On August 31, 2021 a
Complaint,Petition
was filed
involving a dispute between
Boudria, Donna M,
Dor Cse Southern And Dta,
and
Boudria, Jason Michael,
for Paternity Managed
in the District Court of Bristol County.
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Commonwealth of Massachusetts
The Trial Court
Probate and Family Court Department
Division Bristol Docket No.
COMPLAINT TO ESTABLISH SUPPORT PURSUANT TO G.L. c. 209C
Massachusetts Department of Revenue
Child Support Enforcement Division
on behalf of
Donna M Boudria , Plaintiff v. Jason Michael Boudria , Defendant
AND Department of Transitional Assistance
1. The Child Support Enforcement Division of the Massachusetts Department of Revenue brings this
complaint pursuant to G. L. c. 119A, § 3 and c. 209C on behalf of the plaintiff(s) noted above.
2. The child who is the subject of this complaint is:
JAYLIN ROSE BOUDRIA
3. The child was born on: 01/26/2009
4. The name of the child's custodian is:
DONNA M BOUDRIA
178 HIGHLAND AVE
WESTPORT, MA 02790-2207
5. The child's custodian is the child's: Grandparent
6. The child resides with the custodian in Massachusetts in the County of: Bristol
7. The mother of the child named above is:
KRISTEN NICOLE JOHNSON
Address Unknown
F70542 06/16 41463153 Page 1 of 2
8. The father of the child named above is:
JASON MICHAEL BOUDRIA
715 N MAIN ST
APT 1
FALL RIVER, MA 02720-3524
9. Paternity was established by:
judgment/order of:
entered on:
an Acknowledgment of Parentage which has the same force and effect as a judgment
pursuant to G. L. c. 209C, § 11(a).
10. The mother and father of the child are not married to each other.
11. No other parties need to be joined pursuant to G. L. c. 209C, § 6.
12. The Massachusetts Department of Revenue requests that the court:
order the mother / father to pay child support in an amount consistent with the child support
guidelines.
order the mother / father to provide private health care coverage that is reasonable in cost and
accessible to the child, or if private health care coverage is currently not reasonable in cost and
accessible to the child, order the mother / father to pay cash medical support until such private health
care coverage becomes available.
order the mother / father to pay reimbursement for past support provided to the child.
order the mother / father to pay the costs of the child's unreimbursed medical expenses.
order such other relief as the court deems appropriate.
Massachusetts Department of Revenue
Child Support Enforcement Division
By its attorney,
08/31/2021 /s/ Katelyn A. Bushe (BBO #689727) for
Date HANNAH D ARTUSO
Counsel
PO BOX 7057
BOSTON, MA 02204-7057
(774)299-6400
ARTUSO@DOR.STATE.MA.US
BBO#: 563262
F70542 06/16 41463153 Page 2 of 2
Document Filed Date
August 31, 2021
Case Filing Date
August 31, 2021
Category
Paternity Managed
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Commonwealth of Massachusetts The Trial Court Probate and Family Court Department Division Bristol Docket No. COMPLAINT TO ESTABLISH SUPPORT PURSUANT TO G.L. c. 209C Massachusetts Department of Revenue Child Support Enforcement Division on behalf of Donna M Boudria , Plaintiff v. Jason Michael Boudria , Defendant AND Department of Transitional Assistance 1. The Child Support Enforcement Division of the Massachusetts Department of Revenue brings this complaint pursuant to G. L. c. 119A, § 3 and c. 209C on behalf of the plaintiff(s) noted above. 2. The child who is the subject of this complaint is: JAYLIN ROSE BOUDRIA 3. The child was born on: 01/26/2009 4. The name of the child's custodian is: DONNA M BOUDRIA 178 HIGHLAND AVE WESTPORT, MA 02790-2207 5. The child's custodian is the child's: Grandparent 6. The child resides with the custodian in Massachusetts in the County of: Bristol 7. The mother of the child named above is: KRISTEN NICOLE JOHNSON Address Unknown F70542 06/16 41463153 Page 1 of 2 8. The father of the child named above is: JASON MICHAEL BOUDRIA 715 N MAIN ST APT 1 FALL RIVER, MA 02720-3524 9. Paternity was established by: judgment/order of: entered on: an Acknowledgment of Parentage which has the same force and effect as a judgment pursuant to G. L. c. 209C, § 11(a). 10. The mother and father of the child are not married to each other. 11. No other parties need to be joined pursuant to G. L. c. 209C, § 6. 12. The Massachusetts Department of Revenue requests that the court: order the mother / father to pay child support in an amount consistent with the child support guidelines. order the mother / father to provide private health care coverage that is reasonable in cost and accessible to the child, or if private health care coverage is currently not reasonable in cost and accessible to the child, order the mother / father to pay cash medical support until such private health care coverage becomes available. order the mother / father to pay reimbursement for past support provided to the child. order the mother / father to pay the costs of the child's unreimbursed medical expenses. order such other relief as the court deems appropriate. Massachusetts Department of Revenue Child Support Enforcement Division By its attorney, 08/31/2021 /s/ Katelyn A. Bushe (BBO #689727) for Date HANNAH D ARTUSO Counsel PO BOX 7057 BOSTON, MA 02204-7057 (774)299-6400 ARTUSO@DOR.STATE.MA.US BBO#: 563262 F70542 06/16 41463153 Page 2 of 2