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`UNITED STATES DISTRICT COURT
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`NORTHERN DISTRICT OF CALIFORNIA
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`Plaintiff(s),
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`v.
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`Defendant(s).
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`,
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`,
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`Case No.
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`APPLICATION FOR ADMISSION OF
`ATTORNEY PRO HAC VICE
`(CIVIL LOCAL RULE 11-3)
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`I,
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`, an active member in good standing of the bar of
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`, hereby respectfully apply for admission to practice pro hac
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`vice in the Northern District of California representing:
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`above-entitled action. My local co-counsel in this case is
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`in the
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`, an
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`attorney who is a member of the bar of this Court in good standing and who maintains an office
`
`within the State of California. Local co-
`
`1155 Avenue of the Americas, 22nd Floor
`New York, NY 10112-0015
`MY ADDRESS OF RECORD
`
`LOCAL CO-COUNSEL S ADDRESS OF RECORD
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`MY TELEPHONE # OF RECORD
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`LOCAL CO-COUNSEL S TELEPHONE # OF RECORD
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`MY EMAIL ADDRESS OF RECORD
`
`LOCAL CO-COUNSEL S EMAIL ADDRESS OF RECORD
`
`I am an active member in good standing of a United States Court or of the highest court of
`
`another State or the District of Columbia, as indicated above; my bar number is:
`
`.
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`A true and correct copy of a certificate of good standing or equivalent official document
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`from said bar is attached to this application.
`
`I have been granted pro hac vice admission by the Court _______ times in the 12 months
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`preceding this application.
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`1 2 3 4 5 6 7 8 9
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`28
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`Northern District of California
`United States District Court
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`Case 5:21-cv-09773-VKD Document 14 Filed 01/03/22 Page 2 of 4
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`I agree to familiarize myself with, and abide by, the Local Rules of this Court, especially
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`the Standards of Professional Conduct for attorneys and the Alternative Dispute Resolution Local
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`Rules. I declare under penalty of perjury that the foregoing is true and correct.
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`Dated:
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`APPLICANT
`
`ORDER GRANTING APPLICATION
`
`FOR ADMISSION OF ATTORNEY PRO HAC VICE
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`IT IS HEREBY ORDERED THAT the application of
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`is
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`granted, subject to the terms and conditions of Civil L.R. 11-3. All papers filed by the attorney
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`must indicate appearance pro hac vice. Service of papers upon, and communication with, local co-
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`counsel designated in the application will constitute notice to the party.
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`Dated:
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`UNITED STATES DISTRICT/MAGISTRATE JUDGE
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`Updated 11/2021
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`2
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`Northern District of California
`United States District Court
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`Case 5:21-cv-09773-VKD Document 14 Filed 01/03/22 Page 3 of 4
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`Appellate Division of the Supreme Court
`of the State of New York
`Third Judicial Department
`
`
`I, Robert D. Mayberger, Clerk of the Appellate Division of
`the Supreme Court of the State of New York, Third Judicial
`Department, do hereby certify that
`
`Thomas Vincent Matthew
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`was duly licensed and admitted to practice as an Attorney and
`Counselor at Law in all the courts of this State on March 11, 2014,
`has duly taken and subscribed the oath of office prescribed by law,
`has been enrolled in the Roll of Attorneys and Counselors at Law
`on file in this office, is duly registered with the Administration
`Office of the Courts, and according to the records of this Court is
`currently in good standing as an Attorney and Counselor-at-Law.
`
`
`
`
`
`CertID-00046668
`
`
`
`
`In Witness Whereof, I have hereunto set
`my hand in the City of Albany on
`December 30, 2021.
`
`
`
`
`
`
`
`Clerk of the Court
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`
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`Case 5:21-cv-09773-VKD Document 14 Filed 01/03/22 Page 4 of 4
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`Robert D. Mayberger
`Clerk of the Court
`
`State of New York
`Supreme Court, Appellate Division
`Third Judicial Department
`Admissions Office
`P.O. Box 7350, Capitol Station
`Albany, NY 12224-0350
`
`(518) 471-4778
`fax (518) 471-4749
`http://www.nycourts.gov/ad3/admissions
`
`
`
`
`
`
`
`
`
`
`Timothy P. O'Keefe
`Acting Director of Attorney
`Admissions
`
`
`
`
`To Whom It May Concern
`
`
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`An attorney admitted to practice by this Court may request a certificate of good
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`standing, which is the only official document this Court issues certifying to an
`attorney's admission and good standing.
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`
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`An attorney's registration status, date of admission and disciplinary history may
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`be viewed through the attorney search feature on the website of the Unified Court
`System.
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`
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`New York State does not register attorneys as active or inactive.
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`An attorney may request a disciplinary history letter from the Attorney
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`Grievance Committee of the Third Judicial Department.
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`
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`Bar examination history is available from the New York State Board of Law
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`Examiners.
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`Instructions, forms and links are available on this Court's website.
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`Robert D. Mayberger
`Clerk of the Court
`
`Revised October 2020
`
`
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