LBBW Asset Management Investmentgesellschaft mbH v. Citibank, N.A. et alMOTION for Leave to Appear Pro Hac Vice Filing fee $ 50, receipt number 0752-8684501.N.D. Ill.August 29, 2013(Revised 12/11) United States District Court Northern District of Illinois MOTION FOR LEAVE TO APPEAR PRO HAC VICE Case Title: Plantiff(s) VS. Defendant(s) Case Number: Judge: I, hereby apply to the Court under Local Rule 83.14 for permission to appear and participate in the above-entitled action on behalf of by whom I have been retained. I am a member in good standing and eligible to practice before the following courts: Title of Court DateAdmitted I have currently, or within the year preceding the date of this application, made pro hac vice applications to this Court in the following actions: Case Number Case Title Date of Application (Granted or Denied)* *If denied, please explain: (Attach additional form if necessary) Pursuant to Local Rule 83.15(a), applicants who do not have an office within the Northern District of Illinois must designate, at the time of filing their initial notice or pleading, a member of the bar of this Court having an office within this District upon who service of papers may be made. Has the applicant designated local counsel? Yes No If you have not designated local counsel, Local Rule 83.15(b) provides that the designation must be made within thirty (30) days. Case: 1:13-cv-05413 Document #: 22 Filed: 08/29/13 Page 1 of 3 PageID #:287 Has the applicant ever been: censured, suspended, disbarred, or otherwise disciplined by any court? Yes No or is the applicant currently the subject of an investigation of the applicant’s professional conduct? Yes No transferred to inactive status, voluntarily withdrawn, or resigned from the bar of any court? Yes No denied admission to the bar of any court? Yes No held in contempt of court? Yes No NOTE: If the answer to any of the above questions is yes, please attach a brief description of the incident(s) and the applicant’s current status before any court, or any agency thereof, where disciplinary sanctions were imposed, or where an investigation or investigations of the applicant’s conduct may have been instituted. I have read the Rules of Professional Conduct for the Northern District of Illinois and the Standards for Professional Conduct within the Seventh Federal Judicial Circuit, and will faithfully adhere to them. I declare under penalty of perjury that the foregoing is true and correct. S/ Date Electronic Signature of Applicant Applicant’s Name Last Name First Name Middle Name/Initial Applicant’s Law Firm Applicant’s Address Street Address Room/Suite Number City State ZIP Code Work Phone Number (The pro hac vice admission fee is $100.00 for cases filed before February 1, 2001, and $50.00 for cases filed on or after that date, and shall be paid to the Clerk. No admission under Rule 83.14 is effective until such time as the fee has been paid.) NOTE: Attorneys seeking to appear pro hac vice may wish to consider filing a petition for admission to the general bar of this Court. The fee for admission to the General Bar is $176.00 The fee for pro hac vice admission is $100.00 for cases filed before February 1, 2001, and $50.00 for cases filed after that date. Admission to the general bar permits an attorney to practice before this Court. Pro hac vice admission entitles an attorney to appear in a particular case only. Application for such admission must be made in each case; and the admission fee must be paid in each case. Case: 1:13-cv-05413 Document #: 22 Filed: 08/29/13 Page 2 of 3 PageID #:288 Alan R. Kusinitz Court Admissions Title of Court Date Admitted U.S. District Court, New Hampshire 1982 New Hampshire Supreme Court 1982 U.S. Court of Appeals, First Circuit 1983 New York (all courts) 1986 U.S. Court of Appeals, Second Circuit 1988 U.S. District Court, New York, Eastern District 1988 U.S. District Court, New York, Southern District 1988 U.S. Court of Appeals, Third Circuit 1990 Case: 1:13-cv-05413 Document #: 22 Filed: 08/29/13 Page 3 of 3 PageID #:289
