Matter of Mayer v. Gates

2024 NY Slip Op 31576(U)

• Court: New York Supreme Court, Kings County
• Decided: May 1, 2024
• Status: Unpublished

Opinion

Matter of Mayer v Gates 2024 NY Slip Op 31576(U) May 1, 2024 Supreme Court, Kings County Docket Number: Index No. 510951/24 Judge: Peter P. Sweeney Cases posted with a "30000" identifier, i.e., 2013 NY Slip Op 30001(U), are republished from various New York State and local government sources, including the New York State Unified Court System's eCourts Service. This opinion is uncorrected and not selected for official publication. FILED: KINGS COUNTY CLERK 05/02/2024 11:25 AM INDEX NO. 510951/2024 NYSCEF DOC. NO. 13 RECEIVED NYSCEF: 05/02/2024

At the Special Election Part 1 ofthe Supreme Court of the State of New York, held in and for the County of Kings,. at the Courthouse; at 360 Adams Street, Brnoklyn, New York, on the I st day ofMay,2024.

PRESENT:

HON. PETER P, SWEENEY, Justice. --------. ·. ------------------ ·-------.. ---------------- .-- .----- .---- .-X In the Matter of the Application of TERESA MAYER, ·Petitioners-Objectors,

-and-

LYDIA B. GREEN Petitioner,.Candidate,;Aggrieved,

-against- li1dex No.: 510951/24

SABRINA GATES,

·Respondent-Candidate;

BOARD OF ELECTIONS IN THE CITY OF NEWYORK,

For an order, pursuant to sections 16-100, 16-102, and 16-116 ofthe Election Law, declaring; invalid and striking out the petition. purporting to· designate the Respondent~Candidate named herein as a Candidate for the Patty Position of Member of the Democratic State Corrimittee from the 52nd Assembly District, New York State, in the Democratic primary election to be held on the 25th day of June, 2024, and restraii1itig the Board of Elections from placing the name of said Respondent-Candidate on the ballots to be. used at such primary ele.ction. ----------- .------- . -.--· -... -- .----- . ------- . - ·. ------------------ ·x The following e-filed papers read herein: NYSCEF Doc Nos.:

Notice. of Motion/Order to·Show Cause/ Peti.tion/Cross Motion and Affidavits (Affinnations) Annexed_______ 1 5•. 9--12 Opposing Affidavits/ Answer (Affinnation$) _ _ __ 8

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Affidavits/ Affomations in Reply _ _ _ _ _ __ Other Papers: BOE voter registration records Exhibits· 1-22

Upon the foregoing papers, petitioner-objector Theresa M11yer and petitiom:r-

ca:ndidate aggrieved Lydia B. Green (collectively the objectors) seek an order declaring

invalid respondent-candidate Sabrina Gates' (respondent;.candidate) designating petition

for the party po;;ition of Member of the Democratic State Committee from the 52nd

Assembly District, New York State, in theDetnocratic primary election to be held on June

25, 2024.

Respondent'."candidate filed a dc:signating petition for this position with the New

York City Board of Elections (the Board) consisting of three volumes (KG 24000541, KG

24000542 and KG 54000572 (hereinafter volume 54L volume 542 and volume 572~

respectively). Subsequently, the objectors filed general and specifications of objections·

against the designating petition. TheBoardfeviewed the specifications ofobjections and

prepared a clerk's report which found that the designating petition contained 513 valid

signatures, which was 13 more than the 500 valid signatures required for placementon the

ballot for this position .. The clerk's report was·later adopted by the Board's Commissioners.

Court-'appointed special referees conducted a line-by,..Iine review of the Board's "As

Specified'" (AS} and •"Not as Specified'" {NAS) rulings, as well as de novo specifications

of objections to the_ designating petition that were filed with the court by the objectors on

the return date, April 22, 2024. The special referees found that the designating petition

contained 533 valid signatures.

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On April 30, 2024, the parties appeared before this>court, at which pointthe special

referees' report was read into the record. The courtnotes that upon further review of the

special referees' rulings on the spec_ifications of objections, a mathematical error was

detected in Volume 541, on sheet 15 in that there were only 5 valid signatures_. not 6 as

previously reported by the special referees, bringing; the total number of valid signaturesto

532 rather than 533. Following the special referees' report, counsel for the objectors and

the respondent-candidate presented their exceptions to the special referees' rulings. Upon

a carefulreview, the court sustained the following exceptions which fell into the categories

set forth below:

Objectors' Exceptions to Line-By-Line Review

Printed Signature (PR)

The objectors contested several of the special referees' rillihgs detertnining that a

signature was not a print. After reviewing copies of the voter registration records of all

contested signatories (which was sul:nnitted by objectors), the court ovenules five of the

special referees' rulings pertaining to signatures appearing at: (1) volume 542, sheet 14,

line 8; {2}volwne 542, sheet 39, line 6; (3) volume 542, sheet 49, line 7; (4) volume 542,

sheet 60, line 4; and (5) volume 542, sheet 60, line 9. As to these signatures, the court

finds that they were in fact printed, which is contrary to the cursive signature appearing on

each signatory's voter registration record. Therefore, the above-referenced.signatures are

invalidated,

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Signatory Not Registered at Address Stated in Board's Records(NR)

In Volume 572, sheet 4, lirie 1, signatory Lee Seltzer affixed the address 129 Smith

Street, Brooklyn, next to his signature. This address is lbcated in the 52nd Assembly

District, the district involved herein. Bo"vever, a review of the Board;s records indicates

that Seltzer is registered to vote at 298 12 th Streetin Brooklyn, which is located in the 44th

Assembly District Accordingly, the court overrules the special referees' determination artd

finds that this signature is invalid (see generally Robleto v Gowda; 183 AD3d 673 [2020]).

Out of District (OD}

The special referees ruled that the signature in volume 572, sheet 17, at line 7 was

valid. The signature was objected to on the basis that the address listed adjacent to the

signature on this line was out of district The court overrules the special referees' ruling as

a review of the Board's records indicated that the address listed on the petition sheet is not

focated within the 52 nd Assembly District and, thus, is but bf district and invalid;

Subscribing Witness No:Nante (SWNN)

In vol urne 5 41, at sheet 15, the subscribing witness failed to insert a printed naine

m the subscribing witness statement section and the subscribing witness' signature

appearing at the bottom portion of the witness stateinent is completely illegible. As the

identity ofthe subscribingwitness could not be detennined based on their signature alone,

the court finds that the five signatures that were found vali4 on this sheet by the special

referees.. ate invalid..

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Similar Handwriting (SH)

The objectors alleged that the signatures appearing in volume 542, sheet 64, lines 7

and 8 should be invalidated based on the "similar handwriting" objection. Upon review of

the signatures set forth on the petition sheet, as well i-1s each voter's registration record, the

court finds that the signature appearing on line 8 matches the voter's registration record

and is therefore valid. However, the c:omt finds that tile signature on line 7 does not match

the voter's registration record and, in fact, appears to be written in handwriting similar to

that on line 8, thereby invalidating that signature.

