--- type: court_doc id: "court_ctb_1_0" court: "CTB" case_no: "22-50073" doc_number: 1 doc_type: "PETITION" filed_date: "2022-02-15" lang: "zh" url: "https://mubeitech.com/court/court_ctb_1_0" json_url: "https://mubeitech.com/api/court/court_ctb_1_0" --- # | Fill in this information to identify your case: | > 原始法庭文件为英文；下方为英文全文，顶部为中文摘要。 | Fill in this information to identify your case: | |------------------------------------------------------------------------------------------------| | United States Bankruptcy Court for the: | | District of Connecticut
________________ District of ________ | | Case number (If known): _________________________ Chapter you are filing under:
‰ Chapter 7 | | ✔
‰ Chapter 11
‰ Chapter 12 | | ‰ Chapter 13 | ## Official Form 101 # Voluntary Petition for Individuals Filing for Bankruptcy **/** **The bankruptcy forms use** *you* **and** *Debtor 1* **to refer to a debtor filing alone. A married couple may file a bankruptcy case together—called a** *joint case***—and in joint cases, these forms use** *you* **to ask for information from both debtors. For example, if a form asks, "Do you own a car," the answer would be** *yes* **if either debtor owns a car. When information is needed about the spouses separately, the form uses** *Debtor 1* **and** *Debtor 2* **to distinguish between them. In joint cases, one of the spouses must report information as** *Debtor 1* **and the other as** *Debtor 2***. The same person must be** *Debtor 1* **in all of the forms.** **Be as complete and accurate as possible. If two married people are filing together, both are equally responsible for supplying correct information. If more space is needed, attach a separate sheet to this form. On the top of any additional pages, write your name and case number (if known). Answer every question.** #### Part 1: Identify Yourself | | | About Debtor 1: | About Debtor 2 (Spouse Only in a Joint Case): | | |----|----------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--| | 1. | Your full name | | | | | | Write the name that is on your
government-issued picture
identification (for example, | Ho Wan
__________________________________________________
First name | __________________________________________________
First name | | | | your driver's license or
passport).
Bring your picture
identification to your meeting
with the trustee. | __________________________________________________
Middle name
Kwok
__________________________________________________
Last name
___________________________
Suffix (Sr., Jr., II, III) | __________________________________________________
Middle name
__________________________________________________
Last name
___________________________
Suffix (Sr., Jr., II, III) | | | 2. | All other names you
have used in the last 8
years | Miles
__________________________________________________
First name | __________________________________________________
First name | | | | Include your married or
maiden names. | __________________________________________________
Middle name
Kwok; Guo
__________________________________________________
Last name | __________________________________________________
Middle name
__________________________________________________
Last name | | | | | Wengui
__________________________________________________
First name | __________________________________________________
First name | | | | | __________________________________________________
Middle name
Guo
__________________________________________________ | __________________________________________________
Middle name
__________________________________________________ | | | | | Last name | Last name | | | 3. | Only the last 4 digits of
your Social Security
number or federal
Individual Taxpayer
Identification number
(ITIN) | 9
5
9
5
xxx
– xx – ____ ____ ____ ____
OR
9
xx
– xx
– ____ ____ ____ ____ | xxx
– xx – ____ ____ ____ ____
OR
9
xx
– xx
– ____ ____ ____ ____ | | ### Case 22-50073 Doc 1 Filed 02/15/22 Entered 02/15/22 20:26:52 Page 2 of 14 | Ho
Wan
Debtor 1 | Kwok
_______________________________________________________ | Case number (if known)_____________________________________ | | | | |-----------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------|--|--|--| | First Name
Middle Name | Last Name | | | | | | | About Debtor 1: | About Debtor 2 (Spouse Only in a Joint Case): | | | | | Any business names
4.
and Employer
Identification Numbers
(EIN) you have used in | ✔
‰
I have not used any business names or EINs. | ‰
I have not used any business names or EINs. | | | | | the last 8 years
Include trade names and | _________________________________________________
Business name | _________________________________________________
Business name | | | | | doing business as names | _________________________________________________
Business name | _________________________________________________
Business name | | | | | | ___ ___ – ___ ___ ___ ___ ___ ___ ___
EIN | ___ ___ – ___ ___ ___ ___ ___ ___ ___
EIN | | | | | | ___ ___ – ___ ___ ___ ___ ___ ___ ___
EIN | ___ ___ – ___ ___ ___ ___ ___ ___ ___
EIN | | | | | Where you live
5. | | If Debtor 2 lives at a different address: | | | | | | c/o Golden Spring (New York) Ltd.
_________________________________________________
Number
Street | _________________________________________________
Number
Street | | | | | | 162 East 64th Street
_________________________________________________ | _________________________________________________ | | | | | | New York
NY
10065 | _________________________________________________ | | | | | | _________________________________________________
City
State
ZIP Code
New York | City
State
ZIP Code | | | | | | _________________________________________________
County | _________________________________________________
County | | | | | If your mailing address is different from the one
above, fill it in here. Note that the court will send
any notices to you at this mailing address. | | If Debtor 2's mailing address is different from
yours, fill it in here. Note that the court will send
any notices to this mailing address. | | | | | | _________________________________________________
Number
Street | _________________________________________________
Number
Street | | | | | | _________________________________________________
P.O. Box | _________________________________________________
P.O. Box | | | | | | _________________________________________________
City
State
ZIP Code | _________________________________________________
City
State
ZIP Code | | | | | Why you are choosing
6. | Check one: | Check one: | | | | | this district to file for
bankruptcy | ✔
‰
Over the last 180 days before filing this petition,
I have lived in this district longer than in any
other district. | ‰
Over the last 180 days before filing this petition,
I have lived in this district longer than in any
other district. | | | | | | ‰
I have another reason. Explain.
(See 28 U.S.C. § 1408.)
________________________________________ | ‰
I have another reason. Explain.
(See 28 U.S.C. § 1408.)
