Guo Wengui Aka Miles Kwok Chapter 11 Petition Dated Feb 15 2022
Guo Wengui Aka Miles Kwok Chapter 11 Petition Dated Feb 15 2022
Guo Wengui Aka Miles Kwok Chapter 11 Petition Dated Feb 15 2022
Case number (If known): _________________________ Chapter you are filing under:
Chapter 7
✔
Chapter 11
Chapter 12
Chapter 13 Check if this is an
amended filing
The bankruptcy forms use you and Debtor 1 to refer to a debtor filing alone. A married couple may file a bankruptcy case together—called a
joint case—and in joint cases, these forms use you to ask for information from both debtors. For example, if a form asks, “Do you own a car,”
the answer would be yes if either debtor owns a car. When information is needed about the spouses separately, the form uses Debtor 1 and
Debtor 2 to distinguish between them. In joint cases, one of the spouses must report information as Debtor 1 and the other as Debtor 2. The
same person must be Debtor 1 in all of the forms.
Be as complete and accurate as possible. If two married people are filing together, both are equally responsible for supplying correct
information. If more space is needed, attach a separate sheet to this form. On the top of any additional pages, write your name and case number
(if known). Answer every question.
Wengui
__________________________________________________ __________________________________________________
First name First name
__________________________________________________ __________________________________________________
Middle name Middle name
Guo
__________________________________________________ __________________________________________________
Last name Last name
Official Form 101 Voluntary Petition for Individuals Filing for Bankruptcy page 1
Case 22-50073 Doc 1 Filed 02/15/22 Entered 02/15/22 20:26:52 Page 2 of 14
___ ___ – ___ ___ ___ ___ ___ ___ ___ ___ ___ – ___ ___ ___ ___ ___ ___ ___
EIN EIN
___ ___ – ___ ___ ___ ___ ___ ___ ___ ___ ___ – ___ ___ ___ ___ ___ ___ ___
EIN EIN
New York
_________________________________________________ _________________________________________________
County County
If your mailing address is different from the one If Debtor 2’s mailing address is different from
above, fill it in here. Note that the court will send yours, fill it in here. Note that the court will send
any notices to you at this mailing address. any notices to this mailing address.
_________________________________________________ _________________________________________________
Number Street Number Street
_________________________________________________ _________________________________________________
P.O. Box P.O. Box
_________________________________________________ _________________________________________________
City State ZIP Code City State ZIP Code
Official Form 101 Voluntary Petition for Individuals Filing for Bankruptcy page 2
Case 22-50073 Doc 1 Filed 02/15/22 Entered 02/15/22 20:26:52 Page 3 of 14
7. The chapter of the Check one. (For a brief description of each, see Notice Required by 11 U.S.C. § 342(b) for Individuals Filing
Bankruptcy Code you for Bankruptcy (Form 2010)). Also, go to the top of page 1 and check the appropriate box.
are choosing to file
under
Chapter 7
✔ Chapter 11
Chapter 12
Chapter 13
8. How you will pay the fee ✔ I will pay the entire fee when I file my petition. Please check with the clerk’s office in your
local court for more details about how you may pay. Typically, if you are paying the fee
yourself, you may pay with cash, cashier’s check, or money order. If your attorney is
submitting your payment on your behalf, your attorney may pay with a credit card or check
with a pre-printed address.
I need to pay the fee in installments. If you choose this option, sign and attach the
Application for Individuals to Pay The Filing Fee in Installments (Official Form 103A).
I request that my fee be waived (You may request this option only if you are filing for Chapter 7.
By law, a judge may, but is not required to, waive your fee, and may do so only if your income is
less than 150% of the official poverty line that applies to your family size and you are unable to
pay the fee in installments). If you choose this option, you must fill out the Application to Have the
Chapter 7 Filing Fee Waived (Official Form 103B) and file it with your petition.
Official Form 101 Voluntary Petition for Individuals Filing for Bankruptcy page 3
Case 22-50073 Doc 1 Filed 02/15/22 Entered 02/15/22 20:26:52 Page 4 of 14
13. Are you filing under If you are filing under Chapter 11, the court must know whether you are a small business debtorRUDGHEWRU
Chapter 11 of the FKRRVLQJWRSURFHHGXQGHU6XEFKDSWHU9 so that it can set appropriate deadlines. If you indicate that you
Bankruptcy Code and are a small business debtorRU\RXDUHFKRRVLQJWRSURFHHGXQGHU6XEFKDSWHU9, you must attach your
most recent balance sheet, statement of operations, cash-flow statement, and federal income tax return or
are you a small business
if any of these documents do not exist, follow the procedure in 11 U.S.C. § 1116(1)(B).
debtorRUDGHEWRUDV
GHILQHGE\86& No. I am not filing under Chapter 11.