Subscribing Witness - Karen McCreary

As to subscribing witness Karen McCreary;: counsel for objectors argued that all

signatures witnessed by Ms. McCreary should be invalidated on the basis that she has

committed fraud throughout her witnessed petition pages as they contain signatures with

"strikingly similar hand\vriting.'' Initially, the court finds that the objectors have failed to

allege fraud with the requisite specificity (see Matter ofBaldeo v Board ofElections in the

Cityo/New York, 205 AD3d844, 845-846 [2d Dept2023]; Matter ofMalone v Rockland

County Bd. of Elections, 110 AD3d 723, 723 [2d Dept 2013]; Matter of Robinson v

Edwards, 54 AD3d 682, 683 [2d Dept 2008]). Here, objectors' bill of-particulars was not

sufficiently detaUed to apprise the respondent.,.candiclate of the allegations being made

against. . the sheets. witnessed by· McCreary. In this regard, the bill of particulars. . only

addresses volume 542, sheet 10. As to that sheet, the objectors submitted an affidavit from

Candida Mejia, whose name is listed as the signatory qn vohime 542, sheet 1O; line 4. Ms.

Mejia states that she reviewed the petition sheetatissue and avers that she never signed. a

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designating petition to support respondent-candidate Gates as a candidate for this position

and that her signature had beeh forged (NYSCEF Doc No. 12). In addition, upon review

of the ten signatures on sheet 10, the court finds that all of the signatures appear to be,in

the same 1'strikingly similar handwriting/' as contended by the objectors. As a resuU, the

four signatures that were not n.iled invalid on other grounds are hereby found to be invalid.

However, asto the other sheets witnessed by this subscribing witness, the objectors

failed to specifically plead in their bill of particulars 1 which other pages McCreary

witnessed and merely seek to invalidate every signature she witnessed based on the

invalidation of sheet 10 due to the forged/similar handwriting allegation (see Matter of

Baldeo; 205 AD3d at 845-846 [holding that the objectors failed to allege fraud with the

requisite specificity where they failed to specifically identify, among other things, the page

nuinbets and line numbers of the purportedly fraudulent signatures and failed to indicate

the total nwnber of signatures objected to J; Matter of Malone, 110 AD3d at 723;Matterof

Robinson, Edwards, 54 AD3d at 683). Moreover, the objectors failed to proffer any

evidence (i.e., copies of signatories' voter registration records) of forgery and/or similar

handwritingas to any other signatures witnessed by McCreary.

1 The Kings CoutitY Specjal Election Part Rules provide that. ('In matters aliegihg questions of fraud, a ~ornplete

written offer of proofinc!u ding a statement as to the number ofwitnesses expected to be. called, the identification of each such witness (by name, address, volume, page and line) and the s.tatus of each such witness (i.e., candidate; signatory, subscribing witness, notary public1 etc.... ),shall be filed.with the Court no later than the time the calendar call on the fih;t retur~ date. Failure to serve and file such offer of proof shall be deemed .a waiver and'fur'ther proof shall be. precluded."

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Respondent-Cqndidate 's Exceptions to Line-By-Line Review

The special referees ruled that all of the signatures on sheets 36 and 37 in Volume

542 were invalid. On sheet 36, the signatures are all dated between March 15 th and March

J7th (2024). However. in the subscribing witness statement, the subscribing witness set

forth multiple dates :("March 14, 15 2024"), rather than 011e date, next tb his sig:nature.

Additionally, .on sheet 3 7, all of the signatures are dated between March 17th and March

20th (2024). However, the subscribing \vitneirn again set forth multiple dates (''March 14,

JS, 2024'') next to his signature. The court finds that the special referees properly

invalidated all.signatures·on thesesheets(see MacKayvCochran, 264AD2d 699, 699-700

[2d Dept 1999] [noting that ''Election Law § 6-132 (2) requires that each sheet of a

designating petition must contain a statement ofa subscribing witness which shall be dated

and signed by that witness. The date is a matter' of prescribed content and therefore strict

compliance is required"]; see also lvfatter Avella v Johnson, 142 AD3d 1111, 1113 [2d

Dept20l6] [failure of subscribing witness to include the date next to his or her signature

<-lll certain designating petition sheets rendered the signatures on those sheets invalid]).

Here, the subscribing witness on these t\vo sheets placed multiple dates in the witness

statement, which in and of itself is impermissible. Indeed, it is unclear as to when the

subscribing witness actually witnessed signatures or when said subscribing witness signed

the witr1ess statement'. Moreover, in sev~ral instances, the dates listed in the witn~ss

statements. are prior to the dates appeadng.next to s1gnatories··(see generally·Matter of

Stevens v Collins, 120 AD3d 696. [2d Dept 2014] [signatures dated ane:r the date of the

notary's j urat purporting to authenticate signatures were. invalidated]}.

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Based upon all of the foregoing, a total of 17 additional signatures are invalidated,

rendering the total number of val id signatures in respondent-candidate Sabrina Gates'

designating petition for the party position of Member of the Democratic State Committee

from the 52nd AD to 515 (532 - 17 = 515).

Accordingly, it is

ORDERED that the petition to invalidate is denied. This constitutes the decision, order and judgment of the court.

E NT

J.S.C.

HON. PETER P. SWEENEY, J.S.C.

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8 of 31 [* 8] FILED: KINGS COUNTY CLERK 05/02/2024 11:25 AM INDEX NO. 510951/2024 NYSCEF DOC. NO. 13 RECEIVED NYSCEF: 05/02/2024 EXHIBIT l , i s;,.

The Board ofElections in the CityofNew York

Dl\ilV e~Notificafion

Is Citizen: YES . ls Over 18: YES Submitted: 2020418-18~13.56

Vote1· Name: KATHRYN LEE HOWORTH

A,ddress.: 135 IDCKS ST APT 2A BROOKLYN NY 11201

MRlling Addre$s:

Bir.•th: 04/16/1988 Gender~ F Phone: Licens~: LastYearVoted: 2016 P1·ov.. Address: 310 NORTH 16THST OXFORD'MS 38655 Prev., County: Prev. State: MS ;! -::_'.:; .. .' Prev. Nanii3: KAl'HRYN HOWORTH ),?)/ . ~ . :. ' . :;' :· .

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The Board of Elections in the City of New York

DMV·e-N otification

Is Citizen: YES ls OverlS: l'ES Submitted: 2021--03-02--18~53

Voter Na111e·: LO.tJISE A HAZLE

Address: 239 CARROLL ST .APT 1 BROOI

Mailing Address:

Bit•th: 07/27/1971 Gender: F Phone: License: Last Year Voted: 2020 Entail: Pl'ev.. Addi•ess: 239 CARR,QLL STAPT 1 BROOKLYN NY 11231 Prev.. County: Prev. S-mte: Ptev. Name: LOUISE HAZLE

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'i, tfE·XHIBIT ·1; .D :s

DMVe~Notifitation

ls ·Citizen: YES ls Over lS: Y'ES Submitted: 2022-11.,;QS-0S..25

Vote1· N~une:· KATHElUNE E STEARNS

Address: 410 BERGEN ST BROOKLYN NY 11217

Bil~: 11/29/1990 Gendet•: F Phone: License: Last Yewr Voted: 2020 Email: Prev.. Address: 675 MONMOUTH ST Prev. County: Prev. State: NJ Prev. Name: Pam:DEM.

