PDF · PUBLIC LIBRARY #518
RJI (AMENDED) Redacted RJI (Doc 6&7) Pursuant to Court Order (Doc #44)
NYSCEF document #72 | Filed: 2026-10-19 | Filed by: GIUFFRA, THOMAS P Filed: Received: | Docket status: Processed Confirmation Notice | Source: NYSCEF, New York County Supreme Court
File: NYSCEF-Document-000072.pdf · 0.12 MBSHA-256:
161f083fc721…c2af17ac78 OCR: ready · Transcript: not_applicable
OCR / extracted text
--- Page 1 ---
REQUEST FOR JUDICIAL INTERVENTION
Supreme COURT, COUNTY OF New York
Index No:
Date Index Issued:
UCS-840
(rev. 12/16/2024)
CAPTION
Enter the complete case caption. Do not use et al or et ano. If more space is needed, attach a caption rider sheet.
Jane Doe
Plaintiff(s)/Petitioner(s)
-against-
Cornell University, Inc., Chi Phi Chapter House Association, Chi Phi Fraternity, Inc., Chi Phi Educational Trust, Alpha
Beta House Corporation of Delta Delta Delta, Delta Delta Delta Sorority, Zareen Enterprise LLC d/b/a Moonies Bar &
Nightclub, Matthew Ingalls, Johnathan Newell, Winston Lee, Gi...
Defendant(s)/Respondent(s)
For Court Use Only:
IAS Entry Date
Judge Assigned
RJI Filed Date
NATURE OF ACTION OR PROCEEDING:
Check only one box and specify where indicated.
COMMERCIAL
☐
Business Entity (includes corporations, partnerships, LLCs, LLPs, etc.)
☐
Contract
☐
Insurance (where insurance company is a party, except arbitration)
☐
UCC (includes sales and negotiable instruments)
☐
Other Commercial (specify):
NOTE: For Commercial Division assignment requests pursuant to 22 NYCRR 202.70(d),
complete and attach the COMMERCIAL DIVISION RJI ADDENDUM (UCS-840C).
TORTS
☐
Asbestos
☐
Environmental (specify):
☐
Medical, Dental or Podiatric Malpractice
☐
Motor Vehicle
☐
Products Liability (specify):
☐
Other Negligence (specify):
☐
Other Professional Malpractice (specify):
☒
Other Tort (specify): Sexual Assault
SPECIAL PROCEEDINGS
☐
Child-Parent Security Act (specify):☐Assisted Reproduction ☐Surrogacy Agreement
☐
CPLR Article 75 - Arbitration [see NOTE in COMMERCIAL section]
☐
CPLR Article 78 - Proceeding against a Body or Officer
☐
Election Law
☐
Extreme Risk Protection Order
☐
MHL Article 9.60 - Kendra's Law
☐
MHL Article 10 - Sex Offender Confinement (specify):
☐Initial
☐Review
☐
MHL Article 81 (Guardianship)
☐
Other Mental Hygiene (specify):
☐
Other Special Proceeding (specify):
MATRIMONIAL
☐
Contested
NOTE: If there are children under the age of 18, complete and attach the
MATRIMONIAL RJI Addendum (UCS-840M).
For Uncontested Matrimonial actions, use the Uncontested Divorce RJI (UD-13).
REAL PROPERTY Specify how many properties the application includes:
☐
Condemnation
☐
Mortgage Foreclosure (specify): ☐Residential
☐Commercial
Property Address:
NOTE: For Mortgage Foreclosure actions involving a one to four-family, owner-
occupied residential property or owner-occupied condominium, complete and
attach the FORECLOSURE RJI ADDENDUM (UCS-840F).
☐
Partition
NOTE: Complete and attach the PARTITION RJI ADDENDUM (UCS-840P).
☐
Tax Certiorari (specify):
Section:
Block:
Lot:
☐
Tax Foreclosure
☐
Other Real Property (specify):
OTHER MATTERS
☐
Certificate of Incorporation/Dissolution [see NOTE in COMMERCIAL section]
☐
Emergency Medical Treatment
☐
Habeas Corpus
☐
Local Court Appeal
☐
Mechanic's Lien
☐
Name Change/Sex Designation Change
☐
Pistol Permit Revocation Hearing
☐
Sale or Finance of Religious/Not-for-Profit Property
☐
Other (specify):
STATUS OF ACTION OR PROCEEDING
Answer YES or NO for every question and enter additional information where indicated.
