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Vyaire - COC - NOL Motion Final Order FINAL

Date
2024-07-05

Summary

Doc 150-2, Exhibit 2, a blackline of the Final Order (I) Approving Notification and Hearing Procedures for Certain Transfers of and Declarations of Worthlessness with Respect to Common Stock and (II) Granting Related Relief in In re Vyaire Medical, Inc., et al., Case No. 24-11217 (BLS), in the U.S. Bankruptcy Court for the District of Delaware, filed July 5, 2024. The order grants the debtors' motion on a final basis, approves the Procedures attached as Exhibit 1, and makes transfers or declarations of worthlessness that violate them null and void ab initio. It requires remedial actions for violating transfers, amended tax returns for violating declarations, and posting of the Procedures online. Exhibit 1 sets out filing and notice requirements for Substantial Shareholders, and the document ends with a notice signed by proposed co-counsel Cole Schotz P.C. and Kirkland & Ellis LLP.

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Case 24-11217-BLS   Doc 150-2   Filed 07/05/24   Page 1 of 40




                        Exhibit 2

                        Blackline
                 Case 24-11217-BLS              Doc 150-2        Filed 07/05/24         Page 2 of 40




                          IN THE UNITED STATES BANKRUPTCY COURT
                               FOR THE DISTRICT OF DELAWARE

                                                                )
    In re:                                                      )        Chapter 11
                                                                )
    VYAIRE MEDICAL, INC., et al.,1                              )        Case No. 24-11217 (___BLS)
                                                                )
                              Debtors.                          )        (Jointly               Administerationed
                                                                         Requested)
                                                                )
                                                                )        Re: Docket NoNos. __14, 91

                     FINAL ORDER (I) APPROVING NOTIFICATION
                AND HEARING PROCEDURES FOR CERTAIN TRANSFERS OF
                AND DECLARATIONS OF WORTHLESSNESS WITH RESPECT
                TO COMMON STOCK AND (II) GRANTING RELATED RELIEF

             Upon the motion (the “Motion”)2 of the above-captioned debtors and debtors in

possession (collectively, the “Debtors”) for the entry of a final order (this “Final Order”),

(a) authorizing, but not directing, the Debtors to approve certain notification and hearing

procedures, substantially in the form of Exhibit 1 attached hereto (the “Procedures”), related to

certain transfers of, or declarations of worthlessness with respect to Debtor Vyaire Holding

Company’s existing classes of common stock or any Beneficial Ownership3 therein (any such



1
      The last four digits of Debtor Vyaire Medical, Inc.’s federal tax identification number are 6495. A complete list
      of each of the Debtors in these chapter 11 cases and each such Debtor’s federal tax identification number may
      be obtained on the website of the Debtors’ proposed claims and noticing agent at
      https://omniagentsolutions.com/Vyaire. The location of Debtor Vyaire Medical, Inc.’s principal place of
      business and the Debtors’ service address in these chapter 11 cases is 26125 North Riverwoods Boulevard,
      Mettawa, Illinois, USA 60045.
2
      Capitalized terms used but not otherwise defined herein have the meanings ascribed to them in the Motion.
3
      “Beneficial Ownership” will be determined in accordance with the applicable rules of sections 382 and 383 of
      the Internal Revenue Code of 1986, 26 U.S.C. §§ 1–9834 as amended (the “IRC”), and the U.S. Department of
      the Treasury regulations thereunder (“Treasury Regulations”) (other than Treasury Regulations
      section 1.382-2T(h)(2)(i)(A)), and includes direct, indirect, and constructive ownership (e.g., (1) a holding
      company would be considered to beneficially own all equity securities owned by its subsidiaries, (2) a partner in
      a partnership would be considered to beneficially own its proportionate share of any equity securities owned by
      such partnership, (3) an individual and such individual’s family members may be treated as one individual,
      (4) persons and entities acting in concert to make a coordinated acquisition of equity securities may be treated
      as a single entity, and (5) a holder would be considered to beneficially own equity securities that such holder has
              Case 24-11217-BLS                Doc 150-2         Filed 07/05/24          Page 3 of 40




record or Beneficial Ownership of common stock, (collectively, the “Common Stock”));

(b) directing that any purchase, sale, other transfer of, or declaration of worthlessness with

respect to Common Stock in violation of the Procedures shall be null and void ab initio, and (c)

granting related relief, all as more fully set forth in the Motion; and upon the First Day

Declaration; and the United States District Court for the District of Delaware has jurisdiction

over this matter pursuant to 28 U.S.C. § 1334, which was referred to the Court under 28 U.S.C. §

157 and the Amended Standing Order of Reference from the United States District Court for the

District of Delaware, dated February 29, 2012; and this Court having found that this is a core

proceeding pursuant to 28 U.S.C. § 157(b)(2); and this Court having found that this Court may

enter a final order consistent with Article III of the United States Constitution; and this Court

having found that venue of this proceeding and the Motion in this district is proper pursuant to

28 U.S.C. §§ 1408 and 1409; and this Court having found that the relief requested in the Motion

is in the best interests of the Debtors’ estates, their creditors, and other parties in interest; and

this Court having found that the Debtors’ notice of the Motion and opportunity for a hearing on

the Motion were appropriate under the circumstances and no other notice need be provided; and

this Court having reviewed the Motion and having heard the statements in support of the relief

requested therein at a hearing before this Court (the “Hearing”); and this Court having

determined that the legal and factual bases set forth in the Motion and at the Hearing establish

just cause for the relief granted herein; and upon all of the proceedings had before this Court; and

after due deliberation and sufficient cause appearing therefor, it is HEREBY ORDERED THAT:




   an Option (as defined herein) to acquire). An “Option” to acquire stock includes all interests described in
   Treasury Regulations section 1.382-4(d)(9), including any contingent purchase right, warrant, convertible debt,
   put, call, stock subject to risk of forfeiture, contract to acquire stock, or similar interest, regardless of whether it
   is contingent or otherwise not currently exercisable.
               Case 24-11217-BLS       Doc 150-2      Filed 07/05/24        Page 4 of 40




          1.    The Motion is granted on a final basis as set forth herein.

          2.    1. The Procedures, as set forth in Exhibit 1 attached to this Final Order are hereby

approved on a final basis.

          3.    2. Any postpetition transfer of or postpetition declaration of worthlessness with

respect to Beneficial Ownership of Common Stock in violation of the Procedures, including but

not limited to the notice requirements, shall be null and void ab initio.

          4.    3. In the case of any such postpetition transfer of Beneficial Ownership of

Common Stock in violation of the Procedures, including but not limited to the notice

requirements, the person or entity making such transfer shall be required to take remedial actions

specified by the Debtors, in consultation with the official committee of unsecured creditors (the

“Committee”) and the Ad Hoc Group, which may include the actions specified in Private Letter

Ruling 201010009 (Dec. 4, 2009), to appropriately reflect that such transfer is null and void ab

initio.

          5.    4. In the case of any such postpetition declaration of worthlessness with respect to

Beneficial Ownership of Common Stock in violation of the Procedures, including the notice

requirements, the person or entity making such declaration shall be required to file an amended

tax return revoking such declaration and any related deduction to appropriately reflect that such

declaration is void ab initio.

          6.    Nothing in this Final Order or the exhibits thereto shall authorize any filer that is

not an individual to redact the name, date acquired, number of shares held, or last four digits of

TIN.
             Case 24-11217-BLS        Doc 150-2      Filed 07/05/24     Page 5 of 40




       7.      5. The Debtors may retroactively or prospectively, in writing and in consultation

with the Committee and the Ad Hoc Group, waive any and all restrictions, stays and notification

procedures set forth in the Procedures.