________________________________________ | | | | | | ________________________________________ | ________________________________________ | | | | | | ________________________________________
________________________________________ | ________________________________________
________________________________________ | | | | | | | | | | | | | Case 22-50073 | Doc 1 | | Filed 02/15/22 | | Entered 02/15/22 20:26:52 | Page 3 of 14 | | |------------|---------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------|--|---------------------------|------------------------------------------------------------------------------------------------------------|--| | Debtor 1 | Ho
Wan
_______________________________________________________
First Name
Middle Name | | Kwok
Last Name | | | | Case number (if known)_____________________________________ | | | Part 2: | Tell the Court About Your Bankruptcy Case | | | | | | | | | 7. | The chapter of the
Bankruptcy Code you | | Check one. (For a brief description of each, see Notice Required by 11 U.S.C. § 342(b) for Individuals Filing
for Bankruptcy (Form 2010)). Also, go to the top of page 1 and check the appropriate box. | | | | | | | under | are choosing to file | ‰
Chapter 7
✔
‰
Chapter 11 | | | | | | | | | | | | | | | | | | | | ‰ | Chapter 12 | | | | | | | | | ‰ | Chapter 13 | | | | | | | 8. | How you will pay the fee | ✔
‰
I will pay the entire fee when I file my petition. Please check with the clerk's office in your
local court for more details about how you may pay. Typically, if you are paying the fee
yourself, you may pay with cash, cashier's check, or money order. If your attorney is
submitting your payment on your behalf, your attorney may pay with a credit card or check
with a pre-printed address.
‰
I need to pay the fee in installments. If you choose this option, sign and attach the
Application for Individuals to Pay The Filing Fee in Installments (Official Form 103A).
‰
I request that my fee be waived (You may request this option only if you are filing for Chapter 7.
By law, a judge may, but is not required to, waive your fee, and may do so only if your income is
less than 150% of the official poverty line that applies to your family size and you are unable to
pay the fee in installments). If you choose this option, you must fill out the Application to Have the
Chapter 7 Filing Fee Waived (Official Form 103B) and file it with your petition. | | | | | | | | 9. | Have you filed for | ✔
‰
No | | | | | | | | | bankruptcy within the
last 8 years? | ‰ | | Yes. District __________________________ When | | | _______________ Case number ___________________________ | | | | | | | | | MM / DD / YYYY | | | | | | | | District __________________________ When | | MM / DD / YYYY | _______________ Case number ___________________________ | | | | | | | District __________________________ When | | | _______________ Case number ___________________________ | | | | | | | | | MM / DD / YYYY | | | | | 10. Are any bankruptcy | ✔
‰ No | | | | | | | | | cases pending or being
filed by a spouse who is | ‰ | | | | | Yes. Debtor _________________________________________________ Relationship to you
_____________________ | | | affiliate? | not filing this case with
you, or by a business
partner, or by an | | | District __________________________ When | | MM / DD / YYYY | _______________ Case number, if known____________________ | | | | | | | | | | Debtor _________________________________________________ Relationship to you
_____________________ | | | | | | | District __________________________ When | | | _______________ Case number, if known____________________ | | | residence? | 11. Do you rent your | ✔
‰
No.
‰ | Go to line 12.
‰
‰ | Yes. Has your landlord obtained an eviction judgment against you?
No. Go to line 12.
part of this bankruptcy petition. | | MM / DD / YYYY | Yes. Fill out Initial Statement About an Eviction Judgment Against You (Form 101A) and file it as | | | Case 22-50073 | Doc 1
Filed 02/15/22 | Entered 02/15/22 20:26:52
Page 4 of 14 | | | | | | | |--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--|--|--|--|--|--| | Ho
Wan
Debtor 1
First Name
Middle Name | Kwok
_______________________________________________________
Last Name | Case number (if known)_____________________________________ | | | | | | | | Part 3:
Report About Any Businesses You Own as a Sole Proprietor | | | | | | | | | | 12. Are you a sole proprietor
of any full- or part-time
business? | ✔
‰
No. Go to Part 4.
‰
Yes. Name and location of business | | | | | | | | | A sole proprietorship is a
business you operate as an
individual, and is not a
separate legal entity such as
a corporation, partnership, or
LLC.
If you have more than one | Name of business, if any
Number
Street | _______________________________________________________________________________________
_______________________________________________________________________________________ | | | | | | | | sole proprietorship, use a
separate sheet and attach it
to this petition. | City | _______________________________________________________________________________________
_______________________________________________
_______
__________________________
State
ZIP Code | | | | | | | | | Check the appropriate box to describe your business: | | | | | | | | | | ‰
‰ | Health Care Business (as defined in 11 U.S.C. § 101(27A)) | | | | | | | | | Single Asset Real Estate (as defined in 11 U.S.C. § 101(51B)) | | | | | | | | | | ‰ | ‰
Stockbroker (as defined in 11 U.S.C. § 101(53A)) | | | | | | | | | Commodity Broker (as defined in 11 U.S.C. § 101(6))
‰
None of the above | | | | | | | | | 13. Are you filing under
Chapter 11 of the
Bankruptcy Code and
are you a small business
debtorRUDGHEWRUDV
GHILQHGE\86&†
?
For a definition of small
business debtor, see | If you are filing under Chapter 11, the court must know whether you are a small business debtorRUDGHEWRU
FKRRVLQJWRSURFHHGXQGHU6XEFKDSWHU9 so that it can set appropriate deadlines. If you indicate that you
are a small business debtorRU\RXDUHFKRRVLQJWRSURFHHGXQGHU6XEFKDSWHU9, you must attach your
most recent balance sheet, statement of operations, cash-flow statement, and federal income tax return or
if any of these documents do not exist, follow the procedure in 11 U.S.C. § 1116(1)(B).
‰
No. I am not filing under Chapter 11.
✔
‰
No. I am filing under Chapter 11, but I am NOT a small business debtor according to the definition in
the Bankruptcy Code.
