Preview
iD: YORK OUN PK 06 DM INDEX NO. 451549/2023
NYSCEF BOC. NO. 225 RECEIVED NYSCEF: 06/28/2023
O'LEARY EXHIBIT 9
INDEX NO. 451549/2023
NYSCEF DOC. NO. 225 RECEIVED NYSCEF: 06/28/2023
PROMISSOR OTE
(“NOT
$5,000.000.00 Bronx, New York
January 2, 2016
FOR VALUE RECEIVED, the undersigned promises to pay to the order of DARYL
HAGLER (hereinafier "Note Holder") with an addre: atl
HE or such other place as may be designated in wri ig by Note Holder, the principal sum of
FIVE MILLION DOLLARS ( $5,000,000.00), together with interest as hereinafter set forth.
Subject to prepayment as hereinafter contained, the entire principal amount due hereunder shall
be due and payable to the Note Holder immediately on December 31, 2019 (the “Maturity
Date”) TIME BEING OF T ESS ENCE
The undersigned shall pay the Note Holder interest in arrears as set forth hereinafter until
the principal sum due hereunder shall be paid in full. Interest hereunder shall accrue and be
computed from the date hereof, computed on the basis of a 365 day year on the unpaid principal
balance at the rate of seven (7.00%) percent per annum. Accrued and unpaid interest shall be due
and payable on the Maturity Date.
Upon the failure to pay the sums of money due under this Note (principal or interest),
which default shall remain uncured for a period of three (3) days, or the appointment of a
receiver of t property, rights, credits, assets or any part thereof, of the undersigned, or the
filing of a petition by or against the undersigned for relief under any bankruptcy or insolvency
law, or an assignment of all or substantially all of the undersigned's assets for the benefit of
creditors, or the failure by the undersigned to fulfill any of it’s obligations to Note Holder
howsoever arising under this Note, the Note Holder may cumulatively without exclusion or
limitation:
(1) Declare all sums owing Note Holder from the undersigned hereunder to be
forthwith due and payable along with interest calculated thereon at the highest rate permitted by
law from the date hereof until all sums owing Note Holder under this Note are paid in full: and
(2) Collect all reasonable expenses incurred by Note Holder in connection with the
collection of this Note, including but not limited to reasonable attorney's fees and court costs.
Note Holder shall not, by any act, delay, omi: n or otherwise be deemed to have
waived any of his rights or remedies hereunder and no waiver by the Note Holder of his rights or
remedies hereunder shall be valid against Note Holder unle: in writing, signed by Note Holder,
and then only to the extent therein set forth. The waiver by the Note Holder of any right or
remedy hereunder upon any one occasion shall not be construed as a bar to any right or remedy
which he would otherwise have had on any future occasion.
The undersigned shall have the right to make prepayments, in whole or in part, of this
Note without premium or penalty and from time to time after the date hereof.
The undersigned hereby waives presentment for payment, protest and notice for non-
payment of this Note as well as all other notices or demands as may be otherwise required by law
from time to time in connection with the delivery, acceptance, performance, default,
INDEX NO. 451549/2023
NYSCEF DOC. NO. 225 RECEIVED NYSCEF: 06/28/2023
endorsement or payment of this Note. The undersigned represents and warrants that this Note is
legally binding upon the undersigned.
This Note shall be governed by and construed in accordance with the laws of the State of
New York, without regard to conflicts of law, and venue shall be in the courts located in New
York County therein. An executed and notarized copy of this Note may be delivered via
facsimile, email or other electronic means and such copy shall be deemed an original for all
purposes.
DELAWARE REAL PROPE
ASSOCIATES) Li
By pescaa
INDEX NO. 451549/2023
NYSCEF DOC. NO. 225 RECEIVED NYSCEF: 06/28/2023
Delinquent 12% int 25% Penalty Total Qtr Total
‘Apr-09 40,265 1,668 10,066 51,999 46,889.00 (a)
May-09 42,113 1,315 8,423 51,851
Jun-09 41,976 897 6,296 49,169
Jul-09) 40,152 1,663 10,038 51,853 155,464.00 (b)
Aug-09 44,205 1,409 8,841 54,455
Sep-09 41,941 924 6,291 49,156
Oct-09 41,138 1,650 8,228 51,016 157,967.00 (co)
Nov-09 41,484 1,268 6,223 48,975
Dec-09 51,746 1,055 5,175 57,976
Jan-10 43,473 1,758 8,695 53,926 171,692.00 (a)
Feb-10 51,481 1,608 10,296 63,385
Mar-10 46,438 977 6,966 54,381
‘Apr-10 51,044 2,080 10,209 63,333 178,412.00 (e)
May-10 46,073 1,439 9,215 56,727
Jun-10 49,816 1,064 7,472 58,352
Jul-10 56,935 2,302 11,387 70,624 177,387.00 (f)
Aug-10 42,228 1,291 6,334 49,853
Sep-10 48,611 1,007 7,292 56,910
Oct-10 40,309 1,630 8,062 50,001 156,464.00 (8)
Nov-10 43,237 1,322 6,486 51,045
Dec-10 49,507 960 4,951 55,418
Jan-11. 44,824 1,842 11,206 57,872 170,889.00 (h)
Feb-11 40,730 1,299 8,146 50,175
Mar-11. 53,633 1,164 8,045 62,842
Apr-11 44,524 1,829 11,131 57,484 194,525.00
May-11 47,734 1,506 9,547 58,787
Jun-11. 66,787 1,449 10,018 78,254
Jul-11 48,934 2,043 12,234 63,211 209,447.00 (i)