       8.      6. The Debtors shall post the Procedures to the website established by Omni

Agent Solutions, Inc. for these chapter 11 cases (https://omniagentsolutions.com/Vyaire), such

notice being reasonably calculated to provide notice to all parties that may be affected by the

Procedures, whether known or unknown.

       9.      7. Nothing in the Motion or this InterimFinal Order waives or modifies the

requirements of the Restructuring Support Agreement, including, without limitation, the consent

and consultation rights contained therein; provided, however, that nothing in the Motion or this

Final Order constitutes Court approval of the Restructuring Support Agreement.

       10.     8. Notwithstanding anything to the contrary contained herein, any payment to be

made hereunder, and any authorization contained herein, shall be subject to any interim and final

orders, as applicable, approving the use of such cash collateral and/or the Debtors’ entry into any

postpetition financing facilities or credit agreement, and any budgets in connection therewith

governing any such postpetition financing and/or use of cash collateral (each such order, a “DIP

Order”). To the extent there is any inconsistency between the terms of the DIP Order and any

action taken or proposed to be taken hereunder, the terms of the DIP Order shall control.

       11.     9. To the extent that this Final Order is inconsistent with any prior order or

pleading with respect to the Motion in these chapter 11 cases, the terms of this Final Order shall

govern.
             Case 24-11217-BLS          Doc 150-2      Filed 07/05/24     Page 6 of 40




       12.     10. Nothing herein shall preclude any person desirous of acquiring Common

Stock from requesting relief from this Final Order from this Court, subject to the Debtors’ and

the other Notice Parties’ rights to oppose such relief.

       13.     11. The requirements set forth in this Final Order are in addition to the

requirements of applicable law and do not excuse compliance therewith.

       14.     12. Nothing contained in the Motion or this Final Order, and no action taken

pursuant to the relief requested or granted (including any payment made in accordance with this

Final Order), is intended as or shall be construed or deemed to be: (a) an admission as to the

amount of, basis for, priority of, or validity of any claim against the Debtors under the

Bankruptcy Code or other applicable nonbankruptcy law; (b) a waiver of the Debtors’ or any

other party in interest’s right to dispute any claim on any grounds; (c) a promise or requirement

to pay any particular claim; (d) an implication, admission or finding that any particular claim is

an administrative expense claim, other priority claim or otherwise of a type specified or defined

in the Motion or this Final Order; (e) a request or authorization to assume, adopt, or reject any

agreement, contract, or lease pursuant to section 365 of the Bankruptcy Code; (f) an admission as

to the validity, priority, enforceability or perfection of any lien on, security interest in, or other

encumbrance on property of the Debtors’ estates; or (g) a waiver or limitation of any claims,

causes of action or other rights of the Debtors or any other party in interest against any person or

entity under the Bankruptcy Code or any other applicable law.

       13. The contents of the Motion satisfy the requirements of Bankruptcy Rule 6003(b).

       15.     14. Notice of the Motion as provided therein shall be deemed good and sufficient

notice of such Motion and the requirements of Bankruptcy Rule 6004(a) and the Local Rules are

satisfied by such notice.
             Case 24-11217-BLS        Doc 150-2      Filed 07/05/24     Page 7 of 40




       16.     15. Notwithstanding Bankruptcy Rule 6004(h), the terms and conditions of this

Final Order are immediately effective and enforceable upon its entry.

       17.     16. The Debtors are authorized to take all actions necessary to effectuate the relief

granted in this Final Order in accordance with the Motion.

       18.     17. This Court retains exclusive jurisdiction with respect to all matters arising

from or related to the implementation, interpretation, and enforcement of this Final Order.
Case 24-11217-BLS     Doc 150-2    Filed 07/05/24   Page 8 of 40




                            Exhibit 1

  Procedures for Transfers of and Declarations of Worthlessness
     with Respect to Beneficial Ownership of Common Stock
              Case 24-11217-BLS             Doc 150-2        Filed 07/05/24        Page 9 of 40




               PROCEDURES FOR TRANSFERS OF AND DECLARATIONS
              OF WORTHLESSNESS WITH RESPECT TO COMMON STOCK

The following procedures apply to transfers of Common Stock:1

                    a. Any entity (as defined in section 101(15) of the Bankruptcy Code) that is a
                       Substantial Shareholder (as defined herein) must file with the Court, and
                       serve upon: (i) the Debtors, Vyaire Medical, Inc., 26125 North
                       Riverwoods Boulevard, Mettawa, Illinois 60045, Attn.: Charles Braley
                       (cbraley@alixpartners.com); (ii) proposed co-counsel to the Debtors
                       (a) Kirkland & Ellis LLP, 601 Lexington Avenue, New York, New York
                       10022, Attn.: Joshua A. Sussberg, P.C. (joshua.sussberg@kirkland.com),
                       Chris Ceresa (chris.ceresa@kirkland.com), and Tiffani Chanroo
                       (tiffani.chanroo@kirkland.com), (b) Kirkland & Ellis LLP, 333 Wolf Point
                       Plaza, Chicago, Illinois, 60654, Attn.: Spencer A. Winters
                       (spencer.winters@kirkland.com)          and     Yusuf       U.      Salloum
                       (yusuf.salloum@kirkland.com); and (c) Cole Schotz P.C., 500 Delaware
                       Avenue,       Suite     1410,     Wilmington,      Delaware     19801,
                       Attn: Patrick J. Reilley, Esq. (preilley@coleschotz.com), Stacy L. Newman
                       (snewman@coleschotz.com),            Michael    E.     Fitzpatrick,      Esq.
                       (mfitzpatrick@coleschotz.com), and (d) Cole Schotz P.C., Court Plaza
                       North, 25 Main Street, Hackensack, New Jersey 07601, Attn.: Michael D.
                       Sirota, Esq. (msirota@coleschotz.com), Warren A. Usatine, Esq.
                       (wusatine@coleschotz.com); (iii) counsel to the 1L Ad Hoc Group,
                       Gibson, Dunn & Crutcher LLP, 200 Park Avenue, New York, NY
                       10166-0193, Attn.: Scott J. Greenberg (SGreenberg@gibsondunn.com),
                       Jason Zachary Goldstein (JGoldstein@gibsondunn.com), Joshua Brody
                       (JBrody@gibsondunn.com), and Kevin Liang (KLiang@gibsondunn.com)
                       and (iv) Pachulski Stang Ziehl & Jones LLP, 919 North Market Street,
                       17th Floor, Wilmington, DE 19801, Attn.: Laura Davis Jones
                       (ljones@pszjlaw.com); (iv) proposed counsel to the Committee, (i)
                       McDermott Will & Emery LLP, The Brandywine Building, 1000 N. West
                       Street, Suite 1400, Wilmington, Delaware 19801, Attn.: David Hurst
                       (dhurst@mwe.com) and Maris Kandestin (mkandestin@mwe.com) and (ii)
                       McDermott Will & Emery LLP, One Vanderbilt Avenue, New York, NY
                       10017-3852, Attn: Darren Azman (dazman@mwe.com) and Kristin Going
                       (kgoing@mwe.com); (v) the United States Trustee for the
                       District     of     Delaware,       Attn.:    Benjamin     A.      Hackman
                       (Benjamin.A.Hackman@usdoj.gov); and (vvi) any statutory committee
                       appointed      in     these     chapter    11    cases    (collectively, the
                       “Notice Parties”), a declaration of such status, substantially in the form
                       attached hereto as Exhibit 1A (each, a “Declaration of Status as a
                       Substantial Shareholder”), on or before the later of (A) twenty calendar


