Preview
FILED: FRANKLIN COUNTY CLERK 11/14/2022 INDEX NO. E2022-581
NYSCEF DOC. NO. 1 RECEIVED NYSCEF: 11/10/2022
SUPREME COURT OF THE STATE OF NEW YORK, COUNTY OF FRANKLIN
X
WORKERS' :
COMPENSATION BOARD OF THE STATE OF NEW YORK,
Plaintiff,
-against- :
:
RALPH LAPAGE :
AFFIRMATION
Defendant(s) :
OF
NON-PAYMENT
:
:
:
:
X
Workers'
The undersigned, an attorney in the officeofthe Compensation Board ofthe State ofNew
York, Plaintiffherein,hereby affirms thatthe following istrue under the penalty of perjury,upon
information and belief
Workers'
This affirmationisbased upon a review of the file
which ismaintained by the Compensation
Board initsregular course of business.
I am familiarwith the status of payment in thismatter. The award/penalty/assessment/demand for
deposit of securitymade against the defendant(s) in theamount of $21,000.00 isin default,as more
than thirtydays have elapsed since the demand upon the defendant(s) herein forpayment. No payment
has been received nor has the aforesaid security been deposited in compliance with said demand to
date, except the sum of $0.00, leaving due and payble the sum of$21,000.00.
Dated: 11th day of October , 2022 .
S/
James R. McGinn, Esq.
Judgment Unit
C-45.45E 1/2009
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FILED: FRANKLIN COUNTY CLERK 11/14/2022 INDEX NO. E2022-581
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FILED: FRANKLIN COUNTY CLERK 11/14/2022 INDEX NO. E2022-581
NYSCEF DOC. NO. 1 RECEIVED NYSCEF: 11/10/2022
SUPREME COURT OF THE STATE OF NEW YORK, COUNTY OF FRANKLIN
X
WORKERS' :
COMPENSATION BOARD OF THE STATE OF NEW YORK,
Plaintiff,
-against- :
:
RALPH LAPAGE :
AFFIRMATION
Defendant(s) :
OF
REGULARITY
:
:
:
:
X
Workers'
The undersigned, an attorney in the officeofthe Compensation Board ofthe State ofNew
York, Plaintiffherein,hereby affirms thatthe following istrue under the penalty of perjury,upon
information and belief
Workers'
This affirmationisbased upon a review of the file
which ismaintained by the Compensation
Board initsregular course of business.
Workers'
The Compensation Board of the State of New York, inaccordance with the provisions of the
Workers'
Compensation Law, has made an assessment/award in thesum of $21,000.00, against the
defendant(s). Attached hereto and made a part hereofare certifiedcopies of the Notice of Decision and
Award, and/or a certifiedcopy ofthe demand for deposit of security,and/or a certifiedcopy ofthe chair's
order imposing, and the demand for payment of, assessments imposed by the chairpursuant to
Workers'
subdivision five ofsection fifty-twoand/or one hundred thirtyone of the Compensation Law, as
Workers'
required for of
filing judgment per Compensation Law, Section 26 and/or 219. Appeals before
the Board have been exhausted.
No payment of award has been made except $0.00, leaving $21,000.00 due and payable.
WHEREFORE, it is
respectfullyrequested that judgment be entered against the Defendant(s) herein in
the sum stated as remaining due and payable.
Dated: 11th day of October , 2022
S/
James R. McGinn, Esq.
Judgment Unit
C-45.1E 6/2007
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NYSCEF DOC. NO. 1 RECEIVED NYSCEF: 11/10/2022
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FILED: FRANKLIN COUNTY CLERK 11/14/2022 INDEX NO. E2022-581
NYSCEF DOC. NO. 1 RECEIVED NYSCEF: 11/10/2022
STATE OF NEW YORK
WORKERS'
NEW Workers' COMPENSATION BOARD THISAGENCYEMPLOYSAND SERVES
JUDGMENT UNIT PEOPLEWITH DISABILITIESWITHOUT
compensation DISCRIMINATION.