YES
NO
Has a summons and complaint or summons with notice been filed?
☒
☐
If yes, date filed:
09/16/2026
Has a summons and complaint or summons with notice been served?
☐
☒
If yes, date served:
Is this action/proceeding being filed post-judgment?
☐
☒
If yes, judgment date:
NATURE OF JUDICIAL INTERVENTION
Check one box only and enter additional information where indicated.
☐
Infant's Compromise
☐
Extreme Risk Protection Order Application
☐
Note of Issue/Certificate of Readiness
☐
Notice of Medical, Dental or Podiatric Malpractice
Date Issue Joined:
☐
Notice of Motion
Relief Requested:
Return Date:
☐
Notice of Petition
Relief Requested:
Return Date:
☒
Order to Show Cause
Relief Requested:
Name Change
Return Date:
☐
Other Ex Parte Application
Relief Requested:
☐
Partition Settlement Conference
☐
Request for Preliminary Conference
☐
Residential Mortgage Foreclosure Settlement Conference
☐
Waiver of Court Costs, Fees and Expenses
☐
Writ of Habeas Corpus
☐
Other (specify):
FILED: NEW YORK COUNTY CLERK 09/16/2026 07:05 PM
INDEX NO. 161704/2026
NYSCEF DOC. NO. 6
RECEIVED NYSCEF: 09/16/2026
1 of 3
FILED: NEW YORK COUNTY CLERK 10/19/2026 03:29 PM
INDEX NO. 161704/2026
NYSCEF DOC. NO. 72
RECEIVED NYSCEF: 10/19/2026
1 of 4
--- Page 2 ---
RELATED CASES
List any related actions. For Matrimonial cases, list any related criminal or Family Court cases. If none, leave blank.
If additional space is required, complete and attach the RJI Addendum (UCS-840A).
Case Title
Index/Case Number
Court
Judge (if assigned)
Relationship to instant case
PARTIES
For parties without an attorney, check the "Un-Rep" box and enter the party's address, phone number and email in the space
provided. If additional space is required, complete and attach the RJI Addendum (UCS-840A).
Un-
Rep
Parties
List parties in same order as listed in the
caption and indicate roles (e.g., plaintiff,
defendant, 3rd party plaintiff, etc.)
Attorneys and Unrepresented Litigants
For represented parties, provide attorney's name, firm name, address, phone
and email. For unrepresented parties, provide party's address, phone and
email.
Issue Joined
For each defendant,
indicate if issue has
been joined.
Insurance Carriers
For each defendant,
indicate insurance
carrier, if applicable.
☐
Name: Doe, Jane
Role(s): Plaintiff/Petitioner
ETHAN COHEN, RHEINGOLD GIUFFRA RUFFO PLOTKIN &
HELLMAN LLP, 551 5TH AVE FL 29 , NEW YORK, NY
10176-2999, (212) 684-1880, [email protected]
☒ YES ☐ NO
☒
Name: Cornell University, Inc.
Role(s): Defendant/Respondent
☐ YES ☒ NO
☒
Name: Chi Phi Chapter House
Association
Role(s): Defendant/Respondent
☐ YES ☒ NO
☒
Name: Chi Phi Fraternity, Inc.
Role(s): Defendant/Respondent
☐ YES ☒ NO
☒
Name: Chi Phi Educational Trust
Role(s): Defendant/Respondent
☐ YES ☒ NO
☒
Name: Alpha Beta House
Corporation of Delta Delta Delta
Role(s): Defendant/Respondent
☐ YES ☒ NO
☒
Name: Delta Delta Delta Sorority
Role(s): Defendant/Respondent
☐ YES ☒ NO
☒
Name: Zareen Enterprise LLC
Role(s): Defendant/Respondent
☐ YES ☒ NO
☒
Name: Ingalls, Matthew
Role(s): Defendant/Respondent
☐ YES ☒ NO
☒
Name: Newell, Johnathan
Role(s): Defendant/Respondent
☐ YES ☒ NO
I AFFIRM UNDER THE PENALTY OF PERJURY THAT, UPON INFORMATION AND BELIEF, THERE ARE NO OTHER RELATED ACTIONS OR
PROCEEDINGS, EXCEPT AS NOTED ABOVE, NOR HAS A REQUEST FOR JUDICIAL INTERVENTION BEEN PREVIOUSLY FILED IN THIS
ACTION OR PROCEEDING.
