice
Q Mortgage Foreclosure (specify): O Residential Q Commercial o Motor Vehicle
Property Address o Products Liability (specify)
NOTE: For Mortgoge Foreclosure octions involving o one to four-fomily, o Other Negligence (specify)
owner-occupied residential property or owner-occupied condominium, o Other Professional Malpractice (specify)
complete and attoch the FORECLOSURE Nl ADDENDUM (UCS-840F). o Other Tort (specify)
O Tax Certiorari SPECIAT PROCEFDINGS
O tax Foreclosure o CPLR Article 75 (Arbitration) lsee /VOff in COMMERCIAL section]
O other Real Property (specify): o CPLR Article 78 (Body or Officer)
OTHER MATTERS o Election Law
o Certificate of Incorporation/Dissolution lsee ArOIf in COMMERCIAL section] o Extreme Risk Protection Order
o Emergency Medical Treatment o MHL Article 9.60 (Kendra's Law)
o Habeas Corpus o MHL Article 10 (Sex Offender Confinement-lnitial)
o Local Court Appeal o MHL Article 10 (Sex Offender Confinement-Review)
o Mechanic's Lien o MHL Article 81 (Guardianship)
o Name Change o Other Mental Hygiene (specify):
o Pistol Permit Revocation Hearing o Othcr Spccial Procccding (spccify)
o Sale or Finance of Religious/Not-for-Profit Property
o Other (specify):
Answer YES or NO for
YES NO
Has a summons and complaint or summons with notice been filed? o o lf yes, date filed: os/30/201,9
Has a summons and complaint or summons with notice been served? o o lf yes, date served: ---rclilme-
ls this action/proceeding being filed post-judgment? o o lf yes, judgment date:
NTION Check one box and enter
o lnfant's Compromise
o Extreme Risk Protection Order Application
o Note of lssue/Certificate of Readiness
o Notice of Medical, Dental or Podiatric Malpractice Date Issue loined
o Notice of Motion Relief Requested: Default Judgment Return Date: 1,2120/20ts
o Notice of Petition Relief Requested: Return Date:
o Order to Show Cause Relief Requested: Return Date:
o Other Ex Parte Application Relief Requested:
o Poor Person Application
o Request for Preliminary Conference
o Residential Mortgage Foreclosure Settlement Conference
o Writ of Habeas Corpus
o Other (specify):
1 of 2
FILED: NASSAU COUNTY CLERK 11/26/2019 04:53 PM INDEX NO. 613533/2019
NYSCEF DOC. NO. 10 RECEIVED NYSCEF: 11/26/2019
RELATED CASES Listanyrelatedactions. ForMatrimonial cases, listanyrelatedcrirninal orFamilyCourtcases. lfnone, leaveblank.
lf additional space is required, complete and attach the RJIADDENDUM (UCS-840A).
Case Title lndex/Case Number Court ludge {if assigned} Relationship to instant case
For parties without an attorney, check the "Un-Rep" box and enter the party's phone number and email in the space provided.
rf ls and the RJI
Un- Parties Attorneys and Unrepresented Litigants lssue Joined lnsurance Carriers
Rep List parties in same order as 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.9., plaintiff, email. For unrepresented partiet provide party's address, phone and email. indicate if issue has indicate insurance
defendant, 3'd party plaintiff, etc.) been ioined. carrier, if apolicable.
Name Rael Automatic Sprinkler Company, lnc.
George W. Peters, Esq., Schneider Buchel LLP, 666 Old Country Road, Suite 412, Garden
Role(s):
City, New York 11530, (516) 393-5555, gpeters@schneiderbuchel.com
OYES ONO
Plaintiff
Name:
Slow Food LLC
Role(s): 185 Greenwich Street, Store 2465, New York, New York 10007 oYES oNo
Defendant
Name:
n Role(s): OYES ONO
! Name:
Role(s) oYES oNo
! Name:
Role(s) oves oNo
!
Name:
Role(s) O vEs O rito
! Name:
Role(s) OYES ONO
Name
Role(s): OYES ONO
Name:
Role(s): ovrs oNo
I Name:
Role(s): oYES oNo
! Name:
Role(s): oYEs o No
l Name:
Role(s): oYEs oNo
! Name:
Role(s) OYES O NO
!
Name:
Role(s) OYES ONO
Name:
n e (s)
oYES ONo
I AFFIRM UNDER THE PENATTY OF PERJURYTHAT, UPON INFORMATION AND BELIEF, THERE ARE NO OTHER RELATED ACTIONS OR PROCEEDINGS,
EXCEPT AS NOTED ABOVE, NOR HAS A REQUEST FOR JUDTCTAL TNTERVENTTON B/EEI pREVTOUS/,y'"\ED ry'rnrS ACTTON oR PROCEEDtNG.
