Case 1:19-cv-10788-GHW-DCF

Document 2

Filed 11/21/19

Page 1 of 2

JS 44C/SDNY

# CIVIL COVER SHEET

REV. 06/01 /17

The JS-44 civil cover sheet and the information contained herein neither replace nor supplementthe filing and service of pleadings or other papers as required by law, except as provided by local rules of court. This form, approved by the Judicial Conference of the United States in September 1974, is required for use of the Clerk of Courtfor the purpose of initiating the civil docket sheet.

PLAINTIFFS

TEALA DAVIES

DEFENDANTS

DARREN K. INDYKE and RICHARD D. KAHN,
as EXECUTORS OF THE ESTATE OF JEFFREY E.
EDSTEIN-
ATTORNEYS (IF KNOWN)

ATTORNEYS (FIRM NAME, ADDRESS, ANDTELEPHONE NUMBER

Cuti Hecker Wang LLP, 305 Broadway, Suite 607, New York, NY 10007

212-620-2606

Bennet J. Moskowitz, Troutman Sanders LLP 875 Third Avenue New York, NY 10002 (for Defendants lndvke and Kahn)

CAUSE OF ACTION (CITE THE U.S. CIVIL STATUTE UNDER WHICH YOU ARE FILING AND WRITE A BRIEF STATEMENT OF CAUSf:)

(DO NOT CITE JURISDICTIONAL STATUTES UNLESS DIVERSITY)
28 USC 1332

Has this action, case, or proceeding, or one essentially the same been previously filed in SDNY at any time?:
No [x] Yes [ ]

Judge Previously Assigned: <empty>

If yes, was this case Vol. [ ] Invol. [ ] Dismissed No [ ] Yes [ ]
If yes, give date: <empty> & Case No.: <empty>

Is THIS AN INTERNATIONAL ARBITRATION CASE?:
No [x] Yes [ ]

PLACE AN [x] IN ONE BOX ONLY NATURE OF SUIT

TORTS

## ACTIONS UNDER STATUTES

CONTRACT:
[ ] 110 INSURANCE
[ ] 120 MARINE
[ ] 130 MILLER ACT
[ ] 140 NEGOTIABLE INSTRUMENT
[ ] 150 RECOVERY OF OVERPAYMENT & ENFORCEMENT OF JUDGMENT MEDICARE ACT RECOVERY OF DEFAULTED STUDENT LOANS (EXCL VETERANS)
[ ] 151 340 MARINE
[ ] 152 345 MARINE PRODUCT LIABILITY
[ ] 153 RECOVERY OF OVERPAYMENT OF VETERAN'S BENEFITS
[ ] 160 STOCKHOLDERS SUITS
[ ] 190 OTHER CONTRACT
[ ] 195 CONTRACT PRODUCT LIABILITY
[ ] 196 FRANCHISE

PERSONAL INJURY:
[ ] 310 AIRPLANE
[ ] 315 AIRPLANE PRODUCT LIABILITY
[ ] 320 ASSAULT, LIBEL & SLANDER
[ ] 330 FEDERAL EMPLOYERS' LIABILITY
[ ] 340 MARINE
[ ] 345 MARINE PRODUCT LIABILITY
[ ] 350 MOTOR VEHICLE
[ ] 355 MOTOR VEHICLE PRODUCT LIABILITY
[ ] 360 OTHER PERSONAL INJURY
[ ] 362 PERSONAL INJURY - MED MALPRACTICE

FORFEITURE/PENALTY:
[ ] 367 HEALTHCARE/PHARMACEUTICAL PERSONAL INJURY/PRODUCT LIABILITY
[ ] 365 PERSONAL INJURY PRODUCT LIABILITY
[ ] 388 ASBESTOS PERSONAL INJURY PRODUCT LIABILITY

PROPERTY RIGHTS:
[ ] 820 COPYRIGHTS
[ ] 830 PATENT
[ ] 835 PATENT-ABBREVIATED NEW DRUG APPLICATION
[ ] 840 TRADEMARK

SOCIAL SECURITY:
LABOR:
[ ] 861 HIA (1395ff)
[ ] 862 BLACK LUNG (923)
[ ] 863 DIWC/DIWW (405(g))
[ ] 864 SSID TITLE XVI
[ ] 865 RSI (405(g))

PRISONER PETITIONS:
[ ] 463 ALIEN DETAINEE
[ ] 510 MOTIONS TO VACATE SENTENCE
[ ] 530 HABEAS CORPUS
[ ] 535 DEATH PENALTY
[ ] 540 MANDAMUS & OTHER

FEDERAL TAX SUITS:
[ ] 870 TAXES (U.S. Plaintiff or Defendant)
[ ] 871 IRS-THIRD PARTY
[ ] 890 OTHER STATUTORY ACTIONS
[ ] 891 AGRICULTURAL ACTS
[ ] 893 ENVIRONMENTAL MATTERS
[ ] 895 FREEDOM OF INFORMATION ACT
[ ] 896 ARBITRATION
[ ] 899 ADMINISTRATIVE PROCEDURE ACT/REVIEW OR APPEAL OF AGENCY DECISION
[ ] 950 CONSTITUTIONALITY OF STATE STATUTES