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DMV e-Notification

Is Citizen: YES Is Ovet 18: YES Submitted: 2023-lQ...0(i-18,.28

Voter Name.: ADELAlDE ·CUS:m:NG M:AC~"TOSll

Address: 346A STAtE ST APT 3R BROOKLYN NY 11217

Birth: 09/09/1993 Gendet: F Phone: License: Last Yea;r Voted: 2022 Email: Prev~Address: 493· ATLANTIC AVE BROOKLYN NY 11217 Ptev.. County: Prev. State: NH Pt:ev. N'iune: AllELAIDE MACKINTOSH

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The Board of Elections in theCizy of New York

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Voling hls1ory

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EXtilE31T

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0 Oualifi<;aiions

Your name l I

The:adilress whereyou llw

The address whc.re· you receive mail .Sl:ip f f ~ .[15 ~?love

Voting history

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The Board ofElectiori.sin the Ci of New Ycirk ,,...: ...._, New York State Absentee Ballot Application ·il Please print clearly ~ ,/ ·lam requesting, In good faith, an absentee ball~ BOARD USE ONLY; · dui!to (ch .,,k one reason!: Tcwn/Cily/Ward/D/st,:

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-= (') ~C)

liim,.... =en -~-~ M mtJffir.ie:a~ ~-ro f:";f . 152 Smith st ·= dclreUJ

_u,ee1 no/ _Oetioeay 0F_6es1eiaf {01 Sµedat) Election BaHotte11eck·u1mJ D Delii¢1 .~O n_1e t_u µ~·1,oif dt d!e bo31 cl of el"i¢:C:~i0, ,s. □. 1·aotllOliZC.fim!:aF..i.1nejr. to ·pick cP ,ny ·bal:ut at U1e.boai J of eleeti011s/ ;.,-;:", ">--,. .(C•r~~ ,-~~.,._., <:> I· & · Appllcant mu~ulgn below, I certllytha(I am.a qtia11ned arid a registered (and'for primary, enrolled) ~ voter- and that t_he Information in thi°s applicatlonh true and correct and that this al}jllic.itkrn wlll be accepted for alt purposes as the equwalent or an affidavit .ind; if it cont.;ins a mat..,lal f~/se statement, /1"->" •h~II subject me to the s.me peil~:: :?:en duly swqril/ J::::.~i ;±~·~ Sign Here: X k0r:::: ~ Date _D . 2..5 (.2,02(; MM/JJW"frl'f If app!ic:irrt is unable to sign booluse oi iDooss, phys~i disat,miy odnill>ilily to road, Ille fol.lolling siatemeilt must be executed. By my mark, dulywi1118S$0d hereunder,! hemby stale lha_t I am unable lo sign myapplm licnfor an.absehl% ballot 'Mlllout assistance beea.se I am u~e lo Mile by roilsorl DI my mnessor~ disability or because 1am unable to read/ I haw msde, oi haw Ille assi.tance in in akin9, my mork I my >ignat1.nw (No ~ r or .ittorriey w prepmled name stamps alloiled/ See detailed iaslruelioos,lj lieu of in · !iaie~~-N amacfVo1 et_ _ _ _ _ _ _ _ _ _ _,Markc _ _ _ _ _ __ ~--·.·

I, llie ~goed, he,el,j wtify tllot. !he above named ,oie, • ~ his cir her maik kl ilws applicatiori in my e= and I l as ii I had b&en dlJly Ullnrnl .· .· . .

-me..__ beial'l!luw.·0n~

...... ,.,,pr- Printby: vwatson, Printed on: 4/30/202 4 9:57:17 AM ,Scan Date: 2020 06 07, Batch Number. 1 , Documeh tNumber. .7772

16 of 31 [* 16] FILED: KINGS COUNTY CLERK 05/02/2024 11:25 AM INDEX NO. 510951/2024 NYSCEF DOC. NO. 13 RECEIVED NYSCEF: 05/02/2024

of N ew York

0 Qualifications

Yo ur na me ·

· Th e address where you live

The ad dr es sw he re . you receive mail Skip Ii same as ~bOVe G Ad.dress or P,0- .bo

P.O. Box- City/Town/Village x Zip cod e

O No voted before7 [9"Yes . ~ } Ha1

I B I.

Identification o NewYorkStaleOMVnumber be( )( )( " - " X - I t rSocial Sewriiy nvm Vou rnv.,.u,,.n~B 1 ~l~c:tion ~ Last four oig)ts of yoo nvm be, . er's license or a Soc ial Sec wit y s-B r.q.lai to Yo,I: Stele driv Fo, _quasti0i:'rS~ pfe~ t·.· I do not ha "" a New oi affirm th at Af fid av it: I sw ea r 'oov ¼~~~-?:ycur'idat'iti~:i; Gi_.s.h to ei1rotf fn i!li pofitic-0., JIM\}!' JO • lam a citimll o! the. Unltod St:atos. . city"' village Political party. S Oemo<:ralie pm y ty • )will have lived in lh~ ct>ii~ly leasi JO da\' $ bel ore tfu;olae~cm. 0 Republican,,,eparpan ·. fer at U~~'r1tS 10 rcgi:sier You muslm:>ke 1.se!eetian 0 <;<,r,,;,,,..,. v 11 t m~ , an reQ G. 0 ·Wolln"1cte to !w r y,:,ars. .,,,,oJi in lhat pol.ti<>:11 parly. . D ~1-ipMIY . to $!{ 000 tJnlti!1/s -sUUD pattfrU'le"s· · &lk:iw D o,hi?,: .........cli... __. ____ .......... . · i:ntie~~- nno en, ;~ 11 ilc iip o,i y dci n~• we [ i'an~ d~';lt_v~ie_r __J ~-l.!t-',,t.,~ be ~r-.!n~e~a!! . . D Napany

' • · ·· . Pr int by · v;:;.,at 4/ 30 /2 02 4 9·57· te: 2020 08 28 . so n, Printed on; . .40 AM , ScanDa D , BatchNumber-. 2D ' ocumentNumber: 49

17 of 31 [* 17] FILED: KINGS COUNTY CLERK 05/02/2024 11:25 AM INDEX NO. 510951/2024 NYSCEF DOC. NO. 13 RECEIVED NYSCEF: 05/02/2024 EXHIBIT

I 10 The Board ofElection s in the City of New York

0 Qualificatipns

·your name Si.rH'ix:.

