Preview
(55)14644496-1
SUPREME COURT OF THE STATE OF NEW YORK, COUNTY OF DUTCHESS
X
WORKERS' YORK,:
COMPENSATION BOARD OF THE STATE OF NEW JUDGMENT
Plaintiff,
-against- : EMP# : 2615907
: JUD# : 2138689
COLLINS ALE HOUSE INC; MATTHEW COLLINS, PRESIDENT
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
paymsat of the sum of $5,000.00, representing Awards and Penalties having been made against the
above capticñed Defendant(s), after due notice, having dafat!!ted.in payment thereof, except the sum of
$0.00 leaving $5,000.00 due and payable.
NOW, upon the certifiedcopies of ñ0tices attached hereto, and upon motion of the General Counsel of .
Workers'
the Compensation Board of the State of New York, afterney for Plaintiff,pursuant to Section
Workers'
26 of the Compensation Law of the State of New Ydrk providing for entry of judgment by the
Workers'
County Clerk in event ofsuch default, itis ADJUDGED, that the Plaintiff, C0mpensation Board
of the State of New York, 328 State Street, Schenectady, NY 12305 does recover from the
above-capticñed Defendant(s), whose last known address(es) are; 198 ROUTE 216, STORMVILLE, NY
12582-5016; 198 ROUTE 216, STORMVILLE, NY 12582-5016 , respectively; the sum of $5,000.00,
and the Plaintiffhave execution therefore.
Judgment signed this: day of
Clerk
James R. McGinn, Esq.
Attorney for Plaintiff
Workers'
Compensation Board
328 State St.
Schenectady, NY 12305
C-45 6/2007
(55)14644496-1
(56)14644498-1
SUPREME COURT OF THE STATE OF NEW YORK, COUNTY OF DUTCHESS
X
WORKERS' YORK,:
COMPENSATION BOARD OF THE STATE OF NEW
Plaintiff,
-against- :
:
COLLINS ALE HOUSE INC; MATTHEW COLLINS, PRESIDENT :
AFFIRMAEON
Defendant(s) :
OF
REGULARITY
:
:
X
Workers'
The undersigned, an attorney in the office of the Compensati0n Board of the State of New
York, Plaintiffherein, hereby affirms that the foliewing 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 CompensatiGñ
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 $5,000.00, against the
defendant(s). Attached hereto and made a part hereof are certifiedcopies 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 impósed by the chair pursuant to
Workers'
subdivision fiveof secticñ fifty-twoand/or one hundred thirtyone of the Compensation Law, as
Workers'
required for filingof judgment per Compensati0ñ Law, Section 26 and/or 219. Appeals before
the Board have been exhausted.
No payment of award has been made except $0.00, leaving $5,000.00 due and payable.
WHEREFORE, itisrespectfully reqúested that judgment be entered against the Defendant(s) herein in
the sum stated as remaining due and payable.
Dated: day of
2 7 2021
AUG
Yvo ne M. Ward, Esq.
C-45.1 4/2007
(56)14644498-1
(57)14644500-1
SUPREME COURT OF THE STATE OF NEW YORK, COUNTY OF DUTCHESS
X
WORKERS' YORK,:
COMPENSATION BOARD OF THE STATE OF NEW
Plaintiff, :
-against- :
:
COLLINS ALE HOUSE INC; MATTHEW COLLINS, PRESIDENT :
AFFIRMATION
Defendant(s) :
OF
NON-PAYMENT
:
:
X
Workers'
The undersigned, an attorney inthe office of the Compensaticñ Board of the State of New
York, P|a|ñtiffherein, hereby affirms that the isliówiiiy istrue under the penalty of perjury, upon
information and belief:
Wórkers'
This affirmation is based upon a review of the filewhich is maintained by the Compensaticñ
Board in itsregular course of business.
I am familiar with the status of payment in thismatter. The award/penaltyjassessment/demand for
deposit ofsecurity made against the defendant(s) in the amount of $5,000.00 is indefault, as more than
thirtydays have elapsed since the demand upon the defendâñt(s) herein for payment. 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 payble the sum of $5,000.00.
