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CourtName:DistrictCourtDivision:1ReceiptNumber:465481886315Cashier
ID:
LcurtisTransactionDate:
85/18/2811
PayerNalle:JACKUBOtUTZANDCHUANGLLP
---------------------------------
CIVILFILING
FEE
For:JACKU»OWITZANDCHUANGLLPCaselParty:D-NYS-I-11-CV-883153-808Amount:'$358.80CHECKCheck/"oneyOrderHum:1837AmtTendered:$350.00TotalDue:$358.80TotalTendered:$358.80ChangeAlIt:
la.IS
JUDGEKAt'lAN
 
JS
44q~DN¥-
REV.
_512011<4,
'"',~.civlcoversheetandthe
,",,",,:~~:~1:1~:~av.",,3,
1"5,3,
pleadingsorotherpapersasrequiredbylaw,exceptasprovidedbylocalrulesofcourt.Thisform,approvedbytheJudicialConferenceoftheUnitedStatesinSeptember1974,isrequiredforuseoftheClerkofCourtforthepurp°'lllW
10
Z011
initiatingthecivildocketsheet.
rll\l
PLAINTIFFS
JEREMYLEBEWOHL,ANDUNCLEABIESDELIINC.d/b/a2ndAVEDELI,ETAL.
DEFENDANTS
HEARTATTACKGRILLLLC,HAGLLC,andJONBASSO
ATTORNEYS(FIRMNAME,ADDRESS,ANDTELEPHONENUMBER
Jakubowitz&Chuang
U:.P,
Tel:(347)542-8529401BroadwaySTE408,NewYork,NY10013.
ATTORNEYS(IFKNOWN)
WilliamW.Chuang,Esq.
CAUSEOFACTION
(CITETHEU.S.CIVILSTATUTEUNDERWHICHYOUAREFILINGANDWRITEABRIEFSTATEMENTOFCAUSE)(DONOTCITEJURISDICTIONALSTATUTESUNLESSDIVERSITY)
Declaratoryjudgment(28USC§§22012202)ofnon-infringementofLanhamAct(15USC§§1114,1125(a)and(c)).
HasthisorasimilarcasebeenpreviouslyfiledinSONYatanytime?No?[{]Yes?
0
JudgePreviouslyAssignedIfyes,wasthiscaseVol.OInvol.
0
Dismissed.No
0
Yes
0
Ifyes,givedate&CaseNo.
(PLACEAN[x]INONEBOXONLY)
NATUREOFSUIT
CONTRACT[]110INSURANCE[]120MARINE[]130MILLERACT[]140NEGOTIABLEINSTRUMENT[]150RECOVERYOFOVERPAYMENT&ENFORCEMENTOFJUDGMENT[]151MEDICAREACT[]152RECOVERYOFDEFAULTEDSTUDENTLOANS(EXCLVETERANS)[]153RECOVERYOFOVERPAYMENTOFVETERAN'SBENEFITS[]160STOCKHOLDERSSUITS[]190OTHERCONTRACT[]195CONTRACTPRODUCTLIABILITY[]196FRANCHISEREALPROPERTY[]210LANDCONDEMNATION[]220FORECLOSURE[]230RENTLEASE&EJECTMENT[]240TORTSTOLAND[]245TORTPRODUCTLIABILITY[]290ALLOTHERREALPROPERTYPERSONALINJURY[]310AIRPLANE[]315AIRPLANEPRODUCTLIABILITY[]320ASSAULT,LIBEL&SLANDER[]330FEDERALEMPLOYERS'LIABILITY[]340MARINE[]345MARINEPRODUCTLIABILITY[]350MOTORVEHICLE[]355MOTORVEHICLEPRODUCTLIABILITY[]360OTHERPERSONALINJURYACTtONSUNDERSTATUTESCIVILRIGHTS[]441VOTING[]442EMPLOYMENT[]443HOUSINGIACCOMMODATIONS[]444WELFARE[]445AMERICANSWITHDISABILITIES-EMPLOYMENT[]446AMERICANSWITHDISABILITIES-OTHER
I
]440OTHERCIVILRIGHTSFAIRLABORSTANDARDSACTLABORlMGMTRELATIONSLABORlMGMTREPORTING&DISCLOSUREACTRAILWAYLABORACT[]870TAXES(U.S.PlaintifforOTHERLABORDefendant)LITIGATION[]871IRS-THIRDPARTYEMPLRETINC26USC7609SECURITYACTTORTSFORFEITURE/PENALTYACTIONSUNDERSTATUTESBANKRUPTCY[]422APPEAL28USC158[]423WITHDRAWAL28USC157PROPERTYRIGHTS[]820COPYRIGHTS[]830PATENTXl840TRADEMARKSOCIALSECURITY[]861HIA(1395ff)[]862BLACKLUNG(923)[]863DIWCIDIWW(405(g))[]864SSIDTITLEXVI
I]
865RSI(405(g))FEDERALTAXSUITSOTHERSTATUTES[]400STATEREAPPORTIONMENT[]410ANTITRUST[]430BANKS&BANKING[]450COMMERCE[]460DEPORTATION[]470RACKETEERINFLU-ENCED&CORRUPTORGANIZATIONACT(RICO)[]480CONSUMERCREDIT[]490CABLE/SATELLITETV[]810SELECTIVESERVICE[]850SECURITIESICOMMODITIESIEXCHANGE[]875CUSTOMERCHALLENGE12USC3410[]890OTHERSTATUTORYACTIONS[]891AGRICULTURALACTS
I]
