Draft: efta02751890

PLAINTIFFS JANE DOE,¶

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 coud. This form. approved by the Judicial Conference of the United Slates in September 1974. is requited for use of the Clerk of Coun for the purpose of 'nitrating the chnl docket sheet.¶

ATTORNEYS (FIRM NAME. ADDRESS. AND TELEPHONE NUMBER Panish Shea & Boyle LLP 11111 Santa Monica Blvd., Suite 700 Los Angeles, CA 90025¶

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

ATTORNEYS (IF KNOWN) Bennet Moskowitz (Attorney for Darren K. Indyke and Richard D. Kahn ) 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CAUSE OF ACTION (CITE THE U.S. CIVIL STATUTE UNDER WHICH YOU ARE FILING AND WRITE A BRIEF STATEMENT OF CAUSE (DO NOT CITE JURISDICTIONAL STATUTES UNLESS DIVERSITY)¶

28 USC 1332; New York causes of action.¶

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. 0 Invol. D Dismissed. No 0 Yes 0 II yes, give date & Case No.¶

IS THIS AN INTERNATIONAL ANIMATION PAM¶

(PLACE AN (x) IN ONE BOX ONLY)¶

TORTS		PERSONAL INJURY		PERSONAL INJURY		FORFEITURE/PENALTY		BANKRUPTCY		OTHER STATUTES
CONTRACT		PERSONAL INJURY		PERSONAL INJURY		FORFEITURE/PENALTY		BANKRUPTCY		OTHER STATUTES
[ ] 110	INSURANCE	[ ] 310	AIRPLANE	[ ] 367	HEALTHCARE/	[ ] 625	DRUG RELATED	[ ] 422	APPEAL	[ ] 375	FALSE CLAIMS
[ ] 120	MARINE	[ ] 315	AIRPLANE PRODUCT	PHARMACEUTICAL PERSONAL	INJURY/PRODUCT LIABILITY	[ ] 625	DRUG RELATED	[ ] 422	APPEAL	[ ] 376	QUI TAM
[ ] 130	[ ] 140	[ ] 130	[ ] 320	LIABILITY	[ ] 365	PERSONAL INJURY	SEIZURE OF PROPERTY	[ ] 423	WITHDRAWAL	[ ] 400	STATE
[ ] 140	NEGOTIABLE	[ ] 140	[ ] 320	ASSAULT, LIBEL &	PRODUCT LIABILITY	[ ] 690	OTHER	[ ] 28 USC 158		REAPPORTIONMENT
[ ] 150	RECOVERY OF	[ ] 150	[ ] 330	FEDERAL	[ ] 368	ASBESTOS PERSONAL	INJURY PRODUCT	[ ] 490	OTHER	[ ] 410	ANTITRUST
[ ] 150	OVERPAYMENT &	[ ] 150	[ ] 330	EMPLOYERS'	LIABILITY	[ ] 680	OTHER	[ ] 28 USC 157		[ ] 430	BANKS & BANKING
[ ] 151	ENFORCEMENT	[ ] 151	[ ] 340	MARINE	[ ] 820	COPYRIGHTS	[ ] 830	PATENT	[ ] 450	COMMERCE	[ ] 460	DEPORTATION
[ ] 152	OF JUDGMENT	[ ] 152	[ ] 345	MARINE PRODUCT	[ ] 370	OTHER FRAUD	[ ] 835	PATENT-ABBREVIATED NEW DRUG APPLICATION	[ ] 470	RACKETER INFLU-	ENCED & CORRUPT
[ ] 152	MEDICARE ACT	[ ] 152	[ ] 350	MARINE PRODUCT	[ ] 370	OTHER FRAUD	[ ] 840	TRADEMARK	[ ] 480	ORGANIZATION ACT	(RICO)
[ ] 153	OF JUDGMENT	[ ] 153	[ ] 355	MOTOR VEHICLE	[ ] 375	TRUTH IN LENDING	[ ] 835	PATENT-ABBREVIATED NEW DRUG APPLICATION	[ ] 490	CABLE/SATELLITE TV	(RICO)
[ ] 153	STUDENT LOANS	[ ] 153	[ ] 355	MOTOR VEHICLE	[ ] 380	OTHER PERSONAL	[ ] 680	OTHER PERSONAL	[ ] 850	CONSUMER CREDIT	(RICO)
[ ] 153	(EXCL VETERANS)	[ ] 153	[ ] 365	MOTOR VEHICLE	[ ] 380	OTHER PERSONAL	[ ] 680	OTHER PERSONAL	[ ] 490	CABLE/SATELLITE TV	(RICO)
[ ] 153	RECOVERY OF	[ ] 153	[ ] 368	MOTOR VEHICLE	[ ] 380	OTHER PERSONAL	[ ] 680	OTHER PERSONAL	[ ] 850	CONSUMER CREDIT	(RICO)
[ ] 153	OVERPAYMENT	[ ] 153	[ ] 368	MOTOR VEHICLE	[ ] 380	OTHER PERSONAL	[ ] 680	OTHER PERSONAL	[ ] 850	CONSUMER CREDIT	(RICO)
[ ] 150	ENFORCEMENT	[ ] 150	[ ] 368	MALPRACTICE	[ ] 385	PROPERTY DAMAGE	[ ] 710	FAIR LABOR	[ ] 862	COMMODITIES/
[ ] 160	STOCKHOLDERS	[ ] 160	[ ] 368	MED MALPRACTICE	[ ] 385	PROPERTY DAMAGE	[ ] 710	STANDARDS ACT	[ ] 863	EXCHANGE
[ ] 160	SUITS	[ ] 160	[ ] 368	SUITS	[ ] 385	PROPERTY DAMAGE	[ ] 720	LABOR/MGMT	[ ] 864	SSID TITLE XVI
[ ] 190	OTHER	[ ] 190	[ ] 368	SUITS	[ ] 380	OTHER PERSONAL	[ ] 720	RELATIONS	[ ] 865	RSI (405(g))
[ ] 190	CONTRACT	[ ] 190	[ ] 368	CONTRACT	[ ] 380	OTHER PERSONAL	[ ] 740	RAILWAY LABOR ACT	[ ] 865	RSI (405(g))
[ ] 195	CONTRACT	[ ] 195	[ ] 368	CONTRACT	[ ] 375	OTHER FRAUD	[ ] 375	FEDERAL TAX SUITS	[ ] 870	TAXES (U.S. Plaintiff or Defendant)
[ ] 195	PRODUCT	[ ] 195	[ ] 368	PRODUCT	[ ] 375	OTHER FRAUD	[ ] 375	FEDERAL TAX SUITS	[ ] 871	IRS-THIRD PARTY
[ ] 196	LIABILITY	[ ] 196	[ ] 368	LIABILITY	[ ] 375	OTHER FRAUD	[ ] 375	FEDERAL TAX SUITS	[ ] 870	TAXES (U.S. Plaintiff or Defendant)
[ ] 196	FRANCHISE	[ ] 196	[ ] 368	FRANCHISE	[ ] 380	OTHER PERSONAL	[ ] 390	IMMIGRATION	[ ] 893	ENVIRONMENTAL
[ ] 196	FRANCHISE	[ ] 196	[ ] 368	FRANCHISE	[ ] 380	OTHER PERSONAL	[ ] 390	IMMIGRATION	[ ] 895	FREEDOM OF
[ ] 196	FRANCHISE	[ ] 196	[ ] 368	FRANCHISE	[ ] 380	OTHER PERSONAL	[ ] 390	IMMIGRATION	[ ] 895	INFORMATION ACT
[ ] 210	LAND	[ ] 210	[ ] 440	OTHER CIVIL RIGHTS	[ ] 530	HABEAS CORPUS	[ ] 790	OTHER LABOR	[ ] 896	ARBITRATION
[ ] 210	CONDEMNATION	[ ] 210	[ ] 440	OTHER CIVIL RIGHTS	[ ] 530	HABEAS CORPUS	[ ] 790	LITIGATION	[ ] 899	ADMINISTRATIVE
[ ] 220	FORECLOSURE	[ ] 220	[ ] 440	ACCOMMODATIONS	[ ] 540	MANDAMUS & OTHER	[ ] 791	EMPL RET INC	[ ] 870	PROCEDURE ACT/REVIEW OR
[ ] 230	RENT LEASE &	[ ] 230	[ ] 440	AMERICANS WITH	[ ] 540	MANDAMUS &am

