Official Form 206A/B

Schedule A/B: Assets -- Real and Personal Property 12/15 

Fill in this information to identify the case

Debtor name

United States Bankruptcy Court for the:

Case number

(if known)

Blue Sky Events, LLC

EASTERN DISTRICT OF VIRGINIA

20-10683-KHK

1. Does the debtor have any cash or cash equivalents?





No. Go to Part 2.

Yes. Fill in the information below.

 Check if this is an

amended filing

Part 1: Cash and cash equivalents

In Schedule A/B, list any executory contracts or unexpired leases. Also list them on Schedule G: Executory Contracts and

Unexpired Leases (Official Form 206G).

All cash or cash equivalents owned or controlled by the debtor Current value of

debtor's interest

Disclose all property, real and personal, which the debtor owns or in which the debtor has any other legal, equitable, or future 

interest. Include all property in which the debtor holds rights and powers exercisable for the debtor's own benefit. Also 

include assets and properties which have no book value, such as fully depreciated assets or assets that were not capitalized.

Be as complete and accurate as possible. If more space is needed, attach a separate sheet to this form. At the top of any 

pages added, write the debtor's name and case number (if known). Also identify the form and line number to which the 

additional information applies. If an additional sheet is attached, include the amounts from the attachment in the total for the 

pertinent part.

For Part 1 through Part 11, list each asset under the appropriate category or attach separate supporting schedules, such as a 

fixed asset schedule or depreciation schedule, that gives the details for each asset in a particular category. List each asset 

only once. In valuing the debtor's interest, do not deduct the value of secured claims. See the instructions to understand the 

terms used in this form.

2. Cash on hand

3. Checking, savings, money market, or financial brokerage accounts (Identify all)

Name of institution (bank or brokerage firm) Type of account Last 4 digits of

account number

3.1. Capital One Bank Checking account 1 2 2 1 $62.00 

4. Other cash equivalents (Identify all)

Name of institution (bank or brokerage firm)

5. Total of Part 1

Add lines 2 through 4 (including amounts on any additional sheets). Copy the total to line 80. $62.00 

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.

Official Form 206A/B Schedule A/B: Assets -- Real and Personal Property page 1 

Case 20-10683-KHK Doc 39 Filed 04/17/20 Entered 04/17/20 17:26:11 Desc Main

Document Page 1 of 42
Debtor

Name

Blue Sky Events, LLC 20-10683-KHK Case number (if known)

7. Deposits, including security deposits and utility deposits

Description, including name of holder of deposit

Current value of

debtor's interest

7.1. Depsit with Landlord [2400 Building, LLC] $13,012.82 

8. Prepayments, including prepayments on executory contracts, leases, insurance, taxes, and rent

Description, including name of holder of prepayment

8.1. Pre-paid insurance premiums for auto insurance and business liability $1,709.46 

9. Total of Part 2.

Add lines 7 through 8. Copy the total to line 81. $14,722.28 

Part 3: Accounts receivable

10. Does the debtor have any accounts receivable?





No. Go to Part 4.

Yes. Fill in the information below.

11. Accounts receivable

11a. 90 days old or less:

11b. Over 90 days old:

face amount doubtful or uncollectible accounts

face amount doubtful or uncollectible accounts – = ....................... 

– = ....................... 

Current value of

debtor's interest

12. Total of Part 3

Current value on lines 11a + 11b = line 12. Copy the total to line 82. $0.00 

Part 4: Investments

13. Does the debtor own any investments?





No. Go to Part 5.

Yes. Fill in the information below.

14. Mutual funds or publicly traded stocks not included in Part 1

Name of fund or stock:

Current value of

debtor's interest

Valuation method

used for current value

15. Non-publicly traded stock and interests in incorporated and unincorporated

Name of entity:

businesses, including any interest in an LLC, partnership, or joint venture

% of ownership:

16. Government bonds, corporate bonds, and other negotiable and

Describe:

non-negotiable instruments not included in Part 1

17. Total of Part 4

Add lines 14 through 16. Copy the total to line 83. $0.00 

Part 5: Inventory, excluding agriculture assets

18. Does the debtor own any inventory (excluding agriculture assets)?





No. Go to Part 6.

Yes. Fill in the information below.

Official Form 206A/B Schedule A/B: Assets -- Real and Personal Property page 2 

Case 20-10683-KHK Doc 39 Filed 04/17/20 Entered 04/17/20 17:26:11 Desc Main

Document Page 2 of 42
Debtor

Name

Blue Sky Events, LLC 20-10683-KHK Case number (if known)

19. Raw materials

Current value of

debtor's interest

Valuation method

used for current value

Net book value of

debtor's interest

Date of the

last physical

General description

inventory (Where available)

MM/DD/YYYY

20. Work in progress

21. Finished goods, including goods held for resale

22. Other inventory or supplies

Catered Event Goods Valued through Craig's List $750.00 

23. Total of Part 5

Add lines 19 through 22. Copy the total to line 84. $750.00 

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. Book value Valuation method Current value

26. Has any of the property listed in Part 5 been appraised by a professional within the last year?





No

Yes

Part 6: Farming and fishing-related assets (other than titled motor vehicles and land)

27. Does the debtor own or lease any farming or fishing-related assets (other than titled motor vehicles and land)?





No. Go to Part 7.

Yes. Fill in the information below.

28. Crops--either planted or harvested

Current value of

debtor's interest

Valuation method

used for current value

Net book value of

debtor's interest

General description

(Where available)

29. Farm animals Examples: Livestock, poultry, farm-raised fish

30. Farm machinery and equipment (Other than titled motor vehicles)

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 85. $0.00 

34. Is the debtor a member of an agricultural cooperative?

 No

Yes. Is any of the debtor's property stored at the 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. Book value Valuation method Current value

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

Official Form 206A/B Schedule A/B: Assets -- Real and Personal Property page 3 

Case 20-10683-KHK Doc 39 Filed 04/17/20 Entered 04/17/20 17:26:11 Desc Main

Document Page 3 of 42
Debtor

Name

Blue Sky Events, LLC 20-10683-KHK Case number (if known)

Part 7: Office furniture, fixtures, and equipment; and collectibles

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.

39. Office furniture

Current value of

debtor's interest

Valuation method

used for current value

Net book value of

debtor's interest

General description

(Where available)

Miscellaneous office furniture Valued through Craig's List $500.00 

40. Office fixtures

41. Office equipment, including all computer equipment and

communication systems equipment and software

Miscellaneous equipment Valued through Craig's List $500.00 

42. Collectibles

artwork; books, pictures, or other art objects; china and crystal; stamp, coin,

Examples: Antiques and figurines; paintings, prints, or other

or baseball card collections; other collections, memorabilia, or collectibles

43. Total of Part 7.

Add lines 39 through 42. Copy the total to line 86. $1,000.00 

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

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.

47. Automobiles, vans, trucks, motorcycles, trailers, and titled farm vehicles

Current value of

debtor's interest

Valuation method

used for current value

Net book value of

debtor's interest

General description

(Where available)

Include year, make, model, and identification numbers

(i.e., VIN, HIN, or N-number)

47.1. 2016 Fort Transit Van On-line value $14,000.00 

47.2. 2017 Ford E-Series On-line $27,000.00 

47.3. 2013 Jeep Cherokee Online $8,000.00 

47.4. 1990 GMC Van Scrap Value $150.00 

48. Watercraft, trailers, motors, and related accessories Examples: Boats

trailers, motors, floating homes, personal watercraft, and fishing vessels

48.1. 2008 Roadmaster Triple Axle Listed Vale $8,000.00 

49. Aircraft and accessories

Official Form 206A/B Schedule A/B: Assets -- Real and Personal Property page 4 

Case 20-10683-KHK Doc 39 Filed 04/17/20 Entered 04/17/20 17:26:11 Desc Main

Document Page 4 of 42
Debtor

Name

Blue Sky Events, LLC 20-10683-KHK Case number (if known)

50. Other machinery, fixtures, and equipment (excluding farm

machinery and equipment)

Miscellaneous Equipment Debtor's Value $20,000.00 

51. Total of Part 8.

Add lines 47 through 50. Copy the total to line 87. $77,150.00 

52. Is a depreciation schedule available for any of the property listed in Part 8?





No

Yes

53. Has any of the property listed in Part 8 been appraised by a professional within the last year?





No

Yes

Part 9: Real property

54. Does the debtor own or lease any real property?





No. Go to Part 10.

Yes. Fill in the information below.

55. Any building, other improved real estate, or land which the debtor owns or in which the debtor has an interest

Current value of

debtor's interest

Valuation method

used for current

Net book value of

debtor's interest

Description and location of property

(Where available)

Nature and extent

of debtor's interest

in property value

Include street address or other description 

such as Assessor Parcel Number (APN), 

and type of property (for example, 

acreage, factory, warehouse, apartment or 

office building), if available.