More .inforrnati on IJJ Binh dole jD; &., i,IO,h Ii! I HJ,. \ I · Items !5. a&·~ .ar!l o.P~i · !'.!]Phone f ' ' H' ' H I I 1

rt .The address where you live

Th·e address where yO~...--receive ·maH 51,jp a..,,,. i. ,t,i,,o.

Votliig history

Voting information th at has changed Sl;,aw.ho,no,

~t===~ B fdentiHeation o Nov,Yo,lcS,awOM\l ...mt., I [ ' ' ' ' I F ' I 'Ywmu:ntna~ t H'Jeciion D las• foord;g;1Solvo,,,-Socia!Soa.tri1"1 "'-"Tll>

sion I \\I-.~-;,.- [j □. l~10-~loi-anAi:i~~1 1··, 1 ·~ ·opt•ona ·. I questions . . :, 1o u11::ta11ai.- ~ ;.......______;:::::::._ __;______;_...;.....!=--=a:======:::;.,;;:...... . . . . . • · .□ l'WQIJl[j~&Ttiiblll~E:le-clicl'I-D.ay~~-· o, 10 _ ·' ·. l I l,1,- ~- :ii.

Print by; vwatson, Printed on: 4/30/2024 9:58:06 A_M , Scan Date: 2022 01 28, Batch Number: 20, DocumentN umber: 5

18 of 31 [* 18] FILED: KINGS COUNTY CLERK 05/02/2024 11:25 AM INDEX NO. 510951/2024 NYSCEF DOC. NO. 13 RECEIVED NYSCEF: 05/02/2024 EXHIBIT

The Board of Elections in the· City of New York

DMVe-Notifica.tion

Is Citizen: YES Is Over 18: YES Submitted: 2022~07-13..:09~24

Voter Name: SAMI1.EL ClIRISTOPBER GARCIA

Address: 105 BUTLER ST APT 2R BROOKLYN NY 11231

l\llailing Address:

.Bil•th: 11/03/1991 Gender: M Phone: l.iicense: . LastYea.r Voted: Email: P1·ev"' Address: Prev.. County: Pi-ev.. St.'lte: P1~ev.. Nam(!: .~artv=,,DEM

Print by: WJatson , Printed on: 4/30/2024 9:58:3 2 AM ,Sea h Date: 2022 07 14 , BatchN umber. 4, Docu mentNumber: 5

19 of 31 [* 19] FILED: KINGS COUNTY CLERK 05/02/2024 11:25 AM INDEX NO. 510951/2024 NYSCEF DOC. IT EXHIB NO. 13 RECEIVED NYSCEF: 05/02/2024

I /:L

The Board ofElectf ons in the City of New York

New York-State Absentee Ballot Application · £!OARD us£oNLY: Plea5e print clearly. See detailed instructio ns. Town/CityiWardlOis/:

Thls applfta ti on ·.mun either be pe r1ona!ly deliliereil to your county· bo,i rd 0f ~ oteli! ctlon< Registration No: _ _ _ _ _ _ __ later tliari the day befoill the elertion, oi postmarked by a governmental postal service not !.iti!r than 7th daV before election day; The baliot itself 1m1st either be personally . Pody: ___. _ _ _ _ _ _ _ _ __ delivered to the boa rd of electlon:S no late, ! ha n the close of polls on ele,;ti on day, er po5tmarked by a ~ovei~mentiil postai service not.later than the day of the eiertion and . □ voted in r,fflr;,, received no later I han the 7th day aftc r the el&tion. . .. ram req11es'ting, ingogd faith, an absentee ballot due.to (chetkone reason): □ absence ftom toorarv illneiisMphyslcal dis.rbllitv Administration Hospital · "0- permanent lilness or physical di5abllity □. duties , elated to primary ca re olline onnore, □· detention Jn·Jail/pr1,on, awaiting.tr/al, .awaiting lnd",,.,lduaiswho are HI or physically disabled a a,;tiori by grand Jury, or in prison for a conviction a cf crime o, offense wfi ich w~s nola ieloiw absentee ballotfs) requested fer the fo!lov,ing election(s) : mr Prfrrfa,y Election ordy d General Election only D Sp eci a I Elee ti

'1 d.a.tQ of ~rtl;i MM/OOfffN

_ j _ ._,_.- 1· 1~ur.i't'f~h,er~ you la,..,c: . " 11.,.,•II [ootioh>l) aChf~is where VmJ liVe 1rei.ldrr-~J :m~_et · cfly lip cc_Ci!_I'!. 235 HOYT STAPT 6A BROOK LYN NY 11217~2933 Delivery of P~im.ry Election Ballot (rli,,aaddressl 235 HOYT ST. APT. 6A BROOKLYN · NY 11217-2933 dcy □ De!ivenc me in person at .the board cf elections to pick up my ballot at the board of elections:

Applicant Must Sign Below I certify th.it I am a qua!ifie d and a registered (and for 'primary. enrolled) : true and correct and that this applfc.ition will be accepted forall purposesvoter; and th .at i h.!!!n flirmati 6n In this app!icatii:>n ii; as the equivalent of an affidavitar\d,.if it contains a material false statement, hall subject me to Jhe same penalties as ifl had been duly sworn. · Sign Here: X .. · · . ·· • . Date g_j /P._121..._ M:M/rJCJ/'(¥'ff. If applicant,, unable tit oild if lt

Print by: vwatson , Printed on: 4/30/202 4 9:59:33 AM, Sc:anDate: 2021 05 20, BatchNumber: 35 , Docume ntNumb er: 41

20 of 31 [* 20] FILED: KINGS COUNTY CLERK 05/02/2024 11:25 AM INDEX NO. 510951/2024 NYSCEF DOC. NO. 13 RECEIVED NYSCEF: 05/02/2024 EXHIBIT

The Board of Elections in the City ofNew York

,... VOTER REGISTFIATION APPUCATIO N !instructions on beckl on for ari Ab:>11ntc,o 9nllo1 Plee,e print or type In blue or black.ink D Yi, s. Iw,:,uJd tiko tc, bo an £Ju tlon O:iy worlc or 1> 11 US. <>hiun? ·,.-,1111:yolit...10 Y• nold<>n orbetore eloctlond.,yl ' . Fo, Board Use only 0 NO □ No lf you a nswc ril d NO. do ncii eomplclll I til,i form If you a nswo red N 0, do not comp!atll Jhi:, form un!esoy<>uwlll ba ie by.tile unil olihs v~ar RECEIVED .. KINGS BOARD OF ELECTIONS lNTHE ClTYOF 1{2WYORK ·