? ✔ No.
I am filing under Chapter 11, but I am NOT a small business debtor according to the definition in
For a definition of small the Bankruptcy Code.
business debtor, see
11 U.S.C. § 101(51D).
<HV,DPILOLQJXQGHU&KDSWHU,DPDVPDOOEXVLQHVVGHEWRUDFFRUGLQJWRWKHGHILQLWLRQLQWKH%DQNUXSWF\
&RGHDQG,GRQRWFKRRVHWRSURFHHGXQGHU6XEFKDSWHU9RI&KDSWHU
<HV,DPILOLQJXQGHU&KDSWHU,DPDGHEWRUDFFRUGLQJWRWKHGHILQLWLRQLQRIWKH
%DQNUXSWF\&RGHDQG,FKRRVHWRSURFHHGXQGHU6XEFKDSWHU9RI&KDSWHU
Official Form 101 Voluntary Petition for Individuals Filing for Bankruptcy page 4
Case 22-50073 Doc 1 Filed 02/15/22 Entered 02/15/22 20:26:52 Page 5 of 14
Part 4: Report if You Own or Have Any Hazardous Property or Any Property That Needs Immediate Attention
________________________________________________________________________
Official Form 101 Voluntary Petition for Individuals Filing for Bankruptcy page 5
Case 22-50073 Doc 1 Filed 02/15/22 Entered 02/15/22 20:26:52 Page 6 of 14
Debtor 1 Ho Wan
First Name Middle Name
Kwok
_______________________________________________________
Last Name
Case number (if known)_____________________________________
I am not required to receive a briefing about I am not required to receive a briefing about
credit counseling because of: credit counseling because of:
Incapacity. I have a mental illness or a mental Incapacity. I have a mental illness or a mental
deficiency that makes me deficiency that makes me
incapable of realizing or making incapable of realizing or making
rational decisions about finances. rational decisions about finances.
Disability. My physical disability causes me Disability. My physical disability causes me
to be unable to participate in a to be unable to participate in a
briefing in person, by phone, or briefing in person, by phone, or
through the internet, even after I through the internet, even after I
reasonably tried to do so. reasonably tried to do so.
Active duty. I am currently on active military Active duty. I am currently on active military
duty in a military combat zone. duty in a military combat zone.
If you believe you are not required to receive a If you believe you are not required to receive a
briefing about credit counseling, you must file a briefing about credit counseling, you must file a
motion for waiver of credit counseling with the court. motion for waiver of credit counseling with the court.
Official Form 101 Voluntary Petition for Individuals Filing for Bankruptcy page
Case 22-50073 Doc 1 Filed 02/15/22 Entered 02/15/22 20:26:52 Page 7 of 14
16a. Are your debts primarily consumer debts? Consumer debts are defined in 11 U.S.C. § 101(8)
16. What kind of debts do as “incurred by an individual primarily for a personal, family, or household purpose.”
you have?
✔
No. Go to line 16b.
Yes. Go to line 17.
16b. Are your debts primarily business debts? Business debts are debts that you incurred to obtain
money for a business or investment or through the operation of the business or investment.
✔
No. Go to line 16c.
Yes. Go to line 17.
16c. State the type of debts you owe that are not consumer debts or business debts.
Litigation expenses, claims, and judgments
_______________________________________________________________
Do you estimate that after Yes. I am filing under Chapter 7. Do you estimate that after any exempt property is excluded and
any exempt property is administrative expenses are paid that funds will be available to distribute to unsecured creditors?
excluded and No
administrative expenses
are paid that funds will be Yes
available for distribution
to unsecured creditors?
I have examined this petition, and I declare under penalty of perjury that the information provided is true and
For you correct.
If I have chosen to file under Chapter 7, I am aware that I may proceed, if eligible, under Chapter 7, 11,12, or 13
of title 11, United States Code. I understand the relief available under each chapter, and I choose to proceed
under Chapter 7.
If no attorney represents me and I did not pay or agree to pay someone who is not an attorney to help me fill out
this document, I have obtained and read the notice required by 11 U.S.C. § 342(b).
I request relief in accordance with the chapter of title 11, United States Code, specified in this petition.