56. Total of Part 9.

Add the current value on lines 55.1 through 55.6 and entries from any additional sheets. Copy the total to line 88. $0.00 

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

Part 10: Intangibles and Intellectual Property

59. Does the debtor have any interests in intangibles or intellectual property?





No. Go to Part 11.

Yes. Fill in the information below.

60. Patents, copyrights, trademarks, and trade secrets

Current value of

debtor's interest

Valuation method

used for current value

Net book value of

debtor's interest

General description

(Where available)

61. Internet domain names and websites

62. Licenses, franchises, and royalties

63. Customer lists, mailing lists, or other compilations

Customer list Unknown $0.00 

Official Form 206A/B Schedule A/B: Assets -- Real and Personal Property page 5 

Case 20-10683-KHK Doc 39 Filed 04/17/20 Entered 04/17/20 17:26:11 Desc Main

Document Page 5 of 42
Debtor

Name

Blue Sky Events, LLC 20-10683-KHK Case number (if known)

64. Other intangibles, or intellectual property

65. Goodwill

Goodwill Unknown $0.00 

66. Total of Part 10.

Add lines 60 through 65. Copy the total to line 89. $0.00 

67. Do your lists or records include personally identifiable information of customers





No

Yes

(as defined in 11 U.S.C. §§ 101(41A) and 107)?

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

Part 11: All other assets

70. Does the debtor own any other assets that have not yet been reported on this form?





No. Go to Part 12.

Yes. Fill in the information below.

Include all interests in executory contracts and unexpired leases not previously reported on this form.

71. Notes receivable

Description (include name of obligor)

Current value of

debtor's interest

72. Tax refunds and unused net operating losses (NOLs)

Description (for example, federal, state, local)

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

Operating Lease Unknown 

Equipment lease Unknown 

Equipment Lease Unknown 

78. Total of Part 11.

Add lines 71 through 77. Copy the total to line 90. $0.00 

79. Has any of the property listed in Part 11 been appraised by a professional within the last year?





No

Yes

Official Form 206A/B Schedule A/B: Assets -- Real and Personal Property page 6 

Case 20-10683-KHK Doc 39 Filed 04/17/20 Entered 04/17/20 17:26:11 Desc Main

Document Page 6 of 42
Debtor

Name

Blue Sky Events, LLC 20-10683-KHK Case number (if known)

Part 12: Summary

80. Cash, cash equivalents, and financial assets.

81. Deposits and prepayments.

82. Accounts receivable.

83. Investments.

84. Inventory.

85. Farming and fishing-related assets.

90. All other assets.

91. Total.

92. Total of all property on Schedule A/B.

Add lines 80 through 90 for each column.

+

Lines 91a + 91b = 92.........................................................................................................

In Part 12 copy all of the totals from the earlier parts of the form.

Type of property Current value of

personal property

Current value of

real property

Copy line 5, Part 1.

Copy line 9, Part 2.

Copy line 12, Part 3.

Copy line 17, Part 4.

Copy line 23, Part 5.

Copy line 33, Part 6.

86. Office furniture, fixtures, and equipment;

Copy line 43, Part 7.

87. Machinery, equipment, and vehicles.

Copy line 51, Part 8.

88. Real property. Copy line 56, Part 9....................................................................................... 

89. Intangibles and intellectual property.

Copy line 66, Part 10.

Copy line 78, Part 11.

and collectibles.

91a. +91b.

$0.00 

$14,722.28 

$0.00 

$0.00 

$750.00 

$0.00 

$1,000.00 

$93,684.28 

$93,684.28 

$0.00 

$62.00 

$77,150.00 

$0.00 

$0.00 

Official Form 206A/B Schedule A/B: Assets -- Real and Personal Property page 7 

Case 20-10683-KHK Doc 39 Filed 04/17/20 Entered 04/17/20 17:26:11 Desc Main

Document Page 7 of 42
Official Form 206D

Schedule D: Creditors Who Have Claims Secured by Property 12/15 

Fill in this information to identify the case:

Debtor name

United States Bankruptcy Court for the:

Case number

(if known)

Blue Sky Events, LLC

EASTERN DISTRICT OF VIRGINIA

20-10683-KHK

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 all of the information below.

 Check if this is an

amended filing

Be as complete and accurate as possible.

Part 1: List Creditors Who Have Secured Claims

2. List in alphabetical order all creditors who have secured claims. Column A Column B

Amount of claim Value of collateral

that supports

this claim

Do not deduct the

value of collateral.

If a creditor has more

than one secured claim, list the creditor separately for each claim.

2.1 Describe debtor's property that is

Date debt was incurred

Is the creditor an insider or related party?









No

Yes

No

Yes. Fill out

As of the petition filing date, the claim is:

Check all that apply.

 Contingent

Unliquidated

Disputed

Last 4 digits of account

subject to a lien

Creditor's name

Creditor's mailing address

Creditor's email address, if known

number

Do multiple creditors have an interest in

the same property?





No

Yes. Specify each creditor, including this

creditor, and its relative priority.

Describe the lien

Is anyone else liable on this claim?

Schedule H: Codebtors (Official Form 206H)

CarMax $15,659.37 $8,000.00 

3 4 5 6

Box 3174

Milwaukee WI 53201

7/2018

Agreement

2013 Jeep Cherokee

3.

$58,622.08 

Official Form 206D Schedule D: Creditors Who Have Claims Secured by Property page 1 

Total of the dollar amounts from Part 1, Column A, including the amounts from the 

Additional Page, if any.

Case 20-10683-KHK Doc 39 Filed 04/17/20 Entered 04/17/20 17:26:11 Desc Main

Document Page 8 of 42
Part 1: Additional Page Column A Column B

Amount of claim Value of collateral

that supports

this claim

Do not deduct the

value of collateral.

Debtor Blue Sky Events, LLC 20-10683-KHK Case number (if known)

Copy this page only if more space is needed. Continue numbering the lines 

sequentially from the previous page.

2.2 Describe debtor's property that is

Date debt was incurred

Is the creditor an insider or related party?









No

Yes

No

Yes. Fill out

As of the petition filing date, the claim is:

Check all that apply.

 Contingent

Unliquidated

Disputed

Last 4 digits of account

subject to a lien

Creditor's name

Creditor's mailing address

Creditor's email address, if known

number

Do multiple creditors have an interest in

the same property?

 No

Describe the lien

Is anyone else liable on this claim?

Schedule H: Codebtors (Official Form 206H)

Ford Motor Credit $16,283.06 $14,000.00 

0 3 4 3

Box 220564

Pittsburgh PA 15257

12/2017

Agreement

 No. Specify each creditor, including this

creditor, and its relative priority.

 Yes. Have you already specified the

relative priority?

 Yes. The relative priority of creditors is

specified on lines

2016 Fort Transit Van

2.3 Describe debtor's property that is

Date debt was incurred

Is the creditor an insider or related party?









No

Yes

No

Yes. Fill out

As of the petition filing date, the claim is:

Check all that apply.

 Contingent

Unliquidated

Disputed

Last 4 digits of account

subject to a lien

Creditor's name

Creditor's mailing address

Creditor's email address, if known

number

Do multiple creditors have an interest in

the same property?

 No

Describe the lien

Is anyone else liable on this claim?

Schedule H: Codebtors (Official Form 206H)

Ford Motor Credit $26,679.65 $27,000.00 

6 0 7 0

Box 220564

Pittsburgh PA 15257

6/2018

Agreement

 No. Specify each creditor, including this

creditor, and its relative priority.

 Yes. Have you already specified the

relative priority?

 Yes. The relative priority of creditors is

specified on lines

2017 Ford E-Series

1) Ford Motor Credit; 2) Ford Motor Credit.

Official Form 206D Additional Page of Schedule D: Creditors Who Have Claims Secured by Property page 2 

Case 20-10683-KHK Doc 39 Filed 04/17/20 Entered 04/17/20 17:26:11 Desc Main

Document Page 9 of 42
Official Form 206E/F

Schedule E/F: Creditors Who Have Unsecured Claims 12/15 

1. Do any creditors have priority unsecured claims?





No. Go to Part 2.

Yes. Go to line 2.

Also list executory contracts on Schedule A/B: Assets - Real and Personal Property (Official Form 206A/B) and on Schedule G:

Executory Contracts and Unexpired Leases (Official Form 206G). Number the entries in Parts 1 and 2 in the boxes on the left.

If more space is needed for Part 1 or Part 2, fill out and attach the Additional Page of that Part included in this form.

