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On Appeal from the United States District Court for the Western District of New YorkAppeal from a judgment of the United States District Court for the Western District of New York (Larimer, J.), dismissing PlaintiffAppellant’s complaint with prejudice as a sanction for misrepresenting his litigation history. Plaintiff Appellant argues that the district court abused its discretion by dismissing his complaint as a sanction, and that the district court erred by considering materials outside the complaint when evaluating whether he qualified for the “imminent-danger” exception to the Prison Litigation Reform Act’s “threestrikes” rule. We hold that a district court may conduct a limited evidentiary inquiry into a litigant’s assertion of imminent danger. Because we find no abuse of discretion in the district court’s dismissal of this case as a sanction, we affirm.RICHARD SULLIVAN, C.J:PlaintiffAppellant Eon Shepherd appeals from the judgment of the United States District Court for the Western District of New York (Larimer, J.), which dismissed his pro se complaint with prejudice as a sanction for misrepresenting his litigation history. The district court also determined that Shepherd was barred from proceeding in forma pauperis because he had accumulated three strikes under 28 U.S.C. §1915(g), and was not in “imminent danger of serious physical injury,” id. On appeal, Shepherd argues that the district court abused its discretion by dismissing his complaint as a sanction. Shepherd also argues that the district court erred by considering materials outside the complaint when evaluating whether he qualified for the imminentdanger exception to the threestrikes bar. We conclude that district courts may conduct limited inquiries into whether a litigant’s fear of imminent danger under Section 1915(g) is plausible. Moreover, because we find no abuse of discretion in the district court’s dismissal of this case as a sanction, we AFFIRM.I. BACKGROUNDPlaintiffAppellant Eon Shepherd is an inmate at Five Points Correctional Facility (“Five Points”) in Romulus, New York. On June 1, 2015, Shepherd filed suit in the Southern District of New York against the New York Department of Corrections and Community Supervision, 28 named defendants, and various John and Jane Does (collectively, “Defendants”), setting forth 33 causes of actions under various federal statutes. Shepherd also filed a request to proceed in forma pauperis (IFP) — a status which allows a prisonerlitigant to file a lawsuit without prepaying the full filing fees. See 28 U.S.C. §1915(a)(1). However, under what is known as the “threestrikes” provision, an incarcerated prisoner is prohibited from proceeding IFP if he has commenced three prior lawsuits that have been dismissed outright. See id. §1915(g). In his complaint, Shepherd stated that he had filed seven1 lawsuits previously, but asserted that none qualified as strikes.As to his conditions of confinement, Shepherd alleged the staff at Five Points failed to accommodate his disability — severe back pain and spasms that prevented him from walking long distances — by refusing to house him close to the clinic, the package room and the visiting area, although he conceded that the staff did place him close to the law library, religious services, and the gym. Shepherd also claimed that the medical staff refused to provide him treatment for his back pain and other maladies. Finally, Shepherd asserted that he was placed on medical “keeplock” (i.e., bed rest) against his wishes, and that this caused him further pain and muscle atrophy.The Southern District of New York (Preska, J.) initially granted Shepherd’s application to proceed IFP. However, one month later, Judge Preska sua sponte issued an order to show cause why Shepherd’s IFP status should not be revoked, citing three prior IFP cases that Shepherd had brought, all of which qualified as “strikes” and would ordinarily bar Shepherd from proceeding IFP. See 28 U.S.C. §1915(g). Shepherd responded, arguing that his IFP status should not be revoked because he was in “imminent danger of serious physical injury,” which is an exception to the threestrikes rule. See id. The case was subsequently transferred to the Western District of New York (Arcara, J.),2 which found that Shepherd could proceed IFP, as the complaint and his response to the order to show cause provisionally demonstrated that he was in imminent danger of serious physical injury.After being served, Defendants moved to dismiss the complaint pursuant to the “inherent authority of the Court,” arguing that Shepherd materially misled the court by deliberately omitting from the complaint his prior “strikes.” Defendants noted that Shepherd had previously filed ten federal lawsuits — not seven, as he indicated in his complaint — and that the only cases he omitted were all cases that would qualify as “strikes.” Defendants also moved to revoke Shepherd’s IFP status, arguing that he was not in “imminent danger of serious physical injury.” In support of their motion, Defendants attached sworn declarations from Shepherd’s doctors, Dr. Michelle Belgard and Dr. Marshall Trabout, and Shepherd’s medical records. The district court directed Shepherd to respond to Defendants’ motion. Shepherd responded, attaching two sworn affirmations and one sworn declaration, as well as a variety of exhibits.On July 6, 2017, the district court dismissed Shepherd’s