On January 10, 2017 a
Exhibit,Appendix
was filed
involving a dispute between
Robert Harris,
and
Abc Corps. 1 - 8,
Intimo, Inc.,
John Does 1 - 10,
Moris Zilkha,
Nathan Nathan,
Prestige Employee Administrators Ii, Inc. A K A Prestige Employee Administrators,
Prestige Employee Administrators, Inc. A K A Prestige Employee Administrators,
Tommy Nathan,
for Commercial - Contract
in the District Court of New York County.
Preview
FILED: NEW YORK COUNTY CLERK 08/02/2019 02:53 PM INDEX NO. 650175/2017
NYSCEF DOC. NO. 74 RECEIVED NYSCEF: 08/02/2019
Exhibit B
FILED: NEW YORK COUNTY CLERK 08/02/2019 02:53 PM INDEX NO. 650175/2017
NYSCEF DOC. NO. 74 RECEIVED NYSCEF: 08/02/2019
Prestige
Employee Administrators
Application for Employment
(An Equal Opportunity Ernployer)
PERSONAL INFORMATION DATE
NAME (LAST NAME FIRST) SOCIAL SECURITY NO.
PRESENT ADDRESS APT. CITY STATE ZIP
PERMANENT RESS APT I CITY STATF IP
PHONE NUMBER REFERRED BY
EMPLOYMENT DESIRED
POSITION SALARY DESIRED DATEYOU CAN START
ARE YOU IF SO, MAY WE CONTACT
ElWPLOYED? YEiS _ .. NO YOUR PRESENT EMPLOYER? YES O NO
ARE YOU 18 YEARS IF HIRED, CAN YOU PROVIDE WRITTEN EVIDENCE YOU ARE
OF AGE OR OLDER? YES NO AUTHORIZED TO WORK IN THE U.S.? YES NO
EDUCATION
NAME AND LOCATION OF SCHOOL YEARS DID YOU SUBJECTS STUDIED
COMPI ETFD GRADUATF
GRAMMAR
SCHOOL
HIGH
SCHOOL
COLLEGE
TECHNICAL OR
OTHER
EQRMER EMPLO"ERS _(M.SIREL.OW.LAST FOUR STARTING
EMPI.OYiji.IIS,. WITH I A __
DATE
_MQImiAND-YEaB--..
EROM
- NAME AND ADDRESS OF EMPLOYER
_ _ _..__..
SALARY POSITION
.
REASON FOR LEAVING
TO
F
TO
F . .
Page 2
TO
DEF000011
FILED: NEW YORK COUNTY CLERK 08/02/2019 02:53 PM INDEX NO. 650175/2017
NYSCEF DOC. NO. 74 RECEIVED NYSCEF: 08/02/2019
GENERAL
SUBJECTS OF sPECIAL sTUDY / RESEARCH WORK
OR sPECIAL TRAINING / SKILLS
TRAINING/EXPERIENCE RECElVED
REFERENCES (DO NOT INCLUDE RELATIVEs)
NAME OCCUPATION TELEPHONE YEARS
KNOWN
- .---.........__- ..____........__...__
.. . .___ . -----..
Have you ever been còñvicted of a crime other than a minor trafficviolation? YES NO
"Yes"
If please explain below:
(Conviction is not an absolute bar to employment)
APPLICANT'S STATEMENT
will"
I understand thatthe employer follows an "empicyment at policy,in that I orthe employer
may terminate my empicyment atany time, or forany reason consistent with applicable state or federal
law· will"
this"empicyment at policy cannot be changed verbally or in writing,unless the change is
speciñcally authorized inwriting by the chief operating officerof thisorganization. I understand that this
epp!!c=+Jon is not a contract of empicyment. I understand that federal law prohibits the empicyment of
unauthorized aliens; allpersons hired must submit setief=ctory proof of employment authorization and
identity;failure tosubmit such proof willresult indenial of employment.
I understand this year·
application will be active for a period of one after thattime, ifI wishto be
considered for employment, I must submit a new application.
I understand that the employer willthoroughly investigate my work and personal and
history
verifyalldata given on thisappur-=*ion, on related papers, and ininterviews. I authorize allindividuals,
schocis, and firms named therein, except my current empicyer ifso noted, to provide information
any
requested about me and I release them from all for
liability damaga in providing this information. I certify
thatallthe statements herein are true and understand that any f isitcaticñ or w I ission shallbe
sufficientcause for dismissal or refusal of employment.
