On May 24, 2018 a
Exhibit,Appendix
was filed
involving a dispute between
Atlantic Casualty Insurance Company,
and
Eastern Fruit & Vegetables Inc.,
for Commercial - Contract
in the District Court of Kings County.
Preview
FILED: KINGS COUNTY CLERK 09/25/2018
08/09/2021 08:57
08:23 AM
PM INDEX NO. 510798/2018
NYSCEF DOC. NO. 12
343 RECEIVED NYSCEF: 09/25/2018
08/09/2021
| Policy #
L146001424-1 CarrierAtlanticCasualtyInsmanceCompany Auditor118- JosephReich Policy Period - G4117/2017
04/17/2t116
Serial #11206819 Insured EasternFruit& VegetableInc- - AuMeh M1G017
........ .-.
.-
Policy Type:GeneralLiability 1230-1236ConeyIslandAvenue
Insured Location: sooneo o sutconrmero
2
Audit Type: Annual
Brooklyn.NY 1t218 L Check
BocA Contrion
Audit Source:
Physical Gan1
insured Phone: 1 ha
Gan1Joom . i Fair
Legal Entity:
Corporation enor
. Audit Location: 1230-1236ConeyIslandAvenue
Federal ID#: v*Forfo0 + cum
E s/snetoms
Ins. Name 2: Brooklyn.NY 11218 A tacnetums
ncome
Tax Wrte p
Audit Phone: 212 - 244 - 5252 firate.
Financel
Audit Contact: AnwarulHuque,Accountant
I DESCRIPTIONOFOPERATIONS
Insuredoperatesa grocerystore.Nofreshseafood,rneats,or delicatessenaresold here.A vanetyof food,papergoods.ard freshfruits andvegetaNesaresold.Code13673.
Locationof business1230- 36ConeyIslandAvenue,Brooklyn.NY 11218
Therewas nocontractlaboror casuallabor
Presidentis Asif Jhangir.Heoverseesdayto dayoperations.Healso overseesadministrativeandfiscal rnatters.Heowns 100%of stock.andhe is excluded.
Recordsreviewed-
CRCD,GeneralLedger,Quarterlypayrollreturns.Yearlytaxreturn
Gross receiptson yearlytaxreturnform 1120year2016= 3016399
Claim- ClaimantNataliaShvartsblattfiled a claimfor an injury sustainedon8-24-16.Claimantwas noton payrollin thethird quaiter of2016.Hei narnedid notappearonformNYS45for the tid
quarterof 2016.TheaccountantsaidthatNataliaShvartsblattis notan employee.Sheis onlya customer.
Exit interviewwithAnwarulHuque..accountant.Heagreedwith the numberontheworksheet
..._..-._....-
. . ., ,___-..
... --- --- -- - --- ---- --------- --------- ---.-
-
ADJ. GROSS AMOUNT
TITLE NAME DAYS STATE CODE DESCRIPTIONOF DUTIES
PAYROLL INCLUDED
President Asif Jhangir 0 0 365 NY excl Overseesdayto Ay operationsoverseesadminis alive and fiscal rmtters
AUDIT SUMMARY VERIFICATION SUMMARY
CLASSlFICATION CODE EXPOSURE TotalGrossReceipts 2,775,356
LES EXPOSURE TOTAL 2,775,356
Eastem Fruit & VegetableInc. - NY -04/17/16to 04/17/17- Bmoklyn
Grocery stores 13673 2,775,356F
TOTAL 2,775356
Pageiof 5
Overland Solutions
FILED: KINGS COUNTY CLERK 09/25/2018
08/09/2021 08:57
08:23 AM
PM INDEX NO. 510798/2018
NYSCEF DOC. NO. 12
343 RECEIVED NYSCEF: 09/25/2018
08/09/2021
Policy #L146001424-1 CarrierAtlanticCasualtyInsuranceCompanyAuditor118- JosephReich Policy Period
04 17Ï20Ï6 3471772017 Ï
Serial# 11206819 Insured EasternFruit& VegetableInc. Date 06/02/2017 Audit Period
05/02016 1/2017
TotalGross Receipts Detail
.....
