Case: 1:16-cv-05201 Document #: 47 Filed: 04/10/17 Page 1 of 2 PageID #:200 (Revised 12/11) United States District Court Northern District of Illinois MOTION FOR LEAVE TO APPEAR PRO HAC VICE Case Title: Plantiff(s) HOUSTON CASUALTY COMPANY VS. B&H FREIGHT, INC., et al. Defendant(s) Case Number: 16-cv-05201 Judge: Honorable Amy J. St. Eve I, Teresa H. Dooley, Esq. hereby apply to the Court under Local Rule 83.14 for permission to appear and participate in the above-entitled action on behalf of Sompo Japan Insurance Company of America, a/s/o Canon U.S.A., Inc. 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 State of New Jersey 11-7-2013 United States District Court for the District of New Jersey 12-13-2013 State of New York 1-23-2014 United States District Court for the Southern and Eastern District of New York 6-17-14/7-16-14 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: Date of Application Case Number Case Title (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 â 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: 1:16-cv-05201 Document #: 47 Filed: 04/10/17 Page 2 of 2 PageID #:201 Has the applicant ever been: censured, suspended, disbarred, or otherwise disciplined by any court? Yes No â or is the applicant currently the subject of an investigation of the applicantâs professional conduct? Yes No â transferred to inactive status, voluntarily withdrawn, or resigned from the bar of any court? Yes No â denied admission to the bar of any court? Yes No â held in contempt of court? Yes No â NOTE: If the answer to any of the above questions is yes, please attach a brief description of the incident(s) and the applicantâs current status before any court, or any agency thereof, where disciplinary sanctions were imposed, or where an investigation or investigations of the applicantâs 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. 2/2/2017 S/Teresa H. Dooley Date Electronic Signature of Applicant Last Name First Name Middle Name/Initial Applicantâs Name Dooley Teresa H. Applicantâs Law Firm Hill Rivkins, LLP Street Address Room/Suite Number Applicantâs Address 45 Broadway Suite 1500 City State ZIP Code Work Phone Number New York NY 10006 212-669-0638 (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.