# EXHIBIT(S) - B
             (Motion #1) Informational Statement

Source: https://lucycraig.blog/media/507
File: NYSCEF-case-4c779433507a-000042.pdf
Format: application/pdf
Description: NYSCEF document #42 | Filed: 2026-09-25 | Filed by: SASH, ALAN EDWARD Filed:  Received: | Docket status: Processed Confirmation Notice | Case: Jane Doe v. Cornell Univeristy (Tompkins County) | Source: NYSCEF
Alt text: 

## OCR / extracted text

--- Page 1 ---
EXHIBIT B 
 
 
 
 
 
 
 
CI2026-21725
Index # : EF2026-0292
FILED: TOMPKINS COUNTY CLERK 09/25/2026 01:20 PM
INDEX NO. EF2026-0292
NYSCEF DOC. NO. 42
RECEIVED NYSCEF: 09/25/2026

--- Page 2 ---
Supreme Court of the State of New York 
Appellate Division: 
 Judicial Department 
Informational Statement (Pursuant to 22 NYCRR 1250.3 [a]) - Civil
Case Title:  Set forth the title of the case as it appears on the summons, notice of petition or order to 
show cause by which the matter was or is to be commenced, or as amended. 
For Court of Original Instance 
Date Notice of Appeal Filed 
For Appellate Division 
Case Type 
Filing Type 
☐
Civil Action
☐
CPLR article 75 Arbitration
☐CPLR article 78 Proceeding
☐
Special Proceeding Other
☐Habeas Corpus Proceeding
☐Appeal
☐
Original Proceedings
☐CPLR Article 78
☐Eminent Domain 
☐Labor Law 220 or 220-b
☐Public Officers Law § 36
☐Real Property Tax Law § 1278 
☐Transferred Proceeding
☐CPLR Article 78
☐Executive Law § 298
☐CPLR 5704 Review
Nature of Suit: Check up to three of the following categories which best reflect the nature of the case. 
☐Administrative Review
☐Business Relationships
☐Commercial
☐Contracts
☐Declaratory Judgment
☐Domestic Relations
☐Election Law
☐Estate Matters
☐Family Court
☐Mortgage Foreclosure
☐Miscellaneous
☐Prisoner Discipline & Parole
☐Real Property
(other than foreclosure)
☐Statutory
☐Taxation
☐Torts
- against -
Informational Statement - Civil
In the Matter of the Application of
JOHN DOE                                           Petitioner,
For a Judgment pursuant to Article 78 and Section 3001 of the CPLR
CORNELL UNIVERSITY
                                                              Respondent.
CI2026-21725
Index #: EF2026-0292
FILED: TOMPKINS COUNTY CLERK 09/25/2026 01:20 PM
INDEX NO. EF2026-0292
NYSCEF DOC. NO. 42
RECEIVED NYSCEF: 09/25/2026

--- Page 3 ---
Appeal 
Paper Appealed From (Check one only): 
If an appeal has been taken from more than one order or 
judgment by the filing of this notice of appeal, please 
indicate the below information for each such order or 
judgment appealed from on a separate sheet of paper. 
☐Amended Decree
☐Amended Judgement
☐Amended Order
☐Decision
☐Decree
☐Determination
☐Finding
☐Interlocutory Decree
☐Interlocutory Judgment
☐Judgment
☐Order
☐Order & Judgment
☐Partial Decree
☐Resettled Decree
☐Resettled Judgment
☐Resettled Order
☐Ruling
☐Other (specify):
Court: 
County: 
Dated: 
Entered: 
Judge (name in full): 
Index No.: 
Stage:    ☐ Interlocutory  ☐  Final  ☐  Post-Final 
Trial:    ☐  Yes  ☐  No      If Yes:  ☐  Jury   ☐  Non-Jury 
Prior Unperfected Appeal andRelatedCaseInformation 
Are any appeals arising in the same action or proceeding currently pending in the court?  
☐Yes   ☐  No
If Yes, please set forth the Appellate Division Case Number assigned to each such appeal. 
Where appropriate, indicate whether there is any related action or proceeding now in any court of this or any other 
jurisdiction, and if so, the status of the case: 
Original Proceeding 
Commenced by:    ☐ Order to Show Cause  ☐  Notice of Petition  ☐  Writ of Habeas Corpus 
Date Filed: 
Statute authorizing commencement of proceeding in the Appellate Division: 
Proceeding Transferred Pursuant to CPLR 7804(g) 
Court: 
County: 
Judge (name in full): 
Order of Transfer Date: 
CPLR 5704 Review of Ex Parte Order: 
Court: 
County: 
Judge (name in full): 
Dated: 
Description of Appeal, Proceeding or Application and Statement of Issues 
Description:  If an appeal, briefly describe the paper appealed from.  If the appeal is from an order, specify the relief 
requested and whether the motion was granted or denied.  If an original proceeding commenced in this court or transferred 
pursuant to CPLR 7804(g), briefly describe the object of proceeding.  If an application under CPLR 5704, briefly describe the 
nature of the ex parte order to be reviewed. 
Informational Statement - Civil
Supreme Court
Tompkins
09/23/2026
            09/23/2026
Hon. Mark G. Masler
EF2026-0292
Choose Court
Choose Court
Choose County
Choose County
Appeal from an Order and Judgment which denied and dismissed the Petition.
CI2026-21725
Index #: EF2026-0292
FILED: TOMPKINS COUNTY CLERK 09/25/2026 01:20 PM
INDEX NO. EF2026-0292
NYSCEF DOC. NO. 42
RECEIVED NYSCEF: 09/25/2026