I understand making a false statement, concealing property, or obtaining money or property by fraud in connection
with a bankruptcy case can result in fines up to $250,000, or imprisonment for up to 20 years, or both.
18 U.S.C. §§ 152, 1341, 1519, and 3571.
02/15/2022
Executed on _________________ Executed on __________________
MM / DD / YYYY MM / DD / YYYY
Official Form 101 Voluntary Petition for Individuals Filing for Bankruptcy page
Case 22-50073 Doc 1 Filed 02/15/22 Entered 02/15/22 20:26:52 Page 8 of 14
I, the attorney for the debtor(s) named in this petition, declare that I have informed the debtor(s) about eligibility
For your attorney, if you are to proceed under Chapter 7, 11, 12, or 13 of title 11, United States Code, and have explained the relief
represented by one available under each chapter for which the person is eligible. I also certify that I have delivered to the debtor(s)
the notice required by 11 U.S.C. § 342(b) and, in a case in which § 707(b)(4)(D) applies, certify that I have no
If you are not represented knowledge after an inquiry that the information in the schedules filed with the petition is incorrect.
by an attorney, you do not
need to file this page.
8_________________________________
/s/ William R. Baldiga Date _________________
02/15/2022
Signature of Attorney for Debtor MM / DD / YYYY
William R. Baldiga
_________________________________________________________________________________________________
Printed name
7 Times Square
_________________________________________________________________________________________________
Number Street
_________________________________________________________________________________________________
New York
______________________________________________________ NY
____________ 10036
______________________________
City State ZIP Code
(212) 209-4800
Contact phone _____________________________________ Email address wbaldiga@brownrudnick.com
______________________________
4813846
______________________________________________________ NY
____________
Bar number State
Official Form 101 Voluntary Petition for Individuals Filing for Bankruptcy page
Case 22-50073 Doc 1 Filed 02/15/22 Entered 02/15/22 20:26:52 Page 9 of 14
For you if you are filing this The law allows you, as an individual, to represent yourself in bankruptcy court, but you
bankruptcy without an should understand that many people find it extremely difficult to represent
attorney themselves successfully. Because bankruptcy has long-term financial and legal
consequences, you are strongly urged to hire a qualified attorney.
If you are represented by
an attorney, you do not To be successful, you must correctly file and handle your bankruptcy case. The rules are very
need to file this page. technical, and a mistake or inaction may affect your rights. For example, your case may be
dismissed because you did not file a required document, pay a fee on time, attend a meeting or
hearing, or cooperate with the court, case trustee, U.S. trustee, bankruptcy administrator, or audit
firm if your case is selected for audit. If that happens, you could lose your right to file another
case, or you may lose protections, including the benefit of the automatic stay.
You must list all your property and debts in the schedules that you are required to file with the
court. Even if you plan to pay a particular debt outside of your bankruptcy, you must list that debt
in your schedules. If you do not list a debt, the debt may not be discharged. If you do not list
property or properly claim it as exempt, you may not be able to keep the property. The judge can
also deny you a discharge of all your debts if you do something dishonest in your bankruptcy
case, such as destroying or hiding property, falsifying records, or lying. Individual bankruptcy
cases are randomly audited to determine if debtors have been accurate, truthful, and complete.
Bankruptcy fraud is a serious crime; you could be fined and imprisoned.
If you decide to file without an attorney, the court expects you to follow the rules as if you had
hired an attorney. The court will not treat you differently because you are filing for yourself. To be
successful, you must be familiar with the United States Bankruptcy Code, the Federal Rules of
Bankruptcy Procedure, and the local rules of the court in which your case is filed. You must also
be familiar with any state exemption laws that apply.
Are you aware that filing for bankruptcy is a serious action with long-term financial and legal
consequences?
No
Yes
Are you aware that bankruptcy fraud is a serious crime and that if your bankruptcy forms are
inaccurate or incomplete, you could be fined or imprisoned?
No
Yes
Did you pay or agree to pay someone who is not an attorney to help you fill out your bankruptcy forms?
No
Yes. Name of Person_____________________________________________________________________.
Attach Bankruptcy Petition Preparer’s Notice, Declaration, and Signature (Official Form 119).
By signing here, I acknowledge that I understand the risks involved in filing without an attorney. I
have read and understood this notice, and I am aware that filing a bankruptcy case without an
attorney may cause me to lose my rights or property if I do not properly handle the case.
