On November 16, 2023 a
Judgment
was filed
involving a dispute between
Workers' Compensation Board Of The State Of New York,
and
J & J Bar-B-Que & Sausage Co Llc,
for Other Matters - Workers Comp App for Judgment
in the District Court of Steuben County.
Preview
= INDEX NO. E2023-1145CV
NYSCEF DOC. NO. 5 RECEIVED NYSCEF: 11/16/2023
(45)16326276-4
SUPREME COURT OF THE STATE OF NEW YORK, COUNTY OF STEUBEN
x
WORKERS’ COMPENSATION BOARD OF THE STATE OF NEW YORK,: JUDGMENT.
Plaintiff,
-against- EMP# + 3010747
JUD# 12311557
J &J BAR-B-QUE & SAUSAGE CO LLC.
Defendant(s) INDEX# ; abr
EQOVD-. 145 cv
FILING DT:
i
x
By order of the Chair of the Workers' Compensation Board of the State of New York, demand for the
payment of the sum of $3,000.00, representing Awards and Penalties having been made against the
above captioned Defendant(s), after due notice, having defaulted in payment thereof, except the sum of
$0.00 leaving $3,000.00 due and payable.
NOW, upon the certified copies of notices attached hereto, and upon motion of the General Counsel of
the Workers’ Compensation Board of the State of New York, attorney for Piaintiff, pursuant to Section
26 of the Workers' Compensation Law of the State of New York providing for entry of Judgment by the
County Clerk in event of such default, it is ADJUDGED, that the Plaintiff, Workers' Compensation Board
of the State of New York, 328 State Street, Schenectady, NY 12305 does recover from the
above-captioned Defendant(s), whose last known address(es) are; 7 E MAIN ST, CANISTEO, NY
14823-1126, respectively; the sum of $3,000.00, and the Plaintiff have execution therefore.
Judgment signed this: \lo day of Noveanbsey. 023
Qecteia
Yn. Menten
Clerk
Scott T. Harms, Esq.
Attorney for Plaintiff
Workers’ Compensation Board
328 State St.
Schenectady, NY 12305
C-45 6/2007
vores
1 of 2
=: INDEX NO. E2023-1145CV
NYSCEF DOC. NO. 5 RECEIVED NYSCEF: 11/16/2023
(48)16328282-4
STATE OF NEW YORK
Yh Workers’ WORKERS’ COMPENSATION BOARD ‘THIS AGENCY EMPLOYS AND SERVES
Compensation JUDGMENT UNIT PEOPLE WITH DISABILITIES WITHOUT
328 STATE STREET DISCRIMINATION,
Board
SCHENECTADY, NY 12305-2318
866-298-7830
J &J BAR-B-QUE & SAUSAGE CO LLC WCB EMPLOYER #; 3010747
7EMAINST VIER & 53-42020
CANISTEO NY 14823-1126 +#4689540
FEIN/SS #:
itis hereby certified that this Is a true
and correct copy of the original as filed
with the Workers’ Compensation Board
“ seneraseen ae peruse
DATE: 40/10/2023 FINAL NOTICE *
Judgmi
Certifled ON sss ly la...
Non-Compliance
item Description Dates Accident Date| Balance Due
[2022W0043284 Failure to Carry Workers' Comp Ins 08/22/2022-10/28/2022 $3,000.00)
[Total Balance Due $3,000.00
* If payment ts not received Immediately, judgment will be filed and the employer Is subject to seizure
of assets, both business and personal, without further notice from the Board.
In order to insure prompt credit of your payment, complete the following with the
Date, Number and Amount of your check and return It, along with your payment to:
WORKERS’ COMPENSATION BOARD
FINANCE OFFICE
328 STATE STREET, SCHENECTADY, NY 12305-2318
Please detach and return bottom portion with your payment.
cn
MAKE CHECKS PAYABLE TO "UNINSURED EMPLOYERS FUND",
PLEASE INCLUDE YOUR WCB EMPLOYER NUMBER ON YOUR CHECK.