Name Code ExactDuties/Notes
Totalsales 13673 GroceryStore ........
___..-- _______....___.__ 2775356j
.... .. ...........-...
AsifJhangir excl overseesadrninistrative
Overseasdayto day operations, andfiscalmatters
Total Gross Receipts Figures
4-17to Nov 2016
Code Name May 2016 June 2016July 2016 Aug 2016 Sep 2016 Oct 2016 Dec 2016 Jan 2017 Feb 2017 Mar 2017
EasternFruit& Vegetableinc.- NY-Brooklyn
13673 Totalsales 122900 244122 273730 211863 240269 204692 232377 218686 206775 241607 218857 247129
excl AsifJhangir 0 O 0 0 0 0 0 0 0 0
SUBTOTAL 122900 244122 273730 211863 240269 204692 232377 218686 206775 241607 218857 24712
GRAÑDTOTAL 122900 244122 273730 211863 240269 204692 232377 218686 206775 241607 218857 24712
Total Gross Receipts Figures
Code Name
2017
EasternFruit& VegetableInc.-NY -Brooklyn
13673 Totalsales 112349 2775356
excl AsifJhangir 0 0
112349 2775356
GRANDTOTAL 112348 2775356
Total Gross Receipts Verification
4-17to 4-30-16 May 2016 June 2016 July 2016 Aug 2016 Sep 2016 Oct 2016 Nov 2016 Dec 2016 Jan 2017
122900 244122 273730 211863 240260 204692 232377 218686 200775 641607
Feb 2017 Mar 2017 Apr1-17,2017 TOTAL
TotalGross Receipts Recap forEastern Fruit& Vq±t:a Inc-- NY - 04/17/16 to 04/17/17 - Brooklyn
Recap TOTAL 13673 Excluded
GrossSales 2775356 2775356 ____________ ____
Lessexd
PrincipalMin/Max/Flat 0
TOTAL 2775356| 2775356 0
awsu mmwanEuc
uomum Page2015
Overland Solutions
Document Filed Date
August 09, 2021
Case Filing Date
May 24, 2018
Category
Commercial - Contract
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Preview
FILED: KINGS COUNTY CLERK 09/25/2018 08/09/2021 08:57 08:23 AM PM INDEX NO. 510798/2018 NYSCEF DOC. NO. 12 343 RECEIVED NYSCEF: 09/25/2018 08/09/2021 | Policy # L146001424-1 CarrierAtlanticCasualtyInsmanceCompany Auditor118- JosephReich Policy Period - G4117/2017 04/17/2t116 Serial #11206819 Insured EasternFruit& VegetableInc- - AuMeh M1G017 ........ .-. .- Policy Type:GeneralLiability 1230-1236ConeyIslandAvenue Insured Location: sooneo o sutconrmero 2 Audit Type: Annual Brooklyn.NY 1t218 L Check BocA Contrion Audit Source: Physical Gan1 insured Phone: 1 ha Gan1Joom . i Fair Legal Entity: Corporation enor . Audit Location: 1230-1236ConeyIslandAvenue Federal ID#: v*Forfo0 + cum E s/snetoms Ins. Name 2: Brooklyn.NY 11218 A tacnetums ncome Tax Wrte p Audit Phone: 212 - 244 - 5252 firate. Financel Audit Contact: AnwarulHuque,Accountant I DESCRIPTIONOFOPERATIONS Insuredoperatesa grocerystore.Nofreshseafood,rneats,or delicatessenaresold here.A vanetyof food,papergoods.ard freshfruits andvegetaNesaresold.Code13673. Locationof business1230- 36ConeyIslandAvenue,Brooklyn.NY 11218 Therewas nocontractlaboror casuallabor Presidentis Asif Jhangir.Heoverseesdayto dayoperations.Healso overseesadministrativeandfiscal rnatters.Heowns 100%of stock.andhe is