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Home My WebLink About03-3239 COMMONWEALTH OF PENNSYLVANIA COURT OF COMMON PLEAS cumberland County JUDICIAL DISTRICT Ninth NOTICE OF APPEAL fROM DISTRICT JUSTICE JUDGMENT COMMON PLEAS No. D3 - .J;).19 C:IU i l ~R...""1 NOTICE OF APPEAL Notice is 9~ that the appellant has filed in the above Court of Comman Pleas an appeal from the judgment rendered by the District Justice on the date and in the case mentioned below. Richard A. De Ramon , M.D. ADDIfSS Of APPELLANT 5236 Meadowbrook Drive, J:::~T i003 IN;l::~~':i~urgery ClAIM NO aTY Mechanicsburg I MAG. DlST. NO Of( NAME Of OJ. 09-1-02 Robert V. Manlove STATf ZP CODE PA 17050 ("""""""" NAMf OF APPEI.LANT' Center Ltd. vs.Richard A. DeRamon, M.D. SIGNATURE OF APPB.LANT OR tIS A V Of( AGENT CV 0000193-03 "M IT G. Thomas 11 r, ID. 07219 Attorn~y for ppe11ant This block will be signed ONLY when this nota~on is required under Po. R.CPJP. No. If appellant was CLAIMANT (see Pa. R.CP.JP. No. 10088. This Notice af Appeal, when received by the District Justice. will operale as a 1001(6) in action before District Justice, he MUST SUPERSEDEAS ta the judgment for possession in this case. FILE A COMPLAINT within twenty (20) days after filing his NOTICE of APPEAL. Signalure of Prothonotary or Deputy PRAECIPE TO ENTER RULE TO FILE COMPLAINT AND RULE TO FILE (This section of form to be used ONLY when appellant was DEFENDANT (see Pa. R.CP.J.P. No. 1001 (7) in action before District Justice. IF NOT USED, detach from copy of notice of appeal to be served upon appellee). PRAECIPE: To Prothonotary Enter rule upon Plastic surCJery Center, Ltd. ,appell.,((o'f. ta file a complaint in this appeal Name 01 appeI~ (2; ui L~E1l.iY)1 within twenty (20) days after service of rule 0< suf entry of judgment of non pro~ ~(\J Sigifature of appellant or his attorney Of agent G. Thomas Miller Attorney for Appellant Appellee (Comman Pleas No. (')_"? - _~.;l.~~ RULE: To Plastic Surgery Center, Ltd. ,appelleefJl. c/o Stephen L.'"'Ba'n~Sksquire, Atty. for (1) You are notified that a rule is hereby entered upon you to file a complaint in this appeal within twenty (20) days after the dale of service of this rule upon you by personal service 0< by certified 0< registered maiL (2) ff you do not file a complaint within this time, a JUDGMENT OF NON PROS WILL 8E ENTERED AGAINST YOU. (3) The date of service of this rule ~ service was by mail is the dale of mailing. Date: ~tLLy q ,~C3 '-- ~n--..... P. ~~oiL1x~ AOPC 312-90 COURT FILE TO BE FILED WITH PROTHONOTARY .'" PROOF OF SERVICE OF NOTICE OF APPEAL AND RULE TO FILE COMPLAINT (This proof of service MUST BE FILED WITHIN TEN (10) DAYS tlit' applicable boxes) COMMONWEALTH OF PENNSYLVANIA COUNTY OF . 55 AFFIDAVIT: i hereby swear or affirm that I served a oj the oj Appeal, Common Pleas No. (date of service) by personal service receipt attached and upon the appellee, (namei __.___ . 0 by personal service by (certified) (registered) o and further that I served the Rule to File a Complaint accompanying the above Notice of Appeal Rule was on sender's receipt attached hereto. "n '.J,I receipt attached the tc whom SWORN (AFFIRMED) AND SUBSCRIBED ME THIS 01 C0ITIm:;1S!V ~ (:) ~ i (") c) !'i 0 ~) !...... ..:1 '- ~ -r.la.' >::;: tv W rnr,'! - Z.. ..0 - -/r ~ ~ ~,]~ ~.c ~ ~(- '"J ~ ~F~ 3: PC:. 0,) j :::: ;:- ..:'.0 -< ", -< ,---_. ~,;.".. .. 'c" . ..."... /'....... , / n . ....-) (.'......:_ Y OKPd::..C! ,::'1) '-"'~~ . NOTICE OF JUDGMENT/TRANSCRIPT PLAINTIFF!JUDGME~YJJ,.o9,AS E !PLASTIC SURGER~M'l:!~ilff LTD 205 GRANDVIEW AVE APT/STE 401 CAMP HILL, PA 17011 L I COMMONWEALTH OF PENNSYLVANIA " . -'-~";COUNTY OF: CUMBERLAND Mag. Dls!. No. 0'9-1-02 OJ Name Hon ROBERT V. MANLOVE Add"" 1901 STATE STREET CAMP HILL, PA 17011-0000 VS. DEFENDANT/JUDGMENT C~~1;r,9lbDREss InERAMON, MD, RICHARD A 5236 MEADOWBROOK DR MECHANICSBURG, PA 17050 L -.J Teleph,,, (717) 761- 0583 I ATTORNEY DEF PRIVATE G T. MILLER, ESQ 401 S. 32ND ST CAMP ~ILL, PA 17011 ~. ~,. .\ \ ", " TIiIS IS TO NOtiFY YOU THAT: Judgment: Docket No.: CV-0000193-03 Date Filed: 4/21/03 -.J . FOR PT,ATNTIFF [i] [i] Judgment was entered for: (Name) PT,l\!l'l'T('. fllTRr.F.RY C-F.1II'l', F.R urn Judgment was entered against: (Name) DF.RAMON, I!ffi, RICHARn A in the amount of $ 1,RQ/\.01 on: (Date of Judgment) /\/1.4/01 D D D Defendants are jointly and severally liable. (Date & Time) Damages will be assessed on: Amount of Judgment Judgment Costs Interest on Judgment Attorney Fees Total $ 1.764.81 $ 131. 20 $ .00 $ .00 $ 1,896.01 This case dismissed without prejudice. D Amount of Judgment Subject to Attachment/Act 5 of 1996 $ Post Judgment Credits Post Judgment Costs , $ $ ------------ ------------ Certified Judgment Total $ ANY pARTY HASTflE RIGHT T,qAPPEAL WI,THIN'30 OAYS AFTEFiTHE ENTRY OF JUDGM~NT flY FILING A NOTICE OF APPEAL WITH THE PROTHONOTARY/CLERK OF THE COURT OF COMMON PLEAS, CIVIL DIVISION. YOU MUST INCLUDE A COPY OF THIS NOTICE OF JUDGMENT/TRANSCRIPT FORM WITH YOUR NOTICE OF APPEAL. EXCEPT AS OTHERWISE PROVIDED IN THE RULES OF CIVIL PROCEDURE FOR DISTRICT JUSTICES, IF THE JUDGMENT HOLDER ELECTS TO ENTER THE JUDGMENT IN THE COURT OF COMMON PLEAS, ALL FURTHER PROCESS MUST COME FROM THE COURT OF COMMON PLEAS AND NO FURTHER PROCESS MAY BE ISSUED BY THE DISTRICT JUSTICE. UNLESS THE JUDGMENT IS ENTERED IN THE COURT OF COMMON PLEAS, ANYONE INTERESTED IN THE JUDGMENT MAY FILE A REQUEST FOR ENTRY OF SATISFACTION WITH THE DISTRICT JUSTICE IF THE JUDGMENT DEBTOR PAYS IN FULL, SETTLES, OR OTHERWISE COMPLIES WITH THE JUDGMENT. ~ "t.,H'tr'ft"'''~''';J'-," ~. "l.~ """'.. . L~ ~/~~~;,~;;::tli~~t }~i,~ice '''"'1'\.~ .t, \ tI of the proceedingSi!on.t~'.'!ng.....~ j,~,g m ',~t, ...,' l' ~,-. .. 1 ;::. ~.le ,'-\,. \. , .~ ~.'~ r"';1 sthct,;.-tJ~ttce ~'",,' 'S/; ...... 0,'1 ~ ,.,......'H'....~ ., .,.... "cAL " ,~,\ \ ....,-",'~\ My commission expires first Monday of January, 2006 AOPC 315-03 DATE PRINTED: 6/25/03 1:05:02 PM ;;. . PROOF OF SERVICE OF NOTICE OF APPEAL AND RULE TO FILE COMPLAINT (This proof of service MUST BE FILED WITHIN TEN (10) DAYS AFTER filing the notice of appeai. Check applicable boxes) COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cum):)e r laIlcl . .,; ss AFFIDAVIT: I hereby swear or affirm that I served [XI a copy of the Notice of Appeal, Common Pleas NO.O,3=3239"-civiL,_< upon the District Justice designatedtherein on (date of serVice) _.J:llJL,llL2003,._, D by personal service !Xl by (certified) (,~ 1l i 9) mail, sender's receipt attached hereto, and upon the appellee, (name) ,.... St,epben ".I....." BankQ--,---.:rr,~'?(LUi re.~.,_, on _JU:L..Y,.~." 2003....., D by personal service ~ by (certifiec) (r'lB'^'.'id) mail, sender's receipt attached hereto. D and further fhatl served the Rule to File a Complaint accompanying the above Notice of Appeal upon the appelleo(s) to whom the Rule was addressed on_.~1':ly 11 2003 D by personal service U by (certilied)(registered) mail, sender's receipt attached hereto. * Attorney for Appellee SWORN (AF~) AND SUBSCRIBED BEFORE ME THiSL~.., '. DAY OF_.July_,2QQJ .__.,.,....... ~(1L&~".. .._, ~'mv,,, ,"0',[ '11ii ,. j "''';''(0 ,'"h"')l /','1""",:;, 'Wi'^ '''''l''i'' ""!;I'd"'~ ~. "'" . .' t_v'v., ,."", '" !'-', ",<,..) ,'" l,t; Sigr1Ature of atti'i:ir)-r =c. --..--=----l...~. G. Thomas Miller Attorney for Appellant MYC0rr!':i;o,n~~~~,.. Member'~^-II",,"'_"" *Servlce was armr"made on July 11, 2003, by certified mail, sender's receipt attached hereto, upon the Appellee, Plastic Surgery Center, Ltd. (") c <" '"tJii} 01, rr; ""::... :J Zr' (j).:-;: 2;~' <\. '!--~ ~k -.+-) -< <=0 W '- r- ,= o '"'r1 ~ T h1!~ ;"lrn _',,19 :;() I; =+1 ,;;::~ :5rn -, 5.; -< m v N :-:J (JI COMMONWEALTH 0' PINN5!\LVANIA COURT OF COMMON PLEAS Cumberland County JUDICIAL DISTRICT ~'-. """'c--""""'<"~~:,:""~'~'~,":.';";S:i!:_.,--.,:"'~tt,~'~~;;:;~',"?~'?