ZlpCod;, 5

urd Your eddro» wa~ lgi..,. hou•o num bor, WOOi Md c!1y) . ID Numb 81' /Chotk tho a pplicablo bwt and provld" yo,., r numbo r) 10 _ _......,.......,_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 9 ..;/' □ NewYorkSCa1~0MVnumbar - - - - Und~r tho n,,rna !lldll/oron1l,omycurn ame nowl -t:J .Lasi foui di;ffsofyourSo,:(arse curiiy numbrS<1clal Sec:lifltv m.imbor Affidavit: I sweor or affirm 'that. • ! am a.dtl:icn oflhtatil. 11 □ C.ons11rva1ive party '□ Reform party 12 Oiher _______;...__ _ • Tlil~ l,imy '. nail/to or mark on lho llnobolow. 0 Green party ·□ , nfo imution lo triic; 1ilrida rSI~ nd th:>t I flt lo not truo, [,::in ba O Working Familh.is party and flnrid up~ $5,000 andl(irj3iledfor upto four y,,ars. I do nol wish 10 enroll in a p0ti1ical p11rcy 0 Nopar1Y Date --:.... ...,.:...._

Print by: vwatson, Printed on: 4/30/2024 9:58:57 AM , ScanDate: 2020 04 ·10, BatthN umber: 5 , DocurrientNurriber: 12

21 of 31 [* 21] FILED: KINGS COUNTY CLERK 05/02/2024 11:25 AM INDEX NO. 510951/2024 NYSCEF DOC. NO. 13 RECEIVED NYSCEF: 05/02/2024 EXHIBIT

i 11 The Board ofElections in the CityofNewYork

Is Citizen: YES Is Ovet· 18: YES Submitted: 2023-08-14-12.31

VoterNa1ne: LEE HEN'R.Y SELTZER

Address: 298 12TH ST APT 4R BROOKLYN NY 11215

Birth: 09/22/1991 Gender: M Phone: License~ I& t . LIL :LastYear Voted~ 2022 Email: leeseltzet•@gmnil.com Prev. Address: 155 WASHINGTON ST .AJ>T 406 Prev. County: Prev. State: NJ Prev.. Name: Partv:DEM

Print by: vwatson, Printed on: 4/30/2.02410:Q0:67 AM, ScanDate: 2023 08 15, BatchNumber:28, DocumentNumber: 33

[* 22] ______________________ 22 of 31 ................ , ... , ..... .... ........ ~ FILED: KINGS COUNTY CLERK 05/02/2024 11:25 AM INDEX NO. 510951/2024 NYSCEF DOC. NO. 13 RECEIVED NYSCEF: 05/02/2024

EXHIBIT

l /~ The Board of Elections in. the City of New York

DIVIV e-N otification

Is Citizen: YES Is Ovet 18:. YES Submitted: 2018-07-25~10~37

Voter Name: JADA 11\[A.Nl FAULICNER

Addl'ess: 244 BOND ST APT 1E BROOKLYN NY 11217

Mailing Addt·ess;

Birth: 04/06/2000 Gendel·: F Phone.: Li·censs: ~ Last Yeai· Voted: Prev.. Add'.l'ess: Prev... County:· Prev. State: Prev. Name: Partv: DEM

.·,.···-.· -•._, •. :·:.....i......:: ~·->--~·· . .: ;~•••~•.:..:.. • • ~--h••

Print by: w,.,atscin , Printed on: 4/30/2024 10:01:54 AM , ScanDate: 2018 07 26 , Batch Number: 13 , DocumentNumber: 18

........................... [* 23] ________________ 23 of 31 FILED: KINGS COUNTY CLERK 05/02/2024 11:25 AM INDEX NO. 510951/2024 NYSCEF DOC. NO. 13 RECEIVED NYSCEF: 05/02/2024

The Board of Elections in the. City Of New York

·~:~ •~,!~,.-:.. -1- .;: .~I 1fl'S ': ":.·. --~• ~- ~\" ~-\' ~-•·•~.:,- • ·~

IT t:": ' : 1' .;i:,. o•,ic~.... i~ ,■.;-:, '1"J!\-t,,.::•~.• I/. :• r 11;:T,

~ .Lil.1.t.::ir'• -~I~;-~~~• ~'(j~~;,a2 J , . . , . , ~ - .. ••--.r--• .-••_:...;, ~ ~ ~ ~• ,.•, •-• - - :0-• ........ ~ •• ~ 1,-· - .. -

Print by: vwatson, Printed on: 4/30/20.24 10:02:35 ·AM , Scan bate: 2024 04 17 1 Batch Number: 19 , DocumentN umber: 2·.

........... .. _ .. ,.,,_, [* 24] ,_ _. ________________ 24 of 31 - - - - _,,,,,,,~.,Y•" ... •••••••••••••••"•• • "'""'•""-••••-•••••'•••••••••'-._..,,_,,_,~.,_.,..,..,_,,._....,_,_.,.,_,,., -••~••••••"•••• •• • ••• FILED: KINGS COUNTY CLERK 05/02/2024 11:25 AM INDEX NO. 510951/2024 NYSCEF DOC. NO. 13 RECEIVED NYSCEF: 05/02/2024 EXHIBIT

The Board of Elec:tions in the City of New York

,..,.

FAULKNER 05/31 /92F . ~ ~

J

~- 244 BOND ST lE BROOiaiYN . . . NY 1121 T, ***KI NG** * ... - -- ------. ---- .- -- -· . ·-·· -----· ·- . -- .... - ·- . . -- ~---.. -.. ___ .,. ---•:1111o.----=----. - .· - ;...;-.,:.-~ ....... _. . ____ or this partm if you want to register to vote change your address or olher.inrormation NEW YORK STATE VOTER REGIST RATION .APPLICATION ~ (Fill oui . . on above;} with the Board of. Elections, i1J:i11 if you are also filling oui ttie bMV applicati your decision will If you revister to vote, your complete d voter registrati on appHcali on will be sentdir'ecUy to \he Board of Elections . If you decline on has been to register, processa d. · w remain conf!denUal. You I be rioulied by your County Board (jf Electl.on swhen yo.ur YOler registrat ion applicati

Yos. 0 No .....~~ "[olephono Number (opl!onal)" . Anryoua u,s. ciUziln? . Yes O No I will be 18 Years old onor beftim olec\ionua y: • . .,.. ·,• •. - Area Code ~ · . . dD not . comp/lllo /his form. · unless. you · wi//bo 18 by tlie ond of Tho }'I/Br, ( · · z. If you fh~1Y1Jred NO, do not complete lhisJorm. If you answ1

Ch$i6so a Party. -- Cheek. one box orily • ! ariHI c\Uzen of the Uni!lld Stales.. ·~ ·~ -~-'"" ,

~ OTHER !wriin 01).. .

