In re Vyaire Medical — Schedules of Assets and Liabilities (Bird Products Corporation)
- Date
- 2024-07-08
Summary
The Schedules of Assets and Liabilities for Bird Products Corporation, Case No. 24-11218, filed July 8, 2024 as Doc 159 in the jointly administered Chapter 11 cases of Vyaire Medical, Inc., et al., Case No. 24-11217 (BLS), in the U.S. Bankruptcy Court for the District of Delaware. Schedule A/B lists interests in Vyaire Medical 206, Inc. and Vyaire Medical 211, Inc. at undetermined value, plus ventilator patents, trademarks such as BIRD and BEAR, and operator manual copyrights. Schedule D lists secured claims held by Bank of America, N.A. and Wilmington Trust, National Association as agents, for a secured debt total of $551,621,683.40, plus UCC liens of undetermined amount. The 43-page filing closes with an Official Form 202 declaration signed July 8, 2024 by Charles N. Braley, Chief Restructuring Officer.
Summary drafted by a model from the document's text below and checked by script against that text before publication. It is a navigation aid, not a reading of what the document proves. Where AI is used
Full text
Case 24-11217-BLS Doc 159 Filed 07/08/24 Page 1 of 43
IN THE UNITED STATES BANKRUPTCY COURT FOR
THE DISTRICT OF DELAWARE
)
In re ) Chapter 11
)
VYAIRE MEDICAL, INC., et al. ) Case No. 24-11217 (BLS)
)
Debtors. ) (Jointly Administered)
)
SCHEDULES OF ASSETS AND LIABILITIES FOR
Bird Products Corporation
CASE NO. 24-11218
Case 24-11217-BLS Doc 159 Filed 07/08/24 Page 2 of 43
Bird Products Corporation Case Number: 24-11218
Schedule A/B: Assets - Real and Personal Property
Part 1: Cash and cash equivalents
1. Does the debtor have any cash or cash equivalents?
No. Go to Part 2.
Yes. Fill in the information below.
General Description Type of Account Last 4 digits of Current value of
(if applicable) account # (if debtor's interest
applicable)
2. Cash on hand
3. Checking, savings, money market, or financial brokerage accounts (Identify all)
4. Other cash equivalents (Identify all)
5. Total of Part 1.
Add lines 2 through 4. Copy the total to line 80.
Case 24-11217-BLS Doc 159 Filed 07/08/24 Page 3 of 43
Bird Products Corporation Case Number: 24-11218
Schedule A/B: Assets - Real and Personal Property
Part 2: Deposits and prepayments
6. Does the debtor have any deposits or prepayments?
No. Go to Part 3.
Yes. Fill in the information below.
General Description Current value of debtor's
interest
7. Deposits, including security deposits and utility deposits
Description, including name of holder of deposit
8. Prepayments, including prepayments on executory contracts, leases, insurance, taxes, and rent
Description, including name of holder of prepayment
9. Total of Part 2.
Add lines 7 through 8. Copy the total to line 81.
Case 24-11217-BLS Doc 159 Filed 07/08/24 Page 4 of 43
Bird Products Corporation Case Number: 24-11218
Schedule A/B: Assets - Real and Personal Property
Part 3: Accounts receivable
10. Does the debtor have any accounts receivable?
No. Go to Part 4.
Yes. Fill in the information below.
General Description Face or requested Doubtful or Current value of
amount uncollectable debtor's interest
11. Accounts receivable
12. Total of Part 3.
Current value on lines 11a + 11b = line 12. Copy the total to line 82.
Case 24-11217-BLS Doc 159 Filed 07/08/24 Page 5 of 43
Bird Products Corporation Case Number: 24-11218
Schedule A/B: Assets - Real and Personal Property
Part 4: Investments
13. Does the debtor own any investments?
No. Go to Part 5.
Yes. Fill in the information below.
General Description Valuation method used Current value of debtor's
for current value interest
14. Mutual funds or publicly traded stocks not included in Part 1
Name of fund or stock:
15. Non-publicly traded stock and interests in incorporated and unincorporated businesses, including any interest in an LLC,
partnership, or joint venture
Name of entity:
15.1 VYAIRE MEDICAL 206, INC. (OWNERSHIP 50%) UNDETERMINED
15.2 VYAIRE MEDICAL 211, INC. (OWNERSHIP 44.55%) UNDETERMINED
16. Government bonds, corporate bonds, and other negotiable and non-negotiable instruments not included in Part 1
Describe:
17. Total of Part 4.
UNDETERMINED
Add lines 14 through 16. Copy the total to line 83.
Case 24-11217-BLS Doc 159 Filed 07/08/24 Page 6 of 43
Bird Products Corporation Case Number: 24-11218
Schedule A/B: Assets - Real and Personal Property
Part 5: Inventory, excluding agriculture assets - detail
18. Does the debtor own any inventory (excluding agriculture assets)?
No. Go to Part 6.
Yes. Fill in the information below.
General Description Date of the Net book value Valuation Current value
last physical of debtor's method used of debtor's
inventory interest (Where for current interest
available) value
19. Raw materials
20. Work in progress
21. Finished goods, including goods held for resale
22. Other Inventory or supplies
23. Total of Part 5.
Add lines 19 through 22. Copy the total to line 84.
24. Is any of the property listed in Part 5 perishable?
No.
Yes.
25. Has any of the property listed in Part 5 been purchased within 20 days before the bankruptcy was filed?
No.
Yes.
26. Has any of the property listed in Part 5 been appraised by a professional within the last year?
No.
Yes.
Case 24-11217-BLS Doc 159 Filed 07/08/24 Page 7 of 43
Bird Products Corporation Case Number: 24-11218
Schedule A/B: Assets - Real and Personal Property
Part 6: Farming and fishing-related assets (other than titled motor vehicles and land)
27. Does the debtor own or lease any farming and fishing-related assets (other than titled motor vehicles and land)?
No. Go to Part 7.
Yes. Fill in the information below.
General Description Net book value of Valuation method Current value
debtor's interest used for current of debtor's
(Where available) value interest
28. Crops-either planted or harvested
29. Farm animals
30. Farm machinery and equipment
31. Farm and fishing supplies, chemicals, and feed
32. Other farming and fishing-related property not already listed in Part 6
33. Total of Part 6.
Add lines 28 through 32. Copy the total to line 84.
34. Is the debtor a member of an agricultural cooperative?
No.
Yes.
35. Has any of the property listed in Part 6 been purchased within 20 days before the bankruptcy was filed?
No.
Yes.
36. Is a depreciation schedule available for any of the property listed in Part 6?
No.
Yes.
37. Has any of the property listed in Part 6 been appraised by a professional within the last year?
No.
Yes.
Case 24-11217-BLS Doc 159 Filed 07/08/24 Page 8 of 43
Bird Products Corporation Case Number: 24-11218
Schedule A/B: Assets - Real and Personal Property
Part 7: Office furniture, fixtures, and equipment; and collectibles - detail
38. Does the debtor own or lease any office furniture, fixtures, equipment, or collectibles?
No. Go to Part 8.
Yes. Fill in the information below.
General Description Net book value of Valuation method Current value
debtor's interest used for current of debtor's
(Where available) value interest
39. Office furniture
40. Office fixtures
41. Office equipment, including all computer equipment and communication systems equipment and software
42. Collectibles
43. Total of Part 7.
Add lines 39 through 42. Copy the total to line 84.
44. Is a depreciation schedule available for any of the property listed in Part 7?
No.
Yes.
45. Has any of the property listed in Part 7 been appraised by a professional within the last year?
No.
Yes.
Case 24-11217-BLS Doc 159 Filed 07/08/24 Page 9 of 43
Bird Products Corporation Case Number: 24-11218
Schedule A/B: Assets - Real and Personal Property
Part 8: Machinery, equipment, and vehicles
46. Does the debtor own or lease any machinery, equipment, or vehicles?
No. Go to Part 9.
Yes. Fill in the information below.
General Description Net book value of Valuation method Current value
debtor's interest used for current of debtor's
(Where available) value interest
47. Automobiles, vans, trucks, motorcycles, trailers, and titled farm vehicles
48. Watercraft, trailers, motors, and related accessories
49. Aircraft and accessories
50. Other machinery, fixtures, and equipment (excluding farm machinery and equipment)
51. Total of Part 8.
Add lines 47 through 50. Copy the total to line 84.
51. Is a depreciation schedule available for any of the property listed in Part 8?
No.
Yes.
52. Has any of the property listed in Part 8 been appraised by a professional within the last year?
No.
Yes.
Case 24-11217-BLS Doc 159 Filed 07/08/24 Page 10 of 43
Bird Products Corporation Case Number: 24-11218
Schedule A/B: Assets - Real and Personal Property
Part 9: Real property - detail
54. Does the debtor own or lease any real property?
No. Go to Part 9.
