Official Form 201 Voluntary Petition for Non-Individuals Filing for Bankruptcy page 1 

Official Form 201

Voluntary Petition for Non-Individuals Filing for Bankruptcy 04/20

If more space is needed, attach a separate sheet to this form. On the top of any additional pages, write the debtor’s name and the case 

number (if known). For more information, a separate document, Instructions for Bankruptcy Forms for Non-Individuals, is available.

1. Debtor’s name ______________________________________________________________________________________________________

2. All other names debtor used

in the last 8 years

Include any assumed names,

trade names, and doing business

as names

______________________________________________________________________________________________________

______________________________________________________________________________________________________

______________________________________________________________________________________________________

______________________________________________________________________________________________________

______________________________________________________________________________________________________

3. Debtor’s federal Employer

Identification Number (EIN) ______________________________________

4. Debtor’s address Principal place of business

______________________________________________

Number Street

______________________________________________

______________________________________________ 

City State ZIP Code 

______________________________________________

County 

Mailing address, if different from principal place 

of business

_______________________________________________

Number Street

_______________________________________________

P.O. Box

_______________________________________________ 

City State ZIP Code

Location of principal assets, if different from 

principal place of business

_______________________________________________

Number Street

_______________________________________________

_______________________________________________ 

City State ZIP Code

5. Debtor’s website (URL) ____________________________________________________________________________________________________

6. Type of debtor  Corporation (including Limited Liability Company (LLC) and Limited Liability Partnership (LLP))

 Partnership (excluding LLP)

 Other. Specify: __________________________________________________________________

 Check if this is an

amended filing

United States Bankruptcy Court for the:

____________________ District of _________________

(State) 

Case number (If known): _________________________ Chapter you are filing under:

 Chapter 7 

 Chapter 11

 Chapter 12

 Chapter 13

 Fill in this information to identify your case:

VA

Connellys Springs NC

Richmond

✔

23230

28612

46-2228968

Eastern District of Virginia

✔

Suite 200

Richmond County

Burke Mountain Southeast, LLC

Various (over 700 parcels)

5206 Markel Road

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Document Page 1 of 11
Debtor _______________________________________________________ Case number (if known)_____________________________________ 

Name

Official Form 201 Voluntary Petition for Non-Individuals Filing for Bankruptcy page 2

7. Describe debtor’s business

A. Check one:

 Health Care Business (as defined in 11 U.S.C. § 101(27A))

 Single Asset Real Estate (as defined in 11 U.S.C. § 101(51B))

 Railroad (as defined in 11 U.S.C. § 101(44))

 Stockbroker (as defined in 11 U.S.C. § 101(53A))

 Commodity Broker (as defined in 11 U.S.C. § 101(6))

 Clearing Bank (as defined in 11 U.S.C. § 781(3))

 None of the above

B. Check all that apply:

 Tax-exempt entity (as described in 26 U.S.C. § 501)

 Investment company, including hedge fund or pooled investment vehicle (as defined in 15 U.S.C.

§ 80a-3)

 Investment advisor (as defined in 15 U.S.C. § 80b-2(a)(11))

C. NAICS (North American Industry Classification System) 4-digit code that best describes debtor.

See http://www.naics.com/search/ .

_________

8. Under which chapter of the

Bankruptcy Code is the

debtor filing?

Check one:

9. Were prior bankruptcy cases

filed by or against the debtor

within the last 8 years?

If more than 2 cases, attach a

separate list.

 No

 Yes. District _______________________ When _______________ Case number _________________________

MM / DD / YYYY

District _______________________ When _______________ Case number _________________________

MM / DD / YYYY

10. Are any bankruptcy cases

pending or being filed by a

business partner or an

affiliate of the debtor?

List all cases. If more than 1,

attach a separate list.

 No

 Yes. Debtor _____________________________________________ Relationship _________________________

District _____________________________________________ When __________________ 

MM / DD / YYYY 

Case number, if known ________________________________

A debtor who is a “small business 

debtor” must check the first subbox. A debtor as defined in 

§ 1182(1) who elects to proceed

under subchapter V of chapter 11

(whether or not the debtor is a

“small business debtor”) must

check the second sub-box.

