JS 44C/SDNY

Case 1:20-cv-02365-LJL-DCF CIVIDOCOEE Tiled 03/17/20

Page 1 of 2

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
JANE DOE

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

ATTORNEYS (FIRM NAME, ADDRESS, AND TELEPHONE NUMBER Kaiser Saurborn & Mair, P.C. 30 Broad Street, 37th Floor, New York, NY 10004 (212) 338-9100

ATTORNEYS (IF KNOWN)

Troutman Sanders LLP 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 CAUSE)
(DO NOT CITE JURISDICTIONAL STATUTES UNLESS DIVERSITY)
18 U.S.C. § 1591 Sex crimes and abuse committed against the plaintiff

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

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>[] 310 AIRPLANE</td><td>PHARMACEUTICAL PERSONAL</td><td>[1625 DRUG RELATED</td><td>[ ] 422 APPEAL</td><td>[] 375 FALSE CLAIMS</td></tr><tr><td>[ ] 120</td><td>MARINE</td><td>[] 315 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</td><td>MILLER ACT</td><td>LIABILITY</td><td>[ ] 365 PERSONAL INJURY</td><td>21 USC 881</td><td>[ ] 423 WITHDRAWAL</td><td>[ ] 400 STATE</td></tr><tr><td>[ ]140</td><td>NEGOTIABLE</td><td>[ ] 320 ASSAULT, LIBEL &amp;</td><td>PRODUCT LIABILITY</td><td>OTHER</td><td>28 USC 157</td><td>REAPPORTIONMENT</td></tr><tr><td></td><td>INSTRUMENT</td><td>SLANDER</td><td>[ ] 368 ASBESTOS PERSONAL</td><td>[ ] 690</td><td></td><td>[ ] 1410 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>[ [ ] ]151</td><td>OF JUDGMENT
MEDICARE ACT</td><td>[ ] 345 340 MARINE MARINE PRODUCT
[ ]</td><td>PERSONAL PROPERTY</td><td>[ ] 820 COPYRIGHTS
[ ]</td><td></td><td>[470 RACKETEER INFLU-
ENCED &amp; CORRUPT</td></tr><tr><td>[152</td><td>RECOVERY OF</td><td>LIABILITY</td><td>1370 OTHER FRAUD</td><td></td><td></td><td>ORGANIZATION ACT</td></tr><tr><td>[ ]153</td><td>DEFAULTED
STUDENT LOANS
(EXCL VETERANS)
RECOVERY OF</td><td>[ ] 350 MOTOR VEHICLE
[ ] 355 MOTOR VEHICLE
PRODUCT LIABILITY
360 OTHER PERSONAL</td><td>[ ] 1371 TRUTH IN LENDING</td><td>[1835 PATENT-ABBREVIATED
[840 TRADEMARK</td><td>NEW DRUG APPLICATION

SOCIAL SECURITY</td><td>(RICO)
[ ] 1480 CONSUMER CREDIT
[ ] 490 CABLE/SATELLITE TV</td></tr><tr><td></td><td>OVERPAYMENT</td><td>INJURY</td><td>[ ] 380 OTHER PERSONAL</td><td>LABOR</td><td>[861 HIA (1395ff)</td><td>[ ] 850 SECURITIES/</td></tr><tr><td>[ [ ] ]160</td><td>OF VETERAN'S
BENEFITS
STOCKHOLDERS</td><td>[ ] [ ] 362 PERSONAL INJURY-
MED MALPRACTICE</td><td>PROPERTY DAMAGE
[ ] 385 PROPERTY DAMAGE
PRODUCT LIABILITY</td><td>[] 710 FAIR LABOR
STANDARDS ACT</td><td>[] 862 BLACK LUNG (923)
[1863 DIWC/DIWW (405(g))
[] 864 SSID TITLE XVI</td><td>COMMODITIES/
EXCHANGE</td></tr><tr><td></td><td>SUITS</td><td></td><td></td><td>[] 720 LABOR/MGMT</td><td>[865 RSI (405(g))</td><td></td></tr><tr><td colspan="2">[ ]190 OTHER
CONTRACT
[ ]195 CONTRACT
PRODUCT
LIABILITY
(196 FRANCHISE