Yes. Fill in the information below.
Description and location of property Nature and Net book value Valuation Current
extent of of debtor's method used value of
debtor's interest (Where for current debtor's
interest in available) value interest
property
55. Any building, other improved real estate, or land which the debtor owns or in which the debtor has an interest
56. Total of Part 9.
Add the current value on all Question 55 lines and entries from any additional sheets. Copy the total to line 88.
57. Is a depreciation schedule available for any of the property listed in Part 9?
No.
Yes.
58. Has any of the property listed in Part 9 been appraised by a professional within the last year?
No.
Yes.
Case 24-11217-BLS Doc 159 Filed 07/08/24 Page 11 of 43
Bird Products Corporation Case Number: 24-11218
Schedule A/B: Assets - Real and Personal Property
Part 10: Intangibles and intellectual property - detail
59. Does the debtor have any interests in intangibles or intellectual property?
No. Go to Part 11.
Yes. Fill in the information below.
General Description Net book value of Valuation method Current value
debtor's interest used for current of debtor's
(Where available) value interest
60. Patents, copyrights, trademarks, and trade secrets
60.1 PATIENT CIRCUIT DISCONNECT SYSTEM FOR A
VENTILATOR AND METHOD OF DETECTING
PATIENT CIRCUIT DISCONNECT; 10/972,851
60.2 PORTABLE DRAG COMPRESSOR POWERED
MECHANICAL VENTILATOR; 10/935,577
60.3 RESPIRATORY VENTILATOR WITH AUTOMATIC
FLOW CALIBRATION; 09/299,780
60.4 AVIAN; 74/631,370
60.5 BEAR; 73/609,270
60.6 BEAR; 73/080,309
60.7 BEAR CUB; 74/607,516
60.8 BIRD; 72/208,230
60.9 BIRD; 72/091,054
60.10 BIRD (AND DESIGN); 73/806,202
60.11 BIRD (AND DESIGN); 73/806,201
60.12 BIRD SENTRY; 74/157,785
60.13 MARK; 72/220,901
60.14 MARK 7; 72/220,903
60.15 TBIRD; 74/625,077
60.16 V.I.P. BIRD; 74/002,063
60.17 V.I.P. BIRD (AND DESIGN); 74/047,732
60.18 VSYNC; 78/117,298
60.19 COMPLETE OPERATING CODE FOR THE TBIRD
VENTILATORY SYSTEM; TX0004979859
60.20 TBIRD AVS VENTILATOR SERIES OPERATOR’S
MANUAL L1331; TX0004979781
60.21 TBIRD AVS VENTILATOR SERIES OPERATOR’S
MANUAL L1331; TX0004979858
60.22 TBIRD VS & VSO2 OPERATOR’S MANUAL;
TX0004979857
60.23 TBIRD VS & VSO2 VENTILATORY SYSTEM
OPERATOR’S MANUAL L1310; TX0004979780
61. Internet domain names and websites
Case 24-11217-BLS Doc 159 Filed 07/08/24 Page 12 of 43
Bird Products Corporation Case Number: 24-11218
Schedule A/B: Assets - Real and Personal Property
Part 10: Intangibles and intellectual property - detail
62. Licenses, franchises, and royalties
63. Customer lists, mailing lists, or other compilations
64. Other intangibles, or intellectual property
65. Goodwill
66. Total of Part 10.
$0.00
Add lines 60 through 65. Copy the total to line 89.
67. Do your lists or records include personally identifiable information of customers (as defined in 11 U.S.C. §§ 101(41A) and
107)?
No.
Yes.
68. Is there an amortization or other similar schedule available for any of the property listed in Part 10?
No.
Yes.
69. Has any of the property listed in Part 10 been appraised by a professional within the last year?
No.
Yes.
Case 24-11217-BLS Doc 159 Filed 07/08/24 Page 13 of 43
Bird Products Corporation Case Number: 24-11218
Schedule A/B: Assets - Real and Personal Property
Part 11: All other assets
70. Does the debtor own any other assets that have not yet been reported on this form? Include all interests in executory
contracts and unexpired leases not previously reported on this form.
No. Go to Part 12.
Yes. Fill in the information below.
General Description Current value of
debtor's interest
71. Notes receivable
72. Tax refunds and unused net operating losses (NOLs)
73. Interests in insurance policies or annuities
74. Causes of action against third parties (whether or not a lawsuit has been filed)
75. Other contingent and unliquidated claims or causes of action of every nature, including counterclaims of the debtor and
rights to set off claims
76. Trusts, equitable or future interests in property
77. Other property of any kind not already listed Examples: Season tickets, country club membership
78. Total of Part 11.
Add lines 71 through 77. Copy the total to line 90.
79. Has any of the property listed in Part 11 been appraised by a professional within the last year?
No.
Yes.
Case 24-11217-BLS Doc 159 Filed 07/08/24 Page 14 of 43
Bird Products Corporation Case Number: 24-11218
Schedule A/B: Assets - Real and Personal Property
Part 12: Summary
Type of property Current value Current value Total of all
of personal of real property
property property
80. Cash, cash equivalents, and financial assets. Copy line 5, Part 1. $0.00
81. Deposits and prepayments. Copy line 9, Part 2. $0.00
82. Accounts receivable. Copy line 12, Part 3. $0.00
83. Investments. Copy line 17, Part 4. UNDETERMINED
84. Inventory. Copy line 23, Part 5. $0.00
85. Farming and fishing-related assets. Copy line 33, Part 6. $0.00
86. Office furniture, fixtures, and equipment; and collectibles. Copy line 43, Part $0.00
7.
87. Machinery, equipment, and vehicles. Copy line 51, Part 8. $0.00
88. Real property. Copy line 56, Part 9. $0.00
89. Intangibles and intellectual property. Copy line 66, Part 10. $0.00
90. All other assets. Copy line 78, Part 11. $0.00
91. Total. Add lines 80 through 90 for each column. $0.00 $0.00
92. Total of all property on Schedule A/B. Lines 91a + 91b = 92. $0.00
Case 24-11217-BLS Doc 159 Filed 07/08/24 Page 15 of 43
Bird Products Corporation Case Number: 24-11218
Schedule D: Creditors Who Have Claims Secured by Property
Part 1: List Creditors Who Have Secured Claims
1. Do any creditors have claims secured by debtor's property?
No. Check this box and submit page 1 of this form to the court with debtor's other schedules. Debtor has nothing else to report on this form.
Yes. Fill in the information below.
2. List in alphabetical order all creditors who have secured claims. If a creditor has more than one secured claim, list the creditor separately for each claim.
Creditor's Name and Mailing Address, E-mail Co- Insider Co- Date Claim was Incurred, Property C-U-D Amount of Value of
Address & An Account Number Interest Debtor Description, Lien & Co-Interest Creditor Claim Collateral
Secured Debt
2.1 BANK OF AMERICA, N.A., AS ADMINISTRATIVE DATE: 04/16/2018 $354,779,102.01
AGENT AND COLLATERAL AGENT PROPERTY DESCRIPTION: FIRST PRIORITY LIEN
135 S. LASALLE STREET ON SUBSTANTIALLY ALL OF THE DEBTORS’
IL4-135-09-61 ASSETS
CHICAGO, IL 60603-4157 LIEN DESCRIPTION: GUARANTOR TO THE FIRST
EMAIL: FELICIA.BRINSON@BOFA.COM LIEN TERM LOAN
2.2 WILMINGTON TRUST, NATIONAL DATE: 05/03/2019 $79,367,460.41
ASSOCIATION, AS COLLATERAL AGENT PROPERTY DESCRIPTION: FIRST PRIORITY LIEN
50 SOUTH SIXTH STREET ON SUBSTANTIALLY ALL OF THE DEBTORS’
SUITE 1290 ASSETS
MINNEAPOLIS, MN 55402 LIEN DESCRIPTION: GUARANTOR TO THE FIRST
EMAIL: JROSE@WILMINGTONTRUST.COM LIEN NOTES
2.3 WILMINGTON TRUST, NATIONAL DATE: 04/16/2018 $117,475,120.99
ASSOCIATION, AS COLLATERAL AGENT PROPERTY DESCRIPTION: SECOND PRIORITY
1100 NORTH MARKET STREET LIEN ON SUBSTANTIALLY ALL OF THE DEBTORS’
WILMINGTON, DE 19890 ASSETS
EMAIL: LIEN DESCRIPTION: GUARANTOR TO THE
JKANDERSON@WILMINGTONTRUST.COM SECOND LIEN NOTES
Secured Debt Total: $551,621,683.40 $0.00
Case 24-11217-BLS Doc 159 Filed 07/08/24 Page 16 of 43
Bird Products Corporation Case Number: 24-11218
Schedule D: Creditors Who Have Claims Secured by Property
Part 1: List Creditors Who Have Secured Claims
UCC Liens
2.4 BANK OF AMERICA, N.A., AS COLLATERAL PROPERTY DESCRIPTION: UCC LIEN AS UNDETERMINED
AGENT DESCRIBED IN FILE NUMBER 187643973260
100 N TRYON ST
CHARLOTTE, NC 28255
2.5 WILMINGTON TRUST, NATIONAL PROPERTY DESCRIPTION: UCC LIEN AS UNDETERMINED
ASSOCIATION, AS COLLATERAL AGENT DESCRIBED IN FILE NUMBER 187644033713
1100 N MARKET ST
WILMINGTON, DE 19890
2.6 WILMINGTON TRUST, NATIONAL PROPERTY DESCRIPTION: UCC LIEN AS UNDETERMINED
ASSOCIATION, AS COLLATERAL AGENT DESCRIBED IN FILE NUMBER 197710748286
1100 N MARKET ST
WILMINGTON, DE 19890
UCC Liens Total: $0.00 UNDETERMINED
3. Total of the dollar amounts from Part 1, Column A, including the amounts from the Additional Page, if any. $551,621,683.40
Case 24-11217-BLS Doc 159 Filed 07/08/24 Page 17 of 43
Bird Products Corporation Case Number: 24-11218
Schedule D: Creditors Who Have Claims Secured by Property
Part 2: List Others to Be Notified for a Debt Already Listed in Part 1
4. List in alphabetical order any others who must be notified for a debt already listed in Part 1. Examples of entities that may be
listed are collection agencies, assignees of claims listed above, and attorneys for secured creditors
