Case 1:19-cv-10476-PGG-DCF

Document 2

Filed 11/12/19

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 supplement the 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 Court for the purpose of initiating the civil docket sheet.

PLAINTIFFS
TERESA HELM

DEFENDANTS
DARREN K. INDYKE and RICHARD D. KAHN, in their capacities as the executors of the ESTATE OF JEFFREY EDWARD EPSTEIN

ATTORNEYS (FIRM NAME, ADDRESS, AND TELEPHONE NUMBER)
Joshua I. Schiller
Boies Schiller Flexner LLP
55 Hudson Yards, New York, NY 10001 (212) 446-2300

ATTORNEYS (IF KNOWN)
Bennet J. Moskowitz
875 Third Avenue
New York, NY 10022

+

CAUSE OF ACTION (CITE THE U.S. CIVIL STATUTE UNDER WHICH YOU ARE FILING AND WRITE A BRIEF STATEMENT OF GAUS~ (DO NOT CITE JURISDICTIONAL STATUTES UNLESS DIVERSITY)

28 U.S.C. § 1332; New York causes of action

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

<table><tr><th>CONTRACT</th><th></th><th>PERSONAL INJURY</th><th>PERSONAL INJURY
[ ] 367 HEALTHCARE/</th><th>FORFEITURE/PENALTY</th><th>BANKRUPTCY</th><th>OTHER STATUTES</th></tr><tr><td>110</td><td>INSURANCE</td><td>[ ] 1310 AIRPLANE</td><td>PHARMACEUTICAL PERSONAL</td><td>[ ] 625 DRUG RELATED</td><td>[ ] 422 APPEAL</td><td>[ ] 375 FALSE CLAIMS</td></tr><tr><td>[ ] 120</td><td>MARINE</td><td>[ ] j315 AIRPLANE PRODUCT</td><td>INJURY/PRODUCT LIABILITY</td><td>SEIZURE OF PROPERTY</td><td>28 USC 158</td><td>[ ] 376 QUI TAM</td></tr><tr><td>[130
[ ] 140</td><td>MILLER ACT
NEGOTIABLE</td><td>LIABILITY
[ ] 320 ASSAULT, LIBEL &amp;</td><td>[] 365 PERSONAL INJURY
PRODUCT LIABILITY</td><td>21 USC 881</td><td>[ ] 423 WITHDRAWAL
28 USC 157</td><td>[ ] 400 STATE
REAPPORTIONMENT</td></tr><tr><td></td><td>INSTRUMENT</td><td>SLANDER</td><td>[ ] 368 ASBESTOS PERSONAL</td><td>[ ] 690 OTHER</td><td></td><td>[ ] 410 ANTITRUST</td></tr><tr><td>[ ] 150</td><td>RECOVERY OF</td><td>[ ] [ ] 330 FEDERAL</td><td>INJURY PRODUCT</td><td></td><td></td><td>[ ] 430 BANKS &amp; BANKING</td></tr><tr><td></td><td>OVERPAYMENT &amp;</td><td>EMPLOYERS'</td><td>LIABILITY</td><td>PROPERTY RIGHTS</td><td></td><td>450 COMMERCE</td></tr><tr><td></td><td>ENFORCEMENT</td><td>LIABILITY</td><td></td><td></td><td></td><td>[ [ ] ] 460 DEPORTATION</td></tr><tr><td></td><td>OF JUDGMENT</td><td>[ ] [ ] 340 MARINE</td><td>PERSONAL PROPERTY</td><td>[ ] 820 COPYRIGHTS</td><td></td><td>[ [ ] ] 470 RACKETEER INFLU-</td></tr><tr><td>[ ] 151</td><td>MEDICARE ACT</td><td>[ ] j345 MARINE PRODUCT</td><td></td><td>[ ] 830 PATENT</td><td></td><td>ENCED &amp; CORRUPT</td></tr><tr><td>[ ] 152</td><td>RECOVERY OF
DEFAULTED</td><td>LIABILITY
[ ] 350 MOTOR VEHICLE</td><td>1370 OTHER FRAUD
j371 TRUTH IN LENDING</td><td>[ [ ] ] 835 PATENT-ABBREVIATED</td><td>NEW DRUG APPLICATION</td><td>ORGANIZATION ACT
(RICO)</td></tr><tr><td></td><td>STUDENT LOANS</td><td>355 MOTOR VEHICLE</td><td></td><td>[ [ ] ] 840 TRADEMARK</td><td></td><td>[ ] ] 480 CONSUMER CREDIT</td></tr><tr><td></td><td>(EXCL VETERANS)</td><td>PRODUCT LIABILITY</td><td></td><td></td><td>SOCIAL SECURITY</td><td>[ ] 490 CABLE/SATELLITE TV</td></tr><tr><td>153</td><td>RECOVERY OF</td><td>[360 OTHER PERSONAL</td><td></td><td></td><td></td><td></td></tr><tr><td></td><td>OVERPAYMENT
OF VETERAN'S</td><td>INJURY
[ ] 362 PERSONAL INJURY -</td><td>[ ] 380 OTHER PERSONAL
PROPERTY DAMAGE</td><td>LABOR</td><td>[ ] 861 HIA (1395ff)
[ [ ] ] 862 BLACK LUNG (923)</td><td>[ ] 850 SECURITIES/
COMMODITIES/</td></tr><tr><td></td><td>BENEFITS</td><td>MED MALPRACTICE</td><td>[ ] 385 PROPERTY DAMAGE</td><td>[ ] 710 FAIR LABOR</td><td>[ ] j 863 DIWC/DIWW (405(9))</td><td>EXCHANGE</td></tr><tr><td colspan="2">[ ] 160 STOCKHOLDERS
SUITS
[ ] 190 OTHER
CONTRACT
[ ] 195 CONTRACT
PRODUCT
LIABILITY
[ ] 196 FRANCHISE