1
    Capitalized terms used but not otherwise defined herein have the meanings given to them in the Motion.
Case 24-11217-BLS      Doc 150-2      Filed 07/05/24     Page 10 of 40




       days after the date of the Notice of Final Order, or (B) 10 calendar days
       after becoming a Substantial Shareholder; provided that, for the avoidance
       of doubt, the other procedures set forth herein shall apply to any Substantial
       Shareholder even if no Declaration of Status as a Substantial Shareholder
       has been filed.

 b.    Prior to effectuating any transfer of Beneficial Ownership of Common
       Stock that would result in an increase in the amount of Common Stock of
       which a Substantial Shareholder has Beneficial Ownership or would result
       in an entity or individual becoming a Substantial Shareholder, the parties to
       such transaction must file with the Court, and serve upon the Notice
       Parties, an advance written declaration of the intended transfer of Common
       Stock, substantially in the form attached hereto as Exhibit 1B
       (each, a “Declaration of Intent to Accumulate Common Stock”).

 c.    Prior to effectuating any transfer of Beneficial Ownership of Common
       Stock that would result in a decrease in the amount of Common Stock of
       which a Substantial Shareholder has Beneficial Ownership or would result
       in an entity or individual ceasing to be a Substantial Shareholder, the
       parties to such transaction must file with the Court, and serve upon the
       Notice Parties, an advance written declaration of the intended transfer of
       Common Stock, substantially in the form attached hereto as Exhibit 1C
       (each, a “Declaration of Intent to Transfer Common Stock,” and together
       with a Declaration of Intent to Accumulate Common Stock, each,
       a “Declaration of Proposed Transfer”).

 d.    The Debtors and the other Notice Parties shall have ten calendar days after
       receipt of a Declaration of Proposed Transfer to file with the Court and
       serve on such Substantial Shareholder or potential Substantial Shareholder
       an objection to any proposed transfer of Beneficial Ownership of Common
       Stock, described in the Declaration of Proposed Transfer on the grounds
       that such transfer is reasonably expected to adversely affect the Debtors’
       ability to utilize their Tax Attributes. If the Debtors or any of the other
       Notice Parties file an objection, such transaction will remain ineffective
       unless such objection is withdrawn, or such transaction is approved by a
       final and non-appealable order of the Court. If the Debtors and the other
       Notice Parties do not object within such ten-day period, such transaction
       can proceed solely as set forth in the Declaration of Proposed Transfer.
       Further transactions within the scope of this paragraph must be the subject
       of additional notices in accordance with the procedures set forth herein,
       with an additional ten-day waiting period for each Declaration of Proposed
       Transfer. To the extent that the Debtors receive an appropriate Declaration
       of Proposed Transfer and determine in their business judgment not to
       object, they shall provide notice of that decision as soon as is reasonably
       practicable to the Notice Parties.




                                  2
             Case 24-11217-BLS            Doc 150-2       Filed 07/05/24       Page 11 of 40




               e.       For purposes of these Procedures (including, for the avoidance of doubt,
                        with respect to both transfers and declarations of worthlessness):
                        (i) a “Substantial Shareholder” is any entity or individual person that has
                        Beneficial Ownership of at least 152,436 shares of Common Stock;
                        (representing approximately 4.5 percent of all issued and outstanding
                        shares of Common Stock); and (ii) “Beneficial Ownership” will be
                        determined in accordance with the applicable rules of section 382 of the
                        IRC, and the Treasury Regulations promulgated thereunder (other than
                        Treasury Regulations section 1.382-2T(h)(2)(i)(A)) and includes direct,
                        indirect, and constructive ownership (e.g., (1) a holding company would be
                        considered to beneficially own all equity securities owned by its
                        subsidiaries, (2) a partner in a partnership would be considered to
                        beneficially own its proportionate share of any equity securities owned by
                        such partnership, (3) an individual and such individual’s family members
                        may be treated as one individual, (4) persons and entities acting in concert
                        to make a coordinated acquisition of equity securities may be treated as a
                        single entity, and (5) a holder would be considered to beneficially own
                        equity securities that such holder has an Option (as defined herein) to
                        acquire). An “Option” to acquire stock includes all interests described in
                        Treasury Regulations section 1.382-4(d)(9), including any contingent
                        purchase right, warrant, convertible debt, put, call, stock subject to risk of
                        forfeiture, contract to acquire stock, or similar interest, regardless of
                        whether it is contingent or otherwise not currently exercisable.

The following procedures apply for declarations of worthlessness of Common Stock:

               a.       Any person or entity that currently is or becomes a 50-Percent Shareholder2
                        must file with the Court and serve upon the Notice Parties a declaration of
                        such status, substantially in the form attached hereto as Exhibit 1D (each,
                        a “Declaration of Status as a 50-Percent Shareholder”), on or before the
                        later of (i) twenty calendar days after the date of the Notice of Final Order
                        and (ii) 10 calendar days after becoming a 50-Percent Shareholder;
                        provided that, for the avoidance of doubt, the other procedures set forth
                        herein shall apply to any 50-Percent Shareholder even if no Declaration of
                        Status as a 50-Percent Shareholder has been filed.

               a.       Prior to filing any federal or state tax return, or any amendment to such a
                        return, or taking any other action that claims any deduction for
                        worthlessness of Beneficial Ownership of Common Stock for a taxable
                        year ending before the Debtors’ emergence from chapter 11 protection,
                        such 50-Percent Shareholder must file with the Court and serve upon the
                        Notice Parties a declaration of intent to claim a worthless stock deduction

2
    For purposes of the Procedures, a “50-Percent Shareholder” is any person or entity that, at any time since
    December 31, 2020, has owned Beneficial Ownership of 50% or more of the Common Stock (determined in
    accordance with section 382(g)(4)(D) of the IRC and the applicable Treasury Regulations thereunder).




                                                      3
           Case 24-11217-BLS         Doc 150-2       Filed 07/05/24     Page 12 of 40




                     (a “Declaration of Intent to Claim a Worthless Stock Deduction”),
                     substantially in the form attached hereto as Exhibit 1E.

                         i.   The Debtors and the other Notice Parties shall have ten calendar
                              days after receipt of a Declaration of Intent to Claim a Worthless
                              Stock Deduction to file with the Court and serve on such
                              50-Percent Shareholder an objection to any proposed claim of
                              worthlessness described in the Declaration of Intent to Claim a
                              Worthless Stock Deduction on the grounds that such claim might
                              adversely affect the Debtors’ ability to utilize their Tax Attributes.

                        ii.   If the Debtors or the other Notice Parties timely object, the filing of
                              the tax return or amendment thereto with such claim will not be
                              permitted unless approved by a final and non-appealable order of
                              the Court, unless such objection is withdrawn.

                       iii.   If the Debtors and the other Notice Parties do not object within
                              such ten-day period, the filing of the return or amendment with
                              such claim will be permitted solely as described in the Declaration
                              of Intent to Claim a Worthless Stock Deduction. Additional
                              returns and amendments within the scope of this section must be
                              the subject of additional notices as set forth herein, with an
                              additional ten-day waiting period. To the extent that the Debtors
                              receive an appropriate Declaration of Intent to Claim a Worthless
                              Stock Deduction and determine in their business judgment not to
                              object, they shall provide notice of that decision as soon as is
                              reasonably practicable to the Notice Parties.