No a Yes 0¶

NATURE OF SUIT¶

REAL PROPERTY¶

Check if demanded M 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 137 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 IN ONE BOX ONLY) BASIS OF JURISDICTION IF DIVERSITY, INDICATE¶

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 IX) in one box for Plaintiff and one box for Defendant)¶

	PTF	DEF		PTF DEF		PTF	DEF
CITIZEN OF THIS STATE	ft	(4 1	CITIZEN OR SUBJECT OF A	( )3 13	INCORPORATED and PRINCIPAL PLACE	L 15	( )5
			FOREIGN COUNTRY		OF BUSINESS IN ANOTHER STATE
CITIZEN OF ANOTHER STATE	ir,4 2	( )2	INCORPORATED or PRINCIPAL PLACE	( )4 [ 4	FOREIGN NATION	( 16	16

PLAINTIFF(S) ADDRESS(ES) AND COUNTY(IES) Jane Doe, Los Angeles, California do Panish Shea & Boyle LLP 11111 Santa Monica Blvd., Suite 700 Los Angeles, CA 90025¶

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

Darren K. Indyke, U.S. Virgin Islands Richard D. Kahn, U.S. Virgin Islands Ghislaine Maxwell, 116 East 65th Street, New York, NY 10065¶

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:¶

Darren K. Indyke and Richard D. Kahn are sued as executors of the Estate of Jeffrey Epstein. Per 28 U.S.C. §1332 , Defendants are deemed citzens of the U.S. Virgin Islands (USVI), Decedent Jeffrey Epstein's domicile. Defendants' residential addresses are unknown to Plaintiff. Their counsel is listed above.¶

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: THIS ACTION SHOULD BE ASSIGNED TO: O PLAINS g MANHATTAN¶

DATE 1 /16/2020 SIGNATURE OF ATTORNEY OF RECORD ADMITTED TO PRACTICE IN THIS DISTRICT¶

brI NO I I YES (DATE ADMITTED Mo. Yr. RECEIPT ri Attorney Bar Code SI¶

Magistrate Judge is to be designated by the Clerk of the Court.¶

Magistrate Judge is so Designated.¶