 Chapter 7

 Chapter 9

 Chapter 11. Check all that apply:

 The debtor is a small business debtor as defined in 11 U.S.C. § 101(51D), and its

aggregate noncontingent liquidated debts (excluding debts owed to insiders or

affiliates) are less than $2,725,625. If this sub-box is selected, attach the most

recent balance sheet, statement of operations, cash-flow statement, and federal

income tax return or if any of these documents do not exist, follow the procedure in

11 U.S.C. § 1116(1)(B).

 The debtor is a debtor as defined in 11 U.S.C. § 1182(1), its aggregate

noncontingent liquidated debts (excluding debts owed to insiders or affiliates) are

less than $7,500,000, and it chooses to proceed under Subchapter V of

Chapter 11. If this sub-box is selected, attach the most recent balance sheet,

statement of operations, cash-flow statement, and federal income tax return, or if

any of these documents do not exist, follow the procedure in 11 U.S.C.

§ 1116(1)(B).

 A plan is being filed with this petition.

 Acceptances of the plan were solicited prepetition from one or more classes of

creditors, in accordance with 11 U.S.C. § 1126(b).

 The debtor is required to file periodic reports (for example, 10K and 10Q) with the

Securities and Exchange Commission according to § 13 or 15(d) of the Securities

Exchange Act of 1934. File the Attachment to Voluntary Petition for Non-Individuals Filing

for Bankruptcy under Chapter 11 (Official Form 201A) with this form.

 The debtor is a shell company as defined in the Securities Exchange Act of 1934 Rule

12b-2.

 Chapter 12

Bon View Developers, LLC

0065

✔

Affiliate

✔

E.D. Virginia

Burke Mountain Southeast, LLC

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Document Page 2 of 11
Debtor _______________________________________________________ Case number (if known)_____________________________________ 

Name

Official Form 201 Voluntary Petition for Non-Individuals Filing for Bankruptcy page 3

11. Why is the case filed in this

district?

Check all that apply:

 Debtor has had its domicile, principal place of business, or principal assets in this district for 180 days

immediately preceding the date of this petition or for a longer part of such 180 days than in any other

district.

 A bankruptcy case concerning debtor’s affiliate, general partner, or partnership is pending in this district.

12. Does the debtor own or have

possession of any real

property or personal property

that needs immediate

attention?

 No

 Yes. Answer below for each property that needs immediate attention. Attach additional sheets if needed.

Why does the property need immediate attention? (Check all that apply.)

 It poses or is alleged to pose a threat of imminent and identifiable hazard to public health or safety.

What is the hazard? _____________________________________________________________________

 It needs to be physically secured or protected from the weather.

 It includes perishable goods or assets that could quickly deteriorate or lose value without

attention (for example, livestock, seasonal goods, meat, dairy, produce, or securities-related

assets or other options).

 Other _______________________________________________________________________________

Where is the property?_____________________________________________________________________

Number Street

____________________________________________________________________

_______________________________________ _______ ________________

City State ZIP Code 

Is the property insured?

 No

 Yes. Insurance agency ____________________________________________________________________

Contact name ____________________________________________________________________

Phone ________________________________ 

Statistical and administrative information

13. Debtor’s estimation of

available funds

Check one:

 Funds will be available for distribution to unsecured creditors.

 After any administrative expenses are paid, no funds will be available for distribution to unsecured creditors.

14. Estimated number of

creditors

 1-49

 50-99

 100-199

 200-999

 1,000-5,000

 5,001-10,000

 10,001-25,000

 25,001-50,000

 50,001-100,000

 More than 100,000

15. Estimated assets

 $0-$50,000

 $50,001-$100,000

 $100,001-$500,000

 $500,001-$1 million

 $1,000,001-$10 million

 $10,000,001-$50 million

 $50,000,001-$100 million

 $100,000,001-$500 million

 $500,000,001-$1 billion

 $1,000,000,001-$10 billion

 $10,000,000,001-$50 billion

 More than $50 billion

✔

✔

✔

✔

✔

Burke Mountain Southeast, LLC

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Document Page 3 of 11
Debtor _______________________________________________________ Case number (if known)_____________________________________ 

Name

Official Form 201 Voluntary Petition for Non-Individuals Filing for Bankruptcy page 4

16. Estimated liabilities

 $0-$50,000

 $50,001-$100,000

 $100,001-$500,000

 $500,001-$1 million

 $1,000,001-$10 million

 $10,000,001-$50 million

 $50,000,001-$100 million

 $100,000,001-$500 million

 $500,000,001-$1 billion

 $1,000,000,001-$10 billion

 $10,000,000,001-$50 billion

 More than $50 billion

Request for Relief, Declaration, and Signatures

WARNING -- Bankruptcy fraud is a serious crime. Making a false statement 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.

