Preview
FILED: MONROE COUNTY CLERK 10/04/2021 02:43 PM INDEX NO. E2021006864
NYSCEF DOC. NO. 9 RECEIVED NYSCEF: 10/04/2021
MONROE COUNTY CLERK’S OFFICE THIS IS NOT A BILL. THIS IS YOUR RECEIPT.
Receipt # 2860317
Book Page CIVIL
Return To: No. Pages: 3
DANIEL PAUL LARABY
125 East Jefferson Street Instrument: RJI (REQUEST FOR JUDICIAL
11th Floor INTERVENTION)
Syracuse, NY 13202
Control #: 202110041214
Index #: E2021006864
Date: 10/04/2021
EAGLEY, DONALD A. JR. Time: 4:58:45 PM
EAGLEY, AMY L.
FOOTE, MICHAEL M. M.D.
F.F. THOMPSON HEALTH SYSTEM, INC. d/b/a Honeoye
Family Practice
THE UNIVERSITY OF ROCHESTER
ABC Entities 1 through 5
RJI Fee $95.00
Total Fees Paid: $95.00
Employee: ARC
State of New York
MONROE COUNTY CLERK’S OFFICE
WARNING – THIS SHEET CONSTITUTES THE CLERKS
ENDORSEMENT, REQUIRED BY SECTION 317-a(5) &
SECTION 319 OF THE REAL PROPERTY LAW OF THE
STATE OF NEW YORK. DO NOT DETACH OR REMOVE.
JAMIE ROMEO
MONROE COUNTY CLERK
1 of 3
202110041214 Index #
INDEX : E2021006864
NO. E2021006864
FILED: MONROE COUNTY CLERK 10/04/2021 02:43 PM
NYSCEF DOC. NO. 9 RECEIVED NYSCEF: 10/04/2021
UCS-840
REQUEST FOR JUDICIAL INTERVENTION (rev. 07/29/2019)
Monroe Supreme COURT, COUNTY OF Monroe
Index No: E2021006864 Date Index Issued: 07/26/2021 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
DONALD A. EAGLEY JR., AMY L. EAGLEY
Judge Assigned
Plaintiff(s)/Petitioner(s)
-against-
MICHAEL M. FOOTE M.D., F.F. THOMPSON HEALTH SYSTEM, INC. d/b/a Honeoye Family Practice, THE UNIVERSITY OF
ROCHESTER, ABC Entities 1 through 5 RJI Filed Date
Defendant(s)/Respondent(s)
NATURE OF ACTION OR PROCEEDING: Check only one box and specify where indicated.
COMMERCIAL MATRIMONIAL
☐ ☐
Business Entity (includes corporations, partnerships, LLCs, LLPs, etc.)
Contested
NOTE: If there are children under the age of 18, complete and attach the
☐ Contract MATRIMONIAL RJI Addendum (UCS-840M).
☐ Insurance (where insurance company is a party, except arbitration)
For Uncontested Matrimonial actions, use the Uncontested Divorce RJI (UD-13).
☐ UCC (includes sales and negotiable instruments)
☐ Other Commercial (specify):
TORTS
NOTE: For Commercial Division assignment requests pursuant to 22 NYCRR 202.70(d),
complete and attach the COMMERCIAL DIVISION RJI ADDENDUM (UCS-840C). ☐ Asbestos
REAL PROPERTY: Specify how many properties the application includes:
☐ Child Victims Act
☐ Environmental (specify):
☐ Condemnation ☒ Medical, Dental, or Podiatric Malpractice
☐ ☐
Mortgage Foreclosure (specify):
Residential ☐ Commercial ☐ Motor Vehicle
Property Address: ☐ Products Liability (specify):
☐ Other Negligence (specify):
NOTE: For Mortgage Foreclosure actions involving a one to four-family, owner-
☐ Other Professional Malpractice (specify):
occupied residential property or owner-occupied condominium, complete and
attach the FORECLOSURE RJI ADDENDUM (UCS-840F).