--- Page 4 ---
Issues:  Specify the issues proposed to be raised on the appeal, proceeding, or application for CPLR 5704 review,thegrounds
forreversal,ormodificationtobeadvancedandthespecificreliefsoughtonappeal.
Party Information 
  
Instructions:  Fill in the name of each party to the action or proceeding, one name per line.  If this form is to be filed for an
appeal, indicate the status of the party in the court of original instance and his, her, or its status in this court, if any. If this 
form is to be filed for a proceeding commenced in this court, fill in only the party’s name and his, her, or its status in this 
court.
No. 
Party Name 
Original Status 
Appellate Division Status 
1 
2 
3 
4 
5 
6 
7 
8 
9 
10 
11 
12 
13 
14 
15 
16 
17 
18 
19 
20 
Informational Statement - Civil
Whether the lower court erred in determining that Cornell University did not act contrary to law and/or in 
violation of its own policy. Appellant seeks reversal of the lower court s decision and granting of the 
petition on the grounds that the record establishes that Cornell acted in an arbitrary and capricious 
manner by, among other things, acting contrary to law and/or in violation of its own policy.
JOHN DOE
Petitioner
Appellant
CORNELL UNIVERSITY
Respondent
Respondent
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
18 of 19
CI2026-21725
Index #: EF2026-0292
FILED: TOMPKINS COUNTY CLERK 09/25/2026 01:20 PM
INDEX NO. EF2026-0292
NYSCEF DOC. NO. 42
RECEIVED NYSCEF: 09/25/2026

--- Page 5 ---
2
Attorney Information 
Instructions:  Fill in the names of the attorneys or firms for the respective parties.  If this form is to be filed with the 
notice of petition or order to show cause by which a special proceeding is to be commenced in the Appellate Division, 
only the name of the attorney for the petitioner need be provided.  In the event that a litigant represents herself or 
himself, the box marked “Pro Se” must be checked and the appropriate information for that litigant must be supplied 
in the spaces provided. 
Attorney/Firm Name: 
Address: 
City: 
State: 
Zip: 
Telephone No: 
E-mail Address:
Attorney Type:  
☐Retained     ☐  Assigned     ☐  Government     ☐  Pro Se     ☐  Pro Hac Vice
Party or Parties Represented(set forth party number(s) from table above): 
Attorney/Firm Name: 
Address: 
City: 
State: 
Zip: 
Telephone No: 
E-mail Address:
Attorney Type:  
☐Retained     ☐  Assigned     ☐  Government     ☐  Pro Se     ☐  Pro Hac Vice
Party or Parties Represented (set forth party number(s) from table above): 
Attorney/Firm Name: 
Address: 
City: 
State: 
Zip: 
Telephone No: 
E-mail Address:
Attorney Type:  
☐Retained     ☐  Assigned     ☐  Government     ☐  Pro Se     ☐  Pro Hac Vice
Party or Parties Represented (set forth party number(s) from table above): 
Attorney/Firm Name: 
Address: 
City: 
State: 
Zip: 
Telephone No: 
E-mail Address:
Attorney Type:  
☐Retained     ☐  Assigned     ☐  Government     ☐  Pro Se     ☐  Pro Hac Vice
Party or Parties Represented (set forth party number(s) from table above): 
Attorney/Firm Name: 
Address: 
City: 
State: 
Zip: 
Telephone No: 
E-mail Address:
Attorney Type:  
☐Retained     ☐  Assigned     ☐  Government     ☐  Pro Se     ☐  Pro Hac Vice
Party or Parties Represented (set forth party number(s) from table above): 
Attorney/Firm Name: 
Address: 
City: 
State: 
Zip: 
Telephone No: 
E-mail Address:
Attorney Type:  
☐Retained     ☐  Assigned     ☐  Government     ☐  Pro Se     ☐  Pro Hac Vice
Party or Parties Represented (set forth party number(s) from table above): 
Informational Statement - Civil
Alan E. Sash / Bushell, Sovak, Kane & Sash LLP
274 Madison Avenue, Suite 1401
New York
New York
10016
(212) 949-4700
asash@bushellsovak.com
Adam G. Pence / Office of the General Counsel (Cornell University)
1
118 Sage Place
Ithica
New York
14850
(607) 255-5124
apence@cornell.edu
CI2026-21725
Index #: EF2026-0292
FILED: TOMPKINS COUNTY CLERK 09/25/2026 01:20 PM
INDEX NO. EF2026-0292
NYSCEF DOC. NO. 42
RECEIVED NYSCEF: 09/25/2026

## Transcript



## Machine-readable JSON

https://lucycraig.blog/media/507/index.json