Aug-11 58,988 1861 11,798 72,647
Sep-11 62,841 1,322 9,426 73,589
Oct-11 58,973 2,404 11,795 73,172 206,098.00 (k)
Nov-11 54,704 1,690 10,941 67,335
Dec-11 58,561 1,174 5,856 65,591
Jan-12 45,434 1,852 9,087 56,373 180,055.00
Feb-12 46,036 1,438 9,207 56,681
Mar-12 57,231 1,185 8,585 67,001
‘Apr-12 46,639 1,932 11,660 60,231 194,048.00 (m)
May-12 65,747 2,053 13,149 80,949
Jun-12 45,146 950 6,772 52,868
Jul-12 47,117 1,982 11,779 60,878 183,013.00 (n)
Aug-12 54,849 1,713 10,970 67,532
Sep-12 46,589 1,026 6,988 54,603
Oct-12 52,489 2,036 10,498 65,023 192,683.00 (0)
Nov-12 55,191 1,651 8,279 65,121
Dec-12 55,819 1,138 5,582 62,539
Jan-13) 51,728 2,091 10,346 64,165 199,257.00 (p)
Feb-13 42,299 1,321 8,460 52,080
Mar-13 70,888 1,491 10,633 83,012
‘Apr-13 49,664 2,057 12,416 64,137 169,543.00 (a)
May-13 48,542 1,484 7,281 57,307
Jun-13 41,063 877 6,159 48,099
Jul-13) 40,388 1,673 10,097 52,158 161,177.00 (r)
Aug-13 44,354 1,370 8,871 54,595
Sep-13 46,462 993 6,969 54,424
Oct-13 48,789 1,973 9,758 60,520 168,132.00 (3)
Nov-13 42,706 1,291 6,406 50,403
Dec-13 51,062 1,041 5,106 57,209
Jan-14 47,251 1,864 9,450 58,565 166,067.00 (t)
Feb-14 43,644 1,334 6,547 51,525
Mar-14 47,801 1,006 7,170 55,977
‘Apr-14 46,451 992 6,968 54,411 106,029.00 (u)
May-14 46,248 745 4,625 51,618
3,023,032 91,429 536,907 3,651,368
3,545,238.00
INDEX NO. 451549/2023
(FILED: NEW YORK COUNTY CLERK 0672872023 03:21 PM
NYSCEF DOC. NO. 225 RECEIVED NYSCEF: 06/28/2023
@1591506
NYS DEPARTMENT OF HEALTH - MEDICAID FINANCIAL MANAGEMENT
05/23/17
RECEIVABLE / RECOUPMENT HISTORY
1591506
1758 @5/02/11 MA 153,019.00 131700 4-6/2009
1766 06/27/11 MA -46,889.15 131700 4-6/2@09
1759 05/09/11 14,338.47 A 138,680.53
1768 05/16/11 12,961.00 A 125,719.53
1761 5/23/11 17,327.69 A 108,391.84
jit ©
1762 @5/30/11 17,298.79 A 91,093.05
1763 06/06/11 19,200.48 A 71,892.57
1764 06/13/11 6,916.73 A
1765 06/26/11 18,086.69 A
TOTAL 106,129.85
1766 6/27/11 RR 31,507.19 133285 INTER REMIT
RECOV
1766 06/27/11 31,507.19 A @.00
1766 06/27/11 RR 669,598.80 133286
1766 06/27/11 24,843.85 644,754.15
1767 07/04/11 4,881.48 639,872.67
1768 @7/11/11 1,975.94 637,896.73
1769 07/18/11 3,386.88 634,509.85
1778 07/25/11 6,640.84 627,869.01
1771 08/01/11 9,884.56 617,984.45
1772 8/08/11 7,937.91 610,046.54
1773 8/15/11 4,028.47 606,018.07
1774 8/22/11 8,048.36 597,969.71
1775 08/29/11 8,300.65 589,669.06
1776 9/05/11 9, 067.56 580,601.50
1777 09/12/11 2,865.95 $77,735.55
1778 9/19/11 10,156.10 567,579.45
1779 09/26/11 8,616.12 558,963.33
1780 10/03/11 12,349.00 546,614.33
1781 10/10/11 8,289.86 538,324.47
1782 10/17/11 5,778.63 532,545.84
1783 10/24/11 8,445.20 524,100.64
1784 10/31/11 9,238.35 514,862.29
1785 11/07/11 12,612.33 502,249.96
1786 11/14/11 1,689.80 506,560.16
1787 11/21/11 7,965.37 492,594.79
Page 1
INDEX NO. 451549/2023
(FILED: NEW YORK COUNTY CLERK 0672872023 03:21 PM
NYSCEF DOC. NO. 225 RECEIVED NYSCEF: 06/28/2023
@1591506
1788 11/28/11 7,902.44 484,692.35
1789 12/05/11 8,563.47 476,128.88
1798 12/12/11 3,345.09 472,783.79
1791 12/19/11 6,944.07 465,839.72
1792 12/26/11 8,236.83 457,602.89
1793 1/02/12 8,183.76 449,419.13
1794 @1/09/12 7,250.62 442,168.51
1795 @1/16/12 2,955.09 439,213.42
NYS DEPARTMENT OF HEALTH - MEDICAID FINANCIAL MANAGEMENT
5/23/17
RECEIVABLE / RECOUPMENT HISTORY
1591506
PAGE 9
CYCLE RECOUPMENT RECEIVABLE AMT/
CYCLE DATE RSN AMOUNT RECOUP BALANCE REF # FOOTNOTE
1796 1/23/12 9,054.92 A 430,158.50
1797 1/30/12 6,973.92 A 423,184.58
1798 02/06/12 7,108.65 A 416,075.93
1799 2/13/12 2,322.97 A 413,752.96
1800 02/20/12 9,162.99 A 404,589.97
1801 02/27/12 6,685.04 A 397,904.93
1802 @3/05/12 7,706.84 A 390,198.09
1803 03/12/12 4,781.58 A 385,416.51
1804 @3/19/12 6,375.54 A 379,040.97
1805 03/26/12 9,805.38 A 369,235.59
1806 04/02/12 8,538.96 A 360,696.63
1807 04/09/12 6,072.85 A 354,623.78
1808 04/16/12 3,083.99 A 351,539.79
1809 04/23/12 7,918.11 A 343,621.68
1810 04/30/12 7,292.28 A 336,329.48
1811 @5/07/12 8,492.31 A 327,837.17
1812 05/14/12 1,361.78 A 326,475.39
1813 05/21/12 8,212.82 A 318,262.57
1814 @5/28/12 7,883.40 A 310,379.17
1815 06/04/12 7,656.44 A 302,722.73
1816 6/11/12 5,688.99 A 297,033.74
1817 06/18/12 5,544.99 A 291,488.75
1818 06/25/12 8,015.94 A 283,472.81
1819 7/02/12 7,752.20 A 275,720.61
1820 7/09/12 6,103.68 A 269,616.93
1821 07/16/12 136,724.20 A 132,892.73
1822 07/23/12 7,121.95 A 125,770.78
1823 7/30/12 7,601.63 A 118,169.15
1824 08/06/12 9,475.23 A 108,693.92
Page 2
INDEX NO. 451549/2023
(FILED: NEW YORK COUNTY CLERK 0672872023 03:21 PM
NYSCEF DOC. NO. 225 RECEIVED NYSCEF: 06/28/2023
@1591506
1826 08/20/12 7,455.82 A 101,238.18
1827 8/27/12 7,114.26 A 94,123.84
1828 09/03/12 7,805.24 A 86,318.60
1829 @9/10/12 6,623.69 A 79,694.91
1830 Q9/17/12 3,997.31 A 75,697.60
1831 09/24/12 8,889.65 A 66,807.95
1832 10/01/12 8,245.11 A 58,562.84
1833 10/08/12 9,132.78 A 49,430.06
1834 10/15/12 1,881.04 A 47,549.02
1835 10/22/12 6,756.31 A 40,792.71
1836 10/29/12 8,736.42 A 32,056.29
1837 11/05/12 9,154.00 A 22,902.29
1838 11/12/12 3,590.76 A 19,311.53
1839 11/19/12 6,061.66 A 13,249.87
