`NEW YORK STATE
`Unified Court System
`OFFICE OF COURT ADMINISTRATION
`ATTORNEY REGISTRATION UNIT
`
`RECEIPT
`
`September 28, 2019
`
`JACOB R. BUCZKO
`7617 HOLLYWOOD BLVD
`LOS ANGELES, CA 90046-2709
`
`Attorney Registration #: 4351011
`Batch #: Online
`Process Date: 09/28/2019
`Receipt #: 660710
`Credit Card Ending In: 5865
`Credit Transaction #:
`280919A43-0F8084F5-E2B6-4B76-AC87-9B467F3F582B
`Authorization Code: 38251P
`Next Registration: October 2021
`Registration Status: Currently registered
`
`This will acknowledge receipt of your 2019-2020 registration as an attorney and receipt of the $375.00 fee.
`
`JACOB R. BUCZKO
`JACOB
`R.
`BUCZKO
`
`Name:
`First:
`Middle:
`Last:
`Suffix:
`Admission Data:
`Year Admitted to the NYS Bar:
`Judicial Dept. of Admission:
`
`2005
`1
`
`Business Address:
`Russ August & Kabat
`12424 Wilshire Blvd FL 12
`Los Angeles, CA 90025-1052
`
`DOB: XX/XX/1979
`SSN: XXX-XX-8387
`Social Security numbers are required in order to administer the collection of
`revenue from attorney registration fees 42 U.S.C. § 405 (c)(2)(C)(i). Your
`Social Security number will not be made public. The first 5 digits have been
`concealed to protect your identity.
`Law School: COLUMBIA
`
`Home Address:
`(Note: Is public information if no business is listed.)
`7617 Hollywood Blvd
`Los Angeles, CA 90046-2709
`
`Home County:
`
`Out of State
`
`Business County:
`Out of State
`(310) 826-7474
`Business Phone:
`jbuczko@raklaw.com
`(optional):
`Note: If provided, the e-mail address will be made public.
`Our records contain information above, return only if changes to the above are required and retain a copy for your records.
`Please review the above information on this receipt for accuracy. The Rules of the Chief Administrator require that this office be notified of any changes in
`the above information within 30 days of any such change. If changes are required you may make them online or by mail.
`¤ Online
`1) Go to www.nycourts.gov and Attorney Online Services 2) Make desired changes 3) Print a corrected receipt.
`- OR -
`1) Circle the item 2) Enter the correct information directly on the receipt 3) Sign and date the receipt 4) Return to the address at the
`bottom of the receipt. You will receive a new receipt by mail acknowledging the above changes made.
`
`¤ By Mail
`
`Signature: __________________________________________
`Certifications Recorded:
`Child Support Oblig. §3-503: No Obligation
`CLE: Certified as Exempt
`
`Pro Bono Reported:
`
`Yes
`
`Date: __________________________________________
`
`Part 1200 (1.15) Affirmation: Not Applicable
`
`ADDRESS: P.O. BOX 2806 CHURCH STREET STATION, NEW YORK, NY 10008
`PHONE: (212) 428-2800 ¤ EMAIL: NYATTY@NYCOURTS.GOV ¤ WEBSITE: www.nycourts.gov
`
`
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