Preview
FILED: NEW YORK COUNTY CLERK 08/12/2021 12:32 PM INDEX NO. 951296/2021
NYSCEF DOC. NO. 4 RECEIVED NYSCEF: 08/12/2021
RE Q UEST F ORJ U DI CIAL I NTE R VE N TI O N U C S -8 4 0
(r e v. 0 7/ 2 9 / 2 0 1 9)
_SUPREME
S_ U_P_ R_E_ _M _E _ _ _ _ _ _ _
C O U R T,
C O U NTYOF _NEW
N_E_ _W _ YYORK
_ O_ R_ K_ _ _ _ _ _ _
I n d ex
N o:_ _ _ _ _ _ _ _ _ _ __ _ _ _
D at e I n d e x Iss u e d:
____ ___________ F or C o urtUs e O nl y:
C A P TI O N E nt er t h e c o
m pl et e c as e c a pti o n.
Do n ot
us e et al
or et a n o. If
m or e s p a c e is
n e e d e d, att a c h a c a pti o n ri d er s h e et.
I A S E ntr y
D at e
JOHN
J OH N DDOE,
O E,
Pl ai ntiff(s)/ P etiti o n er(s)
J u dge
Assi g n e d
-a g ai nst -
ARCHDIOCESE
A R C H DIO CESE OOF
F NNEW
E W YYORK,
O R K,HHOLY
OL Y CCHILD
HI L D
CHURCH,
CH U R C H,HHOLY
OL Y CCHILD
HI L DSSCHOOL
CH O OL OOF
F RRELIGION
E LI GIO N aand
nd MMORGAN
OR GA N KKUHL,
U H L, RJI Fil e d
D at e
D ef e n d a nt(s)/ R es p o n d e nt(s)
N AT U RE
OF A C TI O N
OR P R O C E E DI N G
C h ec k
o nl y
o n e b o x a n d s p e cif y
w h er e i n di c at e d.
CO M M E RI CI A L M A T RI
MON I AL
B usi n ess E ntit y (i n cl u d es c or p or ati o n s, p art n ers hi ps, L L Cs, L L Ps, et c.)
C o nt est e d
C o ntr a ct N O T E:
If t h er e ar e c hil dr e n u n d er t h e a g e of 1 8, c o m pl et e a n d att a c h t h e
I ns ur a n c e ( w h er e i n s ura n c e c o m p a n y is a p art y, e x c e pt ar bitr ati o n)
M A T RI
M O NI A L RJI
A D DE N D U
M ( U C S-8 4 0
M) .
U C C (i n cl u d es s al es a n d n e g oti a bl e i n str u m e nts) F orU n c o nt est e d
M atri m o ni a l a cti o ns, us e t h e U n c o nt est e d
Di v or c e
RJI (U D -1 3 ).
Ot h er C o m
m er ci al (s p e cif y): _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
T O RTS
N O T E:
F or C o m m er ci al
Di visi o n assi g n m e nt r e q u ests p u rs u a nt t o 2 2
N Y C R R 2 0 2. 7 0( d),
As b est os
c o m pl et e a n d att a c h t h e C O
M M E R CI A L
DI VI SI O N RJI
A D DE N D U
M ( U C S-8 4 0 C) . C hil d Vi cti ms
A ct
R E AL P R O P E R T Y
S p e cif y h o w
m a n y pr o p erti es t h e a p pli c ati o n i n cl u d es:
_______ E n vir o n m e nt al (s p e cif y):
_______________________________________________
C o n d e m n ati o n M e di c al,
D e nt al or P o di atri c
M al pr a cti c e
M ort g a g e F or e cl os ur e (s p e cif y):
R esi d e nti alC o m m er ci al M ot or V e hi cl e
Pr o p ert y
A d dr ess:
____________________________________________________ Pr o d u cts Li a bilit y (s p e cif y):
____________________________________________
N O T E:
F orM ort g a g e F or e cl os ur e a cti o ns i n v ol vi n g a o n e t o f o ur -f a mil y,
Ot h er
N e gli g e n c e (s p e cif y):
____________________________________________
o w n er -o c c u pi e d r esi d e nti al pr o p ert y or o w n er -o c c u pi e d c o n d o mi ni u m,
Ot h er Pr of essi o n al
M al pr a cti c e (s p e cif y):
_________________________________
c o m pl et e a n d att a c h t h e F O R E C L O S U R E RJI
A D DE N D U
M ( U C S-8 4 0 F) . Ot h er T ort (s p e cif y):
__________________________________________________
T a x C erti or ari S P E CI A L P R O C E E DI N G S
T a x F or e cl os ur e C P L R Arti cl e 7 5 ( Ar bitr ati o n) [s e e N O T E