17. Declaration and signature of

authorized representative of

debtor

The debtor requests relief in accordance with the chapter of title 11, United States Code, specified in this

petition.

I have been authorized to file this petition on behalf of the debtor.

I have examined the information in this petition and have a reasonable belief that the information is true and

correct.

I declare under penalty of perjury that the foregoing is true and correct. 

Executed on _________________

MM / DD / YYYY

_____________________________________________ _______________________________________________

Signature of authorized representative of debtor Printed name

Title _________________________________________ 

18. Signature of attorney _____________________________________________ Date _________________

Signature of attorney for debtor MM / DD / YYYY

_________________________________________________________________________________________________

Printed name

_________________________________________________________________________________________________

Firm name

_________________________________________________________________________________________________

Number Street

____________________________________________________ ____________ ______________________________

City State ZIP Code 

____________________________________ __________________________________________

Contact phone Email address

______________________________________________________ ____________

Bar number State

kcrowley@clrbfirm.com

VA

Ray Hollowell, Jr.

Norfolk

Crowley Liberatore, PC

35881

VA 23510

✔

7573334500

/s/ Karen Crowley

08/27/2020

08/27/2020

Karen Crowley

Town Point Center 150 Boush Street, Ste 604

/s/ Ray Hollowell, Jr.

Manager

Burke Mountain Southeast, LLC

Case 20-33633-KLP Doc 1 Filed 08/28/20 Entered 08/28/20 14:57:31 Desc Main

Document Page 4 of 11
Official Form 204 Chapter 11 or Chapter 9 Cases: List of Creditors Who Have the 20 Largest Unsecured Claims page 1 

Official Form 204 

Chapter 11 or Chapter 9 Cases: List of Creditors Who Have the 20 Largest 

Unsecured Claims and Are Not Insiders 12/15

A list of creditors holding the 20 largest unsecured claims must be filed in a Chapter 11 or Chapter 9 case. Include claims which the debtor 

disputes. Do not include claims by any person or entity who is an insider, as defined in 11 U.S.C. § 101(31). 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. 

Name of creditor and complete 

mailing address, including zip code

Name, telephone number, 

and email address of 

creditor contact 

Nature of the claim 

(for example, trade

debts, bank loans, 

professional 

services, and 

government 

contracts)

Indicate if 

claim is 

contingent, 

unliquidated, 

or disputed 

Amount of unsecured claim

If the claim is fully unsecured, fill in only unsecured 

claim amount. If claim is partially secured, fill in 

total claim amount and deduction for value of 

collateral or setoff to calculate unsecured claim. 

Total claim, if 

partially 

secured

Deduction for 

value of 

collateral or 

setoff

Unsecured 

claim

1

2

3

4

5

6

7

8

 Check if this is an

amended filing

Debtor name __________________________________________________________________ 

United States Bankruptcy Court for the:_______________________________ 

Case number (If known): _________________________ 

 Fill in this information to identify the case:

Burke Mountain Southeast, LLC

75,000.00

10,000.00

8,064.00

Disputed

1,650.00

Disputed

914.00

0.00

Eastern District of Virginia

Charles F. Miller, Jr. (Jt owner of Brown

claim)

6389 Red Spruce Lane

Sykesville, 21784

Bissell Professional Group

BPG, Inc.

