Preview
FILED: WASHINGTON COUNTY CLERK 01/10/2020 09:46 AM INDEX NO. EC2020-31349
NYSCEF DOC. NO. 1 RECEIVED NYSCEF: 01/10/2020
SUPREME COURT OF THE STATE OF NEW YORK, COUNTY OF WASHINGTON
X
WORKERS' YORK,:
COMPENSATION BOARD OF THE STATE OF NEW JUDGMENT
Plaintiff, :
-against- : EMP# : 2718978
: JUD# : 2056859
SHENA CARTY DBA EDWARDS LIQUOR WAREHOUSE :
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 $33,500.00, 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 $33,500.00 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, attomey forPlaintiff,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, itisADJUDGED, 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; 10 PINE ST, GRANVILLE, NY
12832-1128, respectively; the sum of $33,500.00, and the Plaintiff have execution therefore.
Judgment signed this: day of , .
Clerk
James R. McGinn, Esq.
Attomey for Plaintiff
Workers'
Compensation Board
328 State St.
Schenectady, NY 12305
C-45 6/2007
1 of 4
FILED: WASHINGTON COUNTY CLERK 01/10/2020 09:46 AM INDEX NO. EC2020-31349
t t -1
(443)134673
NYSCEF DOC. NO. 1 RECEIVED NYSCEF: 01/10/2020
SUPREME COURT OF THE STATE OF NEW YORK, COUNTY OF WASHINGTON
X
WORKERS' YORK,:
COMPENSATION BOARD OF THE STATE OF NEW
Plaintiff, :
-against- :
SHENA CARTY DBA EDWARDS LIQUOR WAREHOUSE
A9FMATION
Defendant(s)
REGULARITY
:
-
X
Workers'
The undersigned, an attorney in theoffice of the Compensation Board of the State of New
York, Plaintiffherein, hereby affirms that the following istrue under the penalty of perjury, upon
information and belief:
Workers'
This affirmation is based upon a review of the filewhich is maintained by the Compensation
Board in itsregular 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 the sum of $33,500.00, 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 ce-tifiedcopy of the chair's
order imposiñg, and the demand for payment of, assessments imposed by the chair pursuant to
Workers'
subdivision five of section fifty-two and/or one hundred thirtyone of the Compensation Law, as
Workers'
required forfilingof 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 $33,500.00 due and payable.
WHEREFORE, itisrespectfully requested that judgment be entered against the Defendar t(s) herein in
the sum stated as remaining due and payable.
JAN 0 2020
Dated: day of 3, .
Edward Cappellano, Esq.
C-45.1 4/2007
(443)13467311-1
2 of 4
FILED: WASHINGTON COUNTY CLERK 01/10/2020 09:46 AM INDEX NO. EC2020-31349
NYSCEF DOC. NO. 1 RECEIVED NYSCEF: 01/10/2020
SUPREME COURT OF THE STATE OF NEW YORK, COUNTY OF WASHINGTON
X
WORKERS' YORK,:
COMPENSATION BOARD OF THE STATE OF NEW
Plaintiff,
-against-
SHENA CARTY DBA EDWARDS LIQUOR WAREHOUSE :
AFFIRMATION
Defendant(s) :
OF
1 NON-PAYMENT
:
X
Workers'
The undersigned, an attorney in theoffice of the Compensation Board of the State of New
York, Plaintiff
herein, hereby affirms that the fc||Gwing istrue under the penalty of perjury, upon
information and belief:
Wvikers'
This affirmation is based upon a review of the filewhich is maintained by the Compensation
Board in itsregular course of business.
I am familiarwith the status of payment in this matter. The award/penalty/ass-3smentidemand for
deposit of security made against the defendant(s) in theamount of $33,500.00 is indefault, 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 incompliance with said demand to
date, except the sum of $0.00, leaving due and paybie the sum of $33,500.00.
Dated: of JAN 0 3 2020 .
day
Edward Cappellano, Esq.