\~j\"I"~~:~-n:~'W~~f~~~::(',"I'1':"\\f'-;:';"J~;rn;":-~~~""""''''~r''''''''''''",''~,^',~"'" , NOTICE OF APPEAL . ~,~'''''',-,~'>''>'-,:''''~,1::>O__,'',',,'''''''-'' . , . FROM Ninth DISTRICT JUSTICE JUDGMENT COMMl)NPLlAsNo. D3.. JJ.J9 NOTICE Of APPEAL Notice is given that the appellqnt has filed in the above Court of Cammon Pleas. an appeal from the judgment rendered by the District Justice on the date and in the case mentioned be'- C:I u i llE..rc..,I'Yl NAME OF MJG. T. OIl NAME OJ. """" M.D. OfY 09-1 02 RObert V. Manlove STATE CODE Mechanicsbur PA 17050 Plastic Sur er Center Ltd. (~I A. DeRamon, M.D. OR NT CV 0000193-03 ',...ilT '. .. ,. ........."i>"~"" This block will be signed ONLY when this nolation is required under Po. R 1008B. This Notice of Appeal, when received by the District Justice, will operate as a SUPERSEDEAS 10 the judgmem for possession in this case. Signature of Prothonotary or Deputy I . 07219 , ..1.....,..,.......' If appellant was CLAIMANT (s~ Pa. R.CP.JP. No. 1001 (6) in action before District Justice, he MUST FILE A COMPLAINT within twenty (20) days after filing his NOTICE of APPEAL. PRAECIPE TO ENTER RULE TO FILE COMPLAINT AND RULE TO FILE (This section Of form to be used ONLY when appeJ/antw<JS DEFENDANT (see Pa. R.C.P.JP. NO. 1001(7) in action betore..9isvk;t,JU$t~. ' IF NOT USED, detach from copy of notice of appeal to be served upon appellee). PRAECIPEz To Prothonalary Enter rule upon PJ ~Cl"'; r- !'lu,.g..rl. ~..nt-..,.. Ltd. . ,appeae,t".,tofileacompiaintir)this~1 '""" of _fJIjI , ' Co', ,; l '-r;"".,ry within twenty (20) days afler.service of rule or su entry of j~.t br-ricJn.Jl!OL 0/ appellant '" his _ '" agent (Cammon Pleas No. 02 - ;~ ~~ RULE i L d "'Q.: Thomap Miller z To Pl..Rf- " !'lu~'Ji c..~t."'r. t. ,,,,,,,eII~lJf' lttit~rhet for Appellant 'c/o Stephen...h-.---'8an~ ~s<1,uire, Atty. for AppUlke ,>,.-. (1 );y"" ole nl:>i{lied. thaf(HuIe(Ii,l\erebfteritered.u"anyaJta filefa cc:Xripla\nio~nthisa~ffim t-"'Y~(20)days after the dalt> of service of this rule upon you by personal servic, or by ctrjlfied or regi~d moiL ,'~ . (2) If you do not file a ~~int w~hin this time; a ~UOGMENT Of NON PROS WILL BE ENTERED AGAINST YOU. '.. ...,., (3) The date of serviCe ~fthis rule if service was by. """I is the date of moiling. ~ L /" 9 I .-{()03 '- ~A(!., _ {.}. ~7~<<c ~ ~~ . - 01 rn ttbOl :: Date: i' I 1'''- d~ I;~' '', ,,':; t{ it I~ ,,", I ~1. I' I: I: 'I ... !t ~. " AOPC 312~90 COURT FILE nJ I"- ~ tr ,nJ ..D Cl ~ .-'l Cl Cl Cl Cl ((CMf KILt: PNt l70U , -- postage f~ \I '4,\4 ~L, CertIfIed Fee U.ll oou ~ j\Jl V' i n:a1k ~) ~'''l'' '. (",,,oW lOOZ A,.nuW009E W"Hd ,4: ^ 'UB 6UI~BW uaq", I! IUOSOJd PUB Idl030J S!ql a^"S 'lN1I1HOdWI rew pUe a6elSOd LIt!^" jaqe/ XIJ.Je pue L/OBlsP 'papaau lOu S! Id!e;)aJ ~lJ aLIi UQ )jJeWlsod e II "6UPI1BWlsod 10) sO!Jj.o lsod 8l./l lB 910 IS8.Jd asea{d 'pal/sap $1 Jd!9::J9J l!eVV P9!:I!U90 SLIt UQ >jJeWlsod e :II . 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(l. ~S'C: WJO::l Sd) +d\aoal:l UJnlal:l e 40RIle pUB ale\dwoo aseald 'a2l!fUaS ldl,aoal::l umlal:l U!Blqo 0.1 "f\.Ie^Hep JO !oOJd ap\^oJd 01 pa:j.SElnbBJ eq f\13U! 1d!eoel;;! um1al::l B 'ee! IBUO!l!PP'B ue .10::1 · '\!131/'4 palalS!5al::l J~Jrt.JU\ JaP1SUoo as'Bald 'salq13nIB^ JO;:! '\m~ pa\!\lJsQ 41lM 030l^Ol::ld SI 3'8\fl::l3^08 3QN\fl::lnSNI ON · 'new je\Jb'ri\:lUJ8lU[ jO sse]::> f\u"tJoJ.lalqBI!'BAB "fOU S[ Ue1/'4 pa!!!1.JaQ - 'I!Bl.^J f\l!JOPd .10 I!'BV\! SS'B18-lSJ1;1 41lM pau\qwo21 aq A1NO lieU! IreV'-j pa\~llJa:) - :SJ8pUlwal:lIUB~odwl sJ'Bali OMl JO! aO[fUaS lelSOd e4l Aq lda)! JiJe^Hap JO p.looaJ \f - JiJe^Hap uodn alnteuB\s 'r/ . eoa[dlleLU mOA JOJ J8!!!lUap[ anb\un V - ld!a09J 6umew V . :saPI.OJd 1!2W pa!l!lla:J STEPHEN L. BANKO, JR., ESQUIRE Pa. Supreme Court I. D. No. 41727 MARGOLIS EDELSTEIN Mailing Address: P.O. Box 932 Harrisburg, PA 17108-0932 Street Address: 3510 Trindle Road Camp Hill. PA 17011 Telephone: FAX, E-mail: (717) 975-8114 (717) 975-8124 sbanko@margolisedelstein,com Attorney for Plaintiff IN THE eOURT OF eOMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA PLASTIe SURGERY eENTER, LTD., Plaintiff NO. 03 -3239 v. CIVIL AeTION - LAW RIeHARD A. DE RAMON, M.D., Defendant NOTICE . YOU HAVE BEEN SUED IN COURT. If you wish to defend against the claims set forth in the following pages, you must take action within twenty (20) days after this eomplaint and Notice are served by entering a written appearance personally or by attorney and filing in writing with the eourt your defenses or objections to the claims set forth against you. You are warned that if you fail to do so the case may proceed without you and a judgment may be entered against you by the Court without further notice for any money claimed in the eomplaint or for any other claim or relief requested by the Plaintiff. You may lose money or property or other rights important to you. YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP. Cumberland County Bar Association 2 Liberty Avenue Carlisle, PA 17013 (717)249-3166 or 800-990-9108 STEPHEN L. BANKO, JR., ESQUIRE Pa. Supreme Court T. D. No. 41727 MARGOLIS EDELSTEIN Mailing Address; P.O. Box 932 Harrisburg, PA 17108-0932 Street Address; 3510 Trindle Road Camp Hill, PA 17011 Telephone: FAX, E-mail: (717) 975-8114 (717) 975-8124 sbanko@margolisedelstein.com Attorney for Plaintiff IN THE eOURT OF eOMMON PLEAS OF eUMBERLAND COUNTY, PENNSYLVANIA PLASTIe SURGERY eENTER, LTD., Plaintiff NO. 03 -3239 v. eIVIL AeTION - LAW RICHARD A, DE RAMON, M.D., Defendant NOTICIA Le han demandado a usted en la corte. Si usted quiere defenderse de estas demandas expuestas en las paginas siguientes, usted tiene viento (20) dias de plazo al partir de le fecha de la demanda y la notificacion. Usted debe presentar una apariencia escrita 0 en persona 0 por abogado y archivar en la corte en forma escrita sus defensas 0 sus objectiones alas demandas en contra de su persona. Sea advisado que si usted no se defiende, la corte tomara medidas y puede entrar una orden contra usted sin previo adviso 0 notificacion y por cualquier queja 0 alivio que es pedido en la peticion de demanda, Usted puede perder dinero 0 es propiedades 0 otros derechos importantes para usted. LLEVE ESTA DEMANDA A UN ABOGADO INMEDIATAMENTE. SI NO TIENE ABOGADO 0 SI NO TIENE EL DINERO SUFICIENTE DE PAGAR TAL SERVICIO. VAYA EN PERSONA 0 LLAME POR TELEFONO A LA OFICINA CUYA DIRECCION SE ENCUENTRA ESCRITA ABAJO PARA AVERIGUAR DONnE SE PUEDE CONSEGUIR ASISTENCIA LEGAL. Cumberland County Bar Association 2 Liberty Avenue Carlisle, PA 17013 (717)249-3166 or 800-990-9108 STEPHEN L. BANKO, JR., ESQUIRE Pa. Supreme Court I. D. No. 41727 MARGOLIS EDELSTEIN Mailing Address: P.O. Box 932 Harrisburg, PA 17108-0932 Street Address: 3510 Trindle Road Camp Hill, PA 17011 Telephone: FAX, E-mail: (717) 975-8114 (717) 975-8124 sbanko@margolisedelstein.com Attorney for Plaintiff IN THE COURT OF eOMMON PLEAS OF eUMBERLAND eOUNTY, PENNSYLVANIA PLASTIe SURGERY eENTER, LTD., Plaintiff NO. 03-3239 v. eIVIL ACTION - LAW RICHARD A. DE RAMON, M.D., Defendant COMPLAINT 1. Plaintiff, Plastic Surgery eenter, Ltd., is a pennsylvania professional corporation with a principal place of business at 205 Grandview Avenue, Camp Hill, Cumberland eounty, Pennsylvania 17011. 2. Defendant, Richard A. de Ramon, M.D., resides at 5236 Meadowbrook Drive, Mechanicsburg, eumberland County, Pennsylvania 17050. 3. On or about May 27, 2000, Defendant entered into a Professional Employment Agreement with Plaintiff. A copy of said Employment Agreement is attached hereto, incorporated herein by reference and marked as Exhibit A. 4. By specific terms of the Employment Agreement, Defendant ended his employment with Plaintiff on or about July 16, 2002. 5. During the term of his employment, Defendant provided professional medical services to various patients of Plaintiff and, pursuant to the specific terms of the Agreement, namely paragraph 6; "Any fees or other honoraria received by Professional for professional services or other professional activities performed by Professional [Defendant] shall belong to eorporation [Plaintiff]." 6. It is believed that after the expiration of the term set forth in the Employment Agreement, Defendant received monies from Medicare for professional services rendered to patients of Plaintiff and that Defendant was withholding those payments despite the fact that such monies belonged to Plaintiff. 7. Accordingly, Plaintiff made demand upon Defendant for reimbursement of these monies which rightfully belong to Plaintiff. 