Employer | J & J BAR-B-QUE & SAUSAGE CO LLC WCB Employer# | 3010747
Customer ID #
Check
Check Date Check #
Amount
C-45.37 5/2004 Page 1 of 2
spent
2 of 2
Document Filed Date
November 16, 2023
Case Filing Date
November 16, 2023
Category
Other Matters - Workers Comp App for Judgment
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= INDEX NO. E2023-1145CV NYSCEF DOC. NO. 5 RECEIVED NYSCEF: 11/16/2023 (45)16326276-4 SUPREME COURT OF THE STATE OF NEW YORK, COUNTY OF STEUBEN x WORKERS’ COMPENSATION BOARD OF THE STATE OF NEW YORK,: JUDGMENT. Plaintiff, -against- EMP# + 3010747 JUD# 12311557 J &J BAR-B-QUE & SAUSAGE CO LLC. Defendant(s) INDEX# ; abr EQOVD-. 145 cv FILING DT: i x By order of the Chair of the Workers' Compensation Board of the State of New York, demand for the payment of the sum of $3,000.00, representing Awards and Penalties having been made against the above captioned Defendant(s), after due notice, having defaulted in payment thereof, except the sum of $0.00 leaving $3,000.00 due and payable. NOW, upon the certified copies of notices attached hereto, and upon motion of the General Counsel of the Workers’ Compensation Board of the State of New York, attorney for Piaintiff, pursuant to Section 26 of the Workers' Compensation Law of the State of New York providing for entry of Judgment by the County Clerk in event of such default, it is ADJUDGED, that the Plaintiff, Workers' Compensation Board of the State of New York, 328 State Street, Schenectady, NY 12305 does recover from the above-captioned Defendant(s), whose last known address(es) are; 7 E MAIN ST, CANISTEO, NY 14823-1126, respectively; the sum of $3,000.00, and the Plaintiff have execution therefore. Judgment signed this: \lo day of Noveanbsey. 023 Qecteia Yn. Menten Clerk Scott T. Harms, Esq. Attorney for Plaintiff Workers’ Compensation Board 328 State St. Schenectady, NY 12305 C-45 6/2007 vores 1 of 2 =: INDEX NO. E2023-1145CV NYSCEF DOC. NO. 5 RECEIVED NYSCEF: 11/16/2023 (48)16328282-4 STATE OF NEW YORK Yh Workers’ WORKERS’ COMPENSATION BOARD ‘THIS AGENCY EMPLOYS AND SERVES Compensation JUDGMENT UNIT PEOPLE WITH DISABILITIES WITHOUT 328 STATE STREET DISCRIMINATION, Board SCHENECTADY, NY 12305-2318 866-298-7830 J &J BAR-B-QUE & SAUSAGE CO LLC WCB EMPLOYER #; 3010747 7EMAINST VIER & 53-42020 CANISTEO NY 14823-1126 +#4689540 FEIN/SS #: itis hereby certified that this Is a true and correct copy of the original as filed with the Workers’ Compensation Board “ seneraseen ae peruse DATE: 40/10/2023 FINAL NOTICE * Judgmi Certifled ON sss ly la... Non-Compliance item Description Dates Accident Date| Balance Due [2022W0043284 Failure to Carry Workers' Comp Ins 08/22/2022-10/28/2022 $3,000.00) [Total Balance Due $3,000.00 * If payment ts not received Immediately, judgment will be filed and the employer Is subject to seizure of assets, both business and personal, without further notice from the Board. In order to insure prompt credit of your payment, complete the following with the Date, Number and Amount of your check and return It, along with your payment to: WORKERS’ COMPENSATION BOARD FINANCE OFFICE 328 STATE STREET, SCHENECTADY, NY 12305-2318 Please detach and return bottom portion with your payment. cn MAKE CHECKS PAYABLE TO "UNINSURED EMPLOYERS FUND", PLEASE INCLUDE YOUR WCB EMPLOYER NUMBER ON YOUR CHECK. Employer | J & J BAR-B-QUE & SAUSAGE CO LLC WCB Employer# | 3010747 Customer ID # Check Check Date Check # Amount C-45.37 5/2004 Page 1 of 2 spent 2 of 2