REAL PROPERTY:
[ ] 210 LAND CONDEMNATION
[ ] 220 FORECLOSURE
[ ] 230 RENT LEASE & EJECTMENT
[ ] 240 TORTS TO LAND
[ ] 245 TORT PRODUCT LIABILITY
[ ] 290 ALL OTHER REAL PROPERTY
[ ] 441 VOTING
[ ] 442 EMPLOYMENT
[ ] 443 HOUSING/
[ ] 445 AMERICANS WITH DISABILITIES - EMPLOYMENT
[ ] 446 AMERICANS WITH DISABILITIES -OTHER
[ ] 448 EDUCATION

IMMIGRATION:
[ ] 462 NATURALIZATION APPLICATION
[ ] 465 OTHER IMMIGRATION ACTIONS

PRISONER CIVIL RIGHTS:
[ ] 550 CIVIL RIGHTS
[ ] 555 PRISON CONDITION
[ ] 560 CIVIL DETAINEE CONDITIONS OF CONFINEMENT

Check if demanded in complaint:
[ ] CHECK IF THIS IS A CLASS ACTION UNDER F.R.C.P. 23

DO YOU CLAIM THIS CASE IS RELATED TO A CIVIL CASE NOW PENDING IN S.D.N.Y.
AS DEFINED BY LOCAL RULE FOR DIVISION OF BUSINESS 13?
IF SO, STATE:<empty>

DEMAND $<empty> OTHER<empty> JUDGE<empty> DOCKET NUMBER<empty>

Check YES only if demanded in complaint
JURY DEMAND:
[x] YES
[ ] NO

JURY DEMAND: 00 YES DJo NOTE: You must also submit at the time of filing the Statement of Relatedness form (Form IH-32).

Case 1:19-cv-10788-GHW-DCF Document 2 Filed 11/21/19 Page 2 of 2

(PLACE AN X IN ONE BOX ONLY)
ORIGIN:
[x] 1 Original Proceeding
[ ] 2 Removed from State Court
[ ] 3 Remanded from Appellate Court
[ ] 4 Reinstated or Reopened
[ ] 5 Transferred from (Specify District):<empty>
[ ] 6 Multidistrict Litigation (Transferred):<empty>
[ ] 7 Appeal to District Judge from Magistrate Judge:<empty>

[ ] a. all parties represented
[ ] b. At least one party is pro se.

(PAUSE AN X IN ONE BOX ONLY)
BASIS OF JURISDICTION:
[ ] 1 U.S. PLAINTIFF
[ ] 2 U.S. DEFENDANT
[ ] 3 FEDERAL QUESTION (U.S. NOT A PARTY)
[x] 4 DIVERSITY

IF DIVERSITY, INDICATE CITIZENSHIP BELOW.:<empty>

## CITIZENSHIP OF PRINCIPAL PARTIES (FOR DIVERSITY CASES ONLY)

(Place an [X] in one box for Plaintiff and one box for Defendant)

CITIZEN OF THIS STATE: [ ] CITIZEN OR SUBJECT OF A FOREIGN COUNTRY
[ ] INCORPORATED AND PRINCIPAL PLACE OF BUSINESS IN ANOTHER STATE
CITIZEN OF ANOTHER STATE: [x] 2
[x] 2
INCORPORATED OR PRINCIPAL PLACE OF BUSINESS IN THIS STATE: [ ] 4
[ ] 4
FOREIGN NATION: [ ] 6

PLAINTIFF(S) ADDRESS(ES) AND COUNTY(IES)

Plaintiff is a resident of Arizona c/o Cuti Hecker Wang LLP, 305 Broadway, Suite 607, New York, NY 10007.

DEFENDANT(S) ADDRESS(ES) AND COUNTY(IES)
Defendants Indyke and Kahn are residents of the U.S. Virgin Islands.

DEFENDANT(S) ADDRESS UNKNOWN

REPRESENTATION IS HEREBY MADE THAT, AT THIS TIME, I HAVE BEEN UNABLE, WITH REASONABLE DILIGENCE, TO ASCERTAIN THE RESIDENCE ADDRESSES OF THE FOLLOWING DEFENDANTS:

Darren K. lndyke and Richard D. Kahn are sued as executors of the Estate of Jeffrey E. Epstein. Per 28 USC 1332, Defendants are deemed citizens of the U.S. Virgin Islands, the domicile of decedent Epstein. Defendants' residential addresses are unknown to Plaintiff. Defendants' counsel is listed above.

## COURTHOUSE ASSIGNMENT

I hereby certify that this case should be assigned to the courthouse indicated below pursuant to Local Rule for Division of Business 18, 20 or 21.

Check one:
[ ] THIS ACTION SHOULD BE ASSIGNED TO: WHITE PLAINS
[x] MANHATTAN

DATE: 11/21/2019
SIGNATURE OF ATTORNEY OF RECORD: <signature>
RECEIPT #: <empty>

ADMITTED TO PRACTICE IN THIS DISTRICT:
[ ] NO
[x] YES (DATE ADMITTED Mo.: 09, Yr.: 1997)
Attorney Bar Code # MW7417

Magistrate Judge is to be designated by the Clerk of the Court.
Magistrate Judge: <empty> is so Designated.

Ruby J. Krajick, Clerk of Court by: <empty> Deputy Clerk, DATED: <empty>

UNITED STATES DISTRICT COURT (NEW YORK SOUTHERN)
documents/doj-bc12b1650655acc3.pdf
{}