1840 11/26/12 7,385.23 A 5,864.64
1841 12/03/12 5,864.64 A 0.00
TOTAL 669,598.00
1786 11/14/11 RR 1,007,129.26 142667
1841 12/03/12 2,593.24 A 1, 004,536.02
1842 12/10/12 6,843.27 A 997,692.75
1843 12/17/12 11,150.66 A 986,542.09
1844 12/24/12 7,512.95 A 979,029.14
NYS DEPARTMENT OF HEALTH - MEDICAID FINANCIAL MANAGEMENT
05/23/17
RECEIVABLE / RECOUPMENT HISTORY
1591506
PAGE 10
CYCLE RECOUPMENT RECEIVABLE AMT/
CYCLE DATE RSN AMOUNT RECOUP BALANCE REF # FOOTNOTE
1845 12/31/12 6,704.53 A 972,324.61
1846 @1/07/13 7,620.38 A 964,704.23
1847 01/14/13 672.10 A 964,032.13
1848 @1/21/13 6,977.61 A 957,054.52
1849 01/28/13 7,070.01 A 949,984.51
1850 02/04/13 6,900.56 A 943,083.95
1851 02/11/13 3,801.50 A 939,282.45
1852 2/18/13 5,541.23 A 933,741.22
1853 2/25/13 23,393.44 A 910,347.78
1854 03/04/13 40,052.10 A 870,295.68
1855 @3/11/13 23,757.72 A 846,537.96
1856 @3/18/13 4,684.63 A 841,853.33
1857 3/25/13 6,080.82 A 835,772.51
Page 3
INDEX NO. 451549/2023
(FILED: NEW YORK COUNTY CLERK 0672872023 03:21 PM
NYSCEF DOC. NO. 225 RECEIVED NYSCEF: 06/28/2023
@1591506
1858 04/01/13 6,192.57 A 829,579.94
1859 04/08/13 6,003.86 A 823,576.08
1860 04/15/13 1,189.51 A 822,386.57
1861 04/22/13 7,003.80 A 815,382.77
1862 04/29/13 9,238.13 A 806,144.64
1863 5/06/13 8,840.82 A 797,303.82
1865 5/20/13 5,252.03 A 792,051.79
1866 5/27/13 7,694.21 A 784,357.58
1867 06/03/13 6,901.57 A 777,456.01
1868 06/10/13 4,606.07 A 772,849.94
1869 06/17/13 2,843.59 A 770,006.35
1870 06/24/13 6,820.22 A 763,186.13
1871 07/01/13 6,550.75 A 756,635.38
1872 7/08/13 6,257.46 A 750,377.92
1873 07/15/13 1,257.75 A 749,126.17
1874 07/22/13 6,823.09 A 742,297.08
1875 07/29/13 6,370.80 735,926.28
1876 08/05/13 7,008.31 728,917.97
1877 08/12/13 2,554.44 726,363.53
1878 8/19/13 4,714.85 721,648.68
1879 8/26/13 6,534.34 715,114.34
1888 9/02/13 6,951.25 708,163.09
1881 9/09/13 7,315.85 700,847.24
1882 9/16/13 2,706.22 698,141.02
1883 09/23/13 6,895.38 691,245.64
1884 09/30/13 6,315.55 684,930.09
1885 10/07/13 9,508.10 675,421.99
1886 10/14/13 219.36 675,202.63
1887 10/21/13 5,864.19 669,338.44
1888 10/28/13 7,599.29 661,739.15
1889 11/04/13 6,303.04 655,436.11
1890 11/11/13 4,099.53 651, 336.58
1891 11/18/13 3,621.87 647,714.71
1892 11/25/13 10,430.04 637,284.67
1893 12/02/13 7,134.98 630,149.69
1894 12/09/13 5,539.04 624,610.65
1895 12/16/13 2,489.89 622,120.76
1896 12/23/13 6,700.89 615,419.87
1897 12/30/13 6,626.06 608,793.818
NYS DEPARTMENT OF HEALTH - MEDICAID FINANCIAL MANAGEMENT
05/23/17
RECEIVABLE / RECOUPMENT HISTORY
1591506
PAGE 11
CYCLE RECOUPMENT RECEIVABLE AMT/
Page 4
FILED: NEW YORK COUNTY CLERK 06/28/2023 03:21 PM INDEX NO. 451549/2023
NYSCEF DOC. NO. 225 RECEIVED NYSCEF: 06/28/2023
@1591506
CYCLE DATE RSN AMOUNT RECOUP BALANCE REF # FOOTNOTE
1898 @1/06/14 9,637.00 599,156.81
1899 @1/13/14 1,863.00 597,293.81
1900 @1/20/14 5,004.76 592,289.05
1901 1/27/14 6,784.57 585,504.48
1902 2/03/14 7,125.13 578,379.35
1983 2/10/14 7,877.33 570,502.02
1904 2/17/14 2,950.72 567,551.30
1905 2/24/14 5,792.40 561,758.90
1906 3/03/14 5,882.57 555,876.33
1907 3/10/14 243,780.35 312,095.98
1988 03/17/14 2,985.41 309,110.57
1969 3/24/14 7,181.66 301,928.91
1910 03/31/14 6,597.36 295,331.55
1911 04/07/14 7,801.55 287,530.00
1912 04/14/14 698.97 286, 831.03
1913 04/21/14 7,061.49 279,769.54
1914 04/28/14 6,533.78 273,235.76
1915 05/05/14 6,505.11 266,730.65
1916 05/12/14 2,866.59 263,864.06
1917 05/19/14 4,822.98 259,041.08
1918 05/26/14 7,180.98 251,860.10
1919 06/02/14 8,102.18 243,757.92
1920 6/09/14 7,222.37 236,535.55
1921 06/16/14 460.54 236,075.01
1922 6/23/14 4,831.22 231,243.79
1923 06/30/14 4,694.10 226,549.69
1924 07/07/14 226,549.69 8.00
TOTAL 1, 007,129.26
1795 01/16/12 RR 137,006.98 145433
1924 07/07/14 46,298.81 90,708.17
1925 07/14/14 16,883.01 73,825.16
1926 07/21/14 27,565.78 A 46,259.46
1927 07/28/14 24,747.37 A 21,512.09
1928 08/04/14 21,512.09 0.00
TOTAL 137, 006.98
1830 09/17/12 TL 55,462.53 150423 BIENSTOCK
1830 09/17/12 55,462.53 M 8.00
1843 12/17/12 RR 21,582.22 151795 INTER REMIT
RECOV
1843 12/17/12 21,582.22 A 8.00
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INDEX NO. 451549/2023
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NYSCEF DOC. NO. 225 RECEIVED NYSCEF: 06/28/2023
@1591506
1848 @1/21/13 RR 128.94 152349
1928 08/04/14 128.94 A 8.00
1850 2/04/13 RR 3,233.82 152860
1928 08/04/14 3,233.82 A 0.00
1851 @2/11/13 RN 5,462.53 153083 NYC COURT
1851 2/11/13 55,462.53 M @.00m
NYS DEPARTMENT OF HEALTH - MEDICAID FINANCIAL MANAGEMENT
05/23/17
RECEIVABLE / RECOUPMENT HISTORY
1591506
PAGE 12
CYCLE RECOUPMENT RECEIVABLE AMT/
CYCLE DATE RSN AMOUNT RECOUP BALANCE REF # FOOTNOTE
1985 2/24/14 RR 61,095.48 159002
1928 08/04/14 2,995.36 58,100.12
1929 08/11/14 22,238.34 A 35,861.78
1930 08/18/14 6,448.67 A 29,413.11
1931 08/25/14 22,215.01 A 7,198.18
1932 09/01/14 7,198.10 2.00
TOTAL 61,095.48
1925 07/14/14 RR 32,920.72 162001
1932 9/01/14 20,480.16 12,440.56
1933 09/08/14 12,440.56 A @.00
TOTAL 32,920.72
1933 09/08/14 MA 155,464.00 164220 7-9/2009
150,300.57
@
1934 99/15/14 5,163.43
1935 @9/22/14 9,157.19 141,143.38
