On June 11, 2021 a
Proof of Service
was filed
involving a dispute between
Nicholas Dassler,
and
Daniel B. Kremen,
Golden Hawk Llc,
for Torts - Motor Vehicle
in the District Court of Suffolk County.
Preview
FILED: SUFFOLK COUNTY CLERK 08/25/2021 04:04 PM INDEX NO. 611178/2021
NYSCEF DOC. NO. 4 RECEIVED NYSCEF: 08/25/2021
SUPREME COURT OF THE STATE OF NEW YORK
COUNTY OF SUFFOLK
_________. _______________....-------------X
NICHOLAS DASSLER,
Index No.: 611178/2021
Plaintiff,
AFFIDAVIT OF
-against- COMPLIANCE
WITH VTL § 253
DANIEL B. KREMEN and GOLDEN HAWK LLC,
Defendants.
____________. ----------------------X
STATE OF NEW YORK )
) ss:
COUNTY OF SUFFOLK )
Nicole Ivory, being duly sworn, deposes and says:
A copy of the Summons and Complaint has been sent/delivered to the Secretary of State
(as evidenced by the receipt from the Secretary of State attached) and notice of such service on
the Secretary of State and a copy of the Summons and Complaint were sent to the Defendant
GOLDEN HAWK LLC, by Certified Mail,
a. as evidenced by the Return Receipt provided with this Affidavit.
b. which was refused by said Defendant, as evidenced by the original
envelope bearing a notation by the postal authorities that receipt was
refused provided with this Affidavit. I further state that notice of such
mailing and refusal (a letter explaining what has occurred) was forthwith
sent to the Defendant by ordinary mail.
c. which was unclaimed by said Defendant, as evidenced by the original
envelope bearing a notation by the postal authorities that itwas unclaimed
provided with this Affidavit. I further state that the Summons was posted
again by ordinary mail as evidenced by the Proof of Mailing Certificate
from the postal authorities provided with this Affidavit.
Sworn to before me on this
25*
day of August, 2021
e .. sTArs .
A Q c f / OF NEW YORK
---
Not Public suc
1 of 3
FILED: SUFFOLK COUNTY CLERK 08/25/2021 04:04 PM INDEX NO. 611178/2021
NYSCEF DOC. NO. 4 RECEIVED NYSCEF: 08/25/2021
STATE OF NEW YORK - DEPARTMENT OF STATE
RECEIPT FOR SERVICE OF PROCESS
Service of process was made pursuant to:
SECTION 304 OF THE LIMITED LIABILITY COMPANY LAW
PARTY SERVED: GOLDEN HAWK, LLC
,.•• ,,.••••..,
PLAINTIFF / PETITIONER: NICHOLAS DASSLER
of NE ••.
RECEIPT NUMBER: 202107200051 • •.
DATE OF SERVICE: 06/16/2021 ,• •.
Go
TRANSACTION NUMBER: 202107200000135 * *
SERVICE COMPANY: GERALD WEINBERG, P.C. .
SERVICE COMPANY CODE: 14 •. E S
PERSON AUTHORIZED TO RECEIVE .•
PROCESS:
NANCY DOUGHERTY •.. N T O ..•
••.....••
TOTAL FEES: $40.00 TOTAL PAYMENTS RECEIVED: $40.00
FILING FEE: $0.00 CASH: $0.00
CERTIFICATE OF STATUS: $0.00 CHECK/MONEY ORDER: $0.00
CERTIFIED COPY: $0.00 CREDIT CARD: $0.00
COPY REQUEST: $0.00 DRAWDOWN ACCOUNT: $40.00
PROCESS: $40.00 REFUND DUE: $0.00
EXPEDITED HANDLING: $0.00
thentication
Number: 100000124059 To Verifythe c='' ªrkfof this document
you may access the
Divisionof Corporation's
Document AuthenticationWebsite at hiip.jiccarp.dos.ny.gov
2 of 3
FILED: SUFFOLK COUNTY CLERK 08/25/2021 04:04 PM INDEX NO. 611178/2021
NYSCEF DOC. NO. 4 RECEIVED NYSCEF: 08/25/2021
SENDER: COMPLETE T m 3 5E C TION
a Complete items and 3. A. Signature
1,2,
m Print
your name and address on thereverse O Agent
)(
so thatwe can returnthe cardto you. O Addressee
thiscardto theback of the B. Received by (Printed Name) C. Date ry
mailpiece,
o the front
if spacepermits.
