On December 10, 2015 a
Request for Judicial Intervention
was filed
involving a dispute between
1199Seiu United Healthcare Workers East,
and
Healthport Technologies, Llc,
for Commercial - 1199 SEIU
in the District Court of New York County.
Preview
INDEX NO. 654135/2015
NYSCEF DOC. NO. 9 RECEIVED N’ VOCE: 01/12/2016
CS-840 (REV 1/
REQUEST FOR JUDICIAL INTERVENTION For Court Clerk Use Only:
UCS-840 (3/2011) IAS Entry Date
SUPREME Court, County of. New York
Judge Assigned
Index No: 654135/2015 Date Index Issued:
Enter the complete case caption. Do not use et al or et ano, Ifmore RJ Date
CAPTION space is required, attach a caption rider sheet
1199SEIU UNITED HEALTHCARE WORKERS EAST,
Plaintiff(s)/Petitioner(s)
-against-
HEALTHPORT TECHNOLOGIES, LLC
Defendant(s)/Respondent(s)
NATURE OF ACTION OR PROCEEDING: Check ONE box only and specify where indicated.
MATRIMONIAL COMMERCIAL
O Contested O° Business Entity (including corporations, partnerships, LLCs, etc.)
Oo Uncontested O° Contract
NOTE: For all Matrimonial actions where the parties have children under the age of 18, O° Insurance (where insurer is a party, except arbitration)
complete and attach the MATRIMONIAL RJl Addendum
O° UCC (including sales, negotiable instruments)
TORTS O° Other Commercial:
(Gpecify)
O° Asbestos
NOTE: For Commercial Division assignment requests [22 NYCRR & 202.70(d)],
O° Breast Implant complete and attach the COMMERCIAL DIV Rul Addendum.
O° Environmental REAL PROPERTY How many properties does the application include?
(specify) © Condemnation
Medical, Dental or Podiatric Malpractice
O° Foreclosure
Motor Vehicle
O° Property Address,
Products Liability
(specify)
Street Address City State Zip
NOTE: For Foreclosure actions involving a one- to four-family, owner occupied,
Other Negligence. residential property, or an owner-occupied condominium
(specify O Tax Certiorari — Section, Block: Lot:
Other Professional Malpractice
(specify)
O Other Real Property.
Other Tort (specify)
(specify)
OTHER MATTERS SPECIAL PROCEEDINGS
Certificate of Incorporation/Dissolution [see NOTE under commercial] CPLR Article 75 (arbitration) [see NOTE under Commercial]
Emergency Medical Treatment CPLR Article 78 (Body or Officer)
Habeus Corpus Election Law
Local Appeals Court MHL Article 10 (Sex Offender: Confinement-Initial)
Mechanic's Lien MHL Article 10 (Sex Offender: Confinement-Review)
Name Change Article 81 (Guardianship)
Pistol Permit Revocation Hearing Other Mental Hygiene:
Sale or Finance of Religious/Not-for-Profit Property (specify)
Other:
Other Special Proceeding:
(specify) (specify)
STATUS OF ACTION OR PROCEEDING Answer YES or NO for EVERY question AND enter additional information where indicated
YES
Has a summons and complaint or summons w/notice been filed? O° © Ifyes, date
filed,
Is this action/proceeding being filed post-judgment? O° © If yes, judgment date:
71-689-00001: 10606694_4.docx
1 of 2
{ NATURE OF JUDICIAL INTERVENTION Check ONE box only AND enter additional information where indicated
Infants Compromise
Note of Issue and/or Certificate of Readiness
Notice of Medical, Dental or Podiatric Malpractice Date Issue Joined,
Notice of Motion Relief Sought Return Date.
Notice of Petition Relief Sought__Judgment - Money Return Date_January 22, 2016.
Order to Show Cause Relief Sought Return Date.