Name and Mailing Address Part 1 Line on which the Last 4 Digits of Account
Related Creditor was Number for this Entity
Listed
Case 24-11217-BLS Doc 159 Filed 07/08/24 Page 18 of 43
Bird Products Corporation Case Number: 24-11218
Schedule E/F: Creditors Who Have Unsecured Claims
Part 1: List All Creditors with PRIORITY Unsecured Claims
1. Do any creditors have priority unsecured claims? (See 11 U.S.C. § 507).
No. Go to Part 2.
Yes. Go to line 2.
2. List in alphabetical order all of the creditors with nonpriority unsecured claims. If the debtor has more than 3 creditors with
priority unsecured claims, fill out and attach the Additional Page of Part 1.
Creditor's Name, Mailing Address Date Claim Was C-U-D Offset Total Claim Priority
Including Zip Code Incurred And Amount
Account
Number
2.1 ALABAMA - REVENUE DISCOVERY $0.00 $0.00
SYSTEMS AUTAUGA, BIRMINGHAM,
CHILTON, CLANTON, DALE, DOTHAN,
FLORENCE, HAMILTON, HENRY,
JACKSON, LAUDERDALE, PIKE,
SCOTTSBORO
SALES TAX DIVISION PO BOX 830725
BIRMINGHAM, AL 35283-0725
2.2 ALABAMA - MONTGOMERY $0.00 $0.00
CITY OF MONTGOMERY LICENSE &
REVENUE DIVISION P.O. BOX 830525
C/O DEPARTMENT RBT #3
BIRMINGHAM, AL 35283-0525
2.3 ALABAMA - STACS CITY OF SHEFFIELD $0.00 $0.00
COLBERT COUNTY FRANKLIN COUNTY
SALES TAX DIVISION PO BOX 3989
MUSCLE SHOALS, AL 35662
2.4 ALABAMA DEPARTMENT OF REVENUE $0.00 $0.00
BUSINESS PRIVILEGE TAX SECTION
P.O. BOX 327431 MONTGOMERY, AL
36132-7431
2.5 ALABAMA DEPARTMENT OF REVENUE $0.00 $0.00
PO BOX 327790, MONTGOMERY AL
36132-7790
2.6 ALASKA DEPARTMENT OF REVENUE $0.00 $0.00
550 W. SEVENTH AVE., SUITE 500
ANCHORAGE, AK 99501-3555
2.7 ARIZONA DEPARTMENT OF REVENUE $0.00 $0.00
P.O. BOX 29079 PHOENIX, AZ 85038-
9079
2.8 ARIZONA DEPARTMENT OF REVENUE $0.00 $0.00
P.O. BOX 29086 PHOENIX, AZ 85038-
9086
2.9 ARKANSAS DEPARTMENT OF FINANCE $0.00 $0.00
& ADMINISTRATON
PO BOX 2485 LITTLE ROCK, AR 72203
Case 24-11217-BLS Doc 159 Filed 07/08/24 Page 19 of 43
Bird Products Corporation Case Number: 24-11218
Schedule E/F: Creditors Who Have Unsecured Claims
Part 1: List All Creditors with PRIORITY Unsecured Claims
2.10 ASCENSION PARISH SALES AND USE $0.00 $0.00
TAX AUTHORITY
P.O. BOX 1718 GONZALES, LA 70707
2.11 AVOYELLES PARISH SCHOOL BOARD $0.00 $0.00
221 TUNICA DR W, MARKSVILLE, LA
71351
2.12 BALDWIN COUNTY $0.00 $0.00
P.O. BOX 189 ROBERTSDALE, AL
36567
2.13 JEFFERSON PARISH BUREAU OF $0.00 $0.00
REVENUE & TAXATION
P.O. BOX 248 GRETNA, LA 70054
2.14 CADDO SHREVEPORT SALES & USE $0.00 $0.00
TAX COMMISSION
P.O. BOX 104 SHREVEPORT, LA 71161
2.15 CALCASIEU PARISH $0.00 $0.00
SALES AND USE TAX DEPT P.O.
DRAWER 20250 LAKE CHARLES, LA
70602-2050
2.16 CALIFORNIA DEPARTMENT OF TAX $0.00 $0.00
AND FEE ADMISTRATION
P.O. BOX 942879 SACRAMENTO, CA
94279
2.17 CITY OF ALABASTER $0.00 $0.00
DEPT# CS#1 PO BOX 830525
BIRMINGHAM, AL 35283
2.18 CITY OF ARVADA $0.00 $0.00
TAX & AUDIT DIVISION 8101 RALSTON
ROAD ARVADA COLORADO 80002
2.19 CITY OF AURORA REVENUE DIVISION $0.00 $0.00
P.O. BOX 913200 DENVER 80291
2.20 CITY OF BATON ROUGE PARISH OF $0.00 $0.00
EAST BATON ROUGE
DEPT. OF FINANCE-REVENUE
DIVISION PO BOX 2590 BATON
ROUGE, LA 70821-2590
2.21 CITY OF BOULDER $0.00 $0.00
SALES TAX DIVISION P.O. BOX 791
BOULDER, CO 80306-0791
2.22 CITY OF BREMERTON $0.00 $0.00
TAX & LICENSE DIVISION, 345 6TH ST,
STE 100, BREMERTON, WA 9833
2.23 CITY OF COLORADO SPRINGS $0.00 $0.00
30 S NEVADA AVE STE 203
COLORADO SPRINGS, CO 80903
2.24 CITY OF CRAIG $0.00 $0.00
300 W 4TH STREET CRAIG, CO 81625
Case 24-11217-BLS Doc 159 Filed 07/08/24 Page 20 of 43
Bird Products Corporation Case Number: 24-11218
Schedule E/F: Creditors Who Have Unsecured Claims
Part 1: List All Creditors with PRIORITY Unsecured Claims
2.25 CITY OF DAPHNE $0.00 $0.00
P.O. DRAWER 1047 DAPHNE, AL
36526-1047
2.26 CITY OF DURANGO $0.00 $0.00
949 EAST SECOND AVENUE
DURANGO, CO 81301-5109
2.27 CITY OF ENGLEWOOD $0.00 $0.00
1000 ENGLEWOOD PARKWAY
ENGLEWOOD, CO 80110-2373
2.28 CITY OF EVERETT $0.00 $0.00
PO BOX 94430 SEATTLE, WA 98124-
6730
2.29 CITY OF FOLEY REVENUE $0.00 $0.00
DEPARTMENT
407 EAST LAUREL AVENUE P.O. BOX
1750 FOLEY, ALABAMA 36536
2.30 CITY OF FORT COLLINS $0.00 $0.00
SALES TAX DEPARTMENT P.O. BOX
440 FORT COLLINS, CO 80522-0439
2.31 CITY OF GOLDEN $0.00 $0.00
P.O. BOX 5885 DENVER, CO 80217-
5885
2.32 CITY OF GRAND JUNCTION $0.00 $0.00
P.O. BOX 2088 GRAND JUNCTION, CO
81502
2.33 CITY OF GREELEY $0.00 $0.00
PO BOX 1648 GREELEY, CO 80632
2.34 CITY OF GREENWOOD VILLAGE $0.00 $0.00
P.O. BOX 910841 DENVER, CO 80274
2.35 CITY OF GUNNISON $0.00 $0.00
FINANCE DEPARTMENT P.O. BOX 239
GUNNISON CO 81230
2.36 CITY OF HUNTSVILLE $0.00 $0.00
DEPT#2108 PO BOX 11407
BIRMINGHAM, AL 35246-2108
2.37 CITY OF LAKEWOOD $0.00 $0.00
REVENUE DIVISION PO BOX 17479
DENVER, CO 80217
2.38 CITY OF LAMAR $0.00 $0.00
102 E PARMENTER ST LAMAR, CO
81052
2.39 CITY OF LITTLETON $0.00 $0.00
P.O. BOX 1305 ENGLEWOOD, CO
80150-1305
2.40 CITY OF LONE TREE $0.00 $0.00
PO BOX 17987 DENVER, CO 80217-
0987
Case 24-11217-BLS Doc 159 Filed 07/08/24 Page 21 of 43
Bird Products Corporation Case Number: 24-11218
Schedule E/F: Creditors Who Have Unsecured Claims
Part 1: List All Creditors with PRIORITY Unsecured Claims
2.41 CITY OF LONGMONT $0.00 $0.00
350 KIMBARK STREET LONGMONT,
CO 80501
2.42 CITY OF LONGVIEW $0.00 $0.00
FINANCE DEPARTMENT PO BOX 128
LONGVIEW WA, 98632
2.43 CITY OF MOBILE $0.00 $0.00
DEPT#1519 PO BOX 11407
BIRMINGHAM, AL 35246-2108
2.44 CITY OF MONROE/OUACHITA PARISH $0.00 $0.00
TAXATION AND REVENUE DIVISION
PO BOX 123 MONROE, LA 71210-0123