☐ Other Tort (specify):
☐ Tax Certiorari - Section: Block: Lot:
SPECIAL PROCEEDINGS
☐ Tax Foreclosure
☐ Other Real Property (specify): ☐ CPLR Article 75 (Arbitration)
[see NOTE in COMMERCIAL section]
OTHER MATTERS
☐ CPLR Article 78 (Body or Officer)
☐ 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? ☒ ☐ 07/26/2021
If yes, date filed:
Has a summons and complaint or summons with notice been served?☒ ☐ 08/02/2021
If yes, date served:
Is 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
08/18/2021
Date Issue Joined:
☒ Notice of Medical, Dental, or Podiatric Malpractice
Relief Requested: Return Date:
☐ Notice of Motion
Relief Requested: Return Date:
☐ Notice of Petition
Relief Requested: Return Date:
☐ Order to Show Cause
Relief Requested:
☐ Other Ex Parte Application
☐ Poor Person Application
☐ Request for Preliminary Conference
☐ Residential Mortgage Foreclosure Settlement Conference
☐ Writ of Habeas Corpus
☐ Other (specify):
2 of 3
202110041214 IndexNO.
INDEX #: E2021006864
E2021006864
FILED: MONROE COUNTY CLERK 10/04/2021 02:43 PM
NYSCEF DOC. NO. 9 RECEIVED NYSCEF: 10/04/2021
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).
Parties Attorneys and/or Unrepresented Litigants Issue Joined Insurance
Un-
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; 3rd party plaintiff, etc.)email. been joined. carrier, if applicable.
Name: EAGLEY, DONALD A. DANIEL LARABY, Porter Nordby Howe LLP, 125 East
☐ Jefferson Street 11th Floor, Syracuse, NY 13202, (315) ☒ YES ☐ NO
Role(s): Plaintiff/Petitioner 477-9900, dlaraby@pnhlawyers.com
Name: EAGLEY, AMY L. DANIEL LARABY, Porter Nordby Howe LLP, 125 East
☐ Jefferson Street 11th Floor, Syracuse, NY 13202, (315) ☒ YES ☐ NO
Role(s): Plaintiff/Petitioner 477-9900, dlaraby@pnhlawyers.com
Name: FOOTE, MICHAEL M. DANIEL PURCELL, WARD GREENBERG HELLER & REIDY
☐ LLP, 1800 BAUSCH & LOMB PLACE , ROCHESTER, NY ☒ YES ☐ NO
Role(s): Defendant/Respondent 14604, (585) 454-0740, dpurcell@wardgreenberg.com
Name: F.F. THOMPSON HEALTH DANIEL PURCELL, WARD GREENBERG HELLER & REIDY
☐ SYSTEM, INC. d/b/a Honeoye LLP, 1800 BAUSCH & LOMB PLACE , ROCHESTER, NY
Family Practice 14604, (585) 454-0740, dpurcell@wardgreenberg.com ☒ YES ☐ NO
Role(s): Defendant/Respondent
Name: THE UNIVERSITY OF DANIEL PURCELL, WARD GREENBERG HELLER & REIDY
☐ ROCHESTER LLP, 1800 BAUSCH & LOMB PLACE , ROCHESTER, NY ☒ YES ☐ NO
Role(s): Defendant/Respondent 14604, (585) 454-0740, dpurcell@wardgreenberg.com
Name: ABC Entities 1 through 5
☒ ☐ YES ☒ NO
Role(s): Defendant/Respondent
Name:
☐ ☐ YES ☐ NO
Role(s):
Name:
☐ ☐ YES ☐ NO
Role(s):
Name:
☐ ☐ YES ☐ NO
Role(s):
Name:
☐ ☐ YES ☐ 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 IN THIS
ACTION OR PROCEEDING.