‰
| | | | | | | | | 11 U.S.C. § 101(51D). | &RGHDQG,GRQRWFKRRVHWRSURFHHGXQGHU6XEFKDSWHU9RI&KDSWHU | | | | | | | | Wan
First Name
Middle Name | | Kwok
_______________________________________________________
Last Name | | | Case number (if known)_____________________________________ | | Part 4: | | | | | Report if You Own or Have Any Hazardous Property or Any Property That Needs Immediate Attention | | | | 14. Do you own or have any | ✔
‰
No | | | | | | property that poses or is
alleged to pose a threat
of imminent and | | ‰
Yes. | What is the hazard? | | ________________________________________________________________________ | | | | identifiable hazard to
public health or safety? | | | | ________________________________________________________________________ | | | | Or do you own any
property that needs
immediate attention? | | | | If immediate attention is needed, why is it needed? _______________________________________________ | | | | For example, do you own
perishable goods, or livestock | | | | ________________________________________________________________________ | | | | that must be fed, or a building
that needs urgent repairs? | | | | Where is the property? ________________________________________________________________________ | | | | | | | Number | Street | | | | | | | | ________________________________________________________________________
________________________________________ _______ | ____________________ | | | | | | City | | State
ZIP Code | | Ho
Wan
First Name
Middle Name | Kwok
Last Name | | | | | | |------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--| | Part 5: | | Explain Your Efforts to Receive a Briefing About Credit Counseling | | | | | | 15. Tell the court whether | About Debtor 1: | | | | About Debtor 2 (Spouse Only in a Joint Case): | | | you have received a
briefing about credit | You must check one:
✔ | | | You must check one: | | | | counseling.
The law requires that you
receive a briefing about credit | ‰
certificate of completion. | I received a briefing from an approved credit
counseling agency within the 180 days before I
filed this bankruptcy petition, and I received a | | ‰
certificate of completion. | I received a briefing from an approved credit
counseling agency within the 180 days before I
filed this bankruptcy petition, and I received a | | | counseling before you file for
bankruptcy. You must
truthfully check one of the | Attach a copy of the certificate and the payment
plan, if any, that you developed with the agency. | | | Attach a copy of the certificate and the payment
plan, if any, that you developed with the agency. | | | | following choices. If you
cannot do so, you are not
eligible to file. | ‰
I received a briefing from an approved credit
counseling agency within the 180 days before I
filed this bankruptcy petition, but I do not have a
certificate of completion. | | | ‰
I received a briefing from an approved credit
counseling agency within the 180 days before I
filed this bankruptcy petition, but I do not have a
certificate of completion. | | | | If you file anyway, the court
can dismiss your case, you
will lose whatever filing fee
you paid, and your creditors | plan, if any. | Within 14 days after you file this bankruptcy petition,
you MUST file a copy of the certificate and payment | | plan, if any. | Within 14 days after you file this bankruptcy petition,
you MUST file a copy of the certificate and payment | | | can begin collection activities
again. | ‰
of the requirement. | I certify that I asked for credit counseling
services from an approved agency, but was
unable to obtain those services during the 7
days after I made my request, and exigent
circumstances merit a 30-day temporary waiver | | ‰
of the requirement. | I certify that I asked for credit counseling
services from an approved agency, but was
unable to obtain those services during the 7
days after I made my request, and exigent
circumstances merit a 30-day temporary waiver | | | | To ask for a 30-day temporary waiver of the
requirement, attach a separate sheet explaining
what efforts you made to obtain the briefing, why
you were unable to obtain it before you filed for
bankruptcy, and what exigent circumstances
required you to file this case. | | | To ask for a 30-day temporary waiver of the
requirement, attach a separate sheet explaining
what efforts you made to obtain the briefing, why
you were unable to obtain it before you filed for
bankruptcy, and what exigent circumstances
required you to file this case. | | | | | may be dismissed. | Your case may be dismissed if the court is
dissatisfied with your reasons for not receiving a
briefing before you filed for bankruptcy.
If the court is satisfied with your reasons, you must
still receive a briefing within 30 days after you file.
You must file a certificate from the approved
agency, along with a copy of the payment plan you
developed, if any. If you do not do so, your case
Any extension of the 30-day deadline is granted
only for cause and is limited to a maximum of 15 | | Your case may be dismissed if the court is
dissatisfied with your reasons for not receiving a
briefing before you filed for bankruptcy.
If the court is satisfied with your reasons, you must
still receive a briefing within 30 days after you file.
You must file a certificate from the approved
agency, along with a copy of the payment plan you
developed, if any. If you do not do so, your case
may be dismissed.
Any extension of the 30-day deadline is granted
only for cause and is limited to a maximum of 15 | | | | | days.
‰ | I am not required to receive a briefing about | | days.
‰ | I am not required to receive a briefing about | | | | credit counseling because of: | | | | credit counseling because of: | | | | ‰
Incapacity. | I have a mental illness or a mental
deficiency that makes me
incapable of realizing or making
rational decisions about finances. | | ‰
Incapacity. | I have a mental illness or a mental
deficiency that makes me
incapable of realizing or making
rational decisions about finances. | | | | ‰
Disability. | My physical disability causes me
to be unable to participate in a
briefing in person, by phone, or
through the internet, even after I
reasonably tried to do so. | | ‰
Disability. | My physical disability causes me
to be unable to participate in a
briefing in person, by phone, or
through the internet, even after I
reasonably tried to do so. | | | | ‰ | Active duty. I am currently on active military
duty in a military combat zone. | | ‰ | Active duty. I am currently on active military
duty in a military combat zone. | | | | If you believe you are not required to receive a
briefing about credit counseling, you must file a
motion for waiver of credit counseling with the court. | | | If you believe you are not required to receive a
briefing about credit counseling, you must file a
motion for waiver of credit counseling with the court. | | | | | Case 22-50073 | Doc 1
Filed 02/15/22 | Entered 02/15/22 20:26:52 | Page 7 of 14 | | | | | |---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------|--|--|--|--| | Debtor 1 | Ho
Wan
First Name
Middle Name | Kwok
_______________________________________________________
Last Name | | Case number (if known)_____________________________________ | | | | | | Part 6: | | Answer These Questions for Reporting Purposes | | | | | | | | | 16. What kind of debts do
you have? | 16a. Are your debts primarily consumer debts? Consumer debts are defined in 11 U.S.C. § 101(8)
as "incurred by an individual primarily for a personal, family, or household purpose." | | | | | | | | | | ✔
‰
No. Go to line 16b.
‰
Yes. Go to line 17. | | | | | | | | | | | 16b. Are your debts primarily business debts? Business debts are debts that you incurred to obtain
money for a business or investment or through the operation of the business or investment. | | | | | | | | | ✔
‰
No. Go to line 16c.
