EXHIBIT A

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 Desc:

Exhibit A Page 1 of 402
EXHIBIT A

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

102 DIAZ LOPEZ, RAQUEL Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

104 DIONISIO RIVERA, CYNTHIA EVELYN Pension/Retiree 7/10/2020 Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A Y Y N/A Y In Process/Under Revi112 PAGAN, MARTA TREVINO Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

151 THE LINE CONTRACTORS CORP Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

228 CRUZ RAMIREZ, DAVID Public Employee & Pension/Retiree 3/30/2021

Department of Correction and Rehabilitation & Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A NN

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A

269 CR QUALITY ROOFING OF PR, INC. Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A

297 SANTIAGO, EVELYN BRUNELLE Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

380 DORAL FINANCIAL CORPORATION Tax Refund 10/1/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A

411 MURRAY-SOTO, LUISA Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

460 PINTO, LOURDES ARMAIZ Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

462 RODRIGUEZ, OSCAR DIAZ Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

498 COSTAS ELENA, LUIS P. Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A

514 COSTAS ELENA, LUIS P Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A

517 GONZALEZ VELEZ, EMILIO Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

539 WILLIAMS, JAMES Tax Refund 4/21/2021 Department of Treasury Y N/A N N

3rd and Final Information Request 

letter sent to claimant; awaiting 

response

N N/A

561 LAYA JIMENEZ, LEOMAX M Public Employee 5/4/2021 Department of Public Safety Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A

593 NARANJO ALICEA, JOELFRI Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

638 MIELES ZAYAS, JOHN Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

683 CRUZ CRIADO, NIVIA M Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

697 CRESPO HERNANDEZ, JANICK Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

946 VAZQUEZ BRENES, ANGEL MARIO Tax Refund 4/21/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A

See Appendix A for footnotes

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 2 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

965 CRUZ MARTAS, JULIO C Public Employee & Pension/Retiree 11/11/2020

Department of Labor and Human Resources and Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

979 CLINICA DE MANEJO DEL DOLOR DR. CRAWFORD W. LONG C.S.P. Tax Refund 7/13/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

1048 WILLIAM DAVILA CABRERA (DECEASED) Public Employee & Pension/Retiree2 5/4/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

1059 MARQUEZ RIVERA, JOSE L Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

3rd and Final Information Request 

letter sent to claimant; awaiting 

response

N N/A 

1300 ALAMEDA BETANCOURT, ALBA Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

1375 CUEVAS GONZALEZ, EDUARDO J. Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

1429 MUÑOZ-CINTRÓN, RAFAEL A. Public Employee 6/10/2021 Department of Public Safety Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

1463 RODRIGUEZ RODRIGUEZ, JESUS M Public Employee & Pension/Retiree 6/10/2021

Department of Correction and Rehabilitation & Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

1511 COSTA ELENA, LUIS Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

1661 GONZALEZ GARCIA, CARMEN S Public Employee & Pension/Retiree2 5/4/2021

Department of Health, Hospital Regional - Caguas, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

1669 ALCAZAR ROMAN, DIGNA Public Employee, Pension/Retiree & Union Grievance 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

1702 HERNANDEZ JIRAU, ZAIDA Pension/Retiree1 3/30/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico, Teachers Retirement System

Y N/A Y Y N/A Y In Process/Under Revi

1772 REYES PAGAN, ROSALIE Public Employee & Pension/Retiree2 5/4/2021 Department of Health, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

1840 COTTO LEON, DENISSE Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

1853 SANTIAGO RAMIREZ, CYNTHIA Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

1881 RODRIGUEZ RODRIGUEZ, MARIA Public Employee & Pension/Retiree 11/11/2020

Department of Family, Department of Social Services & Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

2014 ARVELO CRESPO, SONIA Public Employee & Pension/Retiree 7/13/2021 Department of Family, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

2057 RIVERA SOTO, ANA Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

2061 ZAYAS MEDINA, DAVID Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

2133 OPEN SYSTEMS INC. Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

2135 CINTRON MONGE, FERNANDO Pension/Retiree1 6/10/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 3 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

2233 NIEVES SANTIAGO, LINDA Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

2246 HERNANDEZ ORSINI, ALEX Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

2251 ROMAN DAVILA, ODETTE Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

2312 TORRES PEREZ, MARIA H. Public Employee & Pension/Retiree 6/10/2021 Department of Natural and Environmental Resources Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

2313 BELVIS VAZQUEZ, RAQUEL A Pension/Retiree 11/13/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

2314 HERNANDEZ MENDEZ, SONIA Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

2315 MORALES GUZMAN, HECTOR E. Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

2318 NIEVES AYALA, EDWIN M Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

2335 GARCIA DE NIEVES, ANA Public Employee & Pension/Retiree 6/10/2021

Department of Natural and Environmental Resources, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

2373 MELENDEZ AYALA, CARMEN M. Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

2399 QUINONES GONZALEZ, CLARO Tax Refund 4/21/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

2401 RIVERA ROBLES , JUANITA Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

2534 OTERO CASTRO, MARITZA E Public Employee 5/4/2021 Department of Transportation and Public Works Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

2548 PROFESSIONAL CREDENTIAL SERVICE INC Tax Refund 7/13/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

2587 MANGUAL PINERO, CARMEN Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

2662

EDWIN M NIEVES AYALA (DECEASED) ANA GARCIA RODRIGUEZ (BENEFICIARY)

Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

2676 MAS RODRIGUEZ, CARLOS ELIZABETH Public Employee & Union Grievance 7/29/2022 Department of Transportation and Public Works Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

2703 LEBRON GOMEZ, SIMON Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

2706 FIGUEROA RAMOS, LUIS ANTONIO Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

2733 RIVERA SANTIAGO, VICTOR Tax Refund 4/21/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

2774 CRUZ ROBLES, PEDRO W. Public Employee & Pension/Retiree 6/10/2021 Office of Court Administration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 4 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