Be as complete and accurate as possible. Use Part 1 for creditors with PRIORITY unsecured claims and Part 2 for creditors with

NONPRIORITY unsecured claims. List the other party to any executory contracts or unexpired leases that could result in a claim.

Part 1: List All Creditors with PRIORITY Unsecured Claims

Fill in this information to identify the case:

Debtor

United States Bankruptcy Court for the:

Case number

(if known)

Blue Sky Events, LLC

EASTERN DISTRICT OF VIRGINIA

20-10683-KHK  Check if this is an

amended filing

(See 11 U.S.C. § 507).

2. List in alphabetical order all creditors who have unsecured claims that are entitled to priority in whole or part.

If more space is needed for priority unsecured claims, fill out and attach the Additional Page of Part 1.

Total claim Priority amount

2.1

Last 4 digits of account

Is the claim subject to offset?

 No

 Yes

Date or dates debt was incurred

As of the petition filing date, the

Check all that apply.





Contingent

Unliquidated

Disputed

Adela Mahmutovic and Cezar Bagonton

211 Lake Club Ct.

Unit 205

$20,117.89 $3,025.00 

 

Priority creditor's name and mailing address

Charlottesville VA 22092

number

Specify Code subsection of PRIORITY unsecured 

claim: 11 U.S.C. § 507(a)( 7 )

Basis for the claim:

Deposit for Services

claim is:

2.2

Last 4 digits of account

Is the claim subject to offset?

 No

 Yes

Date or dates debt was incurred

As of the petition filing date, the

Check all that apply.





Contingent

Unliquidated

Disputed

Alina Czaplicki and Bryan King

1021 S. Barton St.

Unit 120

$3,555.50 $3,025.00 

 

Priority creditor's name and mailing address

Arlington VA 22204

number

Specify Code subsection of PRIORITY unsecured 

claim: 11 U.S.C. § 507(a)( 7 )

Basis for the claim:

Deposit for Services

claim is:

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 1 

Case 20-10683-KHK Doc 39 Filed 04/17/20 Entered 04/17/20 17:26:11 Desc Main

Document Page 10 of 42
Debtor Case number (if known)

Part 1: Additional Page

Copy this page if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional PRIORITY creditors exist, do not fill out or submit this page.

Blue Sky Events, LLC 20-10683-KHK

Total claim Priority amount

2.3

Last 4 digits of account

Is the claim subject to offset?

 No

 Yes

Date or dates debt was incurred

As of the petition filing date, the

Check all that apply.





Contingent

Unliquidated

Disputed

Amanda Olsen and Konnor Fulk

2409 Arlington Blvd.

Apt. 101

$20,911.30 $3,025.00 

 

Priority creditor's name and mailing address

Arlington VA 22201

number

Specify Code subsection of PRIORITY unsecured 

claim: 11 U.S.C. § 507(a)( 7 )

Basis for the claim:

Deposit for Services

claim is:

2.4

Last 4 digits of account

Is the claim subject to offset?

 No

 Yes

Date or dates debt was incurred

As of the petition filing date, the

Check all that apply.





Contingent

Unliquidated

Disputed

Chris Fagoli

1315 N. Ode St.

Apt 714

$933.32 $933.32 

 

Priority creditor's name and mailing address

Arlington VA 22209

number

Specify Code subsection of PRIORITY unsecured 

claim: 11 U.S.C. § 507(a)( 7 )

Basis for the claim:

Deposit for Services

claim is:

2.5

Last 4 digits of account

Is the claim subject to offset?

 No

 Yes

Date or dates debt was incurred

As of the petition filing date, the

Check all that apply.





Contingent

Unliquidated

Disputed

Courtney Nurre

5016 Stine Haven Dr.

$1,268.04 $1,268.04 

 

Priority creditor's name and mailing address

Annandale VA 22003

number

Specify Code subsection of PRIORITY unsecured 

claim: 11 U.S.C. § 507(a)( 7 )

Basis for the claim:

Deposit for Services

claim is:

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 2 

Case 20-10683-KHK Doc 39 Filed 04/17/20 Entered 04/17/20 17:26:11 Desc Main

Document Page 11 of 42
Debtor Case number (if known)

Part 1: Additional Page

Copy this page if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional PRIORITY creditors exist, do not fill out or submit this page.

Blue Sky Events, LLC 20-10683-KHK

Total claim Priority amount

2.6

Last 4 digits of account

Is the claim subject to offset?

 No

 Yes

Date or dates debt was incurred

As of the petition filing date, the

Check all that apply.





Contingent

Unliquidated

Disputed

Internal Revenue Service

Box 7346

$66,810.00 $63,026.00 

 

Priority creditor's name and mailing address

Philadelpia PA 19101-7346

number

Specify Code subsection of PRIORITY unsecured 

claim: 11 U.S.C. § 507(a)( 8 )

Basis for the claim:

941 Taxes

claim is:

2.7

Last 4 digits of account

Is the claim subject to offset?

 No

 Yes

Date or dates debt was incurred

As of the petition filing date, the

Check all that apply.





Contingent

Unliquidated

Disputed

Janay Rickwalder

12277 Sherborne St.

$2,410.30 $2,410.30 

 

Priority creditor's name and mailing address

Bristow VA 20136

number

Specify Code subsection of PRIORITY unsecured 

claim: 11 U.S.C. § 507(a)( 7 )

Basis for the claim:

Deposit for Services

claim is:

2.8

Last 4 digits of account

Is the claim subject to offset?

 No

 Yes

Date or dates debt was incurred

As of the petition filing date, the

Check all that apply.





Contingent

Unliquidated

Disputed

Kate Murphy

2009 N. 14th St.

Unit 616

$16,877.85 $3,025.00 

 

Priority creditor's name and mailing address

Arlington VA 22201

number

Specify Code subsection of PRIORITY unsecured 

claim: 11 U.S.C. § 507(a)( 7 )

Basis for the claim:

Deposit for Services

claim is:

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 3 

Case 20-10683-KHK Doc 39 Filed 04/17/20 Entered 04/17/20 17:26:11 Desc Main

Document Page 12 of 42
Debtor Case number (if known)

Part 1: Additional Page

Copy this page if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional PRIORITY creditors exist, do not fill out or submit this page.

Blue Sky Events, LLC 20-10683-KHK

Total claim Priority amount

2.9

Last 4 digits of account

Is the claim subject to offset?

 No

 Yes

Date or dates debt was incurred

As of the petition filing date, the

Check all that apply.





Contingent

Unliquidated

Disputed

Kim Ellsworth-Evans

7073 Glanaman Way

$3,179.46 $3,179.46 

 

Priority creditor's name and mailing address

Warrenton VA 20186

number

Specify Code subsection of PRIORITY unsecured 

claim: 11 U.S.C. § 507(a)( 7 )

Basis for the claim:

Deposit for Services

claim is:

2.10

Last 4 digits of account

Is the claim subject to offset?

 No

 Yes

Date or dates debt was incurred

As of the petition filing date, the

Check all that apply.





Contingent

Unliquidated

Disputed

Kim Mineo

10 Pine Creek La.

$5,565.89 $3,025.00 

 

Priority creditor's name and mailing address

Houston TX 77055

number

Specify Code subsection of PRIORITY unsecured 

claim: 11 U.S.C. § 507(a)( 7 )

Basis for the claim:

Deposit for Services

claim is:

2.11

Last 4 digits of account

Is the claim subject to offset?

 No

 Yes

Date or dates debt was incurred

As of the petition filing date, the

Check all that apply.





Contingent

Unliquidated

Disputed

Laura Poole

258 Spotted Tavern Rd.

$600.00 $600.00 

 

Priority creditor's name and mailing address

Fredericksbrg VA 22406

number

Specify Code subsection of PRIORITY unsecured 

claim: 11 U.S.C. § 507(a)( 7 )

Basis for the claim:

Deposit for Services

claim is:

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 4 

Case 20-10683-KHK Doc 39 Filed 04/17/20 Entered 04/17/20 17:26:11 Desc Main

Document Page 13 of 42
Debtor Case number (if known)

Part 1: Additional Page

Copy this page if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional PRIORITY creditors exist, do not fill out or submit this page.

Blue Sky Events, LLC 20-10683-KHK

Total claim Priority amount

2.12

Last 4 digits of account

Is the claim subject to offset?

 No

 Yes

Date or dates debt was incurred

As of the petition filing date, the

Check all that apply.





Contingent

Unliquidated

Disputed

Lorna Bradley

191 Alpin Drive, SE

$1,119.00 $1,119.00 

 

Priority creditor's name and mailing address

Leesburg VA 20175

number

Specify Code subsection of PRIORITY unsecured 

claim: 11 U.S.C. § 507(a)( 7 )

Basis for the claim:

Deposit for Services

claim is:

2.13

Last 4 digits of account

Is the claim subject to offset?

