Preview
INDEX NO. 951294/2021
NYSCEF boc. NO. 5 RECEIVED NYSCEF + 08/12/2021
eSat REQUEST FOR JUDICIAL INTERVENTION
/ (rev. 07/29/2019)
SUPREME COURT, COUNTY OF NEW YORK
Index No: Date Index Issued: For Court Use Only:
CAPTION Enter the complete case caption. Do not use et al or et ano. If more space is needed, attach a caption rider sheet. IAS Entry Date
B.M.,
Plaintiff(s)/Petitioner(s) Judge Assigned
-against-
GREATER NEW YORK COUNCILS, BOY SCOUTS OF AMERICA,
RIl Filed Date
Defendant(s)/Respondent(s)
NATURE OF ACTION OR PROCEEDING Check only one box and specify where indicated.
ICOMMERICIAL MATRIMONIAL
oO Business Entity (includes corporations, partnerships, LLCs, LLPs, etc.) O Contested
° Contract NOTE: If there are children under the age of 18, complete and attach the
O° Insurance (where insurance company is a party, except arbitration) MATRIMONIAL Ril ADDENDUM (UCS-840M).
O° UCC (includes sales and negotiable instruments) For Uncontested Matrimonial actions, use the Uncontested Divorce Ril (UD-13).
oO 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):
° Condemnation Medical, Dental or Podiatric Malpractice
O° Mortgage Foreclosure (specify): O Residential Ocommercial Motor Vehicle
Property Address: Products Liability (specify):
NOTE: For Mortgage Foreclosure actions involving a one to four-family, Other Negligence (specify):
owner-occupied residential property or owner-occupied condominium, Other Professional Malpractice (specify):
complete and attach the FORECLOSURE RJI ADDENDUM (UCS-840F). Other Tort (specify):
O° Tax Certiorari SPECIAL PROCEEDINGS
O° Tax Foreclosure CPLR Article 75 (Arbitration) [see NOTE in COMMERCIAL section}
O° 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 Protection 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: 08/12/2021
Has a summons and complaint or summons with notice been served? ° ® If yes, date served:
\s this action/proceeding being filed post-judgment? ° ® If yes, judgment date:
NATURE OF JUDICIAL INTERVENTION Check one box only and enter additional information where indicated.
Infant's Compromise
Extreme Risk Protection Order Application
Note of Issue/Certificate of Readiness
Notice of Medical, Dental or Podiatric Malpractice Date Issue Joined:
Notice of Motion Relief Requested: Return Date:
Notice of Petition Relief Requested: Return Date:
Orderto Show Cause Relief Requested: Temporary Restraining Order Return Date:
Other Ex Parte Application Relief Requested:
Poor Person Application
Request for Preliminary Conference
Residential Mortgage Foreclosure Settlement Conference
Writof Habeas Corpus
Other (specify):
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INDEX NO. 951294/2021
IYSCEF DOC, NO, 5 RECEIVED NYSCEF: 08/12/202
RELATED CASES List any related actions. For Matrimonial cases, list any related criminal or Family Court cases. If none, leave blank.
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 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.g., plaintiff, lemail. For unrepresented parties, provide party's address, phone and email. indicate if issue has indicate insurance
jdefendant, 3 party plaintiff, etc.) been joined. cartier, if applicable.
Name: Merson Law, PLC loxdanK Meron, 24
O Role(s)
Plaintiff
Aes: 950 Tid Avenue, 8th Flr, New Neve Yrk 10022
Phone: 212605 9100; Email: jersonrersorlow.com © YES @ No
Name: Greater New York Councils, Boy Scouts of America
O Role(s)
Defendant
‘Address: 475 Riverside Drive, Suite 600, New York, New York 10115
Phone: 212-242-1100; Email: info@bsa-gnyc.org O Yes @No
Name:
Role(s) O Yes ONo
Name:
Role(s) O Yes ONO
Name:
Role(s) O YES Ono
Name:
Role(s) O YES Ono
Name:
Role(s) O YES ONO
Name:
Role(s) O YES ONO
Name:
Role(s) O Yes ONO
Name:
Role(s) O Yes ONO
Name:
Role(s) O Yes ONo
Name:
Role(s) O Yes ONo
Name:
O Role(s) O YES ONO
Name:
O Role(s) O YES ONO
Name:
LT] Jroters} O Yes ONO
1 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: 08/12/2021 DeeNeB,
Signature
4399796 Jordan K. Merson, Esq.
Attorney Registration Number Print Name
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INDEX NO. 951294/2021
NYSCEF DOC. NO. 5 RECEIVED NYSCEF 08/12/2021
Index No. Year 2021
SUPREME COURT OF THE STATE OF NEW YORK
COUNTY OF NEW YORK
BM.,
Plaintiff,
- against -
GREATER NEW YORK COUNCILS, BOY SCOUTS OF
AMERICA,
Defendant,
REQUEST FOR JUDICIAL INTERVENTION
Merson Law, PLLC.
Attorneys for Plaintiffis)
Office and Post Office Address, Telephone
950 Third Avenue, 18th Fl.
New York, New York 10022
(212) 603-9100
To: ALL PARTIES
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