2781 REYES VAZQUEZ , JOSE A. Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

2873 MASS RODRIGUEZ, CARLOS E Public Employee & Pension/Retiree 7/29/2022

Department of Transportation and Public Works, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

2896 ESCANIO QUINONES, ALBERT Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

3rd and Final Information Request 

letter sent to claimant; awaiting 

response

N N/A 

2897 PREVENTIVE MEDICAL CARE SERVICES, PSC Tax Refund 7/13/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

2935 QUINONES ARQUINZONI , GEORGE Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

2962 CARAZO GILOT, CARLOS M Public Employee & Pension/Retiree 6/10/2021 Department of Health, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

3032 COLON RODRIGUEZ, CARMEN Public Employee & Pension/Retiree2 5/4/2021 Mental Health Services and Addiction Control Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

3049 DOMINGUEZ VALENTIN, ISABEL Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

3050 ROBLEDO VAZQUEZ, AIDA Public Employee & Pension/Retiree 11/11/2020

Department of Transportation and Public Works & Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

3057 RIVERA RIVERA, ALBERT Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

3070 BARROSO RIVERA, GLADYS Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

3141 GARCIA MORENO, MARIELI Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

3169 PADRO GONZALEZ, JORGE L Public Employee & Pension/Retiree4 7/10/2020 Puerto Rico Police Bureau and Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

3185 MILLAN CORTES, JOSE ALID Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

3209 ARROYO MELENDEZ, OCTAVIA Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

3265 GARCIA SANTIAGO, ANGEL Public Employee & Pension/Retiree 6/24/2022

Family and Children Administration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

3281 VILEZ VILEZ, FRANCIS Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

3312 LAMBERTY ITHIER, BRENDA JANICE Public Employee & Pension/Retiree 6/10/2021 Department of Justice Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

3346 PAGAN MARTINEZ, DANIEL Public Employee & Pension/Retiree 11/13/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

3378 MATOS IRIZARRY, WILFREDO Public Employee & Pension/Retiree2 5/4/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

3402 I A M DE PR INC Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 5 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

3423 OTERO MONTES, FAUSTINO Public Employee & Pension/Retiree 6/10/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

3426 RODRIGUEZ SANTANA, SAMUEL Pension/Retiree 4/21/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

3446 GARCIA BELTRAN, LUIS A Public Employee & Pension/Retiree 6/24/2022

Family and Children Administration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

3454 MANGUAL PEREZ, RAYMOND J Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

3458 ALVARADO MERCADO, CAROL Public Employee & Pension/Retiree 6/10/2021 Department of Transportation and Public Works Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

3461 BELVIS VAZQUEZ, RAQUEL A. Pension/Retiree 11/13/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

3486 ROLON ORTIZ, PEDRO Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

3567 ZAYAS CRUZ, JOSE A Public Employee & Pension/Retiree2 5/4/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

3573 LANDRAU LUGO, CRUZ V Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

3643 OLIVERA RIVERA, MARIA TERESA Public Employee 5/4/2021 Family and Children Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

3754 SAA SOLORZANO, JORGE V. Tax Refund 4/21/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

3884 LOPEZ MARRERO, WILFREDO Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

3916 MENDEZ PEREZ, CARLOS M Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

3967 COSME THILLET, CARLOS A Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

3987 DE JESUS RODRIGUEZ PSC, DR REYNALDO Tax Refund 4/21/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

4002 FREXULFE LLC Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

4096 FELICIANO TORRES, ANGEL Public Employee & Pension/Retiree2 3/30/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

4118 IRIZARRY CACERES, SONIA N Public Employee & Pension/Retiree4 7/10/2020 Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 4147 RIVERA CORNISH, LAURA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

4150 BATISTA BARBOSA, BRENDA V Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

4191 IRIZARRY LUGO, CARLOS R. Public Employee 3/30/2021 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 6 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

4216 FIGUEROA PEREZ, ACISCLO R Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

4233 DJS MAT INC Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

4465 OTERO CLAUZEL, GRISELLE MILAGROS Public Employee & Pension/Retiree 6/10/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

4473 ROMAN MILLET, JULIO E Tax Refund 4/21/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

4511 SANCHEZ COLON, JERIMAR Y Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

4554 MALADONADO ALBALADEJO, BENITO Pension/Retiree 7/10/2020 Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A Y Y N/A Y In Process/Under Revi

4555 TERON MENDEZ, ENID H Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

4556 GONZALEZ VELEZ, HERMAS Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

4570 LORENZO ALERS, ELVA IRIS Pension/Retiree 11/11/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

4582 RIVERA FIGUEROA, ROBERTO Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

4609 SOTO DIAZ, LEONIDES Public Employee 6/10/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

4712 LOPEZ SOTO, GRISELLE Pension/Retiree 11/13/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

4732 BRISEIDA ZAYAS VÁZQUEZ Y/O 24 ANA M. CRUZ QUINTANA Public Employee & Pension/Retiree4 7/10/2020 Department of Justice, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

4874 ROSARIO VIERA, ISABEL Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

4900 COLON TORRES, LUIS A Pension/Retiree1 6/10/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

4903 HERNANDEZ MENDEZ, ANA Y Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

4961 CARBONERA, PEDRO Public Employee 7/29/2022 Department of Labor and Human Resources Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

5015 SANTIAGO ORTIZ, FERNANDO Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

5089 HERNANDEZ CRESPO, WILDA Pension/Retiree 3/30/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

5117 MORALES, JULIA Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

5178 TORRES RODRIGUEZ, EDITH Public Employee & Pension/Retiree 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 7 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

5219 REYES ROLON, BLANCA R Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

5265 MORALES FLORES, JULIA Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

5278 TRINIDAD HERNANDEZ, CONCEPCION Pension/Retiree 7/10/2020 Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A Y Y N/A Y In Process/Under Revi