 No

 Yes

Date or dates debt was incurred

As of the petition filing date, the

Check all that apply.





Contingent

Unliquidated

Disputed

Marlene Free

9412 Abingdon Ct.

$5,948.99 $3,025.00 

 

Priority creditor's name and mailing address

Manassas VA 20109

number

Specify Code subsection of PRIORITY unsecured 

claim: 11 U.S.C. § 507(a)( 7 )

Basis for the claim:

Deposit for Services

claim is:

2.14

Last 4 digits of account

Is the claim subject to offset?

 No

 Yes

Date or dates debt was incurred

As of the petition filing date, the

Check all that apply.





Contingent

Unliquidated

Disputed

Maureen Horan

9816 Picken Pl.

$215.87 $215.87 

 

Priority creditor's name and mailing address

Manassas Park VA 20111

number

Specify Code subsection of PRIORITY unsecured 

claim: 11 U.S.C. § 507(a)( 7 )

Basis for the claim:

Deposit for Services

claim is:

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 5 

Case 20-10683-KHK Doc 39 Filed 04/17/20 Entered 04/17/20 17:26:11 Desc Main

Document Page 14 of 42
Debtor Case number (if known)

Part 1: Additional Page

Copy this page if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional PRIORITY creditors exist, do not fill out or submit this page.

Blue Sky Events, LLC 20-10683-KHK

Total claim Priority amount

2.15

Last 4 digits of account

Is the claim subject to offset?

 No

 Yes

Date or dates debt was incurred

As of the petition filing date, the

Check all that apply.





Contingent

Unliquidated

Disputed

Megan Posey and Jordan Wiley

1662 Skyfield La., NW

Unit Q-101

$9,756.79 $3,025.00 

 

Priority creditor's name and mailing address

Issaquail WA 98027

number

Specify Code subsection of PRIORITY unsecured 

claim: 11 U.S.C. § 507(a)( 7 )

Basis for the claim:

Deposit for Services

claim is:

2.16

Last 4 digits of account

Is the claim subject to offset?

 No

 Yes

Date or dates debt was incurred

As of the petition filing date, the

Check all that apply.





Contingent

Unliquidated

Disputed

Melanie Corcoran

1000 Cordova Pl.

Unit 331

$1,878.22 $1,878.22 

 

Priority creditor's name and mailing address

Santa Fe NM 87505

number

Specify Code subsection of PRIORITY unsecured 

claim: 11 U.S.C. § 507(a)( 7 )

Basis for the claim:

Deposit for Services

claim is:

2.17

Last 4 digits of account

Is the claim subject to offset?

 No

 Yes

Date or dates debt was incurred

As of the petition filing date, the

Check all that apply.





Contingent

Unliquidated

Disputed

Morgan McMahill

8972 Appaloosa Ct.

$8,091.27 $3,025.00 

 

Priority creditor's name and mailing address

Rancho Cucamonga CA 91737

number

Specify Code subsection of PRIORITY unsecured 

claim: 11 U.S.C. § 507(a)( 7 )

Basis for the claim:

Deposit for Services

claim is:

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 6 

Case 20-10683-KHK Doc 39 Filed 04/17/20 Entered 04/17/20 17:26:11 Desc Main

Document Page 15 of 42
Debtor Case number (if known)

Part 1: Additional Page

Copy this page if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional PRIORITY creditors exist, do not fill out or submit this page.

Blue Sky Events, LLC 20-10683-KHK

Total claim Priority amount

2.18

Last 4 digits of account

Is the claim subject to offset?

 No

 Yes

Date or dates debt was incurred

As of the petition filing date, the

Check all that apply.





Contingent

Unliquidated

Disputed

Natalie Dill

675 Hunter St.

$843.05 $843.05 

 

Priority creditor's name and mailing address

Burnsville NC 28714

number

Specify Code subsection of PRIORITY unsecured 

claim: 11 U.S.C. § 507(a)( 7 )

Basis for the claim:

Deposit for Services

claim is:

2.19

Last 4 digits of account

Is the claim subject to offset?

 No

 Yes

Date or dates debt was incurred

As of the petition filing date, the

Check all that apply.





Contingent

Unliquidated

Disputed

Pat Collet

8966 Bella Verde Ct.

$2,098.75 $2,098.75 

 

Priority creditor's name and mailing address

Myrtle Beach SC 29579

number

Specify Code subsection of PRIORITY unsecured 

claim: 11 U.S.C. § 507(a)( 7 )

Basis for the claim:

Deposit for Services

claim is:

2.20

Last 4 digits of account

Is the claim subject to offset?

 No

 Yes

Date or dates debt was incurred

As of the petition filing date, the

Check all that apply.





Contingent

Unliquidated

Disputed

Patrik Dyberg

23334 Wildwood La.

$2,453.50 $2,453.50 

 

Priority creditor's name and mailing address

Middleburg VA 20188

number

Specify Code subsection of PRIORITY unsecured 

claim: 11 U.S.C. § 507(a)( 7 )

Basis for the claim:

Deposit for Services

claim is:

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 7 

Case 20-10683-KHK Doc 39 Filed 04/17/20 Entered 04/17/20 17:26:11 Desc Main

Document Page 16 of 42
Debtor Case number (if known)

Part 1: Additional Page

Copy this page if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional PRIORITY creditors exist, do not fill out or submit this page.

Blue Sky Events, LLC 20-10683-KHK

Total claim Priority amount

2.21

Last 4 digits of account

Is the claim subject to offset?

 No

 Yes

Date or dates debt was incurred

As of the petition filing date, the

Check all that apply.





Contingent

Unliquidated

Disputed

Stacy Deluke Prince

23318 Foxcroft Rd.

$2,214.55 $2,214.55 

 

Priority creditor's name and mailing address

Middleburg VA 20188

number

Specify Code subsection of PRIORITY unsecured 

claim: 11 U.S.C. § 507(a)( 7 )

Basis for the claim:

Deposit for Services

claim is:

2.22

Last 4 digits of account

Is the claim subject to offset?

 No

 Yes

Date or dates debt was incurred

As of the petition filing date, the

Check all that apply.





Contingent

Unliquidated

Disputed

Stephanie Paul and Dustin Knight

11300 Fair Wind Way

$11,756.82 $3,025.00 

 

Priority creditor's name and mailing address

Reston VA 20190

number

Specify Code subsection of PRIORITY unsecured 

claim: 11 U.S.C. § 507(a)( 7 )

Basis for the claim:

Deposit for Services

claim is:

2.23

Last 4 digits of account

Is the claim subject to offset?

 No

 Yes

Date or dates debt was incurred

As of the petition filing date, the

Check all that apply.





Contingent

Unliquidated

Disputed

Tori Selfe and Justin Montgomery

223 Brittany Farms Rd.

Unit D

$6,318.74 $3,025.00 

 

Priority creditor's name and mailing address

New Britain CT 06053

number

Specify Code subsection of PRIORITY unsecured 

claim: 11 U.S.C. § 507(a)( 7 )

Basis for the claim:

Deposit for Services

claim is:

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 8 

Case 20-10683-KHK Doc 39 Filed 04/17/20 Entered 04/17/20 17:26:11 Desc Main

Document Page 17 of 42
Debtor Case number (if known)

Part 1: Additional Page

Copy this page if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional PRIORITY creditors exist, do not fill out or submit this page.

Blue Sky Events, LLC 20-10683-KHK

Total claim Priority amount

2.24

Last 4 digits of account

Is the claim subject to offset?

 No

 Yes

Date or dates debt was incurred

As of the petition filing date, the

Check all that apply.





Contingent

Unliquidated

Disputed

Virginia Department of Taxation

Box 1880

$547,918.00 $238,410.00 

 

Priority creditor's name and mailing address

Richmond VA 23218

number

Specify Code subsection of PRIORITY unsecured 

claim: 11 U.S.C. § 507(a)( 8 )

Basis for the claim:

Sales Taxes

claim is:

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 9 

Case 20-10683-KHK Doc 39 Filed 04/17/20 Entered 04/17/20 17:26:11 Desc Main

Document Page 18 of 42
3. List in alphabetical order all of the creditors with nonpriority unsecured claims.

Part 2: List All Creditors with NONPRIORITY Unsecured Claims

Debtor Blue Sky Events, LLC 20-10683-KHK Case number (if known)

If more space is needed for nonpriority unsecured

claims, fill out and attach the Additional Page of Part 2. Amount of claim

3.1

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.

 Contingent

Unliquidated

Disputed

2400 Building LLC

c/o Odin Feldman Pittleman

1775 Wiehle Ave., Suite 400

Reston VA 20190

$141,825.68 

 03/2018

Nonpriority creditor's name and mailing address

Basis for the claim:

Rent

Is the claim subject to offset?