‰
Yes. Go to line 17. | | | | | | | | | | Litigation expenses, claims, and judgments | 16c. State the type of debts you owe that are not consumer debts or business debts.
_______________________________________________________________ | | | | | | | | 17. Are you filing under
Chapter 7? | ✔
‰
No. I am not filing under Chapter 7. Go to line 18. | | | | | | | | | Do you estimate that after
any exempt property is
excluded and | ‰
Yes. I am filing under Chapter 7. Do you estimate that after any exempt property is excluded and
administrative expenses are paid that funds will be available to distribute to unsecured creditors?
‰
No | | | | | | | | | administrative expenses
are paid that funds will be
available for distribution
to unsecured creditors? | ‰
Yes | | | | | | | | | 18. How many creditors do
you estimate that you | ‰
1-49
✔
‰
50-99 | ‰
1,000-5,000
‰
5,001-10,000 | ‰
25,001-50,000
‰
50,001-100,000 | | | | | | owe? | | ‰
100-199
‰
200-999 | ‰
10,001-25,000 | ‰
More than 100,000 | | | | | | be worth? | 19. How much do you
estimate your assets to | ‰
\$0-\$50,000
✔
‰
\$50,001-\$100,000
‰
\$100,001-\$500,000 | ‰
\$1,000,001-\$10 million
‰
\$10,000,001-\$50 million
‰
\$50,000,001-\$100 million | ‰
\$500,000,001-\$1 billion
‰
\$1,000,000,001-\$10 billion
‰
\$10,000,000,001-\$50 billion | | | | | | | | ‰
\$500,001-\$1 million | ‰
\$100,000,001-\$500 million | ‰
More than \$50 billion | | | | | | | 20. How much do you
estimate your liabilities | ‰
\$0-\$50,000
‰
\$50,001-\$100,000 | ‰
\$1,000,001-\$10 million
‰
\$10,000,001-\$50 million | ‰
\$500,000,001-\$1 billion
‰
\$1,000,000,001-\$10 billion | | | | | | to be? | | ‰
\$100,001-\$500,000
‰
\$500,001-\$1 million | ‰
\$50,000,001-\$100 million
✔
‰
\$100,000,001-\$500 million | ‰
\$10,000,000,001-\$50 billion
‰
More than \$50 billion | | | | | | Part 7: | Sign Below | | | | | | | | | For you | | correct. | I have examined this petition, and I declare under penalty of perjury that the information provided is true and | | | | | | | | | under Chapter 7. | If I have chosen to file under Chapter 7, I am aware that I may proceed, if eligible, under Chapter 7, 11,12, or 13
of title 11, United States Code. I understand the relief available under each chapter, and I choose to proceed | | | | | | | If no attorney represents me and I did not pay or agree to pay someone who is not an attorney to help me fill out
this document, I have obtained and read the notice required by 11 U.S.C. § 342(b). | | | | | | | | | | | | I request relief in accordance with the chapter of title 11, United States Code, specified in this petition. | | | | | | | | | I understand making a false statement, concealing property, or obtaining money or property by fraud in connection
with a bankruptcy case can result in fines up to \$250,000, or imprisonment for up to 20 years, or both.
18 U.S.C. §§ 152, 1341, 1519, and 3571. | | | | | | | | | | | 8
/s/ Ho Wan Kwok
______________________________________________ | 8 | _____________________________ | | | | | | | | Signature of Debtor 1 | Signature of Debtor 2 | | | | | | | | | 02/15/2022
Executed on _________________
MM
/ DD
/ YYYY | | Executed on __________________
MM / DD
/ YYYY | | | | | | | Case 22-50073 | Doc 1
Filed 02/15/22 | Entered 02/15/22 20:26:52 | Page 8 of 14 | | | |--------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------|--|--| | Debtor 1 | Ho
Wan
First Name
Middle Name | Kwok
_______________________________________________________
Last Name | | Case number (if known)_____________________________________ | | | | For your attorney, if you are
represented by one
If you are not represented
by an attorney, you do not
need to file this page. | | I, the attorney for the debtor(s) named in this petition, declare that I have informed the debtor(s) about eligibility
to proceed under Chapter 7, 11, 12, or 13 of title 11, United States Code, and have explained the relief
available under each chapter for which the person is eligible. I also certify that I have delivered to the debtor(s)
the notice required by 11 U.S.C. § 342(b) and, in a case in which § 707(b)(4)(D) applies, certify that I have no
knowledge after an inquiry that the information in the schedules filed with the petition is incorrect.
8
_________________________________
/s/
William
R.
Baldiga
_________________
02/15/2022
Date | | | | | | | | Signature of Attorney for Debtor
William R. Baldiga | | MM
/
DD
/ YYYY | | | | | | Printed name
Brown Rudnick LLP
Firm name | _________________________________________________________________________________________________
_________________________________________________________________________________________________ | | | | | | | 7 Times Square
Number
Street | _________________________________________________________________________________________________ | | | | | | | New York
City | _________________________________________________________________________________________________
NY
______________________________________________________ ____________ ______________________________
State | 10036
ZIP Code | | | | | | (212) 209-4800
Contact phone _____________________________________ | Email address | wbaldiga@brownrudnick.com
______________________________ | | | | | | 4813846
Bar number | NY
______________________________________________________ ____________
State | | | | | | | | | | | | | | Case 22-50073 | Doc 1
Filed 02/15/22 | Entered 02/15/22 20:26:52 | Page 9 of 14 | | | | | | | | | | |--------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------|-----------------------|-------------------------------------|--|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--|------------------------------------------------------|---|--------------------------------|--| | Debtor 1 | Ho
Wan
First Name
Middle Name | Kwok
_______________________________________________________
Last Name | | Case number (if known)_____________________________________ | | | | | | | | | | | For you if you are filing this
bankruptcy without an
attorney
If you are represented by
an attorney, you do not
need to file this page. | | The law allows you, as an individual, to represent yourself in bankruptcy court, but you
should understand that many people find it extremely difficult to represent
themselves successfully. Because bankruptcy has long-term financial and legal
consequences, you are strongly urged to hire a qualified attorney. | | | | | | | | | | | | | | | To be successful, you must correctly file and handle your bankruptcy case. The rules are very
technical, and a mistake or inaction may affect your rights. For example, your case may be
dismissed because you did not file a required document, pay a fee on time, attend a meeting or
hearing, or cooperate with the court, case trustee, U.S. trustee, bankruptcy administrator, or audit
firm if your case is selected for audit. If that happens, you could lose your right to file another
case, or you may lose protections, including the benefit of the automatic stay. | | | | | | | | | | | | | | | | You must list all your property and debts in the schedules that you are required to file with the
court. Even if you plan to pay a particular debt outside of your bankruptcy, you must list that debt
in your schedules. If you do not list a debt, the debt may not be discharged. If you do not list
property or properly claim it as exempt, you may not be able to keep the property. The judge can
also deny you a discharge of all your debts if you do something dishonest in your bankruptcy
case, such as destroying or hiding property, falsifying records, or lying. Individual bankruptcy
cases are randomly audited to determine if debtors have been accurate, truthful, and complete.