1936 9/29/14 6,260.73 134,882.65
1937 10/06/14 11,395.78 123,486.95
1938 10/13/14 8,604.06 114,882.89
1939 10/20/14 246.67 114,636.22
1940 10/27/14 8,843.53 105,792.69
1941 11/03/14 7,859.13 97,933.56
1942 11/10/14 6,943.85 90,989.71
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NYSCEF DOC. NO. 225 RECEIVED NYSCEF: 06/28/2023
@1591506
1943 11/17/14 2,036.29 A 88,953.42
1944 11/24/14 22,360.82 A 66,592.60
1945 12/01/14 7,009.94 A 59,582.66
1946 12/08/14 8,680.42 A 50,902.24
1947 12/15/14 2,691.49 48,210.75
1948 12/22/14 7,073.27 41,137.48
1949 12/29/14 7,869.01 33,268.47
1957 @2/23/15 8,586.56 24,681.91
1958 3/02/15 7,653.81 17,028.18
1959 3/09/15 13,570.21 3,457.89
1960 3/16/15 3,457.89 2.00
TOTAL 155,464.00
1959 3/09/15 RR 19,649.49 168544 INTER REMIT
RECOV
1959 3/09/15 19,649.49 8.00
1959 3/09/15 RR 10,833.99 168545
1959 03/09/15 10,833.99 @.00 ~
1961 03/23/15 MA 46,889.15 169298 4-6/2009 \/
#131700
1980 08/03/15 8,544.54 38,344.61
29,563.96
(®)
1983 08/24/15 8,780.65
1988 @9/28/15 8,251.16 21,312.80
1989 10/05/15 6,863.35 14,449.45
1998 10/12/15 7,241.75 7,207.70
1991 10/19/15 3,567.30 3,640.40
1992 10/26/15 3,640.40 8.00
TOTAL 46,889.15a&
NYS DEPARTMENT OF HEALTH - MEDICAID FINANCIAL MANAGEMENT
5/23/17
RECEIVABLE / RECOUPMENT HISTORY
1591506
PAGE 13
CYCLE RECOUPMENT RECEIVABLE AMT/
CYCLE DATE RSN AMOUNT RECOUP BALANCE REF # FOOTNOTE
1961 3/23/15 MA 106,029.00 169291 4/14 - 6/14
2044 10/24/16 24,101.58 A 81,927.42
)
2045 10/31/16 24,101.58 A 57,825.84
2046 11/07/16 24,101.58 A 33,724.26
2047 11/14/16 24,101.58 A 9,622.68
Page 7
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FILED: NEW YORK COUNTY CLERK 06/28/2023 03:21 PM INDEX NO. 451549/2023
NYSCEF DOC. NO. 225 RECEIVED NYSCEF: 06/28/2023
@1591506
2048 11/21/16 9,622.68 A 8.00
TOTAL 106,029.00
1961 @3/23/15 MA 156,464.00 169292 10-12/2010
24,101.58
(9)
2029 7/11/16 132,362.42
2030 07/18/16 24,101.58 A 108, 260.84
2031 07/25/16 24,101.58 84,159.26
2032 08/01/16 24,101.58 60,057.68
2033 08/08/16 24,101.58 A 35,956.10
2034 08/15/16 24,101.58 A 11,854.52
2035 08/22/16 11,854.52 8.00
TOTAL 156,464.00
1961 3/23/15 MA 157,967.00 169293 10-12/2009
1962 03/30/15 9,718.18 148,248.82
1963 04/06/15 10,712.96 137,535.86
1964 04/13/15 10,066.83 127,469.03
1965 04/20/15 6,729.36 120,739.67
1966
1967
1968
4/27/15
05/04/15
@5/11/15
12,017.56
7,143.07
12,225.01
108,722.11
101,579.04
89,354.03
(c)
1969 05/18/15 3,970.01 85,384.02
1970 @5/25/15 7,254.72 78,129.30
1971 06/01/15 10,367.70 67,761.60
1972 06/08/15 9,316.12 58,445.48
1973 06/15/15 2,730.23 55,715.25
1974 6/22/15 8,149.55 47,565.78
1975 6/29/15 16,558.84 31,006.86
1976 07/06/15 12,821.69 18,185.17
1977 7/13/15 11,498.78 6,686.39
1978 07/20/15 4,759.72 1,926.67
1979 07/27/15 1,926.67 8.00
TOTAL 157,967.00
1961 @3/23/15 MA (@) 161,177.00 169294 7-9/2013
2049 11/28/16 24,101.58 A 137,075.42
2050 12/05/16 24,101.58 A 112,973.84
2068 04/10/17 24,101.58 A 88,872.26
2069 04/17/17 24,101.58 A 64,770.68
2070 04/24/17 24,101.58 A 40,669.10
2071 @5/01/17 24,101.58 A 16,567.52
2072 @5/08/17 16,567.52 A 2.00
TOTAL 161,177.00
1961 3/23/15 MA \“ 166,067.00 169295 1-3/2014
Page 8
1
INDEX NO. 451549/2023
(FILED: NEW YORK COUNTY CLERK 0672872023 03:21 PM
NYSCEF DOC. NO. 225 RECEIVED NYSCEF: 06/28/2023
@1591506
1961 3/23/15 MA (S \ 168,132.00 169296 10-12/2013
a
NYS DEPARTMENT OF HEALTH - MEDICAID FINANCIAL MANAGEMENT
05/23/17
RECEIVABLE / RECOUPMENT HISTORY
1591506
PAGE 14
CYCLE RECOUPMENT RECEIVABLE AMT/
CYCLE DATE RSN AMOUNT RECOUP BALANCE REF # FOOTNOTE
1961 03/23/15 MA (.Q) 169,543.00 169297 4-6/2013
1961 03/23/15 MA 170,889.00 169298 1-3/2011
2051 12/12/16 24,101 58 146,787.42
(h)
2052 12/19/16 24,101 58 122,685.84
2053 12/26/16 24,101 58 98,584.26
2054 @1/02/17 24,101 58 74,482.68
2055 1/09/17 24,101 58 50,381.10
2056 01/16/17 24,101 58 26,279.52
2057 @1/23/17 24,101.58 2,177.94
2058 1/30/17 2,177.94 0.02
TOTAL 170,889.00
1961 3/23/15 MA 171,692.00 169299 1-3/2010
1994 11/09/15 7,590.14 164,101.86
1995 11/16/15 2,369.24 161,732.62
1996 11/23/15 7,236.23 154,496.39
7,479.16
cs)
1997 11/30/15 147,017.23
1998 12/07/15 6,203.18 140,814.05
1999 12/14/15 4,835.58 135,978.47
2000 12/21/15 7,205.16 128,773.31
2001 12/28/15 7,554.23 121,219.08
2002 01/04/16 7,918.36 113,300.72
2003 @1/11/16 7,324.78 105,976.02
2004 @1/18/16 2,211.51 103,764.51
2005 @1/25/16 19, 830.66 83,933.85
2006 02/01/16 6,917.53 77,016.32
2007 02/08/16 14,107.27 62,909.05
2008 02/15/16 4,400.97 58,508.08
2009 02/22/16 9,752.38 48,755.70
Page 9
12
INDEX NO. 451549/2023
(FILED: NEW YORK COUNTY CLERK 0672872023 03:21 PM
NYSCEF DOC. NO. 225 RECEIVED NYSCEF: 06/28/2023
@1591506
2010 2/29/16 7,008.17 41,747.53
(a)
2011 03/07/16 10,599.34 31,148.19
2019 @5/02/16 6,564.14 24,584.05
2020 05/09/16 6,239.17 18,344.88
2021 @5/16/16 2,724.43 15,620.45
2022 05/23/16 12,613.22 3,007.23
2023 05/30/16 3,007.23 @.02
TOTAL 171,692.00
1961 3/23/15 MA 177, 387.08 169300 7-9/2010
2026 06/20/16 MA -80,587.78 169300 7-9/2010
UNSET#2
2027 06/27/16 MA 80,587.78 169300 7-9/2010
UNSET#2
2027 06/27/16 4.61 A 90,534.61
80,587.78 (>,
(¢)