□ I DO NOT WISH Tei ENROLL IN !\PARTY -_ - qy.---.--~ 7 oam'5/c9f!l11 ,co·_ l:: MV-44(.11M)

ScanDate: 201106 06, BatchNumber: 81. Docum entNum ber: 16 Print by: vwatsor t, Printed on: 4/30/20 2410:02 :45 AM,

25 of 31 [* 25] FILED: KINGS COUNTY CLERK 05/02/2024 11:25 AM INDEX NO. 510951/2024 NYSCEF DOC. NO. 13 RECEIVED NYSCEF: 05/02/2024

The Board of Elections in the City of New York -

t1 $ Affidavit Oath

ThUddrHS - wherey(i111 · 'b1 <,s\ _--~t,i,,l!l!ii,,,p,,.to ro~rny~,_,.i1o_r. o1...n.~1<1""""-- -l~M""iy"'!l~-li>m o!rlW. . - - - " " ' !lddmsslll>'eli•-- ond h~m•II... dulyqualificd-lnlh!>111<1.. . . □ 1how.,;...., ...,j,,,, · · · · 0osa,tCoon,yor,-v..-.a:,i<1ncom:1 i.ot<0glstitful,"1!d rnypOM01JS . o~wn:- ·i. □ I""" ,equlo,d Jo i-ent ldeolllioat:lon - I- ii:da,., ti.I I 1:'000!~~ 1n ir..«>ct1or,a"°""-Wlllo poilt»ol<"°"" nolrvllodrny....- 1 -°"""""""""' . . . .. C: Mdlt!onal lnf

!llom'lnfonnatlon '· i TIie addrnss wttsro you nu:ehn, m:i(I Sli:]pfJliJ:lil'M-as.:ibirite

•V ha> ..,1 clcongotJ Of . r.m,no1>1i1e'dt..!Cltl ~umber . ldantlfii:allon . fcur drgl::a oi )'O<'" Socia! Sealilly ,-bi, 1:u - -:Voii mi:st~ 1·~1EdiGn- -□ 1 do non,,;,, o-,i.;,; Y-S!alo d"-"' 11<,,..., at o -I

j D: AH vctors mud diitltl :isn-d sign, the cath be.low 01t"1~ ---~i:n,s tu r~-{J ..;,c,'!-"==::....H ,---------, filN !"891~nt5.~r.- grti, _filml_~_~lM ~ntorrn~l"I _t:u lt1r-

Atl"ktavh+_ l ~ICH" -t1_1" d"rU':tll lhni. • lsm,. dtl=ci 6111:!!-Uinikds~. · • ·1wru.h.1,;re Ii~~ lh;-~.~~~"i[lqt:.far:1i !c:i;si3G?y, tiierc:ret?ic~t:;i:1.(11::l~ ·slgft P.ol-"===-----'""-- '=-i..:.:=;.+"'-! .. 1mcu.-i!l~""'~mr1o ~i'.l:i NN"Y-o1tSUtt:... · "":'Il!is l:rfn1~i:i:Jlttire.Otlllm: 1,£11:1·~ bcfJ ~,cri&hi,. . ·. •n.li::~iidc-r.m:ikii:i ~trl,!t:. ttt:!dcmudt:isl.ifit~BOl"b:ve:. l"i::.i!.4 .bcamvic:cd~ -~~r.os:5,000~~jUltd l"OC~l-0 r~ rt:m.. Oat&

ADJWonl

D ilotRao,;;,....i □. ~~•~~ bt~-

37/fJ Print by: vwatson , Printed on: 4/30/2024 10:03:37 AM , Sean Date: 2016 12 12 , Batch Number: 53 Docu mentNu mber: 15 . . .. .· . ·. . . J . . . ' ...

26 of 31 [* 26] FILED: KINGS COUNTY CLERK 05/02/2024 11:25 AM INDEX NO. 510951/2024 NYSCEF DOC. NO. 13 RECEIVED NYSCEF: 05/02/2024 EXHIBIT j J!I. -g

The Bpard of Elections in the Git of New York

New York State Absente:e Ballot Application Please print cle,1rly: I am requesting, in good.faith, an absentee b$llpt BOARD _USE .ONC'I': due _to (cheek one reasori): TDwnlCitj,lwanl/Dist;: . 11( absence ircm count,, er New-Yink City en electia n day 0 temporary illness or_phy~ica[ disa~iUty Raafstratloro #tx~--- ---- (lnduillns a«ected/jloteiltlal COl/1D1!1) . Ii; □ pe rmanenl lilne~~ physlce Idis, bility. Pany:~_- - - - - - - - - - - □ d!!t_ll!:s relat!!d 10 pri!i'iarv care of one or more Individuals whirare ill or physical~ dtsabled □ ·IIDled /,'! DffiC!] . 11bsent~e ballot(sl requested fdr the following·electlo_ri(s). llli Primarv·Electlcin l;JN L'{ · i;·eReFal. Eleaio.R ..BRI~• A,;y eleslieR tield.bi!tweeR Urnse ~e~es. '98se~EEi lae1$As. ='=j M-~ absene·e ·end_s. :==;'=-1 ~

11 mN~_-ln~I wuffi• I II last oame OUIJt~•m• _Oqug~__. 11 ii~, n•rn• __ Marie _

.apt# ·m,Tiins •~dms 46 Berkeley Pl Bsr:nt Jl>tt , zlpo:aoe di;\' Brooi:lyn NY ll2i7°3511 Delivery.of Prfmary Election Ballet lcheov G-6 to pick op.my:-bal)ot at th~ .board ·of elections/ 0 Ma II ba.lfot to me at l<~ock bo; ond ~plot~ O/IIY 1iaod

Ddiue, J.of G&mu al (01 Spedal) El_w!tico B~Hdt (o.eu or::e) D .eeiiue, "tu hiC _in pel so, I it ll &i:!= boa ad or electiU,_,~ Ei ,J au ti 101 ize. w:;.e 1i:a,1h!_), to pick up mt baUul at tha bu aid of'elec:Uo1 u/

,Applicant_ m·ust·sigi,·_below. I.te_rtify that I am a.:tiwilified .ind."aJegistered. [ilnd for· 1#.imary,'.enrolledJ. vole"'..and ·1h.inhe "information i_n thls applici:itio·n·is true and correct_a·nd 1hai _this ·a·ppflc.atlori .wlll·be· acce pml for a II purpose~ a, the e_q,;i;,,,; lent of an-affi_davlt and, ;f .it cc Mai llS a material (a lse statement, shall.subject me·10: ~ peni!l~ies a~ !fl"had been duly s,.vor~/ ~

- · · · Sign Here: X~- / ~ Dafe ~- /~S /?~

lf.apj)lic.8111 is tlllllble to·&ign ~11$11 ~flliness, phr,;i..al ifisab~!ly or inabililyfo read, l!)e fdlawin!I 51aiemeril mu5t bo eireroled, By rirf m~ •.:!lily ~ hMSIB1de! I !!l!reby s)a~ jhaj I am ~i,a!lle to sign rrr, ilpj,lii?" . tkm l'or a_n absemee ballet~ assastance.bearuse I 0/lt urn,ble to write by·Alason of my illness 01 physical or dl_sabiity liec:\llise I am unatire lirreadl.l°hiw made;ar haw !he assisi.ll!Ce in making, mark my in f,eu of my signaiun,J (ND power al alk:mey'.ar pri,pilnlecl name stamps allcMed/-See' deiailed jnstrui;tioi)s/) Oilte_J_J_Nam eofVolet • Marl\_._______ MIWlffl'Y'I . . . I.Ille un~llllll1 h~<:erlify Iha! Ille abiwe """1'!'11 W!•r alfil!ed his"' her """111a lhi5 applicalio,,";,, my P(as-_ enee arid Ikllllw h1111 01 lier to tie lhe poi,;an "'1\0 affixed bos Cl lier rnart: to said appllealion and undalsland tJ\s I lll1s . slalemenfwill be accepjlid foi al P.Urposes as lhe equr,ralent ol an aflidavil and Hii coritai"ns a rnamial !alsa statEmen~ . shall ,ubjecrme io Ilic same_j)emi!Ues as H_I hail bo-on ilut-, sworn/