8. By letter dated January 23, 2003, from earol de Ramon, Defendant's current office manager and wife, Mrs. de Ramon admits that Dr. de Ramon received monies from Medicare for services rendered to patients while Defendant was an employee of Plaintiff. It is also admitted that Defendant was withholding these monies which had been deposited into a separate bank account. A copy of the letter of January 23, 2003, is attached hereto, incorporated herein by reference and marked as Exhibit B. -2- 9. By letter dated June 23, 2003, from Mrs. de Ramon, it is admitted that Defendant is withholding $1,764.81 which represents monies paid by Medicare for professional medical services provided by Defendant at a time when he was an employee of Plaintiff. A copy of said letter is attached hereto, incorporated herein by reference and marked as Exhibit e. 10. Defendant has breached his contract or, in the alternative, has been unjustly enriched by failing to pay the amount of $1,764.81, which he acknowledges belongs to Plaintiff as a result of professional medical services rendered by him at a time when he was an employee of Plaintiff. WHEREFORE, Plaintiff prays this Honorable Court enter judgment in favor of Plaintiff and against Defendant in the amount of $1,764.81 together with costs of suit, interest and such other and further relief as this Honorable Court deems proper and just. The amount sought does not exceed the compulsory arbitration jurisdictional amount. MARGOLIS EDELSTEIN Date: 1 \~~\ b') By: Ste hen L. Banko, Jr. Attorney I. D. No. 41727 Attorney for Plaintiff -3- VERIFICATION I, JAMES A. YATES, M.D., PRESIDENT, PLASTIe SURGERY eENTER, LTD., state that I have read the foregoing document; and that the facts stated therein are true and correct to the best of my knowledge, information and belief. I understand that any false statements herein are made subject to penalties of 18 Pa. e.S.A. Section 4904, relating to unsworn falsification to authorities. Date: 7 I J. ()J ??) LTD. Complaintj89000.4-Q0010 CERTIFICATE OF SERVICE I hereby certify that a copy of the foregoing was served upon counsel of record on the ~,] day of ;r~ 2003, by United States First elass Mail, postage prepaid, addressed as follows: G. Thomas Miller, Esquire Miller and Miller 401 South 32~ Street Camp Hill, PA 17011 (Counsel for Defendant) Jf~ ..,l/rt:.d. Barbara J. Smith, Secretary SI-3S-&& 11:5S HAll BOXES ETe MAY-?fi-?~ 17'~ ~IPER,~INeR.~E~~~ rD.lSIS4396&~6 P.&2 9.1... ~ 91Z6 P,~"'\.'l THIS A.GRllMlNr i. made thiJ _ ~ or . 2000. by IlId b.:WMlllllc PLASTIC StlllCJRY ClNrD., L T'D., I PlIWyllllllla Profealoll&l ~Oll, With [15 prlnclJ\a! plL1C4 ofbUlblnlIt GrIZll!v!... Corporate Place, 20! CkwMew AY8f1\1&. Camp Hill. PlMlylvui& 17011. ~ rc1m11l III II ''Colpor&l:iOll''); ..~ --........ . .... JUCH.6ItD A.. delll\MON, M.D.. rec!dlna It 9B !rooiview AY~Del~ NY lZC54 (hmina1lar ~I'ed 10 .. "Pru1OollllWnal1. tr(f.f "Pt /mA.r' BACKGROUND Corporation cietil'lll to lSlI1ploy ProfWlimIa1lO r~ 1I1edica1 s~. II I ficenucl p\aQtc and 11IllO~"O s~ 1M Pro1bslol\l.l cIIIltu to r:ntcnbD IIIlploy o(Corpora!ion on In ex,l~ve buls. J'(OW, TBBUPOU. l.a coulid.Sl"ICill'Q oflhe toreaoms. and ~eu<11Jl1 Ul be legally boWld hetlby, !be _" aaree II !olloWI! I, PiQ:pllse of ~meJIt, The plUpoae gf lbil A~1l2I is to dctlllC thl relatiolUllip bctwm CorpomtiOD. II III 81lorw ccll'totoulOZlll II IJIlCIployco of' Corporation, COl)lOraiOl1llareby ~ ProfeuiapaJ, 8IId PraP,'i......r ~)' 1I:CCp" II'Ill'lo~1, lIll &II IIMwlvc ball. DllpCllllU IIm!lJ 11I4 COIldllions bermIlaftlr iIl1 forth. 1" Aadlorl....rlllII fa IIl1Wtipte Reuutlltillll, PItlCcsslOlllltcmowledgcs that, III p~ otblc eJl:lJllo)<1ll1lllZ inlcYiJW, he !III nWI nIJl1'OImdaUOIIIU to hb bckgoW\4, ~Ii.~ pia! ;!l1ploymml. IIhy,h:a1 and mIllW hllllh.Pror.rlollal MI)' W1dcmac1.1 tlw Prafluional'l repM=tIllonc are IZlIlerial t&I:a IlpGIl wlllall Co!pcrATlOll win ~I)' lD rcachlDg ita ~S-3G-GG !1~5a MAIL BOXES Ere MA'r-:c .2I'Ja~ j'7':X; R1Pell'llEl/'ER.F~~ ID-1SJS439GG36 p.S3 91~ ~ i~<5 ~.~17 deciiion to ezIIj:lJgy ProtauilllUl, m::Illl,)' "","~,,,",,","'II"'1l' or &.illn Ig lIlllj' clUl:lgae 1IIj' ilia all - or llllAc!lIct ill OO~.....t1011 Wflll_hc:r=' ,.I~,plltlllllp~JIb~i~ &III!_~ llalUl wbillll tile C~ ~ll.Llll)' d'-"'l~.. wllllllallllrially~~ 4111I' rclarllWh!p ~ lW P'ltiWllnlll wil1llo IIO\IIIdIlbr ellIlc:r ~ ofthlJ ^lftlCIIMnl tOr CIllJO. Pnd'aIiClllll htl'Bt7 ~ OlrporatiClllIO llftda'llkll, It Illy limo cSI.Iri:II: lhc tenD orlJli. AareomIllt.1lIch NUo~ lI.WrIliplillll II IIl1eG11U1%y III ~ _ l'nll.....IOGl/'. Cfe4Cl1llllJJ, pUt tGlfIlll}':lllU, .abYl1cal1lld IQIllIll ~ IDd Plo~ ... CD hllalllt Illy dKlI.lIlOIll or write Cly 10llal! 11w IlII,)' ~I,y 1M Nqlllftd lei &lldladze , ~10IIIl'C III ClllJlOlllllln of lIlY and all rcc.onb P-"llllllllaV_rlfadOl'l otlM nplWallljOllS llIIdt ~)' PlQfeu1ClllaI. 3. OIl!!..... PrdIercioulqr., to ~A IZIIlIilliD.. -lIJl""i.....Uy plulio w nIlllllll11lcl!vllIIr8tIl)' OZI.l ftl1J-ti=e b8IiI, fCI!eb' u Ul..lo~ otColperu(oza. Ill" Ib&ll ,'r!D1ll: IIICb 4111i.. Ollltoll\ll'y tc wi willWlllla JCOpc of.uch lpClCiallty .. _ U&lpld 10 Prollutioll&l hm lime to_ by the &o&tQ QtI)Wct~tColpozuloa n-.""I\C!."aOtrllj, .., ...nn....ue.o Pnlllll.lollll.... to ~ aU nllC8lll1y amc Uld bl. besl etrol1:l in the l'~rman" otProftlliDIl4l'. dim,. u allhYslollllktt ~ 1Il1GaaldlrlCC' with III. AiShsl etbJCallllManlaotlll.olUdlO&lpro&Nioll. ne~lIno(~nabl. &mOl/ilia ofllme tbr lNcldq or ov.l&jdo buee.1IId cblrilallla IIId ~0IIal aWvltl. La pmaitlN, providiq.~ IOtlYltiu do IIQt ~ 1arctwe wilIllllo pm!:uiona! acrvlceI to be rllldmd II an on:ploJ'Wl otCetpon!jon htma!.. II ir IIIlIiIrIt004 aaG Iilwd 1Iw CorporaiOl1.hall UYIIIKXIIpI.. CllII!l'DI UIllIIRIIamf WIlli rllplCCllllU 1COOp~ o~1&l of ---...- iii)' palla &n4l1lo _\lilt or -. ob.pd by ~Cl/I ftll' ~tM""~.". ...m-. . -5".-'.-.'. p,..,........, ~D.dlU!:f.. Il.. ProtIuiOACI UNllI Glal 'nl_~ will DODduel !Ilm.c/ll.lll Pllltoaaona/ lIWIZIC'ill lib "--""r I!lIlIdIitude lClOoVad p... ollllr IlllIpJo)'eoJ at>> mllllbm ot't!k> lld'ol~OQ. PrIljloa.I-.'llDthar undmtacd.lIld;qtq: tI1.u ~&ti- au,)' J>NCM\b. w ...w,.... . ... ...... b, It ir !bar ~ 11141Q11N1 ~lity of l'rD~ III DtIt 11$0 III,.!". "" ad4lcl:lYII drIIf. OI'la ___ WUlli'11iJ.lIl b otlIaro lX"OIIooG1lJ, or 11'lllll1Cl41.J,. pft"" lD Iuch cw.. 'nla hi> AD&:bilil)' Ih&Il ""llppl)' ID !II. 11III of IIIOC!!cItjOll fer w&ictl1'rot'tuiaml ha I vaIfd plelQipCion wIlare tbe 11IO of_1l 02. .. '.W " . 'I." .W' "'~:.' '-' ......,. .I!o......... nAY-27-2000 SA; J3:15 pn )EPT OF SURGERY ----. - -- mv-..-~oo 1?'~ FAX Na 5182625692 p, 04 F!lteR.l.F.l~,=Il~~ 914 ~62 9126 ~.3?"17 rnedicaticn iI ~Illlaled tc CozpQJCiOl1 &lld wtll nIIl iIl_11I wit:! !:le pf1'fonnl/ll:C of Pro f_.i~', c!l.Iti... A \I!cl&Doll by Pro_loul ot tile JIl'DviaiOlll otthis PllagraplllhaJl CCDltitutt ClUe tor~ Ie CamiI\&lePlDfaWOJ\IJ', Illlploymen: \WIllii' p.....lll3(tJ G!dli. ~t. 6. CoJllft"~f 9"....-1... Ou'-fll. ~'-'IIIII.I ~.. Pro_ClZlII sA&ll aol, wflhoUl the prior Il'l'lfttD CCllICIII a11!18 SoAld. &eorl)' Dr Inclitectly. c111rirlr!bc lcrnn altIUs AI!l'.emlnl. reDder 8cni~1 at a pro1'llatonal nlCllrw which IIIOl:I14 b. OOlZIpItlU VI wllb or advlf.. 10 Col)lOl'allan. Any!te. or ok boDorariaf8MjvN by Prati::aiOll&/ for 11l1lf..uiOlW '~cn Dr olhCl protNslonaJ ICtMtiCl ~1b.1bId by PrD"'-f""., .".n balol\i to Ccnpora&/IJlI. - ,'- 7. tma. The l=m oerms Ag!ecmll1t ehall beeizl on July 17, 2000, -=cI s1Ia11 contizllle for a period oftwa (Zl)'lll'I Ill1tll1tlJy lIS, 2002, wUH. '00Il1III' ~lllcl.. he:ein.Uler provided. Upon 111. -;'lUIOII or .xpiralillll oftbis AcetmClt, PnI.!'cu.illDl1 a!IaIl b. atirled to ~Ij". all coznp IIn 011 a pro ~ all II Ulllllpaid II 0 IU lie. . -'''r-' ComDn.atlftlll ""-IN Belen.., "'Vie/ill[' Pad1ltf1OL I, CC/lUI\=em,Juiy 17. ZOOO aDd durizaa 1M 1I1'11)'UC oftha tlr= of th15 ~ C"1llit!aJ ~1'1Il' Tczm''), Carpol'ltiOll &IrDII tc I'll)' Profalional 1 bue Illuy atONl Ht.'NDUD TWlN'n' THOUSAND &lid 001100 DOLLA.RI ($120,000.00) p. "'~"'ll. Jlayablc ill JqUll moJItJuy iDNI1menu on 111. lUI clay .f '-lUCllmall.t\l, which lIIuy may b. Clen&fter mocUfied by mutual 'S!WlIaMIil wit!lQurllla IIIICl to IIIlIllllIhiJ ~ b. CommOllcilll h1y 11, 20011lU! lIWilII Qe HCaIId 0Jle.