Dated: 10/04/2021 DANIEL PAUL LARABY
Signature
4920336 DANIEL PAUL LARABY
Attorney Registration Number Print Name
This form was generated by NYSCEF
3 of 3
Preview
FILED: MONROE COUNTY CLERK 10/04/2021 02:43 PM INDEX NO. E2021006864 NYSCEF DOC. NO. 9 RECEIVED NYSCEF: 10/04/2021 MONROE COUNTY CLERK’S OFFICE THIS IS NOT A BILL. THIS IS YOUR RECEIPT. Receipt # 2860317 Book Page CIVIL Return To: No. Pages: 3 DANIEL PAUL LARABY 125 East Jefferson Street Instrument: RJI (REQUEST FOR JUDICIAL 11th Floor INTERVENTION) Syracuse, NY 13202 Control #: 202110041214 Index #: E2021006864 Date: 10/04/2021 EAGLEY, DONALD A. JR. Time: 4:58:45 PM EAGLEY, AMY L. FOOTE, MICHAEL M. M.D. F.F. THOMPSON HEALTH SYSTEM, INC. d/b/a Honeoye Family Practice THE UNIVERSITY OF ROCHESTER ABC Entities 1 through 5 RJI Fee $95.00 Total Fees Paid: $95.00 Employee: ARC State of New York MONROE COUNTY CLERK’S OFFICE WARNING – THIS SHEET CONSTITUTES THE CLERKS ENDORSEMENT, REQUIRED BY SECTION 317-a(5) & SECTION 319 OF THE REAL PROPERTY LAW OF THE STATE OF NEW YORK. DO NOT DETACH OR REMOVE. JAMIE ROMEO MONROE COUNTY CLERK 1 of 3 202110041214 Index # INDEX : E2021006864 NO. E2021006864 FILED: MONROE COUNTY CLERK 10/04/2021 02:43 PM NYSCEF DOC. NO. 9 RECEIVED NYSCEF: 10/04/2021 UCS-840 REQUEST FOR JUDICIAL INTERVENTION (rev. 07/29/2019) Monroe Supreme COURT, COUNTY OF Monroe Index No: E2021006864 Date Index Issued: 07/26/2021 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 DONALD A. EAGLEY JR., AMY L. EAGLEY Judge Assigned Plaintiff(s)/Petitioner(s) -against- MICHAEL M. FOOTE M.D., F.F. THOMPSON HEALTH SYSTEM, INC. d/b/a Honeoye Family Practice, THE UNIVERSITY OF ROCHESTER, ABC Entities 1 through 5 RJI Filed Date Defendant(s)/Respondent(s) NATURE OF ACTION OR PROCEEDING: Check only one box and specify where indicated. COMMERCIAL MATRIMONIAL ☐ ☐ Business Entity (includes corporations, partnerships, LLCs, LLPs, etc.) Contested NOTE: If there are children under the age of 18, complete and attach the ☐ Contract MATRIMONIAL RJI Addendum (UCS-840M). ☐ Insurance (where insurance company is a party, except arbitration) For Uncontested Matrimonial actions, use the Uncontested Divorce RJI (UD-13). ☐ UCC (includes sales and negotiable instruments) ☐ Other Commercial (specify): TORTS NOTE: For Commercial Division assignment requests pursuant to 22 NYCRR 202.70(d), complete and attach the COMMERCIAL DIVISION RJI ADDENDUM (UCS-840C). ☐ Asbestos REAL PROPERTY: Specify how many properties the application includes: ☐ Child Victims Act ☐ Environmental (specify): ☐ Condemnation ☒ Medical, Dental, or Podiatric Malpractice ☐ ☐ Mortgage Foreclosure (specify): Residential ☐ Commercial ☐ Motor Vehicle Property Address: ☐ Products Liability (specify): ☐ Other Negligence (specify): NOTE: For Mortgage Foreclosure actions involving a one to four-family, owner- ☐ Other Professional Malpractice (specify): occupied residential property or owner-occupied