PO Box 1068

Kitty Hawk, NC, 27949

Coates & Davenport

5206 Markel Road

Suite 200

Richmond, VA, 23230

Bruce Miller, CPA

PO Box 70

40222 Methodist Church Road

Avon, NC, 27915

Estate of George W. Brown

17500 Frederick Road

Mount Airy, 21771

Tom Coates

PO Box 11787

5206 Markel Road, Suite 200

Richmond, VA, 23230

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Document Page 5 of 11
Debtor _______________________________________________________ Case number (if known)_____________________________________ 

Name

Official Form 204 Chapter 11 or Chapter 9 Cases: List of Creditors Who Have the 20 Largest Unsecured Claims page 2 

Name of creditor and complete 

mailing address, including zip code

Name, telephone number, 

and email address of 

creditor contact 

Nature of the claim 

(for example, trade

debts, bank loans, 

professional 

services, and 

government 

contracts)

Indicate if 

claim is 

contingent, 

unliquidated, 

or disputed 

Amount of unsecured claim

If the claim is fully unsecured, fill in only unsecured 

claim amount. If claim is partially secured, fill in 

total claim amount and deduction for value of 

collateral or setoff to calculate unsecured claim. 

Total claim, if 

partially 

secured

Deduction for 

value of 

collateral or 

setoff

Unsecured 

claim

9

10

11

12

13

14

15

16

17

18

19

20

Burke Mountain Southeast, LLC

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Document Page 6 of 11
Official Form 202 Declaration Under Penalty of Perjury for Non-Individual Debtors

Official Form 202 

Declaration Under Penalty of Perjury for Non-Individual Debtors 12/15

An individual who is authorized to act on behalf of a non-individual debtor, such as a corporation or partnership, must sign and submit 

this form for the schedules of assets and liabilities, any other document that requires a declaration that is not included in the document, 

and any amendments of those documents. This form must state the individual’s position or relationship to the debtor, the identity of the 

document, and the date. Bankruptcy Rules 1008 and 9011. 

WARNING -- Bankruptcy fraud is a serious crime. Making a false statement, concealing property, or obtaining money or property by fraud in 

connection with a bankruptcy case can result in fines up to $500,000 or imprisonment for up to 20 years, or both. 18 U.S.C. §§ 152, 1341, 

1519, and 3571.

Declaration and signature

I am the president, another officer, or an authorized agent of the corporation; a member or an authorized agent of the partnership; or 

another individual serving as a representative of the debtor in this case.

I have examined the information in the documents checked below and I have a reasonable belief that the information is true and correct:

 Schedule A/B: Assets–Real and Personal Property (Official Form 206A/B)

 Schedule D: Creditors Who Have Claims Secured by Property (Official Form 206D)

 Schedule E/F: Creditors Who Have Unsecured Claims (Official Form 206E/F)

 Schedule G: Executory Contracts and Unexpired Leases (Official Form 206G)

 Schedule H: Codebtors (Official Form 206H)

 Summary of Assets and Liabilities for Non-Individuals (Official Form 206Sum)

 Amended Schedule ____

 Chapter 11 or Chapter 9 Cases: List of Creditors Who Have the 20 Largest Unsecured Claims and Are Not Insiders (Official Form 204)

 Other document that requires a declaration__________________________________________________________________________________ 

I declare under penalty of perjury that the foregoing is true and correct. 

Executed on ______________ _________________________________________________________________________

MM / DD / YYYY Signature of individual signing on behalf of debtor

________________________________________________________________________

Printed name

______________________________________

Position or relationship to debtor

Debtor Name __________________________________________________________________ 

United States Bankruptcy Court for the: ________________________________ 

Case number (If known): _________________________ 

 Fill in this information to identify the case and this filing:

Eastern District of Virginia

Ray Hollowell, Jr.

08/27/2020

✔

/s/ Ray Hollowell, Jr.

Manager

Burke Mountain Southeast, LLC

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Document Page 7 of 11
Bissell Professional Group

BPG, Inc.

PO Box 1068

Kitty Hawk, NC 27949

Bruce Miller, CPA

PO Box 70

40222 Methodist Church Road

Avon, NC 27915

Burke County Tax Collector

P.O. Box 219

110 North Green Street

Morganton, NC 28680

Charles F. Miller, Jr. (Jt owner of Brown cla

6389 Red Spruce Lane

Sykesville, 21784

Coates & Davenport

5206 Markel Road

Suite 200

Richmond, VA 23230

Estate of George W. Brown

17500 Frederick Road

Mount Airy, 21771

Gary Breen Smith

2369 Breston Road

La Grange, NC 28551

Kania Law Firm

600 A Centre Park Drive

Asheville, NC 28805

Lexis Funding, Inc. MPP

Two University Plaza, Suite 402

Hackensack, NJ 07601

OuterBanks/Kinnakeet

8351 Fern Lane

Connellys Springs, 28612

Pine Mountain Property Owners Association, In

2885 Pine Mountain Drive

Connellys Springs, NC 28612

Thomas R. Goddard, Guardian ad Litem

3803B Computer Dr #103

Raleigh, NC 27609

Tom Coates

PO Box 11787

5206 Markel Road, Suite 200

Richmond, VA 23230

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Document Page 8 of 11
United States Bankruptcy Court

In re: Case No.