~ llml of lha ~CDI '''Second OZIl1oY.ar TCllZl"). Call'araUon IIf'III Ul pay ProAuI~IIa1 a bue .a1uy crONE HtJmJRED .PeaTY.PM Tl!I'OV'1ANJ) _4 0CIf100 DOL.LARs ('l4S.ooo.oo) ptr IlU1um, P&~11l ill oqllAlIDOlUIllY lIl.alfnt8QCI 0Jl rJllllm Clay of u.:h such month" wliWllI1ary =~ be lbC'Cll.fttr llIoQillal b)' I%lUllIAlI/lrCClZl8ll: Wlt1loul the Mod to amCllll1Ihla Aaraa_ c. .... ~ ~ctivll CCIIIIp&:ll&&tiOIl. far rII4I lAJlial CaD- Year T.nn. Prcf'uiona! WI1 be IlI1titIed 10 ..IYe III -tj'o'e._~us 1Il1l111110Uat IIJUIl to folt)' pc'I:om (~~) ottbe toUj ,..", eolLtOlld by lIla ColpomjOZl WlIICIl are Iftl'ibutabllll) IIJY/Of.'rr"'ftd !Y Pro~t!--, ill ..... at'11\rlle IclUldrld ItIIf J"itty.-1baulI~1l1 IIld COllOQ Dollars ($3S3.ooo.00) ('~im y_ TlI:esIIll/d". ~ ltllrlnr Ill. &II y.., of .~- S5-~S-QQ 11 '59 MAlL BOXEB ETC MllY-26-2aa0 1?13S ~rtcll."",I~.,"~lW<~1 ICR.rI -.----- --------. -'- IDo151B439SQ36 P,S5 S14 S62 ~.Z6 P,~'l; cmploYll'lenc. =Uec:ClOQl de ~t =1It lba ex~ Pirst Year 'I'JnchoJd (S)SJ.OOO.OOl. thin t!:e &mo1llU oft!w ~lIoil ("Fint Year Dc:&it') will be c.aniec1 evCI' &!lc! IlIcIcd Ulltu: SICCUld YIIlI' ~Id. d, ~ funhc:r meadvt CClllpIlClltiCll, tor ru Secolld 0- Year Twm, !'rofeiliollalllll1l be ClUitl8; 10 nul", IIIln0000tivll braaUl illIZI 1IDo1m1 tqllallCl Aft)' pmll31 (SO~) otlba lDlI.l fea collected by lhc ColJIDra:ioA which an &t!ribUl&Dle 10 'lMelS 1'II1c18f1d by ProfCllQonalln RG8II ofPCIIIt' HlIlId:ecllAd l'WImy T1IaI/UDcl Cld 00/100 tlo1JlZS ($42Q,OOO.00) ("S1CDJ:d Year ThraIholcl"). plUl the arnolW of any Fi"l Year Deft,,!. II. hoteaiOlll! Im1 CozpQrI/:ion shalllllutII&IJ)' Il:I'U CIS !ba P&)'ll1Cnl IObedlll. for &lIY iIItaUi". bGDUIllIr!IOd; prgvUlcd, Ilo'IlIlYcr. tIuf l:!Ie NIl &I21olAlllhl;ecf IhaJI be plili 10 Pnl~ l:llllar=- than !Illlet)' (~) dq. tollolllin& !be ~ of each ont- yeu term. ( Ai tIu1h.. boDII& CDmJICI1UtiOIl, P>rDt'eaaio~ DIllY reuive IW:Il lflacretiolW)' bcm1l.Hl wiliGh Il'e au:hol'lzallllll cleclmc1 by the BOlle!, in IWl IIZIOIWI, 1nc11O be paid at IIIIl:h limes and in IUd! izlcnmClllS. ulfu, Da..n:llll')' ~~IDL &- All COmp~ClII pllUl ta Pmtulicma1 ah&Il be subjrct to ltlIl ClIItolftay wilbboldiDc caxer IlId ~ II'llPlo)'lllOllllalel as I'IIqIIind wilh rupecl to ~WoII paid by Ce!p0Zl!!aa to III tulplll)'IC. h. Pto1iu4loll&! sh&II also be eUJlb1.1D ~cipate ill CerpoN.lictll'S ~ benetll pllDa - both pmllUly OldIl!.ll'llllf dI-= which IIIaY iIllbe lI1l11rl be IlIcptl4 . In IOOOIlkaae q IIIe -=.. _ PJ'O\lj1to1ll of SUdl p." Profll5tionaJ .hall be ....I'l"td to ~I uN at a ~CIIoNI.az.d JIII-. r-.-4J.'1I celllllar pholle IIllPCllltl, I - ooqD:lllZllexpC!l&tiru:t EllIl.lIMI1&Uy II&'eocI. 1IpQI;I, I. CclIpg:adOIlIll&1l ~ bclpltallzaliGIIIDli m~or 1IUl4ic.al llllW"&ngo ~~ 41pf1Q41nt oownp tor l'foII5I.IOIlIlIlld I'rDtc:ajolllJ '( MIl)' dllrill, the Le:1II of Ihl. A/3RIllIllcut ne lpICitio il1lllnOlN piau 1IIll4, Cd Ill. di vU.1on of chi >>raIl:llllln lOll dlcntor bllWllB Co:pomion IIld Pte&alallll. mpllClliV41ly, 0111 be u ~ by !he BoanI fram lime to time.. ~ ClH}lOnWoa.lIball pq PCIlIr thollSlIIlCf. BIpt H\ad:al. IloUIlI ($4,100.00) P" r- -4- ~5-3G-&& 11:59 MAIL BOXES Ere '...., "'J"~", .f'~ /,(l~,-u.a:.l~."'~L.L...I.CA.M ID'IS164~96&~6 P.Q6 91~ :s62 9.3 f'."','n of the IIIZlllal F'l'ml\l.1U An- lmp1l11!1zu:lallllDYll2I.1br Pro,..i"J>aJ IZl4 Profearioll4l', family. ho_i=a1.w1lt l'UPOlI&lbl'!D $1&1 my a:nc1 all prmuwn &mo~ whiClh u:CCCli ~BOO.OO ...~n.'\y. j. ProfllaiOJ1U QaJI b, JlI'OYiUd 1Vilh lID ~ boo", pneQClC. related PIlII' Illd cell pllollll, .-anpllic IIId 1BcIIIli~1l help,. sudl arllc: w::illtleJ, 1C!~1, I\Ippllllllld .m.l&!it.l!ll'lIl ~"""R"'Cl'l'. pa&illQQ Illd IdcqIl&lC tor 1be ~ of1'rcteuicmaJ', dllriCl. k. Cozpozuilllll!l&l1 pay. 1. Praf...lorW', duc$lll tht ~a.ry prolasiOll.il loa_ _ alIlh othrr pro!euioC&lloc:t=ta or UloMriom 15 mlY be aPPly.red by the 1oIrcl. Il. ne llClSt oftlllla= bal!acs& IIIld jBOfessiOD&J llccses IIqWred rQl" Profeulonalllld .uc.b atbcr ....--'"-mllle! Prot'lSlioDllIi~ IpPrDYIld by the Bolnl. iii. The ca.t oflan,.lIll:II disabtuly lzlswlllQl covcqe, "hid! lmurmoe IIla.ll bc prayjdq, Ille ~ wl the ltlCI:ttbl) , b_at dctcmiinId CD be: appraprlar.e ~ tilDe III IimIl by lbe ProtltllOGlJ; provided, Ilowevrr, the obU,ftiOJl OfCOzpClnmDU ill thh rcpn1 abaIlllOt IXGacl Three Thou.A!lll wl 001100 Dollars (S3.000.00) per 3'IIl. JlI'gftlliCQ1 thall DO reIJlO~lblc to pay lAY portlClIl ctlbll aIllllIII pnmllllll (or .uaIl c~ wbIMlIl&y cr.._ Th:ee 'I'ho1llllSll1ll.Cl 0011 DO Dolltn (S3,OOo.oO) per ~. I. SWlja:llD lhIrlpayatent praYiJiDlII of Parqraph 21 bIno:; CorpOl'&tiGn Ihall rcimbvrw Protbu101l1! tar P'I""IIlJblo 1ZIC\1q ~a a:nd /'tlatod collta DIIt Ie .OM! n.- TAc\lilW aM 001100 'S3,OOO.CO) -W\ed with PJ.gtioulDllll', rclooaUml CD 1lI~ caup Mil, CUmIlclrl8ll4 COImly area, wllllliq. b"lllet _t.d ta, "'".j, moai. ...d loci81q, ~-_ afrwlaQzlon Dr plII'lOul.~. 1M lI:XjIena.. ",o;iIlI4 WiUllh .llCllt orp1ll'l:lluiq & DeW l'IlIi~, m. It I. Wld.llOol1_ qNld rbal thI CotpOrI!iGllIllall HCIn me! maintain t#rolllhola Cbc -= hCeD' a .....1;...1 ~ ~ polley lit lbt &grep.e lil=itJ .5. -...- .... - - - - . . - .. w~-~w-ww 12:&~ kAIL BOXES Ere MI=lY~~6-~ 1'1~ RIIC1l.WEI~'''~ll.CFUj -------- --.---.-. --- IV-ISlB4396Q36 914 ~ 9126 P.Q? P..t.a,...'ri' Orngl leaalhan ON! NIUJONITB:R.D},(]I.LION CSl,OOO,OOM3.ooo,OOO) DOL..t..AAS li"om a c.mer 1Il1erctcd izI the 101, c!iJcrar:ioll oIth. COIpOnlllaa. ffllls Carpa:allaa. Mqllirv. a "cl&ilIll made" ~cr thIIl1 ..~" polley. IIpOIIle:rmilwloJl of cmpJoymOJlllummder, ibe ColpClntioD Iba1I pay fi:Ir ''IatJ CClVCI'IJe" (a "Reportiq iIIl1cl'le!ftll1t'') to ~vc: llte Co:pozuiOIl aa4 Pnla.ioftaJ aaaiDft IlIbilily tm!ll malprlCtiu cl~ a,pinft tbI C4rpomion IIId Pro_iolll! resaJtIn, ~m the acu or omluiona af Profcl5Jonal prilIr to UllI date ot'his lennizlaziall or _1c~C!U willi !lie COlpllratlan, ,. Pat1eJlb.. Prot'elJ!CIIII! taklIowl~la thIt III JIICi=1a ICClI by PrO_IOMI dw'in: the rc:m ofProfeiiiimaJ'1 cmPloym1ll111"1 Cazponc!on'.pat!1CtI1IIG iIDmCl....IIlCl._ .h.o1 - C~ralcm bll1ilc =1U1iYllllrboril)' to -PI pul8llfl1o ill pnlteuiaaaa AssiDaztenlJ shall blll.jade-in&" Calr &Illi 1'CUOiW)!o "'''''''-10 Ullolto m&lori&ll, iIIbIbil tblt tbiIily of Proflsaioll&.l lo am tbI= irIceativ. c:anplllla~ --=-. -. --. -lr YlCatlalll ..d l_ftlQ. Pm1lMaiouI illIll be lIltiUed to Jlllrioclic VacllllllU, holic!a)lll, and addltionalleavea otlbsellCe to: PO'r,ra4u&I.ItIIli)', I%tczIcIan~ ofprofINlon&lly- relal.1i 51m1lla:s, 11Ollll'eC. COW'ICI md oOl1veadoDl &I apprvvld by the !Sow. 1M lime allotlld annllally tor vacario= sh&ll be ttro (2) weoIc.t Or lI:a Cl 0) d.a)'5 per)'Car IAI1 one (1) week or tivc (5) ~y& 1'01' ConllnuiZls ModIcal Rd'I~.~"Il ("eM!") COllml per year. S~ l!mc lIlaY QOt be accumwatQCl from lUll: year 11) the 1IIIln. Prare.tallllllWl bo auitled 11) DIl ad.diticm&l QOmJleru'~on fgr t.Wre rallriliM lUI:w available tar 1IIllII.M.m"(:l AU cam oflrlYel, tuitiun Ot rellBlrariOIl, food IlId ~ !or mllldiDa tile afOl'tDllllll== IlI'Ofenioll&l aalYiIi.. shall be paid by Ccrpotltlanj pvvicIcd, IKnvever, t/at UIc IClcclloD otm=tillp IDd s~ wl the maxtmlllD mlOWlt otSllCll colli ~ II~ NliJICl to prior ~a1 by tbe Bori 11. F.m"IJ_. Prot.~"J l& requJrocl, a.s I ;on4ltIca of lIIIplo)'ll:lCl1:, lI:l ~ J'toti:caianal'. bat cmn at III am. to AInbII' till FlIGCioe otCalporar!lm IZlII. 10 1IW cd _ willi clue rosa 10 mocliG&l CltIll". 10 Inollr llllpCll.lll !br CIIIYll~ I:a~ -r. Pro&.lol\&l Idv~."t IZld commUllhy lervtcoWllloll, llIIdIr Cor]lOnltiaa'. ~ palici., lire not IWljccl to nizallunernant, a;Gapl .. pl'Ovidod oI.I_hare 10 tbiII.....-- bin 'llhicll. ... ......'"Jo\oI_ -cnti&J llId direetly ~ Ie ihe ~ of CclIpo:uj OZl 'I ]Il'ICUco m:I Pror..ion&I'. '!I:I4[ng &!lion, IMnlbers otll1o mlldillll pRlaiOll1ll4 Pl'DIClIII or proljlec:tlv~ pltl'l1Il, r I i , -6- ~... .~:~~ MAIL BOXEs ETe /'1;;\'-;!;-~ooe 171J? J<J1:eMJE"I~,~&CR.k . -..-. -- --"--... -.- . -. .