,an- -- Bo-l'Tl.!U..;Ct:'J't

Print by: vwatson , P"rinted on: 4/30/2024 9:49:50 AM, ScariDate:· 2020" 06 19, _BatchNumber: 1792, DocumentNumber: 282

27 of 31 [* 27] FILED: KINGS COUNTY CLERK 05/02/2024 11:25 AM INDEX NO. 510951/2024 NYSCEF DOC. NO. 13 RECEIVED NYSCEF: 05/02/2024 EXHIBIT 0 i rq

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The Board of Elections in the City ofNewYo rk }lJ,l!(t ).ll.ti, .• JJ. l , .•;.,J. '."-',,.J. ..- _~lJ: ,,:. ._d)~ic:~yl... ~·)l.:¾ ::7'>."-t. ,,~ "~~~~,:_ ,-,~L:it,r¾~t-:L1,,._,r,~""~.?f;W~;J ·I . · . .

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i .r~;~ 0 le is a crime 10 procurn a talsa reglsua~orrotto furnish ioise information \othe Board oi Elections. Are ycu a cilj?en ii' the u:s.?. · ii-:;,;. If you am.wer No..you cannoi regislerto vote. ?leasa pririt in blue 01 black in\:.. 0 Yes D No. ·,---'--F«--."-•"'··-.,-.~-:,-,-,,..,-+-,---,

-· . ,_ • A)Win ~t)_o:~·erye,~ci~EJO~t_i:ildar~11or~,~~li'!i.C4io~di3Y? ~ Y,es .□-~ @ Oualif!cjatio ns .:{ ,1 :13) Are you ;i,t fa;tUit 'l6 venr;: ic ra-g:ei illlf'.ld -ur,den:lli!lrui ihm_you ·m~t ht 1:Byit:111.s or · '.2~:: D~1!! M or_.b-i= lcii-e l!:U!:,c;liM day to-wte;"~n~ th:ai iun1!1 you v,ia b!. cii;h1e"en VCerri or" ' ;, ~-; •g .., tho ~mo ol, uth •I octlon your "'9 ½ua,ion wlll be "'' rhd ."oe..:IT~g•·and i2) v,. 0 r-lo you .· qr B.o ARp. El E ·Tl 91f ;. E €IT,; er It[\ u,r. J.,. wllbo """blol()caU l>lll/the P.TiOI' questions, you cannot regjs1er to votl OTER REG! STfl ATTO ~ OE;: ; i Steinmetz-Silber. SufOl'l JUI -5 ti! 11: J q Your name . I Joseph rvi:, ddle lnltio I IA 11 . . ~10 "rE'l . I . r,r.-;, ~ty y9 B,y gy.l r;n· l,li;I hM More infdrmation . ,. t:.;'..:J Birth da1e µ4, B23 Lb _G_on_d_e_,.;.;;M.;..;a_le;:..·-------'-'-+"'l!!;'.I..,·' 1

Items s..6 &7ia,e optlom,1 ~ Phon~ 19 I 1,7 H6,5-~ 7H2,6,2, 7J ["-7·.} Email •. I ! ·1 7?1 Address looi P.O. bcxl 113 Uncoln Place

The address w h ere yap'r· 1ye. Api,Number I;t,:i ~·/~ Clly!Town/Vlllage Brooklyn ~ Zip code 11,1,2,117! Il ' . ].'' ~ I '... ~ New York State Coilnl',' New York City [BJ -.-.- . . ;· I {"f}' Address or P.O. bo,:: The address Where you recei~e mail §0 . P.O. Box ;ij•,.' Zli>code l I· I ·, ' I. i,r Sliip ii same obova . Cityi:rowri/VJllege 2t Voting hi~tory bi,~:'_! Have you voted befoie7. · 1,;;::l,Yes QNo

' Voting infbrmation Your name was 1 that has c~anged · Your address. was 525 W 238th Street, Apt 1.B, Bronx NY 10463 I Skip ifthis has' not cllanged ory,:,11 have n91,. vo\edbeloru YoiJr.previouirm,m or New York State County was. Bronx . ' Identification D New York State OMVnumber L, , 1 , ,

. . I 1 .sere. .ction . . mal:,i .You. must . ii2I lost four digi!S of your Social Security number X " " - X X- f~r Q'li0'5iticir1s. l)_!e~o ,~ie:r-tc- ¼n'fymg~~ ~.n,~o;.;ii~.

Political pirty r1Wi~~).o~.;i~Jl iii"-a" ~~11?-:a I·p ~,U.y'-~; -~ 1 .: ..', J. Affidavit: I swear or affirm ~hat I· 0 Dram0Ctatic p.any • ~ am a cilb:en ~J ih~ ·unit ad _Sm1:SS. •!°"! rnvsl_mal.::_r 1-~elet:tlon 0 Rep,,blican porlit;tal party.. un•.,• ii.Ito pariy f\Jle; allow. If i1 is~ot t,ve, I can ba·oonvi~ted ond lfne,;/ up a,herwi,.;_ ! 0 Nopariy 10$5,000and/O, jaijed lcrup10 fouryead i 1 I noed to ap·p1y for an Absenteo· ball 01 .. ..! Optional q'.uestions 'j fwould liko to be an Elaeuon Doy wo,1:1,.r: . j

I l i ~ J umber: 41 Print by: vwatsoti, Printed on: 4/30/2024 9:51:42 AM ,ScanDate: 2022 07 05, BatchNumb er: 10, DocumentN

28 of 31 [* 28] FILED: KINGS COUNTY CLERK 05/02/2024 11:25 AM INDEX NO. 510951/2024 NYSCEF DOC. NO. 13 RECEIVED NYSCEF: 05/02/2024 EXHIBIT--

·- ·-- -·--. · - - · · - - - - .. -.,.------· ... ~-- . . -- ,..._ .... -.·--~---~ .·-·. - _\.:..~--~-'t: . . .· ---- ·. - . . - ~ - - - . - - . ..l - . - . . - - - · - - ·._. - - · ,;~ l l.\..1 (:\MS $-r~pnAN.,E : _ _ _ _ _ _ - MV-44 (12/96l _ _ _ _ NEW YORK STATE VOTER REGISTRATION APPLIC~TION __ . ·· (Complolo Pl1li If you want u, f'891.sle[ to mte o~ cho'/98 you; oddross or clher fnfvrma#rm wilh th8 Beard of Elec/k)()S.)

llyou register t~ vote, your completed voter raglstratiori app!icalion will be sent directly ki the Board o!Electlons. II you dGC!lrie. to reglster, your deci~.:.'!'ll rerrialn confidential, You will ba notified r,y your County Board of El8cilons when your VCJ!er registration application haS been procea-"""". -

- - . - - - . city) · l n counlylsta!e Uridet lht.l name (If _ • N ,,.