i nC O
M M E R CI A L s e cti o n]
Ot h er R e al Pr o p ert y (s p e cif y):
___________________________________________ C P L R Arti cl e 7 8 ( B o d y or
Offi c er)
OT HE RM ATTE RS El e cti o n L a w
C ertifi c at e of I n c or p or ati o n/ Diss ol uti o n
[s e e N O T E
i nC O
M M E R CI A L s e cti o n]
E xtr e m e Ris k Pr ot e cti o n Or d er
E m er g e n c y
M e di c al Tr e at m e nt M HLArti cl e 9. 6 0 ( K e n dr a’s L a w)
H a b e as C or p us M HLArti cl e 1 0 ( S e x
Off e n d er C o nfi n e
m e nt
-I niti al)
L o c al C o urt A p p e al M HLArti cl e 1 0 ( S e x
Off e n d er C o nfi n e
m e nt
-R e vi e w)
M e c h a ni c’s Li e n M HLArti cl e 8 1 ( G u ar di a ns hi p)
Na m e C ha ng e Ot h er
M e nt al
H y gi e n e (s p e cif y):
________________________________________
Pist ol P er mit R e v o c ati o n
H e ari n g Ot h er S p e ci al Pr o c e e di n g (s p e cif y):
______________________________________
S al e or Fi n a n c e of R eli gi o us/ N ot -f or-Pr ofit Pr o p ert y
Ot h er (s p e cif y):
______________________________________________________
ST AT USOF A C TI O N
OR P R O C E E DI N GA ns w er
YES or N O f or e v er y
q u esti o n a n d e nt er a d diti o n al i nf or
m ati o n
w h er e i n di c at e d.
YES NO
H as a s u m m o ns a n d c o m pl ai nt or s u
mm o ns
wit h n oti c e b e e n fil e d ? _ _ _ _ _008/12/2021
_8/_ _1_2/
If y es, d at e fil e d: _ _2_ 0_ 2_ 1_ _ _ _ _
H as a s u m m o ns a n d c o m pl ai nt or s u
mm o ns
wit h
n oti c e b e e n s er v e d ? _ _ _ _ _008/12/2021
_8/_ _1_2/
If y es, d at e s er v e d:_ _2_ 0_ 2_ 1_ _ _ _ _
Is t his a cti o n/ pr o c e e di n g b ei n g fil e d p ost-j u d g
m e nt ? If y es, j u d g
m e nt d at e: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
N AT U RE
O F J U DI CI A L I N T E R V E N TI O N
C h ec k
one b oxo nl y
a n d e nt er a d diti o n al i nf or
m ati o n
w h er e i n di c at e d.
I nf a nt’s C o m pr o mis e
E xtr e m e Ris k Pr ot e cti o n Or d er A p pli c ati o n
N ot e of Iss u e/ C ertifi c at e of R e a di n ess
N oti c e of
M e di c al,
D e nt al or P o di atri c
M al pr a cti c e
D at e Iss u e J oi n e d:
___________________
N oti c e of
M oti o n R eli ef R e q u est e d:
______________________________ R et ur n
D at e: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
N oti c e of P etiti o n R eli ef R e q u est e d:
______________________________ R et ur n
D at e: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Or d er t o S h o w
C a us e _ _TEMPORARY
T _E _ M_ P_ _O _R_A_R_Y_ RRESTRAINING
R eli ef R e q u est e d: _ _ NI_ _N_ G_ _OORDER
_ E_ S_ T_ R_ AI
_R_D_E_R_ _
R et ur n
D at e: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Ot h er E x P art e
A p pli c ati o n R eli ef R e q u est e d:
______________________________
P o or P ers o n
A p pli c ati o n
R e q u est f or Pr eli mi n ar y C o nf er e n c e
R esi d e nti al
M ort g a g e F or e cl os ur e S ettl e m e nt C o nf er e n c e
Writ of
H a b e as C or p us
Ot h er (s p e cif y):
____________________________________________________________________________
1 of 3
FILED: NEW YORK COUNTY CLERK 08/12/2021 12:32 PM INDEX NO. 951296/2021
NYSCEF DOC. NO. 4 RECEIVED NYSCEF: 08/12/2021
R EL A T E D
C ASES List a n y r el at e d a cti o ns.