Dated:
09/16/2026
6213144
Attorney Registration Number
ETHAN J COHEN
Signature
ETHAN J COHEN
Print Name
This form was generated by NYSCEF
FILED: NEW YORK COUNTY CLERK 09/16/2026 07:05 PM
INDEX NO. 161704/2026
NYSCEF DOC. NO. 6
RECEIVED NYSCEF: 09/16/2026
2 of 3
FILED: NEW YORK COUNTY CLERK 10/19/2026 03:29 PM
INDEX NO. 161704/2026
NYSCEF DOC. NO. 72
RECEIVED NYSCEF: 10/19/2026
2 of 4
--- Page 3 ---
Caption Rider Sheet
Plaintiff(s)/Petitioner(s)
VS.
Cornell University, Inc., Chi Phi Chapter House Association, Chi Phi Fraternity, Inc., Chi Phi Educational Trust, Alpha Beta House
Corporation of Delta Delta Delta, Delta Delta Delta Sorority, Zareen Enterprise LLC d/b/a Moonies Bar & Nightclub, Matthew Ingalls,
Johnathan Newell, Winston Lee, Gillio Lopes, Diego Sarabia, Scott Norris, Scott Kretzschmar, John Doe (Faculty), John Doe (Alumni),
John Does (Executive Board), Orazio Petito
Defendant(s)/Respondent(s)
FILED: NEW YORK COUNTY CLERK 09/16/2026 07:05 PM
INDEX NO. 161704/2026
NYSCEF DOC. NO. 6
RECEIVED NYSCEF: 09/16/2026
3 of 3
FILED: NEW YORK COUNTY CLERK 10/19/2026 03:29 PM
INDEX NO. 161704/2026
NYSCEF DOC. NO. 72
RECEIVED NYSCEF: 10/19/2026
3 of 4
--- Page 4 ---
Request for Judicial Intervention Addendum
UCS-840A (7/2012)
Supreme COURT, COUNTY OF New York
Index No:
For use when additional space is needed to provide party or related case information.
PARTIES:
For parties without an attorney, check "Un-Rep" box AND enter party address, phone number and e-mail address in "Attorneys" space.
Un-
Rep
Parties
List parties in same order as listed in the
caption and indicate roles (e.g., plaintiff,
defendant, 3rd party plaintiff, etc.)
Attorneys and Unrepresented Litigants
For represented parties, provide attorney's name, firm name, address, phone
and email. For unrepresented parties, provide party's address, phone and
email.
Issue Joined
For each defendant,
indicate if issue has
been joined.
Insurance Carriers
For each defendant,
indicate insurance
carrier, if applicable.
☒
Name: Lee, Winston
Role(s): Defendant/Respondent
☐ YES ☒ NO
☒
Name: Lopes, Gillio
Role(s): Defendant/Respondent
☐ YES ☒ NO
☒
Name: Sarabia, Diego
Role(s): Defendant/Respondent
☐ YES ☒ NO
☒
Name: Norris, Scott
Role(s): Defendant/Respondent
☐ YES ☒ NO
☒
Name: Kretzschmar, Scott
Role(s): Defendant/Respondent
☐ YES ☒ NO
☒
Name: Doe, John
Role(s): Defendant/Respondent
☐ YES ☒ NO
☒
Name: Doe, John
Role(s): Defendant/Respondent
☐ YES ☒ NO
☒
Name: Does, John
Role(s): Defendant/Respondent
☐ YES ☒ NO
☒
Name: Petito, Orazio
Role(s): Defendant/Respondent
☐ YES ☒ NO
RELATED CASES:
List any related actions. For Matrimonial actions, include any related criminal and/or Famiy Court cases.
This form was generated by NYSCEF
FILED: NEW YORK COUNTY CLERK 09/16/2026 07:05 PM
INDEX NO. 161704/2026
NYSCEF DOC. NO. 7
RECEIVED NYSCEF: 09/16/2026
1 of 1
FILED: NEW YORK COUNTY CLERK 10/19/2026 03:29 PM
INDEX NO. 161704/2026
NYSCEF DOC. NO. 72
RECEIVED NYSCEF: 10/19/2026
4 of 4
PUBLIC DISCUSSION
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