                                   NOTICE PROCEDURES

The following notice procedures apply to these Procedures:

             a.      No later than 5 business days following entry of the Interim Order, the
                     Debtors shall serve a notice by first class mail and email, if available,
                     substantially in the form attached to the Procedures as Exhibit 1F
                     (the “Notice of Interim Order”), on: (i) the U.S. Trustee; (ii) Gibson, Dunn
                     & Crutcher LLP, as counsel to the 1L Ad Hoc Group; (iii) the entities listed
                     on the consolidated list of creditors holding the thirty largest unsecured
                     claims; (iv) the U.S. Securities and Exchange Commission; (v) the Internal
                     Revenue Service; (vi) the United States Attorney’s Office for the District of
                     Delaware; (vii) the state attorneys general for states in which the Debtors
                     conduct business; (viii) the registered and nominee holders of the Common
                     Stock; and (ix) the Notice Parties. Additionally, no later than 5 business
                     days following entry of the Final Order, the Debtors shall serve a Notice of
                     Interim Order modified to reflect that the Final Order has been entered (as




                                                 4
Case 24-11217-BLS      Doc 150-2       Filed 07/05/24     Page 13 of 40




       modified, the “Notice of Final Order”) on the same entities that received
       the Notice of Interim Order.

 b.    All registered and nominee holders of Common Stock shall be required to
       serve the Notice of Interim Order or Notice of Final Order, as applicable,
       on any holder for whose benefit such registered or nominee holder holds
       such Common Stock, down the chain of ownership for all such holders of
       Common Stock.

 c.    Any entity or individual, or broker or agent acting on such entity’s or
       individual’s behalf who sells Common Stock to another entity or
       individual, shall be required to serve a copy of the Notice of Interim Order
       or Notice of Final Order, as applicable, on such purchaser of such Common
       Stock, or any broker or agent acting on such purchaser’s behalf.

 d.    To the extent confidential information is required in any declaration
       described in the Procedures, such confidential information may be filed
       with the Court in redacted form; provided, however, that any such
       declarations served on the Notice Parties shall not be in redacted form.
       The Notice Parties shall keep all information provided in such declarations
       strictly confidential and shall not disclose the contents thereof to any
       person except: (i) to the extent necessary to respond to a petition or
       objection filed with the Court; (ii) to the extent otherwise required by law;
       or (iii) to the extent that the information contained therein is already public;
       provided, further, however, that the Debtors may disclose the contents
       thereof to their professional advisors, who shall keep all such notices
       strictly confidential and shall not disclose the contents thereof to any other
       person, subject to further Court order. To the extent confidential
       information is necessary to respond to an objection filed with the Court,
       such confidential information shall be filed under seal or in a redacted
       form.




                                   5
Case 24-11217-BLS    Doc 150-2    Filed 07/05/24   Page 14 of 40




                          Exhibit 1A

       Declaration of Status as a Substantial Shareholder
                Case 24-11217-BLS               Doc 150-2          Filed 07/05/24          Page 15 of 40




                           IN THE UNITED STATES BANKRUPTCY COURT
                                FOR THE DISTRICT OF DELAWARE

                                                                   )
    In re:                                                         )        Chapter 11
                                                                   )
    VYAIRE MEDICAL, INC., et al.,1                                 )        Case No. 24-11217 (___BLS)
                                                                   )
                               Debtors.                            )        (Jointly Administerationed
                                                                            Requested)
                                                                   )

              DECLARATION OF STATUS AS A SUBSTANTIAL SHAREHOLDER2

             The undersigned party is/has become a Substantial Shareholder with respect to the

existing classes of common stock or any Beneficial Ownership therein (any such record or

Beneficial Ownership of common stock, collectively, the “Common Stock”) of Vyaire Holding

Company. Vyaire Holding Company is a debtor and debtor in possession in Case No. 24-11217

(___BLS) pending in the United States Bankruptcy Court for the District of Delaware

(the “Court”).



1
      The last four digits of Debtor Vyaire Medical, Inc.’s federal tax identification number are 6495. A complete list
      of each of the Debtors in these chapter 11 cases and each such Debtor’s federal tax identification number may
      be obtained on the website of the Debtors’ proposed claims and noticing agent at
      https://omniagentsolutions.com/Vyaire. The location of Debtor Vyaire Medical, Inc.’s principal place of
      business and the Debtors’ service address in these chapter 11 cases is 26125 North Riverwoods Boulevard,
      Mettawa, Illinois, USA 60045.
2
      For purposes of this Declaration: (i) a “Substantial Shareholder” is any entity or individual that has Beneficial
      Ownership of at least (A) 152,436 shares of Common Stock (representing approximately 4.5 percent of issued
      and outstanding shares of Common Stock); (ii) “Beneficial Ownership” will be determined in accordance with
      the applicable rules of sections 382 and 383 of the Internal Revenue Code of 1986, 26 U.S.C. §§ 1–9834 as
      amended (the “IRC”), and the Treasury Regulations thereunder (other than Treasury Regulations
      section 1.382-2T(h)(2)(i)(A)) and includes direct, indirect, and constructive ownership (e.g., (1) a holding
      company would be considered to beneficially own all equity securities owned by its subsidiaries, (2) a partner in
      a partnership would be considered to beneficially own its proportionate share of any equity securities owned by
      such partnership, (3) an individual and such individual’s family members may be treated as one individual,
      (4) persons and entities acting in concert to make a coordinated acquisition of equity securities may be treated
      as a single entity, and (5) a holder would be considered to beneficially own equity securities that such holder has
      an Option (as defined herein) to acquire). An “Option” to acquire stock includes all interests described in
      Treasury Regulations section 1.382-4(d)(9), including any contingent purchase right, warrant, convertible debt,
      put, call, stock subject to risk of forfeiture, contract to acquire stock, or similar interest, regardless of whether it
      is contingent or otherwise not currently exercisable.
              Case 24-11217-BLS      Doc 150-2       Filed 07/05/24   Page 16 of 40




       As of______, 2024, the undersigned party currently has Beneficial Ownership of

______ shares of Common Stock. The following table sets forth the date(s) on which the

undersigned party acquired Beneficial Ownership of such Common Stock:

                       Number of Shares                  Date Acquired




                          (Attach additional page or pages if necessary)

       The last four digits of the taxpayer identification number of the undersigned party

are ______.

       Pursuant to the Final Order (I) Approving Notification and Hearing Procedures for

Certain Transfers of and Declarations of Worthlessness with Respect to Common Stock and

(II) Granting Related Relief [Docket No. ______] (the “Final Order”), this declaration

(this “Declaration”) is being filed with the Court and served upon the Notice Parties (as defined

in the Final Order).

       At the election of the Substantial Shareholder, the Declaration to be filed with this Court

(but not the Declaration that is served upon the Notice Parties) may be redacted to exclude the

Substantial Shareholder’s taxpayer identification number and the amount of Common Stock that

the Substantial Shareholder beneficially owns.




                                                 2
            Case 24-11217-BLS       Doc 150-2      Filed 07/05/24    Page 17 of 40




       Pursuant to 28 U.S.C. § 1746, under penalties of perjury, the undersigned party hereby

declares that he or she has examined this Declaration and accompanying attachments (if any),

and, to the best of his or her knowledge and belief, this Declaration and any attachments hereto

are true, correct, and complete.