8_______________________________________________ 8______________________________
Signature of Debtor 1 Signature of Debtor 2
Official Form 101 Voluntary Petition for Individuals Filing for Bankruptcy page
Case 22-50073 Doc 1 Filed 02/15/22 Entered 02/15/22 20:26:52 Page 10 of 14
Debtor 2 ________________________________________________________________
(Spouse, if filing) First Name Middle Name Last Name
2IILFLDO)RUP104
For Individual Chapter 11 Cases: List of Creditors Who Have the 20 Largest
Unsecured Claims Against You and Are Not Insiders 12/15
If you are an individual filing for bankruptcy under Chapter 11, you must fill out this form. If you are filing under Chapter 7, Chapter 12, or
Chapter 13, do not fill out this form. Do not include claims by anyone who is an insider. Insiders include your relatives; any general partners;
relatives of any general partners; partnerships of which you are a general partner; corporations of which you are an officer, director, person in
control, or owner of 20 percent or more of their voting securities; and any managing agent, including one for a business you operate as a sole
proprietor. 11 U.S.C. § 101. Also, do not include claims by secured creditors unless the unsecured claim resulting from inadequate collateral
value places the creditor among the holders of the 20 largest unsecured claims.
Be as complete and accurate as possible. If two married people are filing together, both are equally responsible for supplying correct
information.
Part 1: List the 20 Unsecured Claims in Order from Largest to Smallest. Do Not Include Claims by Insiders.
Unsecured claim
1 Litigation
What is the nature of the claim? ____________________________ (approx) 254,000,000.00
$____________________________
Pacific Alliance Asia Opportunity
__________________________________________
Creditor’s Name As of the date you file, the claim is: Check all that apply.
C/O O’Melveney & Myers, LLP
__________________________________________
Contingent
Number Street Unliquidated
__________________________________________ Disputed
7 Times Square
None of the above apply
New York NY 10065
__________________________________________
City State ZIP Code
Does the creditor have a lien on your property?
Stuart Sarnoff, Esq No
__________________________________________
Contact Yes. Total claim (secured and unsecured): $_____________________
____________________________________
Value of security: - $_____________________
Contact phone
Unsecured claim $_____________________
2 Litigation Funding
What is the nature of the claim? ____________________________ (approx) 21,000,000.00
$____________________________
Golden Spring New York
__________________________________________
Creditor’s Name As of the date you file, the claim is: Check all that apply.
162 E. 64th Street Contingent
__________________________________________
Number Street Unliquidated
__________________________________________ Disputed
None of the above apply
New York NY 10605
__________________________________________
City State ZIP Code
Does the creditor have a lien on your property?
Max Krasner No
__________________________________________
Contact Yes. Total claim (secured and unsecured): $_____________________
____________________________________
Value of security: - $_____________________
Contact phone
Unsecured claim $_____________________
Official Form 104 For Individual Chapter 11 Cases: List of Creditors Who Have the 20 Largest Unsecured Claims page 1
Case 22-50073 Doc 1 Filed 02/15/22 Entered 02/15/22 20:26:52 Page 11 of 14
Unsecured claim
3 __________________________________________
Rui Ma Litigation
What is the nature of the claim? ____________________________ 20,000,000
$____________________________
Creditor’s Name
750 Lexington Avenue - 25th Floor
__________________________________________ As of the date you file, the claim is: Check all that apply.
Number Street Contingent
C/O Arkin Solbakken, LLP
__________________________________________ Unliquidated
Disputed
New York NY 10022
__________________________________________ None of the above apply
City State ZIP Code
Does the creditor have a lien on your property?
Robert C. Angelillo
__________________________________________
No
Contact Yes. Total claim (secured and unsecured): $_____________________
____________________________________
Value of security: - $_____________________
Contact phone Unsecured claim $_____________________
4 __________________________________________
Cheng Jian Wu Jian She Litigation
What is the nature of the claim? ____________________________
14,898483.90
$____________________________
Creditor’s Name
As of the date you file, the claim is: Check all that apply.
136-20 38th Avenue, Suite 3D
__________________________________________ Contingent
Number Street
5 __________________________________________
Ning Ye Litigation
What is the nature of the claim? ____________________________
12,000,000
$____________________________
Creditor’s Name
As of the date you file, the claim is: Check all that apply.
135-11 38th Avenue
__________________________________________
Number Street
Contingent
C/O Arkin Solbakken, LLP Unliquidated
__________________________________________ Disputed
New York NY 10022
__________________________________________
None of the above apply
City State ZIP Code Does the creditor have a lien on your property?