REAL PROPERTY</td><td>ACTIONS UNDER STATUTES

CIVIL RIGHTS

x440 OTHER CIVIL RIGHTS
(Non-Prisoner)
[ ] 441 VOTING</td><td>PRISONER PETITIONS
1463 ALIEN DETAINEE
1510 MOTIONS TO
VACATE SENTENCE
28 USC 2255
1530 HABEAS CORPUS
] 535 DEATH PENALTY
(1540 MANDAMUS &amp; OTHER</td><td>RELATIONS
[] 740 RAILWAY LABOR ACT
[751 FAMILY MEDICAL
LEAVE ACT (FMLA)
(1790 OTHER LABOR
LITIGATION
[ ] 791 EMPL RET INC
SECURITY ACT (ERISA)

IMMIGRATION</td><td>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</td></tr><tr><td>[1210</td><td>LAND</td><td>[ ] 1442 EMPLOYMENT</td><td>PRISONER CIVIL RIGHTS</td><td></td><td></td><td>[] 899 ADMINISTRATIVE</td></tr><tr><td>[ ] 220
[ ] 230</td><td>CONDEMNATION
FORECLOSURE
RENT LEASE &amp;
EJECTMENT</td><td>[ ] 443 HOUSING/
ACCOMMODATIONS
[ ] 445 AMERICANS WITH
DISABILITIES -</td><td>1550 CIVIL RIGHTS
[ ] 1555 PRISON CONDITION
[560 CIVIL DETAINEE</td><td>[ ] 462 NATURALIZATION
APPLICATION
[ ] 465 OTHER IMMIGRATION
ACTIONS</td><td></td><td>PROCEDURE ACT/REVIEW OR
APPEAL OF AGENCY DECISION

[ ] 950 CONSTITUTIONALITY OF</td></tr><tr><td>[ [ ] ] 240</td><td>TORTS TO LAND</td><td>EMPLOYMENT</td><td>CONDITIONS OF CONFINEMENT</td><td></td><td></td><td>STATE STATUTES</td></tr><tr><td>[ ]245</td><td>TORT PRODUCT
LIABILITY</td><td>[ ] 446 AMERICANS WITH
DISABILITIES -OTHER</td><td></td><td></td><td></td><td></td></tr><tr><td>[1290</td><td>ALL OTHER
REAL PROPERTY</td><td>[ ] 448 EDLICATION</td><td></td><td></td><td></td><td></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:
[x] YES [ ] NO

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

Case 1:20-cv-02365-LJL-DCF

Document 4

Filed 03/17/20

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)
[ ] 6 Multidistrict Litigation (Transferred)
[ ] 7 Appeal to District Judge from Magistrate Judge
[ ] a. all parties represented
[ ] b. At least one party is pro se.
[ ] 8 Multidistrict Litigation (Direct File)

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

BASIS OF JURISDICTION
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 DefenoantJ

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:
PTF DEF: [ ] 2 [ ] 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)
Jane Doe
30 Broad Street
37th Floor
New York, NY 10004

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

DARREN K. IN DYKE, in his capacity as executors of the ESTATE OF JEFFREY E. EPSTEIN 875 Third Avenue New York, NY 10022

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:

RICHARD D. KAHN, in his capacity as executors of the ESTATE OF JEFFREY E. EPSTEIN 875 Third Avenue

New York, NY 10022

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:
[ ] WHITE PLAINS
[x] MANHATTAN

DATE: 03/17/2020
SIGNATURE OF ATTORNEY OF RECORD: <signature>

RECEIPT #: <empty>

ADMITTED TO PRACTICE IN THIS DISTRICT:
[ ] NO
[x] YES (DATE ADMITTED Mo.: <empty> Year: 1992)
Attorney Bar Code # DK-9387

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)

Clear Form Save Print
court-records/Doe v. Indyke, No. 120-cv-02365 (S.D.N.Y. 2020)/004.pdf
{"year":"2020","court":"S.D.N.Y","people":["darren indyke","richard kahn","jeffrey epstein","ruby j. krajick"]}