2.45 CITY OF NEW ORLEANS $0.00 $0.00
BUREAU OF REVENUE - SALES TAX
1300 PERDIDO STREET1W15 NEW
ORLEANS, LA 70112
2.46 CITY OF PARKER $0.00 $0.00
SALES TAX ADMINISTRATION PO BOX
5602 DENVER, CO 80217-5602
2.47 CITY OF PUEBLO $0.00 $0.00
P.O. BOX 1427 PUEBLO, COLORADO
81002
2.48 CITY OF SEATTLE $0.00 $0.00
LICENSING & TAX ADMINISTRATION
PO BOX 34907 SEATTLE WA 98124-190
2.49 CITY OF STEAMBOAT SPRINGS $0.00 $0.00
PO BOX 772869 STEAMBOAT
SPRINGS, CO 80477-2869
2.50 CITY OF THORNTON $0.00 $0.00
PO BOX 910222 DENVER, CO 80291-
0222
2.51 COLORADO DEPARTMENT OF $0.00 $0.00
REVENUE
DENVER, CO 80261-0005
2.52 COMMERCE CITY TAX DIVISION $0.00 $0.00
7887 E. 60TH AVE COMMERCE CITY,
CO 80022
2.53 COMPTROLLER OF MARYLAND $0.00 $0.00
REVENUE ADMINISTRATION DIVISION
110 CARROLL STREET ANNAPOLIS,
MD 21411-0001
2.54 CONNECTICUT DEPARTMENT OF $0.00 $0.00
REVENUE SERVICES
450 COLUMBUS BOULEVARD, SUITE 1
HARTFORD, CONNECTICUT 06103
2.55 CULLMAN COUNTY $0.00 $0.00
P.O. BOX 1206 CULLMAN, AL 35056-
1206
Case 24-11217-BLS Doc 159 Filed 07/08/24 Page 22 of 43
Bird Products Corporation Case Number: 24-11218
Schedule E/F: Creditors Who Have Unsecured Claims
Part 1: List All Creditors with PRIORITY Unsecured Claims
2.56 DEKALB COUNTY REVENUE $0.00 $0.00
DEPARTMENT
SALES TAX COLLECTIONS 111 GRAND
AVE. S.W. SUITE 112 FORT PAYNE, AL
35967
2.57 DELAWARE DIVISION OF REVENUE $0.00 $0.00
P.O. BOX 2044 WILMINGTON, DE
19899-2044
2.58 DENVER DEPARTMENT OF FINANACE $0.00 $0.00
P.O BOX 660860 DALLAS, TEXAS
75266
2.59 DEPARTMENT OF THE TREASURY - $0.00 $0.00
INTERNAL REVENUE SERVICE
KANSAS CITY, MO 64999-0012
2.60 DISTRICT OF COLUMBIA $0.00 $0.00
OFFICE OF TAX AND REVENUE PO
BOX 96384 WASHINGTON, DC 20090-
6384
2.61 DISTRICT OF COLUMBIA $0.00 $0.00
OFFICE OF TAX AND REVENUE P.O.
BOX 96148 WASHINGTON, DC 20090-
6148
2.62 EVANGELINE PARISH SALES/USE TAX $0.00 $0.00
COMMISSION
P.O. BOX 367 VILLE PLATTE, LA 70586-
0367
2.63 FLORIDA DEPARTMENT OF REVENUE $0.00 $0.00
TAXPAYER SERVICES MAIL STOP 3-
2000 5050 W TENNESSEE ST
TALLAHASSEE, FL 32399-0112
2.64 GEORGIA DEPARTMENT OF REVENUE $0.00 $0.00
PO BOX 105408 ATLANTA, GEORGIA
30348-5408
2.65 GEORGIA DEPARTMENT OF REVENUE $0.00 $0.00
P.O. BOX 740397 ATLANTA, GA 30374-
0397
2.66 HAWAII DEPARTMENT OF TAXATION $0.00 $0.00
P.O. BOX 1425 HONOLULU, HI 96806-
1425
2.67 HAWAII DEPARTMENT OF TAXATION $0.00 $0.00
P.O. BOX 259 HONOLULU, HI 96809-
0259
2.68 IBERIA PARISH SCHOOL BOARD $0.00 $0.00
SALES & USE TAX DEPARTMENT
P.O. BOX 9770 NEW IBERIA, LA 70562-
9770
2.69 IDAHO STATE TAX COMMISSION $0.00 $0.00
PO BOX 76 BOISE, IDAHO 83707
2.70 IDAHO STATE TAX COMMISSION $0.00 $0.00
P.O. BOX 56 BOISE, ID 83756-0056
Case 24-11217-BLS Doc 159 Filed 07/08/24 Page 23 of 43
Bird Products Corporation Case Number: 24-11218
Schedule E/F: Creditors Who Have Unsecured Claims
Part 1: List All Creditors with PRIORITY Unsecured Claims
2.71 ILLINOIS DEPARTMENT OF REVENUE $0.00 $0.00
RETAILER'S OCCUPATION TAX
SPRINGFIELD IL 62796-0001
2.72 ILLINOIS DEPARTMENT OF REVENUE $0.00 $0.00
P.O. BOX 19048 SPRINGFIELD, IL
62794-9031
2.73 INDIANA DEPARTMENT OF REVENUE $0.00 $0.00
P.O. BOX 7218 INDIANAPOLIS, IN
46207-7218
2.74 INDIANA DEPARTMENT OF REVENUE $0.00 $0.00
P.O. BOX 7231 INDIANAPOLIS, IN
46207-7231
2.75 IOWA DEPARTMENT OF REVENUE $0.00 $0.00
PO BOX 10412 DES MOINES, IA 50306-
0412
2.76 IOWA DEPARTMENT OF REVENUE $0.00 $0.00
P.O. BOX 10468 DES MOINES, IA
50306-0468
2.77 JEFFERSON COUNTY DEPARTMENT $0.00 $0.00
OF REVENUE
PO BOX 830710 BIRMINGHAM, AL
35283-0710
2.78 KANSAS DEPARTMENT OF REVENUE $0.00 $0.00
PO BOX 3506 TOPEKA, KS 66625-3506
2.79 KANSAS DEPARTMENT OF REVENUE $0.00 $0.00
P.O. BOX 750260 TOPEKA, KS 66699-
0260
2.80 KENTUCKY DEPARTMENT OF $0.00 $0.00
REVENUE
P.O. BOX 856905 LOUISVILLE, KY
40285-6905
2.81 KENTUCKY REVENUE CABINET $0.00 $0.00
FRANKFORT, KY 40620-0003
2.82 LAFAYETTE PARISH SCHOOL SYSTEM $0.00 $0.00
P.O. BOX 52706 LAFAYETTE, LA 70505-
2706
2.83 LAFOURCHE PARISH SCHOOL BOARD $0.00 $0.00
P. O. BOX 997 THIBODAUX, LA 70302
2.84 LINCOLN PARISH $0.00 $0.00
SALES TAX COMMISSION PO BOX 863
RUSTON, LA 71273-0863
2.85 ST. CHARLES PARISH SCHOOL $0.00 $0.00
BOARD
SALES AND USE TAX DEPARTMENT
13855 RIVER ROAD LULING, LA 70070
2.86 ST. JOHN THE BAPTIST PARISH $0.00 $0.00
SALES AND USE TAX OFFICE P.O. BOX
2066 LAPLACE LA 70069-2066
Case 24-11217-BLS Doc 159 Filed 07/08/24 Page 24 of 43
Bird Products Corporation Case Number: 24-11218
Schedule E/F: Creditors Who Have Unsecured Claims
Part 1: List All Creditors with PRIORITY Unsecured Claims
2.87 ST. LANDRY PARISH SCHOOL BOARD $0.00 $0.00
P.O. BOX 1210 OPELOUSAS, LA 70571-
1210
2.88 ST. MARY PARISH SALES & USE TAX $0.00 $0.00
DEPARTMENT
P.O. BOX 1279 301 THIRD STREET
MORGAN CITY, LA 70381
2.89 PARISH OF ST. TAMMANY $0.00 $0.00
P.O. BOX 669393 DALLAS, TX 75266-
9393
2.90 VERNON PARISH $0.00 $0.00
117 BELVIEW ROAD LEESVILLE, LA
71446
2.91 WASHINGTON PARISH $0.00 $0.00
SALES AND USE TAX DEPARTMENT
1002 MAIN STREET FRANKLINTON
LOUISIANA 70438
2.92 WEBSTER PARISH SALES & USE TAX $0.00 $0.00
COMMISSION
P.O. BOX 357 MINDEN, LA 71058-0357
2.93 LOUISIANA DEPARTMENT OF $0.00 $0.00
REVENUE
POST OFFICE BOX 201 BATON
ROUGE, LA 70821-0201
2.94 LOUISIANA DEPARTMENT OF $0.00 $0.00
REVENUE
P.O. BOX 91011 BATON ROUGE, LA
70821-9011
2.95 MADISON COUNTY $0.00 $0.00
100 NORTH SIDE SQUARE
HUNTSVILLE, AL 35801
2.96 MAINE DEPARTMENT OF REVENUE $0.00 $0.00
P.O. BOX 1064 AUGUSTA, ME 04332-
1064
2.97 MAINE REVENUE SERVICES $0.00 $0.00
PO BOX 1065 AUGUSTA, ME 04332-
1065.
