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FILED: ONONDAGA COUNTY CLERK 06/24/2022 02:55 PM INDEX NO. 007351/2021
NYSCEF DOC. NO. 53 RECEIVED NYSCEF: 06/24/2022
EXHIBIT J
FILED: ONONDAGA COUNTY CLERK 10/08/2021
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NYSCEF DOC. NO. 25
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AFFIDAVIT OF SERVICE THROUGH THE SECRETARY OF STATE
SUPREME COURT Purchased/Filed: August 18, 2021
STATE OF NEW YORK, COUNTY OF ONONDAGA Index # 007351/2021
Nañüüüidü Genem! iñ5ürãñcs Company, N÷ñoñ±÷ide Mutual |ñsurãñce Company, and any and allof
Plaintiff
theirsubõ|diär;&&, at!!!!ateeunderwriting or parent companies
against
Svetlana Epps, et al. Defendant
STATE OF NEW YORK
SS'
COUNTY OF ALBANY
James Perone , beingduly sworn, deposes and says: deponent isover
the age ofeighteen (18) years; that on September 13, 2021 , at 11:00 AM , atthe officeof the
Secretary of State of the State of New York in theCity of Albany, New York deponent served the annexed
Summons, Verlfled Complaint and Notice of Electronic Filing (Mâñdatsif Case)
on
Sedation Vacation Perioperative Medicine PLLC , the
Dêfêñdañt In thisaction,by delivering to and leaving with Sue Zouky ,
AUTHORIZED AGENT inthe Office of the Secretary of State,of the State of New York, personally at the Officeof
the Sscistarf of State of the State of New York, 99 WenhMgta Avenue, Albany, NY, g truecopies-thereof and that
at the time of making such service, deponent paid said Sacratary of State a fee 10 dollars;That said service was
made purauent to Section 303 Limited LiabilityCarñpañy Law. Depcñeñt furtfiersays that deponent knew the
person so served as aforesaid to be the agent inthe Office of the Secretary of State of the State of New York, duly
authorized to accept su e d t
Des-
ipticñ of the person served: Approx. Age: 55-6 Approx. Wt 125lbs Approx. Ht: 5'1
C or ofskin: White Hair color: Red/Blo ex: Female Other:
Swo to before me on this ---
13th of Septem 021
NOTARYP STA EWYOR Jarnes Perone
ALBANY Attny's FileNo. NY90121-21
c
Invoice•Work Order # S1865328
SEnvico. INc.. RO. Box1 of
871. 1ALBANY. NY 12201
FILED: ONONDAGA COUNTY CLERK 10/08/2021
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PM INDEX NO. 007351/2021
NYSCEF DOC. NO. 26
53 RECEIVED NYSCEF: 10/08/2021
06/24/2022
SUPREME COURT OF THE STATE OF NEW YORK
COUNTY OF ONONDAGA
------------ ---------------------------------------------------X
NATIONWIDE GENERAL INSURANCE COMPANY, NOTICE OF SERVICE
NATIONWIDE MUTUAL INSURANCE COMPANY,
and any and all of their subsidiaries, affiliates, underwriting or Index No.: 007351/2021
parent companies,
Plaintiffs,
-against-
SVETLANA EPPS,
Defendant"
The "Individual
-and-
ADVANCED ORTHOPEDICS AND JOINT
PRESERVATION P.C.,
ADVANT ORTHOCARE INC,
ALL CITY FAMILY HEALTHCARE CENTER, INC.,
BROOKLYN MEDICAL PRACTICE, P.C.,
COMMUNITY MEDICAL IMAGING P.C.,
FRIENDLY RX, INC.,
LENCO DIAGNOSTIC LABORATORIES, INC.,
MAZ SUPPLY INC,
NORTH SHORE FAMILY CHIROPRACTIC, P.C.,
ORTHOWELLNESS INC,
SEDATION VACATION PERIOPERATIVE
MEDICINE PLLC,
TROMBMED NY, INC.,
UNICORN ACUPUNCTURE P.C.,
The "Healthcare Provider Defendants".