2027 06/27/16 90,534.61
2036 08/29/16
Preview
iD: YORK OUN PK 06 DM INDEX NO. 451549/2023 NYSCEF BOC. NO. 225 RECEIVED NYSCEF: 06/28/2023 O'LEARY EXHIBIT 9 INDEX NO. 451549/2023 NYSCEF DOC. NO. 225 RECEIVED NYSCEF: 06/28/2023 PROMISSOR OTE (“NOT $5,000.000.00 Bronx, New York January 2, 2016 FOR VALUE RECEIVED, the undersigned promises to pay to the order of DARYL HAGLER (hereinafier "Note Holder") with an addre: atl HE or such other place as may be designated in wri ig by Note Holder, the principal sum of FIVE MILLION DOLLARS ( $5,000,000.00), together with interest as hereinafter set forth. Subject to prepayment as hereinafter contained, the entire principal amount due hereunder shall be due and payable to the Note Holder immediately on December 31, 2019 (the “Maturity Date”) TIME BEING OF T ESS ENCE The undersigned shall pay the Note Holder interest in arrears as set forth hereinafter until the principal sum due hereunder shall be paid in full. Interest hereunder shall accrue and be computed from the date hereof, computed on the basis of a 365 day year on the unpaid principal balance at the rate of seven (7.00%) percent per annum. Accrued and unpaid interest shall be due and payable on the Maturity Date. Upon the failure to pay the sums of money due under this Note (principal or interest), which default shall remain uncured for a period of three (3) days, or the appointment of a receiver of t property, rights, credits, assets or any part thereof, of the undersigned, or the filing of a petition by or against the undersigned for relief under any bankruptcy or insolvency law, or an assignment of all or substantially all of the undersigned's assets for the benefit of creditors, or the failure by the undersigned to fulfill any of it’s obligations to Note Holder howsoever arising under this Note, the Note Holder may cumulatively without exclusion or limitation: (1) Declare all sums owing Note Holder from the undersigned hereunder to be forthwith due and payable along with interest calculated thereon at the highest rate permitted by law from the date hereof until all sums owing Note Holder under this Note are paid in full: and (2) Collect all reasonable expenses incurred by Note Holder in connection with the collection of this Note, including but not limited to reasonable attorney's fees and court costs. Note Holder shall not, by any act, delay, omi: n or otherwise be deemed to have waived any of his rights or remedies hereunder and no waiver by the Note Holder of his rights or remedies hereunder shall be valid against Note Holder unle: in writing, signed by Note Holder, and then only to the extent therein set forth. The waiver by the Note Holder of any right or remedy hereunder upon any one occasion shall not be construed as a bar to any right or remedy which he would otherwise have had on any future occasion. The undersigned shall have the right to make prepayments, in whole or in part, of this Note without premium or penalty and from time to time after the date hereof. The undersigned hereby waives presentment for payment, protest and notice for non- payment of this Note as well as all other notices or demands as may be otherwise required by law from time to time in connection with the delivery, acceptance, performance, default, INDEX NO. 451549/2023 NYSCEF DOC. NO. 225 RECEIVED NYSCEF: 06/28/2023 endorsement or payment of this Note. The undersigned represents and warrants that this Note is legally binding upon the undersigned. This Note shall be governed by and construed in accordance with the laws of the State of New York, without regard to conflicts of law, and venue shall be in the courts located in New York County therein. An executed and notarized copy of this Note may be delivered via facsimile, email or other electronic means and such copy shall be deemed an original for all purposes. DELAWARE REAL PROPE ASSOCIATES) Li By pescaa INDEX NO. 451549/2023 NYSCEF DOC. NO. 225 RECEIVED NYSCEF: 06/28/2023 Delinquent 12% int 25% Penalty Total Qtr Total ‘Apr-09 40,265 1,668 10,066 51,999 46,889.00 (a) May-09 42,113 1,315 8,423 51,851 Jun-09 41,976 897 6,296 49,169 Jul-09) 40,152 1,663 10,038 51,853 155,464.00 (b) Aug-09 44,205 1,409 8,841 54,455 Sep-09 41,941 924 6,291 49,156 Oct-09 41,138 1,650 8,228 51,016 157,967.00 (co) Nov-09 41,484 1,268 6,223 48,975 Dec-09 51,746 1,055 5,175 57,976 Jan-10 43,473 1,758 8,695 53,926 171,692.00 (a) Feb-10 51,481 1,608 10,296 63,385 Mar-10 46,438 977 6,966 54,381 ‘Apr-10 51,044 2,080 10,209 63,333 178,412.00 (e) May-10 46,073 1,439 9,215 56,727 Jun-10 49,816 1,064 7,472 58,352 Jul-10 56,935 2,302 11,387 70,624 177,387.00 (f) Aug-10 42,228 1,291 6,334 49,853 Sep-10 48,611 1,007 7,292 56,910 Oct-10 40,309 1,630 8,062 50,001 156,464.00 (8) Nov-10 43,237 1,322 6,486 51,045 Dec-10 49,507 960 4,951 55,418 Jan-11. 44,824 1,842 11,206 57,872 170,889.00 (h) Feb-11 40,730 1,299 8,146 50,175 Mar-11. 53,633 1,164 8,045 62,842 Apr-11 44,524 1,829 11,131 57,484 194,525.00 May-11 47,734 1,506 9,547 58,787 Jun-11. 