2.98 MARYLAND REVENUE $0.00 $0.00
ADMINISTRATION
110 CARROLL STREET ANNAPOLIS,
MD 21411-0001
2.99 MASSACHUSETTS DEPARTMENT OF $0.00 $0.00
REVENUE
PO BOX 7000 BOSTON, MA 02204
2.100 MASSACHUSETTS DEPARTMENT OF $0.00 $0.00
REVENUE
PO BOX 7005 BOSTON, MA 02204
Case 24-11217-BLS Doc 159 Filed 07/08/24 Page 25 of 43
Bird Products Corporation Case Number: 24-11218
Schedule E/F: Creditors Who Have Unsecured Claims
Part 1: List All Creditors with PRIORITY Unsecured Claims
2.101 MICHIGAN DEPARTMENT OF $0.00 $0.00
TREASURY
P.O. BOX 30324 LANSING, MI 48909-
7824
2.102 MICHIGAN DEPARTMENT OF $0.00 $0.00
TREASURY
STATE TREASURER AUSTIN
BUILDING 430 W. ALLEGAN STREET
LANSING, MI 48922
2.103 MINNESOTA DEPARTMENT OF $0.00 $0.00
REVENUE
600 ROBERT ST N. SAINT PAUL, MN
55146
2.104 MINNESOTA DEPARTMENT OF $0.00 $0.00
REVENUE
MAIL STATION 1250 ST. PAUL, MN
55145-1250
2.105 MISSISSIPPI DEPARTMENT OF $0.00 $0.00
REVENUE
P.O. BOX 1033 JACKSON, MS 39215-
1033
2.106 MISSISSIPPI DEPARTMENT OF $0.00 $0.00
REVENUE
P.O. BOX 23191 JACKSON, MS 39225-
3191
2.107 MISSOURI DEPARTMENT OF $0.00 $0.00
REVENUE
P.O. BOX 840 JEFFERSON CITY, MO
65105-0840
2.108 MISSOURI DEPARTMENT OF $0.00 $0.00
REVENUE
P.O. BOX 700 JEFFERSON CITY, MO
65105-0700
2.109 MOBILE COUNTY $0.00 $0.00
PO DRAWER 161009 MOBILE, AL
36616
2.110 MONTANA DEPARTMENT OF $0.00 $0.00
REVENUE
P.O. BOX 8021 HELENA, MT 59604-
8021
2.111 MONTGOMERY COUNTY $0.00 $0.00
COMMISSION TAX & AUDIT
DEPARTMENT
P.O. BOX 4779 MONTGOMERY, AL
36103-4779
2.112 NEBRASKA DEPARTMENT OF $0.00 $0.00
REVENUE
PO BOX 98923 LINCOLN, NE 68509-
8923
Case 24-11217-BLS Doc 159 Filed 07/08/24 Page 26 of 43
Bird Products Corporation Case Number: 24-11218
Schedule E/F: Creditors Who Have Unsecured Claims
Part 1: List All Creditors with PRIORITY Unsecured Claims
2.113 NEBRASKA DEPARTMENT OF $0.00 $0.00
REVENUE
P.O. BOX 94818 LINCOLN, NE 68509-
4818
2.114 NEVADA DEPARTMENT OF TAXATION $0.00 $0.00
PO BOX 51107 LOS ANGELES, CA
90051-5407
2.115 NEW HAMPSHIRE DEPARTMENT OF $0.00 $0.00
REVENUE ADMINISTRATION
P.O. BOX 637 CONCORD, NH 03302-
0637
2.116 NEW JERSEY DIVISION OF TAXATION $0.00 $0.00
PO BOX 999 TRENTON, NJ 08646-
0999
2.117 NEW JERSEY DIVISION OF TAXATION $0.00 $0.00
PO BOX 289 TRENTON, NJ 08646-
0289
2.118 NEW MEXICO TAXATION & REVENUE $0.00 $0.00
DEPARTMENT
PO BOX 25128 SANTA FE, NM 87504-
5128
2.119 NEW MEXICO TAXATION & REVENUE $0.00 $0.00
DEPARTMENT
P.O. BOX 25127 SANTA FE, NM 87504-
5127
2.120 NEW YORK DEPARTMENT OF $0.00 $0.00
TAXATION AND FINANCE
W A HARRIMAN CAMPUS ALBANY, NY
12227
2.121 NEW YORK DEPARTMENT OF $0.00 $0.00
TAXATION AND FINANCE
P.O. BOX 15181 ALBANY, NY 12212-
5181
2.122 NORTH CAROLINA DEPARTMENT OF $0.00 $0.00
REVENUE
PO BOX 25000 RALEIGH, NC 27640-
0700
2.123 NORTH DAKOTA OFFICE OF STATE $0.00 $0.00
TAX COMMISSIONER
PO BOX 5623, BISMARCK ND 58506-
5623
2.124 NORTH DAKOTA OFFICE OF STATE $0.00 $0.00
TAX COMMISSIONER
600 E. BOULEVARD AVE., DEPT. 127
BISMARCK, ND 58505-0599
2.125 OHIO DEPARTMENT OF TAXATION $0.00 $0.00
P.O. BOX 16560 COLUMBUS, OH
43216-6560
Case 24-11217-BLS Doc 159 Filed 07/08/24 Page 27 of 43
Bird Products Corporation Case Number: 24-11218
Schedule E/F: Creditors Who Have Unsecured Claims
Part 1: List All Creditors with PRIORITY Unsecured Claims
2.126 OKLAHOMA TAX COMMISSION $0.00 $0.00
PO BOX 26860 OKLAHOMA CITY, OK
73126-0860
2.127 OKLAHOMA TAX COMMISSION $0.00 $0.00
P.O. BOX 26800 OKLAHOMA CITY, OK
73126-0800
2.128 OREGON DEPARTMENT OF $0.00 $0.00
REVENUE
955 CENTER ST NE SALEM, OR
97301-2555
2.129 OREGON DEPARTMENT OF $0.00 $0.00
REVENUE
PO BOX 14777 SALEM, OR 97309-
00960
2.130 PARISH OF ACADIA $0.00 $0.00
P.O. DRAWER 309 CROWLEY, LA
70527-0309
2.131 PENNSYLVANIA DEPARTMENT OF $0.00 $0.00
REVENUE
PO BOX 280905 HARRISBURG PA
17128-0905
2.132 PENNSYLVANIA DEPARTMENT OF $0.00 $0.00
REVENUE
PO BOX 280427 HARRISBURG PA
17128-0427
2.133 PLAQUEMINES PARISH $0.00 $0.00
SALES TAX DIVISION 333 F. EDWARD
HEBERT BLVD. BUILDING 102, SUITE
345 BELLE CHASSE, LA 70037
2.134 RAPIDES PARISH $0.00 $0.00
SALES & USE TAX DEPARTMENT
5606 COLISEUM BLVD ALEXANDRIA,
LOUISIANA 71303
2.135 RHODE ISLAND DIVISION OF $0.00 $0.00
TAXATION
ONE CAPITOL HILL PROVIDENCE RI,
02908
2.136 SHELBY COUNTY BUSINESS $0.00 $0.00
REVENUE OFFICE
200 WEST COLLEGE STREET -
ROOM 115 COLUMBIANA, ALABAMA
35051
2.137 SOUTH CAROLINA DEPARTMENT OF $0.00 $0.00
REVENUE
PO BOX 100193 COLUMBIA, SC 29202
2.138 SOUTH CAROLINA DEPARTMENT OF $0.00 $0.00
REVENUE
PO BOX 125 COLUMBIA, SC 29214-
0400
Case 24-11217-BLS Doc 159 Filed 07/08/24 Page 28 of 43
Bird Products Corporation Case Number: 24-11218
Schedule E/F: Creditors Who Have Unsecured Claims
Part 1: List All Creditors with PRIORITY Unsecured Claims
2.139 SOUTH DAKOTA DEPARTMENT OF $0.00 $0.00
REVENUE
445 E. CAPITOL AVE. PIERRE, SD
57501-3100
2.140 STATE OF ARKANSAS $0.00 $0.00
CORPORATION INCOME TAX P.O.
