UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK RONNIE COLE, Plaintiff, -V.- NEW YORK CITY DEPARTMENT OF 20 Civ. 3981 (KPF) CORRECTION; KISA SMALLS, WARDEN, ORDER NORTH INFIRMARY COMMAND, NEW — YORK CITY DEPARTMENT OF CORRECTION; CITY OF NEW YORK; NEW YORK STATE DIVISION OF PAROLE, Defendants.

KATHERINE POLK FAILLA, District Judge: On May 27, 2020, the Honorable Colleen McMahon entered an Order directing Plaintiff Ronnie Cole to either pay the $400.00 filing fee owed in this action or submit an application to proceed in forma pauperis (“IFP”) on or before June 26, 2020. (Dkt. #5). Plaintiff has yet to pay the filing fee or submit the IFP application. Plaintiff shall comply with the May 27, 2020 Order on or by October 30, 2020. Failure to do so will result in dismissal of this case. The Court has attached the May 27, 2020 Order and IFP application to this Order. The Clerk of Court is ordered to mail a copy of this Order to Plaintiff at his address of record. SO ORDERED. Dated: October 6, 2020 7 New York, New York Kittens fal. hh KATHERINE POLK FAILLA United States District Judge

Case 1:20-cv-03981-KPF Document 5 Filed 05/27/20 Page 1 of 2

UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK RONNIE COLE, Plaintiff, 20-CV-3981(CM) -against- ORDER DIRECTING PAYMENT OF FEE OR IFP APPLICATION AND PRISONER NEW YORK CITY DEPARTMENT OF AUTHORIZATION CORRECTION, et al., Defendants. COLLEEN McMAHON, Chief United States District Judge: Plaintiff, currently incarcerated onRikers Island,brings this action pro se.1 To proceed with a civil action in this Court, a prisoner must either pay $400.00 in fees –a $350.00 filing fee plus a $50.00 administrative fee –or, to request authorization to proceed in forma pauperis (IFP), that is, without prepayment of fees, submit a signed IFP application and a prisoner authorization.See28 U.S.C. §§1914, 1915.If the Court grants a prisoner’s IFP application, the Prison Litigation Reform Act requires the Court to collect the $350.00 filing fee in installments deducted from the prisoner’s account.See28 U.S.C. § 1915(b)(1).A prisoner seeking to proceed in this Court without prepayment of fees must therefore authorize the Court to withdraw these payments from his account by filing a “prisoner authorization,” which directs the facility where the prisoner is incarcerated to deduct the $350.00 filing fee2 from the prisoner’s account in installments and to send to the Court certified copies of the prisoner’s account statements for the past six months. See28 U.S.C. §1915(a)(2), (b). 1 By order dated May 18, 2020, Plaintiff’s claims were severed from a purported “class action,” and opened as a new civil action. SeeAzor-Elv. New York City Dep’t of Corr.,ECF 1:20- CV-3650,(S.D.N.Y. May 18, 2020). 2 The $50.00 administrative fee for filing a civil action does not apply to persons granted IFP status under

. Case 1:20-cv-03981-KPF Document5 Filed 05/27/20 Page 2 of 2

Plaintiff submitted the complaint without the filing fees or a completed IFP application and prisoner authorization. Within thirty days of the date of this order, Plaintiff must either pay the $400.00 in fees or submit the attached IFP application and prisoner authorization forms. If Plaintiff submits the IFP application and prisoner authorization, they should be labeled with docket number 20-CV-3981 (CM).3 The Clerk of Court is directed to mail a copy of this order to Plaintiff and note service on the docket. No summons shall issue at this time. If Plaintiff complies with this order, the case shall be processed in accordance with the procedures of the Clerk’s Office. If Plaintiff fails to comply with this order within the time allowed, the action will be dismissed. The Court certifies under

(a)(3) that any appeal from this order would not be taken in good faith, and therefore IFP status is denied for the purpose of an appeal. Cf Coppedge v. United States,

(1962) (holding that appellant demonstrates good faith when seeking review of a nonfrivolous issue). SO ORDERED. Dated: May 27, 2020 New York, New York hie l hil Chi ali COLLEEN McMAHON Chief United States District Judge

3 Plaintiff is cautioned that if a prisoner files a federal civil action that is dismissed as frivolous, malicious, or for failure to state a claim, the dismissal is a “strike” under

(g). A prisoner who receives three “strikes” cannot file actions IFP as a prisoner, unless he is under imminent danger of serious physical injury, and must pay the filing fee at the time of filing any new action.