Board 328 STATE STREET
SCHENECTADY, NY 12305-2318
866-298-7830
RALPH LAPAGE WCB EMPLOYER #: 3132115
139 DOUG SMITH RD UlER #: 54-64185
DICKINSON CTR NY 12930-2208
FEIN/SS #: *****7500
It is
hereby certified
that thisis a true
and correct copy ofthe originalas filed
Workers'
with the Compensation Board
S/
DATE: 10/10/2022
MM TG* James R. McGinn,
Judgment Unit
Esq.
Non-Compliance
Item Description Dates Accident Date Balance Due
2021W0042273 Failure to Workers' Ins 08/11/2021-10/04/2022 $21,000.00
Carry Comp
Total Balance Due $21,000.00
*
If payment isnot received immediately, judgment willbe filedand the employer issubject to seizure
of assets, both business and personal, without furthernotice from the Board.
In orderto insureprompt credit
of your payment, complete thefollowingwiththe
Date, Number and Amount of yourcheck and return with
it, along your payment to.
WORKERS'
COMPENSATION BOARD
FINANCE OFFICE
328 STATE STREET, SCHENECTADY, NY 12305-2318
Please detach and return bottom portion with your payment.
___--------------------------------------------------------------------------------------------------------------------------------------
MAKE CHECKS PAYABLE TO "UNINSURED EMPLOYERS FUND".
PLEASE INCLUDE YOUR WCB EMPLOYER NUMBER ON YOUR CHECK.
Employer RALPH LAPAGE WCB Employer # 3132115
Customer ID #
Check
Check Date Check #
Amount
C-45.37 5/2004 Page 1 of 2
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FILED: FRANKLIN COUNTY CLERK 11/14/2022 INDEX NO. E2022-581
NYSCEF DOC. NO. 1 RECEIVED NYSCEF: 11/10/2022
Non-Compliance
Item Description Dates Accident Date Balance Due
MAKE CHECKS PAYABLE TO "UNINSURED EMPLOYERS FUND".
____________________________________________________________________________________________________________________
Mail payment along with this form to:
WORKERS'
COMPENSATION BOARD
FINANCE OFFICE
328 STATESTREET
SCHENECTADY, NY 12305-2318
C-45.37 5/2004 Page 2 of 2
6 of 7
FILED: FRANKLIN COUNTY CLERK 11/14/2022 INDEX NO. E2022-581
NYSCEF DOC. NO. 1 RECEIVED NYSCEF: 11/10/2022
SUPREME COURT OF THE STATE OF NEW YORK, COUNTY OF FRANKLIN
X
WORKERS' :
COMPENSATION BOARD OF THE STATE OF NEW YORK, JUDGMENT
Plaintiff,
-against- : EMP# : 3132115
: JUD# : 2230538
RALPH LAPAGE :
Defendant(s) : INDEX # :
FILING DT:
:
:
:
X
Workers'
By order of the Chair of the Compensation Board of the State of New York, demand for the
payment of the sum of$21,000.00, representing Awards and Penalties having been made against the
above captioned Defendant(s), afterdue notice, having defaulted inpayment thereof,except the sum of
$0.00 leaving $21,000.00 due and payable.
NOW, upon the certifiedcopies of notices attached hereto,and upon motion ofthe General Counsel of
Workers'
the Compensation Board of the State of New York, attorney for pursuant
Plaintiff, toSection
Workers'
26 of the Compensation Law of the State of New York providing forentry ofjudgment by the
Workers'
County Clerk in event of such default, it is
ADJUDGED, that the Plaintiff, Compensation Board
of the Stateof New York, 328 State Street,Schenectady, NY 12305 does recover from the
above-captioned Defendant(s), whose last known address(es) are; 139 DOUG SMITH RD, DICKINSON
CTR, NY 12930-2208, respectively; the sum of $21,000.00, and the Plaintiff
have execution therefore.
Judgment signed this: day of , .
Clerk
James R. McGinn, Esq.