Chapter

Debtor(s)

Verification of Creditor Matrix

The above-named Debtor(s) hereby verify that the attached list of creditors is

true and correct to the best of their knowledge.

Date:

Signature of Individual signing on behalf of debtor

Position or relationship to debtor

11

Manager

Eastern District of Virginia

08/27/2020 /s/ Ray Hollowell, Jr.

Burke Mountain Southeast, LLC

Case 20-33633-KLP Doc 1 Filed 08/28/20 Entered 08/28/20 14:57:31 Desc Main

Document Page 9 of 11
CORPORATE RESOLUTION 

OF BURKE MOUNTAIN SOUTHEAST, LLC 

 

 The undersigned, being a managing member of Burke Mountain Southeast, LLC, a 

Virginia limited liability company (the “Company”): 

WHEREAS, the Company owns real property in North Carolina but has its principal 

place of business in Richmond, Virginia and is a Virginia corporation; 

WHEREAS, certain taxing authorities and other creditors have moved to foreclose 

upon or otherwise liquidate certain parcels of real property owned by the Company; 

WHEREAS, it is in the business judgment of the manager, based upon the most current 

financial and other information in its possession, to file a Chapter 11 bankruptcy petition for 

the Company; 

WHEREAS, the manager, in the exercise of its business judgment, desires to employ 

Karen Crowley, currently with Crowley Liberatore P.C., to represent it and file a Chapter 11 

bankruptcy petition, in the Eastern District of Virginia, Richmond Division, for the 

Company and for Ray E. Hollowell, Jr. to serve as the designated representative for the 

Company in the Chapter 11 case; 

NOW THEREFORE, BE IT, 

RESOLVED: the Chapter 11 petition is approved to be filed with the United States 

Bankruptcy Court for E.D. of Virginia, Richmond Division or such other jurisdiction as is 

appropriate under the law and facts. 

RESOLVED: that Ray E. Hollowell, Jr. shall serve as the designated representative in the 

Chapter 11 case. 

RESOLVED: the Company is authorized to utilize the services of Karen Crowley, with 

Crowley Liberatore P.C. or any successor firm in which she is involved, to prosecute the 

Chapter 11 and to prepare the necessary paperwork for the completion of the Chapter 11. 

The undersigned, being the sole Manager of the Company, adopts the foregoing 

resolutions in lieu of a formal meeting effective immediately. 

 

 Burke Mountain Southeast, LLC 

 

 By: /s/ Ray E. Hollowell 

 Ray E. Hollowell, Jr. Manager

 

 Date Signed: 08/27/2020 

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Document Page 10 of 11
UNITED STATES BANKRUPTCY COURT 

EASTERN DISTRICT OF VIRGINIA 

Richmond Division 

-------

i In re Burke Mountain Southeast, LLC 

l 

Bon View Developers, LLC 

Debtor(s) Case No. 

Plaintiff(s) Chapter 

v.: 

I 

Defendant( s) Adversary No. 

CORPORATE OWNERSHIP STATEMENT 

Pursuant to FRBP 1007(a)(l), or FRBP 7007.l(a) the undersigned counsel for the 

following corporate entity: 

Burke Mountain Southeast, LLC and Bon View Developers, LLC 

in the above captioned case or adversary proceeding certifies that the following 

corporation(s), other than a governmental unit, directly or indirectly owns 10% or more 

ofJany class of the corporation's equity interest, or states that there are no entities to 

report under FRBP 1007(a)(l), or FRBP 7007.l(a): 

~No entities to report under FRBP 1007(a)(l), or FRBP 7007.l(a) [Check if applicable} 

8/Q.8/2020 

Date 

[cpownstm ver. 3/2004] 

Isl Karen M. Crowley 

Signature of Debtor's Counsel or 

Party in Adversary Proceeding 

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