Bankruptcy fraud is a serious crime; you could be fined and imprisoned. | | | | | | | | | | | | | | If you decide to file without an attorney, the court expects you to follow the rules as if you had
hired an attorney. The court will not treat you differently because you are filing for yourself. To be
successful, you must be familiar with the United States Bankruptcy Code, the Federal Rules of
Bankruptcy Procedure, and the local rules of the court in which your case is filed. You must also
be familiar with any state exemption laws that apply.
Are you aware that filing for bankruptcy is a serious action with long-term financial and legal
consequences?
‰
No
‰
Yes
Are you aware that bankruptcy fraud is a serious crime and that if your bankruptcy forms are
inaccurate or incomplete, you could be fined or imprisoned?
‰
No
‰
Yes
Did you pay or agree to pay someone who is not an attorney to help you fill out your bankruptcy forms?
‰
No | | | | | | | | | | | | | | | | | | | | | ‰
Yes. Name of Person_____________________________________________________________________.
Attach Bankruptcy Petition Preparer's Notice, Declaration, and Signature (Official Form 119). | | | | | | | | | | | | | | | By signing here, I acknowledge that I understand the risks involved in filing without an attorney. I
have read and understood this notice, and I am aware that filing a bankruptcy case without an
attorney may cause me to lose my rights or property if I do not properly handle the case. | | | | | | | | | | | | | | | | | 8
_______________________________________________ | 8 | ______________________________ | | | | | | | Signature of Debtor 1 | Signature of Debtor 2 | | | | | | | | | | | | | | Date
_________________
MM / DD
/ YYYY | Date | _________________
MM / DD / YYYY | | | | | | | | | | | Contact phone ______________________________________ | Contact phone | ________________________________ | | | | | | | | | | | | | Cell phone | ______________________________________
Cell phone | ________________________________ | | | | | | | | | | | | | Email address | ______________________________________
Email address | ________________________________ | | | | | | | | | | ![](_page_9_Picture_1.jpeg) Check if this is an amended filing ### 2IILFLDO)RUP104 ## For Individual Chapter 11 Cases: List of Creditors Who Have the 20 Largest Unsecured Claims Against You and Are Not Insiders **12/15** **If you are an individual filing for bankruptcy under Chapter 11, you must fill out this form. If you are filing under Chapter 7, Chapter 12, or Chapter 13, do not fill out this form. Do not include claims by anyone who is an** *insider***. Insiders include your relatives; any general partners; relatives of any general partners; partnerships of which you are a general partner; corporations of which you are an officer, director, person in control, or owner of 20 percent or more of their voting securities; and any managing agent, including one for a business you operate as a sole proprietor. 11 U.S.C. § 101. Also, do not include claims by secured creditors unless the unsecured claim resulting from inadequate collateral value places the creditor among the holders of the 20 largest unsecured claims.** **Be as complete and accurate as possible. If two married people are filing together, both are equally responsible for supplying correct information.** Part 1: List the 20 Unsecured Claims in Order from Largest to Smallest. Do Not Include Claims by Insiders. | | | Unsecured claim | |-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------| | 1
Pacific Alliance Asia Opportunity
__________________________________________ | Litigation
What is the nature of the claim? ____________________________ | (approx) 254,000,000.00
\$____________________________ | | Creditor's Name
C/O O'Melveney & Myers, LLP
__________________________________________
Number
Street
7 Times Square | As of the date you file, the claim is: Check all that apply.
‰
Contingent
‰
Unliquidated

‰
Disputed | | | __________________________________________
New York
NY
10065
__________________________________________ | ‰
None of the above apply | | | City
State
ZIP Code
Stuart Sarnoff, Esq
__________________________________________
Contact | Does the creditor have a lien on your property?

‰
No
‰
Yes. Total claim (secured and unsecured):
\$_____________________ | | | ____________________________________
Contact phone | -
Value of security:
\$_____________________
Unsecured claim
\$_____________________ | | | 2
Golden Spring New York | Litigation Funding
What is the nature of the claim? ____________________________ | (approx) 21,000,000.00
\$____________________________ | | __________________________________________
Creditor's Name
162 E. 64th Street
__________________________________________
Number
Street
__________________________________________ | As of the date you file, the claim is: Check all that apply.

‰
Contingent
‰
Unliquidated
‰
Disputed | | | New York
NY
10605
__________________________________________ |
‰
None of the above apply | | | City
State
ZIP Code
Max Krasner
__________________________________________
Contact | Does the creditor have a lien on your property?