 No

 Yes

3.2

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.





Contingent

Unliquidated

Disputed

2400 Building LLC

c/o Odin Feldman Pittleman

1775 Wiehle Ave., Suite 400

Reston VA 20190

Unknown 

 Nonpriority creditor's name and mailing address

Basis for the claim:

Build-out Loan

Is the claim subject to offset?

 No

 Yes

3.3

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.





Contingent

Unliquidated

Disputed

ACRS-ASOA

Attn: Pura Valdez

4000 Legato Rd., Unit 700

Fairfax VA 22033

$657.02 

 Nonpriority creditor's name and mailing address

Basis for the claim:

Deposit for Services

Is the claim subject to offset?

 No

 Yes

3.4

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.

 Contingent

Unliquidated

Disputed

Almost Heaven/Culligan Water

14601 Colonel Ct.

Manassas VA 20110

$390.00 

 Nonpriority creditor's name and mailing address

Basis for the claim:

Services Rendered

Is the claim subject to offset?

 No

 Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 10 

Case 20-10683-KHK Doc 39 Filed 04/17/20 Entered 04/17/20 17:26:11 Desc Main

Document Page 19 of 42
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Blue Sky Events, LLC 20-10683-KHK

3.5

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.





Contingent

Unliquidated

Disputed

Black Horse Inn

8393 Meetz Rd.

Warrenton VA 20187

$83.71 

 Nonpriority creditor's name and mailing address

Basis for the claim:

Deposit for Services

Is the claim subject to offset?

 No

 Yes

3.6

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.

 Contingent

Unliquidated

Disputed

Blaze Broadband

6670 Whiskey Bottom Rd.

Laurel MD 20733

$1,119.00 

 Nonpriority creditor's name and mailing address

Basis for the claim:

Services Rendered

Is the claim subject to offset?

 No

 Yes

3.7

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.





Contingent

Unliquidated

Disputed

Boy Scouts of America - NCAC

Attn: Jenna Welle

9190 Rockville Pike

Bethesda MD 20184

$1,277.54 

 Nonpriority creditor's name and mailing address

Basis for the claim:

Deposit for Services

Is the claim subject to offset?

 No

 Yes

3.8

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.

 Contingent

Unliquidated

Disputed

Capital One

Exception Department

2012 Corporate la., Suite 108

Naperville IL 60563

$18,057.00 

 Nonpriority creditor's name and mailing address

Basis for the claim:

Credit

Is the claim subject to offset?

 No

 Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 11 

Case 20-10683-KHK Doc 39 Filed 04/17/20 Entered 04/17/20 17:26:11 Desc Main

Document Page 20 of 42
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Blue Sky Events, LLC 20-10683-KHK

3.9

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.

 Contingent

Unliquidated

Disputed

Capital Restaurant Resources, LLC

707 8th St., SE

Suite 200

Washington DC 20003

$4,200.00 

 Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies

Is the claim subject to offset?

 No

 Yes

3.10

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.

 Contingent

Unliquidated

Disputed

Coastal Sunbelt Produce

9001 Whiskey Bottom Dr.

Laurel MD 20733

$21,231.00 

 Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies

Is the claim subject to offset?

 No

 Yes

3.11

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.

 Contingent

Unliquidated

Disputed

COS Events Management LLC

Box 239

Rockville MD 20848

$24,875.00 

 Nonpriority creditor's name and mailing address

Basis for the claim:

Services Rendered

Is the claim subject to offset?

 No

 Yes

3.12

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.





Contingent

Unliquidated

Disputed

Demolition Services, Inc.

Attn: Melissa Feather

16377 Bennet Rd.

Culpepper VA 22701

$1,884.17 

 Nonpriority creditor's name and mailing address

Basis for the claim:

Deposit for Services

Is the claim subject to offset?

 No

 Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 12 

Case 20-10683-KHK Doc 39 Filed 04/17/20 Entered 04/17/20 17:26:11 Desc Main

Document Page 21 of 42
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Blue Sky Events, LLC 20-10683-KHK

3.13

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.

 Contingent

Unliquidated

Disputed

Don & Co.

2562 Paysphere Cir.

Chicago IL 60674

$3,980.00 

 Nonpriority creditor's name and mailing address

Basis for the claim:

Equipment

Is the claim subject to offset?

 No

 Yes

3.14

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.





Contingent

Unliquidated

Disputed

Fauquier County Public Library

Attn: Terri Garoznik

11 Winchester St.

Warrenton VA 20186

$2,447.50 

 Nonpriority creditor's name and mailing address

Basis for the claim:

Deposit for Services

Is the claim subject to offset?

 No

 Yes

3.15

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.

 Contingent

Unliquidated

Disputed

Firm 70, LLC

2833 Spy Glass Dr.

Chaska MN 55318

$6,060.00 

 Nonpriority creditor's name and mailing address

Basis for the claim:

Consulting Services

Is the claim subject to offset?

 No

 Yes

3.16

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.

 Contingent

Unliquidated

Disputed

Fund So Fast Recovery

122 E. 42nd St.

Suite 2112

$10,330.00 

 Nonpriority creditor's name and mailing address

Basis for the claim:

Loan

Is the claim subject to offset?

 No

 Yes

New York, N 10168

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 13 

Case 20-10683-KHK Doc 39 Filed 04/17/20 Entered 04/17/20 17:26:11 Desc Main

Document Page 22 of 42
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Blue Sky Events, LLC 20-10683-KHK

3.17

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.

 Contingent

Unliquidated

Disputed

Fundbox

300 Montgomery St.

San Francisco CA 94104

$45,383.00 

 Nonpriority creditor's name and mailing address

Basis for the claim:

Loan

Is the claim subject to offset?

 No

 Yes

3.18

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.

 Contingent

Unliquidated

Disputed

George Mason University

4400 University Dr.

MS 4C1

Fairfax VA 22030

$1,300.00 

 Nonpriority creditor's name and mailing address

Basis for the claim:

Services Rendered

Is the claim subject to offset?

 No

 Yes

3.19

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.

 Contingent

Unliquidated

Disputed

International Gourmet Foods

7529 Fullerton Rd.

Springfield VA 22153

$2,989.00 

 Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies

Is the claim subject to offset?

 No

 Yes

3.20

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.

 Contingent

Unliquidated

Disputed

John Velesz

9131 Panther Falls Way

Bristow VA 20136

$53,843.00 

 Nonpriority creditor's name and mailing address

Basis for the claim:

Loan

Is the claim subject to offset?

 No

 Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 14 

Case 20-10683-KHK Doc 39 Filed 04/17/20 Entered 04/17/20 17:26:11 Desc Main

Document Page 23 of 42
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Blue Sky Events, LLC 20-10683-KHK

3.21

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.

 Contingent

Unliquidated

Disputed

Leonard Paper Company

725 N. Haven St.

Baltimore MD 21205

$24,590.00 

 Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies

Is the claim subject to offset?

 No

 Yes

3.22

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.

 Contingent

Unliquidated

Disputed

Magnolia Plumbing

600 Gallatin St., NE

Washington DC 20017

$1,070.00 

 Nonpriority creditor's name and mailing address

Basis for the claim:

Services Rendered

Is the claim subject to offset?

 No

 Yes

3.23

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.





Contingent

Unliquidated

Disputed

Metropolitan Restaurant Brokers LLC

13701 Stonedale Ct.

Clifton VA 20124

Unknown 

 Nonpriority creditor's name and mailing address

Basis for the claim:

Brokerage Services

Is the claim subject to offset?

 No

 Yes

3.24

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.





Contingent

Unliquidated

Disputed

NV Commercial, Inc.

Attn: Nicole PAssmore

8230 Leesburg Pike, Suite 620

Vienna VA 22182

$2,112.93 

 Nonpriority creditor's name and mailing address

Basis for the claim:

Deposit for Services

Is the claim subject to offset?

 No

 Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 15 

Case 20-10683-KHK Doc 39 Filed 04/17/20 Entered 04/17/20 17:26:11 Desc Main

Document Page 24 of 42
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Blue Sky Events, LLC 20-10683-KHK

3.25

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.





Contingent

Unliquidated

Disputed

PAYCHEX

4015 Meeting Way

Suite 110

High Point NC 27226

Unknown 

 Nonpriority creditor's name and mailing address

Basis for the claim:

Services Rendered

Is the claim subject to offset?

 No

 Yes

3.26

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.

 Contingent

Unliquidated

Disputed

Performance Food Group

1333 Avondale Rd.

New Windsor MD 21776

$8,500.00 

 Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies

Is the claim subject to offset?