For Client Office Use Only
Status OFull-Time OPart-Time sign
Hours p/wk (average)
Benefit Eligible Yes No oate
Dept Starting Date / /
Salary 5
Work State
For Union Use Only
Union O1 O2 E]3
se‰dtury d
Woodtnuy, NY 11797
ONon Union Hourly OSalaried Phone (516) 692-8505Fax (516) 692-8507
Page 3
DEF000012
Document Filed Date
August 02, 2019
Case Filing Date
January 10, 2017
Category
Commercial - Contract
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FILED: NEW YORK COUNTY CLERK 08/02/2019 02:53 PM INDEX NO. 650175/2017 NYSCEF DOC. NO. 74 RECEIVED NYSCEF: 08/02/2019 Exhibit B FILED: NEW YORK COUNTY CLERK 08/02/2019 02:53 PM INDEX NO. 650175/2017 NYSCEF DOC. NO. 74 RECEIVED NYSCEF: 08/02/2019 Prestige Employee Administrators Application for Employment (An Equal Opportunity Ernployer) PERSONAL INFORMATION DATE NAME (LAST NAME FIRST) SOCIAL SECURITY NO. PRESENT ADDRESS APT. CITY STATE ZIP PERMANENT RESS APT I CITY STATF IP PHONE NUMBER REFERRED BY EMPLOYMENT DESIRED POSITION SALARY DESIRED DATEYOU CAN START ARE YOU IF SO, MAY WE CONTACT ElWPLOYED? YEiS _ .. NO YOUR PRESENT EMPLOYER? YES O NO ARE YOU 18 YEARS IF HIRED, CAN YOU PROVIDE WRITTEN EVIDENCE YOU ARE OF AGE OR OLDER? YES NO AUTHORIZED TO WORK IN THE U.S.? YES NO EDUCATION NAME AND LOCATION OF SCHOOL YEARS DID YOU SUBJECTS STUDIED COMPI ETFD GRADUATF GRAMMAR SCHOOL HIGH SCHOOL COLLEGE TECHNICAL OR OTHER EQRMER EMPLO"ERS _(M.SIREL.OW.LAST FOUR STARTING EMPI.OYiji.IIS,. WITH I A __ DATE _MQImiAND-YEaB--.. EROM - NAME AND ADDRESS OF EMPLOYER _ _ _..__.. SALARY POSITION . REASON FOR LEAVING TO F TO F . . Page 2 TO DEF000011 FILED: NEW YORK COUNTY CLERK 08/02/2019 02:53 PM INDEX NO. 650175/2017 NYSCEF DOC. NO. 74 RECEIVED NYSCEF: 08/02/2019 GENERAL SUBJECTS OF sPECIAL sTUDY / RESEARCH WORK OR sPECIAL TRAINING / SKILLS TRAINING/EXPERIENCE RECElVED REFERENCES (DO NOT INCLUDE RELATIVEs) NAME OCCUPATION TELEPHONE YEARS KNOWN - .---.........__- ..____........__...__ .. . .___ . -----.. Have you ever been còñvicted of a crime other than a minor trafficviolation? YES NO "Yes" If please explain below: (Conviction is not an absolute bar to employment) APPLICANT'S STATEMENT will" I understand thatthe employer follows an "empicyment at policy,in that I orthe employer may terminate my empicyment atany time, or forany reason consistent with applicable state or federal law· will" this"empicyment at policy cannot be changed verbally or in writing,unless the change is speciñcally authorized inwriting by the chief operating officerof thisorganization. I understand that this epp!!c=+Jon is not a contract of empicyment. I understand that federal law prohibits the empicyment of unauthorized aliens; allpersons hired must submit setief=ctory proof of employment authorization and identity;failure tosubmit such proof willresult indenial of employment. I understand this year· application will be active for a period of one after thattime, ifI wishto be considered for employment, I must submit a new application. I understand that the employer willthoroughly investigate my work and personal and history verifyalldata given on thisappur-=*ion, on related papers, and ininterviews. I authorize allindividuals, schocis, and firms named therein, except my current empicyer ifso noted, to provide information any requested about me and I release them from all for liability damaga in providing this information. I certify thatallthe statements herein are true and understand that any f isitcaticñ or w I ission shallbe sufficientcause for dismissal or refusal of employment. For Client Office Use Only Status OFull-Time OPart-Time sign Hours p/wk (average) Benefit Eligible Yes No oate Dept Starting Date / / Salary 5 Work State For Union Use Only Union O1 O2 E]3 se‰dtury d Woodtnuy, NY 11797 ONon Union Hourly OSalaried Phone (516) 692-8505Fax (516) 692-8507 Page 3 DEF000012