                                                    Respectfully submitted,

                                                    (Name of Substantial Shareholder)

                                                    By: ________________________________
                                                    Name: _____________________________
                                                    Address: ___________________________
                                                    ___________________________________
                                                    Telephone: _________________________
                                                    Facsimile: __________________________
Dated: _______________, 2024
_______________, __________

 (City)    (State)




                                               3
Case 24-11217-BLS   Doc 150-2   Filed 07/05/24   Page 18 of 40




                         Exhibit 1B

      Declaration of Intent to Accumulate Common Stock
                 Case 24-11217-BLS              Doc 150-2          Filed 07/05/24          Page 19 of 40




                           IN THE UNITED STATES BANKRUPTCY COURT
                                FOR THE DISTRICT OF DELAWARE

                                                                   )
    In re:                                                         )        Chapter 11
                                                                   )
    VYAIRE MEDICAL, INC., et al.,1                                 )        Case No. 24-11217 (___BLS)
                                                                   )
                               Debtors.                            )        (Jointly Administerationed
                                                                            Requested)
                                                                   )

                                       DECLARATION OF INTENT TO


                                     ACCUMULATE COMMON STOCK2

             The undersigned party hereby provides notice of its intention to purchase, acquire, or

otherwise accumulate (the “Proposed Transfer”) one or more shares of the existing classes of

common stock or any Beneficial Ownership therein (any such record or Beneficial Ownership of

common stock, collectively, the “Common Stock”) of Vyaire Holding Company.                                          Vyaire




1
      The last four digits of Debtor Vyaire Medical, Inc.’s federal tax identification number are 6495. A complete list
      of each of the Debtors in these chapter 11 cases and each such Debtor’s federal tax identification number may
      be obtained on the website of the Debtors’ proposed claims and noticing agent at
      https://omniagentsolutions.com/Vyaire. The location of Debtor Vyaire Medical, Inc.’s principal place of
      business and the Debtors’ service address in these chapter 11 cases is 26125 North Riverwoods Boulevard,
      Mettawa, Illinois, USA 60045.
2
      For purposes of this Declaration: (i) a “Substantial Shareholder” is any entity or individual that has Beneficial
      Ownership of at least 152,436 shares of Common Stock (representing approximately 4.5 percent of all issued
      and outstanding shares of Common Stock); and (ii) “Beneficial Ownership” will be determined in accordance
      with the applicable rules of sections 382 and 383 of the Internal Revenue Code of 1986, 26 U.S.C. §§ 1–9834
      as amended (the “IRC”), and the Treasury Regulations thereunder (other than Treasury Regulations section
      1.382-2T(h)(2)(i)(A)), and includes direct, indirect, and constructive ownership (e.g., (1) a holding company
      would be considered to beneficially own all equity securities owned by its subsidiaries, (2) a partner in a
      partnership would be considered to beneficially own its proportionate share of any equity securities owned by
      such partnership, (3) an individual and such individual’s family members may be treated as one individual,
      (4) persons and entities acting in concert to make a coordinated acquisition of equity securities may be treated
      as a single entity, and (5) a holder would be considered to beneficially own equity securities that such holder has
      an Option (as defined herein) to acquire). An “Option” to acquire stock includes all interests described in
      Treasury Regulations section 1.382-4(d)(9), including any contingent purchase right, warrant, convertible debt,
      put, call, stock subject to risk of forfeiture, contract to acquire stock, or similar interest, regardless of whether it
      is contingent or otherwise not currently exercisable.
              Case 24-11217-BLS        Doc 150-2      Filed 07/05/24    Page 20 of 40




Holding Company is a debtor and debtor in possession in Case No. 24-11217 (___BLS) pending

in the United States Bankruptcy Court for the District of Delaware (the “Court”).



         If applicable, on ______, 2024, the undersigned party filed a Declaration of Status as a

Substantial Shareholder with the Court and served copies thereof as set forth therein.

         The undersigned party currently has Beneficial Ownership of ______ shares of Common

Stock.

         Pursuant to the Proposed Transfer, the undersigned party proposes to purchase, acquire,

or otherwise accumulate Beneficial Ownership of ______ shares of Common Stock or an Option

with respect to ______ shares of Common Stock. If the Proposed Transfer is permitted to occur,

the undersigned party will have Beneficial Ownership of ______ shares of Common Stock.

         The last four digits of the taxpayer identification number of the undersigned party

are ______.

         Pursuant to the Final Order (I) Approving Notification and Hearing Procedures for

Certain Transfers of and Declarations of Worthlessness with Respect to Common Stock and

(II) Granting Related Relief [Docket No. ______] (the “Final Order”), this declaration

(this “Declaration”) is being filed with the Court and served upon the Notice Parties (as defined

in the Final Order).

         At the election of the undersigned party, the Declaration to be filed with this Court (but

not the Declaration that is served upon the Notice Parties) may be redacted to exclude the

undersigned party’s taxpayer identification number and the amount of Common Stock that the

undersigned party beneficially owns.




                                                  2
            Case 24-11217-BLS        Doc 150-2      Filed 07/05/24     Page 21 of 40




       Pursuant to the Final Order, the undersigned party acknowledges that it is prohibited from

consummating the Proposed Transfer unless and until the undersigned party complies with the

Procedures set forth therein.

       The Debtors and the other Notice Parties have twenty calendar days after receipt of this

Declaration to object to the Proposed Transfer described herein. If the Debtors or any of the

other Notice Parties file an objection, such Proposed Transfer will remain ineffective unless such

objection is withdrawn or such transaction is approved by a final and non-appealable order of the

Court. If the Debtors and the other Notice Parties do not object within such twenty-day period,

then after expiration of such period the Proposed Transfer may proceed solely as set forth in this

Declaration.

       Any further transactions contemplated by the undersigned party that may result in the

undersigned party purchasing, acquiring, or otherwise accumulating Beneficial Ownership of

additional shares of Common Stock will each require an additional notice filed with the Court to

be served in the same manner as this Declaration.

       Pursuant to 28 U.S.C. § 1746, under penalties of perjury, the undersigned party hereby

declares that he or she has examined this Declaration and accompanying attachments (if any),

and, to the best of his or her knowledge and belief, this Declaration and any attachments hereto

are true, correct, and complete.

                                                     Respectfully submitted,

                                                     (Name of Declarant)

                                                     By: ________________________________
                                                     Name: _____________________________
                                                     Address: ___________________________
                                                     ___________________________________
                                                     Telephone: _________________________
                                                     Facsimile: __________________________



                                                3
          Case 24-11217-BLS    Doc 150-2   Filed 07/05/24   Page 22 of 40




Dated: _______________, 2024
_______________, __________

      (City)       (State)




                                       4
Case 24-11217-BLS   Doc 150-2    Filed 07/05/24   Page 23 of 40




                         Exhibit 1C

        Declaration of Intent to Transfer Common Stock
                 Case 24-11217-BLS              Doc 150-2          Filed 07/05/24          Page 24 of 40




                           IN THE UNITED STATES BANKRUPTCY COURT
                                FOR THE DISTRICT OF DELAWARE

                                                                   )
    In re:                                                         )        Chapter 11
                                                                   )
    VYAIRE MEDICAL, INC., et al.,1                                 )        Case No. 24-11217 (___BLS)
                                                                   )
                               Debtors.                            )        (Jointly Administerationed
                                                                            Requested)
                                                                   )

                                       DECLARATION OF INTENT TO
                                       TRANSFER COMMON STOCK2

             The undersigned party hereby provides notice of its intention to sell, trade, or otherwise

transfer (the “Proposed Transfer”) one or more shares of the existing classes of common stock or

any Beneficial Ownership therein (any such record or Beneficial Ownership of common stock,

collectively, the “Common Stock”) of Vyaire Holding Company. Vyaire Holding Company is a