condominium, complete and attach the FORECLOSURE RJI ADDENDUM (UCS-840F). ☐ Other Tort (specify): ☐ Tax Certiorari - Section: Block: Lot: SPECIAL PROCEEDINGS ☐ Tax Foreclosure ☐ Other Real Property (specify): ☐ CPLR Article 75 (Arbitration) [see NOTE in COMMERCIAL section] OTHER MATTERS ☐ CPLR Article 78 (Body or Officer) ☐ 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? ☒ ☐ 07/26/2021 If yes, date filed: Has a summons and complaint or summons with notice been served?☒ ☐ 08/02/2021 If yes, date served: Is 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 08/18/2021 Date Issue Joined: ☒ Notice of Medical, Dental, or Podiatric Malpractice Relief Requested: Return Date: ☐ Notice of Motion Relief Requested: Return Date: ☐ Notice of Petition Relief Requested: Return Date: ☐ Order to Show Cause Relief Requested: ☐ Other Ex Parte Application ☐ Poor Person Application ☐ Request for Preliminary Conference ☐ Residential Mortgage Foreclosure Settlement Conference ☐ Writ of Habeas Corpus ☐ Other (specify): 2 of 3 202110041214 IndexNO. INDEX #: E2021006864 E2021006864 FILED: MONROE COUNTY CLERK 10/04/2021 02:43 PM NYSCEF DOC. NO. 9 RECEIVED NYSCEF: 10/04/2021 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). Parties Attorneys and/or Unrepresented Litigants Issue Joined Insurance Un- 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; 3rd party plaintiff, etc.)email. been joined. carrier, if applicable. Name: EAGLEY, DONALD A. DANIEL LARABY, Porter Nordby Howe LLP, 125 East ☐ Jefferson Street 11th Floor, Syracuse, NY 13202, (315) ☒ YES ☐ NO Role(s): Plaintiff/Petitioner 477-9900, dlaraby@pnhlawyers.com Name: EAGLEY, AMY L. DANIEL LARABY, Porter Nordby Howe LLP, 125 East ☐ Jefferson Street 11th Floor, Syracuse, NY 13202, (315) ☒ YES ☐ NO Role(s): Plaintiff/Petitioner 477-9900, dlaraby@pnhlawyers.com Name: FOOTE, MICHAEL M. DANIEL PURCELL, WARD GREENBERG HELLER & REIDY ☐ LLP, 1800 BAUSCH & LOMB PLACE , ROCHESTER, NY ☒ YES ☐ NO Role(s): Defendant/Respondent 14604, (585) 454-0740, dpurcell@wardgreenberg.com Name: F.F. THOMPSON HEALTH DANIEL PURCELL, WARD GREENBERG HELLER & REIDY ☐ SYSTEM, INC. d/b/a Honeoye LLP, 1800 BAUSCH & LOMB PLACE , ROCHESTER, NY Family Practice 14604, (585) 454-0740, dpurcell@wardgreenberg.com ☒ YES ☐ NO Role(s): Defendant/Respondent Name: THE UNIVERSITY OF DANIEL PURCELL, WARD GREENBERG HELLER & REIDY ☐ ROCHESTER LLP, 1800 BAUSCH & LOMB PLACE , ROCHESTER, NY ☒ YES ☐ NO Role(s): Defendant/Respondent 14604, (585) 454-0740, dpurcell@wardgreenberg.com Name: ABC Entities 1 through 5 ☒ ☐ YES ☒ NO Role(s): Defendant/Respondent Name: ☐ ☐ YES ☐ NO Role(s): Name: ☐ ☐ YES ☐ NO Role(s): Name: ☐ ☐ YES ☐ NO Role(s): Name: ☐ ☐ YES ☐ 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 IN THIS ACTION OR PROCEEDING. Dated: 10/04/2021 DANIEL PAUL LARABY Signature 4920336 DANIEL PAUL LARABY Attorney Registration Number Print Name This form was generated by NYSCEF 3 of 3