On April 18, 2022 a
Exhibit,Appendix
was filed
involving a dispute between
Marianne F. Kelly,
and
New York State And Local Employees' Retirement System,
Thomas P. Dinapoli
As Comptroller Of The State Of New York,
for Special Proceedings - CPLR Article 78
in the District Court of Albany County.
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FILED: ALBANY COUNTY CLERK 04/18/2022 03:52 PM INDEX NO. 902932-22
NYSCEF DOC. NO. 17 RECEIVED NYSCEF: 04/18/2022
"14"
EXHIBIT
FILED: ALBANY COUNTY CLERK 04/18/2022 03:52 PM INDEX NO. 902932-22
NYSCEF DOC. NO. 17 RECEIVED NYSCEF: 04/18/2022
EffSLES ScannedCopy pag 1 of 1
Teactists'
IIsinYork State t
ItatirS.I ^..ÿ.p
10 Corporate Woods Drive · .
Albany, New York 12211-2395
ST RS (800) 348-7298 or (518)447-2900
NYSTRS.org
June 19, 2017
Empild #: 2248791
Attn:Ryan Maloney
Employees'
NYS and Local Retirement System 9110
_
110 StateSt
Albany NY 12244
Re: Marianne Kelly
Date of Birth:12/07/1988
SS#:
Former Name:
Registration#: 5004 ¾g) -6
-"·· To Whom It May Concern:
The above member has diaimed credit In thisSystem forNew York Government service. Before
credit can be allowed, please reply to the following questions:
1, Was thisindividualever a member of yourSystem No
Yes.__
If yes,what was thedate of membershiprA G1-ant?- tierleve
2. Is themembership still
active? Yes __.._.. No 2
3. Is the
to the
individual
above
entitled
membership?
to
Yes _
receive a benefit
No
now o n thefuture forservicecredited
4. What is thedate the membership became inactive(orstopped interest)?
accruing
5. If thedate ofmembership IlstedIn question1 Is after
7/26/1976, what was the
amount of contributionrefunded, and on what date? $ Dated.,2.(-L4
2"fÆ
5a. Was therean unpaid foan owed toyour system at thetime of withdrawalthatwas
"not
included"
in theabove amount ofcontributionsrefunded? Yes _ No
If yes,please provide the followinginformation:
Loan Amount Date of Loan Deficit
8. Has any othersystem asked forthisinformation?
Please attach a breakdown of allservice and eamings credited to the above membership.
Since this Individual may have topay an interestcharge on the puntaluUWGMGMU e would
appreciate a respons his letteras soon as possible. You may fax your replyto 447-4720.
(518)
Signatu Date
Sincerely,
- t2..- (5 30 2.ot2. 7f 7
f -24
fo d 42dit, 25/13 Jen r Clark
Member Services
Document Filed Date
April 18, 2022
Case Filing Date
April 18, 2022
Category
Special Proceedings - CPLR Article 78
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FILED: ALBANY COUNTY CLERK 04/18/2022 03:52 PM INDEX NO. 902932-22 NYSCEF DOC. NO. 17 RECEIVED NYSCEF: 04/18/2022 "14" EXHIBIT FILED: ALBANY COUNTY CLERK 04/18/2022 03:52 PM INDEX NO. 902932-22 NYSCEF DOC. NO. 17 RECEIVED NYSCEF: 04/18/2022 EffSLES ScannedCopy pag 1 of 1 Teactists' IIsinYork State t ItatirS.I ^..ÿ.p 10 Corporate Woods Drive · . Albany, New York 12211-2395 ST RS (800) 348-7298 or (518)447-2900 NYSTRS.org June 19, 2017 Empild #: 2248791 Attn:Ryan Maloney Employees' NYS and Local Retirement System 9110 _ 110 StateSt Albany NY 12244 Re: Marianne Kelly Date of Birth:12/07/1988 SS#: Former Name: Registration#: 5004 ¾g) -6 -"·· To Whom It May Concern: The above member has diaimed credit In thisSystem forNew York Government service. Before credit can be allowed, please reply to the following questions: 1, Was thisindividualever a member of yourSystem No Yes.__ If yes,what was thedate of membershiprA G1-ant?- tierleve 2. Is themembership still active? Yes __.._.. No 2 3. Is the to the individual above entitled membership? to Yes _ receive a benefit No now o n thefuture forservicecredited 4. What is thedate the membership became inactive(orstopped interest)? accruing 5. If thedate ofmembership IlstedIn question1 Is after 7/26/1976, what was the amount of contributionrefunded, and on what date? $ Dated.,2.(-L4 2"fÆ 5a. Was therean unpaid foan owed toyour system at thetime of withdrawalthatwas "not included" in theabove amount ofcontributionsrefunded? Yes _ No If yes,please provide the followinginformation: Loan Amount Date of Loan Deficit 8. Has any othersystem asked forthisinformation? Please attach a breakdown of allservice and eamings credited to the above membership. Since this Individual may have topay an interestcharge on the puntaluUWGMGMU e would appreciate a respons his letteras soon as possible. You may fax your replyto 447-4720. (518) Signatu Date Sincerely, - t2..- (5 30 2.ot2. 7f 7 f -24 fo d 42dit, 25/13 Jen r Clark Member Services