5285 MORALES, JULIA Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

5378 CRUZ VERA, HECTOR Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

5381 MERCADO BANOS, JESUS M Public Employee 5/4/2021 Vocational Rehabilitation Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

5417 GONZALEZ BERRIOS, ANGEL Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

5448 LUGO SEGARRA, DANIEL Public Employee 11/11/2020 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

5466 LOPEZ ABRIL, RAFAEL Public Employee 7/29/2022 Highway and Transportation Authority Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

5490 TAMARIS VARGAS, CELIA Public Employee 7/29/2022 Highway and Transportation Authority Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

5499 MEYER COMAS, SARA M Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

5540 COLLAZO OROPEZA, GISELA Public Employee 7/29/2022 Highway and Transportation Authority Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

5544 ALMODOVAR RAMIREZ, EDEL W Public Employee 7/29/2022 Department of Education Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

5582 COSME RIVERA, HERIBERTO Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

5583 GARCIA CINTRON, GENARA Public Employee & Pension/Retiree 10/22/2020 Administration of the Government Retirement Systems and the Judiciary, Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

5588 ORTIZ SANCHEZ, CORALY M. Public Employee 7/29/2022 Highway and Transportation Authority Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

5592 SERRANO MIRANDA, MARIA M Pension/Retiree 11/11/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

5596 MORALES OLMOS, SONIA Public Employee 7/29/2022 Highway and Transportation Authority Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

5607 NOLLA AMADO, JUAN JOSE Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

5610 SANTIAGO ROSARIO, CARLOS Public Employee & Pension/Retiree2 11/11/2020 Department of Public Safety Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

5616 SOTO DIAZ, ANTONIO Public Employee & Pension/Retiree 6/10/2021 Department of Natural and Environmental Resources Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 8 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

5658 DELGADO WELLS, FRANCISCA Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

5668 SANTIAGO LÓPEZ, MARÍA Public Employee 7/29/2022 Highway and Transportation Authority Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

5673 BELTRAN RODRIGUEZ, MILAGROS Public Employee, Pension/Retiree & Union Grievance 6/24/2022

Family and Children Administration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

5678 GONZALEZ SANTANA, ANGIE Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revie

5679 GARCIA SANTIAGO, ANGEL L Public Employee, Pension/Retiree & Union Grievance 6/24/2022

Family and Children Administration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

5716 FERREIRA MERCED, GIOVANNA Public Employee 7/29/2022 Highway and Transportation Authority Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 5724 MACHUCA QUEVEDO, LISSETTE Public Employee3 10/22/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

5768 BARBOZA VELEZ, CECILIA Public Employee 7/29/2022 Highway and Transportation Authority Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 5773 RODRIGUEZ GARCIA, MARIBEL Public Employee & Union Grievance 7/29/2022 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

5789 BERMUDEZ QUINONES, JOSE Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

5813 RODRIGUEZ GARCIA, MARIBEL Public Employee & Pension/Retiree 6/10/2021 Environmental Quality Board, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

5843 VALENTIN TORRES, RICARDO C Public Employee & Union Grievance 7/29/2022 Highway and Transportation Authority Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

5876 MATOS VAZQUEZ, PEDRO Public Employee & Pension/Retiree2 5/4/2021 Child Support Administration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

5887 AROCHO NIEVES, JOSÉ Public Employee 7/29/2022 Highway and Transportation Authority Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

5892 SEDA RIVERA, IVONNE Public Employee 7/29/2022 Highway and Transportation Authority Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

5944 GARCIA PERALES, CLARILINDA Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

5996 SYNERGY VALIDATION GROUP CORP Tax Refund 7/13/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

5999 GARCIA BELTRAN, JOSE A Public Employee & Pension/Retiree 6/24/2022

Family and Children Administration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

6023 CANDELARIA AGRON, MILAGROS Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

6026 BERMUDEZ QUINONES, JOSE Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

6047 GARCIA SANTIAGO, ANGEL L Public Employee & Pension/Retiree 6/24/2022

Family and Children Administration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 9 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

6078 TORRES CRUZ, MIGUEL E Public Employee 7/29/2022 Highway and Transportation Authority Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

6080 ORTIZ ORTIZ, WANDA Public Employee 7/29/2022 Highway and Transportation Authority Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

6123 CHAPARRO TORRES, JOSE L Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

6148 VEGA LÓPEZ, WILLIAM Public Employee & Union Grievance 7/29/2022 Highway and Transportation Authority Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

6150 FELIX MONTILLA, JUAN Public Employee 4/21/2021 Agency Not Provided Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

6155 DEGLANS RODRÍGUEZ, REGIS Public Employee 7/29/2022 Highway and Transportation Authority Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

6165 WEIR SANTIAGO, SHIRLEY Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

6171 ANDINO VEGA, MILDRED Public Employee 7/29/2022 Highway and Transportation Authority Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

6174 IRIZARRY TORRES, NEMESIO Public Employee 7/29/2022 Highway and Transportation Authority Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

6175 QUINONES ORTEGA, JUAN A Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

6183 ROSA BERRIOS, ROBZEIDA Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

6202 MORALES, CARMELO HERNANDEZ Public Employee 7/29/2022 Highway and Transportation Authority Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

6209 VASQUEZ MARTINEZ, MARTIZA Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

6214 LIND SANCHEZ, CARMELO Public Employee & Pension/Retiree2 5/4/2021 State Expert Rio Piedras Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

6227 RAMOS PITRE, DAISY Public Employee 7/29/2022 Highway and Transportation Authority Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

6245 TRAVIESO FIGUEROA, HARIEL Public Employee & Union Grievance 7/29/2022 Highway and Transportation Authority Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

6255 MARRERO FIGUEROA, EVELYN Public Employee 5/4/2021 Highway and Transportation Authority Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

6292 RAMIREZ RAMIREZ, ZULMA Public Employee 5/4/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

6302 ALTAGRACIA TARDY, ANTONIO Public Employee & Pension/Retiree 6/10/2021 Department of Health, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

