Preview
FILED: ULSTER COUNTY CLERK 12/12/2023 INDEX NO. EF2023-2999
(110)16371611-1
NYSCEF DOC. NO. 1 RECEIVED NYSCEF: 12/11/2023
SUPREME COURT OF THE STATE OF NEW YORK, COUNTY OF ULSTER
X
WORKERS'
COMPENSATION BOARD OF THE STATE OF NEW YORK,: JUDGMENT .
Plaintiff,
-against- : EMP# : 3201923
: JUD# : 2316481
ANSHSAHEJ LLC DBA MY MARKET :
Defendant(s) : INDEX # :
FILING DT:
Workers'
By order of the Chair of the Compensation Board of the State of New York, demand for the
payment of the sum of $500.00, 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 $500.00 due and payable.
NOW, upon the certified copies of notices attached hereto, and upon motion of the General Counsel of
Workers'
the Compensation Board of the State of New York, attorney for Plaintiff, pursuant to Section
Workers'
26 of the Compensation Law of the State of New York providing for entry of judgment by the
Workers'
County Clerk in event of such default, it is ADJUDGED, that the Plaintiff, 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; 140 N CHESTNUT ST, NEW PALTZ,
NY 12561-1006, respectively; the sum of $500.00, and the Plaintiff have execution therefore.
Judgment signed this: day of
Clerk
Scott T. Harms, Esq.
Attorney for Plaintiff
Workers'
Compensation Board
328 State St.
Schenectady, NY 12305
C-45 6/2007
( 10)16371611-1
1 of 5
FILED: ULSTER COUNTY CLERK 12/12/2023 INDEX NO. EF2023-2999
NYSCEF DOC. NO. 1
(111)16371613-1 RECEIVED NYSCEF: 12/11/2023
SUPREME COURT OF THE STATE OF NEW YORK, COUNTY Or ULSTER
X
WORKERS'
COMPENSATION BOARD OF THE STATE OF NEW YORK,:
Plaintiff,
-against-
ANSHSAHEJ LLC DBA MY MARKET
AFFIRMATION
Defendant(s)
OF
REGULARITY
:
X
Workers'
The undersigned, an attorney in the office of the Compensation Board of the State of New
York, Plaintiff herein, hereby affirms that the following is true under the penalty of perjury, upon
information and belief:
Workers'
This affirmation is based upon a review of the file which is maintained by the Compensation
Board in its regular course of business. .
Workers'
The Compensation Board of the State of New York, in accordance with the provisions of the
Workers'
Compensation Law, has made an assessment/award in the sum of $500.00, against the
defendant(s). Attached hereto and made a part hereof are certified copies of the Notice of Decision and
Award, and/or a.certified
copy of the demand for deposit
of security, and/or a certified copy of the chair's
order imposing, and the demand for payment of, assessments imposed by the chair pursuant to
Workers'
subdivision five of section fifty-two and/or one hundred thirty one of the Compensation Law, as
Workers'
required for filing of 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 $500.00 due and payable.
WHEREFORE, it is respectfully requested that judgment be entered against the Defendant(s) herein in
the sum stated as remaining due and payable.
Dated: day of NA , .
Michele A. Mealy, Esq.
C-45.1 4/2007
(iii)16371613-1
2 of 5
FILED: ULSTER COUNTY CLERK 12/12/2023 INDEX NO. EF2023-2999
NYSCEF DOC. NO. 1
(112)16371615-1 RECEIVED NYSCEF: 12/11/2023
SUPREME COURT OF THE STATE OF NEW YORK, COUNTY OF ULSTER
X
WORKERS'
COMPENSATION BOARD OF THE STATE OF NEW YORK,:
Plaintiff,
-against-
ANSHSAHEJ LLC DBA MY MARKET
AFMATION
Defendant(s)
OF
NON-PAYMENT
X
Workers'
The undersigned, an attorney in the office of the Compensation Board of the State of New
York, Plaintiff herein, hereby affirms that the following is true under the penalty of perjury, upon
information and belief:
Workers'
This affirmation is based upon a review of the file which is maintained by the Compensation
Board in its regular course of business.
I am familiar with the status of payment in this matter. The award/penalty/assessment/demand for
deposit of-security made against the defendant(s) in the amount of $500.00 is in default, as more than .
thirty days have elapsed since the demand upon the defendant(s) herein for payment. No payment has
been received Ior 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 $500.00.
Dated: . day of NJSt M// , .
Michele A. Mealy, Esq.