66,787 1,449 10,018 78,254 Jul-11 48,934 2,043 12,234 63,211 209,447.00 (i) Aug-11 58,988 1861 11,798 72,647 Sep-11 62,841 1,322 9,426 73,589 Oct-11 58,973 2,404 11,795 73,172 206,098.00 (k) Nov-11 54,704 1,690 10,941 67,335 Dec-11 58,561 1,174 5,856 65,591 Jan-12 45,434 1,852 9,087 56,373 180,055.00 Feb-12 46,036 1,438 9,207 56,681 Mar-12 57,231 1,185 8,585 67,001 ‘Apr-12 46,639 1,932 11,660 60,231 194,048.00 (m) May-12 65,747 2,053 13,149 80,949 Jun-12 45,146 950 6,772 52,868 Jul-12 47,117 1,982 11,779 60,878 183,013.00 (n) Aug-12 54,849 1,713 10,970 67,532 Sep-12 46,589 1,026 6,988 54,603 Oct-12 52,489 2,036 10,498 65,023 192,683.00 (0) Nov-12 55,191 1,651 8,279 65,121 Dec-12 55,819 1,138 5,582 62,539 Jan-13) 51,728 2,091 10,346 64,165 199,257.00 (p) Feb-13 42,299 1,321 8,460 52,080 Mar-13 70,888 1,491 10,633 83,012 ‘Apr-13 49,664 2,057 12,416 64,137 169,543.00 (a) May-13 48,542 1,484 7,281 57,307 Jun-13 41,063 877 6,159 48,099 Jul-13) 40,388 1,673 10,097 52,158 161,177.00 (r) Aug-13 44,354 1,370 8,871 54,595 Sep-13 46,462 993 6,969 54,424 Oct-13 48,789 1,973 9,758 60,520 168,132.00 (3) Nov-13 42,706 1,291 6,406 50,403 Dec-13 51,062 1,041 5,106 57,209 Jan-14 47,251 1,864 9,450 58,565 166,067.00 (t) Feb-14 43,644 1,334 6,547 51,525 Mar-14 47,801 1,006 7,170 55,977 ‘Apr-14 46,451 992 6,968 54,411 106,029.00 (u) May-14 46,248 745 4,625 51,618 3,023,032 91,429 536,907 3,651,368 3,545,238.00 INDEX NO. 451549/2023 (FILED: NEW YORK COUNTY CLERK 0672872023 03:21 PM NYSCEF DOC. NO. 225 RECEIVED NYSCEF: 06/28/2023 @1591506 NYS DEPARTMENT OF HEALTH - MEDICAID FINANCIAL MANAGEMENT 05/23/17 RECEIVABLE / RECOUPMENT HISTORY 1591506 1758 @5/02/11 MA 153,019.00 131700 4-6/2009 1766 06/27/11 MA -46,889.15 131700 4-6/2@09 1759 05/09/11 14,338.47 A 138,680.53 1768 05/16/11 12,961.00 A 125,719.53 1761 5/23/11 17,327.69 A 108,391.84 jit © 1762 @5/30/11 17,298.79 A 91,093.05 1763 06/06/11 19,200.48 A 71,892.57 1764 06/13/11 6,916.73 A 1765 06/26/11 18,086.69 A TOTAL 106,129.85 1766 6/27/11 RR 31,507.19 133285 INTER REMIT RECOV 1766 06/27/11 31,507.19 A @.00 1766 06/27/11 RR 669,598.80 133286 1766 06/27/11 24,843.85 644,754.15 1767 07/04/11 4,881.48 639,872.67 1768 @7/11/11 1,975.94 637,896.73 1769 07/18/11 3,386.88 634,509.85 1778 07/25/11 6,640.84 627,869.01 1771 08/01/11 9,884.56 617,984.45 1772 8/08/11 7,937.91 610,046.54 1773 8/15/11 4,028.47 606,018.07 1774 8/22/11 8,048.36 597,969.71 1775 08/29/11 8,300.65 589,669.06 1776 9/05/11 9, 067.56 580,601.50 1777 09/12/11 2,865.95 $77,735.55 1778 9/19/11 10,156.10 567,579.45 1779 09/26/11 8,616.12 558,963.33 1780 10/03/11 12,349.00 546,614.33 1781 10/10/11 8,289.86 538,324.47 1782 10/17/11 5,778.63 532,545.84 1783 10/24/11 8,445.20 524,100.64 1784 10/31/11 9,238.35 514,862.29 1785 11/07/11 12,612.33 502,249.96 1786 11/14/11 1,689.80 506,560.16 1787 11/21/11 7,965.37 492,594.79 Page 1 INDEX NO. 451549/2023 (FILED: NEW YORK COUNTY CLERK 0672872023 03:21 PM NYSCEF DOC. NO. 225 RECEIVED NYSCEF: 06/28/2023 @1591506 1788 11/28/11 7,902.44 484,692.35 1789 12/05/11 8,563.47 476,128.88 1798 12/12/11 3,345.09 472,783.79 1791 12/19/11 6,944.07 465,839.72 1792 12/26/11 8,236.83 457,602.89 1793 1/02/12 8,183.76 449,419.13 1794 @1/09/12 7,250.62 442,168.51 1795 @1/16/12 2,955.09 439,213.42 NYS DEPARTMENT OF HEALTH - MEDICAID FINANCIAL MANAGEMENT 5/23/17 RECEIVABLE / RECOUPMENT HISTORY 1591506 PAGE 9 CYCLE RECOUPMENT RECEIVABLE AMT/ CYCLE DATE RSN AMOUNT RECOUP BALANCE REF # FOOTNOTE 1796 1/23/12 9,054.92 A 430,158.50 1797 1/30/12 6,973.92 A 423,184.58 1798 02/06/12 7,108.65 A 416,075.93 1799 2/13/12 2,322.97 A 413,752.96 1800 02/20/12 9,162.99 A 404,589.97 1801 02/27/12 6,685.04 A 397,904.93 1802 @3/05/12 7,706.84 A 390,198.09 1803 03/12/12 4,781.58 A 385,416.51 1804 @3/19/12 6,375.54 A 379,040.97 1805 03/26/12 9,805.38 A 369,235.59 1806 04/02/12 8,538.96 A 360,696.63 1807 04/09/12 6,072.85 A 354,623.78 1808 04/16/12 3,083.99 A 351,539.79 1809 04/23/12 7,918.11 A 343,621.68 1810 04/30/12 7,292.28 A 336,329.48 1811 @5/07/12 8,492.31 A 327,837.17 1812 05/14/12 1,361.78 A 326,475.39 1813 05/21/12 8,212.82 A 318,262.57 1814 @5/28/12 7,883.40 A 310,379.17 1815 06/04/12 7,656.44 A 302,722.73 1816 6/11/12 5,688.99 A 297,033.74 1817 06/18/12 5,544.99 A 291,488.75 1818 06/25/12 8,015.94 A 283,472.81 1819 7/02/12 7,752.20 A 275,720.61 1820 7/09/12 6,103.68 A 269,616.93 1821 07/16/12 136,724.20 A 132,892.73 1822 07/23/12 7,121.95 A 125,770.78 1823 7/30/12 7,601.63 A 118,169.15 1824 08/06/12 9,475.23 A 108,693.92 Page 2 INDEX NO. 451549/2023 (FILED: NEW YORK COUNTY CLERK 0672872023 03:21 PM NYSCEF DOC. NO. 225 RECEIVED NYSCEF: 06/28/2023 @1591506 1826 08/20/12 7,455.82 A 101,238.18 1827 8/27/12 7,114.26 A 94,123.84 1828 09/03/12 7,805.24 A 86,318.60 1829 @9/10/12 6,623.69 A 79,694.91 1830 Q9/17/12 3,997.31 A 75,697.60 1831 09/24/12 8,889.65 A 66,807.95 1832 10/01/12 8,245.11 A 58,562.84 1833 10/08/12 9,132.78 A 49,430.06 1834 10/15/12 1,881.04 A 47,549.02 1835 10/22/12 6,756.31 A 40,792.71 1836 10/29/12 8,736.42 A 32,056.29 1837 11/05/12 9,154.00 A 22,902.29 1838 11/12/12 3,590.76 A 19,311.53 1839 11/19/12 