‰
No
‰
Yes. Total claim (secured and unsecured):
\$_____________________ | | | ____________________________________
Contact phone | -
Value of security:
\$_____________________
Unsecured claim
\$_____________________ | | ### Case 22-50073 Doc 1 Filed 02/15/22 Entered 02/15/22 20:26:52 Page 11 of 14 | Debtor 1 | Ho Wan | | | Kwok
_______________________________________________________ | | Case number (if known)_____________________________________ | | |---------------------------|--------------------------------------------------------------------------------------------------------------------------------|-------------|-----------|---------------------------------------------------------------------------------|------------|-------------------------------------------------------------|------------------------------------------------| | | First Name | Middle Name | Last Name | | | | Unsecured claim | | Rui Ma | 3 __________________________________________ | | | What is the nature of the claim? ____________________________ | Litigation | | 20,000,000
\$____________________________ | | Creditor's Name | 750 Lexington Avenue - 25th Floor
__________________________________________ | | | As of the date you file, the claim is: Check all that apply. | | | | | Number | Street
C/O Arkin Solbakken, LLP
__________________________________________ | | | ‰
Contingent
‰
Unliquidated | | | | | | New York
__________________________________________ | NY | 10022 |
‰
Disputed
‰
None of the above apply | | | | | City | Robert C. Angelillo
__________________________________________ | State | ZIP Code | Does the creditor have a lien on your property?
‰
No | | | | | Contact | | | | ‰
Yes. Total claim (secured and unsecured):
Value of security: | - | \$_____________________
\$_____________________ | | | Contact phone | ____________________________________ | | | Unsecured claim | | \$_____________________ | | | | 4 __________________________________________
Cheng Jian Wu Jian She | | | What is the nature of the claim? ____________________________ | Litigation | | 14,898483.90
\$____________________________ | | Creditor's Name | 136-20 38th Avenue, Suite 3D
__________________________________________ | | | As of the date you file, the claim is: Check all that apply.
‰
Contingent | | | | | Number | Street
C/O Law Office of Ning Ye, Esq.
__________________________________________ | | | ‰
Unliquidated

‰
Disputed | | | | | Flushing | __________________________________________ | NY | 11354 | ‰
None of the above apply | | | | | City | | State | ZIP Code | Does the creditor have a lien on your property?
‰ | | | | | | Ning Ye, Esq.
__________________________________________ | | | No
‰
Yes. Total claim (secured and unsecured): | | \$_____________________ | | | Contact | | | | Value of security: | - | \$_____________________ | | | Contact phone | ____________________________________ | | | Unsecured claim | | \$_____________________ | | | Ning Ye | 5 __________________________________________ | | | What is the nature of the claim? ____________________________ | Litigation | | 12,000,000
\$____________________________ | | Creditor's Name | 135-11 38th Avenue | | | As of the date you file, the claim is: Check all that apply. | | | | | Number | __________________________________________
Street | | | ‰
Contingent | | | | | | C/O Arkin Solbakken, LLP
__________________________________________ | | | ‰
Unliquidated

‰
Disputed | | | | | | New York | NY | 10022 | ‰
None of the above apply | | | | | City | __________________________________________ | State | ZIP Code | Does the creditor have a lien on your property?
‰
No | | | | | Contact | Robert C. Angelillo
__________________________________________ | | | ‰
Yes. Total claim (secured and unsecured): | | \$_____________________ | | | | ____________________________________ | | | Value of security: | - | \$_____________________ | | | Contact phone | | | | Unsecured claim | | \$_____________________ | | | | 6 __________________________________________
Guo Baosheng | | | What is the nature of the claim? ____________________________ | Litigation | | 12,000,000
\$____________________________ | | Creditor's Name
Number | 135-11 38th Avenue
__________________________________________
Street | | | As of the date you file, the claim is: Check all that apply.
‰
Contingent | | | | | | C/O Law Office of Ning Ye, Esq.
__________________________________________ | | | ‰
Unliquidated

‰
Disputed | | | | | Flushing | __________________________________________ | NY | 11354 | ‰
None of the above apply | | | | | City | Ning Ye, Esq. | State | ZIP Code | Does the creditor have a lien on your property?
‰
No | | | | | Contact | __________________________________________ | | | ‰
Yes. Total claim (secured and unsecured): | - | \$_____________________ | | | | ____________________________________ | | | Value of security:
Unsecured claim | | \$_____________________
\$_____________________ | | | Contact phone | Yang Lan and Wu Zheng
__________________________________________ | | | What is the nature of the claim? ____________________________ | Litigation | | 10,000,000
\$____________________________ | | Creditor's Name | 750 Lexington Avenue - 25th Floor | | | As of the date you file, the claim is: Check all that apply. | | | | | Number | __________________________________________
Street
C/O Arkin Solbakken, LLP
__________________________________________ | | | ‰
Contingent
‰
Unliquidated

‰ | | | | | | New York
__________________________________________ | NY | 10022 | Disputed
‰
None of the above apply | | | | | City | | State | ZIP Code | Does the creditor have a lien on your property? | | | | | | Robert C. Angelillo
__________________________________________ | | | ‰
No
‰
Yes. Total claim (secured and unsecured): | | \$_____________________ | | | Contact | | | | Value of security: | - | \$_____________________ | | | Contact phone | ____________________________________ | | | Unsecured claim | | \$_____________________ | | ### Case 22-50073 Doc 1 Filed 02/15/22 Entered 02/15/22 20:26:52 Page 12 of 14 | Debtor 1 | Ho Wan | | Kwok
_______________________________________________________ | Case number (if known)_____________________________________ | | | | |----------|---------------------------------------------------------------------------------------------------|----------------------------------|---------------------------------------------------------------------------------|-----------------------------------------------------------------------------|-----------------|------------------------------------------------|--| | | First Name
Middle Name
Last Name | | | | Unsecured claim | | | | | 8 __________________________________________
Hong Qi Qu | | | Litigation
What is the nature of the claim? ____________________________ | | 9,809,422.71
\$____________________________ | | | | Creditor's Name
136-20 38th Avenue, Suite 3D | | As of the date you file, the claim is: Check all that apply. | | | | | | | __________________________________________
Number
Street | | ‰
Contingent | | | | | | | C/O Kevin Tung, Esq.
__________________________________________ | | ‰
Unliquidated

‰
Disputed | | | | | | | Flushing
__________________________________________ | NY
11354 | ‰
None of the above apply | | | | | | City | | State
ZIP Code | Does the creditor have a lien on your property? | | | | | | | Kevin Tung, Esq.