Attorney forPlaintiff
Workers'
Compensation Board
328 State St.
Schenectady, NY 12305
C-45 6/2007
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Preview
FILED: FRANKLIN COUNTY CLERK 11/14/2022 INDEX NO. E2022-581 NYSCEF DOC. NO. 1 RECEIVED NYSCEF: 11/10/2022 SUPREME COURT OF THE STATE OF NEW YORK, COUNTY OF FRANKLIN X WORKERS' : COMPENSATION BOARD OF THE STATE OF NEW YORK, Plaintiff, -against- : : RALPH LAPAGE : AFFIRMATION Defendant(s) : OF NON-PAYMENT : : : : X Workers' The undersigned, an attorney in the officeofthe Compensation Board ofthe State ofNew York, Plaintiffherein,hereby affirms thatthe following istrue under the penalty of perjury,upon information and belief Workers' This affirmationisbased upon a review of the file which ismaintained by the Compensation Board initsregular course of business. I am familiarwith the status of payment in thismatter. The award/penalty/assessment/demand for deposit of securitymade against the defendant(s) in theamount of $21,000.00 isin default,as more than thirtydays have elapsed since the demand upon the defendant(s) herein forpayment. No payment has been received nor has the aforesaid security been deposited in compliance with said demand to date, except the sum of $0.00, leaving due and payble the sum of$21,000.00. Dated: 11th day of October , 2022 . S/ James R. McGinn, Esq. Judgment Unit C-45.45E 1/2009 1 of 7 FILED: FRANKLIN COUNTY CLERK 11/14/2022 INDEX NO. E2022-581 NYSCEF DOC. NO. 1 RECEIVED NYSCEF: 11/10/2022 2 of 7 FILED: FRANKLIN COUNTY CLERK 11/14/2022 INDEX NO. E2022-581 NYSCEF DOC. NO. 1 RECEIVED NYSCEF: 11/10/2022 SUPREME COURT OF THE STATE OF NEW YORK, COUNTY OF FRANKLIN X WORKERS' : COMPENSATION BOARD OF THE STATE OF NEW YORK, Plaintiff, -against- : : RALPH LAPAGE : AFFIRMATION Defendant(s) : OF REGULARITY : : : : X Workers' The undersigned, an attorney in the officeofthe Compensation Board ofthe State ofNew York, Plaintiffherein,hereby affirms thatthe following istrue under the penalty of perjury,upon information and belief Workers' This affirmationisbased upon a review of the file which ismaintained by the Compensation Board initsregular course of business. Workers' The Compensation Board of the State of New York, inaccordance with the provisions of the Workers' Compensation Law, has made an assessment/award in thesum of $21,000.00, against the defendant(s). Attached hereto and made a part hereofare certifiedcopies of the Notice of Decision and Award, and/or a certifiedcopy ofthe demand for deposit of security,and/or a certifiedcopy ofthe chair's order imposing, and the demand for payment of, assessments imposed by the chairpursuant to Workers' subdivision five ofsection fifty-twoand/or one hundred thirtyone of the Compensation Law, as Workers' required for of filing judgment per Compensation Law, Section 26 and/or 219. Appeals before the Board have been exhausted. No payment of award has been made except $0.00, leaving $21,000.00 due and payable. WHEREFORE, it is respectfullyrequested that judgment be entered against the Defendant(s) herein in the sum stated as remaining due and payable. Dated: 11th day of October , 2022 S/ James R. McGinn, Esq. Judgment Unit C-45.1E 6/2007 3 of 7 FILED: FRANKLIN COUNTY CLERK 11/14/2022 INDEX NO. E2022-581 NYSCEF DOC. NO. 1 RECEIVED NYSCEF: 11/10/2022 4 of 7 FILED: FRANKLIN COUNTY CLERK 11/14/2022 INDEX NO. E2022-581 NYSCEF DOC. NO. 1 RECEIVED NYSCEF: 11/10/2022 STATE OF NEW YORK WORKERS' NEW Workers' COMPENSATION BOARD THISAGENCYEMPLOYSAND