1
      The last four digits of Debtor Vyaire Medical, Inc.’s federal tax identification number are 6495. A complete list
      of each of the Debtors in these chapter 11 cases and each such Debtor’s federal tax identification number may
      be obtained on the website of the Debtors’ proposed claims and noticing agent at
      https://omniagentsolutions.com/Vyaire. The location of Debtor Vyaire Medical, Inc.’s principal place of
      business and the Debtors’ service address in these chapter 11 cases is 26125 North Riverwoods Boulevard,
      Mettawa, Illinois, USA 60045.
2
      For purposes of this Declaration: (i) a “Substantial Shareholder” is any entity or individual that has Beneficial
      Ownership of at least 152,436 shares of Common Stock (representing approximately 4.5 percent of all issued
      and outstanding shares of Common Stock); and (ii) “Beneficial Ownership” will be determined in accordance
      with the applicable rules of sections 382 and 383 of the Internal Revenue Code of 1986, 26 U.S.C. §§ 1–9834
      as amended (the “IRC”), and the Treasury Regulations thereunder (other than Treasury Regulations section
      1.382-2T(h)(2)(i)(A)), and includes direct, indirect, and constructive ownership (e.g., (1) a holding company
      would be considered to beneficially own all equity securities owned by its subsidiaries, (2) a partner in a
      partnership would be considered to beneficially own its proportionate share of any equity securities owned by
      such partnership, (3) an individual and such individual’s family members may be treated as one individual,
      (4) persons and entities acting in concert to make a coordinated acquisition of equity securities may be treated
      as a single entity, and (5) a holder would be considered to beneficially own equity securities that such holder has
      an Option (as defined herein) to acquire). An “Option” to acquire stock includes all interests described in
      Treasury Regulations section 1.382-4(d)(9), including any contingent purchase right, warrant, convertible debt,
      put, call, stock subject to risk of forfeiture, contract to acquire stock, or similar interest, regardless of whether it
      is contingent or otherwise not currently exercisable.
              Case 24-11217-BLS        Doc 150-2      Filed 07/05/24    Page 25 of 40




debtor and debtor in possession in Case No. 24-11217 (___BLS) pending in the United States

Bankruptcy Court for the District of Delaware (the “Court”).

         If applicable, on ______, 2024, the undersigned party filed a Declaration of Status as a

Substantial Shareholder with the Court and served copies thereof as set forth therein.

         The undersigned party currently has Beneficial Ownership of ______ shares of Common

Stock.

         Pursuant to the Proposed Transfer, the undersigned party proposes to sell, trade, or

otherwise transfer Beneficial Ownership of ______ shares of Common Stock or an Option with

respect to ______ shares of Common Stock. If the Proposed Transfer is permitted to occur, the

undersigned party will have Beneficial Ownership of ______ shares Common Stock after such

transfer becomes effective.

         The last four digits of the taxpayer identification number of the undersigned party

are ______.

         Pursuant to the Final Order Approving Notification and Hearing Procedures for Certain

Transfers of and Declarations of Worthlessness with Respect to Common Stock and (II)

Granting Related Relief [Docket No. ______] (the “Final Order”), this declaration

(this “Declaration”) is being filed with the Court and served upon the Notice Parties (as defined

in the Final Order).

         At the election of the undersigned party, the Declaration to be filed with this Court (but

not the Declaration that is served upon the Notice Parties) may be redacted to exclude the

undersigned party’s taxpayer identification number and the amount of Common Stock that the

undersigned party beneficially owns.




                                                  2
            Case 24-11217-BLS        Doc 150-2      Filed 07/05/24     Page 26 of 40




       Pursuant to the Final Order, the undersigned party acknowledges that it is prohibited from

consummating the Proposed Transfer unless and until the undersigned party complies with the

Procedures set forth therein.

       The Debtors and the other Notice Parties have twenty calendar days after receipt of this

Declaration to object to the Proposed Transfer described herein. If the Debtors or any of the

other Notice Parties file an objection, such Proposed Transfer will remain ineffective unless such

objection is withdrawn or such transaction is approved by a final and non-appealable order of the

Court. If the Debtors and the other Notice Parties do not object within such twenty-day period,

then after expiration of such period the Proposed Transfer may proceed solely as set forth in this

Declaration.

       Any further transactions contemplated by the undersigned party that may result in the

undersigned party selling, trading, or otherwise transferring Beneficial Ownership of additional

shares of Common Stock will each require an additional notice filed with the Court to be served

in the same manner as this Declaration.

       Pursuant to 28 U.S.C. § 1746, under penalties of perjury, the undersigned party hereby

declares that he or she has examined this Declaration and accompanying attachments (if any),

and, to the best of his or her knowledge and belief, this Declaration and any attachments hereto

are true, correct, and complete.

                                                     Respectfully submitted,

                                                     (Name of Declarant)

                                                     By: ________________________________
                                                     Name: _____________________________
                                                     Address: ___________________________
                                                     ___________________________________
                                                     Telephone: _________________________
                                                     Facsimile: __________________________



                                                3
          Case 24-11217-BLS    Doc 150-2   Filed 07/05/24   Page 27 of 40




Dated: _______________, 2024
_______________, __________

 (City)   (State)




                                       4
Case 24-11217-BLS   Doc 150-2     Filed 07/05/24   Page 28 of 40




                          Exhibit 1D

       Declaration of Status as a 50-Percent Shareholder
                 Case 24-11217-BLS              Doc 150-2         Filed 07/05/24          Page 29 of 40




                          IN THE UNITED STATES BANKRUPTCY COURT
                               FOR THE DISTRICT OF DELAWARE

                                                                  )
    In re:                                                        )        Chapter 11
                                                                  )
    VYAIRE MEDICAL, INC., et al.,1                                )        Case No. 24-11217 (___BLS)
                                                                  )
                               Debtors.                           )        (Jointly Administerationed
                                                                           Requested)
                                                                  )

                DECLARATION OF STATUS AS A 50-PERCENT SHAREHOLDER

             The undersigned party is/has become a 50-Percent Shareholder2 with respect to one or

more shares of the existing classes of common stock or any Beneficial Ownership therein (any

such record or Beneficial Ownership of common stock, collectively, the “Common Stock”) of

Vyaire Holding Company. Vyaire Holding Company is a debtor and debtor in possession in




1
      The last four digits of Debtor Vyaire Medical, Inc.’s federal tax identification number are 6495. A complete list
      of each of the Debtors in these chapter 11 cases and each such Debtor’s federal tax identification number may
      be obtained on the website of the Debtors’ proposed claims and noticing agent at
      https://omniagentsolutions.com/Vyaire. The location of Debtor Vyaire Medical, Inc.’s principal place of
      business and the Debtors’ service address in these chapter 11 cases is 26125 North Riverwoods Boulevard,
      Mettawa, Illinois, USA 60045.
2
      For purposes of this Declaration: (i) a “50-Percent Shareholder” is any person or entity that, at any time since
      December 31, 2020, has owned Beneficial Ownership of 50 percent or more of the Common Stock (determined
      in accordance with section 382(g)(4)(D) of the IRC and the applicable Treasury Regulations thereunder); and
      (ii) “Beneficial Ownership” will be determined in accordance with the applicable rules of sections 382
      and 383 of the Internal Revenue Code of 1986, 26 U.S.C. §§ 1–9834 as amended (the “IRC”), and the Treasury
      Regulations thereunder (other than Treasury Regulations section 1.382-2T(h)(2)(i)(A)) and includes direct,
      indirect, and constructive ownership (e.g., (1) a holding company would be considered to beneficially own all
      equity securities owned by its subsidiaries, (2) a partner in a partnership would be considered to beneficially
      own its proportionate share of any equity securities owned by such partnership, (3) an individual and such
      individual’s family members may be treated as one individual, (4) persons and entities acting in concert to make
      a coordinated acquisition of equity securities may be treated as a single entity, and (5) a holder would be
      considered to beneficially own equity securities that such holder has an Option (as defined herein) to acquire);
      and (iii) an “Option” to acquire stock includes all interests described in Treasury Regulations section
      1.382-4(d)(9), including any contingent purchase right, warrant, convertible debt, put, call, stock subject to risk
      of forfeiture, contract to acquire stock, or similar interest, regardless of whether it is contingent or otherwise not
      currently exercisable.
              Case 24-11217-BLS      Doc 150-2      Filed 07/05/24    Page 30 of 40




Case No. 24-11217 (___BLS) pending in the United States Bankruptcy Court for the District of

Delaware (the “Court”).