complaint. First, the court reasoned that Shepherd had deliberately misled the court by failing to disclose his three prior “strikes,” especially in light of Shepherd’s familiarity with the court system and long litigation history. Second, as to his IFP status, the court held that Shepherd’s fear of “imminent danger of serious physical injury” was “without foundation,” and that there was “no indication” that he was in such danger. Dist. Ct. Doc. No. 40 at 6. Although the order did not expressly state whether dismissal was with prejudice, the court entered judgment for Defendants.Shepherd timely filed a notice of appeal.II. LEGAL STANDARDWe review a district court’s denial of IFP status pursuant to 28 U.S.C. §1915 de novo. See Polanco v. Hopkins, 510 F.3d 152, 155 (2d Cir. 2007). We review a sanction of dismissal with prejudice for abuse of discretion. Koehl v. Bernstein, 740 F.3d 860, 862 (2d Cir. 2014).III. DISCUSSIONShepherd principally advances two arguments. First, as to the revocation of his IFP status, Shepherd argues that the district court erred by considering materials beyond the complaint in determining whether he qualified for the imminentdanger exception to the threestrikes rule. Second, Shepherd avers that the district court failed to give him adequate notice that it was contemplating dismissing his complaint with prejudice and that the district court failed to consider lesser sanctions than dismissal. Although we need not strictly reach the IFP issue if the sanction of dismissal was proper — as the imminentdanger exception under Section 1915(g) bears only on whether Shepherd would be required to prepay the filing fee — we nonetheless provide clarity to the district courts as to the appropriateness of holding an evidentiary hearing when a provisional determination of imminent danger is challenged.A. ImminentDanger ExceptionAdopted in 1996, the Prison Litigation Reform Act (PLRA) made a series of amendments to 28 U.S.C. §1915, which is the statute that governs IFP status for incarcerated individuals. See Leonard v. Lacy, 88 F.3d 181, 182-83 (2d Cir. 1996). Under the PLRA, prisonerlitigants granted IFP status “must pay the full amount of the filing fee to the extent they can afford to, as measured by the funds in their prison accounts.” Harris v. City of New York, 607 F.3d 18, 21 (2d Cir. 2010). “The fees are paid through periodic debits from the plaintiff’s prison account, which are forwarded to the court by the custodial agency.” Id. Even if a prisoner has no money available, he can still proceed IFP. See 28 U.S.C. §1915(b)(4).However, the PLRA restricts the availability of IFP status for frequent filers through the “threestrikes” rule.3 28 U.S.C. §1915(g). This rule prohibits prisoner-litigants from bringing further actions or appeals IFP if they have brought at least three prior actions that were dismissed because they were “frivolous, malicious, or fail[ed] to state a claim upon which relief [could] be granted.” Id.; see also Harris, 607 F.3d at 20.4But the threestrikes rule itself contains an exception: prisoners are permitted to file a lawsuit IFP — even if they have accumulated three strikes — if they are “under imminent danger of serious physical injury.” Id. This “imminent-danger” exception is a “safety valve” that exists to “prevent impending harms.” Malik v. McGinnis, 293 F.3d 559, 563 (2d Cir. 2002).Shepherd argues that the district court erred by considering materials outside the complaint when evaluating whether Shepherd qualified for the imminentdanger exception to the threestrikes rule.1. Consideration of Facts Outside the ComplaintWe have not yet stated whether a district court may consider materials outside the complaint (such as sworn submissions) or hold a hearing when a defendant challenges a prisoner’s claim of imminent danger. In Chavis v. Chappius, we noted that courts “should not make an overly detailed inquiry into whether [a prisoner's] allegations [of imminent danger of serious physical injury] qualify for the exception,” because the threestrikes rule “concerns only a threshold procedural question.” 618 F.3d 162, 169 (2d Cir. 2010) (internal quotations omitted). Nonetheless, in Chavis, we affirmed that denying leave to proceed IFP is warranted “if the complainant’s ‘claims of imminent danger are conclusory or ridiculous.’” Id. at 170 (quoting Ciarpaglini v. Saini, 352 F.3d 328, 331 (7th Cir. 2003)).All of our sister circuits to have confronted this question have held that district courts — upon challenge by a defendant — may conduct a narrow evidentiary inquiry into the prisonerlitigant’s fear of imminent danger. See Smith v. Wang, 452 F. App’x 292, 293 (4th Cir. 2011); Taylor v. Watkins, 623 F.3d 483, 485-86 (7th Cir. 2010); Fuller v. Myers, 123 F. App’x 365, 368 (10th Cir. 2005); Gibbs v. Roman, 116 F.3d 83, 86-87 (3d Cir. 1997), overruled on other grounds by AbdulAkbar v. McKelvie, 239 F.3d 307, 312 (3d Cir. 2001) (en banc). Additionally, district courts throughout this circuit have uniformly held that courts may consider materials outside of the complaint in conducting this limited inquiry. See, e.g., Abreu v. Brown, 317 F. Supp. 3d 702, 706-07 (W.D.N.Y. 2018); Tafari v. Baker, No. 6:16cv 06472, 2017 WL 1406274, at *2 (W.D.N.Y. Apr. 20, 2017); Abreu v. Lira, No. 9:12cv 1385, 2014 WL 4966911, at *7 (N.D.N.Y. Sept. 30, 2014) (adopting report and recommendation).We agree that courts may reexamine a provisional determination that a complainant