_..---------------------- ---------------- -------X
S I R S:
PLEASE TAKE NOTICE that the attached Summons was served upon the
defendant corporation pursuant to paragraph (b) section three hundred six of the Business
Corporation Law.
PLEASE TAKE FURTHER NOTICE that this statement is being provided
pursuant to section 3215(g)(4)(i) of the Civil Practice Law and Rules.
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Dated: Melville, New York
September 28, 2021
Yours, etc.,
HOLL ND LEGAL GROUP, P.C.
By: __
N S. HOLLANDER
.1 rn vs for laintiff(s)
Ma Rd, Ste S128
idelville, New York 11747
(631) 333-1300
333-1303 - facsimile
(631)
HLG File No.: 140-5117
TO: SEDATION VACATION PERIOPERATIVE MEDICINE PLLC
811 Wilson Street
Valley Stream, New York 11581
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[FILED : ONONDAGA COUNTY CLERK 0 8 /18 / 2021 03 : 15 Pl$
NYSCEF DOC. NO. 1 RECEIVED NYSCEF: 08/18/2021
SUPREME COURT OF THE STATE OF NEW YORK
COUNTY OF ONONDAGA
---------- ¬------------------------------------------------X Index No.:
NATIONWIDE GENERAL INSURANCE COMPANY,
NATIONWIDE MUTUAL INSURANCE COMPANY, Date Purchased:
and any and all of their subsidiaries, affiliates,underwriting or
parent companies, SUMMONS
Plaintiffs, Plaintiff designates Onondaga
-against- as the place of trial.
County
SVETLANA EPPS, The basis of venue designated
Defendants'
is:Plaintiff and
Defendant" -
The "Individual place of business CPLR
503(a) and (c)
-and-
ADVANCED ORTHOPEDICS AND JOINT
PRESERVATION P.C.,
ADVANT ORTHOCARE INC,
ALL CITY FAMILY HEALTHCARE CENTER, INC.,
BROOKLYN MEDICAL PRACTICE, P.C.,
COMMUNITY MEDICAL IMAGING P.C.,
FRIENDLY RX, INC.,
LENCO DIAGNOSTIC LABORATORIES, INC.,
MAZ SUPPLY INC,
NORTH SHORE FAMILY CHIROPRACTIC, P.C.,
ORTHOWELLNESS INC,
SEDATION VACATION PERIOPERATIVE
MEDICINE PLLC,
TROMBMED NY, INC.,
UNICORN ACUPUNCTURE P.C.,
The "Healthcare Provider Defendants".
--------- ------ ------------------------------------X
TO THE ABOVE NAMED DEFENDANT(S):
YOU ARE HEREBY SUMMONED to answer the complaint in this action and to serve
a copy of your answer, or, ifthe complaint is not served with this summons, to serve a notice of
appearance, on theplaintiffs attorneys within twenty (20) days after the service of this sunununs,
exclusive of the day of service of this summons, where service is made by delivery personally
1 of 5
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NYSCEF DOC. NO. 1 RECEIVED NYSCEF: 08/18/2021
within the states, or, within thirty (30) days after service of this summons is complete ifthis
summons is delivered in any other way. In case of your failure to appear or answer this
summons, a judgment will be taken against you by default for the relief demanded in the
complaint.
Dated: Melville, New York
July 30, 2021
HOLLANDER LEGAL GROUP, P.C.
By:
Allan S. Holidnder, Esq.
Brian E. Kaufman, Esq.
Attorneys for Plaintiffs
105 Maxess Road, Suite S128
Melville, New York 11747
Telephone: (631) 333-1300
Facsimile: (631) 333-1303
HLG File No.: 140-5117
TO: SVETLANA EPPS
506 Avenue C, Basement
Brooklyn, New York 11218
305 Ocean Parkway, #2K
Brooklyn, New York 11218
ADVANCED ORTHOPEDICS AND JOINT PRSERVATION P.C.