6307 ALVARADO PAGAN, PEDRO J Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

6321 TORRES BAGUE, ELLIS E Public Employee 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 10 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

6358 CORREA SANTIAGO, HUMBERTO Public Employee 5/4/2021 National Guard of Puerto Rico Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

6368 PEREZ SANJURJO, ANTONIO Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

6375 PONCE LOPEZ, JOSE Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

6386 MUNOZ CEDENO, VICTOR Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

6409 SANTO DOMINGO LAUSELL, OXALI MARIE Union Grievance & Pension/Retiree 6/10/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

6502 MARTINEZ SULSONA, SUCN RAUL Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

6524 CASIANO AYALA, PEDRO A Public Employee & Union Grievance 7/29/2022 National Guard of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

6543 LEBRON VARGAS, JONATHAN Public Employee & Pension/Retiree 6/10/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 6712 EROSARIO VARGAS, VIVIAN Public Employee 6/10/2021 Highway and Transportation Authority Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

6713 ROSARIO VARGAS, VIVIAN E Pension/Retiree6 6/10/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

6726 PEREIRA FIGUEROA, JUAN Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

6759 MERCADO CINTRON, MARTHA L Public Employee3 6/10/2021 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

6766 GONZALEZ ACEVEDO, WANDA I Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

6782 BELBRU ROBLES, JUANA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

6848 ANDUJAR CORDERO, CARMEN A Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

6851 FREYTES DE CHOUDENS, NICOLE Tax Refund 4/21/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

6890 ROSA RODRIGUEZ, EMMA A Pension/Retiree 3/30/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

6921 RIVERA FIGUEROA, WANDA Tax Refund 4/21/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

6934 RAMOS RIVERA, NESTOR L. Public Employee & Pension/Retiree 6/10/2021 Corps of Firefighters Bureau, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A Y Y N/A N N/A 

6950 MONTERO HERNANDEZ, CARMELO Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

6985 CRUZ DIAZ, ANTONIO Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 11 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

7044 QUINTANA SANCHEZ, ANA E. E. Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

7067 RODRIGUEZ TORRES, MAYRA E Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

7131 ESPADA ORTIZ, LUZ NEIDA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

7169 ALVAREZ VILLAREAL, EDUARDO Tax Refund 4/21/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

7209 VAZQUEZ MARTINEZ, MARITZA Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

7273 VELEZ MORALES, AUREA A Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

7288 MARTINEZ CRESPO, LIZA I Public Employee 5/4/2021 Administration of Correction, Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 7322 VARGAS RIVERA, RAMON A Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

7333 VAZQUEZ SANTIAGO, ANGEL R Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

7370 MENDEZ PADILLA, LUIS A Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

7402 RESTO DIAZ, GLORIA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

7403 ARROYO, BRENDALIZ Pension/Retiree1 6/10/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

7437 SANTOS HERNANDEZ, ERICK Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

7486 MORALES PEREZ, EDGARDO Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

7578 CAPO CAPO, EDNA J Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

7655 CABOT BONILLA, MARIA B Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

7722 SANABRIA CRUZ, NELSON Pension/Retiree 3/30/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

7752 MANGUAL CONCEPCION, JORGE LUIS Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

7755 RODRIGUEZ RAMOS, AMPARO Public Employee & Pension/Retiree2 11/13/2020

Vocational Rehabilitation Administration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

7838 MONTANEZ FREYTES, EDDA GRISEL Public Employee 5/4/2021 Vocational Rehabilitation Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

7937 RODRIGUEZ PEREZ, SANTOS H Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 12 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

7939 SANTIAGO COLON, JUANA Public Employee 5/4/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

7942 CORNIER LANCARA, EFRAIN O Pension/Retiree 11/13/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

7947 GARCIA, CARMELO RONDON Public Employee 7/29/2022 Department of Public Safety, Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 7995 NEGRON CRUZ, MYRNA R Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

8056 VAZQUEZ MARTINEZ, MARITZA Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

8062 TORRES APONTE, CARLOS R Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

8107 MANGUEL CONCEPCION, JORGE L. Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

8146 VAZQUEZ RODRIGUEZ, BRENDA Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

8161 SOTO JIMENEZ, DENISE Public Employee & Pension/Retiree 10/22/2020

Family and Children Administration & Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

8197 VARGAS MANTILLA, FRANK Union Grievance 10/22/2020 Department of Family, Socioeconomic Development of the Family Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 8247 ENCODY INC Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

8367 RIVERA SANCHEZ, LYDIA S Public Employee & Pension/Retiree4 7/10/2020 Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

8414 MONTALVO NIEVES, RUTH Public Employee & Union Grievance 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

8485 QUINONES SIERRA, VIVIANA Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

8494 IRIZARRY BONILLA, JESSICA Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

8574 GENERAL OPHTHALMOLOGY GROUP CSP Tax Refund 7/13/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

8586 FALCON MATOS, IRIS D Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

8609 CRUZ RODRIGUEZ, SHEILA Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

8625 OPEN INT'L SYSTEMS CORP Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

8639 PEREZ ZAYAS, RAFAEL Tax Refund 4/21/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

8643 ARCHILLA DIAZ, BENJAMIN Public Employee & Pension/Retiree2 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 13 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

8655 VELEZ MORALES, AUREA A Public Employee 3/30/2021 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

8657 MORALES ROSADO, AUREA A Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

8750 VALENTIN PEREZ, EMERITA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

8813 MELENDEZ RODRIGUEZ, WILFREDO Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

8830 ORTIZ SANTANA, RAMON A Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

8915 ARROYO FIGUEROA, LUCIANO Public Employee & Pension/Retiree2 5/4/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

8931 LUGO RUIZ, ROLAND Public Employee 7/13/2021 Vocational Rehabilitation Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

9006 MARTINEZ VALIENTE, MERCEDES Public Employee & Pension/Retiree 6/10/2021 Department of Justice Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