Dated: day of , _ ___ .
g 2 7 2071
Yvonn M. Ward, Esq.
C-45.45 1/2009
(57)14644500-1
(58)14644502-1
STATE OF NEW YORK
WORKERS'
NEW Workers, COMPENSATION BOARD THIS AGENCY EMPLOYS AND SERVES
Y JUDGMENT UNIT PEOPLE WITH DISABILITIES WITHOUT
KE hpenSadon DISCRIMINATION.
328 STATE STREET
Board
SCHENECTADY, NY 12305-2318
866-298-7830
MATTHEW COLLINS, PRESIDENT WCB EMPLOYER #: 2615907
COLLINS ALE HOUSE INC UIER #: 49-79522
198 ROUTE 216 #·
FEIN/SS *****6966
STORMVILLE NY 12582-5016
Itis hereby certifiedthat this isa true
and correct copy of the original as filed
rkers'
with the Compensation Board
.....----------
.................. - ....‰..-ner.......
*
FINAL NOTICE JCe f ed n
DATE: 07/27/2021
Non-Compliance
Item Description Dates Accident Date Balañce Due
2 020W0023098 Failure to Workers' Ins 04/12/2020-07/20/2020 $5,000.00
Carry Comp
Total Balance Due $5,000.00
*
Ifpayment is not received imm.:.-i::†:'y,judgmêñt willbe filed and the employer issubject to seizure
of assets, both business and personal, without further notice from the Board.
Inorder to insure prompt creditof your payment, comp!ete the with
fal|üviing the
Date, Nürñbar and Amount ofyour 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.
__-.......---.... _........-----....-----...._______ ____..............----...._......---
MAKE CHECKS PAYABLE TO "UNINSURED EMPLOYERS FUND".
PLEASE INCLUDE YOUR WCB EMPLOYER NUMBER ON YOUR CHECK.
Employer COLLINS ALE HOUSE INC WCB Employer # 2615907
Customer ID # 1772190
Check
Check Date Check #
Amount
C-45.37 5/2004 Page 1 of 2
(58)14644502-1
Preview
(55)14644496-1 SUPREME COURT OF THE STATE OF NEW YORK, COUNTY OF DUTCHESS X WORKERS' YORK,: COMPENSATION BOARD OF THE STATE OF NEW JUDGMENT Plaintiff, -against- : EMP# : 2615907 : JUD# : 2138689 COLLINS ALE HOUSE INC; MATTHEW COLLINS, PRESIDENT 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 paymsat of the sum of $5,000.00, representing Awards and Penalties having been made against the above capticñed Defendant(s), after due notice, having dafat!!ted.in payment thereof, except the sum of $0.00 leaving $5,000.00 due and payable. NOW, upon the certifiedcopies of ñ0tices attached hereto, and upon motion of the General Counsel of . Workers' the Compensation Board of the State of New York, afterney for Plaintiff,pursuant to Section Workers' 26 of the Compensation Law of the State of New Ydrk providing for entry of judgment by the Workers' County Clerk in event ofsuch default, itis ADJUDGED, that the Plaintiff, C0mpensation Board of the State of New York, 328 State Street, Schenectady, NY 12305 does recover from the above-capticñed Defendant(s), whose last known address(es) are; 198 ROUTE 216, STORMVILLE, NY 12582-5016; 198 ROUTE 216, STORMVILLE, NY 12582-5016 , respectively; the sum of $5,000.00, and the Plaintiffhave execution therefore. Judgment signed this: day of Clerk James R. McGinn, Esq. Attorney for Plaintiff Workers' Compensation Board 328 State St. Schenectady, NY 12305 C-45 6/2007 (55)14644496-1 (56)14644498-1 SUPREME COURT OF THE STATE OF NEW YORK, COUNTY OF DUTCHESS X WORKERS' YORK,: COMPENSATION BOARD OF THE STATE OF NEW Plaintiff, -against- : : COLLINS ALE HOUSE INC; MATTHEW COLLINS, PRESIDENT : AFFIRMAEON Defendant(s) : OF REGULARITY : : X Workers' The undersigned, an attorney in the office of the Compensati0n Board of the State of New York, Plaintiffherein, hereby affirms that