892ECONOMICSTABILIZATIONACT
I
]893ENVIRONMENTALMATTERS
I
]894ENERGYALLOCATIONACT[]895FREEDOMOFINFORMATIONACT[]900APPEALOFFEEDETERMINATIONUNDEREQUALACCESSTOJUSTICE[]950CONSTITUTIONALITYOFSTATESTATUTES
Checkifdemandedincomplaint:
[]CHECKIFTHISISA
CLASSACTION
UNDERF.R.C.P.23
PERSONALINJURY[]610[]620[]362PERSONALINJURY-MEDMALPRACTICE
I
]625[]365PERSONALINJURYPRODUCTLIABILITY[]368ASBESTOSPERSONALINJURYPRODUCT[]630LIABILITY[]640[]650PERSONALPROPERTY[]660[]370OTHERFRAUD[]690[]371TRUTHINLENDING[]380OTHERPERSONALPROPERTYDAMAGELABOR[]385PROPERTYDAMAGEPRODUCTLIABILITY[]710AGRICULTUREOTHERFOOD&DRUGDRUGRELATEDSEIZUREOFPROPERTY21USC881LIQUORLAWSRR&TRUCKAIRLINEREGSOCCUPATIONALSAFETYIHEALTHOTHER
DOYOUCLAIMTHISCASEISRELATEDTOACIVILCASENOWPENDINGINS.D.N.Y.?IFSO,STATE:
DEMAND$OTHERJUDGEDOCKETNUMBER._
CheckYESonlyifdemandedincomplaint
JURYDEMAND:
[2]
YES
0
NO
[]720[]7301]7401]790PRISONERPETITIONS[]791[]510MOTIONSTOVACATESENTENCE20USC2255HABEASCORPUSDEATHPENALTYMANDAMUS&OTHERCIVILRIGHTSPRISONCONDITION[]462NATURALIZATIONAPPLICATION[]463HABEASCORPUS-ALIENDETAINEE[]465OTHERIMMIGRATIONACTIONS
NOTE:Pleasesubmitatthetimeoffilinganexplanationofwhycasesaredeemedrelated.
IMMIGRATION[]530[]535
[]540
[]550[]555
 
(PLACEAN
x
INONEBOXONL
Y)
ORIGIN
01OriginalProceeding
o
2a.Removedfrom03Remandedfrom04ReinstatedorStateCourtAppellateCourtReopened
o
2b.Removedfrom
o
5
Transferredfrom0
6
Multidistrict(SpecifyDistrict)litigation
o
7AppealtoDistrictJudgefromMagistrateJudgeJudgment
StateCourt
ANDatleastonepartyisprose.
(PLACEAN
X
INONEBOXONLy)
BASISOFJURISDICTION
01U.S.PLAINTIFF02U.S.DEFENDANT03FEDERALQUESTION04DIVERSITY(U.S.NOTAPARTY)
IFDIVERSITY.INDICATECITIZENSHIPBELOW.(28USC
1322,1441)
CITIZENSHIPOFPRINCIPALPARTIES(FORDIVERSITYCASESONLY)(Placean[X]inoneboxforPlaintiffandoneboxforDefendant)PTFDEFCITIZENOFTHISSTATE
(]1(]1
PTFDEFCITIZENORSUBJECTOFA[
]3[]3
FOREIGNCOUNTRYPTFDEFINCORPORATEDandPRINCIPALPLACE
[]5[]5
OFBUSINESSINANOTHERSTATECITIZENOFANOTHERSTATE
(]2(]2
INCORPORATED!!!PRINCIPALPLACE
(]4[]4
OFBUSINESSINTHISSTATEFOREIGNNATION
(]6(]6
PLAINTIFF(S)ADDRESS(ES)ANDCOUNTY(IES)
JeremyLebewohl,157EastHoustonSt.,2ndFl.,NewYork,NY10002UncleAbiesDeliInc.d/b/a2ndAveDeli,162East33rdSt.,NewYork,NY100016UncleAbiesDelionFirstInc.,162East33rdSt,NewYork,NY10016.UncleAbiesDeliSandwichTrademarksLLC,162East33rdSt,NewYork,NY10016.
DEFENDANT(S)ADDRESS(ES)ANDCOUNTY(IES)
HeartAttackGrillLLC,15090NNorthsightBoulevard#115,Scottsdale,Arizona85260HAGLLC,37401NDreamStreet,Carefree,Arizona85377JonBasso,37401NDreamStreet,Carefree,Arizona85377
DEFENDANT(S)ADDRESSUNKNOWNREPRESENTATIONISHEREBYMADETHAT,ATTHISTIME,IHAVEBEENUNABLE,WITHREASONABLEDILIGENCE,TOASCERTAINTHERESIDENCEADDRESSESOFTHEFOLLOWINGDEFENDANTS:Checkone:THISACTIONSHOULDBEASSIGNEDTO:(DONOTcheckeitherboxifthisaPRISONERPETITION.)
o
WHITEPLAINS[{]MANHATTAN
DATE
May10,
2CC1
SIGN~/~~E.OFATT~OY
0
RECORD
JJ~)JJ.
RECEIPT
#
ADMITTEDTOPRACTICEINTHISDISTRICT
[I
NO
112008
kl
YES(DATEADMITTEDMo.Yr._AttorneyBarCode
#4486468
MagistrateJudgeistobedesignatedbytheClerkoftheCourt.MagistrateJudgeissoDesignated.RubyJ.Krajick,ClerkofCourtbyDeputyClerk,DATEDUNITEDSTATESDISTRICTCOURT(NEWYORKSOUTHERN)
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