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Filing # 123080250 E-Filed 03/15/2021 11:32:18 AM
IN THE CIRCUIT COURT OF THE 15th JUDICIAL CIRCUIT
IN AND FOR PALM BEACH COUNTY, FLORIDA
EXPERIMAX FRANCHISING, LLC, CASE NO: 50-2021-CA-001626-XXXX-MB
a Florida limited liability company, DIVISION: AO: Circuit Civil Central - AO
Plaintiff,
VS.
JEFFERY SIEPIERSKI, an individual,
GINA FONTANA-SIEPIERSKI, an
individual, and BLUTUSK TECH, LLC,
a New York limited liability company,
Defendants.
/
NOTICE OF FILING RETURN OF SERVICE
Plaintiff, EXPERIMAX FRANCHISING, LLC, a Florida corporation, by and through its
undersigned. counsel, hereby files notice of its Affidavit of Service Served upon Defendant,
BLUTUSK TECH, LLC.
CERTIFICATE OF SERVICE
I HEREBY CERTIFY that a true copy of the foregoing has been furnished via mail to
Defendant, BLUTUSK TECH, LLC, a New York limited liability company, 3229 Southwestem
Blvd., Orchard Park, NY 14127, on this 15th day of March 2021.
By: 4/Christian Dorismond
Mark D. Nichols, Esq.
Florida Bar No.: 056580
mnichols@ufgcorp.com
Christian Dorismond, Esq.
Florida Bar No.: 125387
cdorismond@ufgcorp.com
Experimax Franchising LLC
2121 Vista Parkway
West Palm Beach, FL 33411
Tel: (561) 868 -1453
Counsel for Plaintiff Experimax Franchising LLC
'** FILED: PALM BEACH COUNTY, FL JOSEPH ABRUZZO, CLERK. 03/15/2021 11:32:18 AM ***AFFIDAVIT OF SERVICE
Case: Court: County: Job:
502021CA001626 | In the Circuit Court of the 15th Judicial Court Beach, FL 5364924
Plaintiff / Petitioner: Defendant / Respondent:
Experimax Franchising LLC Jeffery Siepierski, Gina Fontana-Siepierski, and Blutusk Tech LLC
Received by: For:
Evolution Process Service United Franchise Group
To be served upon:
Blutusk Tech LLC
|, Jacqueline L. Balikowski, being duly sworn, depose and say: | am over the age of 18 years and not a parly to this action, and that within the
boundaries of the state where service was effected, | was authorized by law to make service of the documents and informed said person of the
contents herein
Recipient Name/Address: Gina Fontana-Siepierski, 3229 Southwestern Blvd, Orchard Park, NY 14127
Manner of Service: Corporation, Feb 23, 2021, 3:36 pm EST
Documents: Summons and Complaint with Civil Cover Sheet (Received Feb 23, 2021 at 10:43am EST)
Additional Comments:
1) Successful Attempt: Feb 23, 2021, 3:36 pm EST at 3229 Southwestern Bivd, Orchard Park, NY 14127 received by Gina Fontana-Siepierskl. Age
50; Ethnicity: Caucasian; Gender: Female; Weight: 200; Height: 5'5"; Hair: Red; Relationship: Manager;
Respondent was hostile and identified herself as Michelle K. | was able to later identily subject via Linkedin as Gina Fontana-Siepierski
‘Subscribed and sworn to before me by the affiant who is
personally known
ine L, Balikowski
Notary Public
Evolution Process Service 20Z/
5335 N Tacoma Avo Ste 5 7 i E
Indianapolis, IN 46220 aa Commission Expires
BALLY A. REGAN-O'BRIEN
nay Pub ot Now Yok
No, O1RE6216179
Qualffod in Erie County
My Commission Expires January 11,
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Filing # 123080250 E-Filed 03/15/2021 11:32:18 AM IN THE CIRCUIT COURT OF THE 15th JUDICIAL CIRCUIT IN AND FOR PALM BEACH COUNTY, FLORIDA EXPERIMAX FRANCHISING, LLC, CASE NO: 50-2021-CA-001626-XXXX-MB a Florida limited liability company, DIVISION: AO: Circuit Civil Central - AO Plaintiff, VS. JEFFERY SIEPIERSKI, an individual, GINA FONTANA-SIEPIERSKI, an individual, and BLUTUSK TECH, LLC, a New York limited liability company, Defendants. / NOTICE OF FILING RETURN OF SERVICE Plaintiff, EXPERIMAX FRANCHISING, LLC, a Florida corporation, by and through its undersigned. counsel, hereby files notice of its Affidavit of Service Served upon Defendant, BLUTUSK TECH, LLC. CERTIFICATE OF SERVICE I HEREBY CERTIFY that a true copy of the foregoing has been furnished via mail to Defendant, BLUTUSK TECH, LLC, a New York limited liability company, 3229 Southwestem Blvd., Orchard Park, NY 14127, on this 15th day of March 2021. By: 4/Christian Dorismond Mark D. Nichols, Esq. Florida Bar No.: 056580 mnichols@ufgcorp.com Christian Dorismond, Esq. Florida Bar No.: 125387 cdorismond@ufgcorp.com Experimax Franchising LLC 2121 Vista Parkway West Palm Beach, FL 33411 Tel: (561) 868 -1453 Counsel for Plaintiff Experimax Franchising LLC '** FILED: PALM BEACH COUNTY, FL JOSEPH ABRUZZO, CLERK. 03/15/2021 11:32:18 AM ***AFFIDAVIT OF SERVICE Case: Court: County: Job: 502021CA001626 | In the Circuit Court of the 15th Judicial Court Beach, FL 5364924 Plaintiff / Petitioner: Defendant / Respondent: Experimax Franchising LLC Jeffery Siepierski, Gina Fontana-Siepierski, and Blutusk Tech LLC Received by: For: Evolution Process Service United Franchise Group To be served upon: Blutusk Tech LLC |, Jacqueline L. Balikowski, being duly sworn, depose and say: | am over the age of 18 years and not a parly to this action, and that within the boundaries of the state where service was effected, | was authorized by law to make service of the documents and informed said person of the contents herein Recipient Name/Address: Gina Fontana-Siepierski, 3229 Southwestern Blvd, Orchard Park, NY 14127 Manner of Service: Corporation, Feb 23, 2021, 3:36 pm EST Documents: Summons and Complaint with Civil Cover Sheet (Received Feb 23, 2021 at 10:43am EST) Additional Comments: 1) Successful Attempt: Feb 23, 2021, 3:36 pm EST at 3229 Southwestern Bivd, Orchard Park, NY 14127 received by Gina Fontana-Siepierskl. Age 50; Ethnicity: Caucasian; Gender: Female; Weight: 200; Height: 5'5"; Hair: Red; Relationship: Manager; Respondent was hostile and identified herself as Michelle K. | was able to later identily subject via Linkedin as Gina Fontana-Siepierski ‘Subscribed and sworn to before me by the affiant who is personally known ine L, Balikowski Notary Public Evolution Process Service 20Z/ 5335 N Tacoma Avo Ste 5 7 i E Indianapolis, IN 46220 aa Commission Expires BALLY A. REGAN-O'BRIEN nay Pub ot Now Yok No, O1RE6216179 Qualffod in Erie County My Commission Expires January 11,