Dated: r7/26/201.s Xhl \*U-
Signatu re
5651872 George W. Peters
Attorney Registration N umber Print Name
2 of 2
Preview
FILED: NASSAU COUNTY CLERK 11/26/2019 04:53 PM INDEX NO. 613533/2019 NYSCEF DOC. NO. 10 RECEIVED NYSCEF: 11/26/2019 uc5-840 REQUEST FOR JUDICIAL INTERVENTION ltev. oi /29/20791 SUPREME COURT, couNTY oF NASSAU lndex No: 613533/2019 Date lndex lssued: 09/30/2079 For Court Use Only: CAPTION Enter the complete case Do not use et al or et ano. lf more is needed, attach a caption rider sheet. IAS Entry Date RAEL AUTOMATIC SPRINKLER COMPANY, INC., P la i ntiff(s)/Petitio n e r(s) Judge Assigned -aga inst- SLOW FOOD LLC, RJI Filed Date Defenda nt(s)/Respondent(s) NATURE OF ACTION OR PROCEEDING Check only one box and specify where indicated. COMMERICIAL MATRIMONIAT o Business Entity (includes corporations, partnerships, LLCS, LLPS, etc.) O Contested o Contract NOTE: lf there are children under the oge of 18, complete ond ottoch the o lnsurance (where insurance company is a party, except arbitration) MATRI M O N IAL N I ADDE NDU M (U CS-840M ). o UCC (includes sales and negotiable instruments) For Uncontested Motrimonial actions, use the Uncontested Divorce RJI (UD-73). o Other Commercial (specify): TORTS NOTE: For Commerciol Division ossignment requests pursuont to 22 NYCRR 202.70(d), o Asbestos complete ond dttoch the COMMERCIAL DMSION RJI ADDENDUM (UCS-840C). o Child Victims Act REAL PROPERfi Specify how many properties the application includes: o Environmental (specify) O Condemnation o Medical, Dental or Podiatric Malpractice Q Mortgage Foreclosure (specify): O Residential Q Commercial o Motor Vehicle Property Address o Products Liability (specify) NOTE: For Mortgoge Foreclosure octions involving o one to four-fomily, o Other Negligence (specify) owner-occupied residential property or owner-occupied condominium, o Other Professional Malpractice (specify) complete and attoch the FORECLOSURE Nl ADDENDUM (UCS-840F). o Other Tort (specify) O Tax Certiorari SPECIAT PROCEFDINGS O tax Foreclosure o CPLR Article 75 (Arbitration) lsee /VOff in COMMERCIAL section] O other Real Property (specify): o CPLR Article 78 (Body or Officer) OTHER MATTERS o Election Law o Certificate of Incorporation/Dissolution lsee ArOIf in COMMERCIAL section] o Extreme Risk Protection Order o Emergency Medical Treatment o MHL Article 9.60 (Kendra's Law) o Habeas Corpus o MHL Article 10 (Sex Offender Confinement-lnitial) o Local Court Appeal o MHL Article 10 (Sex Offender Confinement-Review) o Mechanic's Lien o MHL Article 81 (Guardianship) o Name Change o Other Mental Hygiene (specify): o Pistol Permit Revocation Hearing o Othcr Spccial Procccding (spccify) o Sale or Finance of Religious/Not-for-Profit Property o Other (specify): Answer YES or NO for YES NO Has a summons and complaint or summons with notice been filed? o o lf yes, date filed: os/30/201,9 Has a summons and complaint or summons with notice been served? o o lf yes, date served: ---rclilme- ls this action/proceeding being filed post-judgment? o o lf yes, judgment date: NTION Check one box and enter o lnfant's Compromise o Extreme Risk Protection Order Application o Note of lssue/Certificate of Readiness o Notice of Medical, Dental or Podiatric Malpractice Date Issue loined o Notice of Motion Relief Requested: Default Judgment Return Date: 1,2120/20ts o Notice of Petition Relief Requested: Return Date: o Order to Show Cause Relief Requested: Return Date: o Other Ex Parte Application Relief Requested: o Poor Person Application o Request for Preliminary Conference o Residential Mortgage Foreclosure Settlement Conference o Writ of Habeas Corpus o Other (specify): 1 of 2 FILED: NASSAU COUNTY CLERK 11/26/2019 04:53 PM INDEX NO. 613533/2019 NYSCEF DOC. NO. 10 RECEIVED NYSCEF: 11/26/2019 RELATED CASES Listanyrelatedactions. ForMatrimonial cases, listanyrelatedcrirninal orFamilyCourtcases. lfnone, leaveblank. lf additional space is required, complete and attach the RJIADDENDUM (UCS-840A). Case Title lndex/Case Number Court ludge {if assigned} Relationship to instant case For parties without an attorney, check the "Un-Rep" box and enter the party's phone number and email in the space provided. rf ls and the RJI Un- Parties Attorneys and Unrepresented Litigants lssue Joined lnsurance Carriers Rep List parties in same order as 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.9., plaintiff, email. For unrepresented partiet provide party's address, phone and email. indicate if issue has indicate insurance defendant, 3'd party plaintiff, etc.) been ioined. carrier, if apolicable. Name Rael Automatic Sprinkler Company, lnc. George W. Peters, Esq., Schneider Buchel LLP, 666 Old Country Road, Suite 412, Garden Role(s): City, New York 11530, (516) 393-5555, gpeters@schneiderbuchel.com OYES ONO Plaintiff Name: Slow Food LLC Role(s): 185 Greenwich Street, Store 2465, New York, New York 10007 oYES oNo Defendant Name: n Role(s): OYES ONO ! Name: Role(s) oYES oNo ! Name: Role(s) oves oNo ! Name: Role(s) O vEs O rito ! Name: Role(s) OYES ONO Name Role(s): OYES ONO Name: Role(s): ovrs oNo I Name: Role(s): oYES oNo ! Name: Role(s): oYEs o No l Name: Role(s): oYEs oNo ! Name: Role(s) OYES O NO ! Name: Role(s) OYES ONO Name: n e (s) oYES ONo I AFFIRM UNDER THE PENATTY OF PERJURYTHAT, UPON INFORMATION AND BELIEF, THERE ARE NO OTHER RELATED ACTIONS OR PROCEEDINGS, EXCEPT AS NOTED ABOVE, NOR HAS A REQUEST FOR JUDTCTAL TNTERVENTTON B/EEI pREVTOUS/,y'"\ED ry'rnrS ACTTON oR PROCEEDtNG. Dated: r7/26/201.s Xhl \*U- Signatu re 5651872 George W. Peters Attorney Registration N umber Print Name 2 of 2