__________________________________________ | | ‰
No
‰
Yes. Total claim (secured and unsecured): | \$_____________________ | | | | | | Contact | | Value of security: | -
\$_____________________ | | | | | | ____________________________________
Contact phone | | Unsecured claim | \$_____________________ | | | | | | 9 __________________________________________
Nan Tong Si Jian | | | Litigation
What is the nature of the claim? ____________________________ | | 5,568,522.66
\$____________________________ | | | | Creditor's Name
136-20 38th Avenue, Suite 3D | | As of the date you file, the claim is: Check all that apply. | | | | | | | __________________________________________
Number
Street | | ‰
Contingent | | | | | | | C/O Kevin Tung, Esq.
__________________________________________ | | ‰
Unliquidated

‰
Disputed | | | | | | | Flushing | NY
11354 | ‰
None of the above apply | | | | | | City | __________________________________________ | State
ZIP Code | Does the creditor have a lien on your property? | | | | | | | Kevin Tung, Esq.
__________________________________________ | | ‰
No
‰
Yes. Total claim (secured and unsecured): | \$_____________________ | | | | | | Contact | | Value of security: | -
\$_____________________ | | | | | | ____________________________________
Contact phone | | Unsecured claim | \$_____________________ | | | | | | 10 __________________________________________
Jian Gong | | | Litigation
What is the nature of the claim? ____________________________ | | 5,380,262.32
\$____________________________ | | | | Creditor's Name | | As of the date you file, the claim is: Check all that apply. | | | | | | | 136-20 38th Avenue, Suite 3D
__________________________________________
Number
Street | | ‰
Contingent | | | | | | | C/O Kevin Tung, Esq.
__________________________________________ | | ‰
Unliquidated

‰
Disputed | | | | | | | Flushing | NY
11354 | ‰
None of the above apply | | | | | | City | __________________________________________ | State
ZIP Code | Does the creditor have a lien on your property? | | | | | | | Kevin Tung, Esq.
__________________________________________ | | ‰
No
‰
Yes. Total claim (secured and unsecured): | \$_____________________ | | | | | | Contact | | Value of security: | -
\$_____________________ | | | | | | ____________________________________
Contact phone | | Unsecured claim | \$_____________________ | | | | | | 11 __________________________________________
Yan Zhao | | | Litigation | | 3,000,000 | | | | Creditor's Name | | | What is the nature of the claim? ____________________________ | | \$____________________________ | | | | 135-11 8th Ave
__________________________________________ | | As of the date you file, the claim is: Check all that apply.
‰
Contingent | | | | | | | Number
Street
C/O Law Office of Ning Ye, Esq.
__________________________________________ | | ‰
Unliquidated | | | | | | | | |
‰
Disputed
‰
None of the above apply | | | | | | City | Flushing
__________________________________________ | NY
11354
State
ZIP Code | Does the creditor have a lien on your property? | | | | | | | Ning Ye, Esq. | | ‰
No | | | | | | | __________________________________________
Contact | | ‰
Yes. Total claim (secured and unsecured): | \$_____________________
- | | | | | | ____________________________________
Contact phone | | Value of security:
Unsecured claim | \$_____________________
\$_____________________ | | | | | 12 | | | | Litigation
What is the nature of the claim? ____________________________ | | 1,571,530.36
\$____________________________ | | | | Yua Hua Zhuang Shi
__________________________________________
Creditor's Name | | As of the date you file, the claim is: Check all that apply. | | | | | | | 136-20 38th Avenue, Suite 3D
__________________________________________ | | ‰
Contingent | | | | | | | Number
Street
C/O Kevin Tung, Esq. | | ‰
Unliquidated

‰
Disputed | | | | | | | __________________________________________ | | ‰
None of the above apply | | | | | | | Flushing
__________________________________________ | NY
11354 | Does the creditor have a lien on your property? | | | | | | City | | State
ZIP Code | ‰
No
‰
Yes. Total claim (secured and unsecured): | \$_____________________ | | | | | | Kevin Tung, Esq.
__________________________________________
Contact | | Value of security: | -
\$_____________________ | | | | | | | | Unsecured claim | \$_____________________ | | | | | | ____________________________________
Contact phone | | | | | | | | Debtor 1 | Ho Wan
_______________________________________________________ | Kwok | Case number (if known)_____________________________________ | | |----------|----------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------|-------------------------------------------------------------|---------------------------------------------| | | First Name
Middle Name | Last Name | | | | | | | | Unsecured claim | | | 13 __________________________________________
Liehong Zhuang/Xiao Yan Zhu | What is the nature of the claim? ____________________________ | Litigation | 1,005,000
\$____________________________ | | | Creditor's Name
224 West 35th Street, 11th Floor
__________________________________________ | As of the date you file, the claim is: Check all that apply. | | | | | Number
Street | ‰
Contingent
‰
Unliquidated | | | | | C/O Trexler & Zhang, LLP
__________________________________________ |
‰
Disputed | | | | | New York
NY
10001
__________________________________________ | ‰
None of the above apply | | | | | City
State
ZIP Code | Does the creditor have a lien on your property?
‰
No | | | | | Jonathan T. Trexler, Esq.
__________________________________________
Contact | ‰
Yes. Total claim (secured and unsecured): | \$_____________________ | | | | ____________________________________ | Value of security: | -
\$_____________________ | | | | Contact phone | Unsecured claim | \$_____________________ | | | | 14 __________________________________________
Weican Meng/Boxun, Inc.
Creditor's Name | What is the nature of the claim? ____________________________ | Litigation | 1,000,000
\$____________________________ | | | 750 Lexington Avenue, 25th Floor
__________________________________________ | As of the date you file, the claim is: Check all that apply. | | | | | Number
Street
C/O Arkin Solbakken, LLP | ‰
Contingent
‰
Unliquidated | | | | | __________________________________________ |
‰
Disputed | | | | | New York
NY
10022
__________________________________________
City
State
ZIP Code | ‰
None of the above apply
Does the creditor have a lien on your property? | | | | | | ‰
No | | | | | Robert C. Angelillo
__________________________________________
Contact | ‰
Yes. Total claim (secured and unsecured): | \$_____________________ | | | | ____________________________________ | Value of security:
Unsecured claim | -
\$_____________________
\$_____________________ | | | | Contact phone | | | 1,000,000 | | | 15 __________________________________________
Samuel Nunberg
Creditor's Name | What is the nature of the claim? ____________________________ | Litigation | \$____________________________ | | | 363 Seventh Ave, 5th Floor