BOX 919 LITTLE ROCK, AR 72203-
0919
2.141 TENNESSEE DEPARTMENT OF $0.00 $0.00
REVENUE
500 DEADRICK STREET NASHVILLE,
TN 37242
2.142 TENNESSEE DEPARTMENT OF $0.00 $0.00
REVENUE
ANDREW JACKSON STATE OFFICE
BUILDING 500 DEADRICK STREET
NASHVILLE, TN 37242
2.143 TEXAS COMPTROLLER OF PUBLIC $0.00 $0.00
ACCOUNTS
P.O. BOX 149354 AUSTIN, TX 78714-
9354
2.144 TEXAS COMPTROLLER OF PUBLIC $0.00 $0.00
ACCOUNTS
P.O. BOX 149348 AUSTIN, TX 78714-
9348
2.145 UTAH STATE TAX COMMISSION $0.00 $0.00
210 N 1950 W SLC UT 84134-0400
2.146 UTAH STATE TAX COMMISSION $0.00 $0.00
210 N 1950 W SALT LAKE CITY, UT
84134-0300
2.147 VERMONT DEPARTMENT OF TAXES $0.00 $0.00
PO BOX 547 MONTPELIER, VT 05601-
0547
2.148 VERMONT DEPARTMENT OF TAXES $0.00 $0.00
P.O. BOX 1881 MONTPELIER, VT
05601-1881
2.149 VIRGINIA TAX OFFICE OF $0.00 $0.00
CUSTOMER SERVICES
P.O. BOX 26627 RICHMOND, VA
23261-6627
2.150 VIRGINIA TAX OFFICE OF $0.00 $0.00
CUSTOMER SERVICES
P.O. BOX 1115 RICHMOND, VA 23218-
1115
2.151 WASHINGTON STATE DEPARTMENT $0.00 $0.00
OF REVENUE
PO BOX 47464 OLYMPIA WA 98504-
7464
Case 24-11217-BLS Doc 159 Filed 07/08/24 Page 29 of 43
Bird Products Corporation Case Number: 24-11218
Schedule E/F: Creditors Who Have Unsecured Claims
Part 1: List All Creditors with PRIORITY Unsecured Claims
2.152 WEST VIRGINIA STATE TAX $0.00 $0.00
DEPARTMENT
TAX ACCOUNT ADMINISTRATION DIV
P.O. BOX 1826 CHARLESTON, WV
25327-1826
2.153 WEST VIRGINIA TAX DIVISION $0.00 $0.00
TAXPAYER SERVICES P.O. BOX 3784
CHARLESTON, WEST VIRGINIA
25337-3784
2.154 WISCONSIN DEPARTMENT OF $0.00 $0.00
REVENUE
PO BOX 8921 MADISON WI 53708-
8921
2.155 WISCONSIN DEPARTMENT OF $0.00 $0.00
REVENUE
PO BOX 8908 MADISON, WI 53708-
8908
2.156 WYOMING DEPARTMENT OF $0.00 $0.00
REVENUE
122 W 25TH ST, SUITE E301
CHEYENNE, WY 82002
2. Total: All Creditors with PRIORITY Unsecured Claims $0.00 $0.00
Case 24-11217-BLS Doc 159 Filed 07/08/24 Page 30 of 43
Bird Products Corporation Case Number: 24-11218
Schedule E/F: Creditors Who Have Unsecured Claims
Part 2: List All Creditors with NONPRIORITY Unsecured Claims
3. List in alphabetical order all of the creditors with nonpriority unsecured claims. If the debtor has more than 6 creditors with
nonpriority unsecured claims, fill out and attach the Additional Page of Part 2.
Creditor's Name, Mailing Address Date Claim Was C-U-D Basis for Claim Offset Amount of
Including Zip Code Incurred And Claim
Account
Number
3. Total: All Creditors with NONPRIORITY Unsecured Claims
Case 24-11217-BLS Doc 159 Filed 07/08/24 Page 31 of 43
Bird Products Corporation Case Number: 24-11218
Schedule E/F: Creditors Who Have Unsecured Claims
Part 3: List Others to Be Notified About Unsecured Claims
4. List in alphabetical order any others who must be notified for a debt already listed in Part 1. Examples of entities that may be
listed are collection agencies, assignees of claims listed above, and attorneys for secured creditors.
Creditor's Name, Mailing Address Including On which line in Part 1 or Part 2 is the Last 4 digits of
Zip Code related creditor (if any) listed? account number for
this entity
Case 24-11217-BLS Doc 159 Filed 07/08/24 Page 32 of 43
Bird Products Corporation Case Number: 24-11218
Schedule E/F: Creditors Who Have Unsecured Claims
Part 4: Total Amounts of the Priority and Nonpriority Unsecured Claims
5. Add the amounts of priority and nonpriority unsecured claims.
5a. Total claims from Part 1 $0.00
5b. Total claims from Part 2 $0.00
5c. Total of Parts 1 and 2
$0.00
Lines 5a + 5b = 5c.
Case 24-11217-BLS Doc 159 Filed 07/08/24 Page 33 of 43
Bird Products Corporation Case Number: 24-11218
Schedule G: Executory Contracts and Unexpired Leases
Part 1:
1. Does the debtor have any executory contracts or unexpired leases?
No. Check this box and file this form with the court with the debtor’s other schedules. There is nothing else to report on this form.
Yes. Fill in all of the information below even if the contracts or leases are listed on Schedule A/B: Assets - Real and Personal Property (Official Form 206A/B).
2. List all contracts and unexpired leases
Nature of the Debtor's Interest Expiration Date Contract ID Co-Debtor Name Address
Lease Agreement
2.1 PALM SPRINGS, CA 2020-09-25 (VYAIRE) DOT 1ST PALM SPRINGS, CA 1100 BIRD CTR DR, PALM SPRINGS,
LIEN AMEND1 (BOA) CA
Total number of contracts 1
Case 24-11217-BLS Doc 159 Filed 07/08/24 Page 34 of 43
Bird Products Corporation Case Number: 24-11218
Schedule H: Codebtors
Part 1:
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.