C-45.45 1/2009
3 of 4
FILED: WASHINGTON COUNTY CLERK 01/10/2020 09:46 AM INDEX NO. EC2020-31349
(445)13467315-1
NYSCEF DOC. NO. 1 RECEIVED NYSCEF: 01/10/2020
STATE OF NEW YORK
WORKERS'
COMPENSATION BOARD
THIS AGENCY EMPLOYS AND SERVES
JUDGMENT UNIT PEOPLE WITH DISABILITIES WITHOUT
328 STATE STREET DISCRIMINATION.
SCHENECTADY, NY 12305-2318
866-298-7830
SHENA CARTY WCB EMPLOYER #: 2718978
DBA EDWARDS LIQUOR WAREHOUSE UIER #: 52-92553
10 PINE ST #·
FEIN/SS *****5835
GRANVILLE NY 12832-1128
Itis hereby certified thatthis is a true
and correct copy of the crigine! as filed
rs'
with the Work Compensation Board
i..a--'
Unit
*
DATE: 11/19/2019 FINAL NOTICE cehih~Zon .
Non-Compliance
Item Description Dates Accident Date Balance Due
2018W0012026 Failure to Workers ' Ins 01/18/2018-11/18/2019 500. 00
Carry Comp $33,
Total Balance Due $33,500.00
*
Ifpayment is not received immediately, judgment wiiibe filed and the empicyer is subject to seizure
of assets, both business and personal, without further notice from the Board.
In orderto insure prompt creditof your payment, camp:ete the fü!|üw|rg withthe
Date, Number and Amount ofyour check and retum it,
along with your payméñt to:
WORKERS'
COMPENSATION BOARD
FINANCE OFFICE
328 STATE STREET, SCHENECTADY, NY 12305-2318
Please detach and return bctiom portion with your payment.
_________________ ________ _________-
MAKE CHECKS PAYABLE TO "UNINSURED EMPLOYERS FUND".
PLEASE INGLUDE YOUR WCB EMPLOYER NUMBER ON YOUR CHECK.
Emp|Gyer SHENA CARTY DBA EDWARDS L1QUOR WAREHOUSE WCB Employer # 2718978
Customer ID # 1726584
Check
Check Date Check #
Amount
C-45.37 5/2004 Page 1 of 2
4 of 4
Preview
FILED: WASHINGTON COUNTY CLERK 01/10/2020 09:46 AM INDEX NO. EC2020-31349 NYSCEF DOC. NO. 1 RECEIVED NYSCEF: 01/10/2020 SUPREME COURT OF THE STATE OF NEW YORK, COUNTY OF WASHINGTON X WORKERS' YORK,: COMPENSATION BOARD OF THE STATE OF NEW JUDGMENT Plaintiff, : -against- : EMP# : 2718978 : JUD# : 2056859 SHENA CARTY DBA EDWARDS LIQUOR WAREHOUSE : 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 $33,500.00, 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 $33,500.00 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, attomey forPlaintiff,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, itisADJUDGED, 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; 10 PINE ST, GRANVILLE, NY 12832-1128, respectively; the sum of $33,500.00, and the Plaintiff have execution therefore. Judgment signed this: day of , . Clerk James R. McGinn, Esq. Attomey for Plaintiff Workers' Compensation Board 328 State St. Schenectady, NY 12305 C-45 6/2007 1 of 4 FILED: WASHINGTON COUNTY CLERK 01/10/2020 09:46 AM INDEX NO. EC2020-31349 t t -1 (443)134673 NYSCEF DOC. NO. 1 RECEIVED NYSCEF: 01/10/2020 SUPREME COURT OF THE STATE OF NEW YORK, COUNTY OF WASHINGTON X WORKERS' YORK,: COMPENSATION BOARD OF THE STATE OF NEW Plaintiff, : -against- : SHENA CARTY DBA EDWARDS LIQUOR WAREHOUSE A9FMATION Defendant(s) REGULARITY : - X Workers' The undersigned, an attorney in theoffice of the Compensation Board of the State of New York, Plaintiffherein, hereby affirms that the following istrue under the penalty of perjury, upon information and belief: Workers' This affirmation is based upon a review of the filewhich is maintained by the Compensation Board in itsregular 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 the sum of $33,500.00, 