9067 ORSINI VELEZ, HECTOR L Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

9126 RIVERA BURGOS, HECTOR Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

9208 LEBRON LABOY, LUIS Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

9209 RIVERA LANDRAU, ESPERANZA Pension/Retiree 11/11/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

9299 FIUNTE CARVAJAL, YASNELY Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

9310 MORALES CARO, LUZ M Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

9410 OLIVERA RIVERA, ARNOL Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

9501 ROSARIO ROSADO, JOHANY Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

9609 HERNÁNDEZ OCAÑA, MANUEL G. Public Employee & Union Grievance 7/29/2022 Department of Justice Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

9721 DELGADO ORTIZ, JOSE A. Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

9775 CASTRO GONZALEZ, JANNETTE E Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

9882 EXECUTIVE AIRLINES, INC. Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

9931 DEL ENCARNACION RIVERA, MARIA Public Employee 7/29/2022 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 14 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

9963 FELICIANO RODRIGUEZ, IRVING Public Employee, Pension/Retiree & Union Grievance 6/10/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

9975 MATOS RIVERA, ANGEL LUIS Union Grievance 6/10/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

10019 FEBLES PABON, ARAMINTA Public Employee & Pension/Retiree2 5/4/2021 Government Ethics Office Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

10137 RAMON J VINAS SR ESTATE Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

10160

BANKRUPTCY ESTATE OF MAYOR MEDICAL HEALTH SERVICE, INC CASE NO. 15-02523

Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

10180

BANKRUPTCY ESTATE OF TACTICAL SECURITY POLICE FORCE, INC., CASE NO. 15-05575

Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

10187

BANKRUPTCY ESTATE OF GLOBAL VALIDATION SOLUTIONS, INC. BANK. CASE NO. 10-01146

Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

10189

BANKRUPTCY ESTATE OF WESTERN HOLDING GROUP, BANK CASE NO. 10-04997

Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

10204 BANKRUPTCY ESTATE OF PONTE INC CASE NO 15-03236 Tax Refund 4/21/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

10205

BANKRUPTCY ESTATE OF COMPUTER SOFTWARE PROFESSIONALS IN CASE NO. 15-063 68

Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

10209 SANABRIA SANTIAGO, JOSE A Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

10422 MONTALVO NIEVES, RUTH J Public Employee & Union Grievance 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

10727 ANDUJAR ARROYO, VICTOR Pension/Retiree 5/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

10733 ORTIZ VAZQUEZ, SONIA Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

10776 SANTANA SOLER, GRISELDA Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

10813 SANTANA SOLER, GRISELDA Public Employee, Pension/Retiree & Union Grievance 6/10/2021 Department of Labor and Human Resources Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

10835 ALMODOVAR RODRIGUEZ, DAMARIS Pension/Retiree 7/10/2020 Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A Y Y N/A Y In Process/Under Revi

10844 LIMARDO SANCHEZ, ABNER Pension/Retiree 3/5/2021

Employees Retirement System of the 

Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

10855 HQJ REAL ESTATE, LLC Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

10877 ANDUJAR ARROYO, VICTOR A Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

10952 VITOL, INC Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 15 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

11014 DORAL MORTGAGE, LLC Tax Refund 10/1/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

11032 MARTINEZ ARIAS, ORLANDO Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

11079 RIVERA BELARDO, RICARDO Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

11118 VARGAS SALERNA, WANDA Tax Refund 4/21/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

11264 SANTIAGO FLORES , NAIDA Public Employee3 3/30/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

11337 RIOS NEGRON, PEDRO Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

11353 GONZALEZ DIAZ, LUIS M Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

11366 SAGARDIA SOTO, ADALBERTO Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

11368 ALICEA, ALTAGRACIA BONILLA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

11376 LUNA COLON, ELENA Public Employee & Pension/Retiree 10/22/2020

Vocational Rehabilitation Administration & Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

11407 OCASIO CUEVAS, YOLANDA Public Employee & Pension/Retiree2 5/4/2021 Department of Family Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

11424 CORA PEREZ, BLASINA Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

11471 TRAFIGURA TRADING, LLC Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

11532 RIVERA GONZALEZ, MANUEL Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

11638 COLLAZO GONZALEZ, NORBERTO Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

11661 SANTIAGO FLORES, NAIDA Public Employee3 3/30/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

11665 SANTIAGO FLORES, NAIDA J Public Employee3 3/30/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

11683 ISAIAS MARTINEZ COLON, ANDRES Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

11697 CCI GROUP LLC Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

11716 RODRIGUEZ ALVARADO, LETICIA Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

11718 BENITEZ CASTRO, JESSICA Public Employee & Pension/Retiree 6/10/2021

Department of Natural and Environmental Resources, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 16 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

11724 LOPEZ, CARMEN S Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

11737 ESPINOSA MORALES, SAMUEL Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

11738 FRANCO VILLAFANE, ANTONIO Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

11768 SANTOS GUADALUPE, CARMEN P Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

11826 THE TYLENOL COMPANY Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

11834 RAMIREZ ALVAREZ, JOSE M. Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

11856 BOWE DERONCELE, MARILYN Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

11869 RODRIGUEZ ESPARRA, ORLANDO Public Employee 5/4/2021 Department of Transportation and Public Works Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

11973 AMAURIS TRUST Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

12012 OCASIO ORTIZ, ANA H. Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

12058 GONZALEZ SALCEDO, HILDA I Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

12091 VEGA BAEZ, VICTOR M Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

12102 VAZQUEZ AGOSTO, MARISOL Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

12114 VARGAS RIVERA, NELSON Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

12191 ESTHER RIOS DE SANTIAGO C/P ESTHER RIOS CRESPO Public Employee & Pension/Retiree 7/29/2022 Department of Justice, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

12251 FLORES COLON, REINALDO Public Employee 5/4/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

12282 ESCOBAR VALLE, ALBERTO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

12297 JUARBE SANCHEZ, CARLOS A. Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

12348 CAMPOS SANTIAGO, ERIC Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

12370 RIVERA MEDINA, VICTOR Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

12383 JIMENEZ MEDINA, GRISSEL Tax Refund 4/21/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 17 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