Codebtor Name and Mailing Address Creditor Name D - E/F - G
Secured Debt
2.1 VYAIRE MEDICAL, INC. BANK OF AMERICA, N.A., AS ADMINISTRATIVE AGENT
251 LITTLE FALLS DRIVE AND COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.2 BREATHE US HOLDCO, INC. BANK OF AMERICA, N.A., AS ADMINISTRATIVE AGENT
251 LITTLE FALLS DRIVE AND COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.3 BREATHE US HOLDINGS LP BANK OF AMERICA, N.A., AS ADMINISTRATIVE AGENT
251 LITTLE FALLS DRIVE AND COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.4 EME MEDICAL, INC. BANK OF AMERICA, N.A., AS ADMINISTRATIVE AGENT
251 LITTLE FALLS DRIVE AND COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.5 REVOLUTIONARY MEDICAL DEVICES, INC. BANK OF AMERICA, N.A., AS ADMINISTRATIVE AGENT
8825 N 23RD AVENUE, SUITE 100 AND COLLATERAL AGENT
PHOENIX, ARIZONA 85021
USA
2.6 SENSORMEDICS CORPORATION BANK OF AMERICA, N.A., AS ADMINISTRATIVE AGENT
251 LITTLE FALLS DRIVE AND COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.7 VIASYS HOLDINGS INC. BANK OF AMERICA, N.A., AS ADMINISTRATIVE AGENT
251 LITTLE FALLS DRIVE AND COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.8 VM FINANCE SUB, LLC BANK OF AMERICA, N.A., AS ADMINISTRATIVE AGENT
251 LITTLE FALLS DRIVE AND COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
Case 24-11217-BLS Doc 159 Filed 07/08/24 Page 35 of 43
Bird Products Corporation Case Number: 24-11218
Schedule H: Codebtors
Part 1:
2.9 VYAIRE COMPANY BANK OF AMERICA, N.A., AS ADMINISTRATIVE AGENT
251 LITTLE FALLS DRIVE AND COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.10 VYAIRE FINANCE B.V. BANK OF AMERICA, N.A., AS ADMINISTRATIVE AGENT
DE MOLEN 8 AND COLLATERAL AGENT
HOUTEN, 3994 DB
NETHERLANDS
2.11 VYAIRE FINANCIAL HOLDINGS LLC BANK OF AMERICA, N.A., AS ADMINISTRATIVE AGENT
251 LITTLE FALLS DRIVE AND COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.12 VYAIRE HOLDING COMPANY BANK OF AMERICA, N.A., AS ADMINISTRATIVE AGENT
251 LITTLE FALLS DRIVE AND COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.13 VYAIRE MEDICAL 202, INC. BANK OF AMERICA, N.A., AS ADMINISTRATIVE AGENT
251 LITTLE FALLS DRIVE AND COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.14 VYAIRE MEDICAL 203, INC. BANK OF AMERICA, N.A., AS ADMINISTRATIVE AGENT
251 LITTLE FALLS DRIVE AND COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.15 VYAIRE MEDICAL 205, INC. BANK OF AMERICA, N.A., AS ADMINISTRATIVE AGENT
801 ADLAI STEVENSON DRIVE AND COLLATERAL AGENT
SPRINGFIELD, ILLINOIS 62703
USA
2.16 VYAIRE MEDICAL 206, INC. BANK OF AMERICA, N.A., AS ADMINISTRATIVE AGENT
251 LITTLE FALLS DRIVE AND COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.17 VYAIRE MEDICAL 211, INC. BANK OF AMERICA, N.A., AS ADMINISTRATIVE AGENT
251 LITTLE FALLS DRIVE AND COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.18 VYAIRE MEDICAL BR LLC BANK OF AMERICA, N.A., AS ADMINISTRATIVE AGENT
251 LITTLE FALLS DRIVE AND COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.19 VYAIRE MEDICAL CAPITAL LLC BANK OF AMERICA, N.A., AS ADMINISTRATIVE AGENT
251 LITTLE FALLS DRIVE AND COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.20 VYAIRE MEDICAL CONSUMABLES LLC BANK OF AMERICA, N.A., AS ADMINISTRATIVE AGENT
251 LITTLE FALLS DRIVE AND COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
Case 24-11217-BLS Doc 159 Filed 07/08/24 Page 36 of 43
Bird Products Corporation Case Number: 24-11218
Schedule H: Codebtors
Part 1:
2.21 VYAIRE MEDICAL INTERNATIONAL LLC BANK OF AMERICA, N.A., AS ADMINISTRATIVE AGENT
251 LITTLE FALLS DRIVE AND COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.22 VYAIRE MEDICAL LLC BANK OF AMERICA, N.A., AS ADMINISTRATIVE AGENT
251 LITTLE FALLS DRIVE AND COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.23 VYAIRE MEDICAL PAYROLL LLC BANK OF AMERICA, N.A., AS ADMINISTRATIVE AGENT
251 LITTLE FALLS DRIVE AND COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.24 VYAIRE RECEIVABLES LLC BANK OF AMERICA, N.A., AS ADMINISTRATIVE AGENT
251 LITTLE FALLS DRIVE AND COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.25 VYAIRE RESPIRATORY DIAGNOSTICS LLC BANK OF AMERICA, N.A., AS ADMINISTRATIVE AGENT
251 LITTLE FALLS DRIVE AND COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.26 VYAIRE TSR MIDCO, LLC BANK OF AMERICA, N.A., AS ADMINISTRATIVE AGENT
251 LITTLE FALLS DRIVE AND COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.27 VYAIRE TSR SUB, LLC BANK OF AMERICA, N.A., AS ADMINISTRATIVE AGENT
251 LITTLE FALLS DRIVE AND COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.28 VYAIRE MEDICAL, INC. WILMINGTON TRUST, NATIONAL ASSOCIATION, AS
251 LITTLE FALLS DRIVE COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.29 BREATHE US HOLDCO, INC. WILMINGTON TRUST, NATIONAL ASSOCIATION, AS
251 LITTLE FALLS DRIVE COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.30 BREATHE US HOLDINGS LP WILMINGTON TRUST, NATIONAL ASSOCIATION, AS
251 LITTLE FALLS DRIVE COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.31 EME MEDICAL, INC. WILMINGTON TRUST, NATIONAL ASSOCIATION, AS
251 LITTLE FALLS DRIVE COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.32 REVOLUTIONARY MEDICAL DEVICES, INC. WILMINGTON TRUST, NATIONAL ASSOCIATION, AS
8825 N 23RD AVENUE, SUITE 100 COLLATERAL AGENT
PHOENIX, ARIZONA 85021
USA
Case 24-11217-BLS Doc 159 Filed 07/08/24 Page 37 of 43
Bird Products Corporation Case Number: 24-11218
Schedule H: Codebtors
Part 1:
2.33 SENSORMEDICS CORPORATION WILMINGTON TRUST, NATIONAL ASSOCIATION, AS
251 LITTLE FALLS DRIVE COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.34 VIASYS HOLDINGS INC. WILMINGTON TRUST, NATIONAL ASSOCIATION, AS
251 LITTLE FALLS DRIVE COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.35 VM FINANCE SUB, LLC WILMINGTON TRUST, NATIONAL ASSOCIATION, AS
251 LITTLE FALLS DRIVE COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.36 VYAIRE COMPANY WILMINGTON TRUST, NATIONAL ASSOCIATION, AS
251 LITTLE FALLS DRIVE COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.37 VYAIRE FINANCE B.V. WILMINGTON TRUST, NATIONAL ASSOCIATION, AS
DE MOLEN 8 COLLATERAL AGENT
HOUTEN, 3994 DB
NETHERLANDS
2.38 VYAIRE FINANCIAL HOLDINGS LLC WILMINGTON TRUST, NATIONAL ASSOCIATION, AS
251 LITTLE FALLS DRIVE COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.39 VYAIRE HOLDING COMPANY WILMINGTON TRUST, NATIONAL ASSOCIATION, AS
251 LITTLE FALLS DRIVE COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.40 VYAIRE MEDICAL 202, INC. WILMINGTON TRUST, NATIONAL ASSOCIATION, AS
251 LITTLE FALLS DRIVE COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.41 VYAIRE MEDICAL 203, INC. WILMINGTON TRUST, NATIONAL ASSOCIATION, AS
251 LITTLE FALLS DRIVE COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.42 VYAIRE MEDICAL 205, INC. WILMINGTON TRUST, NATIONAL ASSOCIATION, AS
801 ADLAI STEVENSON DRIVE COLLATERAL AGENT
SPRINGFIELD, ILLINOIS 62703
USA
2.43 VYAIRE MEDICAL 206, INC. WILMINGTON TRUST, NATIONAL ASSOCIATION, AS
251 LITTLE FALLS DRIVE COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.44 VYAIRE MEDICAL 211, INC. WILMINGTON TRUST, NATIONAL ASSOCIATION, AS
251 LITTLE FALLS DRIVE COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
Case 24-11217-BLS Doc 159 Filed 07/08/24 Page 38 of 43
Bird Products Corporation Case Number: 24-11218
Schedule H: Codebtors
Part 1:
2.45 VYAIRE MEDICAL BR LLC WILMINGTON TRUST, NATIONAL ASSOCIATION, AS
251 LITTLE FALLS DRIVE COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.46 VYAIRE MEDICAL CAPITAL LLC WILMINGTON TRUST, NATIONAL ASSOCIATION, AS