6,061.66 A 13,249.87 1840 11/26/12 7,385.23 A 5,864.64 1841 12/03/12 5,864.64 A 0.00 TOTAL 669,598.00 1786 11/14/11 RR 1,007,129.26 142667 1841 12/03/12 2,593.24 A 1, 004,536.02 1842 12/10/12 6,843.27 A 997,692.75 1843 12/17/12 11,150.66 A 986,542.09 1844 12/24/12 7,512.95 A 979,029.14 NYS DEPARTMENT OF HEALTH - MEDICAID FINANCIAL MANAGEMENT 05/23/17 RECEIVABLE / RECOUPMENT HISTORY 1591506 PAGE 10 CYCLE RECOUPMENT RECEIVABLE AMT/ CYCLE DATE RSN AMOUNT RECOUP BALANCE REF # FOOTNOTE 1845 12/31/12 6,704.53 A 972,324.61 1846 @1/07/13 7,620.38 A 964,704.23 1847 01/14/13 672.10 A 964,032.13 1848 @1/21/13 6,977.61 A 957,054.52 1849 01/28/13 7,070.01 A 949,984.51 1850 02/04/13 6,900.56 A 943,083.95 1851 02/11/13 3,801.50 A 939,282.45 1852 2/18/13 5,541.23 A 933,741.22 1853 2/25/13 23,393.44 A 910,347.78 1854 03/04/13 40,052.10 A 870,295.68 1855 @3/11/13 23,757.72 A 846,537.96 1856 @3/18/13 4,684.63 A 841,853.33 1857 3/25/13 6,080.82 A 835,772.51 Page 3 INDEX NO. 451549/2023 (FILED: NEW YORK COUNTY CLERK 0672872023 03:21 PM NYSCEF DOC. NO. 225 RECEIVED NYSCEF: 06/28/2023 @1591506 1858 04/01/13 6,192.57 A 829,579.94 1859 04/08/13 6,003.86 A 823,576.08 1860 04/15/13 1,189.51 A 822,386.57 1861 04/22/13 7,003.80 A 815,382.77 1862 04/29/13 9,238.13 A 806,144.64 1863 5/06/13 8,840.82 A 797,303.82 1865 5/20/13 5,252.03 A 792,051.79 1866 5/27/13 7,694.21 A 784,357.58 1867 06/03/13 6,901.57 A 777,456.01 1868 06/10/13 4,606.07 A 772,849.94 1869 06/17/13 2,843.59 A 770,006.35 1870 06/24/13 6,820.22 A 763,186.13 1871 07/01/13 6,550.75 A 756,635.38 1872 7/08/13 6,257.46 A 750,377.92 1873 07/15/13 1,257.75 A 749,126.17 1874 07/22/13 6,823.09 A 742,297.08 1875 07/29/13 6,370.80 735,926.28 1876 08/05/13 7,008.31 728,917.97 1877 08/12/13 2,554.44 726,363.53 1878 8/19/13 4,714.85 721,648.68 1879 8/26/13 6,534.34 715,114.34 1888 9/02/13 6,951.25 708,163.09 1881 9/09/13 7,315.85 700,847.24 1882 9/16/13 2,706.22 698,141.02 1883 09/23/13 6,895.38 691,245.64 1884 09/30/13 6,315.55 684,930.09 1885 10/07/13 9,508.10 675,421.99 1886 10/14/13 219.36 675,202.63 1887 10/21/13 5,864.19 669,338.44 1888 10/28/13 7,599.29 661,739.15 1889 11/04/13 6,303.04 655,436.11 1890 11/11/13 4,099.53 651, 336.58 1891 11/18/13 3,621.87 647,714.71 1892 11/25/13 10,430.04 637,284.67 1893 12/02/13 7,134.98 630,149.69 1894 12/09/13 5,539.04 624,610.65 1895 12/16/13 2,489.89 622,120.76 1896 12/23/13 6,700.89 615,419.87 1897 12/30/13 6,626.06 608,793.818 NYS DEPARTMENT OF HEALTH - MEDICAID FINANCIAL MANAGEMENT 05/23/17 RECEIVABLE / RECOUPMENT HISTORY 1591506 PAGE 11 CYCLE RECOUPMENT RECEIVABLE AMT/ Page 4 FILED: NEW YORK COUNTY CLERK 06/28/2023 03:21 PM INDEX NO. 451549/2023 NYSCEF DOC. NO. 225 RECEIVED NYSCEF: 06/28/2023 @1591506 CYCLE DATE RSN AMOUNT RECOUP BALANCE REF # FOOTNOTE 1898 @1/06/14 9,637.00 599,156.81 1899 @1/13/14 1,863.00 597,293.81 1900 @1/20/14 5,004.76 592,289.05 1901 1/27/14 6,784.57 585,504.48 1902 2/03/14 7,125.13 578,379.35 1983 2/10/14 7,877.33 570,502.02 1904 2/17/14 2,950.72 567,551.30 1905 2/24/14 5,792.40 561,758.90 1906 3/03/14 5,882.57 555,876.33 1907 3/10/14 243,780.35 312,095.98 1988 03/17/14 2,985.41 309,110.57 1969 3/24/14 7,181.66 301,928.91 1910 03/31/14 6,597.36 295,331.55 1911 04/07/14 7,801.55 287,530.00 1912 04/14/14 698.97 286, 831.03 1913 04/21/14 7,061.49 279,769.54 1914 04/28/14 6,533.78 273,235.76 1915 05/05/14 6,505.11 266,730.65 1916 05/12/14 2,866.59 263,864.06 1917 05/19/14 4,822.98 259,041.08 1918 05/26/14 7,180.98 251,860.10 1919 06/02/14 8,102.18 243,757.92 1920 6/09/14 7,222.37 236,535.55 1921 06/16/14 460.54 236,075.01 1922 6/23/14 4,831.22 231,243.79 1923 06/30/14 4,694.10 226,549.69 1924 07/07/14 226,549.69 8.00 TOTAL 1, 007,129.26 1795 01/16/12 RR 137,006.98 145433 1924 07/07/14 46,298.81 90,708.17 1925 07/14/14 16,883.01 73,825.16 1926 07/21/14 27,565.78 A 46,259.46 1927 07/28/14 24,747.37 A 21,512.09 1928 08/04/14 21,512.09 0.00 TOTAL 137, 006.98 1830 09/17/12 TL 55,462.53 150423 BIENSTOCK 1830 09/17/12 55,462.53 M 8.00 1843 12/17/12 RR 21,582.22 151795 INTER REMIT RECOV 1843 12/17/12 21,582.22 A 8.00 Page 5 INDEX NO. 451549/2023 (FILED: NEW YORK COUNTY CLERK 0672872023 03:21 PM NYSCEF DOC. NO. 225 RECEIVED NYSCEF: 06/28/2023 @1591506 1848 @1/21/13 RR 128.94 152349 1928 08/04/14 128.94 A 8.00 1850 2/04/13 RR 3,233.82 152860 1928 08/04/14 3,233.82 A 0.00 1851 @2/11/13 RN 5,462.53 153083 NYC COURT 1851 2/11/13 55,462.53 M @.00m NYS DEPARTMENT OF HEALTH - MEDICAID FINANCIAL MANAGEMENT 05/23/17 RECEIVABLE / RECOUPMENT HISTORY 1591506 PAGE 12 CYCLE RECOUPMENT RECEIVABLE AMT/ CYCLE DATE RSN AMOUNT RECOUP BALANCE REF # FOOTNOTE 1985 2/24/14 RR 61,095.48 159002 1928 08/04/14 2,995.36 58,100.12 1929 08/11/14 22,238.34 A 35,861.78 1930 08/18/14 6,448.67 A 29,413.11 1931 08/25/14 22,215.01 A 7,198.18 1932 09/01/14 7,198.10 2.00 TOTAL 61,095.48 1925 07/14/14 RR 32,920.72 162001 1932 9/01/14 20,480.16 12,440.56 1933 09/08/14 12,440.56 A @.00 TOTAL 32,920.72 1933 09/08/14 MA 155,464.00 164220 7-9/2009 150,300.57 @ 1934 99/15/14 5,163.43 1935 @9/22/14 9,157.19 141,143.38 1936 9/29/14 