the foliewing 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 CompensatiGñ 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 $5,000.00, against the defendant(s). Attached hereto and made a part hereof are certifiedcopies 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 impósed by the chair pursuant to Workers' subdivision fiveof secticñ fifty-twoand/or one hundred thirtyone of the Compensation Law, as Workers' required for filingof judgment per Compensati0ñ Law, Section 26 and/or 219. Appeals before the Board have been exhausted. No payment of award has been made except $0.00, leaving $5,000.00 due and payable. WHEREFORE, itisrespectfully reqúested that judgment be entered against the Defendant(s) herein in the sum stated as remaining due and payable. Dated: day of 2 7 2021 AUG Yvo ne M. Ward, Esq. C-45.1 4/2007 (56)14644498-1 (57)14644500-1 SUPREME COURT OF THE STATE OF NEW YORK, COUNTY OF DUTCHESS X WORKERS' YORK,: COMPENSATION BOARD OF THE STATE OF NEW Plaintiff, : -against- : : COLLINS ALE HOUSE INC; MATTHEW COLLINS, PRESIDENT : AFFIRMATION Defendant(s) : OF NON-PAYMENT : : X Workers' The undersigned, an attorney inthe office of the Compensaticñ Board of the State of New York, P|a|ñtiffherein, hereby affirms that the isliówiiiy istrue under the penalty of perjury, upon information and belief: Wórkers' This affirmation is based upon a review of the filewhich is maintained by the Compensaticñ Board in itsregular course of business. I am familiar with the status of payment in thismatter. The award/penaltyjassessment/demand for deposit ofsecurity made against the defendant(s) in the amount of $5,000.00 is indefault, as more than thirtydays have elapsed since the demand upon the defendâñt(s) herein for payment. 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 payble the sum of $5,000.00. Dated: day of , _ ___ . g 2 7 2071 Yvonn M. Ward, Esq. C-45.45 1/2009 (57)14644500-1 (58)14644502-1 STATE OF NEW YORK WORKERS' NEW Workers, COMPENSATION BOARD THIS AGENCY EMPLOYS AND SERVES Y JUDGMENT UNIT PEOPLE WITH DISABILITIES WITHOUT KE hpenSadon DISCRIMINATION. 328 STATE STREET Board SCHENECTADY, NY 12305-2318 866-298-7830 MATTHEW COLLINS, PRESIDENT WCB EMPLOYER #: 2615907 COLLINS ALE HOUSE INC UIER #: 49-79522 198 ROUTE 216 #· FEIN/SS *****6966 STORMVILLE NY 12582-5016 Itis hereby certifiedthat this isa true and correct copy of the original as filed rkers' with the Compensation Board .....---------- .................. - ....‰..-ner....... * FINAL NOTICE JCe f ed n DATE: 07/27/2021 Non-Compliance Item Description Dates Accident Date Balañce Due 2 020W0023098 Failure to Workers' Ins 04/12/2020-07/20/2020 $5,000.00 Carry Comp Total Balance Due $5,000.00 * Ifpayment is not received imm.:.-i::†:'y,judgmêñt willbe filed and the employer issubject to seizure of assets, both business and personal, without further notice from the Board. Inorder to insure prompt creditof your payment, comp!ete the with fal|üviing the Date, Nürñbar and Amount ofyour 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. __-.......---.... _........-----....-----...._______ ____..............----...._......--- MAKE CHECKS PAYABLE TO "UNINSURED EMPLOYERS FUND". PLEASE INCLUDE YOUR WCB EMPLOYER NUMBER ON YOUR CHECK. Employer COLLINS ALE HOUSE INC WCB Employer # 2615907 Customer ID # 1772190 Check Check Date Check # Amount C-45.37 5/2004 Page 1 of 2 (58)14644502-1