Case 1:20-cv-03981-KPF Document 5-1 Filed 05/27/20 Page 1 of 2

UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK

(full name of the plaintiff or petitioner applying (each person must submit a separate application)) CV ( ) ( ) -against- (Provide docket number, if available; if filing this with your complaint, you will not yet have a docket number.) (full name(s) of the defendant(s)/respondent(s)) APPLICATION TO PROCEED WITHOUT PREPAYING FEES OR COSTS I am a plaintiff/petitioner in this case and declare that I am unable to pay the costs of these proceedings and I believe that I am entitled to the relief requested in this action. In support of this application to proceed in forma pauperis (IFP) (without prepaying fees or costs), I declare that the responses below are true:

1. Are you incarcerated? Yes No (If “No,” go to Question 2.) I am being held at: Do you receive any payment from this institution? Yes No Monthly amount: If I am a prisoner, see

(h), I have attached to this document a “Prisoner Authorization” directing the facility where I am incarcerated to deduct the filing fee from my account in installments and to send to the Court certified copies of my account statements for the past six months. See

(a)(2), (b). I understand that this means that I will be required to pay the full filing fee.

2. Are you presently employed? Yes No If “yes,” my employer’s name and address are:

Gross monthly pay or wages:

If “no,” what was your last date of employment?

Gross monthly wages at the time:

3. In addition to your income stated above (which you should not repeat here), have you or anyone else living at the same residence as you received more than $200 in the past 12 months from any of the following sources? Check all that apply.

(a) Business, profession, or other self-employment Yes No (b) Rent payments, interest, or dividends Yes No SDNY Rev: 8/5/2015 Case 1:20-cv-03981-KPF Document 5-1 Filed 05/27/20 Page 2 of 2

(c) Pension, annuity, or life insurance payments [] Yes [] No (d) Disability or worker’s compensation payments [] Yes [] No (e) Gifts or inheritances [] Yes [] No (f) Any other public benefits (unemployment, social security, food stamps, veterans, etc.) LI Yes [] No (g) Any other sources L] Yes L] No If you answered “Yes” to any question above, describe below or on separate pages each source of money and state the amount that you received and what you expect to receive in the future.

If you answered “No” to all of the questions above, explain how you are paying your expenses:

4, How much money do you have in cash or in a checking, savings, or inmate account?

5. Do you own any automobile, real estate, stock, bond, security, trust, jewelry, art work, or other financial instrument or thing of value, including any item of value held in someone else’s name? If so, describe the property and its approximate value:

6. Do you have any housing, transportation, utilities, or loan payments, or other regular monthly expenses? If so, describe and provide the amount of the monthly expense:

7. List all people who are dependent on you for support, your relationship with each person, and how much you contribute to their support (only provide initials for minors under 18):

8. Do you have any debts or financial obligations not described above? If so, describe the amounts owed and to whom they are payable:

Declaration: I declare under penalty of perjury that the above information is true. I understand that a false statement may result in a dismissal of my claims.

Dated Signature Name (Last, First, MI} Prison Identification # (if incarcerated} Address City State Zip Code Telephone Number E-mail Address (if available)

IFP Application, page 2

Case 1:20-cv-03981-KPF Document 5-2 Filed 05/27/20 Page 1of1

UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK

(full name of the plaintiff/petitioner) CV C dC») -against- (Provide docket number, if available; if filing this with your complaint, you will not yet have a docket number.)

(full name(s) of the defendant(s}/respondent(s)} PRISONER AUTHORIZATION By signing below, I acknowledge that: (1) because | filed this action as a prisoner,! 1 am required by statute (

) to pay the full filing fees for this case, even if lam granted the right to proceed in forma pauperis (IFP), that is, without prepayment of fees; (2) the full $350 filing fee will be deducted in installments from my prison account, even if my case is dismissed or | voluntarily withdraw it. l authorize the agency holding me in custody to: (1) send a certified copy of my prison trust fund account statement for the past six months (from my current institution or any institution in which I was incarcerated during the past six months); (2) calculate the amounts specified by

(b), deduct those amounts from my prison trust fund, and disburse those amounts to the Court. This authorization applies to any agency into whose custody I may be transferred and to any other district court to which my case may be transferred.

Date Signature

Name (Last, First, Ml) Prison Identification #

Address City State Zip Code

TA “prisoner” is “any person incarcerated or detained in any facility who is accused of, convicted of, sentenced for, or adjudicated delinquent for, violations of criminal law or the terms or conditions of parole, probation, pretrial release, or diversionary program.”

(h). SDNY Rev. 10/26/16