Choose a Party --~ Cfwckma bo~Oll/y AFFIDAVIT: ISl¥MI' D,l'nfj',m that -;:;; . --C:-rtd --./ . . . • I am a citizen of me Uollad States. o f"'1!:!! l!rDEMOCRATIC_ • I will have llYed in the ooiinty or lri the city of New York for et least 30 day:; b.lfiara ~ - □ .REPIJ8UCAN :X :C:. n c:, D CONSERVATIVE Please oo-te: • This ls my slgttaturs or ma!k on Iha nna bekiW. _ • The abovt1-lnfon'llaSOn .Is true. I_ underatarl(I tilatif _ii iS flOllrua I can bo con~ ..., i-'4 2i □ INDEf>ENDEW::E Jn order 1o vote In a and fined op lo $5,000 and/or Jalled for up to louryaalll, J. Slgnature or rnru1< .J; ' t..> -<,e □ ueERAL primary 1t1ec1icm, youmu:.tbe ,------.------ . - I ,&- :u O(J) ::,; □ RJGHT'TO LIFE enroll&d In •a. party. . . . .

0-FflEEOOM □ I 00 NOT WISH TO ~0-n u(W 1121,am 5 """' ENAOU. IN A i>AflTY s-· I

Print by: vwatson, Printed on: 4/30/2024 9:52:32 AM, ScanD'ate: 1998 04 06, BatchNumber: 6, DocumentNumb er: 1 l

29 of 31 [* 29] FILED: KINGS COUNTY CLERK 05/02/2024 11:25 AM INDEX NO. 510951/2024 NYSCEF DOC. NO. 13 RECEIVED NYSCEF: 05/02/2024 EXHIBIT ~ Lf ~ J l{ \jI( ;Q~ U .- Stt·. :.,V\Adt\v p h '""-' 1

/.,.1. 70 s:10 9~1 -------------------------------------- The Board of Elections in the City of New York

New York State Absentee Ballot Application Pleaser p rl rit clearly I -~ I am requestIn B, In good ra ith; an absentee baHot BOARD USE ONLY: . lf'.::: due t_o (check one reason); Towil/City/Ward/O/st.: □ fte nee from county or New York. City on e lectlon d;fy · st' temporary rnness or physic.al di,abjlity ·Reg/stia6cin No;.•_ _ _ _ _ _ __ llnch.id!ng affeded/pote nllail COV!D19) Party::_· _ _ _ _ _ _ _ _ __ □ permanent Ulne.s or physical disabilit',' D · duties related to primary ca re ot one or moie ,n:dividu at. □ \'Cled in o/fiCB who ar.e ill or physically dis a bled

abse_ntee ballot(s) requested ior the following electioil(s) li!J Primary Election ONLY Ge11efal.Eleoie11 o;;ly I- ii't eleuian helll between me£e llale!;, abse11ee hegiAs. ' ='= '-- - · alm!Rtin;,liils -=:J===.J:__. """""""'

:=-r G] phon~ ntil~er ~Qll_~ron.i.!,

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= IJ~--- m•i'lll'.IJ·ach:l~~ 187 Baltic St Clty ::meet

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Brookiyn NY 1]201-6173

Oeliverv of Primary Eleclion Ballot t

. ~ □ I authoiiie (gh,. name) • ~ I I pick up my ballot atthe board ofelections / ' ' ' Mall b~ Ilot to me at {iliod bo, aod .«im~I•« aNIY if oddrou;, d.rfurt .1aari .,,mog •ddri,,i) ;.

opt/ <~· sr,tc,, :Zil)C:l)d~ Uri:11!:tno/ stttttname

Beli11et ~ of ~e1msal (oi Speci~I) Eiecci011_Ba!!ot·n:ua:~ cm11i lI 8 pe1;"1'e_1 to 1ue.i,, pei .so11 at-tl1e boa1 d cf elcctio,1s B- ·1 aath_o1 ize 1i1~ 1cm12~. to.~id: tip ~nv_b3:l~Ct a_t t~n~ bOa:ad Ofelei::tion:s/ □ ~;laU ballot t0.1i1e :lt_ii=ui:::i=s: rim i:ini, 1:i:m~·:E!11?:cmt1." ::,ts;i:iia_~ 1~:i::iui:en!!lt ~ran nliililtnli: ~tt~i:P.n) - / ' ·",. 1Jp~ad.t $.ttel!!f name- · ·•ct/ '

J}~t l! -Applicant mu~ sign below. I certify that.I.am a ~u,,lmed and·a.f<'Jlis• ~--1~nd "'' prima,y, 110ter• and tha11he information Jn this op plication is true and correct and that this app[lcatlcn wiil be en,olled)

statement, acoaptedJor all p u r ~ w i ~ o f an.affidavit and, if it Cllfltliin, a. material false Jf .· . . .

- sha.il 5ub}ect me to the sa p ie if d be~;t!y swam/

r'~1i~ Sign Here: X d'lA Date o(, I tS / ~?,-0 - "'-~'· II app!iranl is unable to sign beeause of .~lness. pJiysi:al ,;f,sab~ or inabilily lo re.id; Ute followir.g statement must be execllled. 8~my mark; du!p.itnessed oorelllder, I h1 l>J stile !hall am unable to sign myapplii:a. fion for an absentee ._Uol 'M!llol!I assistant,, because I am unable to~ by ~SIJII- of my rnnass ~cal .°' of rfuability or because I am unable to read/ 11.M! made, or~ the assislallOa 111 rnaking, my matt ,n !!ti my signature/ (No pc7'/l(lr of attorney or preprinted name stamps aDO'l.'edl See de~.ed ~ - Date _ I _ I _ N.ame of Vole!. · · · ·· i.,ar1c: ~- '

in j pre:;-. l lhe undersigned, h•mb;I certily thiu the atr.:.ve named \'Iller affucd his oi' lle[maill Jo 1!1is awlit,ilico enai arid I know. him or her to. be the """°" who afli:

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1662, DocumentNuinber:0438 Print by: vwatson, Printed on: 4/30/2024 9:54:38 AM, StanDate : 2020 06 20., Batch Number:

30 of 31 [* 30] FILED: KINGS COUNTY CLERK 05/02/2024 11:25 AM INDEX NO. 510951/2024 NYSCEF DOC. NO. 13 RECEIVED NYSCEF: 05/02/2024

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