Free Motion for Miscellaneous Relief - District Court of Colorado - Colorado

Case 1:04-cv-01225-MSK-BNB

Document 200-5

Filed 10/18/2005

Page 1 of 2

Malik M. Hasan, M.D., et al. v. Goldman Sachs 1998 Exchange Place Fund, LP, et al.

EXHIBIT D T EN ME D F N A T ' TO F RP E L SO A D H A D E E D N S MO I N O R C U I N N OTHER RELIEF CIVIL COVER SHEET

EXHIBIT D 04-cv-1225-MSK-BNB

Case 1:04-cv-01225-MSK-BNB
(PLACE AN x IN ON,E BOX ONLY)

Document 200-5
ORIGIN

Filed 10/18/2005

Page 2 of 2

LI1 1 Orignal
Proceeding

[

~2Removed from
State Couri

El 3

Remanded from Appellate Court

171 4

Reinstated or Reopened

El 5

Transferred from El
(Specify District)

6

Multidistrict
Litigation

El 7 Appeal to District
Judge from Magisirate Judge Judgment

(PLACE AN x IN ONE BOX ONLY)

BASIS OF JURISDICTION

IF DIVERSITY, INDICATE CITIZENSHIP BELOW. (28 USC 1322, 1441)

LI

1 U S PLAINTIFF

LI 2 U S DEFENDANT

LI 3 FEDERAL OUESTICN
(U S NOT A PARTY)

M4 DIVERSITY

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 I J 1 12

DEF I Ji

CITIZEN OR SLIBJECT OF A
FOREIGN COUNTRY INCORPORATED or PRINCIPAL PLACE OF BUSINESS IN THIS STATE

PTF DEF 1 3 I 13
XI 4 I J4

INCORPORATED and PRINCIPAL PLACE OF BUSINESS IN AN-OTHER STATE FOREIGN NATION

PTF DEF I 15 >45

CITIZEN OF ANOTHER STATE

I *2

I 6 I

6

PLAINTIFF(S) ADDRESS(ES) AND COUNTY(IES) (Calendar Rule 4(A))

AEQ, LLC 477 Madison Avenue
8 TH

Floor

New York, New York 10022

DEFENDANT(S) ADDRESS(ES) AND COUNTY(IES) (Calendar Rule 4(A))

MONUMENT SYSTEMS INC 5151 East Broadway Boulevard, Suite 1050 Tucson, Arizona 85711 MALIK HASSAN 8821 Greenshore Lane Las Vegas, NV 89134 (Clark County)
DEFENDANT(S) ADDRESS UNKNOWN IIECT SETI H REPRESENTATION IS HEREBY MADE THAT, AT THIS TIME, I HAVE BEEN UNABLE, WITH REASONABLE DIGECTASRANTH RESIDENCE ADDRESSES OF THE FOLLOVING DEFENDANTS

NOT APPLICABLE

Check one

THIS ACTION SHOULD BE ASSIGNED TO
(DO NOT check either box if this a PRISONER PETITION )
SIGNATrDEOF

LI

WHITE PLAINS

[IJ FOLEY SQUARE

DATE

6/,7~Y/99

ADMITTED TO PRACTICE IN THIS DISTRICT [INO [I> YES (DATE ADMITTED 2 Yr 7 3JAttorney Bar Coo,-e #

RECEIPT #

f

RS

6

Magistrate Judge is to be designated by the Clerk of the Court Magistrate Judge
James M Parkison, Clerk of Court by_______
Deputy Clerk, DATED
___________

is so Designated

UNITED STATES DISTRICT COURT (NEW YORK SOUTHERN)