C-45.45 1/2009
- (112)16371615-1
3 of 5
FILED: ULSTER COUNTY CLERK 12/12/2023 INDEX NO. EF2023-2999
NYSCEF DOC. NO. 1
(223316371stM RECEIVED NYSCEF: 12/11/2023
STATE OF NEW YORK
WORKERS'
NEW WorkerS' COMPENSATION BOARD THIS AGENCY EMPLOYS AND SERVES
JUDGMENT UNIT PEOPLE WITH DISABILmES WITHOUT
Ïx rE COM
BoarPd° RSatlOn
DISCRIMINATION.
328 STATE STREET
SCHENECTADY, NY 12305-2318
866-298-7830
ANSHSAHEJ LLC WCB EMPLOYER #: 3201923
DBA MY MARKET UlER #: 55-30615
140 N CHESTNUT ST #-
FEIN/SS *****9592
NEW PALTZ NY 12561-1006
It is hereby certified that this is a true
and correct copy of the original as filed
orkers'
with the Compensation Board
*
FINAL NOTICE JC t f ed on .. .2d.'.2. .J.1. ...............
DATE: 10/31/2023
Non-Compliance
Item Description Dates Accident Date Balance Due
2 022W0045725 Failure to Workers' Ins 09/14/2022-09/29/2022 $500.00
Carry Comp
Total Balance Due $500. 00
*
If payment is 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.
PAYMENT INSTRUCTIONS
To make online payments e-mail Billing@wcb.ny.gov OR
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'
NYS COMPENSATION BOARD
PO BOX 5530
BINGHAMTON, NY 13902-5530
............................____Please _deta_c_h_and__retum_b_ç_tt9mp_9.tt_i_qnyitjl_y_q_qtpayme_F_t.___.________________ ___
MAKE CHECKS PAYABLE TO "COMMISSIONER OF TAXATION AND FINANCE".
PLEASE INCLUDE YOUR WCB EMPLOYER NUMBER ON YOUR CHECK.
Employer ANSHSAHEJ LLC DBA MY MARKET WCB Employer # 3201923
Customer ID #
Check
Check Date Check #
Amount
C-45.37 10/2023 Page 1 of 2
(113)16371617-1
4 of 5
FILED: ULSTER COUNTY CLERK 12/12/2023 INDEX NO. EF2023-2999
NYSCEF DOC. NO. 1 Non-Compliance RECEIVED NYSCEF: 12/11/2023
Item Description Dates Accident Date Balance Due
FINANCE"
MAKE CHECKS PAYABLE TO "COMMISSIONER OF TAXATION AND
______________________________________________________________
. Mail payment along with this form to:
NYS.WORKERS'
COMPENSATION BOARD
PO BOX 5530
BINGHAMTON, NY 13902-5530
C-45.37 10/2023 Page 2 of 2
5 of 5
Preview
FILED: ULSTER COUNTY CLERK 12/12/2023 INDEX NO. EF2023-2999 (110)16371611-1 NYSCEF DOC. NO. 1 RECEIVED NYSCEF: 12/11/2023 SUPREME COURT OF THE STATE OF NEW YORK, COUNTY OF ULSTER X WORKERS' COMPENSATION BOARD OF THE STATE OF NEW YORK,: JUDGMENT . Plaintiff, -against- : EMP# : 3201923 : JUD# : 2316481 ANSHSAHEJ LLC DBA MY MARKET : Defendant(s) : INDEX # : FILING DT: Workers' By order of the Chair of the Compensation Board of the State of New York, demand for the payment of the sum of $500.00, 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 $500.00 due and payable. NOW, upon the certified copies of notices attached hereto, and upon motion of the General Counsel of Workers' the Compensation Board of the State of New York, attorney for Plaintiff, pursuant to Section Workers' 26 of the Compensation Law of the State of New York providing for entry of judgment by the Workers' County Clerk in event of such default, it is ADJUDGED, that the Plaintiff, 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; 140 N CHESTNUT ST, NEW PALTZ, NY 12561-1006, respectively; the sum of $500.00, and the Plaintiff have execution therefore. Judgment signed this: day of Clerk Scott T. Harms, Esq. Attorney for Plaintiff Workers' Compensation Board 328 State St. Schenectady, NY 12305 C-45 6/2007 ( 10)16371611-1 1 of 5 FILED: ULSTER COUNTY CLERK 12/12/2023 INDEX NO. EF2023-2999 NYSCEF DOC. NO. 1 (111)16371613-1 RECEIVED NYSCEF: 12/11/2023 SUPREME COURT OF THE STATE OF NEW YORK, COUNTY Or ULSTER X WORKERS' COMPENSATION BOARD OF THE STATE OF NEW YORK,: Plaintiff, -against- ANSHSAHEJ LLC DBA MY MARKET AFFIRMATION Defendant(s) OF REGULARITY : X Workers' The undersigned, an attorney in the office of the Compensation Board of the State of New York, Plaintiff herein, hereby affirms that the following is true under the penalty of perjury, upon information and belief: Workers' This affirmation is based upon a review of the file which is maintained by the Compensation Board in its regular course of business. . Workers' The