No
Robert C. Angelillo
__________________________________________ Yes. Total claim (secured and unsecured): $_____________________
-
Contact
Value of security: $_____________________
____________________________________
Contact phone Unsecured claim $_____________________
6 __________________________________________
Guo Baosheng Litigation
What is the nature of the claim? ____________________________
12,000,000
$____________________________
Creditor’s Name
As of the date you file, the claim is: Check all that apply.
135-11 38th Avenue
__________________________________________
Number Street Contingent
C/O Law Office of Ning Ye, Esq. Unliquidated
__________________________________________ Disputed
Flushing NY 11354
__________________________________________
None of the above apply
City State ZIP Code Does the creditor have a lien on your property?
No
Ning Ye, Esq.
__________________________________________ Yes. Total claim (secured and unsecured): $_____________________
-
Contact
Value of security: $_____________________
____________________________________
Contact phone Unsecured claim $_____________________
Official Form 104 For Individual Chapter 11 Cases: List of Creditors Who Have the 20 Largest Unsecured Claims page 2
Case 22-50073 Doc 1 Filed 02/15/22 Entered 02/15/22 20:26:52 Page 12 of 14
Unsecured claim
8 __________________________________________
Hong Qi Qu Litigation
What is the nature of the claim? ____________________________
9,809,422.71
$____________________________
Creditor’s Name
As of the date you file, the claim is: Check all that apply.
136-20 38th Avenue, Suite 3D
__________________________________________
Number Street Contingent
C/O Kevin Tung, Esq. Unliquidated
__________________________________________
Disputed
Flushing NY 11354
__________________________________________
None of the above apply
City State ZIP Code Does the creditor have a lien on your property?
No
Kevin Tung, Esq.
__________________________________________ Yes. Total claim (secured and unsecured): $_____________________
-
Contact
Value of security: $_____________________
____________________________________
Contact phone Unsecured claim $_____________________
9 __________________________________________
Nan Tong Si Jian Litigation
What is the nature of the claim? ____________________________
5,568,522.66
$____________________________
Creditor’s Name
As of the date you file, the claim is: Check all that apply.
136-20 38th Avenue, Suite 3D
__________________________________________
Number Street Contingent
C/O Kevin Tung, Esq. Unliquidated
__________________________________________ Disputed
Flushing NY 11354
__________________________________________
None of the above apply
City State ZIP Code Does the creditor have a lien on your property?
No
Kevin Tung, Esq.
__________________________________________ Yes. Total claim (secured and unsecured): $_____________________
-
Contact
Value of security: $_____________________
____________________________________
Contact phone Unsecured claim $_____________________
10 __________________________________________
Jian Gong Litigation
What is the nature of the claim? ____________________________
5,380,262.32
$____________________________
Creditor’s Name
As of the date you file, the claim is: Check all that apply.
136-20 38th Avenue, Suite 3D
__________________________________________ Contingent
Number Street
11 __________________________________________
Yan Zhao Litigation
What is the nature of the claim? ____________________________ 3,000,000
$____________________________
Creditor’s Name
135-11 8th Ave As of the date you file, the claim is: Check all that apply.
__________________________________________
Number Street Contingent
C/O Law Office of Ning Ye, Esq.
__________________________________________
Unliquidated
Disputed
Flushing NY 11354
__________________________________________
None of the above apply
City State ZIP Code Does the creditor have a lien on your property?
____________________________________
Value of security: - $_____________________
Contact phone Unsecured claim $_____________________
12 Litigation
What is the nature of the claim? ____________________________ 1,571,530.36
$____________________________
Yua Hua Zhuang Shi
__________________________________________
Creditor’s Name As of the date you file, the claim is: Check all that apply.
136-20 38th Avenue, Suite 3D
__________________________________________
Contingent
Number Street Unliquidated
C/O Kevin Tung, Esq.
__________________________________________
Disputed
None of the above apply
Flushing NY 11354
__________________________________________ Does the creditor have a lien on your property?
City State
ZIP Code
No
Kevin Tung, Esq. Yes. Total claim (secured and unsecured): $_____________________
__________________________________________
Contact
Value of security: - $_____________________
Unsecured claim $_____________________
____________________________________
Contact phone
Official Form 104 For Individual Chapter 11 Cases: List of Creditors Who Have the 20 Largest Unsecured Claims page 3
Case 22-50073 Doc 1 Filed 02/15/22 Entered 02/15/22 20:26:52 Page 13 of 14
Unsecured claim
13 __________________________________________
Liehong Zhuang/Xiao Yan Zhu Litigation
What is the nature of the claim? ____________________________
1,005,000
$____________________________
Creditor’s Name
As of the date you file, the claim is: Check all that apply.