12399 ALVAREZ-ALAMO, IRELIZ Public Employee & Pension/Retiree2 5/4/2021 Department of Family Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

12470 INSIGHT MANAGEMENT GROUP, INC. Tax Refund 7/13/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

12483 TORRES GONZALEZ, JUAN J Pension/Retiree 7/10/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

12534 MONTANEZ RODRIGUEZ, EDWARD Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

12573 CRUZ COLLAZO, MARIA S. Public Employee & Union Grievance 7/29/2022 Department of Transportation and Public Works Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

12598 SUAREZ GARAY, WILLMAR Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

12602 LUGO REYES, DENISSE Public Employee 6/10/2021 Family and Children Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

12605 TRUJILLO MALDONADO, YERELIS Public Employee & Pension/Retiree2 5/4/2021 Socioeconomic Development of the Family Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

12611 OFARRILL VILLANUEVA, LUIS M. Public Employee & Pension/Retiree 6/10/2021 Department of Treasury, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

12675 VELAZQUEZ MUNOZ, HECTOR Public Employee 7/29/2022 Highway and Transportation Authority Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

12741 VAZQUEZ SOLIS, FELIX Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

12761 TORRES FIGUEROA, JOEDDY Public Employee & Union Grievance 7/29/2022 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

12772 SOTO SANTOS, LUCILA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

12779 LOPEZ RAMOS, SHERILL MARIE Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

12851 HERNANDEZ JAMARDO, RICARDO Public Employee 5/4/2021 Department of Transportation and Public Works Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

12854 BAUZA SOTO, JOSE A. Public Employee & Pension/Retiree 6/10/2021 Department of Health, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

12860 HERNANDEZ RIVERA, RAMON Pension/Retiree 3/30/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

12898 TRINIDAD GONZALEZ, WILMA Public Employee 10/22/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

12941 ALVARADO CARTAGENA, HÉCTOR Public Employee 7/29/2022 Highway and Transportation Authority Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

12954 RODRIGUEZ BRACERO, AMADOR Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

12956 HERNANDEZ RODRIGUEZ, HERMAN Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 18 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

12968 NAZARIO FABRE, ANDRES Public Employee 7/29/2022 Highway and Transportation Authority Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

12977 GONZALEZ RIVERA, LUCIA I Pension/Retiree 10/22/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

12978 MORALES MARTINEZ, RAFAEL Public Employee 7/29/2022 Highway and Transportation Authority Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

12980 GARCIA ESTRADA, SANTOS JAVIER Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

13022 GONZALEZ GONZALEZ, JOSE M Union Grievance 7/13/2021 Forensics Science Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

13044 VALENTIN, RAUL SANTIAGO Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

13092 ARROYO OCASIO, AWILDA Public Employee 11/11/2020 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

13113 FLORES COLON, EVELYN Public Employee 3/30/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

13130 HUIZAR ROSADO, SANDRA Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

13153 RODRIGUEZ, EDWIN ALDEA Pension/Retiree 5/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

13195 RIVERA ROJAS, VIRGEN M Public Employee & Union Grievance 7/29/2022 Department of Family, Family and Children Administration Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

13229 JONES BURGOS, ROBERTA A Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

13248 MARTINEAU HOUSING AND BUILDING MANAGEMENT CORP. Tax Refund 7/13/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

13309 BERRIOS LUNA, AIDA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

13339 MARTINEZ MALDONADO, ANGEL L Pension/Retiree 10/22/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

13368 COLON MORCIGLIO, RICARDO Public Employee & Pension/Retiree 11/11/2020

Department of Correction and Rehabilitation, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

13478 FIGUEROA MONSERRATE, GLADYS Public Employee & Union Grievance 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 13484 AGUIRRE VARGAS, TEODORO Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

13587 NIAVIUS TRUST Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

13592

FEDERAL DEPOSIT INSURANCE CORPORATION AS RECEIVER FOR DORAL BANK

Tax Refund 10/1/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

13670 MELENDEZ OJEDA, NOEL Public Employee & Pension/Retiree2 5/4/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 19 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

13690 DIAZ FEBUS, ERIC O Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

13740 RODRIGUEZ COLON, JOSE ALBERTO Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

13756 FIGUEROA VEGA, LUIS A Public Employee & Pension/Retiree 10/22/2020 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 13784 GRACIANO VELEZ AND ANA YAMILE SERRANO Tax Refund 7/13/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

13857 MWR EMERGENCY GROUP LLC Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

13877 BORRERO CORDERO, WILLIAM Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 13884 RODRIGUEZ PAGAN, INEABELLE Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

13940 GALIANO PEREZ, DIANA Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

13963 ORTEGA, MARIBEL Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

14022 ARROYO CINTRON, ROBERTO A Public Employee & Pension/Retiree 6/10/2021 Department of Transportation and Public Works Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 14069 MENDEZ CRUZ, RAUL Public Employee 5/4/2021 Child Support Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

14085 DIAZ JORGE, CARMEN I Public Employee & Union Grievance 6/10/2021 Vocational Rehabilitation Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 14088 GONZALEZ CLASS, CARMEN Public Employee 7/29/2022 Highway and Transportation Authority Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

14159 DE JESUS MADERA, MARIA A Pension/Retiree 11/6/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revie

14175 LUGO TORRES, CARMEN E Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

14182 ENVIROMENTAL INVENTORY & CONSULTING GROUP Tax Refund 7/13/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

14230 VELAZQUEZ VEGA, JOSE M Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

14256 MARTINEZ ORTIZ, WILLIAM H Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

14300 RODRIGUEZ PAGAN, INEABELLE Public Employee & Pension/Retiree2 5/4/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

14317 COLON OTERO , MAYRA INES Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

14340 RAFAEL RAMIREZ, JOSE Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 20 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