       As of ______, 2024, the undersigned party currently has Beneficial Ownership of

______ shares of Common Stock. The following table sets forth the date(s) on which the

undersigned party acquired Beneficial Ownership of such Common Stock:

                       Number of Shares                  Date Acquired




                              (Attach additional page or pages if necessary)

       The last four digits of the taxpayer identification number of the undersigned party

are ______.

       Pursuant to the Final Order (I) Approving Notification and Hearing Procedures for

Certain Transfers of and Declarations of Worthlessness with Respect to Common Stock and

(II) Granting Related Relief      [Docket   No. [●]] (the “Final Order”), this declaration

(this “Declaration”) is being filed with the Court and served upon the Notice Parties (as defined

in the Final Order).

       Pursuant to 28 U.S.C. § 1746, under penalties of perjury, the undersigned party hereby

declares that he or she has examined this Declaration and accompanying attachments (if any),




                                                2
            Case 24-11217-BLS       Doc 150-2      Filed 07/05/24    Page 31 of 40




and, to the best of his or her knowledge and belief, this Declaration and any attachments hereto

are true, correct, and complete.

                                                    Respectfully submitted,

                                                    (Name of 50-Percent Shareholder)

                                                    By: ________________________________
                                                    Name: _____________________________
                                                    Address: ___________________________
                                                    ___________________________________
                                                    Telephone: _________________________
                                                    Facsimile: __________________________
Dated: _______________, 2024
_______________, __________

       (City)          (State)




                                               3
Case 24-11217-BLS    Doc 150-2    Filed 07/05/24   Page 32 of 40




                          Exhibit 1E

   Declaration of Intent to Claim a Worthless Stock Deduction
                 Case 24-11217-BLS             Doc 150-2         Filed 07/05/24          Page 33 of 40




                          IN THE UNITED STATES BANKRUPTCY COURT
                               FOR THE DISTRICT OF DELAWARE

                                                                  )
    In re:                                                        )        Chapter 11
                                                                  )
    VYAIRE MEDICAL, INC., et al.,1                                )        Case No. 24-11217 (___BLS)
                                                                  )
                              Debtors.                            )        (Jointly Administerationed
                                                                           Requested)
                                                                  )

      DECLARATION OF INTENT TO CLAIM A WORTHLESS STOCK DEDUCTION2

             The undersigned party hereby provides notice of its intention to claim a worthless stock

deduction (the “Worthless Stock Deduction”) with respect to one or more shares of the existing

classes of common stock or any Beneficial Ownership therein (any such record or Beneficial

Ownership of common stock, collectively, the “Common Stock”) of Vyaire Holding Company.

Vyaire Holding Company is a debtor and debtor in possession in Case No. 24-11217 (___BLS)

pending in the United States Bankruptcy Court for the District of Delaware (the “Court”).



1
      The last four digits of Debtor Vyaire Medical, Inc.’s federal tax identification number are 6495. A complete list
      of each of the Debtors in these chapter 11 cases and each such Debtor’s federal tax identification number may
      be obtained on the website of the Debtors’ proposed claims and noticing agent at
      https://omniagentsolutions.com/Vyaire. The location of Debtor Vyaire Medical, Inc.’s principal place of
      business and the Debtors’ service address in these chapter 11 cases is 26125 North Riverwoods Boulevard,
      Mettawa, Illinois, USA 60045.
2
      For purposes of this Declaration: (i) a “50-Percent Shareholder” is any person or entity that, at any time since
      December 31, 2020, has had Beneficial Ownership of 50 percent or more of the Common Stock (determined in
      accordance with IRC § 382(g)(4)(D) and the applicable Treasury Regulations); and (ii) “Beneficial Ownership”
      will be determined in accordance with the applicable rules of sections 382 and 383 of the Internal Revenue
      Code of 1986, 26 U.S.C. §§ 1–9834 as amended (the “IRC”), and the Treasury Regulations thereunder (other
      than Treasury Regulations section 1.382-2T(h)(2)(i)(A)) and includes direct, indirect, and constructive
      ownership (e.g., (1) a holding company would be considered to beneficially own all equity securities owned by
      its subsidiaries, (2) a partner in a partnership would be considered to beneficially own its proportionate share of
      any equity securities owned by such partnership, (3) an individual and such individual’s family members may be
      treated as one individual, (4) persons and entities acting in concert to make a coordinated acquisition of equity
      securities may be treated as a single entity, and (5) a holder would be considered to beneficially own equity
      securities that such holder has an Option (as defined herein) to acquire); and (iii) an “Option” to acquire stock
      includes all interests described in Treasury Regulations section 1.382-4(d)(9), including any contingent
      purchase right, warrant, convertible debt, put, call, stock subject to risk of forfeiture, contract to acquire stock,
      or similar interest, regardless of whether it is contingent or otherwise not currently exercisable.
              Case 24-11217-BLS        Doc 150-2      Filed 07/05/24    Page 34 of 40




         If applicable, on ______, 2024, the undersigned party filed a Declaration of Status as a

50-Percent Shareholder with the Court and served copies thereof as set forth therein.

         The undersigned party currently has Beneficial Ownership of ______ shares of Common

Stock.

         Pursuant to the Worthless Stock Deduction, the undersigned party proposes to declare

that______ shares of Common Stock became worthless during the tax year ending ______.

         The last four digits of the taxpayer identification number of the undersigned party

are ______.

         Pursuant to the Final Order (I) Approving Notification and Hearing Procedures for

Certain Transfers of and Declarations of Worthlessness with Respect to Common Stock and

(II) Granting Related Relief [Docket No. ______] (the “Final Order”), this declaration

(this “Declaration”) is being filed with the Court and served upon the Notice Parties (as defined

in the Final Order).

         At the election of the undersigned party, the Declaration to be filed with this Court (but

not the Declaration that is served upon the Notice Parties) may be redacted to exclude the

undersigned party’s taxpayer identification number and the amount of Common Stock that the

undersigned party beneficially owns.

         Pursuant to the Final Order, the undersigned party acknowledges that the Debtors and the

other Notice Parties have twenty calendar days after receipt of this Declaration to object to the

Worthless Stock Deduction described herein. If the Debtors or any of the other Notice Parties

file an objection, such Worthless Stock Deduction will not be effective unless such objection is

withdrawn or such action is approved by a final and non-appealable order of the Court. If the

Debtors and the other Notice Parties do not object within such twenty-day period, then after




                                                  2
            Case 24-11217-BLS        Doc 150-2      Filed 07/05/24    Page 35 of 40




expiration of such period the Worthless Stock Deduction may proceed solely as set forth in this

Declaration.

       Any further claims of worthlessness contemplated by the undersigned party will each

require an additional notice filed with the Court to be served in the same manner as this

Declaration and are subject to an additional twenty-day waiting period.

       Pursuant to 28 U.S.C. § 1746, under penalties of perjury, the undersigned party hereby

declares that he or she has examined this Declaration and accompanying attachments (if any),

and, to the best of his or her knowledge and belief, this Declaration and any attachments hereto

are true, correct, and complete.