F orM atri
m o ni al c as es, list a n y r el at e d cri
mi n al
or F a
mil y
C o urt c as es.
Ifn o n e, l e a v e
bl a n k.
If a d diti o n al s p a c e is r e q uir e d, c o
m pl et e a n d att a c h t h e RJI
A D DE N D U
M ( U C S-8 4 0 A) .
C as e Titl e I n d e x / C as e
Num b er C o urt J u d g e (if assi g n e d)
R el ati o ns hi p t o i nst a nt c as e
P A R TI E S F orp arti es
wit h o ut a n att or n e y, c h e c k t h e “ U n -R e p ” b o x a n d e nt er t h e p art y’s a d dr ess ,
phone nu m b er a n d e
m ail i n t h e s p a c e
pr o vi d e d.
If a d diti o n al s p a c e is r e q uir e d, c o
m pl et e a n d att a c h t h e RJI
A D DE N D U
M ( U C S-8 4 0 A) .
Un - P arti e s Att or n e y s a n d
U nr e pr e s e nt e d Liti g a nts Is s u e J oi n e d
I ns ur a nc e C arri ers
Rep List p arti es i n s a m e or d er as list e d i n t h e
F or r e pr es e nt e d p arti es, p r o vi d e att or n e y’s n a m e, fir m n a m e, a d dr ess, p h o n e a n d
F or e a c h d ef e n d a nt,
F or e a c h d ef e n d a nt,
c a pti o n a n d i n di c at e r ol es ( e. g., pl ai ntiff,
e m ail . F or u nr e pr es e nt e d p arti es, pr o vi d e p art y’s a d dr ess, p h o n e a n d e m ail.
i n di c at e if iss u e h as
i n di c at e i ns ur a n c e
d ef e n d a nt, 3 r d p art y pl ai ntiff, et c.) b e e n j oi n e d.
c arri er, if a p pli c a bl e.
N a m e:
JOHN
J O H N DDOE
OE MERSONLLAW,
A W, PPLLC,
ME RS O N L L C, JJORDAN
O R D A N MMERSON,
EESQ.
E R S O N,
S Q.
R ol e (s):
950
9 5 0 TTHIRD
HI R D AAVE,
V E, 118TH
8 T H FFL,
L, NNEW
E W YYORK,
O R K, NNY
Y 110022,
0 0 2 2, 2212-603-9100,
YES
1 2- 6 0 3- 9 1 0 0, jjmerson@mersonlaw.com
m ers o n @ m ers o nl a w. c o m
NO
Plaintiff
Pl ai ntiff
N a m e:
ARCHDIOCES OOFNNEW
A R C H DI O C E S
F E W YYORK
ORK 10111st AAvenue
1 0 1 1 1st
venue
R ol e(s):
New
N e w YYork,
or k, NNY
Y 110022
0022
YES NO
Defendant
D ef e n d a nt
N a m e:
HOLY CCHILD
H OL YHI L D CCHURCH
H URC H 4747
4 7 4 7 AAmboy
m b o y RRoad
oad
R ol e(s):
Staten
Island,
a n d, NNY
Y 110312
St at e n Isl0312
YES NO
Defendant
D ef e n d a nt
N a m e:
HOLYCCHILD
HI L D SSCHOOL
H OL Y C H O O L OOF
FRRELIGIION
E LI GII O N
4747
4 7 4 7 AAmboy
m b o y RRoad
oad
R ol e(s):
Staten
Island,
a n d, NNY
Y 110312
St at e n Isl0312
YES NO
Defendant
D ef e n d a nt
N a m e:
MORGAN KKUHL
M OR GA N U HL 103Villa
a CCourt
1 0 3 Vill
o urt
R ol e(s):
Carmel,
C ar m el, NNY
Y 110512
0512
YES NO
Defendant
D ef e n d a nt
N a m e:
R ol e(s): YES NO
N a m e:
R ol e(s): YES NO
N a m e:
R ol e(s): YES NO
N a m e:
R ol e(s): YES NO
N a m e:
R ol e(s): YES NO
N a m e:
R ol e(s): YES NO
N a m e:
R ol e(s): YES NO
N a m e:
R ol e(s): YES NO
N a m e:
R ol e(s): YES NO
N a m e:
R ol e(s): YES NO
I A F FI R
M U N DE R T HE
P E N AL T Y
OFP E RJ U R Y T H A T,
U P O NI NF O R
M A TI O N
AND B E LI E F, T H E R E
A RE NO O T H E R R EL A T E D
A C TI O N S
OR P R O C E E DI N G S ,
E XCEPT AS N OT E DA B O V E, N O R
H ASA R E Q U E S T F O R J U DI CI A L I N T E R V E N TI O N
BEE N P R E VI O U S L Y FI L E D I N T HI S
A C TI O N
OR P R O C E E DI N G.