14346 RODRIGUEZ RAMOS, EDNA M. Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

14366 GONZALEZ DEL VALLE, OLGA G Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 14416 FELICIANO FIGUEROA, EDNA Tax Refund 4/21/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

14463 ORTIZ LOPEZ, JOSE J Public Employee 11/11/2020 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

14482 NIEVES GARCIA, JEFFREY A Public Employee & Union Grievance 5/4/2021 Department of Natural and Environmental Resources Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 14504 ARROYO SOSTRE, YOMAIRA Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

14627 TORRES RIOS, CARMEN M. Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

14695 ZALE PUERTO RICO, INC. Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

14710 GALARZA HERMINA, ANGEL M Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

14730 MARRERO OTERO, ALEXIS Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 14744 RODRIGUEZ HERNANDEZ, JOSE J Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

14762 CABRERA TORRUELLA, CARMEN Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

14783 TORRES DE MELENDEZ, CARMEN Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

14823 DIAZ PEREZ, ROSALINA Public Employee 5/4/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

14839 RIVERA VALENTIN, GLORIA M Pension/Retiree 11/13/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

14886 CARMONA COLON, ASTRID D. Public Employee3 6/10/2021 Department of Consumer Affairs Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

14947 RODRIGUEZ GERENA, RUTH E Pension/Retiree1 6/10/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

14951 MARTINEZ ROMAN, PATSY Public Employee, Pension/Retiree & Union Grievance 7/29/2022

Department of Family, Family and Children Administration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

14977 NIEVES TROCHE, IVELESE Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

15010 COLON GARCIA, ENAIDA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

15169 DIAZ GONZALEZ, GLORIA E. Public Employee & Pension/Retiree2 5/4/2021 Department of Family Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 21 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

15203 CATALA BARRERA, FRANCISCO Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 15214 NELSON RODRIGUEZ, MANOLIN Public Employee & Pension/Retiree 11/11/2020

Corps of Medical Emergencies Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

15323 NELSON SOTO, ANTHONY Public Employee & Pension/Retiree 6/10/2021

Corps of Medical Emergencies Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

15440 GALARZA ADORNO, ALEX E Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

15575 MATTA RIVERA, CARLOS Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

15713 ORTIZ ALMEDINA ASOCIADOS LAW OFFICES PSC Tax Refund 7/13/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

15926 EMMANUELLI SOTO, VICTOR E Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

15948 VALLES MENDEZ, CARLOS Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

16013 HERNANDEZ SANCHEZ, DAVID Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 16128 GONZALEZ OLIVER, NANCY Public Employee & Pension/Retiree 3/30/2021

Family and Children Administration & Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

16130 RIVERA CENTENO, DOMINGO Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

16149 MOLINA MILLER, MARIO Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 16200 DANAUS TRUST Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

16253 CLASS VILLANUEVA, ANGEL R Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

16268 ROSADO FIGUEROA, ANDRES Pension/Retiree1 6/10/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

16319 GOMEZ, LUMARIE ROSA Public Employee3 6/10/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

16321

BANKRUPTCY ESTATE OF NOVA TECH COMPUTERS CORP., BANKR. NO. 09-07160

Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

16333 PEREZ RODRIGUEZ, MARIA V Pension/Retiree 11/11/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

N/A N/A N/A N/A N/A N/A N/A 

16395 SOSA GONZALEZ, SOL A

Union Grievance & Pension/Retiree5 7/13/2021 Department of Transportation and Public Works Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

16506 DEL C ZAMBRANA, DAMARYS Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

16551 DEL C ZAMBRANA, DAMARYS Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 22 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

16554 BAEZ GUERRA, EILEEN T Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

16595 COTTO SANCHEZ, RONALD D Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

16596 GONZALEZ CARRASQUILLO, JUAN Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

16642 DIAZ LOPEZ, FERNANDO L Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

16800 MORA VELEZ, ELIZABETH Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

16857 RIOS RAMIREZ, BEATRICE Public Employee & Pension/Retiree 6/10/2021 Public Service Appellate Commission Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 16874 ROJO CONSTRUCTION CORPORATION Tax Refund 7/13/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

16875 VELAZQUEZ MERCADO, EFRAIN Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

16878 INMOBILIARIA Y DESARRALLA DORA PUERTO RICO VS INC Tax Refund 7/13/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

16898 DUCOS CORDERO, MIRTA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

16903 GONZALEZ TORRES, MARIELA Public Employee & Pension/Retiree 10/22/2020 Department of Housing & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A Y Y N/A N N/A 

16960 GAYA PEREZ, ANTONIO Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

17075 ARVELO PLUMEY, ALMA M Public Employee 5/4/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

17078 AGILITY LOGISTICS CORP Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

17106

BANKRUPTCY ESTATE OF WM HEALTHY LIFESTYLE, CORP., BANKR. CORP., BANKR.CASE NO.17-03474

Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

17139 RODRIGUEZ PEREZ, ROSARIO Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

17140 WISCOVITCH-RENTAS, NOREEN Tax Refund 4/21/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

17190 RAMOS RIVERA, EILLEEN Public Employee 10/22/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

17253 JUSINO FREYRE, MARILYN Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revie

17259 CONTRERAS LOPEZ, JUSTINA Public Employee 11/13/2020 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

17263 VAZQUEZ FLORES, ROSA Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 23 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

17348 ARVELO PLUMEY, ALMA M Public Employee 5/4/2021 Family and Children Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

17352 OWNED OUTCOMES, LLC Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

17498 TORRES CASIANO, CARLOS Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

17518 MIGNUCCI SANTIAGO, CARMEN SOFIA Pension/Retiree 1/4/2021 Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A Y Y N/A Y In Process/Under Revi

17528 DIAZ PEREZ, VICTOR Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

17530 REYES ALVAREZ, JACKELINE Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

17548 SCHELMETY GOITIA, MARIBELLE Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

17578 PACHECO, AXEL RIVERA Union Grievance 8/25/2021 Department of Natural and Environmental Resources Y N/A Y Y N/A N N/A 17626 RODRIGUEZ VEGA, VERONICA Public Employee3 6/10/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