is in “imminent danger of serious physical injury” when, after being served with the complaint, a defendant challenges that determination. Congress adopted the PLRA with the “principal purpose” of “deterring frivolous prisoner lawsuits and appeals.” Nicholas v. Tucker, 114 F.3d 17, 19 (2d Cir. 1997). Allowing courts to conduct a limited probe into the plausibility of a prisonerlitigant’s claim of imminent danger accords with the PLRA’s aims. Moreover, courts have long permitted evidentiary submissions at the pleading stage in a variety of different circumstances. For instance, in resolving a motion to dismiss for want of subject matter jurisdiction under Federal Rule of Civil Procedure 12(b)(1), “a district court…may refer to evidence outside the pleadings.” Makarova v. United States, 201 F.3d 110, 113 (2d Cir. 2000). So too for a motion to dismiss for lack of personal jurisdiction pursuant to Rule 12(b)(2), where district courts have “considerable procedural leeway,” which includes “permit[ting] discovery in aid of the motion” or conducting “an evidentiary hearing on the merits of the motion.” Dorchester Fin. Sec., Inc. v. Banco BRJ, S.A., 722 F.3d 81, 84 (2d Cir. 2013) (quoting Marine Midland Bank, N.A. v. Miller, 664 F.2d 899, 904 (2d Cir. 1981)). This is also true for a motion to dismiss under Rule 12(b)(2)’s neighbor, Rule 12(b)(3), in which we allow parties to submit affidavits to demonstrate lack of venue. See, e.g., Phillips v. Audio Active Ltd., 494 F.3d 378, 384 (2d Cir. 2007).Affording district courts the latitude to conduct a limited inquiry is crucial when a defendant challenges a provisional determination that a prisoner is in imminent danger of serious physical injury. Holding otherwise would allow prisonerlitigants to continue proceeding IFP where an assertion of imminent danger is made — even if defendants had “incontrovertible proof that rebutted those allegations.” Taylor, 623 F.3d at 485. Such a rigid application would erode the efficacy of the PLRA’s threestrikes rule, by allowing “easy evasion” of the rule if the litigant uttered the right words. Id. It would also contradict this Court’s acknowledgment that district courts need not accept “conclusory” or “ridiculous” assertions of imminent danger. Chavis, 618 F.3d at 170. And it would stand in marked contrast to our approach with other gateshuttering mechanisms, such as motions to dismiss for lack of subjectmatter jurisdiction, personal jurisdiction, and venue.The Ninth Circuit’s decision in Andrews v. Cervantes, 493 F.3d 1047 (9th Cir. 2007), is not to the contrary. Like Chavis, Andrews reaffirmed that, while courts are permitted to probe the plausibility of an allegation of imminent danger, they should not “make an overly detailed inquiry into whether the allegations qualify for the exception.” 493 F.3d at 1055. Nothing in Andrews purports to say, however, that defendants cannot mount a limited factual challenge to a district court’s provisional determination that a prisoner satisfies the imminentdanger exception, or that district courts’ hands are tied in resolving this conflict. Andrews only cautions — and we agree — that any such inquiry should be narrow.Of course, a narrow evidentiary challenge to a provisional determination that a prisoner is in imminent danger of serious physical injury should not metastasize into “a fullscale merits review.” Taylor, 623 F.3d at 486. Because any such inquiry concerns only a “threshold procedural question,” Chavis, 618 F.3d at 169, resolving a challenge to the imminentdanger exception “does no more than permit the complainant to proceed with his or her cause of action [with or] without pre — payment of the filing fee in full,” Gibbs, 116 F.3d at 87 n.7.2. Application to Shepherd’s CaseThe district court did not err in its conclusion that Shepherd’s claim of imminent danger was “without foundation.” Dist. Ct. Doc. No. 40 at 6. Shepherd asserted below that he was in imminent danger of serious physical injury because (1) he “suffered numerous falls when made to walk long distances,” (2) doctors at the prison “refuse[d] to issue pain medication that [would] offer [him] relief,” and (3) his muscles atrophied as a result of being “confined to his cell 24 hours a day.” Dist Ct. Doc. No. 7.Dr. Belgard explained in a sworn declaration that, while Shepherd does have chronic back pain, he has both wheelchair access and ambulatory aids — such as a cane — to “ensure he does not fall when walking.” Dist. Ct. Doc. No. 271 12. Dr. Trabout similarly noted that Shepherd has access to a variety of walking aids. According to Dr. Trabout, Shepherd simply “did not want to use his ambulatory aids or wheelchair,” as he alleged that they “caused him discomfort.” Dist. Ct. Doc. No. 272 10.As to Shepherd’s allegation that doctors refused to prescribe him pain medication, Dr. Belgard stated that she did, in fact, prescribe Shepherd pain medication, “although he…frequently refused to take [it].” Dist. Ct. Doc. No. 27 1 13. Indeed, Shepherd was prescribed Motrin, which he refused to take on the basis that it caused stomach irritation. Then, when Dr. Belgard prescribed Prilosec (which would address any stomach irritation), Shepherd still refused to take his medication. Shepherd even rebuffed Dr. Belgard’s third attempt to prescribe a medication, Mobic, which would have “significantly reduced if not eliminated entirely” his stomach irritation. Id.

 
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