 No

 Yes

3.27

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.





Contingent

Unliquidated

Disputed

Smart Beginnings of Greater Prince Willi

Attn: Dawn Davis

Box 389

Manassas VA 20108

$4,161.00 

 Nonpriority creditor's name and mailing address

Basis for the claim:

Deposit for Services

Is the claim subject to offset?

 No

 Yes

3.28

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.

 Contingent

Unliquidated

Disputed

The Hartford

Box 660916

Dallas, TZX 75266

$11,500.00 

 Nonpriority creditor's name and mailing address

Basis for the claim:

Insurance Premiums/Charges

Is the claim subject to offset?

 No

 Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 16 

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Document Page 25 of 42
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Blue Sky Events, LLC 20-10683-KHK

3.29

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.

 Contingent

Unliquidated

Disputed

TOAST Capital

401 Park St.

Suite 801

Boston MA 02215

$14,905.00 

 Nonpriority creditor's name and mailing address

Basis for the claim:

Loan

Is the claim subject to offset?

 No

 Yes

3.30

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.

 Contingent

Unliquidated

Disputed

US Food Service

1994 Livinsgston Rd.

Manassas VA 20109

$9,134.00 

 Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies

Is the claim subject to offset?

 No

 Yes

3.31

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.

 Contingent

Unliquidated

Disputed

USA Produce & Seafood

1152 Martinsburg Pike

Winchester VA 22603

$3,033.00 

 Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies

Is the claim subject to offset?

 No

 Yes

3.32

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.





Contingent

Unliquidated

Disputed

Virginia Systems & Technology

Attn: Jamie Rich

6801 Kennedy Rd., Suite 301

Vint Hill VA 20187

$6,545.41 

 Nonpriority creditor's name and mailing address

Basis for the claim:

Deposit for Services

Is the claim subject to offset?

 No

 Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 17 

Case 20-10683-KHK Doc 39 Filed 04/17/20 Entered 04/17/20 17:26:11 Desc Main

Document Page 26 of 42
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Blue Sky Events, LLC 20-10683-KHK

3.33

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.





Contingent

Unliquidated

Disputed

Vulcan Materials

Attn: Beth Moore

5485 Afton La.

Warrenton VA 20186

$1,556.27 

 Nonpriority creditor's name and mailing address

Basis for the claim:

Deposit for Services

Is the claim subject to offset?

 No

 Yes

3.34

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.

 Contingent

Unliquidated

Disputed

Washington Lamb

7963 Conell Ct.

Lorton VA 22079

$3,639.00 

 Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies

Is the claim subject to offset?

 No

 Yes

3.35

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.





Contingent

Unliquidated

Disputed

Wetland Studies & Solutions, Inc.

Attn: Susanna Headly

5300 Wellington Branch Dr., #100

Gainesville VA 20155

$427.42 

 Nonpriority creditor's name and mailing address

Basis for the claim:

Deposit for Services

Is the claim subject to offset?

 No

 Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 18 

Case 20-10683-KHK Doc 39 Filed 04/17/20 Entered 04/17/20 17:26:11 Desc Main

Document Page 27 of 42
Part 4: Total Amounts of the Priority and Nonpriority Unsecured Claims

5.

5a.

Add the amounts of priority and nonpriority unsecured claims.

5b.

Total claims from Part 1

Total claims from Part 2

5c. Total of Parts 1 and 2

Lines 5a + 5b = 5c.

5a.

Total of claim amounts

5b.

5c.

+ 

Debtor Blue Sky Events, LLC 20-10683-KHK Case number (if known)

$433,106.65 

$742,843.10 

$1,175,949.75 

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 19 

Case 20-10683-KHK Doc 39 Filed 04/17/20 Entered 04/17/20 17:26:11 Desc Main

Document Page 28 of 42
Official Form 206G

Schedule G: Executory Contracts and Unexpired Leases 12/15 

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

 Check if this is an

amended filing

Schedule A/B: Assets - Real and Personal Property

(Official Form 206A/B).

Fill in this information to identify the case:

Debtor name

United States Bankruptcy Court for the:

Case number

(if known)

Blue Sky Events, LLC

EASTERN DISTRICT OF VIRGINIA

20-10683-KHK Chapter 11

Be as complete and accurate as possible. If more space is needed, copy and attach the additional page, numbering the entries 

consecutively.

2. List all contracts and unexpired leases State the name and mailing address for all other 

parties with whom the debtor has an executory 

contract or unexpired lease

2.1 2400 Building LLC

7138 Farm Station Rd.

Vint Hill VA 20187

State the term remaining 96 Months

Operting Lease

Contract to be ASSUMED

State what the contract 

or lease is for and the 

nature of the debtor's 

interest

List the contract 

number of any 

government contract

2.2 Easy Ice

925 W. Washington St.

Suite 100

Marquette WI 49855

State the term remaining At-Will

Equipment Lease

Contract to be ASSUMED

State what the contract 

or lease is for and the 

nature of the debtor's 

interest

List the contract 

number of any 

government contract

2.3 Performance Food Service

1333 Avondale Rd.

New Windsor MD 21776

State the term remaining 24 Months

Equipment lease

Contract to be ASSUMED

State what the contract 

or lease is for and the 

nature of the debtor's 

interest

List the contract 

number of any 

government contract

Official Form 206G Schedule G: Executory Contracts and Unexpired Leases page 1 

Case 20-10683-KHK Doc 39 Filed 04/17/20 Entered 04/17/20 17:26:11 Desc Main

Document Page 29 of 42
Official Form 206H

Schedule H: Codebtors 12/15 

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

 Check if this is an

amended filing

Fill in this information to identify the case:

Debtor name

United States Bankruptcy Court for the:

Case number

(if known)

Blue Sky Events, LLC

EASTERN DISTRICT OF VIRGINIA

20-10683-KHK

Be as complete and accurate as possible. If more space is needed, copy the Additional Page, numbering the entries 

consecutively. Attach the Additional Page to this page.

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.

Column 1: Codebtor Column 2: Creditor

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.

Name Mailing address Name

Check all schedules 

that apply:

Number Street

City State ZIP Code

2.1  D

 E/F

G

7146 Farm Station Rd.

Vint Hill VA 20187

Karen Baker CarMax

Number Street

City State ZIP Code

2.2  D

 E/F

G

7146 Farm Station Rd.

Vint Hill VA 20187

Karen Baker Ford Motor Credit

Number Street

City State ZIP Code

2.3  D

 E/F

 G

7146 Farm Station Dr.

Vint Hill VA 20187

Virginia Department of 

Taxation

Karen Baker

Number Street

City State ZIP Code

2.4  D

 E/F

 G

7146 Farm Station Dr.

Vint Hill VA 20187

Internal Revenue 

Service

Karen Baker

Official Form 206H Schedule H: Codebtors page 1 

Case 20-10683-KHK Doc 39 Filed 04/17/20 Entered 04/17/20 17:26:11 Desc Main

Document Page 30 of 42
 Check if this is an

amended filing

Official Form 206Sum

Summary of Assets and Liabilities for Non-Individuals 12/15 

Part 1: Summary of Assets

1.

Fill in this information to identify the case:

United States Bankruptcy Court for the:

Case number (if known):

Debtor Name

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

1a.

1b.

1c.

Real property:

Total personal property:

Total of all property

Copy line 88 from Schedule A/B........................................................................................................................................................................

Copy line 91A from Schedule A/B........................................................................................................................................................................

Copy line 92 from Schedule A/B........................................................................................................................................................................

$0.00 

$93,684.28 

$93,684.28 

Blue Sky Events, LLC

EASTERN DISTRICT OF VIRGINIA

20-10683-KHK

Part 2: Summary of Liabilities

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

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.

3b.

Total claim amounts of priority unsecured claims:

Total amount of claims of nonpriority amount of unsecured claims:

Copy the total claims from Part 1 from line 5a of Schedule E/F...................................................................................................................................................

Copy the total of the amount of claims from Part 2 from line 5b of Schedule E/F.......................................................................................................................

+ 

4. Total liabilities

Lines 2 + 3a + 3b........................................................................................................................................................................