__________________________________________ | As of the date you file, the claim is: Check all that apply.
‰
Contingent | | | | | Number
Street
C/O Nesenoff & Miltenberg, LLP | ‰
Unliquidated | | | | | __________________________________________ |
‰
Disputed
‰
None of the above apply | | | | | New York
NY
10001
__________________________________________
City
State
ZIP Code | Does the creditor have a lien on your property? | | | | | Andrew T. Miltenberg, Esq. | ‰
No | | | | | __________________________________________
Contact | ‰
Yes. Total claim (secured and unsecured):
Value of security: | \$_____________________
-
\$_____________________ | | | | ____________________________________
Contact phone | Unsecured claim | \$_____________________ | | | | 16 __________________________________________
Lamp Capital, LLC | | Litigation Loan | 1,000,000
\$____________________________ | | | Creditor's Name | What is the nature of the claim? ____________________________ | | | | | One Commerce Plaza
__________________________________________
Number
Street | As of the date you file, the claim is: Check all that apply.
‰
Contingent | | | | | 99 Washington Avenue
__________________________________________ | ‰
Unliquidated | | | | | Albany
NY
12231 | ‰
Disputed

‰
None of the above apply | | | | | __________________________________________
City
State
ZIP Code | Does the creditor have a lien on your property? | | | | | C/O NYS, Secretary of State
__________________________________________ | ‰
No
‰ | | | | | Contact | Yes. Total claim (secured and unsecured):
Value of security: | \$_____________________
-
\$_____________________ | | | | ____________________________________
Contact phone | Unsecured claim | \$_____________________ | | | 17 | Jun Chen aka Jonathan Ho
__________________________________________ | Litigation
What is the nature of the claim? ____________________________ | | 1,000,000
\$____________________________ | | | Creditor's Name | As of the date you file, the claim is: Check all that apply. | | | | | 41-25 Kissena Blvd, Suite 112
__________________________________________
Number
Street | ‰
Contingent
‰
Unliquidated | | | | | C/O Wayne Wei Zhu, Esq
__________________________________________ | ‰
[
Disputed | | | | | Flushing
NY
11355
__________________________________________ | ‰
None of the above apply | | | | | City
State
ZIP Code | Does the creditor have a lien on your property?
‰
No | | | | | Wayne Wei Zhu
__________________________________________ | ‰
Yes. Total claim (secured and unsecured): | \$_____________________ | | | | Contact | Value of security: | -
\$_____________________ | | | | ____________________________________
Contact phone | Unsecured claim | \$_____________________ | | ### Case 22-50073 Doc 1 Filed 02/15/22 Entered 02/15/22 20:26:52 Page 14 of 14 | Debtor 1 | Ho Wan
First Name | Middle Name | Last Name | Kwok
_______________________________________________________ | | Case number (if known)_____________________________________ | | | |----------|--------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------|------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------|------------|-------------------------------------------------------------------------------|-----------------|----------------------------------------------| | | | | | | | | Unsecured claim | | | 18 | Yue Hua Zhu Shi | | | What is the nature of the claim? ____________________________ | Litigation | | | 981,501.72
\$____________________________ | | | __________________________________________
Creditor's Name
136-20 38th Avenue, Suite 3D | | | As of the date you file, the claim is: Check all that apply.
‰
Contingent | | | | | | | __________________________________________
Number
Street
C/O Kevin Tung, Esq.
__________________________________________ | | | ‰
Unliquidated

‰ | | | | | | | Flushing
__________________________________________ | NY | 11354 | Disputed
‰
None of the above apply | | | | | | | City
Kevin Tung, Esq.
__________________________________________
Contact
____________________________________ | State | ZIP Code | Does the creditor have a lien on your property?
‰
No
‰
Yes. Total claim (secured and unsecured):
Value of security:
Unsecured claim | - | \$_____________________
\$_____________________
\$_____________________ | | | | 19 | Contact phone
Jia Li Wang
__________________________________________ | | | What is the nature of the claim? ____________________________ | Litigation | | | 430,000
\$____________________________ | | | Creditor's Name
335 Madison Avenue, 12th Floor
__________________________________________
Number
Street
C/O Thompson Hine | | As of the date you file, the claim is: Check all that apply.
‰
Contingent
‰
Unliquidated | | | | | | | | __________________________________________
New York
__________________________________________
City | NY
State | 10017
ZIP Code |
‰
Disputed
‰
None of the above apply
Does the creditor have a lien on your property? | | | | | | | Brian P. Lanciault, Esq
__________________________________________
Contact
____________________________________
Contact phone | | | ‰
No
‰
Yes. Total claim (secured and unsecured):
Value of security:
Unsecured claim | - | \$_____________________
\$_____________________
\$_____________________ | | | | 20 | | | | What is the nature of the claim? ____________________________ | Litgiation | | | 319,130
\$____________________________ | | | WA&HF, LLC/Ruizeng An
__________________________________________
Creditor's Name | | As of the date you file, the claim is: Check all that apply.
‰
Contingent
‰
Unliquidated | | | | | | | | 41 Madison Avenue, 31st Floor
__________________________________________
Number
Street
C/O AFN Law
__________________________________________ | | |
‰
Disputed
‰
None of the above apply | | | | | | | New York
__________________________________________
City | NY
State | 10010
ZIP Code | Does the creditor have a lien on your property?
‰
No
‰
Yes. Total claim (secured and unsecured): | | \$_____________________ | | | | | Angus Ni, Esq.
__________________________________________
Contact | | | Value of security:
Unsecured claim | - | \$_____________________
\$_____________________ | | | | | ____________________________________
Contact phone | | | | | | | | | Part 2: | Sign Below | | | | | | | | | | | | | | | | | | | | | | | Under penalty of perjury, I declare that the information provided in this form is true and correct. | | | | | | 8 | V+R:DQ.ZRN
______________________________________________
Signature of Debtor 1 | | | 8
Signature of Debtor 2 | | ______________________________________________ | | | | |
Date _________________
MM / DD / YYYY | | | Date _________________
MM / DD / YYYY | | | | |