_ _ _ _ _ _008/12/2021
D at e d: 8/
_ _1_2/_ _2 _0 2_ 1_ _ _ _ _ _ _______________________________________________________
Si g n at ur e
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 4399796 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _JORDAN
4_ 3_9_9_7_9 _6 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ J _O _R _D _A _N_MMERSON
_E_R_S _O_N_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Att or n e y
R e gistr ati o n
Nu m b er Pri nt
Na me
2 of 3
FILED: NEW YORK COUNTY CLERK 08/12/2021 12:32 PM INDEX NO. 951296/2021
NYSCEF DOC. NO. 4 RECEIVED NYSCEF: 08/12/2021
In dex N o. Y e ar 2021
S UP RE ME C O U R TO F T HE ST ATE OF NE W Y O R K
C O U NT Y OF NE W Y O R K
J O H N D O E,
Pl ai ntiff(s),
- a g ai nst
–
A R C H DI O CESE OF NE W Y O R K, H OL Y C HI L D
C H U R C H ,HOL Y C HI L D S C H O OL OF R E LI GI O N,and
M O R G A N K U H L,
D ef e n d a nt(s),
R E Q U ES T F O R J U DI CI A LI N T E R V E N TI O N
M e rs o n La w, P L L C.
Att or n e ys
f or Pl ai ntiff(s)
Offi c e
a n d P ost
Offi c e
A d dr ess , T el e p h o n e
950 T hi r dA v e n u e,
1 8t hFl.
N ew Y or k ,Ne w Y or k 10022
(2 1 2)6 0 3- 9 1 0 0
T o: All P arti e s
3 of 3
Preview
FILED: NEW YORK COUNTY CLERK 08/12/2021 12:32 PM INDEX NO. 951296/2021 NYSCEF DOC. NO. 4 RECEIVED NYSCEF: 08/12/2021 RE Q UEST F ORJ U DI CIAL I NTE R VE N TI O N U C S -8 4 0 (r e v. 0 7/ 2 9 / 2 0 1 9) _SUPREME S_ U_P_ R_E_ _M _E _ _ _ _ _ _ _ C O U R T, C O U NTYOF _NEW N_E_ _W _ YYORK _ O_ R_ K_ _ _ _ _ _ _ I n d ex N o:_ _ _ _ _ _ _ _ _ _ __ _ _ _ D at e I n d e x Iss u e d: ____ ___________ F or C o urtUs e O nl y: C A P TI O N E nt er t h e c o m pl et e c as e c a pti o n. Do n ot us e et al or et a n o. If m or e s p a c e is n e e d e d, att a c h a c a pti o n ri d er s h e et. I A S E ntr y D at e JOHN J OH N DDOE, O E, Pl ai ntiff(s)/ P etiti o n er(s) J u dge Assi g n e d -a g ai nst - ARCHDIOCESE A R C H DIO CESE OOF F NNEW E W YYORK, O R K,HHOLY OL Y CCHILD HI L D CHURCH, CH U R C H,HHOLY OL Y CCHILD HI L DSSCHOOL CH O OL OOF F RRELIGION E LI GIO N aand nd MMORGAN OR GA N KKUHL, U H L, RJI Fil e d D at e D ef e n d a nt(s)/ R es p o n d e nt(s) N AT U RE OF A C TI O N OR P R O C E E DI N G C h ec k o nl y o n e b o x a n d s p e cif y w h er e i n di c at e d. CO M M E RI CI A L M A T RI MON I AL B usi n ess E ntit y (i n cl u d es c or p or ati o n s, p art n ers hi ps, L L Cs, L L Ps, et c.) C o nt est e d C o ntr a ct N O T E: If t h er e ar e c hil dr e n u n d er t h e a g e of 1 8, c o m pl et e a n d att a c h t h e I ns ur a n c e ( w h er e i n s ura n c e c o m p a n y is a p art y, e x c e pt ar bitr ati o n) M A T RI M O NI A L RJI A D DE N D U M ( U C S-8 4 0 M) . U C C (i n cl u d es s al es a n d n e g oti a bl e i n str u m e nts) F orU n c o nt est e d M atri m o ni a l a cti o ns, us e t h e U n c o nt est e d Di v or c e RJI (U D -1 3 ). Ot h er C o m m er ci al (s p e cif y): _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ T O RTS N O T E: F or C o m m er ci al Di visi o n assi g n m e nt r e q u ests p u rs u a nt t o 2 2 N Y C R R 2 0 2. 