-- ID'151e4~~5Q06 P.Q9 ;/14 S62 91"*, P,II'17 r.ll1pCIMltiOll trill rl!YiewllD)' lucb ~ whllOb Prt>/lou'''''''l.I blII1avq &llould ~ ~ed b) Ccrporazillll ilId. at ill cl'el:ICII, N)I hive ~= mm=x fn:Ife&sjcmal tblntor. II. SiekR_ Ilul '!'"ta1 nbablllll. l'fotullllll&l'.wence trom Wort b<<lUIe or .ieW5f or lCl;:iden! (JlO% reaulti~ In Pnll'essiOllaJ b=ollllnc 'iDtalJ,y diLlblccf" &I thai ~ i. hcrejlla1\er dlfined) Ih~ not re.llI1t ill any u1JlII1mcar ill Ptvl'euioll&l'. l:ompl'USaaoll or riilllll llI1der this Alll"Imct. Should PrvllldOllal ,*=, lIXI1IJr c1iaBblcd IS a I'NW1 of IIc:1me&1 or uc:ideru IIId II.llabla 10 adeqllllely ptl1o:zn ProftIriOllAl'.1lIC\I!II' duli. Pl'eISOf!bcclllllAcr tbiJ Agreemon\. ProfOllioll&l'S wary sIW.1 b. nduell! ill m::onlaDea wilh tba toUoIllill: ~hac1ul. cllllinK lb, IlOnun\llrlQO of IU4h dillbility IIlll lIlr I pl:ri04 AD! exce:diq tI!1lly (30) ca.llllldv Ca)'. (tlIe "Dii- llblUty Period") for Melli OClIItlnuoUllWllbillty. TOTAl. nI8un.M'Y B~NEPIT !lCR'r.Dl1Lt D.w ""tanv nll.hl.. o co 90 ~ I &lid after Jbdu~tfft" ill Pral-..t.fta"l. 5~1'!!l~ 0% 100% iholl.l4 tUCh filltIJ dWblUlY oa~ue!Or I period in -. ofllWlly (90) COlllccutive calendar cI&,yI, CotporaliOll &b&Il, It the =cI or.ucb IIiIIoty (90) '" pCliod, haVl: thl: oplion 10 tcmlinalo ~ ApA ...,a, U; howMlt. p:tor Ie tile Gl4 of IlIOh acty (lIO) day Pcr1oll, Pro!bsional'. fgtal disabiliEy.h&U MV' ctUed &lid Prot'u1icaW IIIalI hive ASImlacl the Idcq1l&lc perfolTnl:lCc c! dutiu ~I CIll. ......lCIt IllaJI eOlllUlw III &II fore. md e!(1C11/ld pror...lolIII .hill be Illtitltd 10 OOlltlnne CllIJllllYmllDt!lareuuder IIZId 10 ~ =eivc PrQ:8Nl.ana/', tiIll campen.artOll u rIlCllIh Pnlfelllonal ball flQt *= dl&Ul~ For pwpOIOl or Ibis ~onl, ll:w 1-= ''tolall)' di-.blod"" or "ltI~J ClIINllltl)l'" IhaJJ mean 1"Jg1'l::uumal'l jDlbiUty tcldlllU&l.ly ptII1lIna profN,jOIl&lIM Olhcr UIi;nod dUtlN IwlWldu, It ilIlIIldCltood that ProI..ioMJ '. oco..ionallioJo.... or GIMr w,opooity of u.ort <lllndon mlY!lOt resulc (II PnlCOlIliOllIl belli! CIl' booomlnllOlaIl)' dJllblllC!; hGwcvcr, &I1Y fUl:ll i /lnOll. or U=lIplClcy may GlIMiMo ProfOlllllm1l'1 bellli or b""O"''''. tDQ11y dJllbICI:II! llli:h JIIn", \lr 1nl:lIpc1Q' II praloDp4 lII'rect1ZM.I. l'bI BoInl sIlaIl be fIIpOflIibl. for .'MIl' the Plovl.lon. oflhls ~ fQ lIIdtYldual ~ ofProtus.lCMI'.lIda1elll or inlllpacil)'i prol'iG.cl. hawllVcr, ita ~1".tI_'ln lbIa lllpId man be mad81n I t&Ir ancIIq1.lIIUJ,lDIl:IUt, .7. .....~._---- SS-3&-G& 12:&1 MAIL BOXES !TC MQY-2li..:lIa;e l".:r.> "ltrE~.~,~,~;c:~ IP.1S1S4396&35 ?Qg 314 S62 Sl26 P, 12--1 "i' IDd &fter obtlinin, ~ ~ opjl1iOll of. pb,yrioillll'mlt1l.lly lG!=led by Prol'Buicllw wi !he ~lpOradClll. 13. Z."&IWlIa", r.r...t"Itlall t>I An.......1. l!Aeh oftbe followm, reaaQIII sIIall cour.lrure pJ"Qper ellllc lbr o.rpanzlllZllc1lamlnalo i'Io1i:.lliallll'l ClIIlf'lo)'l"llenlllll4er Ihi. A~GI\t, JlfVVid8c1 dlar II.lltlot orllld tlnDi:a&tiOIl illlivc:a ia ~ae v.;lIIl11llplta~ (Jl haroof &. ItProtariollallc II.llloqer ~ to prlCUCt Pro!lulOlla.l'I .......... Ilrofcuion iI:1lh11 C'----wedb ot PemII)'llllllia. b. 11 P!duionaJ YiaLcu lIlY protelli4l141 o&th or Ilc~ ICalUlI 01' L./' Profelliona!'. pratllaiOl1. c. 1! hIllY nuoQ, ProlouiauaJ ba:oms 1lDilIturabl. III\.dc tilt profeUiolllllilllillly ~ "'m:h CorpotlticlA 1IIm..1ai". or loWIHi to b. 1nIlnlah1e4 011 ill PI'O~_ caployoca. 4, IfPl'll!ou:loml bIoomes lzlI/!J!llLt 10 H' =ab.. of lht sratf of lilY hOlJlll&l hi which Corporatlo.a pmvilbla'lllcaa, UI1I.u lucb 1ne1l1ib1Ut)' is clue to Prortu!OIlIl'1 YOIuant)' rot'.. -11= e= ilia Ilalf ot III)' IIWI hOlllit&J, wi the ntUOn for IWlh raiIzWiOll is nut . =~ ,ee !brlh in IIIbplrli21Ph (..), (II) or (e) oftldl parllf'lllh, I. U'Plvfiuioll&l dIrtatI)' or 1Ddbu1l)' ClSII'lpet. with Carpon.~o" while crnplo~ IlDdc ddI A,rlll!lll1llDt. _____ r. IlProftMiollll (i) 11M rlpCl~ 01' m~ !Illec! fJI1 ft~ Ic1 \ \ lbllow thel'lUOll&ble inIlnlollom CIIf policies otlhe Bow fl!lll1l1dfzlc, but 1lO: limltecllO, I ~lUlIZI oC 1IIIIJllo)'llllllt 4Q11O . Y\AIIIlolllly Pror.JOIlI! of~. pl'OvtllOlU of'PIrIppll ~) ot'1hia ~t), Cd) hu laatI!rillly COAl!\II;lad himacltin IIII1111lt1Uaa1 0&' tl"",d'II..IIIIIQIl.. ar (1ll) Jllvttuioaal" ~0lIA.. - ma=iauy clixnctir.a or ia O~niIe 1IlI1Ilrial1y dotrimllll1a1 fD lI1I repuwlol1, obaraclC' md ct-'"'Wky ~ ofColpondll1l or ill ph)'lidm<<aploy... B. Proten1cm1""O)mClIII&y be ~ ullloYI\ upon at leut lhrw (:I) da;llW prior Wl'I_ DOtiooo tram dw B~ ~ .Qodcc &ball nil. lit.. r"""ft mr .-u.:h I&lnIllAallClllo md abaJ11M d.e1i"'Wel11O .1I'llftulO1l&lllith... ill plIl'IOn CII' INikld 10 PnIfil11iODal'J 1ut __ addru.. .... l/"" ' r v/ "~ I // .~-~~.~~ 12:~1 HAIL BOXEs eTC 11=lY-26-<9a!! 1?'31 RI~'WElreR,~~ - --""-_... --- . _.. .....- r-. ...110 ID-ISIB43961l35 9... 562 914; P. J Q 1', 13-'~ ~ 14, Term'" 'f$D!l tJI A.__r. 1: Iddllicm to th.c prcvisjOJll !:It iIlvoJUlll&ly tel\l\inancn l1eroillabov. JeC1/)r!b, Ihl. A,srecn:aw Ill&y "~;c: LIIIdcr me tbllowtq conclitlQDS : .. B)I ~. lIIIllIW Mi_ OOIl'O'IIt otCorpo",aQJ:l and Pro!eui=a!, b. By alcblr pin)' u,c lIIizty (30) claY' wri_ =tiu Ill. IlIe ....au of a lDJterlaJ brllCh llfc!:l. ~by die afhao pIrty, whicll II Dtll ClIr!Id wllhlll .~ thirty (30) days. c. 11 ylllc deaIh at ProtlulllAlZ. 15. .!Ita"". Dt J:.d afTmoM. AJ.1aat 120cl&)'I prior r.o l!la ead oCtile COml otlllia ~earuent. PRlfellJalW Ih&1J lie 8lvIII . Wl'lt\eQ ItatIllDln ~~;"';'I& alllZlltl:rial!artn.l =-- 1~lmIq hi. .Uirilllf)' to PllRIlW an. OhlDck ill C4l>><<i.li0Zl1l oClh'lIICJIl:arion orl~ term ofm. Qreemcr provtdlli rtaat ho/lIIimlal 'aaDalllll t.cl be cmplo~ by ~on u of -.- ---- . 111Gb elate (!he "P1lrcb.asc: OIrK."). n. P1=.b&se 0fliI'sb.a1J aIao lei fbnh I2lII Pnl!olsionAJ \1;11' --- - Iu Ible lIletea&r 10 Plln:hu'IIICllId4lUcu1 &baraJ ill IYl:Il *"=alU as dlltcnniJ:lcd by the Board. !be ll'l&::mlia&tlon olltle Flee lO be paid !'or.\Il:h IlDck by PJo!ouional.lIaIl be d8\cnnlned by lb, ceml!1lI publtc """"".._. tbc:n j'IlJlIl.."C! b)/ COl)lOIlLIion. 16. Pro.bJllla_ 4nh1st l'!,....,....'1Ya "~~.. ili;"p!" pmV1l!ecl iD tile I2at lenIence, upllI1lemliuatiorn of Pro!euloDl!', ClpIO)'mllllwlth CorporatiOZl aither b)l Pro(cssicn&J or by ColPOl'lZi=. pllllll.lct lO JllZ'llt'lph 13 or 14 &bOY', Prore.ioZl&! sll.aIJ DOt, fbr a ptrioc1 QflWO (2) )$UIlillm the e&:tive cI&r.e attemWwiClll, direcdy Or' UxUreetly, II an lIIT\plll)'CO, Iplll, j."I,,-1=t OOIl.~. CO~lIllUlt, o-=r, 1~-.I'.utr:Ier. olJiGlil", direcror or lltllawlse, .uc-lnlO or In my lIlImla' Ilk. JlIl'I m ilia practite of plut1; IIld l'IICOllIllWCivo Nl'IIl)'. wIUIiII & UUrty.1l1l1l (3$) IZIUo rIIlliUII ot~ CoWll)'. hIma)":' ,/ villi&. ..-- ! i i I I I ! I , I I If Pror.&iaaIl tImlWIIIlIllI AlrIlClllIllf P\II1Il&lllIa r:bI proviAioftl of IlftI;nlph 14(b), :ho prohibiliOlll&aiDal oompGlfuOIIlh&Illlllt apply. It it t\Irtltcr ,,~.1 .!Qod IDd ~ that, If Ill)' portiollotrbU proldlricin apm,t IlOIIIpOrili~ II belli to be Wlllll!ar -hi. /'or wh&lev... r.&IOn, tMn IUG!l POrtion u...ll "C~ cliYiaibl. lloltl II t.cllUa'lI\d lCOerephi-.r are.. n.. ,wallO ~AV"'IL"IIlalPW _ ftaeo~IIaYlaa~=- dctc:noniMl oitber ~ two (2) )'QIl"lWc paned provi.ioIl. or tIw IID~ araa provtWm 10 be WIerubrDc:lblo. 1tJIlll .Po .,-~~-~~ 12:62 HAll BOXES Ere MQY-~2OOl! 1?:38 Rt~,t.elNER,F~ . -"-. -- --'.--.., -.- ..... ......-- ..... .1..1. ID-15l643961l3S 914 5&2 9121; P.II P.14'~"'l J~ Icuer ti=. perlo4 &Ildlar SNIler ,IOJl'lpJlieal_ wJljch are ~ 10 be ~linceable .hail apply .piast ~ 11 illlZldImo04 UIIi aped by dill puti. thar lbl. prohlbicicm .,.wI co=p.titiOll. llb&lI sllrViv=!be 1IIIm1DaI:l0Zl oraw Pro!euioD&! E=pIo)'mlCll ~1Gt. I:a Ill. _lor. violaUon of 11I1. prob1blUa,a", lbc two (2)"Pr lime pc:riud sp~ herem IlWl b. IOU. dllrin& tile 1l.r1aclaucll vlolazloD coft';"',,,, Jforpu.rpclSU alibi. ~t, ~ clllW' sball r:ldst ifCcrparation tarmlaalCS ProfclliorW '. cmplgymc:nt fix' CI.Y oCIlle 1tIIOlUlIet!cnll in PlftCrlph 13 oftIW ~. 17. E~"""'I:D JIre.~ ~I...