$58,622.08 

$742,843.10 

$433,106.65 

$1,234,571.83 

Official Form 206Sum Summary of Assets and Liabilities for Non-Individuals page 1 

Case 20-10683-KHK Doc 39 Filed 04/17/20 Entered 04/17/20 17:26:11 Desc Main

Document Page 31 of 42
Official Form 202

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

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

Debtor Name

United States Bankruptcy Court for the:

Case number

(if known)

Blue Sky Events, LLC

EASTERN DISTRICT OF VIRGINIA

20-10683-KHK

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

X /s/ Karen Baker

Signature of individual signing on behalf of debtor

Executed on

MM / DD / YYYY



I declare under penalty of perjury that the foregoing 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)

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





Amended Schedule

Other document that requires a declaration

Printed name

Position or relationship to debtor

 Chapter 11 or Chapter 9 Cases: List of Creditors Who Have the 20 Largest Unsecured Claims and Are Not Insiders

(Official Form 204)

Karen Baker

Manager

04/17/2020

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:

Official Form B202 Declaration Under Penalty of Perjury for Non-Individual Debtors

Case 20-10683-KHK Doc 39 Filed 04/17/20 Entered 04/17/20 17:26:11 Desc Main

Document Page 32 of 42
Official Form 207

Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy 04/19 

Fill in this information to identify the case:

Debtor name

United States Bankruptcy Court for the:

Case number

(if known)

Blue Sky Events, LLC

EASTERN DISTRICT OF VIRGINIA

20-10683-KHK

1. Gross revenue from business

 None

 Check if this is an

amended filing

Part 1: Income

The debtor must answer every question. 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 case number (if known).





Operating a business

For prior year: 



Operating a business





Operating a business For the year before that:

Sources of revenue

Check all that apply.

Gross revenue

(before deductions

and exclusions

From to

From to

From to

Filing date Other

Other

Other

01/01/2020

01/01/2019 12/31/2019

01/01/2018 12/31/2018

$208,657.00 

$1,840,062.00 

$1,776,510.00 

MM / DD / YYYY

MM / DD / YYYY

MM / DD / YYYY

MM / DD / YYYY

MM / DD / YYYY

From the beginning of the 

fiscal year to filing date:

Identify the beginning and ending dates of the debtor's fiscal year, 

which may be a calendar year

2. Non-business revenue

 None

Include revenue regardless of whether that revenue is taxable. Non-business income may include interest, dividends, money collected from

lawsuits, and royalties. List each source and the gross revenue for each separately. Do not include revenue listed in line 1.

For prior year:

For the year before that:

Description of sources of revenue Gross revenue

(before deductions

and exclusions

From to

From to

From to

Filing date

from each source

01/01/2020

01/01/2019

01/01/2018

12/31/2019

12/31/2018 Relocation Income $271,886.00 

MM / DD / YYYY

MM / DD / YYYY

MM / DD / YYYY

MM / DD / YYYY

MM / DD / YYYY

From the beginning of the 

fiscal year to filing date:

Official Form 207 Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy page 1 

Case 20-10683-KHK Doc 39 Filed 04/17/20 Entered 04/17/20 17:26:11 Desc Main

Document Page 33 of 42
Debtor

Name

Blue Sky Events, LLC 20-10683-KHK Case number (if known)

3. Certain payments or transfers to creditors within 90 days before filing this case

Part 2: List Certain Transfers Made Before Filing for Bankruptcy

 None

List payments or transfers--including expense reimbursements--to any creditor, other than regular employee compensation, within 90 days 

before filing this case unless the aggregate value of all property transferred to that creditor is less than $6,825. (This amount may be 

adjusted on 4/01/22 and every 3 years after that with respect to cases filed on or after the date of adjustment.)

 Secured debt

Unsecured loan repayments

 Suppliers or vendors

 Services

Other

Creditor's name

Street

City State ZIP Code

Creditor's name and address Dates Total amount or value Reasons for payment or transfer

Check all that apply

Costal Sunbelt Produce

9001 Whiskey Bottom Dr. 

Laurel MD 20733

3.1. $15,605.50

 Secured debt

Unsecured loan repayments

 Suppliers or vendors

 Services

Other

Creditor's name

Street

City State ZIP Code

Creditor's name and address Dates Total amount or value Reasons for payment or transfer

Check all that apply

Performance Food Group

1333 Avondale Rd.

New Windsor MD 21776

3.2. $11,575.91

 Secured debt

Unsecured loan repayments

 Suppliers or vendors

 Services

Other

Creditor's name

Street

City State ZIP Code

Creditor's name and address Dates Total amount or value Reasons for payment or transfer

Check all that apply

US Food Service

11994 Linvingston Rd.

Manassas VA 20109

3.3. $16,308.38

4. Payments or other transfers of property made within 1 year before filing this case that benefited any insider

 None

List payments or transfers, including expense reimbursements, made within 1 year before filing this case on debts owed to an insider or 

guaranteed or co-signed by an insider unless the aggregate value of all property transferred to or for the benefit of the insider is less than 

$6,825. (This amount may be adjusted on 4/01/22 and every 3 years after that with respect to cases filed on or after the date of 

adjustment.) Do not include any payments listed in line 3. Insiders include officers, directors, and anyone in control of a corporate debtor 

and their relatives; general partners of a partnership debtor and their relatives; affiliates of the debtor and insiders of such affiliates; and 

any managing agent of the debtor. 11 U.S.C. § 101(31).

5. Repossessions, foreclosures, and returns

 None

List all property of the debtor that was obtained by a creditor within 1 year before filing this case, including property repossessed by a 

creditor, sold at a foreclosure sale, transferred by a deed in lieu of foreclosure, or returned to the seller. Do not include property listed in 

line 6.

Official Form 207 Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy page 2 

Case 20-10683-KHK Doc 39 Filed 04/17/20 Entered 04/17/20 17:26:11 Desc Main

Document Page 34 of 42
Debtor

Name

Blue Sky Events, LLC 20-10683-KHK Case number (if known)

6. Setoffs

 None

List any creditor, including a bank or financial institution, that within 90 days before filing this case set off or otherwise took anything from 

an account of the debtor without permission or refused to make a payment at the debtor's direction from an account of the debtor because 

the debtor owed a debt.

7. Legal actions, administrative proceedings, court actions, executions, attachments, or governmental audits

Part 3: Legal Actions or Assignments

 None

List the legal actions, proceedings, investigations, arbitrations, mediations, and audits by federal or state agencies in which the debtor 

was involved in any capacity--within 1 year before filing this case.

Case title

 Pending

 On appeal

 Concluded

Case number

Name

Street

City State ZIP Code

Nature of case Court or agency's name and address Status of case

VR 630-1-11805.1

Virginia Department of Taxation

11150 Fairfax Blvd.

Suite 300

Fairfax VA 22030

7.1. Blue Sky Events LLC Premises Padlock

8. Assignments and receivership

 None

List any property in the hands of an assignee for the benefit of creditors during the 120 days before filing this case and any property in the 

hands of a receiver, custodian, or other court-appointed officer within 1 year before filing this case.

9.

Part 4: Certain Gifts and Charitable Contributions

 None

List all gifts or charitable contributions the debtor gave to a recipient within 2 years before filing this case unless the 

aggregate value of the gifts to that recipient is less than $1,000

10.

Part 5: Certain Losses

 None

All losses from fire, theft, or other casualty within 1 year before filing this case.

Official Form 207 Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy page 3 

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Document Page 35 of 42
Debtor

Name

Blue Sky Events, LLC 20-10683-KHK Case number (if known)

11. Payments related to bankruptcy

Part 6: Certain Payments or Transfers

 None

List any payments of money or other transfers of property made by the debtor or person acting on behalf of the debtor within 1 year 

before the filing of this case to another person or entity, including attorneys, that the debtor consulted about debt consolidation or 

restructuring, seeking bankruptcy relief, or filing a bankruptcy case.

Who was paid or who received the transfer? If not money, describe the property Dates Total amount

Street

City State ZIP Code

Address

Email or website address

Who made the payment, if not debtor?

transferred or value

11.1. John P. Forest, II

11350 Random Hills Rd.

Suite 700

Fairfax VA 22030

Karen Baker

March 3, 2020 $2,500.00

12. Self-settled trusts of which the debtor is a beneficiary

 None

List any payments or transfers of property made by the debtor or a person acting on behalf of the debtor within 10 years before the filing 

of this case to a self-settled trust or similar device.

Do not include transfers already listed on this statement.

13. Transfers not already listed on this statement

 None

List any transfers of money or other property--by sale, trade, or any other means--made by the debtor or a person acting on behalf of the 

debtor within 2 years before the filing of this case to another person, other than property transferred in the ordinary course of business or 

financial affairs. Include both outright transfers and transfers made as security. Do not include gifts or transfers previously listed on this 

statement.

14. Previous addresses

Part 7: Previous Locations

 Does not apply

List all previous addresses used by the debtor within 3 years before filing this case and the dates the addresses were used.

Address Dates of occupancy

Street

City State ZIP Code

14.1. 4171 Bludau Rd. From To

Vint Hill VA 20187

April 2017 April 2018

Official Form 207 Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy page 4 

Case 20-10683-KHK Doc 39 Filed 04/17/20 Entered 04/17/20 17:26:11 Desc Main

Document Page 36 of 42
Debtor

Name

Blue Sky Events, LLC 20-10683-KHK Case number (if known)





Is the debtor primarily engaged in offering services and facilities for:

diagnosing or treating injury, deformity, or disease, or

providing any surgical, psychiatric, drug treatment, or obstetric care?