Compensation Board of the State of New York, in accordance with the provisions of the Workers' Compensation Law, has made an assessment/award in the sum of $500.00, against the defendant(s). Attached hereto and made a part hereof are certified copies of the Notice of Decision and Award, and/or a.certified copy of the demand for deposit of security, and/or a certified copy of the chair's order imposing, and the demand for payment of, assessments imposed by the chair pursuant to Workers' subdivision five of section fifty-two and/or one hundred thirty one of the Compensation Law, as Workers' required for filing of 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 $500.00 due and payable. WHEREFORE, it is respectfully requested that judgment be entered against the Defendant(s) herein in the sum stated as remaining due and payable. Dated: day of NA , . Michele A. Mealy, Esq. C-45.1 4/2007 (iii)16371613-1 2 of 5 FILED: ULSTER COUNTY CLERK 12/12/2023 INDEX NO. EF2023-2999 NYSCEF DOC. NO. 1 (112)16371615-1 RECEIVED NYSCEF: 12/11/2023 SUPREME COURT OF THE STATE OF NEW YORK, COUNTY OF ULSTER X WORKERS' COMPENSATION BOARD OF THE STATE OF NEW YORK,: Plaintiff, -against- ANSHSAHEJ LLC DBA MY MARKET AFMATION Defendant(s) OF NON-PAYMENT X Workers' The undersigned, an attorney in the office of the Compensation Board of the State of New York, Plaintiff herein, hereby affirms that the following is true under the penalty of perjury, upon information and belief: Workers' This affirmation is based upon a review of the file which is maintained by the Compensation Board in its regular course of business. I am familiar with the status of payment in this matter. The award/penalty/assessment/demand for deposit of-security made against the defendant(s) in the amount of $500.00 is in default, as more than . thirty days have elapsed since the demand upon the defendant(s) herein for payment. No payment has been received Ior 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 $500.00. Dated: . day of NJSt M// , . Michele A. Mealy, Esq. C-45.45 1/2009 - (112)16371615-1 3 of 5 FILED: ULSTER COUNTY CLERK 12/12/2023 INDEX NO. EF2023-2999 NYSCEF DOC. NO. 1 (223316371stM RECEIVED NYSCEF: 12/11/2023 STATE OF NEW YORK WORKERS' NEW WorkerS' COMPENSATION BOARD THIS AGENCY EMPLOYS AND SERVES JUDGMENT UNIT PEOPLE WITH DISABILmES WITHOUT Ïx rE COM BoarPd° RSatlOn DISCRIMINATION. 328 STATE STREET SCHENECTADY, NY 12305-2318 866-298-7830 ANSHSAHEJ LLC WCB EMPLOYER #: 3201923 DBA MY MARKET UlER #: 55-30615 140 N CHESTNUT ST #- FEIN/SS *****9592 NEW PALTZ NY 12561-1006 It is hereby certified that this is a true and correct copy of the original as filed orkers' with the Compensation Board * FINAL NOTICE JC t f ed on .. .2d.'.2. .J.1. ............... DATE: 10/31/2023 Non-Compliance Item Description Dates Accident Date Balance Due 2 022W0045725 Failure to Workers' Ins 09/14/2022-09/29/2022 $500.00 Carry Comp Total Balance Due $500. 00 * If payment is 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. PAYMENT INSTRUCTIONS To make online payments e-mail Billing@wcb.ny.gov OR 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' NYS COMPENSATION BOARD PO BOX 5530 BINGHAMTON, NY 13902-5530 ............................____Please _deta_c_h_and__retum_b_ç_tt9mp_9.tt_i_qnyitjl_y_q_qtpayme_F_t.___.________________ ___ MAKE CHECKS PAYABLE TO "COMMISSIONER OF TAXATION AND FINANCE". PLEASE INCLUDE YOUR WCB EMPLOYER NUMBER ON YOUR CHECK. Employer ANSHSAHEJ LLC DBA MY MARKET WCB Employer # 3201923 Customer ID # Check Check Date Check # Amount C-45.37 10/2023 Page 1 of 2 (113)16371617-1 4 of 5 FILED: ULSTER COUNTY CLERK 12/12/2023 INDEX NO. EF2023-2999 NYSCEF DOC. NO. 1 Non-Compliance RECEIVED NYSCEF: 12/11/2023 Item Description Dates Accident Date Balance Due FINANCE" MAKE CHECKS PAYABLE TO "COMMISSIONER OF TAXATION AND ______________________________________________________________ . Mail payment along with this form to: NYS.WORKERS' COMPENSATION BOARD PO BOX 5530 BINGHAMTON, NY 13902-5530 C-45.37 10/2023 Page 2 of 2 5 of 5