SERVES JUDGMENT UNIT PEOPLEWITH DISABILITIESWITHOUT compensation DISCRIMINATION. Board 328 STATE STREET SCHENECTADY, NY 12305-2318 866-298-7830 RALPH LAPAGE WCB EMPLOYER #: 3132115 139 DOUG SMITH RD UlER #: 54-64185 DICKINSON CTR NY 12930-2208 FEIN/SS #: *****7500 It is hereby certified that thisis a true and correct copy ofthe originalas filed Workers' with the Compensation Board S/ DATE: 10/10/2022 MM TG* James R. McGinn, Judgment Unit Esq. Non-Compliance Item Description Dates Accident Date Balance Due 2021W0042273 Failure to Workers' Ins 08/11/2021-10/04/2022 $21,000.00 Carry Comp Total Balance Due $21,000.00 * If payment isnot received immediately, judgment willbe filedand the employer issubject to seizure of assets, both business and personal, without furthernotice from the Board. In orderto insureprompt credit of your payment, complete thefollowingwiththe Date, Number and Amount of yourcheck and return with it, along your payment to. WORKERS' COMPENSATION BOARD FINANCE OFFICE 328 STATE STREET, SCHENECTADY, NY 12305-2318 Please detach and return bottom portion with your payment. ___-------------------------------------------------------------------------------------------------------------------------------------- MAKE CHECKS PAYABLE TO "UNINSURED EMPLOYERS FUND". PLEASE INCLUDE YOUR WCB EMPLOYER NUMBER ON YOUR CHECK. Employer RALPH LAPAGE WCB Employer # 3132115 Customer ID # Check Check Date Check # Amount C-45.37 5/2004 Page 1 of 2 5 of 7 FILED: FRANKLIN COUNTY CLERK 11/14/2022 INDEX NO. E2022-581 NYSCEF DOC. NO. 1 RECEIVED NYSCEF: 11/10/2022 Non-Compliance Item Description Dates Accident Date Balance Due MAKE CHECKS PAYABLE TO "UNINSURED EMPLOYERS FUND". ____________________________________________________________________________________________________________________ Mail payment along with this form to: WORKERS' COMPENSATION BOARD FINANCE OFFICE 328 STATESTREET SCHENECTADY, NY 12305-2318 C-45.37 5/2004 Page 2 of 2 6 of 7 FILED: FRANKLIN COUNTY CLERK 11/14/2022 INDEX NO. E2022-581 NYSCEF DOC. NO. 1 RECEIVED NYSCEF: 11/10/2022 SUPREME COURT OF THE STATE OF NEW YORK, COUNTY OF FRANKLIN X WORKERS' : COMPENSATION BOARD OF THE STATE OF NEW YORK, JUDGMENT Plaintiff, -against- : EMP# : 3132115 : JUD# : 2230538 RALPH LAPAGE : Defendant(s) : INDEX # : FILING DT: : : : X Workers' By order of the Chair of the Compensation Board of the State of New York, demand for the payment of the sum of$21,000.00, representing Awards and Penalties having been made against the above captioned Defendant(s), afterdue notice, having defaulted inpayment thereof,except the sum of $0.00 leaving $21,000.00 due and payable. NOW, upon the certifiedcopies of notices attached hereto,and upon motion ofthe General Counsel of Workers' the Compensation Board of the State of New York, attorney for pursuant Plaintiff, toSection Workers' 26 of the Compensation Law of the State of New York providing forentry ofjudgment by the Workers' County Clerk in event of such default, it is ADJUDGED, that the Plaintiff, Compensation Board of the Stateof New York, 328 State Street,Schenectady, NY 12305 does recover from the above-captioned Defendant(s), whose last known address(es) are; 139 DOUG SMITH RD, DICKINSON CTR, NY 12930-2208, respectively; the sum of $21,000.00, and the Plaintiff have execution therefore. Judgment signed this: day of , . Clerk James R. McGinn, Esq. Attorney forPlaintiff Workers' Compensation Board 328 State St. Schenectady, NY 12305 C-45 6/2007 7 of 7