REAL PROPERTY

[ ]210 LAND
CONDEMNATION
[ ] 1220 FORECLOSURE
[ 1230 RENT LEASE &amp;
EJECTMENT
[ [ ] ] 240 TORTS TO LAND
[245 TORT PRODUCT
LIABILITY
[ ] 290 ALL OTHER
REAL PROPERTY</td><td>ACTIONS UNDER STATUTES

CIVIL RIGHTS

[ ] 440 OTHER CIVIL RIGHTS
(Non-Prisoner)
[ ] 441 VOTING
[ ] 442 EMPLOYMENT
443 HOUSING/
ACCOMMODATIONS
[ ] 445 AMERICANS WITH
DISABILITIES -
EMPLOYMENT
[ ] 446 AMERICANS WITH
DISABILITIES-OTHER
[ ] 448 EDUCATION</td><td>PRODUCT LIABILITY

PRISONER PETITIONS
463 ALIEN DETAINEE
[ 510 MOTIONS TO
VACATE SENTENCE
28 USC 2255
[ ] 530 HABEAS CORPUS
[ ] 1535 DEATH PENALTY
[540 MANDAMUS &amp; OTHER

PRISONER CIVIL RIGHTS

[1550 CIVIL RIGHTS
[ ] [ ] 555 PRISON CONDITION
560 CIVIL DETAINEE
*CONDITIONS OF CONFINEMENT</td><td>STANDARDS ACT
[ ] 720 LABOR/MGMT
RELATIONS
[ ] 740 RAILWAY LABOR ACT
[ ] 751 FAMILY MEDICAL
LEAVE ACT (FMLA)
[ ] 790 OTHER LABOR
LITIGATION
[ 791 EMPL RET INC.
SECURITY ACT (ERISA)

IMMIGRATION

[ ] 462 NATURALIZATION
APPLICATION
[ ] 465 OTHER IMMIGRATION
ACTIONS</td><td>[ ] 864 SSID TITLE XVI
[ ] 865 RSI (405(g))

FEDERAL TAX SUITS

[ ]870 TAXES (U.S. Plaintiff or
Defendant)
[ ]871 IRS-THIRD PARTY
26 USC 7609</td><td>[ ] 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</td></tr></table>

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: [R] YES LNO

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

Case 1:19-cv-10476-PGG-DCF Document 2 Filed 11/12/19 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)
[ ] 7 Appeal to District Judge from Magistrate Judge

[ ] 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.

## 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: [ ] PTF DEF
[ ] 1 [ ] 1
CITIZEN OR SUBJECT OF A FOREIGN COUNTRY: [ ] PTF DEF
[ ] 3 [ ] 3
INCORPORATED and PRINCIPAL PLACE OF BUSINESS IN ANOTHER STATE: [ ] PTF DEF
[ ] 5 [ ] 5

CITIZEN OF ANOTHER STATE: [x] 2 [x] 2
INCORPORATED or PRINCIPAL PLACE OF BUSINESS IN THIS STATE: [ ] PTF DEF
[ ] 4 [ ] 4
FOREIGN NATION: [ ] PTF DEF
[ ] 6 [ ] 6

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

Teresa Helm

244 Corona Avenue

Oakwood, OH 45419

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

Darren K. lndyke

Richard D. Kahn

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:

Defendants are sued as executors of the Estate of Jeffrey Epstein. Per 28 U.S.C. § 1332, Defendants are deemed citizens of the U.S. Virgin Islands (USVI), decedent Epstein's domicile. 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. 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:
[ ] WHITE PLAINS
[x] MANHATTAN

DATE: 11/12/2019
SIGNATURE OF ATTORNEY OF RECORD: <signature>
RECEIPT #: <empty>
ADMITTED TO PRACTICE IN THIS DISTRICT:
[ ] NO
[x] YES (DATE ADMITTED Mo.: 08  Yr.: 2009)
Attorney Bar Code # JS3315

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-1ae624436bfaf51c.pdf
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