PLAINTIFFS JANE DOE 43 The JS•44 civil cover shoot 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.\* required for use of the Clerk of Court for the purpose of initiating the civil docket sheet. > DEFENDANTS JEFFREY EPSTEIN, GHISLAINE MAXWELL, GROFF AND NATALYA LESLEY ATTORNEYS (FIRM NAME. ADDRESS. AND TELEPHONE NUMBER ATTORNEYS (IF KNOWN) DAVID BOLES. BOLES SCHILLER 8 FLEXNER LLP 333 MAIN STREET, ARMONK. NEW YORK 10504 dboies@bsfilp.com, (914) 749 8200 CAUSE OF ACTION (CITE THE U.S. CIVIL STATUTE UNDER WHICH YOU ARE FILING AND WRITE A BRIEF STATEMENT OF CAUSgi (DO NOT CITE JURISDICTIONAL STATUTES UNLESS DIVERSITY) Defendants trafficked Plaintiff in Violation of 18 U.S.C. §§ 1591-1595 Has this action, case, or proceeding, or one essentially the same been previously filed in SDNY at any time? No aYesO Judge Previously Assigned If yes. was this case Vol\]\] Invol. ❑ Dismissed. No O Yes O If yes. give date 8 Case No. Is THIS AN INTONATIONAL ARBITRATION CASH No O Yes O (PLACE AN 14 IN ONE BOX ONLY) NATURE OF SUIT | | | TORTS | | | ACTIONS UNDER STATUTES | | | ------------- | ---------------- | ------------------------------------------------- | --------------------------- | ------------------------ | ------------------------- | -------------------------- | | CONTRACT | | PERSONAL INJURY | PERSONAL INJURY | FORFEITURFJPENAI_TY | BANKRUPTCY | OTHER STATUTES | | ( ) 120 | | | | | | | | ( 1 130 | | | | | | | | | INSURANCE ACT | ( I 3t0 AJRPLANE | | | | | | | | | | I )425 DRUG RELATED | ( )422 APPEAL | | | | | | | SEIZURE OF PROPERTY | 28 USC 158 | | | | | | | 21 INC 881 | 1423 WITHDRAWAL | | | | | | | | | I 1376 OUI TAM | | (1140 | NEGOTIABLE | | | | | | | | | | 1368 ASBESTOS PERSONAL | 1 690 OTHER | 28 USC 157 | REAPPORTIONMENT | | () 150 | RECOVERY OF | ( )330 FEDERAL | INJURY PRODUCT | | | ( 1430 BANKS b WRUNG | | | OVERPAYMENT & | EMPLOYERS | LIABILITY | | PROPERTY RIGHTS | ( )450 COMMERCE | | | ENFORCEMENT | LIABILITY | | | | ( )480 DEPORTATION | | | OF JUOGLIENT | ( 1340 MARINE | PERSONAL PROPERTY | | f law COPYRIGHTS | ( 1470 RACKETEER INFLU. | | ( )151 | MEDICARE ACT | ( 1345 MARINE PRODUCT | | | 1830 PATENT | ENCED 8 CORRUPT | | ( 1152 | RECOVERY OF | LIABILITY | 370 OTHER FRAUD | | 1840 TRADEMARK | ORGANIZATION ACT | | | | f 1366 MOTOR VEHICLE | | | | | | | | | II 371 TRUTH IN LENDING | | | (RICO) | | | (EFCL VETERANS) | PRODUCT LIABILITY | | | SOCIAL SECURITY | ( 1490 CABLE/SATELLITE TV | | ( ) 153 | RECOVERY OF | ( 1360 OTHER PERSONAL | | | | | | | OVERPAYMENT | INJURY | 11300 OTHER PERSONAL | LABOR | ( 1881 HIA 0395() | ( 1850 SECURITIES/ | | | OF VETERANS | ( 1362 PERSONAL INJURY • | PROPERTY DAMAGE | | ( I 882 &ACK LUNG (923) | COMMODITIES/ | | | BENEFITS | MED MALPRACTICE | 385 PROPERTY DAMAGE | I ) 710 FAIR LABOR | ( 1883 DING/OM R (40506 | EXCHANGE | | ( )160 | STOCKHOLDERS | | PRODUCT LIABILITY | STANDARDS ACT | 1864 SSID TITLE XVI | | | | SUITS | | | 720 LABORMGMT | 11885 R51 1405(9)) | | | ( ) 190 | OTHER | | PRISONER PETITIONS | RELATIONS | | pQ 890 OTHER STATUTORY | | | CONTRACT | | I 1 463 AUER DETNNEE | I 1740 RAILWAY LABOR ACT | | ACTIONS | | ( )195 | CONTRACT | | I 1 SID MOTIONS TO | 751 FAMILY MEDICAL | FEDERAL TAX SUITS | () 891 AGRICULTURAL ACTS | | | PRODUCT | ACTIONS UNDER STATUTES LEAVE ACT (FULA) LIN3ILITY | VACATE SENTENCE 28 USC 2255 | | 1870 TAXES (U.S. PERIM or | | | | ( )196 FRANCHISE | CML RIGHTS | 1530 HABEAS CORPUS | 1790 OTHER LABOR | Defendant) | ( 1893 ENVIRONMENT& | | | | | 515 DEATH PENALTY | LITIGATION | ( )871 IRS.THIRD PARTY | MATTERS | | | | | I 1540 MANDAMUS & OTHER | 791 EMPL RET INC | USC 7609 | | | REAL PROPERTY | | | | | | 1 896 ARBITRATION | | | | 442 EMPLOYMENT it 443 HOUSING/ | | | | | | | | | I 1 550 ma. RIGHTS | | | | | | | | | I 1402 NATURALIZATION | | | | ( )230 | RENT LEASER | ( )FFS AMERICANS WITH | 555 PRISON CONDEMN | 465 OTHER IMMIGRATION | | 1 950 CONSTITUTIONALITY OF | | | | | CONDITIONS OF CONFINEMENT | | | STATE STATUTES | | ( 1245 | TORT PRODUCT | ( 1448 AMERICANS WITH | | | | | | | LIABILITY | DISABILITIES 'OTHER | | | | | | ( 1290 | ALL OTHER | 1 1448 EDUCATION | | | | | REAL PROPERTY Chock if demanded in complaint ❑ CHECK IF THIS IS ACLASS ACTION UNDER F.R.C.P. 23 DEMAND \$ OTHER JUDGE DOCKET NUMBER 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: **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 1N ONE BOX ONLY) (PLACE AN x IN ONE BOX ONLY) **BASIS OF JURISDICTION**\ 1 U.S. PLAINTIFF 2 U.S. DEFENDANT 3 FEDERAL QUESTION 4 DIVERSITY\ (U.S. NOT A PARTY) ## CITIZENSHIP OF PRINCIPAL PARTIES (FOR DIVERSITY CASES ONLY) (Place an (XI in one box for Plaintiff and one box for Defendant) | | PTF | DEF | | PTF DEF | | PTF | DEF | | ------------------------ | ----- | ---- | ------------------------------- | -------- | -------------------------------- | --- | --- | | CITIZEN OF THIS STATE | )1 | II | CITIZEN OR SUBJECT OF A | 1 131 33 | INCORPORATED and PRINCIPAL PLACE | ( 5 | 5 | | | | | FOREIGN COUNTRY | | OF BUSINESS IN ANOTHER STATE | | | | CITIZEN OF ANOTHER STATE | ( ) 2 | ( )2 | INCORPORATED or PRINCIPAL PLACE | ( )4\[14 | FOREIGN NATION | 3 6 | 6 | PLAINTIFF(S) ADDRESS(ES) AND COUNTY(IES) JANE DOE 43 C/O BOIES, SCHILLER & FLEXNER LLP 575 Lexington Avenue, 7th Fl.. New York, New York 10022 New York County DEFENDANT(S) ADDRESS(ES) AND COUNTY(IES) Jeffrey Epstein, 9 E. 71st Street, New York, NY 10021 (New York County) Ghislaine Maxwell, Orchard End, Fittleton, Salisbury, United Kingdom, SR4 9QA (Wiltshire County, UK) , 229 E. 5th Street, Apt. 5, New York, NY 10003 (New York County) Lesley Goff 120 Oak Street, New Canaan, CT 06840 (Fairsfield County) Natalya 520 N. Croft Avenue, Apt. 222, West Hollywood, CA 90048 (Los Angeles County) 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: ## 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. DO NOT check either box if this is a PRISONER PETITION/PRISONER CIVIL RIGHTS COMPLAINT. Check one: THIS ACTION SHOULD BE ASSIGNED TO: PLAINS E MANHATTAN DATE ADMITTED TO PRACTICE IN THIS DISTRICT 01/26/2017 /s/ David Boies SIGNATURE OF ATTORNEY OF RECORD NO IX YES (DATE ADMITTED MOB Yr. 2008 ) RECEIPT # Attomey Bar Code # D84399 Magistrate Judge is to be designated by the Clerk of the Court. Magistrate Judge is so Designated.