6,260.73 134,882.65 1937 10/06/14 11,395.78 123,486.95 1938 10/13/14 8,604.06 114,882.89 1939 10/20/14 246.67 114,636.22 1940 10/27/14 8,843.53 105,792.69 1941 11/03/14 7,859.13 97,933.56 1942 11/10/14 6,943.85 90,989.71 Page 6 INDEX NO. 451549/2023 (FILED: NEW YORK COUNTY CLERK 0672872023 03:21 PM NYSCEF DOC. NO. 225 RECEIVED NYSCEF: 06/28/2023 @1591506 1943 11/17/14 2,036.29 A 88,953.42 1944 11/24/14 22,360.82 A 66,592.60 1945 12/01/14 7,009.94 A 59,582.66 1946 12/08/14 8,680.42 A 50,902.24 1947 12/15/14 2,691.49 48,210.75 1948 12/22/14 7,073.27 41,137.48 1949 12/29/14 7,869.01 33,268.47 1957 @2/23/15 8,586.56 24,681.91 1958 3/02/15 7,653.81 17,028.18 1959 3/09/15 13,570.21 3,457.89 1960 3/16/15 3,457.89 2.00 TOTAL 155,464.00 1959 3/09/15 RR 19,649.49 168544 INTER REMIT RECOV 1959 3/09/15 19,649.49 8.00 1959 3/09/15 RR 10,833.99 168545 1959 03/09/15 10,833.99 @.00 ~ 1961 03/23/15 MA 46,889.15 169298 4-6/2009 \/ #131700 1980 08/03/15 8,544.54 38,344.61 29,563.96 (®) 1983 08/24/15 8,780.65 1988 @9/28/15 8,251.16 21,312.80 1989 10/05/15 6,863.35 14,449.45 1998 10/12/15 7,241.75 7,207.70 1991 10/19/15 3,567.30 3,640.40 1992 10/26/15 3,640.40 8.00 TOTAL 46,889.15a& NYS DEPARTMENT OF HEALTH - MEDICAID FINANCIAL MANAGEMENT 5/23/17 RECEIVABLE / RECOUPMENT HISTORY 1591506 PAGE 13 CYCLE RECOUPMENT RECEIVABLE AMT/ CYCLE DATE RSN AMOUNT RECOUP BALANCE REF # FOOTNOTE 1961 3/23/15 MA 106,029.00 169291 4/14 - 6/14 2044 10/24/16 24,101.58 A 81,927.42 ) 2045 10/31/16 24,101.58 A 57,825.84 2046 11/07/16 24,101.58 A 33,724.26 2047 11/14/16 24,101.58 A 9,622.68 Page 7 10 FILED: NEW YORK COUNTY CLERK 06/28/2023 03:21 PM INDEX NO. 451549/2023 NYSCEF DOC. NO. 225 RECEIVED NYSCEF: 06/28/2023 @1591506 2048 11/21/16 9,622.68 A 8.00 TOTAL 106,029.00 1961 @3/23/15 MA 156,464.00 169292 10-12/2010 24,101.58 (9) 2029 7/11/16 132,362.42 2030 07/18/16 24,101.58 A 108, 260.84 2031 07/25/16 24,101.58 84,159.26 2032 08/01/16 24,101.58 60,057.68 2033 08/08/16 24,101.58 A 35,956.10 2034 08/15/16 24,101.58 A 11,854.52 2035 08/22/16 11,854.52 8.00 TOTAL 156,464.00 1961 3/23/15 MA 157,967.00 169293 10-12/2009 1962 03/30/15 9,718.18 148,248.82 1963 04/06/15 10,712.96 137,535.86 1964 04/13/15 10,066.83 127,469.03 1965 04/20/15 6,729.36 120,739.67 1966 1967 1968 4/27/15 05/04/15 @5/11/15 12,017.56 7,143.07 12,225.01 108,722.11 101,579.04 89,354.03 (c) 1969 05/18/15 3,970.01 85,384.02 1970 @5/25/15 7,254.72 78,129.30 1971 06/01/15 10,367.70 67,761.60 1972 06/08/15 9,316.12 58,445.48 1973 06/15/15 2,730.23 55,715.25 1974 6/22/15 8,149.55 47,565.78 1975 6/29/15 16,558.84 31,006.86 1976 07/06/15 12,821.69 18,185.17 1977 7/13/15 11,498.78 6,686.39 1978 07/20/15 4,759.72 1,926.67 1979 07/27/15 1,926.67 8.00 TOTAL 157,967.00 1961 @3/23/15 MA (@) 161,177.00 169294 7-9/2013 2049 11/28/16 24,101.58 A 137,075.42 2050 12/05/16 24,101.58 A 112,973.84 2068 04/10/17 24,101.58 A 88,872.26 2069 04/17/17 24,101.58 A 64,770.68 2070 04/24/17 24,101.58 A 40,669.10 2071 @5/01/17 24,101.58 A 16,567.52 2072 @5/08/17 16,567.52 A 2.00 TOTAL 161,177.00 1961 3/23/15 MA \“ 166,067.00 169295 1-3/2014 Page 8 1 INDEX NO. 451549/2023 (FILED: NEW YORK COUNTY CLERK 0672872023 03:21 PM NYSCEF DOC. NO. 225 RECEIVED NYSCEF: 06/28/2023 @1591506 1961 3/23/15 MA (S \ 168,132.00 169296 10-12/2013 a NYS DEPARTMENT OF HEALTH - MEDICAID FINANCIAL MANAGEMENT 05/23/17 RECEIVABLE / RECOUPMENT HISTORY 1591506 PAGE 14 CYCLE RECOUPMENT RECEIVABLE AMT/ CYCLE DATE RSN AMOUNT RECOUP BALANCE REF # FOOTNOTE 1961 03/23/15 MA (.Q) 169,543.00 169297 4-6/2013 1961 03/23/15 MA 170,889.00 169298 1-3/2011 2051 12/12/16 24,101 58 146,787.42 (h) 2052 12/19/16 24,101 58 122,685.84 2053 12/26/16 24,101 58 98,584.26 2054 @1/02/17 24,101 58 74,482.68 2055 1/09/17 24,101 58 50,381.10 2056 01/16/17 24,101 58 26,279.52 2057 @1/23/17 24,101.58 2,177.94 2058 1/30/17 2,177.94 0.02 TOTAL 170,889.00 1961 3/23/15 MA 171,692.00 169299 1-3/2010 1994 11/09/15 7,590.14 164,101.86 1995 11/16/15 2,369.24 161,732.62 1996 11/23/15 7,236.23 154,496.39 7,479.16 cs) 1997 11/30/15 147,017.23 1998 12/07/15 6,203.18 140,814.05 1999 12/14/15 4,835.58 135,978.47 2000 12/21/15 7,205.16 128,773.31 2001 12/28/15 7,554.23 121,219.08 2002 01/04/16 7,918.36 113,300.72 2003 @1/11/16 7,324.78 105,976.02 2004 @1/18/16 2,211.51 103,764.51 2005 @1/25/16 19, 830.66 83,933.85 2006 02/01/16 6,917.53 77,016.32 2007 02/08/16 14,107.27 62,909.05 2008 02/15/16 4,400.97 58,508.08 2009 02/22/16 9,752.38 48,755.70 Page 9 12 INDEX NO. 451549/2023 (FILED: NEW YORK COUNTY CLERK 0672872023 03:21 PM NYSCEF DOC. NO. 225 RECEIVED NYSCEF: 06/28/2023 @1591506 2010 2/29/16 7,008.17 41,747.53 (a) 2011 03/07/16 10,599.34 31,148.19 2019 @5/02/16 6,564.14 24,584.05 2020 05/09/16 6,239.17 18,344.88 2021 @5/16/16 2,724.43 15,620.45 2022 05/23/16 12,613.22 3,007.23 2023 05/30/16 3,007.23 @.02 TOTAL 171,692.00 1961 3/23/15 MA 177, 387.08 169300 7-9/2010 2026 06/20/16 MA -80,587.78 169300 7-9/2010 UNSET#2 2027 06/27/16 MA 80,587.78 169300 7-9/2010 UNSET#2 2027 06/27/16 4.61 A 90,534.61 80,587.78 (>, (¢) 2027 06/27/16 90,534.61 2036 08/29/16