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 01/27/2020 12:37 PM INDEX NO. 650175/2017
NYSCEF DOC. NO. 199 RECEIVED NYSCEF: 01/27/2020
EmbitÊ Exhibit F
Prestige
Employee Administrators
Application for Employment
(An Equal Opportunity Employer)
PERSONAL INFORMATION DATE
PHOh REFERRED BY
EMPLOYMENT DESIRED
POSITION SALARY DESIRED DATE YOU CAN START
ARE YOU IF SO, MAY WE CONTACT
EMPLOYED? YES NO YOUR PRESENT EMPLOYER? YES 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
NAlilEAND LOCATION OF SCHOOL YEARS DID YOU SUBJECTS STUDIED
COMPLETED GRADUATE
GRAMMAR
SCHOOL
SCHOOL
COLLEGE
TECHNICAL OR
OTHER
FORMER EMPLOYERS (LIST BELOW LAST FOUR EMPLOYERS, STARTING WITH LAST ONE FIRST)
DATE NAME AND ADDRESS OF EMPLOYER SALARY POSITION REASON FOR LEÄŸiÑÖ
MONTH AND YEAR .... .. .
FROM
TO
FROM
TO
FROM
TO
Page 2
TO
DEF000011
FILED: NEW YORK COUNTY CLERK 01/27/2020 12:37 PM INDEX NO. 650175/2017
NYSCEF DOC. NO. 199 RECEIVED NYSCEF: 01/27/2020
GENERAL
OR SPECIAL TRAINING / SKILLS
US MILITARY OR RANK FROM TO
NAVAL SERVICE
TRAINING/EXPERIENCE REcElVED
REFERENCES (DO NOT INCLUDE RELATIVES) YEARS--
NAME OCCUPATION TELEPHONE
KNOWN
Have you ever been convictsd of a crime other than a minor traffic violation? YES NO
"Yes"
If please explain below:
(Conviction is not an absolute bar to employment.)
APPLICANT'S STATEMENT
will"
I understand that the employer follows an "employment at policy, in that I orthe employer
may terminate my employment at any time, orfor any reason consistent with applicable state or federal
will"
law; this "employment at policy cannot be changed verbally or inwriting, unless the change is
specifically authorized in writing by the chief operating officer ofthis organization. I understand that this
application is not a contract of empicyment. I understand that federal law prohibits the emp|oyment of
unauthorized aliens; all persons hired must submit satisfactory proof of employment authorization and
identity; failure to submit such proof willresult indenial of employment.
I understand this application willbe active for a period of one year; after that time, ifI wish to be
considered for employment, I must submit a new application.
I understand that the employer willthoroughly investigate my work and personal history and
verify alldata given on this applicatiüñ, on related papers, and in interviews. I authorize allindividuals,
schools, and firms named therein, except my current employer ifso noted, to provide any information
requested about me and I release them from all for
liability damage inproviding this information. I certify
that allthe statersents herein are true and understand that any falsecenoñ or w ful ission shall be
sufficient cause 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 $
Work State
For Union Use Only
Union 01 D2 D3 36 Voodl5úiy Road
Woodbury,NY 11797
DNon Union Hourly Salaried Phone (516) 692-8505 Fax (516) 692-8507
Page 3
DEF000012
Document Filed Date
January 27, 2020
Case Filing Date
January 10, 2017
Category
Commercial - Contract
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FILED: NEW YORK COUNTY CLERK 01/27/2020 12:37 PM INDEX NO. 650175/2017 NYSCEF DOC. NO. 199 RECEIVED NYSCEF: 01/27/2020 EmbitÊ Exhibit F Prestige Employee Administrators Application for Employment (An Equal Opportunity Employer) PERSONAL INFORMATION DATE PHOh REFERRED BY EMPLOYMENT DESIRED POSITION SALARY DESIRED DATE YOU CAN START ARE YOU IF SO, MAY WE CONTACT EMPLOYED? YES NO YOUR PRESENT EMPLOYER? YES 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 NAlilEAND LOCATION OF SCHOOL YEARS DID YOU SUBJECTS STUDIED COMPLETED GRADUATE GRAMMAR SCHOOL SCHOOL COLLEGE TECHNICAL OR OTHER FORMER EMPLOYERS (LIST BELOW LAST FOUR EMPLOYERS, STARTING WITH LAST ONE FIRST) DATE NAME AND ADDRESS OF EMPLOYER SALARY POSITION REASON FOR LEÄŸiÑÖ MONTH AND YEAR .... .. . FROM TO FROM TO FROM TO Page 2 TO DEF000011 FILED: NEW YORK COUNTY CLERK 01/27/2020 12:37 PM INDEX NO. 650175/2017 NYSCEF DOC. NO. 199 RECEIVED NYSCEF: 01/27/2020 GENERAL OR SPECIAL TRAINING / SKILLS US MILITARY OR RANK FROM TO NAVAL SERVICE TRAINING/EXPERIENCE REcElVED REFERENCES (DO NOT INCLUDE RELATIVES) YEARS-- NAME OCCUPATION TELEPHONE KNOWN Have you ever been convictsd of a crime other than a minor traffic violation? YES NO "Yes" If please explain below: (Conviction is not an absolute bar to employment.) APPLICANT'S STATEMENT will" I understand that the employer follows an "employment at policy, in that I orthe employer may terminate my employment at any time, orfor any reason consistent with applicable state or federal will" law; this "employment at policy cannot be changed verbally or inwriting, unless the change is specifically authorized in writing by the chief operating officer ofthis organization. I understand that this application is not a contract of empicyment. I understand that federal law prohibits the emp|oyment of unauthorized aliens; all persons hired must submit satisfactory proof of employment authorization and identity; failure to submit such proof willresult indenial of employment. I understand this application willbe active for a period of one year; after that time, ifI wish to be considered for employment, I must submit a new application. I understand that the employer willthoroughly investigate my work and personal history and verify alldata given on this applicatiüñ, on related papers, and in interviews. I authorize allindividuals, schools, and firms named therein, except my current employer ifso noted, to provide any information requested about me and I release them from all for liability damage inproviding this information. I certify that allthe statersents herein are true and understand that any falsecenoñ or w ful ission shall be sufficient cause 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 $ Work State For Union Use Only Union 01 D2 D3 36 Voodl5úiy Road Woodbury,NY 11797 DNon Union Hourly Salaried Phone (516) 692-8505 Fax (516) 692-8507 Page 3 DEF000012