7 0( d), As b est os c o m pl et e a n d att a c h t h e C O M M E R CI A L DI VI SI O N RJI A D DE N D U M ( U C S-8 4 0 C) . C hil d Vi cti ms A ct R E AL P R O P E R T Y S p e cif y h o w m a n y pr o p erti es t h e a p pli c ati o n i n cl u d es: _______ E n vir o n m e nt al (s p e cif y): _______________________________________________ C o n d e m n ati o n M e di c al, D e nt al or P o di atri c M al pr a cti c e M ort g a g e F or e cl os ur e (s p e cif y): R esi d e nti alC o m m er ci al M ot or V e hi cl e Pr o p ert y A d dr ess: ____________________________________________________ Pr o d u cts Li a bilit y (s p e cif y): ____________________________________________ N O T E: F orM ort g a g e F or e cl os ur e a cti o ns i n v ol vi n g a o n e t o f o ur -f a mil y, Ot h er N e gli g e n c e (s p e cif y): ____________________________________________ o w n er -o c c u pi e d r esi d e nti al pr o p ert y or o w n er -o c c u pi e d c o n d o mi ni u m, Ot h er Pr of essi o n al M al pr a cti c e (s p e cif y): _________________________________ c o m pl et e a n d att a c h t h e F O R E C L O S U R E RJI A D DE N D U M ( U C S-8 4 0 F) . Ot h er T ort (s p e cif y): __________________________________________________ T a x C erti or ari S P E CI A L P R O C E E DI N G S T a x F or e cl os ur e C P L R Arti cl e 7 5 ( Ar bitr ati o n) [s e e N O T E i nC O M M E R CI A L s e cti o n] Ot h er R e al Pr o p ert y (s p e cif y): ___________________________________________ C P L R Arti cl e 7 8 ( B o d y or Offi c er) OT HE RM ATTE RS El e cti o n L a w C ertifi c at e of I n c or p or ati o n/ Diss ol uti o n [s e e N O T E i nC O M M E R CI A L s e cti o n] E xtr e m e Ris k Pr ot e cti o n Or d er E m er g e n c y M e di c al Tr e at m e nt M HLArti cl e 9. 6 0 ( K e n dr a’s L a w) H a b e as C or p us M HLArti cl e 1 0 ( S e x Off e n d er C o nfi n e m e nt -I niti al) L o c al C o urt A p p e al M HLArti cl e 1 0 ( S e x Off e n d er C o nfi n e m e nt -R e vi e w) M e c h a ni c’s Li e n M HLArti cl e 8 1 ( G u ar di a ns hi p) Na m e C ha ng e Ot h er M e nt al H y gi e n e (s p e cif y): ________________________________________ Pist ol P er mit R e v o c ati o n H e ari n g Ot h er S p e ci al Pr o c e e di n g (s p e cif y): ______________________________________ S al e or Fi n a n c e of R eli gi o us/ N ot -f or-Pr ofit Pr o p ert y Ot h er (s p e cif y): ______________________________________________________ ST AT USOF A C TI O N OR P R O C E E DI N GA ns w er YES or N O f or e v er y q u esti o n a n d e nt er a d diti o n al i nf or m ati o n w h er e i n di c at e d. YES NO H as a s u m m o ns a n d c o m pl ai nt or s u mm o ns wit h n oti c e b e e n fil e d ? _ _ _ _ _008/12/2021 _8/_ _1_2/ If y es, d at e fil e d: _ _2_ 0_ 2_ 1_ _ _ _ _ H as a s u m m o ns a n d c o m pl ai nt or s u mm o ns wit h n oti c e b e e n s er v e d ? _ _ _ _ _008/12/2021 _8/_ _1_2/ If y es, d at e s er v e d:_ _2_ 0_ 2_ 1_ _ _ _ _ Is t his a cti o n/ pr o c e e di n g b ei n g fil e d p ost-j u d g m e nt ? If y es, j u d g m e nt d at e: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ N AT U RE O F J U DI CI A L I N T E R V E N TI O N C h ec k one b oxo nl y a n d e nt er a d diti o n al i nf or m ati o n w h er e i n di c at e d. I nf a nt’s C o m pr o mis e E xtr e m e Ris k Pr ot e cti o n Or d er A p pli c ati o n N ot e of Iss u e/ C ertifi c at e of R e a di n ess N oti c e of M e di c al, D e nt al or P o di atri c M al pr a cti c e D at e Iss u e J oi n e d: ___________________ N oti c e of M oti o n R eli ef R e q u est e d: ______________________________ R et ur n D at e: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ N oti c e of P etiti o n R eli ef R e q u est e d: ______________________________ R et ur n D at e: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Or d er t o S h o w C a us e _ _TEMPORARY T _E _ M_ P_ _O _R_A_R_Y_ RRESTRAINING R eli ef R e q u est e d: _ _ NI_ _N_ G_ _OORDER _ E_ S_ T_ R_ AI _R_D_E_R_ _ R et ur n D at e: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Ot h er E x P art e A p pli c ati o n R eli ef R e q u est e d: ______________________________ P o or P ers o n A p pli c ati o n R e q u est f or Pr eli mi n ar y C o nf er e n c e R esi d e nti al M ort g a g e F or e cl os ur e S ettl e m e nt C o nf er e n c e Writ of H a b e as C or p us Ot h er (s p e cif y): ____________________________________________________________________________ 1 of 3 FILED: NEW YORK COUNTY CLERK 08/12/2021 12:32 PM INDEX NO. 951296/2021 NYSCEF DOC. NO. 4 RECEIVED NYSCEF: 08/12/2021 R EL A T E D C ASES List a n y r el at e d a cti o ns. F orM atri m o ni al c as es, list a n y r el at e d cri mi n al or F a mil y C o urt c as es. Ifn o n e, l e a v e bl a n k. If a d diti o n al s p a c e is r e q uir e d, c o m pl et e a n d att a c h t h e RJI A D DE N D U M ( U C S-8 4 0 A) . C as e Titl e I n d e x / C as e Num b er C o urt J u d g e (if assi g n e d) R el ati o ns hi p t o i nst a nt c as e P A R TI E S F orp arti es wit h o ut a n att or n e y, c h e c k t h e “ U n -R e p ” b o x a n d e nt er t h e p art y’s a d dr ess , phone nu m b er a n d e m ail i n t h e s p a c e pr o vi d e d. If a d diti o n al s p a c e is r e q uir e d, c o m pl et e a n d att a c h t h e RJI A D DE N D U M ( U C S-8 4 0 A) . Un - P arti e s Att or n e y s a n d U nr e pr e s e nt e d Liti g a nts Is s u e J oi n e d I ns ur a nc e C arri ers Rep List p arti es i n s a m e or d er as list e d i n t h e F or r e pr es e nt e d p arti es, p r o vi d e att or n e y’s n a m e, fir m n a m e, a d dr ess, p h o n e a n d F or e a c h d ef e n d a nt, F or e a c h d ef e n d a nt, c a pti o n a n d i n di c at e r ol es ( e. g., pl ai ntiff, e m ail . F or u nr e pr es e nt e d p arti es, pr o vi d e p art y’s a d dr ess, p h o n e a n d e m ail. i n di c at e if iss u e h as i n di c at e i ns ur a n c e