~ c- ~ A.l!tMtv1 a. CorporuiClA lIlIy 'Iect ClI WII\It 1lI YJfilm: the )lrOlIjbltion taaillSt OClTTll*ldDn.. Au1h In P-.rapII14 ot~ ~ b, PraAWOJI&! :uy DII* d1e probibltiO.ll epiu1lll1mpClition to be wajv<<1 by p&)llq to C~lI, 1zI11D11W1;1 tIW Pl)m8n1, &II aml)1lDr of IDlllle)' lIlI\l.Il 10 rwic. die emc:llr Ilae alary beiDa ~d to ProbllozW by Corpara:!allllt IIlo lime ottJle I.crmiuzjDll ofProh-' .1', emplo)'lll_t. ~ IIICb. WOW1I, II is ~ by !h. pUIior 1IW the IChW dmaIp& QicA mipt ~. IIIMIincd by ~ by cb.t bttAllh aC the JlI'OllJbllloa ~..l.... ~ctClll are IllIcenain IIZld woul4 be difljllllh to &ICCUin; &ad it lJ fbr1Iu:t qrccd 1hllllhc Ibovo-I~ad ........m~, itplid by PnlfnllOll&l, 11/01114 be m,''p.10111Dll jll!l COm~'UOll _1UCh bruob, &et C~Cln 1Iab)' acr- to IllCqIt '\lelI N'I:l .. IJqlll4a1ed dImqa md ll.Ot . . JICIl&/.ty m the --u of IIICJl ~. 1'. ~bltiM. ,\nilllf 1Mvu1.4111 t!."........ ClIIIIIA___ The putiea &eknawledp VIal (i) Prak~"'ll.1 (OU!d have 8101:_ to Illd 11I&1 '-mo.. aware or ClOlI!idaxiaJ in fonzMliDII and pro{C1..iADal trIdo ___ IlIPb . patlont cl.-1II4 4l.. IN'U1al1i-. b~1 rechll;qllCl, pl'Klice ~':on p11111111ll~. tax IDIllCCOllllliIla iDtbn:aaQO.Il rdarina \Q COl"pOrallon, cm cbl. ~ If 1lIIl~ aYlllab!. 1Ig 1IlI pllblli: or hl CclIponzlllll's COlIIplUlGn, Ciii) COlpOratilll1l1. c:cIIIlpU~ t1liI =od~ ~OZI at pi! ClliPCIIIo .ad Qva .. .1Ib1l1nlirJ ruri"g ot'lWe, (Iv) I2lI8 ~cICIlII ~1I!i- COIJlCIl'ItiCIII& COI!IIp<<lo.ve advUll.... ov<< other --ii~a/ pno~CIlJ _ (v) CDrporll101l'llIQI,","~ lIVlll bi: JI'llItI)' &zl4 l~epwl)' danLaac by rU B!aaIe CI/' ilia aftlli& ClOIItidlnrial idumatloll olllotlde ortbe narmal CCllfllO of ~r.llcIa '. bTWn.... T'hCRll:lct, u & =&IIrlalllll'u~-"'n 1Ig PnlfiuiDMI WIO -I~ -- ---.- ... . -"-'-- -_.,~-". -'- ... ~.~ :.~..... ",,,.,, IofAIL SO;U:S FTC . I':,.Y-26-2aee 17:38 RI!S>.I&EHa.FI<'N<E~ . .... 'o..;>w -..:;>.... 0;:) r-...1...::: IO-15184~96Q3S , ..P.12 ';lI...~~.L.~ ,...~., Corpor&tio: cn~ mto Uli. ~eIII, l'rllf.mol\) ~ ~ while & PbylicW,oCl:lployee of C01JlClllian. and cluli.q the .eve (') y.&: ptriacl tb1l~ lIla ~0J1 oftAalllalJlloymmu, ProfclllionllJ IIriIIl:lOllli..-1,,"'i or diYUJae t!liI =,,5d=ltaIl,,'_.Pll)1I to 4llyo= or IllllAis confldcmtia.l ~OlIln &II)' lZWIIlt: wblDllll comp<<iElve or Olhe'lMse dc:UiIllCllaJ 10 Colporalfon without ~ prior 'Nrit= *"'" ofCarporatiDII, NOl2Il:Ds izl tIIia JIIl&~b allAll prohlbfl Prot'llI&!oaaJ hm ll:Ie IIH Oftllll reCGrdl U )ml\'jded ill JI'RInIp.b 1 e. J5:1. 19, PI'" aIld D.~..II. All cue 1'eCOrdI, caae IUIIlIrics, I'~ 1l.lIII.s GIld P<<Sonllllld reg~lar filu eo~ padeatl ofColpoI'lllClll, incI1lCIID& wi1llold IlIafIalioIl, patiezzJ5 consultsd, fntcN/CW,"" or ttQlll4 by Pra!eniall&l durina the!em1 of'lhiI Aatee==t ahall boJoq to IIId remain Ihe property or~ Howewr,lIpOIl ~GIl ofPn:lfclSllfanaJ"1GIp1oymao!l, upon llrete!ltatill.l\ of, writlel'l dIloolioJI from Uly I1ll:ll pa:lezu. PlDlesei.ou&l may obram copies of aU of Corparaeon'. ~ or ncordl maintained for .uoh pari_ chWIc Pnlfe.ulanal', CI'Iployment by COrpom!OIl, C4Ila\mQl With tbe Ii_ ofllll:!l paUCZIl, prgvidlld, nOWrNCT, lIw Profe$$IOIl&l dlall reimhune Carparldoll!or!be aclU&l CllIl C1rl'qlrnA"~llIJ loll)' 'lOl:h lilao uc l'IllOr4a &l the lime Nell c:opiU a:a ~Vl~ to ProfllaioW. %0. Ph..",., CaJ...J8tiaH. All &Ia:a;JaI "11c"'.~0Il' ~ to be plZ!armecl hcrcllndar WJlllc perfO~ by lh.c CClti1ieclpublic aceeuntlnl rqullrt)< ~ ~J'It1Cn'~ boob lllid ,hall be perf!lmw! ICCClrdlDa 10 pIl.e:a1ly-a.ccepted ~priA~ipl. COl:lIillCl1tly . &~lfecl. Sucll ~~O%ll1!lllJ be blDdUIg em II>> Jllltielll<<lIlIlll tbI ''''''lDDe of!tlll4 or lrl&lhem&tic.tJ lDi.taIce. 21. bU--tlt Tn tile ll't'.a' Uw ~MA..l'a_IOYlUZlI tern;...... eitber 11)/ Cor}loratlon wicl1 C&ll.. aT by Pro[eqioul wlrhaut CIll.Ie, wltIU: lIue (1) )'ell' of its eommeua:- melll II provided I.Q PIl'lllPh 7._ IlIIJaa oGIc:wiJC WliVlcllA wrttinI by ColpamCOIl. PrllfaulonaJ .hall rIp&y th; tctalUlUlIlZlt cttbe DlOYilll ezpllIIIc l'Iim&unema which PllI,-"lcnAl/w "'''ed pllr'l1Wlt to P&rQrIIlIII(k) hereof. Su.ela IIIlOlInI UI&II be n:paid DO later tIlllll Prc!fcWClllAI', Ju ~ gf cmpIc)'DlQlt; n:p~ IDly llc t'acIllQ~ II Carparalion's cprfcnz, by 4ldUctlol1 !mm Pro1U~'. r-.I"I"B a.Wy c:IlIckI or from other a=olll1b wlli;.h mAl' be o.-od ;0 .II.oA.asional by ~ 32. Hqel... aad .4....~.... A:Ay DOTiOl provided ~r m tbJ4 ~t, In' pmuia:al 10 be 81vOl\. ZUda or ~ by &n)I pcrt)r III tile Olha, DIlIJt 110 lri w:1tiq cd 11I1)' lit !l.wl dclfvllflX110 tile P3Zt)I to be ....IiW 01' 11. """eft by ~llq 11). _. izllll. UlUIOd sm- -1I. .~.~.-~W 12:Q3 M~IL SOXES ETC M;<':'-26-2aOO l. 7:38 RUEM.EIl6i.I'"~~ 'Cfl...M 11)-151a4~96Q36 9,4 ~ ~12!; P.13 P.:'c..':" mail, a4dre~ Ie the pmy to be llC~ecI, po~, pnpall1llld ~ or ClC:I'ti1iczl, wllb. rerum-receipt requested. Noticlc ~.I'"'Cl ill d2e Dlallln !be lIWmlll: hartWbove d.8II:l1i~lI:IlbaJl be etrBcti VII only if &Il.4 w_ fIICtIv" ~ lhc pmy to be uouw. Per JI'IlPC&er of lILltic;c, tile &ddraases of the pa:tlll aba1l be u pl'll\Ild.Id above Gr tilt lullalofiU IG4reIl of liIe JNrtiu. .Each llany .hlll be ~ble 1br ~ (be ethll'l'a:f)' at Illy ch.lu1aa.in &ddrllla which m.1)1 ocew- lbJriaa the coutiZIWIICC oftbia A&t'CIQIlIct, Z3. P,r11s I_d. ThiI A~ IIWl be biDd.mC I.lpClllIll.d izlure to the bellll"t of the ~IlUDI hereto IZId lIu:ir rtlIpeclivl!IIUI. cxeeulotl. IdmiIIistraton, lepl ~wiyec, 'IlUOlJOl'IlIll1ullpll. z.4, PlumYaaia LIW re AIl11lv. 'lbiI AlrMmlllt,1lalI be CClllSlnlecIllD.Iler will 1~l'IlInte with Ilia laWI Qt't!le CommoaweaJlh ClfPerIIII)'lvlllia wi all obl:lpti~ oftbe penes ~ bll'll&ncilr Ire P~.~1e ill Clwbtrlud~, hl:mIylYlBia. 25. ladre "--....t 0' thA'utUit. TbU ~ oollSt!llUea the cain: IpllamllDl bc!w0lQ the pani.. IIId IUparaedH lAy prior or&! Gr Mira DqCtiatiou. cIllNlsi ons, .-mell. or npre.=tI1:IollS by IIle pmilll. A1i.J' IlIdillo: or .~-"-'"lU ID this Asr-'lll!!lL mll.t bl in W1itlAllDll Ccull4 ~)' Ulo ~ to Do obIr!el1. 26. 4. "'-""'s No U1-L4",-l, -flr."llgg IX' ahIntlgn of lhc Iemll bcn:of IlIaIl be bindln. ~... the IItI:II b. ill wrttlIl& 4aIed .~ 10 the ~ bener UId duly "lOUted by th. purt.. breto. 31. 1011"''''_ 'I1lJ1 o\II'OaG lIlIY IlrOt be 1lliplll1 wiUIg~ till ""II" otw parties b.ereID. as. \\laW.,. .rDer-alt. Ng WI1ver b)' IllI paraN herllla at lII:I)' ddWI or ~ll ;f any term, CClnd.ition gr ~Vlll1ant gflhi& ~ shill be decm.ad lI:l boo .. wajller of Illy Cltller bl1Kli OrlM 11In. or ally OlZllll tanII, OOIldiIiotl or OOVetllm ;_.,..AA ba-li~ , -12- Ow w.-~. ~~:W~ HAIL BOXES zre ID.ISIS43g6~3' P.14 /'l;l'r'2S-ialIel 11'J9 Rltll9!lliElilElllF~ '-<:I'LH 91~ 5Q 9130 1'. 11"1? . -. '-- r. ......... IN WITNEss WHE.uOl, lba panl-lIhlll, ilI~ to Il.lqally 1>>11/1; hftby. haw .1lCII!ed lilt. ~ tile dI!e IIId ~ dral cova.wril!llQ. "'TTSST: CORPeR 4. TImII n..unc IVRGuy CEN'I'D, LTD. ~,~~~ . / P ~..... V.... M.D., PnsaicleDl (~ . DATI CAn WITNBs8: ]:.~- t:X.dll) 4. M.D. (SEAL] DATI ~~1~ DAD I ................ --- -"''''.a, -13. TOTrL. p, I? ~~-~~-~~ 12:63 kAIL BOXES tTC /It'l\<-~~ I'f';!~ RllleR'IoEJI'Ell'F~ IDalSIS4396936 P.lS '1. ~ 91<<5 P.17/1? IN WlTNU. WHlUO'" ~ pllltelllcrcrc, 1"_~;,.1lI b'!apJJr illlllllcl hqy, hAve 'll_lllad lilt, AarI8lZllal the cIaII; 1IlII1C1I' &'11ba"..writlllc. A'M'asT: CObm ''T'I0t0J: 'l.UTlC BURGUY CINTU, LTP. " /' .' lay; -...,.., DAn DATB W11NIss; r" - PRnIlm!~: . (,/_ ~ I' ~~ C'''''J m A.~ON.M.J). c;-~;-I 'CUJ 041'1' . , . !)A T! ......._j~. ......~.- ~I"I"" -13. roTA.. P,17 deRam6n I'LASTIC SURGERY INSTI ill ", 1'.