141 E. Merrick Road B
Valley Stream, New York 11580
Via Secretary of State
ADVANT ORTHOCARE INC
98-11 65 Avenue, 5A
Rego Park, New York 11374
Via Secretary of State
ALL CITY FAMILY HEALTHCARE CENTER, INC.
3632 Nostrand Ave.
Brooklyn, New York 11229
Via Secretary of State
2
42 of
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BROOKLYN MEDICAL PRACTICE, P.C.
410 Ditmas Avenue
Brooklyn, New York 11218
Via Secretary of State
COMMUNITY MEDICAL IMAGING P.C.
159-16 Union Tpke.
Fresh Meadows, New York 11366
Via Secretary of State
FRIENDLY RX, INC.
651 Coney Island Ave., Unit Cl
Brooklyn, New York 11229
Via Secretary of State
LENCO DIAGNOSTIC LABORATORIES, INC.
1857 86 St.
Brooklyn, New York 11214
Via Secretary of State
MAZ SUPPLY INC
6701 Bay Parkway
F13M., Ste. 304
Brooklyn, New York 11204
Via Secretary of State
NORTH SHORE FAMILY CHIROPRACTIC, P.C.
c/o Todd L Lebson DC
4 Morris Ct
Syosset, New York 11791
Via Secretary of State
ORTHOWELLNESS INC
711 Hempstead Tpke
Elmont, New York 11003
Via Secretary of State
SEDATION VACATION PERIOPERATIVE MEDICINE PLLC
811 Wilson Street
Valley Stream, New York 11581
Via Secretary of State
TROMBMED NY, INC.
98-51Queens Blvd.
Rego Park, New York 11374
Via Secretary of State
3
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|FILED : ONONDAGA COUNTY CLERK 0 8 /18 /2021 03 : 15 PMl
NYSCEF DOC. NO. 1 RECEIVED NYSCEF: 08/18/2021
UNICORN ACUPUNCTURE P.C.
37-20 Prince Street, Suite 3E
Flushing, New York 11354
Via Secretary of State
4
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AFFIDAVIT OF SERVICE THROUGH THE SECRETARY OF STATE
SUPREME COURT Purchased/Filed: August 18, 2021
STATE OF NEW YORK, COUNTY OF ONONDAGA Index # 007351/2021
Nañüüüidü Genem! iñ5ürãñcs Company, N÷ñoñ±÷ide Mutual |ñsurãñce Company, and any and allof
Plaintiff
theirsubõ|diär;&&, at!!!!ateeunderwriting or parent companies
against
Svetlana Epps, et al. Defendant
STATE OF NEW YORK
SS'
COUNTY OF ALBANY
James Perone , beingduly sworn, deposes and says: deponent isover
the age ofeighteen (18) years; that on September 13, 2021 , at 11:00 AM , atthe officeof the
Secretary of State of the State of New York in theCity of Albany, New York deponent served the annexed
Summons, Verlfled Complaint and Notice of Electronic Filing (Mâñdatsif Case)
on
Sedation Vacation Perioperative Medicine PLLC , the
Dêfêñdañt In thisaction,by delivering to and leaving with Sue Zouky ,
AUTHORIZED AGENT inthe Office of the Secretary of State,of the State of New York, personally at the Officeof
the Sscistarf of State of the State of New York, 99 WenhMgta Avenue, Albany, NY, g truecopies-thereof and that
at the time of making such service, deponent paid said Sacratary of State a fee 10 dollars;That said service was
made purauent to Section 303 Limited LiabilityCarñpañy Law. Depcñeñt furtfiersays that deponent knew the
person so served as aforesaid to be the agent inthe Office of the Secretary of State of the State of New York, duly
authorized to accept su e d t
Des-
ipticñ of the person served: Approx. Age: 55-6 Approx. Wt 125lbs Approx. Ht: 5'1
C or ofskin: White Hair color: Red/Blo ex: Female Other:
Swo to before me on this ---
13th of Septem 021
NOTARYP STA EWYOR Jarnes Perone
ALBANY Attny's FileNo. NY90121-21
c
Invoice•Work Order # S1865328
SEnvico. INc.. RO. Box7 of
871. 9ALBANY. NY 12201
FILED: ONONDAGA COUNTY CLERK 10/08/2021
06/24/2022 09:34
02:55 AM
PM INDEX NO. 007351/2021
NYSCEF DOC. NO. 26
53 RECEIVED NYSCEF: 10/08/2021
06/24/2022
AFFIDAVIT OF SERVICE
STATE OF NEW YORK )
): ss.:
COUNTY OF SUFFOLK )
Jamie R. Brindisi, being duly sworn says:
I am not a party to the action, am over 18 years of age and reside in Suffolk
County, New York.