excluded. Recordsreviewed- CRCD,GeneralLedger,Quarterlypayrollreturns.Yearlytaxreturn Gross receiptson yearlytaxreturnform 1120year2016= 3016399 Claim- ClaimantNataliaShvartsblattfiled a claimfor an injury sustainedon8-24-16.Claimantwas noton payrollin thethird quaiter of2016.Hei narnedid notappearonformNYS45for the tid quarterof 2016.TheaccountantsaidthatNataliaShvartsblattis notan employee.Sheis onlya customer. Exit interviewwithAnwarulHuque..accountant.Heagreedwith the numberontheworksheet ..._..-._....- . . ., ,___-.. ... --- --- -- - --- ---- --------- --------- ---.- - ADJ. GROSS AMOUNT TITLE NAME DAYS STATE CODE DESCRIPTIONOF DUTIES PAYROLL INCLUDED President Asif Jhangir 0 0 365 NY excl Overseesdayto Ay operationsoverseesadminis alive and fiscal rmtters AUDIT SUMMARY VERIFICATION SUMMARY CLASSlFICATION CODE EXPOSURE TotalGrossReceipts 2,775,356 LES EXPOSURE TOTAL 2,775,356 Eastem Fruit & VegetableInc. - NY -04/17/16to 04/17/17- Bmoklyn Grocery stores 13673 2,775,356F TOTAL 2,775356 Pageiof 5 Overland Solutions FILED: KINGS COUNTY CLERK 09/25/2018 08/09/2021 08:57 08:23 AM PM INDEX NO. 510798/2018 NYSCEF DOC. NO. 12 343 RECEIVED NYSCEF: 09/25/2018 08/09/2021 Policy #L146001424-1 CarrierAtlanticCasualtyInsuranceCompanyAuditor118- JosephReich Policy Period 04 17Ï20Ï6 3471772017 Ï Serial# 11206819 Insured EasternFruit& VegetableInc. Date 06/02/2017 Audit Period 05/02016 1/2017 TotalGross Receipts Detail ..... Name Code ExactDuties/Notes Totalsales 13673 GroceryStore ........ ___..-- _______....___.__ 2775356j .... .. ...........-... AsifJhangir excl overseesadrninistrative Overseasdayto day operations, andfiscalmatters Total Gross Receipts Figures 4-17to Nov 2016 Code Name May 2016 June 2016July 2016 Aug 2016 Sep 2016 Oct 2016 Dec 2016 Jan 2017 Feb 2017 Mar 2017 EasternFruit& Vegetableinc.- NY-Brooklyn 13673 Totalsales 122900 244122 273730 211863 240269 204692 232377 218686 206775 241607 218857 247129 excl AsifJhangir 0 O 0 0 0 0 0 0 0 0 SUBTOTAL 122900 244122 273730 211863 240269 204692 232377 218686 206775 241607 218857 24712 GRAÑDTOTAL 122900 244122 273730 211863 240269 204692 232377 218686 206775 241607 218857 24712 Total Gross Receipts Figures Code Name 2017 EasternFruit& VegetableInc.-NY -Brooklyn 13673 Totalsales 112349 2775356 excl AsifJhangir 0 0 112349 2775356 GRANDTOTAL 112348 2775356 Total Gross Receipts Verification 4-17to 4-30-16 May 2016 June 2016 July 2016 Aug 2016 Sep 2016 Oct 2016 Nov 2016 Dec 2016 Jan 2017 122900 244122 273730 211863 240260 204692 232377 218686 200775 641607 Feb 2017 Mar 2017 Apr1-17,2017 TOTAL TotalGross Receipts Recap forEastern Fruit& Vq±t:a Inc-- NY - 04/17/16 to 04/17/17 - Brooklyn Recap TOTAL 13673 Excluded GrossSales 2775356 2775356 ____________ ____ Lessexd PrincipalMin/Max/Flat 0 TOTAL 2775356| 2775356 0 awsu mmwanEuc uomum Page2015 Overland Solutions