\' Richard de Ramon, M D DieJul11ul O(:I!11t'1llUI1 8('(1/,1 Ii 1'1,,_,1: 'I,. D:pl(llllu! iJ!I\Il1(Ti,-dll B"ti",! ,:,' _~ll'\:" . January 23,2003 James A. Yates, M.D. 205 Grandview Avenue Camp Hill, PA 1701 I Re: Medicare Reimbursements and Accounting to Richard de Ramon, M.D. Dear Dr. Yates: Given that we have been unable to discuss this matter with you or your wife, Debra, by telephone, we are writing to advise you concerning various Medicare reimbursements which we have received. As you know, while Dr. de Ramon was an employee of your company, you required that he obtain his own individual provider number for Medicare. Following Dr. de Ramon's departure from you practice, our office has received reimbursements from Medicare which in part cover services rendered to patients while Dr. deRamon was an employee of your company. Those payments have been deposited into a se'parate bank account. Based on our examination of the payments and the accompanying "Explanation of Benefits", it is interesting to note that some of the payments now being received relate to payments going back to August, 2000. This, of course, has a direct and adverse effect on Dr. de Ramon's ability to have been entitled to a bonus pursuant to the terms and conditions of the Employment Agreement dated May 30,2000. We fail to understand why these billings were not made in a timely fashion. Dr. de Ramon is entitled to an accounting of all the fees collected during his term of employment. In addition to the extent that fees were not collected during the two-year telm. The accounting should contain a listing on all billings filed for services performed by Dr. de Ramon for which payment had not been received as of July 16, 2002. The accounting should also include any services which remain unbilled as of this date. Pursuant to Paragraph 20 of the Employment Agreement, "all financial calculations are to be performed by the certified public accountant regularly servicing Corporation's books and shall be performed according to generally accepted accounting principles consistently applied." Fredricksen OUlp:Hlcn' l_~'1l1d 211251echT1(llugy 1\1I'h-\';1'\ . :-it:iL' ),) 1 Mechanicsburg,I)A ] (,,'SlJ 717 791.2H80 ['h,lIIL' . ~'17 7~) I ~(-t 5 I d' dt-derarnon.younlld,n';ll'.\,i' C'I~Il1Clj(': Slll'1-~l'r\ . Hdll,. >llj~ll\ Rl'Uln~ll'llctl\T Stlrgl')")"' B:-~\bl )\:I,Cl',1 Clell Up/l\ll.\ll' :-;ul-g<'[\ b- '\ James A. Yates, M.D. January 23,2003 Page Two Accordingly, we request that a full and comprehensive accounting be delivered to the office address listed above within 30 days of the date of this letter. The Medicare payments will be maintained in a separate account until such time as the accounting has been delivered and provided that it sets forth ail of the infonnation in a comprehensible fonnat. It should be noted that the accounting for the fiscal year of the employment term was unintelligible. Very truly yours, tLIJ Carol de Ramon Office Manager cc: Richard de Ramon, M.D. G. Thomas Miller, Esquire If I .,1 II , -......... 06/23/03 16:33 FAX 7179205503 !II' LEI< & .UI LLEI< . ~ .-.......'-' .~r "61' il1U IgJ U1 ..'" '> , ~ V V l.. (; \. I~ II j deRamon PLASTIC SURGERY INSTITUTE. RC. June 23, 2003 Rlehll'd d.Roaum, M.D. 0.,,,,,,,,, -; A_. Aoo./ vi 1'10* Su/pry ~ of AnrctfQm _ t(5w1!"Y G. Thomas Miller Miller IIDd Miller 401 South 3211II Street CampHilI,PA 17011 Deer Mr. Mi1Ier, A1ter our headna today in Justice Manlove', court, I returned to the office to research the chUm that p1astlc Surgary Cantor, Ltd. baa made against Dr. de Ralnon, Aa you laww, tho three claims in q1lClItion were for a'lota1 of $1600. I c:alled HGSAdminiltrators who oversee the Medicare payments for Central Pennsylvania and was giVClll the following infonnation. l'atient 1n1tfa.1a: }}aca of Service: Procedure: Amount paid: Check Number; Check date: MC 1010612001 99254 $198.51 103256629 1012212001 Thia c:heck wUl'CllC.!vad at Plutlc Surgery Center, Ltd. sinoe Dr. de Ramon wu still in their employ at that time. PatlClllt initials: La Date of service: 111091200 1 P.rocedure: 11441. A45S0 No c~ exitta in the Medicare lI}IItem fo.r thia 'Jate of.ervico. Fredt'ckc, OutPOdcnt Cemor 102.' Tocbnolagy Pa:kwoy , 5uue 303 M.c:hani<:rb\l'l- PA 170'0 711.791.1880 "'_. 717.791.188' Pax drd""'motl.)'<'Umld.com """'" ("'.o.mtttIC SUrh1"v . MImd 'WNltpy .......----~ ._-_.~- -'--"- -~l___' ~1' 06/23/03 16:33 FAX 7179205503 11lLLJ>R & 11lLLJ>R ~uz I, II , Patient iniliaIs: LG Date of seMee: 03/2912002 Prolledure: 11442,99214, A4SS0 No ClaIm IXists In the Mediollnl ByBtem .for ll11a date of Senr.lllC. Patient'initiala: to Dare of service: 05/0712002 Procledure: 99214, 11421, 11440, A4SS0 No claim exist. in the Mocticare &yItem !or WI date of service. If the totala tOr th. above clalma are addec1 according to the statements fr01J1 Plutic Surgery Comer Ltd., they total the $1600 in dispute. Should you, JlIItlce Manlove or Plastic Surgery Center, Ltd. wish to varify this information, they can oaI11-866-488_ 0548. Dr. de RImon's provider lI.umber ls 037624 and was in etIect from 07-2000 llII.til present I Would be happy to assist you with this process if 11Ileded. In ad4ition, the amount of$1811.18 is incorrect. I mistalcea1y added a check in the Legacy account for pltient AS wlrioh was pa.ic.l for a 8erv1ce performed lifter Dr. de Ramon no !oilier WOlkcd It Plastic Surgmy Center, Ltd. Ther..futc, we ask that $45.92 be deducted from the amount in question, Please !lee the IIttached tlXplsnatioIl o{benefits for B description of this claim: We have in our lCOOunt, and this is accord1na to the fiaures provided by Medicare, 1764.81 which We held in good faith !or an accouuting. Thank you UIllWlly& for your time and attentiOIl.. We IIppI'eciBte all your e.ffort. OIl our bahalf. ~~ Carol de Ramon Otllce Manaaer ----_._~--- '-.- --- . --...-- () C) () c: C') -n S=: , -'" I..' [lI q i -= :? "'.--- r...) (J) .< r' , ~' " ']-;-~ " ( j.-,. , . c::- ~9 (,) Miller and Miller G. Thomas Miller, Esquire Attorney ill No. 07219 Thomas R. Miller, Esquire Attorney ill No. 49801 401 South 32n' Street eamp Hill, PA 17011-5105 717-920-5500 Attorneys for Defendant PLASTIC SURGERY CENTER, LTD., Plaintiff : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA v. : NO. 03-3239 RICHARD A. DE RAMON, M.D., Defendant CNIL ACTION -- LAW NOTICE TO PLEAD To: Plastic Surgery Center, Ltd., Defendant -and- Stephen L. Banko, Jr., Esquire You are hereby directed to plead to the enclosed New Matter within twenty (20) days from service hereof, or suffer judgment of non pros. MILLER and MILLER B~\\~i)j, G. Thomas. Miller, Esquire Attorney 10#: 7219 401 South 32"d Street Camp Hill, PA 17011 (717) 920-5500 Date: August 12, 2003 Attorneys for Defendant 1 Miller and Miller G. Thomas Miller, Esquire Attorney ID No. 07219 Thomas R. Miller, Esquire Attorney ID No. 49801 401 South 32" Street CampHill,PA 17011-5105 717-920-5500 Attorneys for Defendant PLASTIC SURGERY CENTER, LTD., Plaintiff : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA v. : NO. 03-3239 RICHARD A. DE RAMON, M.D., Defendant CIVIL ACTION - LAW DEFENDANT'S ANSWER TO COMPLAINT WITH NEW MATTER I. Admitted on information and relief. 2. Admitted. 3. Admitted. 4. Admitted that Defendant resigned his position with Plaintiff effective upon the completion of his term of employment as provided in Paragraph 7 of the Agreement. 5. Admitted. 6. Defendant is without knowledge of what Plaintiff "believes", and cannot admit or deny such allegation. By way of further answer, it is admitted that Defendant received certain monies for services reported by Plaintiff under Defendant's Medicare provider number, thus causing Defendant to receive such monies from Medicare by checks payable to him. 7. Admitted that Plaintiff made demand. However, because Plaintiff has breached, inter alia, Paragraph 20 of the Agreement by failing to furnish Defendant an accounting of professional fees collected by Plaintiff which were attributable to Defendant's services produced by him performed "according to generally accepted accounting principles consistently applied", Defendant is without knowledge as to whether the monies received from Medicare may, or may not "rightfully belong to Plaintiff' and therefore demands proof of same. 8. Admitted that Defendant's office manager sent Plaintiffthe letter marked Exhibit B. However, Plaintiffs characterization of the letter is inaccurate and incomplete and such characterization is therefore denied. Furthermore, the letter, in its entirety, speaks for itself, and no response is required to Plaintiff s attempted characterization of same. 9. Admitted that Defendant's office manager sent Plaintiffthe letter of June 23, 2003, after Plaintiffs attempt to prove an incorrect amount of monies allegedly held by Defendant. However, Plaintiffs characterization of the content of said letter is incomplete and misleading, and such characterization is therefore denied. In particular, Plaintiff fails to recognize, acknowledge, or deny, the final clause of the last sentence of the next-to-the-Iast paragraph of said letter which stated the reason for Defendant's holding of monies "in good faith", viz., Defendant's renewed request for an accounting pursuant to Paragraph 20 of the Agreement. 