Other Ex Parte Application Relief Sought
Poor Person Application
Request for Preliminary Conference
Residential Mortgage Foreclosure Settlement Conference
Writ of Habeas Corpus
Other (specify)
RELATED CASES: List any related actions. For Matrimonial actions, include any oriminal and/or Family Court cases
if additional space is required, complete and attach the Rul Addendum, If none, leave blank
Case Title Index/Case No. Court Judge (if assigned) Relationship to Instant Case
additional space is required, complete and atlach the RUl Addendum
PARTIES: For parties without and attorney, check “Un-Rep" box AND enter party address, phone number and e-mail address in
“Attorneys” space
Parties Attorneys Issue
Un- List parties in caption order and Provide name, firm name, business address, phone number and e-mail Joined
Insurance
Rep Indicate party role(s) (e.g. defendant; Carrier(s):
3-party plaintiff) address of all attorneys that have appeared in the case (YIN)
Cisneros Jorge
Last Name Last Name First Name
LEVY RATNER, P.C.
@YES
O First Name Firm Name
Primary Role 80 EIGHTH AVENUE, 8THFLOOR NEWYORK NY 10011-5126
Street Address City State Zip ONO
Secondary Role (if any) (212) 627-8100 (212) 627-8182
Phone Fax e-mail
Last Name Last Name First Name OYES
First Name Firm Name
Primary Role
Street Address City State Zip ONO
Secondary Role (if any)
Phone Fax e-mail
Last Name Last Name First Name OYES
First Name Firm Name
Primary Role
Street Address City State Zip ONO
Secondary Role (if any)
Phone. Fax e-mail
Last Name Last Name First Name OYES
O
First Name Firm Name
Primary Role
Street Address City State Zip ONO
Secondary Role (if any)
Phone Fax e-mail
| AFFIRM UNDER THE PENALTY OF PERJURY THAT, TO MY KNOWLEDGE, OTHER THAN AS NOTED ABOVE, THERE
ARE AND HAVE BEEN NO RELATED ACTIONS OR PROCEEDINGS, NOR HAS A REQUEST FOR JUDICIAL.
INTERVENTION PREVIOUSLY BEEN FILED IN THIS ACTION OR PROCEEDING.
Dated: December 7, 2015. /s/ Jorge A. ‘isneros
Signature
5054515 Jorge A. Cisneros
ATTORNEY REGISTRATION NUMBER PRINT OR TYPE NAME
«Matter Matter ID»: 10606694 4.docx 2 of 2
Document Filed Date
January 12, 2016
Case Filing Date
December 10, 2015
Category
Commercial - 1199 SEIU
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Preview
INDEX NO. 654135/2015 NYSCEF DOC. NO. 9 RECEIVED N’ VOCE: 01/12/2016 CS-840 (REV 1/ REQUEST FOR JUDICIAL INTERVENTION For Court Clerk Use Only: UCS-840 (3/2011) IAS Entry Date SUPREME Court, County of. New York Judge Assigned Index No: 654135/2015 Date Index Issued: Enter the complete case caption. Do not use et al or et ano, Ifmore RJ Date CAPTION space is required, attach a caption rider sheet 1199SEIU UNITED HEALTHCARE WORKERS EAST, Plaintiff(s)/Petitioner(s) -against- HEALTHPORT TECHNOLOGIES, LLC Defendant(s)/Respondent(s) NATURE OF ACTION OR PROCEEDING: Check ONE box only and specify where indicated. MATRIMONIAL COMMERCIAL O Contested O° Business Entity (including corporations, partnerships, LLCs, etc.) Oo Uncontested O° Contract NOTE: For all Matrimonial actions where the parties have children under the age of 18, O° Insurance (where insurer is a party, except arbitration) complete and attach the MATRIMONIAL RJl Addendum O° UCC (including sales, negotiable instruments) TORTS O° Other Commercial: (Gpecify) O° Asbestos NOTE: For Commercial Division assignment requests [22 NYCRR & 202.70(d)], O° Breast Implant complete and attach the COMMERCIAL DIV Rul Addendum. O° Environmental REAL PROPERTY How many properties does the application include? (specify) © Condemnation Medical, Dental or Podiatric Malpractice O° Foreclosure Motor Vehicle O° Property Address, Products Liability (specify) Street Address City State Zip NOTE: For