UNITED STATES DISTRICT COURT 

DISTRICT OF OREGON 

Civil Case No. 6:15cv00269 -"\C.. 

KASSIE MERRITT. individually and on behalf 

of all others similarly situated, APPLICATION FOR SPECIAL 

Plaintiff( s ), ADMISSION -PRO HAC VICE 

v. 

YAVONE, LLC, et al. 

Defendant(s). 

Attorney Benjamin H. Richman requests special admission pro hac vice in 

the above-captioned case. 

Certification of Attorney Seeking Pro Hac Vice Admission: I have read and understand the 

requirements of LR 83·3, and certifY that the following information is correct: 

(1) PERSONAL DATA: 

Name: Richman Benjamin 

(La.sl ,\'anrt>) (First Nome) 

Firm or Business Affiliation: Edelson PC 

H. 

(Ml) (Suffix! 

----------------------------------------- Mailing Address: 350 North LaSalle Street, Suite 1300 

City: Chicago State: Illinois Zip: _6_065_4 ___ _ 

Phone Number: (312) 589-6370 Fax Number: (312) 589-6378 -------------------- Business E-mail Address: brichman@edelson.com 

-------------------------------------------

U.S. District Court-Oregon 

Revised March I, 2014 

Application for Special Admission - Pro Hac: Vice 

Page I of3 

Case 6:15-cv-00269-TC Document 26 Filed 04/27/15 Page 1 of 3
(2) BAR ADMISSIONS INFORMATION: 

(a) State bar admission(s), date(s) of admission, and bar ID number{s): 

The Supreme Court of Illinois, 11/15/2009, ID # 6300668 

(b) Other federal court admission(s), date(s) of admission, and bar ID number(s): 

Northern District of Illinois, 11/24/2009 

Northern District of Florida, 5131/2011 

District of Colorado, 3/16/2012 

(3) CERTIFICATION OF DISCIPLINARY ACTIONS: 

(a) liZ! I am not now, nor have I ever been subject to any disciplinary action by any 

state or federal bar association; or 

(b) D I am now or have been subject to disciplinary action from a state or federal bar 

association. (See attached letter of explanation.) 

(4) CERTIFICATION OF PROFESSIONAL LIABILITY INSURANCE: 

I have professional liability insurance, or financial responsibility equivalent to liability 

insurance, that will apply and remain in force for the duration of the case. including any 

appeal proceedings. 

(5) REPRESENT A TJON STATEMENT: 

I am representing the following party(s) in this case: 

Kassie Merritt (Plaintiff) 

U.S. District Court-Oregon 

Revised March I, 2014 

Application for Special Admission -Pro Hilt: Vice 

Page 2 of3 

Case 6:15-cv-00269-TC Document 26 Filed 04/27/15 Page 2 of 3
(6) CM/ECF REGISTRATION: 

Concurrent with approval of this pro hac vice application, l acknowledge that I will 

become a registered user of the Court's Case Management/Electronic Case File system. 

(See the Court's website at ord.uscourts.e_o\i ). and I consent to electronic service pursuant 

to Fed. R. Civ. P 5(b)(2)(E) and the Local Rules of the District of Oregon. 

DATED this_7_th ___ day of_A_p_ril _____ 2_0_1s ___ _ 

Benjamin H. Richman 

(Typed .Vame) 

CERTIFICATION OF ASSOCIATED LOCAL COUNSEL: 

I certify that I am a member in good standing of the bar of this Court, that I have read and understand the 

requirements of LR 83-3, and that I will serve as designated local counsel in this particular case. 

DATED this z 3fA day of ~ 

Name; Stanford Darian 

(Last Name! (Ftrst :Vamel 

A. 

(M/) (SujlixJ 

Oregon State Bar Number: _9_9_44_9_1 _______________________ _ 

Firm or Business Affiliation: Slinde Nelson Stanford 

---------------------------------------------------- Mailing Address: 111 SW 5th Ave., Suite 1940 

City: Portland State: Oregon Zip: 97204 

Phone Number: (503) 417-7777 Business E-mail Address: darian@slindenelson.com -----------------------

COURT ACTION 

~Application approved subject to payment of fees. 

0 Application denied. 

DATED this Z 1 day of A(? n. I 

U.S. District Court-Oregon 

Revised March I, 20 14 

Application for Special Admission - Pr1J Hat· Vice 

Page 3 of3 

Case 6:15-cv-00269-TC Document 26 Filed 04/27/15 Page 3 of 3