d ef e n d a nt, 3 r d p art y pl ai ntiff, et c.) b e e n j oi n e d. c arri er, if a p pli c a bl e. N a m e: JOHN J O H N DDOE OE MERSONLLAW, A W, PPLLC, ME RS O N L L C, JJORDAN O R D A N MMERSON, EESQ. E R S O N, S Q. R ol e (s): 950 9 5 0 TTHIRD HI R D AAVE, V E, 118TH 8 T H FFL, L, NNEW E W YYORK, O R K, NNY Y 110022, 0 0 2 2, 2212-603-9100, YES 1 2- 6 0 3- 9 1 0 0, jjmerson@mersonlaw.com m ers o n @ m ers o nl a w. c o m NO Plaintiff Pl ai ntiff N a m e: ARCHDIOCES OOFNNEW A R C H DI O C E S F E W YYORK ORK 10111st AAvenue 1 0 1 1 1st venue R ol e(s): New N e w YYork, or k, NNY Y 110022 0022 YES NO Defendant D ef e n d a nt N a m e: HOLY CCHILD H OL YHI L D CCHURCH H URC H 4747 4 7 4 7 AAmboy m b o y RRoad oad R ol e(s): Staten Island, a n d, NNY Y 110312 St at e n Isl0312 YES NO Defendant D ef e n d a nt N a m e: HOLYCCHILD HI L D SSCHOOL H OL Y C H O O L OOF FRRELIGIION E LI GII O N 4747 4 7 4 7 AAmboy m b o y RRoad oad R ol e(s): Staten Island, a n d, NNY Y 110312 St at e n Isl0312 YES NO Defendant D ef e n d a nt N a m e: MORGAN KKUHL M OR GA N U HL 103Villa a CCourt 1 0 3 Vill o urt R ol e(s): Carmel, C ar m el, NNY Y 110512 0512 YES NO Defendant D ef e n d a nt N a m e: R ol e(s): YES NO N a m e: R ol e(s): YES NO N a m e: R ol e(s): YES NO N a m e: R ol e(s): YES NO N a m e: R ol e(s): YES NO N a m e: R ol e(s): YES NO N a m e: R ol e(s): YES NO N a m e: R ol e(s): YES NO N a m e: R ol e(s): YES NO N a m e: R ol e(s): YES NO I A F FI R M U N DE R T HE P E N AL T Y OFP E RJ U R Y T H A T, U P O NI NF O R M A TI O N AND B E LI E F, T H E R E A RE NO O T H E R R EL A T E D A C TI O N S OR P R O C E E DI N G S , E XCEPT AS N OT E DA B O V E, N O R H ASA R E Q U E S T F O R J U DI CI A L I N T E R V E N TI O N BEE N P R E VI O U S L Y FI L E D I N T HI S A C TI O N OR P R O C E E DI N G. _ _ _ _ _ _008/12/2021 D at e d: 8/ _ _1_2/_ _2 _0 2_ 1_ _ _ _ _ _ _______________________________________________________ Si g n at ur e _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 4399796 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _JORDAN 4_ 3_9_9_7_9 _6 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ J _O _R _D _A _N_MMERSON _E_R_S _O_N_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Att or n e y R e gistr ati o n Nu m b er Pri nt Na me 2 of 3 FILED: NEW YORK COUNTY CLERK 08/12/2021 12:32 PM INDEX NO. 951296/2021 NYSCEF DOC. NO. 4 RECEIVED NYSCEF: 08/12/2021 In dex N o. Y e ar 2021 S UP RE ME C O U R TO F T HE ST ATE OF NE W Y O R K C O U NT Y OF NE W Y O R K J O H N D O E, Pl ai ntiff(s), - a g ai nst – A R C H DI O CESE OF NE W Y O R K, H OL Y C HI L D C H U R C H ,HOL Y C HI L D S C H O OL OF R E LI GI O N,and M O R G A N K U H L, D ef e n d a nt(s), R E Q U ES T F O R J U DI CI A LI N T E R V E N TI O N M e rs o n La w, P L L C. Att or n e ys f or Pl ai ntiff(s) Offi c e a n d P ost Offi c e A d dr ess , T el e p h o n e 950 T hi r dA v e n u e, 1 8t hFl. N ew Y or k ,Ne w Y or k 10022 (2 1 2)6 0 3- 9 1 0 0 T o: All P arti e s 3 of 3