Foreclosure actions involving a one- to four-family, owner occupied, Other Negligence. residential property, or an owner-occupied condominium (specify O Tax Certiorari — Section, Block: Lot: Other Professional Malpractice (specify) O Other Real Property. Other Tort (specify) (specify) OTHER MATTERS SPECIAL PROCEEDINGS Certificate of Incorporation/Dissolution [see NOTE under commercial] CPLR Article 75 (arbitration) [see NOTE under Commercial] Emergency Medical Treatment CPLR Article 78 (Body or Officer) Habeus Corpus Election Law Local Appeals Court MHL Article 10 (Sex Offender: Confinement-Initial) Mechanic's Lien MHL Article 10 (Sex Offender: Confinement-Review) Name Change Article 81 (Guardianship) Pistol Permit Revocation Hearing Other Mental Hygiene: Sale or Finance of Religious/Not-for-Profit Property (specify) Other: Other Special Proceeding: (specify) (specify) STATUS OF ACTION OR PROCEEDING Answer YES or NO for EVERY question AND enter additional information where indicated YES Has a summons and complaint or summons w/notice been filed? O° © Ifyes, date filed, Is this action/proceeding being filed post-judgment? O° © If yes, judgment date: 71-689-00001: 10606694_4.docx 1 of 2 { NATURE OF JUDICIAL INTERVENTION Check ONE box only AND enter additional information where indicated Infants Compromise Note of Issue and/or Certificate of Readiness Notice of Medical, Dental or Podiatric Malpractice Date Issue Joined, Notice of Motion Relief Sought Return Date. Notice of Petition Relief Sought__Judgment - Money Return Date_January 22, 2016. Order to Show Cause Relief Sought Return Date. Other Ex Parte Application Relief Sought Poor Person Application Request for Preliminary Conference Residential Mortgage Foreclosure Settlement Conference Writ of Habeas Corpus Other (specify) RELATED CASES: List any related actions. For Matrimonial actions, include any oriminal and/or Family Court cases if additional space is required, complete and attach the Rul Addendum, If none, leave blank Case Title Index/Case No. Court Judge (if assigned) Relationship to Instant Case additional space is required, complete and atlach the RUl Addendum PARTIES: For parties without and attorney, check “Un-Rep" box AND enter party address, phone number and e-mail address in “Attorneys” space Parties Attorneys Issue Un- List parties in caption order and Provide name, firm name, business address, phone number and e-mail Joined Insurance Rep Indicate party role(s) (e.g. defendant; Carrier(s): 3-party plaintiff) address of all attorneys that have appeared in the case (YIN) Cisneros Jorge Last Name Last Name First Name LEVY RATNER, P.C. @YES O First Name Firm Name Primary Role 80 EIGHTH AVENUE, 8THFLOOR NEWYORK NY 10011-5126 Street Address City State Zip ONO Secondary Role (if any) (212) 627-8100 (212) 627-8182 Phone Fax e-mail Last Name Last Name First Name OYES First Name Firm Name Primary Role Street Address City State Zip ONO Secondary Role (if any) Phone Fax e-mail Last Name Last Name First Name OYES First Name Firm Name Primary Role Street Address City State Zip ONO Secondary Role (if any) Phone. Fax e-mail Last Name Last Name First Name OYES O First Name Firm Name Primary Role Street Address City State Zip ONO Secondary Role (if any) Phone Fax e-mail | AFFIRM UNDER THE PENALTY OF PERJURY THAT, TO MY KNOWLEDGE, OTHER THAN AS NOTED ABOVE, THERE ARE AND HAVE BEEN NO RELATED ACTIONS OR PROCEEDINGS, NOR HAS A REQUEST FOR JUDICIAL. INTERVENTION PREVIOUSLY BEEN FILED IN THIS ACTION OR PROCEEDING. Dated: December 7, 2015. /s/ Jorge A. ‘isneros Signature 5054515 Jorge A. Cisneros ATTORNEY REGISTRATION NUMBER PRINT OR TYPE NAME «Matter Matter ID»: 10606694 4.docx 2 of 2