                                                    Respectfully submitted,

                                                    (Name of Declarant)

                                                    By: ________________________________
                                                    Name: _____________________________
                                                    Address: ___________________________
                                                    ___________________________________
                                                    Telephone: _________________________
                                                    Facsimile: __________________________
Dated: _______________, 2024
_______________, __________

 (City)    (State)




                                                3
Case 24-11217-BLS   Doc 150-2    Filed 07/05/24   Page 36 of 40




                         Exhibit 1F

                    Notice of Final Order
                Case 24-11217-BLS             Doc 150-2        Filed 07/05/24         Page 37 of 40




                         IN THE UNITED STATES BANKRUPTCY COURT
                              FOR THE DISTRICT OF DELAWARE

                                                                )
    In re:                                                      )       Chapter 11
                                                                )
    VYAIRE MEDICAL, INC., et al.,1                              )       Case No. 24-11217 (___BLS)
                                                                )
                              Debtors.                          )       (Jointly Administerationed
                                                                        Requested)
                                                                )

                 NOTICE OF FINAL ORDER (I) APPROVING NOTIFICATION
                AND HEARING PROCEDURES FOR CERTAIN TRANSFERS OF
                AND DECLARATIONS OF WORTHLESSNESS WITH RESPECT
                TO COMMON STOCK AND (II) GRANTING RELATED RELIEF

TO: ALL ENTITIES (AS DEFINED BY SECTION 101(15) OF THE BANKRUPTCY
CODE) THAT MAY HOLD BENEFICIAL OWNERSHIP OF THE EXISTING
CLASSES OF COMMON STOCK (THE “COMMON STOCK”) OF VYAIRE HOLDING
COMPANY:

             PLEASE TAKE NOTICE that on June 9, 2024, (the “Petition Date”), the

above-captioned debtors and debtors in possession (collectively, the “Debtors”), filed petitions

with the United States Bankruptcy Court for the District of Delaware (the “Court”) under

chapter 11 of title 11 of the United States Code (the “Bankruptcy Code”). Subject to certain

exceptions, section 362 of the Bankruptcy Code operates as a stay of any act to obtain possession

of property of or from the Debtors’ estates or to exercise control over property of or from the

Debtors’ estates.

             PLEASE TAKE FURTHER NOTICE that on the Petition Date, the Debtors filed the

Motion of Debtors for Entry of Interim and Final Orders (I) Approving Notification and Hearing


1
      The last four digits of Debtor Vyaire Medical, Inc.’s federal tax identification number are 6495. A complete list
      of each of the Debtors in these chapter 11 cases and each such Debtor’s federal tax identification number may
      be obtained on the website of the Debtors’ proposed claims and noticing agent at
      https://omniagentsolutions.com/Vyaire. The location of Debtor Vyaire Medical, Inc.’s principal place of
      business and the Debtors’ service address in these chapter 11 cases is 26125 North Riverwoods Boulevard,
      Mettawa, Illinois, USA 60045.
             Case 24-11217-BLS             Doc 150-2        Filed 07/05/24       Page 38 of 40




Procedures for Certain Transfers of and Declarations of Worthlessness with Respect to Common

Stock and (II) Granting Related Relief [Docket No. [●]14] (the “Motion”).

        PLEASE TAKE FURTHER NOTICE that on [●][●], 2024, the Court entered the

Final Order (I) Approving Notification and Hearing Procedures for Certain Transfers of and

Declarations of Worthlessness with Respect to Common Stock and (II) Granting Related Relief

[Docket No. [●]] (the “Final Order”) approving procedures for certain transfers of Common

Stock, set forth in Exhibit 1 attached to the Final Order (the “Procedures”).2

        PLEASE TAKE FURTHER NOTICE that, pursuant to the Final Order, a Substantial

Shareholder may not consummate any purchase, sale, or other transfer of Common Stock, or

Beneficial Ownership of Common Stock in violation of the Procedures, and any such transaction

in violation of the Procedures shall be null and void ab initio.

        PLEASE TAKE FURTHER NOTICE that, pursuant to the Final Order, the Procedures

shall apply to the holding and transfers of Common Stock, or any Beneficial Ownership therein

by a Substantial Shareholder or someone who may become a Substantial Shareholder.

        PLEASE TAKE FURTHER NOTICE that pursuant to the InterimFinal Order, upon

the request of any person or entity, the proposed notice, claims, and solicitation agent for the

Debtors, Omni Agent Solutions, Inc., will provide a copy of the InterimFinal Order and a form

of each of the declarations required to be filed by the Procedures in a reasonable period of time.

Such    declarations     are    also    available     via    PACER       on    the    Court’s     website     at

https://ecf.deb.uscourts.gov/ for a fee, or free of charge by accessing the Debtors’ restructuring

website at https://omniagentsolutions.com/Vyaire.



2
    Capitalized terms used but not otherwise defined herein have the meanings ascribed to them in the Final Order
    or the Motion, as applicable.
                                                        2
            Case 24-11217-BLS         Doc 150-2      Filed 07/05/24     Page 39 of 40




       PLEASE TAKE FURTHER NOTICE that, pursuant to the Final Order, failure to

follow the procedures set forth in the Final Order shall constitute a violation of, among other

things, the automatic stay provisions of section 362 of the Bankruptcy Code.

       PLEASE TAKE FURTHER NOTICE that nothing in the Final Order shall preclude

any person desirous of acquiring any Common Stock from requesting relief from the Final Order

from this Court, subject to the Debtors’ and the other Notice Parties’ rights to oppose such relief.

       PLEASE TAKE FURTHER NOTICE that other than to the extent that the Final Order

expressly conditions or restricts trading in Common Stock, nothing in the Final Order or in the

Motion shall, or shall be deemed to, prejudice, impair, or otherwise alter or affect the rights of

any holders of Common Stock, including in connection with the treatment of any such stock

under any chapter 11 plan or any applicable bankruptcy court order.

       PLEASE TAKE FURTHER NOTICE that any prohibited purchase, sale, other transfer

of Common Stock, Beneficial Ownership thereof, or option with respect thereto in violation of

the Final Order is prohibited and shall be null and void ab initio and may be subject to additional

sanctions as this court may determine.

       PLEASE TAKE FURTHER NOTICE that the requirements set forth in the Final Order

are in addition to the requirements of applicable law and do not excuse compliance therewith.




                                                 3
                  Case 24-11217-BLS            Doc 150-2    Filed 07/05/24     Page 40 of 40



Dated: [●], 2024
Wilmington, Delaware

 /s/ DRAFT
  COLE SCHOTZ P.C.                                         KIRKLAND & ELLIS LLP
  Patrick J. Reilley, Esq. (DE Bar No. 4451)               KIRKLAND & ELLIS INTERNATIONAL LLP
  500 Delaware Avenue, Suite 1410                          Joshua A. Sussberg, P.C. (admitted pro hac vice
                                                           admission pending)
 Wilmington, Delaware 19801                                601 Lexington Ave
 Telephone:   (302) 652-3131                               New York, New York 10022
 Facsimile:   (302) 652-3117                               Telephone:    (212) 446-4800
 Email:       preilley@coleschotz.com                      Facsimile:    (212) 446-4900
                                                           Email:        joshua.sussberg@kirkland.com
  - and -
 - and -                                                   - and -
 Michael D. Sirota, Esq. (pro hac vice admission
 pending)
 Warren A. UsatineMichael D. Sirota, Esq. (admitted        Spencer A. Winters, P.C. (admitted pro hac vice
 pro hac vice admission pending)                           admission pending)
 Court Plaza North, 25 Main StreetWarren A.                Yusuf U. Salloum (admitted pro hac vice admission
 Usatine, Esq (admitted pro hac vice)                      pending)
 Hackensack, New Jersey 07601Court Plaza North,            333 West Wolf Point Plaza
 25 Main Street
 Telephone:      (Hackensack, New Jersey 207601)           Chicago, Illinois 60654
 489-3000
 FacsimileTelephone: (201) 489-1536000                     Telephone:     (312) 862-2000
 Email:                                                    Facsimile:     (312) 862-2200
 msirota@coleschotz.comFacsimile:        (201)
 489-1536
 Email:          wusatinemsirota@coleschotz.com            Email:         spencer.winters@kirkland.com
                 wusatine@coleschotz.com                                  yusuf.salloum@kirkland.com


 Proposed Co-Counsel to the Debtors                        Proposed Co-Counsel to the Debtors
 and Debtors in Possession                                 and Debtors in Possession


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