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 ce-tifiedcopy of the chair's order imposiñg, and the demand for payment of, assessments imposed by the chair pursuant to Workers' subdivision five of section fifty-two and/or one hundred thirtyone of the Compensation Law, as Workers' required forfilingof 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 $33,500.00 due and payable. WHEREFORE, itisrespectfully requested that judgment be entered against the Defendar t(s) herein in the sum stated as remaining due and payable. JAN 0 2020 Dated: day of 3, . Edward Cappellano, Esq. C-45.1 4/2007 (443)13467311-1 2 of 4 FILED: WASHINGTON COUNTY CLERK 01/10/2020 09:46 AM INDEX NO. EC2020-31349 NYSCEF DOC. NO. 1 RECEIVED NYSCEF: 01/10/2020 SUPREME COURT OF THE STATE OF NEW YORK, COUNTY OF WASHINGTON X WORKERS' YORK,: COMPENSATION BOARD OF THE STATE OF NEW Plaintiff, -against- SHENA CARTY DBA EDWARDS LIQUOR WAREHOUSE : AFFIRMATION Defendant(s) : OF 1 NON-PAYMENT : X Workers' The undersigned, an attorney in theoffice of the Compensation Board of the State of New York, Plaintiff herein, hereby affirms that the fc||Gwing istrue under the penalty of perjury, upon information and belief: Wvikers' This affirmation is based upon a review of the filewhich is maintained by the Compensation Board in itsregular course of business. I am familiarwith the status of payment in this matter. The award/penalty/ass-3smentidemand for deposit of security made against the defendant(s) in theamount of $33,500.00 is indefault, 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 incompliance with said demand to date, except the sum of $0.00, leaving due and paybie the sum of $33,500.00. Dated: of JAN 0 3 2020 . day Edward Cappellano, Esq. C-45.45 1/2009 3 of 4 FILED: WASHINGTON COUNTY CLERK 01/10/2020 09:46 AM INDEX NO. EC2020-31349 (445)13467315-1 NYSCEF DOC. NO. 1 RECEIVED NYSCEF: 01/10/2020 STATE OF NEW YORK WORKERS' COMPENSATION BOARD THIS AGENCY EMPLOYS AND SERVES JUDGMENT UNIT PEOPLE WITH DISABILITIES WITHOUT 328 STATE STREET DISCRIMINATION. SCHENECTADY, NY 12305-2318 866-298-7830 SHENA CARTY WCB EMPLOYER #: 2718978 DBA EDWARDS LIQUOR WAREHOUSE UIER #: 52-92553 10 PINE ST #· FEIN/SS *****5835 GRANVILLE NY 12832-1128 Itis hereby certified thatthis is a true and correct copy of the crigine! as filed rs' with the Work Compensation Board i..a--' Unit * DATE: 11/19/2019 FINAL NOTICE cehih~Zon . Non-Compliance Item Description Dates Accident Date Balance Due 2018W0012026 Failure to Workers ' Ins 01/18/2018-11/18/2019 500. 00 Carry Comp $33, Total Balance Due $33,500.00 * Ifpayment is not received immediately, judgment wiiibe filed and the empicyer is subject to seizure of assets, both business and personal, without further notice from the Board. In orderto insure prompt creditof your payment, camp:ete the fü!|üw|rg withthe Date, Number and Amount ofyour check and retum it, along with your payméñt to: WORKERS' COMPENSATION BOARD FINANCE OFFICE 328 STATE STREET, SCHENECTADY, NY 12305-2318 Please detach and return bctiom portion with your payment. _________________ ________ _________- MAKE CHECKS PAYABLE TO "UNINSURED EMPLOYERS FUND". PLEASE INGLUDE YOUR WCB EMPLOYER NUMBER ON YOUR CHECK. Emp|Gyer SHENA CARTY DBA EDWARDS L1QUOR WAREHOUSE WCB Employer # 2718978 Customer ID # 1726584 Check Check Date Check # Amount C-45.37 5/2004 Page 1 of 2 4 of 4