15.

Part 8: Health Care Bankruptcies

Health Care bankruptcies





No. Go to Part 9.

Yes. Fill in the information below.

16.

Part 9: Personally Identifiable Information

Does the debtor collect and retain personally identifiable information of customers?





No.

Yes. State the nature of the information collected and retained

Does the debtor have a privacy policy about that information?

 No.

Yes.

17.





No. Go to Part 10.

Yes. Does the debtor serve as plan administrator?

 No. Go to Part 10.

Yes. Fill in below:

Within 6 years before filing this case, have any employees of the debtor been participants in any ERISA, 401(k), 403(b) or 

other pension or profit-sharing plan made available by the debtor as an employee benefit?

18.

Part 10: Certain Financial Accounts, Safe Deposit Boxes, and Storage Units

Closed financial accounts

 None

Within 1 year before filing this case, were any financial accounts or instruments held in the debtor's name, or for the debtor's benefit, 

closed, sold, moved, or transferred?

Include checking, savings, money market, or other financial accounts, certificates of deposit, and shares in banks, credit unions, brokerage 

houses, cooperatives, associations, and other financial institutions.





Checking

Savings

Money market

Brokerage

Other

XXXXName

Street

City State ZIP Code

18.1. The Fauquier Bank

Box 561

Warrenton VA 20186

3 7 7 1 January 2020 $1,397.40

Last 4 digits of Type of account

account number

Date account 

was closed, 

sold, moved, 

or transferred

Last balance 

before closing 

or transfer

Financial institution name and address

Official Form 207 Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy page 5 

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Document Page 37 of 42
Debtor

Name

Blue Sky Events, LLC 20-10683-KHK Case number (if known)





Checking

Savings

Money market

Brokerage

Other

XXXXName

Street

City State ZIP Code

18.2. The Fauquier Bank

Box 561

Warrenton VA 20186

3 6 7 1 January 2020 $4,220.00

Last 4 digits of Type of account

account number

Date account 

was closed, 

sold, moved, 

or transferred

Last balance 

before closing 

or transfer

Financial institution name and address

19. Safe deposit boxes

 None

List any safe deposit box or other depository for securities, cash, or other valuables the debtor now has or did have within 1 year before 

filing this case.

20. Off-premises storage

 None

List any property kept in storage units or warehouses within 1 year before filing this case. Do not include facilities that are in a part of a 

building in which the debtor does business.

21.

Part 11: Property the Debtor Holds or Controls That the Debtor Does Not Own

Property held for another

 None

List any property that the debtor holds or controls that another entity owns. Include any property borrowed from, being stored for, or held 

in trust. Do not list leased or rented property.

Part 12: Details About Environmental Information





For the purpose of Part 12, the following definitions apply:

means any statute or governmental regulation that concerns pollution, contamination, or hazardous material, regardless or

means any location, facility, or property, including disposal sites, that the debtor now owns, operates, or utilizes or that the debtor

 means anything that an environmental law defines as hazardous or toxic, or describes as a pollutant, contaminant, or a

Environmental law

Site

Hazardous material

the medium affected (air, land, water, or any other medium).

formerly owned, operated, or utilized.

similarly harmful substance.

Report all notices, releases, and proceedings known, regardless of when they occurred.

22.





No

Yes. Provide details below.

Has the debtor been a party in any judicial or administrative proceeding under any environmental law?

Include settlements and orders.

Official Form 207 Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy page 6 

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Debtor

Name

Blue Sky Events, LLC 20-10683-KHK Case number (if known)

23.





No

Yes. Provide details below.

Has any governmental unit otherwise notified the debtor that the debtor may be liable or potentially liable under or in 

violation of an environmental law?

24.





No

Yes. Provide details below.

Has the debtor notified any govermental unit of any release of hazardous material?

25.

Part 13: Details About the Debtor's Business or Connections to Any Business

Other businesses in which the debtor has or has had an interest

 None

List any business for which the debtor was an owner, partner, member, or otherwise a person in control within 6 years before filing this 

case. Include this information even if already listed in the Schedules.

26. Books, records, and financial statements

26a. List all accountants and bookkeepers who maintained the debtor's books and records within 2 years before filing this case.

 None

Name

Street

City State ZIP Code

Name and address Dates of service

26a.1. Paulita Remirez From To

4372 Pierpoint La.

The Plains VA 20198

2017 2018

Name

Street

City State ZIP Code

Name and address Dates of service

26a.2. Anne McGregor From To

329 Amber Cir.

Warrenton VA 20186

2018 2019

26b.

 None

List all firms or individuals who have audited, compiled, or reviewed debtor's books of account and records or prepared a financial 

statement within 2 years before filing this case.

Name

Street

City State ZIP Code

Name and address Dates of service

26b.1. James Nazarday From To

13902 Shadow Fox Ct.

Gainesville VA 20155

2018 2020

Name

Street

City State ZIP Code

Name and address Dates of service

26b.2. John Eckenrode From To

Box 861665

Vint Hill VA 20187

2019 2020

Official Form 207 Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy page 7 

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Debtor

Name

Blue Sky Events, LLC 20-10683-KHK Case number (if known)

26c.

 None

List all firms or individuals who were in possession of the debtor's books of account and records when this case is filed.

Name

Street

City State ZIP Code

Name and address If any books of account and records are

unavailable, explain why

26c.1. Karen Baker

7146 Farm Station Rd.

Vint Hill VA 20187

26d.

 None

List all financial institutions, creditors, and other parties, including mercantile and trade agencies, to whom the debtor issued a 

financial statement within 2 years before filing this case.

Name

Street

City State ZIP Code

Name and address

26d.1. Listeing Post LLC

7138 Farm Station Rd.

Vint Hill VA 20187

Name

Street

City State ZIP Code

Name and address

26d.2. Metropolitan Restaurant Brokers

13701 Stonedale Ct.

Clifton VA 20124

27.





No.

Yes. Give the details about the two most recent inventories.

Inventories

Have any inventories of the debtor's property been taken within 2 years before filing this case?

Name

Street

City State ZIP Code

Name of the person who supervised the taking of the inventory

Name and address of the person who has possession of inventory records

Date of

inventory

The dollar amount and basis

(cost, market, or other basis)

of each inventory

Karen Baker

7146 Farm Station Rd.

Vint Hill VA 20187

Karen Baker 12/2019 $20,000.00 / Liquidation

27.1. 

Official Form 207 Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy page 8 

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Debtor

Name

Blue Sky Events, LLC 20-10683-KHK Case number (if known)

28.

Name Address Position and nature of any interest % of interest, if any

List the debtor's officers, directors, managing members, general partners, members in control, controlling shareholders, 

or other people in control of the debtor at the time of the filing of this case.

Karen Baker 100% 7146 Farm Station Dr.

Vint Hill, VA 20187

Member

29.

Name Address Position and nature of Period during which position

any interest or interest was held





No

Yes. Identify below.

Within 1 year before the filing of this case, did the debtor have officers, directors, managing members, general partners, 

members in control of the debtor, or shareholders in control of the debtor who no longer hold these positions?

30. Payments, distributions, or withdrawals credited or given to insiders





No

Yes. Identify below.

Within 1 year before filing this case, did the debtor provide an insider with value in any form, including salary, other compensation, draws, 

bonuses, loans, credits on loans, stock redemptions, and options exercised?

Name

Street

City State ZIP Code

Name and address of recipient

Relationship to debtor

Dates Reason for

providing the value

Amount of money or description

and value of property

30.1. Karen Baker

7146 Farm Station Dr.

Vint Hill VA 20187

Member

$40,000.00 Salary 2019

31. Within 6 years before filing this case, has the debtor been a member of any consolidated group for tax purposes?





No

Yes. Identify below.

32. Within 6 years before filing this case, has the debtor as an employer been responsible for contributing to a pension fund?





No

Yes. Identify below.

Official Form 207 Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy page 9 

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Debtor

Name

Blue Sky Events, LLC 20-10683-KHK Case number (if known)

Part 14: Signature and Declaration

X /s/ Karen Baker

Signature of individual signing on behalf of the debtor

Executed on

MM / DD / YYYY

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.

I have examined the information in this Statement of Financial Affairs and any attachments 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.

Printed name

Position or relationship to debtor

Are additional pages to Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy (Official Form 207) attached?





No

Yes

04/17/2020

Karen Baker

Manager

18 U.S.C. §§ 152, 1341, 1519, and 3571.

Official Form 207 Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy page 10 

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