On September 26 , 2021, 1 served a true copy of the annexed NOTICE OF
SERVICE, by mailing the same in a sealed envelope with postage prepaid thereon, in a
post office or official depository of the U.S. Postal Service within the State of New York
addressed to the last known address of the addresses as indicated below:
SEDATION VACATION PERIOPERATIVE MEDICINE PLLC
811 Wilson Street
Valley Stream, New York 11581
Jamie R. Brindisi
Personally, subscribed and sworn to before me on this 8 day of September, 2021, by
Ja ie R. B disi, personally known to me or provided to me on the basis of satisfactory
evi ence to e the individual described in and who executed the foregoing affidavit, and
ack- 3wledg d that (s)he executed the same.
NO ARY PUBLIC
ALLAN S. HOLLANDER
NotaryPublic,Stateof New York
No. 02HO6370620
Q ualified
in NassauCounty .
Commission Expires February5, 2022
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SUPREME COURT OF THE STATE OF NEW YORK
COUNTY OF ONONDAGA
NATIONWIDE GENERAL INSURANCE COMPANY ET AL.,
Plaintiff(s),
-against-
SVETLANA EPPS ET AL.,
Defendant(s)
NOTICE OF SERVICE
HOLTANDEB LEGAL GROUP, PC
Attorney(s) for Plaintiff(s)
105 Maxess Road, Suite S128
Melville, New York 11747
(631) 333-1300
AHOLLANDERrd HOLLANDERLG.COM
File No.: 140-5117
Pursuant to 22 NYCRR 130-1.1-a, the undersigiied, an admitted to pract e intl - courts New York State,certifies to
attorney of that,
the bestof my hiowledge, information and belief formed afteran inquiryreasovia -le un r thecircumstances, the presentation ofthis
document, or the conteritioits
comined therein, are not frivolous.
Dated: September 28, 2021 Signature
Sign- r'
Print : a e Allan liollander
Service of a copy of the within is hereby admitted.
Dated,
Attorney(s) for
Sir: Please take notice
|^|NOTICE OF ENTRY
thatthe within isa (certified)truecopy of a
duly entered in theoffice ofthe Clerk of thewithin named Court on
NOTICE OF SETTLEMENT
thatan order of which the within isa true copy willbe presented for
settlement to theHON. one of the Judges of thewithin named Court, at
on the day of at m.