224 West 35th Street, 11th Floor
__________________________________________
Number Street Contingent
C/O Trexler & Zhang, LLP Unliquidated
__________________________________________
Disputed
New York NY 10001
__________________________________________
None of the above apply
City State ZIP Code Does the creditor have a lien on your property?
No
Jonathan T. Trexler, Esq.
__________________________________________ Yes. Total claim (secured and unsecured): $_____________________
-
Contact
Value of security: $_____________________
____________________________________
Contact phone Unsecured claim $_____________________
14 __________________________________________
Weican Meng/Boxun, Inc. Litigation
What is the nature of the claim? ____________________________
1,000,000
$____________________________
Creditor’s Name
As of the date you file, the claim is: Check all that apply.
750 Lexington Avenue, 25th Floor
__________________________________________
Number Street Contingent
C/O Arkin Solbakken, LLP Unliquidated
__________________________________________
Disputed
New York NY 10022
__________________________________________
None of the above apply
City State ZIP Code Does the creditor have a lien on your property?
No
Robert C. Angelillo
__________________________________________ Yes. Total claim (secured and unsecured): $_____________________
-
Contact
Value of security: $_____________________
____________________________________
Contact phone Unsecured claim $_____________________
15 __________________________________________
Samuel Nunberg Litigation
What is the nature of the claim? ____________________________
1,000,000
$____________________________
Creditor’s Name
As of the date you file, the claim is: Check all that apply.
363 Seventh Ave, 5th Floor
__________________________________________ Contingent
Number Street
16 __________________________________________
Lamp Capital, LLC Litigation Loan
What is the nature of the claim? ____________________________
1,000,000
$____________________________
Creditor’s Name
As of the date you file, the claim is: Check all that apply.
One Commerce Plaza
__________________________________________
Number Street Contingent
99 Washington Avenue Unliquidated
__________________________________________
Disputed
Albany NY 12231 None of the above apply
__________________________________________
City State ZIP Code Does the creditor have a lien on your property?
No
C/O NYS, Secretary of State
__________________________________________ Yes. Total claim (secured and unsecured): $_____________________
-
Contact
Value of security: $_____________________
____________________________________
Contact phone Unsecured claim $_____________________
Official Form 104 For Individual Chapter 11 Cases: List of Creditors Who Have the 20 Largest Unsecured Claims page 4
Case 22-50073 Doc 1 Filed 02/15/22 Entered 02/15/22 20:26:52 Page 14 of 14
Unsecured claim
Litigation
What is the nature of the claim? ____________________________
19 430,000
Jia Li Wang
__________________________________________ $____________________________
Creditor’s Name
As of the date you file, the claim is: Check all that apply.
335 Madison Avenue, 12th Floor
__________________________________________
Number Street Contingent
C/O Thompson Hine Unliquidated
__________________________________________
Disputed
New York NY 10017
__________________________________________
None of the above apply
City State ZIP Code
Does the creditor have a lien on your property?
Brian P. Lanciault, Esq
__________________________________________
No
Contact Yes. Total claim (secured and unsecured): $_____________________
____________________________________
Value of security: - $_____________________
Contact phone Unsecured claim $_____________________
Litgiation
What is the nature of the claim? ____________________________
20 319,130
$____________________________
As of the date you file, the claim is: Check all that apply.
WA&HF, LLC/Ruizeng An
__________________________________________
Contingent
Creditor’s Name Unliquidated
41 Madison Avenue, 31st Floor
__________________________________________
Disputed
Number Street None of the above apply
C/O AFN Law
__________________________________________
Does the creditor have a lien on your property?
New York NY 10010
__________________________________________ No
City State ZIP Code
Yes. Total claim (secured and unsecured): $_____________________
Angus Ni, Esq.
__________________________________________
Value of security: - $_____________________
Contact Unsecured claim $_____________________
____________________________________
Contact phone
Under penalty of perjury, I declare that the information provided in this form is true and correct.
8 V+R:DQ.ZRN
______________________________________________ 8 ______________________________________________
Signature of Debtor 1 Signature of Debtor 2
Date _________________ Date _________________
MM / DD / YYYY MM / DD / YYYY
Official Form 104 For Individual ChaptHr 11 Cases: List of Creditors Who Have the 20 Largest Unsecured Claims page 5
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