Court Filing — WVNB Case 75953, Doc. 51 — In re Panthera Enterprises, LLC
- Date
- 2019-11-01
Source document: Court Filing — WVNB Case 75953, Doc. 51 — In re Panthera Enterprises, LLC; document type: amended schedule (Official Form 206H) with declaration.
Full text
Official Form 202 Declaration Under Penalty of Perjury for Non-Individual Debtors Official Form 202 Declaration Under Penalty of Perjury for Non-Individual Debtors 12/15 An individual who is authorized to act on behalf of a non-individual debtor, such as a corporation or partnership, must sign and submit this form for the schedules of assets and liabilities, any other document that requires a declaration that is not included in the document, and any amendments of those documents. This form must state the individual’s position or relationship to the debtor, the identity of the document, and the date. Bankruptcy Rules 1008 and 9011. WARNING -- Bankruptcy fraud is a serious crime. 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 $500,000 or imprisonment for up to 20 years, or both. 18 U.S.C. §§ 152, 1341, 1519, and 3571. Declaration and signature I am the president, another officer, or an authorized agent of the corporation; a member or an authorized agent of the partnership; or another individual serving as a representative of the debtor in this case. I have examined the information in the documents checked below and I have a reasonable belief that the information is true and correct: Schedule A/B: Assets–Real and Personal Property (Official Form 206A/B) Schedule D: Creditors Who Have Claims Secured by Property (Official Form 206D) Schedule E/F: Creditors Who Have Unsecured Claims (Official Form 206E/F) Schedule G: Executory Contracts and Unexpired Leases (Official Form 206G) Schedule H: Codebtors (Official Form 206H) Summary of Assets and Liabilities for Non-Individuals (Official Form 206Sum) Amended Schedule ____ Chapter 11 or Chapter 9 Cases: List of Creditors Who Have the 20 Largest Unsecured Claims and Are Not Insiders (Official Form 204) Other document that requires a declaration__________________________________________________________________________________ I declare under penalty of perjury that the foregoing is true and correct. Executed on ______________ _________________________________________________________________________ MM / DD / YYYY Signature of individual signing on behalf of debtor ________________________________________________________________________ Printed name ______________________________________ Position or relationship to debtor Debtor Name __________________________________________________________________ United States Bankruptcy Court for the: ________________________________ Case number (If known): _________________________ Fill in this information to identify the case and this filing: 2:19-bk-00787 Northern District of West Virginia 11/01/2019 Panthera Enterprises, LLC X H /s/ John J. Richardson John J. Richardson, Esq. Attorney to Debtor No. 2:19-bk-00787 Doc 51 Filed 11/01/19 Entered 11/01/19 15:33:31 Page 1 of 3 Official Form 206H Schedule H: Codebtors page 1 of ___ Official Form 206H Schedule H: Codebtors 12/15 Be as complete and accurate as possible. If more space is needed, copy the Additional Page, numbering the entries consecutively. Attach the Additional Page to this page. 1. Does the debtor have any codebtors? No. Check this box and submit this form to the court with the debtor's other schedules. Nothing else needs to be reported on this form. Yes 2. In Column 1, list as codebtors all of the people or entities who are also liable for any debts listed by the debtor in the schedules of creditors, Schedules D-G. Include all guarantors and co-obligors. In Column 2, identify the creditor to whom the debt is owed and each schedule on which the creditor is listed. If the codebtor is liable on a debt to more than one creditor, list each creditor separately in Column 2. Column 1: Codebtor Column 2: Creditor Name Name Check all schedules that apply: 2.1 Mailing address _____________________ D E/F G 2.2 _____________________ D E/F G 2.3 _____________________ D E/F G 2.4 _____________________ D E/F G 2.5 _____________________ D E/F G 2.6 _____________________ D E/F G Debtor name __________________________________________________________________ United States Bankruptcy Court for the:_______________________________ Case number (If known): _________________________ Fill in this information to identify the case: Check if this is an amended filing Panthera Enterprises, LLC ✔ ✔ ✔ Global Matrix Corporation Pons Milvius LLC Raymond Jones Raymond Jones 2 Raymond Jones Global Matrix Corporation 43787 Bent Creek Terrace Leesburg, VA 20176 Raymond Jones Pons Milvius LLC 11654 Plaza America Drive #320 Reston, VA 20190 Raymond Jones 43787 Ben Creek Terrace Leesburg, VA 20176 Raymond Jones 43787 Ben Creek Terrace Leesburg, VA 20176 Raymond Jones 43787 Ben Creek Terrace Leesburg, VA 20176 Raymond Jones 43787 Ben Creek Terrace Leesburg, VA 20176 West Virginia Economic D West Virginia Economic D Parker, Ostovic & Associa Azadian Group, LLC Midtown Resources Howard Shockey & Sons, ✔ ✔ ✔ ✔ 2:19-bk-00787 Northern District of West Virginia X No. 2:19-bk-00787 Doc 51 Filed 11/01/19 Entered 11/01/19 15:33:31 Page 2 of 3 Debtor Case number (if known)_____________________________________ _______________________________________________________ Name Official Form 206H Schedule H: Codebtors page ___ of ___ Additional Page if Debtor Has More Codebtors Copy this page only if more space is needed. Continue numbering the lines sequentially from the previous page. Column 1: Codebtor Column 2: Creditor Name Mailing address Name Check all schedules that apply: 2.___ _____________________ _____________________ D E/F G 2.___ _____________________ _____________________ D E/F G 2.___ _____________________ _____________________ D E/F G 2.___ _____________________ _____________________ D E/F G 2.___ _____________________ _____________________ D E/F G 2.___ _____________________ _____________________ D E/F G 2.___ _____________________ _____________________ D E/F G 2.___ _____________________ _____________________ D E/F G 2 ✔ ✔ 2:19-bk-00787 ✔ ✔ ✔ 7 8 9 10 11 12 James Punelli 11654 Plaza America Drive #320 Reston, VA 20190 James Punelli 11654 Plaza America Drive #320 Reston, VA 20190 James Punelli 11654 Plaza America Drive #320 Reston, VA 20190 ✔ James Punelli James Punelli James Punelli 2 West Virginia Economic D Raymond Jones Howard Shockey & Sons, James Punelli Midtown Resources James Punelli West Virginia Economic D Parker, Ostovic & Associa Azadian Group, LLC Panthera Enterprises, LLC Raymond Jones 43787 Ben Creek Terrace Leesburg, VA 20176 James Punelli 11654 Plaza America Drive #320 Reston, VA 20190 James Punelli 11654 Plaza America Drive #320 Reston, VA 20190 No. 2:19-bk-00787 Doc 51 Filed 11/01/19 Entered 11/01/19 15:33:31 Page 3 of 3
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