9 of 9
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FILED: ONONDAGA COUNTY CLERK 06/24/2022 02:55 PM INDEX NO. 007351/2021 NYSCEF DOC. NO. 53 RECEIVED NYSCEF: 06/24/2022 EXHIBIT J FILED: ONONDAGA COUNTY CLERK 10/08/2021 06/24/2022 09:34 02:55 AM PM INDEX NO. 007351/2021 NYSCEF DOC. NO. 25 53 RECEIVED NYSCEF: 10/08/2021 06/24/2022 AFFIDAVIT OF SERVICE THROUGH THE SECRETARY OF STATE SUPREME COURT Purchased/Filed: August 18, 2021 STATE OF NEW YORK, COUNTY OF ONONDAGA Index # 007351/2021 Nañüüüidü Genem! iñ5ürãñcs Company, N÷ñoñ±÷ide Mutual |ñsurãñce Company, and any and allof Plaintiff theirsubõ|diär;&&, at!!!!ateeunderwriting or parent companies against Svetlana Epps, et al. Defendant STATE OF NEW YORK SS' COUNTY OF ALBANY James Perone , beingduly sworn, deposes and says: deponent isover the age ofeighteen (18) years; that on September 13, 2021 , at 11:00 AM , atthe officeof the Secretary of State of the State of New York in theCity of Albany, New York deponent served the annexed Summons, Verlfled Complaint and Notice of Electronic Filing (Mâñdatsif Case) on Sedation Vacation Perioperative Medicine PLLC , the Dêfêñdañt In thisaction,by delivering to and leaving with Sue Zouky , AUTHORIZED AGENT inthe Office of the Secretary of State,of the State of New York, personally at the Officeof the Sscistarf of State of the State of New York, 99 WenhMgta Avenue, Albany, NY, g truecopies-thereof and that at the time of making such service, deponent paid said Sacratary of State a fee 10 dollars;That said service was made purauent to Section 303 Limited LiabilityCarñpañy Law. Depcñeñt furtfiersays that deponent knew the person so served as aforesaid to be the agent inthe Office of the Secretary of State of the State of New York, duly authorized to accept su e d t Des- ipticñ of the person served: Approx. Age: 55-6 Approx. Wt 125lbs Approx. Ht: 5'1 C or ofskin: White Hair color: Red/Blo ex: Female Other: Swo to before me on this --- 13th of Septem 021 NOTARYP STA EWYOR Jarnes Perone ALBANY Attny's FileNo. NY90121-21 c Invoice•Work Order # S1865328 SEnvico. INc.. RO. Box1 of 871. 1ALBANY. NY 12201 FILED: ONONDAGA COUNTY CLERK 10/08/2021 06/24/2022 09:34 02:55 AM PM INDEX NO. 007351/2021 NYSCEF DOC. NO. 26 53 RECEIVED NYSCEF: 10/08/2021 06/24/2022 SUPREME COURT OF THE STATE OF NEW YORK COUNTY OF ONONDAGA ------------ ---------------------------------------------------X NATIONWIDE GENERAL INSURANCE COMPANY, NOTICE OF SERVICE NATIONWIDE MUTUAL INSURANCE COMPANY, and any and all of their subsidiaries, affiliates, underwriting or Index No.: 007351/2021 parent companies, Plaintiffs, -against- SVETLANA EPPS, Defendant" The "Individual -and- ADVANCED ORTHOPEDICS AND JOINT PRESERVATION P.C., ADVANT ORTHOCARE INC, ALL CITY FAMILY HEALTHCARE CENTER, INC., BROOKLYN MEDICAL PRACTICE, P.C., COMMUNITY MEDICAL IMAGING P.C., FRIENDLY RX, INC., LENCO DIAGNOSTIC LABORATORIES, INC., MAZ SUPPLY INC, NORTH SHORE FAMILY CHIROPRACTIC, P.C., ORTHOWELLNESS INC, SEDATION VACATION PERIOPERATIVE MEDICINE PLLC, TROMBMED NY, INC., UNICORN ACUPUNCTURE P.C., The "Healthcare Provider Defendants". _..