251 LITTLE FALLS DRIVE COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.47 VYAIRE MEDICAL CONSUMABLES LLC WILMINGTON TRUST, NATIONAL ASSOCIATION, AS
251 LITTLE FALLS DRIVE COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.48 VYAIRE MEDICAL INTERNATIONAL LLC WILMINGTON TRUST, NATIONAL ASSOCIATION, AS
251 LITTLE FALLS DRIVE COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.49 VYAIRE MEDICAL LLC WILMINGTON TRUST, NATIONAL ASSOCIATION, AS
251 LITTLE FALLS DRIVE COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.50 VYAIRE MEDICAL PAYROLL LLC WILMINGTON TRUST, NATIONAL ASSOCIATION, AS
251 LITTLE FALLS DRIVE COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.51 VYAIRE RECEIVABLES LLC WILMINGTON TRUST, NATIONAL ASSOCIATION, AS
251 LITTLE FALLS DRIVE COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.52 VYAIRE RESPIRATORY DIAGNOSTICS LLC WILMINGTON TRUST, NATIONAL ASSOCIATION, AS
251 LITTLE FALLS DRIVE COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.53 VYAIRE TSR MIDCO, LLC WILMINGTON TRUST, NATIONAL ASSOCIATION, AS
251 LITTLE FALLS DRIVE COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.54 VYAIRE TSR SUB, LLC WILMINGTON TRUST, NATIONAL ASSOCIATION, AS
251 LITTLE FALLS DRIVE COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.55 VYAIRE MEDICAL, INC. WILMINGTON TRUST, NATIONAL ASSOCIATION, AS
251 LITTLE FALLS DRIVE COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.56 BREATHE US HOLDCO, INC. WILMINGTON TRUST, NATIONAL ASSOCIATION, AS
251 LITTLE FALLS DRIVE COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
Case 24-11217-BLS Doc 159 Filed 07/08/24 Page 39 of 43
Bird Products Corporation Case Number: 24-11218
Schedule H: Codebtors
Part 1:
2.57 BREATHE US HOLDINGS LP WILMINGTON TRUST, NATIONAL ASSOCIATION, AS
251 LITTLE FALLS DRIVE COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.58 EME MEDICAL, INC. WILMINGTON TRUST, NATIONAL ASSOCIATION, AS
251 LITTLE FALLS DRIVE COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.59 REVOLUTIONARY MEDICAL DEVICES, INC. WILMINGTON TRUST, NATIONAL ASSOCIATION, AS
8825 N 23RD AVENUE, SUITE 100 COLLATERAL AGENT
PHOENIX, ARIZONA 85021
USA
2.60 SENSORMEDICS CORPORATION WILMINGTON TRUST, NATIONAL ASSOCIATION, AS
251 LITTLE FALLS DRIVE COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.61 VIASYS HOLDINGS INC. WILMINGTON TRUST, NATIONAL ASSOCIATION, AS
251 LITTLE FALLS DRIVE COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.62 VM FINANCE SUB, LLC WILMINGTON TRUST, NATIONAL ASSOCIATION, AS
251 LITTLE FALLS DRIVE COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.63 VYAIRE COMPANY WILMINGTON TRUST, NATIONAL ASSOCIATION, AS
251 LITTLE FALLS DRIVE COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.64 VYAIRE FINANCE B.V. WILMINGTON TRUST, NATIONAL ASSOCIATION, AS
DE MOLEN 8 COLLATERAL AGENT
HOUTEN, 3994 DB
NETHERLANDS
2.65 VYAIRE FINANCIAL HOLDINGS LLC WILMINGTON TRUST, NATIONAL ASSOCIATION, AS
251 LITTLE FALLS DRIVE COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.66 VYAIRE HOLDING COMPANY WILMINGTON TRUST, NATIONAL ASSOCIATION, AS
251 LITTLE FALLS DRIVE COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.67 VYAIRE MEDICAL 202, INC. WILMINGTON TRUST, NATIONAL ASSOCIATION, AS
251 LITTLE FALLS DRIVE COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.68 VYAIRE MEDICAL 203, INC. WILMINGTON TRUST, NATIONAL ASSOCIATION, AS
251 LITTLE FALLS DRIVE COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
Case 24-11217-BLS Doc 159 Filed 07/08/24 Page 40 of 43
Bird Products Corporation Case Number: 24-11218
Schedule H: Codebtors
Part 1:
2.69 VYAIRE MEDICAL 205, INC. WILMINGTON TRUST, NATIONAL ASSOCIATION, AS
801 ADLAI STEVENSON DRIVE COLLATERAL AGENT
SPRINGFIELD, ILLINOIS 62703
USA
2.70 VYAIRE MEDICAL 206, INC. WILMINGTON TRUST, NATIONAL ASSOCIATION, AS
251 LITTLE FALLS DRIVE COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.71 VYAIRE MEDICAL 211, INC. WILMINGTON TRUST, NATIONAL ASSOCIATION, AS
251 LITTLE FALLS DRIVE COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.72 VYAIRE MEDICAL BR LLC WILMINGTON TRUST, NATIONAL ASSOCIATION, AS
251 LITTLE FALLS DRIVE COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.73 VYAIRE MEDICAL CAPITAL LLC WILMINGTON TRUST, NATIONAL ASSOCIATION, AS
251 LITTLE FALLS DRIVE COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.74 VYAIRE MEDICAL CONSUMABLES LLC WILMINGTON TRUST, NATIONAL ASSOCIATION, AS
251 LITTLE FALLS DRIVE COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.75 VYAIRE MEDICAL INTERNATIONAL LLC WILMINGTON TRUST, NATIONAL ASSOCIATION, AS
251 LITTLE FALLS DRIVE COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.76 VYAIRE MEDICAL LLC WILMINGTON TRUST, NATIONAL ASSOCIATION, AS
251 LITTLE FALLS DRIVE COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.77 VYAIRE MEDICAL PAYROLL LLC WILMINGTON TRUST, NATIONAL ASSOCIATION, AS
251 LITTLE FALLS DRIVE COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.78 VYAIRE RECEIVABLES LLC WILMINGTON TRUST, NATIONAL ASSOCIATION, AS
251 LITTLE FALLS DRIVE COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.79 VYAIRE RESPIRATORY DIAGNOSTICS LLC WILMINGTON TRUST, NATIONAL ASSOCIATION, AS
251 LITTLE FALLS DRIVE COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
2.80 VYAIRE TSR MIDCO, LLC WILMINGTON TRUST, NATIONAL ASSOCIATION, AS
251 LITTLE FALLS DRIVE COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
Case 24-11217-BLS Doc 159 Filed 07/08/24 Page 41 of 43
Bird Products Corporation Case Number: 24-11218
Schedule H: Codebtors
Part 1:
2.81 VYAIRE TSR SUB, LLC WILMINGTON TRUST, NATIONAL ASSOCIATION, AS
251 LITTLE FALLS DRIVE COLLATERAL AGENT
WILMINGTON, DELAWARE 19808
USA
Total Number of Co-Debtor / Creditor Rows 81
Case 24-11217-BLS Doc 159 Filed 07/08/24 Page 42 of 43
Fill in this information to identify the case and this filing:
Debtor Name: Bird Products Corporation
United States Bankruptcy Court for the: IN THE DISTRICT OF DELAWARE
Case Number (if known): 24-11218
Official Form 206Sum
Summary of Assets and Liabilities for Non-Individuals
1. Schedule A/B: Assets-Real and Personal Property (Official Form 206A/B)
1a. Real Property:
$0.00
Copy line 88 from Schedule A/B
1b. Total personal property:
$0.00
Copy line 91A from Schedule A/B
1c. Total of all property:
$0.00
Copy line 92 from Schedule A/B
2. Schedule D: Creditors Who Have Claims Secured by Property (Official Form 206D)
$551,621,683.40
Copy the total dollar amount listed in Column A, Amount of claim, from line 3 of Schedule D
3. Schedule E/F: Creditors Who Have Unsecured Claims (Official Form 206E/F)
3a. Total claim amounts of priority unsecured claims:
$0.00
Copy the total claims from Part 1 from line 6a of Schedule E/F
3b. Total amount of claims of nonpriority amount of unsecured claims:
$0.00
Copy the total of the amount of claims from Part 2 from line 6b of Schedule E/F
4. Total liabilities
$551,621,683.40
Lines 2 + 3a + 3b
Case 24-11217-BLS Doc 159 Filed 07/08/24 Page 43 of 43
Fill in this information to identify the case and this filing:
Debtor Name: Bird Products Corporation
United States Bankruptcy Court for the: IN THE DISTRICT OF DELAWARE
Case Number (if known): 24-11218
Official Form 202
Declaration Under Penalty of Perjury for Non-Individual Debtors
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
Other document that requires a declaration
I declare under penalty of perjury that the foregoing is true and correct.
Executed on: 07/08/2024
Signature: /s/ Charles N. Braley Charles N. Braley, Chief Restructuring Officer
Name and Title
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