10. Paragraph 10 pleads conclusions oflaw requiring no response. In further Answer, it is denied that Defendant, at this juncture, acknowledges that any monies being held by him belong to Plaintiff, for the reason stated in Paragraph 7, above, which is incorporated by reference. 2 NEW MATTER 11. Plaintiff is in breach of the Employment Agreement, Exhibit A to the Complaint, because it has not furnished Defendant an accounting of collected professional fees attributable to services rendered by him during his tenure with Plaintiff, whi(:h accounting must be performed "according to generally accepted, accounting principles consistently applied", same being required by Paragraph 20 of said Agreement. 12. Defendant has demanded an accounting required by Paragraph 20 of the Agreement for monies which may be due him pursuant to Paragraphs 7(c) and (d) of the Agreement, but Plaintiff has failed and refused to provide same. See: Exhibit B to the Complaint. 13. Defendant is under no duty to remit any escrow monies to Plaintiff until the requested accounting is provided, upon receipt of which Defendant will be able to determine whether any monies are due Plaintiff. 14. Defendant is entitled to renew, in this action, his demand for the accounting required by Paragraph 20 ofthe Agreement. See: Pa. R.C.P. l02l(a); Raft v. U.S. Steel Corp. 346 Pa. Super. 404, 499 A2d. 676 (1985); In Re: Estate of Ran, 517 Pa. 115,535 A2d. 47 (1987). 15. Defendant hereby demands that Plaintiff provide him an accounting of collected professional fees attributable to services rendered by him during his two-year tenure in Plaintiff s employ, said accounting to be performed according to generally accepted accounting principles consistently applied. 3 WHEREFORE, Defendant demands that Plaintiffs Complaint be dismissed at Plaintiffs costs, or, in the alternative, that this action be stayed until Plaintiff provides an accounting pursuant to Paragraphs 7(c) and (d) and 20 of the subject Employment Agreement. MILLER and MILLER By~~ ~~ \~ t- G. Thomas. Miller, Esquire Attorney 10#: 7219 401 South 32nd Street Camp Hill, PA 17011 (717) 920-5500 - Date: August 12, 2003 Attorneys for Defendant 4 VERIFICATION I hereby certify, pursuant to 18 Pa. C.S. 4904, that: (1) As the attorney for Defendant, I am authOIized to verify the foregoing Answer with new Matter; (2) I make this verification because the urgeney ofthe filing deadline makes it impossible to timely obtain Defendant's verification; (3) I have been primarily responsible for preparation of said Answer; and (4) The facts stated in the foregoing Answer with New Matter are true and correct on my information and belief. Dated: August 12, 2003 By ~~~ ~}v.(ffi G. Thomas Miller, Esquire Of Counsel for Defendant CERTIFICATE OF SERVICE I hereby certify that a true and copy of the foregoing Answer with New Matter was this day served on Plaintiff's counsel by United States First class mail, postage prepaid, addressed as follows: Stephen L. Banko, Jr., Esquire Margolis Edelstein P. O. Box 932 Harrisburg, P A 17108-0932 Dated: August 12,2003 BY: e:1~ \~~ G. THOMAS MILLER Of Counsel for Defendant C) ~- ~;-- [T~'" ) '"'''--.- t'/} C" -. r~ ._ OJ ~-; ~-~ ~ r:-? :J1 =< I" CJ .: ~ .,.., " "71 .;J j(~ ~;"'r, - .q (?c) ," :;r-n ':'~1 - s.J -< I 63 - 3 ~9 C;u;L --- 1~vY1 VERIFICATION Subject to the penalties for falsification to authorities prescribed by 18 Pa. C.S. 4904, I hereby certify that the facts stated in the foregoing Answer with New Matter are true and correct to the best of my personal knowledge, information and belief. Dated: August" , 2003 ~?J~~o Richard. A. deRamon (') f -rJL~': Q.) ~-; .L--_"- :;;<r ,-f, ::'.c C:::l -~~- .' ::2: CJ c.,J :no ),C r:? r.- J::- C' ""h , 7) i'..) <=l .-ry STEPHEN L. BANKO, JR., ESQUIRE Pa. Supreme Court I. D. No. 41727 MARGOLIS EDELSTEIN Mailing Address: P.o. Box 932 Harrisburg, PA 17108-0932 Street Address: 3510 Trindle Road Camp Hill, PA 17011 Telephone: FAX, E-mail: (717) 975-8114 (717) 975-8124 sbanko@margolisedelstein.com Attorney for Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA PLASTIC SURGERY CENTER, LTD., Plaintiff NO. 03-3239 v. CIVIL ACTION - LAW RICHARD A. DE RAMON, M.D., Defendant REPLY OF PLAINTIFF. PLASTIC SURGERY CENTER. LTD.. TO DEFENDANT'S NEW MATTER 11. Denied. The allegations contained in this paragraph state a legal conclusion to which no response is necessary. By way of further answer, it is specifically denied that Plaintiff has failed to provide an accounting as contemplated under the Employment Agreement, attached as Exhibit A, to Plaintiff's Complaint. 12. Denied. The answer contained in paragraph 11 hereof is incorporated herein by reference as if set forth in its entirety. 13 . Denied. The answer contained in paragraph 11 hereof is incorporated herein by reference as if set forth in its entirety. By way of further answer, it is believed and, therefore, averred that an accounting is an equitable remedy. Equity regards substance rather than form and one who seeks equity must come to equity with clean hands and must do equity. Furthermore, it is believed and, therefore, averred that the Defendant may not resort to "self-help" where there is no doubt that he, in fact, owes the money sought by Plaintiff. 14. Denied. The answer contained in paragraph 13 hereof is incorporated herein by reference as if set forth in its entirety. 15. Denied. The answers contained i::l paragraphs 11 and 13 hereof are incorporated herein by reference as if set forth in their entirety. WHEREFORE, Plaintiff, Plastic Surgery Center, Ltd., demands judgment in its favor and against Defendant as set forth in its Complaint. MARGOLIS EDELSTEIN Date: September J , 2003 By: St Atto L. Banko, Jr. ey I. D. No. 41727 Attorney for Plaintiff -2 - CERTIFICATE OF SERVICE I hereby certify that a copy of the foregoing was served upon counsel of record on the i' day of ~::::b:...~ , 2003, by United States First Class Mail, postage prepaid, addressed as follows: G. Thomas Miller, Esquire Miller and Miller 401 South 32nd Street Camp Hill, PA 17011 (Counsel for Defendant) /JJ~~~ V ~ Barbara J. Smith, Secretary () C:} 0 c: (....::: , J ?:: ~",,') '\') cu ,on nO! f: .'0 -? -:'. <-. "7-::: 1-"- UJ (=J -., .J !~ " }~ .. J )c; , c:? , S~; ~ :;.:2 J1 :':CJ -( --1 -<.. STEPHEN L. BANKO, JR., ESQUIRE Pa. Supreme Court I. D. No. 41727 MARGOLIS EDELSTEIN Mailing Address: P.O. Box 932 Harrisburg, PA 17108-0932 Street Address: 3510 Trindle Road Camp Hill, PA 17011 Telephone: FAX: E-mail: (717) 975-8114 (717) 975-8124 sbanko@margolisedelstein,com Attorney for Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA PLASTIC SURGERY CENTER, LTD., Plaintiff NO. 03 -3239 v. CIVIL ACTION - LAW RICHARD A. DE RAMON, M.D., Defendant PRAECIPE TO SETTLE. END AND DISCONTINUE TO THE PROTHONOTARY: Kindly mark the above-captioned action as settled, ended and discontinued with prejudice. MARGOLIS EDELSTEIN Date: q \ \W)b) Attorney for Plaintiff -01:' ;J)\ "'---;; "/' . "'-";.) 'Jj- \>:- -_'r~ \ /'_. ., C) c: /) ....'\ ,v . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . , . . , . . . . . . . . . . , . . , . . . . . . . . . , . . . . . . . . . . , . . . . . . . . . . . . . . . . . . , +:l'+'+ -+::f+++++,.,+++++ :+ ++ + ++ + ++ + + '+ ++ ++ ++ :+:+ ++:+ + ++ +:+:+ + ++ + +:+ ++ +.+:+:+:+ + +.+ + +. +. + + + + +++ +. +. ++ + +. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ++++++++++++++++++++++++++++++++++++++++++~ STATE OF KARLISMA R. SOUDERS Plaintiff, No. VERSUS GARY D. SOUDERS Defendant. DECREE IN DIVORCE AND NOW, Ie. t- \ eo \, DECREED THAT KARLISMA R. SOUDERS AND GARY D. SOUDERS ARE DIVORCED FROM THE BONDS OF MATRIMONY. PENNA. 2005 3239 CIVIL - 206.<", IT IS ORDERED AN D , PLAINTIFF, , DEFENDANT, THE COURT RETAINS JURISDICTION OF THE FOLLOWING CLAIMS WHICH HAVE YET BEEN ENTERED; BEEN RAISED OF RECORD IN THIS ACTION FOR WHICH A FINAL ORDER HAS NOT BY TH E COU RT: d{ An 't~ , , , +:+,., + 'to :+ "" Of 'f:+:+ H Of:+:+ 'f '+ +: 'I' '+ '+ . PROTHONOTARY '. . . . . . . . . . . J. , ~ fZ /1>~J-t/ r~jL, 5/'U-1/ JJl7:;?" p2': ~ ~cl P{J y:7 U-j.I . .' ... -! ~.