---------------------- ---------------- -------X S I R S: PLEASE TAKE NOTICE that the attached Summons was served upon the defendant corporation pursuant to paragraph (b) section three hundred six of the Business Corporation Law. PLEASE TAKE FURTHER NOTICE that this statement is being provided pursuant to section 3215(g)(4)(i) of the Civil Practice Law and Rules. 1 of 9 FILED: ONONDAGA COUNTY CLERK 10/08/2021 06/24/2022 09:34 02:55 AM PM INDEX NO. 007351/2021 NYSCEF DOC. NO. 26 53 RECEIVED NYSCEF: 10/08/2021 06/24/2022 Dated: Melville, New York September 28, 2021 Yours, etc., HOLL ND LEGAL GROUP, P.C. By: __ N S. HOLLANDER .1 rn vs for laintiff(s) Ma Rd, Ste S128 idelville, New York 11747 (631) 333-1300 333-1303 - facsimile (631) HLG File No.: 140-5117 TO: SEDATION VACATION PERIOPERATIVE MEDICINE PLLC 811 Wilson Street Valley Stream, New York 11581 2 of 9 FILED: ONONDAGA COUNTY CLERK 10/08/2021 06/24/2022 09:34 02:55 AM PM INDEX NO. 007351/2021 NYSCEF DOC. NO. 26 53 RECEIVED NYSCEF: 10/08/2021 06/24/2022 INDEX NO. 007351/2021 [FILED : ONONDAGA COUNTY CLERK 0 8 /18 / 2021 03 : 15 Pl$ NYSCEF DOC. NO. 1 RECEIVED NYSCEF: 08/18/2021 SUPREME COURT OF THE STATE OF NEW YORK COUNTY OF ONONDAGA ---------- ¬------------------------------------------------X Index No.: NATIONWIDE GENERAL INSURANCE COMPANY, NATIONWIDE MUTUAL INSURANCE COMPANY, Date Purchased: and any and all of their subsidiaries, affiliates,underwriting or parent companies, SUMMONS Plaintiffs, Plaintiff designates Onondaga -against- as the place of trial. County SVETLANA EPPS, The basis of venue designated Defendants' is:Plaintiff and Defendant" - The "Individual place of business CPLR 503(a) and (c) -and- ADVANCED ORTHOPEDICS AND JOINT PRESERVATION P.C., ADVANT ORTHOCARE INC, ALL CITY FAMILY HEALTHCARE CENTER, INC., BROOKLYN MEDICAL PRACTICE, P.C., COMMUNITY MEDICAL IMAGING P.C., FRIENDLY RX, INC., LENCO DIAGNOSTIC LABORATORIES, INC., MAZ SUPPLY INC, NORTH SHORE FAMILY CHIROPRACTIC, P.C., ORTHOWELLNESS INC, SEDATION VACATION PERIOPERATIVE MEDICINE PLLC, TROMBMED NY, INC., UNICORN ACUPUNCTURE P.C., The "Healthcare Provider Defendants". --------- ------ ------------------------------------X TO THE ABOVE NAMED DEFENDANT(S): YOU ARE HEREBY SUMMONED to answer the complaint in this action and to serve a copy of your answer, or, ifthe complaint is not served with this summons, to serve a notice of appearance, on theplaintiffs attorneys within twenty (20) days after the service of this sunununs, exclusive of the day of service of this summons, where service is made by delivery personally 1 of 5 3 of 9 FILED: ONONDAGA COUNTY CLERK 10/08/2021 06/24/2022 09:34 02:55 AM PM INDEX NO. 007351/2021 NYSCEF DOC. NO. 26 53 RECEIVED NYSCEF: 10/08/2021 06/24/2022 INDEX NO. 007351/2021 EED: ONONDAGA COUNTY CLERK 08 /18 /2021 03 :15 PM NYSCEF DOC. NO. 1 RECEIVED NYSCEF: 08/18/2021 within the states, or, within thirty (30) days after service of this summons is complete ifthis summons is delivered in any other way. In case of your failure to appear or answer this summons, a judgment will be taken against you by default for the relief demanded in the complaint. Dated: Melville, New York July 30, 2021 HOLLANDER LEGAL GROUP, P.C. By: Allan S. Holidnder, Esq. Brian E. Kaufman, Esq. Attorneys for Plaintiffs 105 Maxess Road, Suite S128 Melville, New York 11747 Telephone: (631) 333-1300 Facsimile: (631) 333-1303 HLG File No.: 140-5117 TO: SVETLANA EPPS 506 Avenue C, Basement Brooklyn, New York 11218 305 Ocean Parkway, #2K Brooklyn, New York 11218 ADVANCED ORTHOPEDICS AND JOINT PRSERVATION P.C. 141 E. Merrick Road B Valley Stream, New York 11580 Via Secretary of State ADVANT ORTHOCARE INC 98-11 65 Avenue, 5A Rego Park, New York 11374 Via Secretary of State ALL CITY FAMILY HEALTHCARE CENTER, INC. 3632 Nostrand Ave. Brooklyn, New York 11229 Via Secretary of State 2 42 of of 95 FILED: ONONDAGA COUNTY CLERK 10/08/2021 06/24/2022 09:34 02:55 AM PM INDEX NO. 007351/2021 NYSCEF DOC. NO. 26 53 RECEIVED NYSCEF: 10/08/2021 06/24/2022 INDEX NO. 007351/2021 FILED: ONONDAGA COUNTY CLERK 08/18/2021 03 : 15 PM1 NYSCEF DOC. NO. 1 RECEIVED NYSCEF: 08/18/2021 BROOKLYN MEDICAL PRACTICE, P.C. 410 Ditmas Avenue Brooklyn, New York 11218 Via Secretary of State COMMUNITY MEDICAL IMAGING P.C. 159-16 Union Tpke. Fresh Meadows, New York 11366 Via Secretary of State FRIENDLY RX, INC. 651 Coney Island Ave., Unit Cl Brooklyn, New York 11229 Via Secretary of State LENCO DIAGNOSTIC LABORATORIES, INC. 1857 86 St. Brooklyn, New York 11214 Via Secretary of State MAZ SUPPLY INC 6701 Bay Parkway F13M., Ste. 304 Brooklyn, New York 11204 Via Secretary of State NORTH SHORE FAMILY CHIROPRACTIC, P.C. c/o Todd L Lebson DC 4 Morris Ct Syosset, New York 11791 Via Secretary of State ORTHOWELLNESS INC 711 Hempstead Tpke Elmont, New York 11003 Via Secretary of State SEDATION VACATION PERIOPERATIVE MEDICINE PLLC 811 Wilson Street Valley Stream, New York 11581 Via Secretary of State TROMBMED NY, INC. 98-51Queens Blvd. Rego Park, New York 11374 Via Secretary of State 3 53 of of 95 FILED: ONONDAGA COUNTY CLERK 10/08/2021 06/24/2022 09:34 02:55 AM PM INDEX NO. 007351/2021 NYSCEF DOC. NO. 26 53 RECEIVED NYSCEF: 10/08/2021 06/24/2022 INDEX NO. 007351/2021 |FILED : ONONDAGA COUNTY CLERK 0 8 /18 /2021 03 : 15 PMl NYSCEF DOC. NO. 1 RECEIVED NYSCEF: 08/18/2021 UNICORN ACUPUNCTURE P.C. 37-20 Prince Street, Suite 3E Flushing, New York 11354 Via Secretary of State 4 64 of of 95 FILED: ONONDAGA COUNTY CLERK 10/08/2021 06/24/2022 09:34 02:55 AM PM INDEX NO. 007351/2021 NYSCEF DOC. NO. 26 53 RECEIVED NYSCEF: 10/08/2021 06/24/2022 AFFIDAVIT OF SERVICE THROUGH THE SECRETARY OF STATE SUPREME COURT Purchased/Filed: August 18, 2021 STATE OF NEW YORK, COUNTY OF ONONDAGA Index # 007351/2021 Nañüüüidü Genem! iñ5ürãñcs Company, N÷ñoñ±÷ide Mutual |ñsurãñce Company, and any and allof Plaintiff theirsubõ|diär;&&, at!!!!ateeunderwriting or parent companies against Svetlana Epps, et al. Defendant STATE OF NEW YORK SS' COUNTY OF ALBANY James Perone , beingduly sworn, deposes and says: deponent isover the age ofeighteen (18) years; that on September 13, 2021 , at 11:00 AM , atthe officeof the Secretary of State of the State of New York in theCity of Albany, New York deponent served the annexed Summons, Verlfled Complaint and Notice of Electronic Filing (Mâñdatsif Case) on Sedation Vacation Perioperative Medicine PLLC , the Dêfêñdañt In thisaction,by delivering to and leaving with Sue Zouky , AUTHORIZED AGENT inthe Office of the Secretary of State,of the State of New York, personally at the Officeof the Sscistarf of State of the State of New York, 99 WenhMgta Avenue, Albany, NY, g truecopies-thereof and that at the time of