1. Addressed to: O Yes
D. Is delivery address different from item 1?
If YES, enter delivery address below:
O No
GOLDEN HAWK, LLC
c/o Rajvir Singh
1170 Delsea Drive
Suite 1105
Westtille, NJ 08093
3. Service Type O PriorityMallExpress®
O AdultSignature O RegisteredMail™
O g ureRestrictedDelivery
OR steredMallRestricted
9590 9402 5382 9189 1002 15 O ReturnReceiptfor
O certifiedMallRestrictedDelively
O collecton Delivery Merchandise
O co ect on DeliveryRestrictedDelivery O S
ure n™
2. Article Number (Transferfrom service label)
Ruthted Resthted DeMay
7021 O350 OOOD 73 8 14 1% 2
yg
Denvery
PS Form 3811, July2015 PSN 7530-02-000-9053 Domestic Return Receipt
3 of 3
Document Filed Date
August 25, 2021
Case Filing Date
June 11, 2021
Category
Torts - Motor Vehicle
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Preview
FILED: SUFFOLK COUNTY CLERK 08/25/2021 04:04 PM INDEX NO. 611178/2021 NYSCEF DOC. NO. 4 RECEIVED NYSCEF: 08/25/2021 SUPREME COURT OF THE STATE OF NEW YORK COUNTY OF SUFFOLK _________. _______________....-------------X NICHOLAS DASSLER, Index No.: 611178/2021 Plaintiff, AFFIDAVIT OF -against- COMPLIANCE WITH VTL § 253 DANIEL B. KREMEN and GOLDEN HAWK LLC, Defendants. ____________. ----------------------X STATE OF NEW YORK ) ) ss: COUNTY OF SUFFOLK ) Nicole Ivory, being duly sworn, deposes and says: A copy of the Summons and Complaint has been sent/delivered to the Secretary of State (as evidenced by the receipt from the Secretary of State attached) and notice of such service on the Secretary of State and a copy of the Summons and Complaint were sent to the Defendant GOLDEN HAWK LLC, by Certified Mail, a. as evidenced by the Return Receipt provided with this Affidavit. b. which was refused by said Defendant, as evidenced by the original envelope bearing a notation by the postal authorities that receipt was refused provided with this Affidavit. I further state that notice of such mailing and refusal (a letter explaining what has occurred) was forthwith sent to the Defendant by ordinary mail. c. which was unclaimed by said Defendant, as evidenced by the original envelope bearing a notation by the postal authorities that itwas unclaimed provided with this Affidavit. I further state that the Summons was posted again by ordinary mail as evidenced by the Proof of Mailing Certificate from the postal authorities provided with this Affidavit. Sworn to before me on this 25* day of August, 2021 e .. sTArs . A Q c f / OF NEW YORK --- Not Public suc 1 of 3 FILED: SUFFOLK COUNTY CLERK 08/25/2021 04:04 PM INDEX NO. 611178/2021 NYSCEF DOC. NO. 4 RECEIVED NYSCEF: 08/25/2021 STATE OF NEW YORK - DEPARTMENT OF STATE RECEIPT FOR SERVICE OF PROCESS Service of process was made pursuant to: SECTION 304 OF THE LIMITED LIABILITY COMPANY LAW PARTY SERVED: GOLDEN HAWK, LLC ,.•• ,,.••••.., PLAINTIFF / PETITIONER: NICHOLAS DASSLER of NE ••. RECEIPT NUMBER: 202107200051 • •. DATE OF SERVICE: 06/16/2021 ,• •. Go TRANSACTION NUMBER: 202107200000135 * * SERVICE COMPANY: GERALD WEINBERG, P.C. . SERVICE COMPANY CODE: 14 •. E S PERSON AUTHORIZED TO RECEIVE .• PROCESS: NANCY DOUGHERTY •.. N T O ..• ••.....•• TOTAL FEES: $40.00 TOTAL PAYMENTS RECEIVED: $40.00 FILING FEE: $0.00 CASH: $0.00 CERTIFICATE OF STATUS: $0.00 CHECK/MONEY ORDER: $0.00 CERTIFIED COPY: $0.00 CREDIT CARD: $0.00 COPY REQUEST: $0.00 DRAWDOWN ACCOUNT: $40.00 PROCESS: $40.00 REFUND DUE: $0.00 EXPEDITED HANDLING: $0.00 thentication Number: 100000124059 To Verifythe c='' ªrkfof this document you may access the Divisionof Corporation's Document AuthenticationWebsite at hiip.jiccarp.dos.ny.gov 2 of 3 FILED: SUFFOLK COUNTY CLERK 08/25/2021 04:04 PM INDEX NO. 611178/2021 NYSCEF DOC. NO. 4 RECEIVED NYSCEF: 08/25/2021 SENDER: COMPLETE T m 3 5E C TION a Complete items and 3. A. Signature 1,2, m Print your name and address on thereverse O Agent )( so thatwe can returnthe cardto you. O Addressee thiscardto theback of the B. Received by (Printed Name) C. Date ry mailpiece, o the front if spacepermits. 1. Addressed to: O Yes D. Is delivery address different from item 1? If YES, enter delivery address below: O No GOLDEN HAWK, LLC c/o Rajvir Singh 1170 Delsea Drive Suite 1105 Westtille, NJ 08093 3. Service Type O PriorityMallExpress® O AdultSignature O RegisteredMail™ O g ureRestrictedDelivery OR steredMallRestricted 9590 9402 5382 9189 1002 15 O ReturnReceiptfor O certifiedMallRestrictedDelively O collecton Delivery Merchandise O co ect on DeliveryRestrictedDelivery O S ure n™ 2. Article Number (Transferfrom service label) Ruthted Resthted DeMay 7021 O350 OOOD 73 8 14 1% 2 yg Denvery PS Form 3811, July2015 PSN 7530-02-000-9053 Domestic Return Receipt 3 of 3