making such service, deponent paid said Sacratary of State a fee 10 dollars;That said service was made purauent to Section 303 Limited LiabilityCarñpañy Law. Depcñeñt furtfiersays that deponent knew the person so served as aforesaid to be the agent inthe Office of the Secretary of State of the State of New York, duly authorized to accept su e d t Des- ipticñ of the person served: Approx. Age: 55-6 Approx. Wt 125lbs Approx. Ht: 5'1 C or ofskin: White Hair color: Red/Blo ex: Female Other: Swo to before me on this --- 13th of Septem 021 NOTARYP STA EWYOR Jarnes Perone ALBANY Attny's FileNo. NY90121-21 c Invoice•Work Order # S1865328 SEnvico. INc.. RO. Box7 of 871. 9ALBANY. NY 12201 FILED: ONONDAGA COUNTY CLERK 10/08/2021 06/24/2022 09:34 02:55 AM PM INDEX NO. 007351/2021 NYSCEF DOC. NO. 26 53 RECEIVED NYSCEF: 10/08/2021 06/24/2022 AFFIDAVIT OF SERVICE STATE OF NEW YORK ) ): ss.: COUNTY OF SUFFOLK ) Jamie R. Brindisi, being duly sworn says: I am not a party to the action, am over 18 years of age and reside in Suffolk County, New York. On September 26 , 2021, 1 served a true copy of the annexed NOTICE OF SERVICE, by mailing the same in a sealed envelope with postage prepaid thereon, in a post office or official depository of the U.S. Postal Service within the State of New York addressed to the last known address of the addresses as indicated below: SEDATION VACATION PERIOPERATIVE MEDICINE PLLC 811 Wilson Street Valley Stream, New York 11581 Jamie R. Brindisi Personally, subscribed and sworn to before me on this 8 day of September, 2021, by Ja ie R. B disi, personally known to me or provided to me on the basis of satisfactory evi ence to e the individual described in and who executed the foregoing affidavit, and ack- 3wledg d that (s)he executed the same. NO ARY PUBLIC ALLAN S. HOLLANDER NotaryPublic,Stateof New York No. 02HO6370620 Q ualified in NassauCounty . Commission Expires February5, 2022 8 of 9 FILED: ONONDAGA COUNTY CLERK 10/08/2021 06/24/2022 09:34 02:55 AM PM INDEX NO. 007351/2021 NYSCEF DOC. NO. 26 53 RECEIVED NYSCEF: 10/08/2021 06/24/2022 Index No.: 007351/2021 SUPREME COURT OF THE STATE OF NEW YORK COUNTY OF ONONDAGA NATIONWIDE GENERAL INSURANCE COMPANY ET AL., Plaintiff(s), -against- SVETLANA EPPS ET AL., Defendant(s) NOTICE OF SERVICE HOLTANDEB LEGAL GROUP, PC Attorney(s) for Plaintiff(s) 105 Maxess Road, Suite S128 Melville, New York 11747 (631) 333-1300 AHOLLANDERrd HOLLANDERLG.COM File No.: 140-5117 Pursuant to 22 NYCRR 130-1.1-a, the undersigiied, an admitted to pract e intl - courts New York State,certifies to attorney of that, the bestof my hiowledge, information and belief formed afteran inquiryreasovia -le un r thecircumstances, the presentation ofthis document, or the conteritioits comined therein, are not frivolous. Dated: September 28, 2021 Signature Sign- r' Print : a e Allan liollander Service of a copy of the within is hereby admitted. Dated, Attorney(s) for Sir: Please take notice |^|NOTICE OF ENTRY thatthe within isa (certified)truecopy of a duly entered in theoffice ofthe Clerk of thewithin named Court on NOTICE OF SETTLEMENT thatan order of which the within isa true copy willbe presented for settlement to theHON. one of the Judges of thewithin named Court, at on the day of at m. 9 of 9