17632

BANKRUPTCY EST. BR GLOBAL LEARNIR'LG AND CONSULTING, CORP. BANKR.NO.15-05769

Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

17635

BANKRUPTCY ESTATE OF EJS INCORPORADO, BANKR. CASE NO. 16-01647

Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

17654 COLON ROSARIO, LISANDRA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

17655 MEDINA PACHECO, MOISES Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

17672 FERNANDEZ DROZ, JULIA A Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

17710 CHAVES RODRIGUEZ, IRMA R. Public Employee & Pension/Retiree 6/10/2021

Socioeconomic Development of the Family Administration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

17811 HERNÁNDEZ MARTÍNEZ, JUANA M Public Employee 3/30/2021 Department of Justice Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

17812 FIGUEROA ROURE, LUIS ALBERTO Public Employee & Pension/Retiree2 5/4/2021 Highway and Transportation Authority Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

17907 ALICEA ALVAREZ, LUIS A Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

17917 MENDEZ CRUZ, MARISOL Public Employee, Pension/Retiree & Union Grievance 6/10/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

17919 ESCOBAR RIVERA, JUAN Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

17960 VELAZQUEZ VELEZ, HENRY Public Employee3 6/10/2021 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 24 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

17978 RIOS BAEZ, WILFREDO Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

17990 IRIZARRY YAMBO, JOSE A Public Employee 7/29/2022 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

17994 RIVERA, OLGA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

17996 GALDAMEZ REYES, VIVIAN E. Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

18031 FIGUEROA PRIETO, MARIA DE L Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 18042 MIGNUCCI SANTIAGO, CARMEN S Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

18061 GA LOPEZ, GABRIEL Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

18135 BORRERO CORDERO, WILLIAM Public Employee & Pension/Retiree4 1/4/2021 Employees Retirement System of the Government of the Commonwealth of Puerto Rico, Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

18143 OJEDA ESPADA, ANGEL Pension/Retiree1 6/10/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

18240 BALAGUER ESTRADA, SONIA I. Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

18303 SAEZ, YOLANDA I ROSA Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

18467 VINAS CARDONA, LILLIAN E Public Employee & Pension/Retiree2 5/4/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

18471 OTERO MALDONADO, LUIS A Public Employee & Pension/Retiree 6/10/2021 Highway and Transportation Authority Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

18506 MERCED ALAMO, MARIA DEL C Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

18545 RODRIGUEZ D'ANDREA, ANGELES M Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

18556 CANALES DIAZ, AMILCAR Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

18807 ROSA CARTAGENA, FELIX J. Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

18832 SCHINITZER PUERTO RICO, INC Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

18839 NEVARES GUILLERMETY, HECTOR G. Tax Refund 7/13/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

18840 RODRIGUEZ ALAYON, FELIX J Public Employee & Pension/Retiree2 5/4/2021 Department of Justice Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

18901 SOTO BERRUZ, MARTHA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 25 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

18962 GONZALEZ BARRETO, MARGARITA Public Employee & Pension/Retiree2 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

18969 CORDERO RIVERA, LUIS O Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

18975 VASSALLO VIZCARRONDO, HECTOR E Pension/Retiree 1/4/2021 Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A Y Y N/A Y In Process/Under Revi

18983 CRUZ APONTE, ALFREDO Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

19002 CEPEDA TORRES, SONIA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

19045 MORALES LEHMAN, ANGEL M. Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

19066 AGOSTO BETANCOURT, EDGAR Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

19092 MATOS MORALES , ROBERT Public Employee 5/4/2021 Department of Natural and Environmental Resources Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 19113 SOTO GARCIA, ADA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

19164 RIVERA RIVERA, HERY JAVIER Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

19178 RODRIGUEZ GARCIA, ANTONIO Public Employee & Pension/Retiree2 5/4/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

19190 ORTIZ ACOSTA, HILDA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

19252 VIRELLA PAGAN, SAMUEL Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

19277 COLLAZO MONTESINO, BELEN Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

19353 CRUZ MATOS, CARMEN A. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

19425 RIVERA RODRIGUEZ, REINALDO Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

19433 RODRIGUEZ AMARO, ANGEL Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

19468 MENDOZA MATOS, JEFFREY B Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

19504 CASTILLO CASILLAS, CYNTHIA Public Employee 6/10/2021 Socioeconomic Development of the Family Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 19537 SALICRUP, PEDRO Public Employee 7/29/2022 Highway and Transportation Authority Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

19548 DOMENECH MANSO, NILKA M. Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 26 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

19601 ARCHITEK,PSC Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

19706 ROMAN ROMAN, IVELISSE Public Employee & Pension/Retiree 10/22/2020

Department of Family, Family and Children 

Administration & Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

19772 GARCIA BARRETO, YOLANDA Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

19842 SANTIAGO VAZQUEZ, LOURDES M Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

19863 PACHECO RIVERA, MAGDA I Pension/Retiree 11/13/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

19870 VEGA BERRIOS, FERNANDO Public Employee 7/29/2022 Highway and Transportation Authority Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

19939 SOSTRE GONZALEZ, ANA Public Employee 7/29/2022 Highway and Transportation Authority Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

19951 DIAZ SOTO, ELBA R. Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

19990 COLON IRIZARRY, RAMON Public Employee 7/29/2022 Highway and Transportation Authority Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

20011 VILLEGAS LEVIS, NOELIS Public Employee 7/29/2022 Highway and Transportation Authority Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

20028 SEPULVEDA PINEIRO, ULISES Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

20069 BRIONES, ANA M Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

20071 CARTAGENA MARTINEZ, PEDRO J Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

20077 ARCO CAPITAL MANAGEMENT LLC Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

20083 FERNANDEZ FLORES, HAMILTON Public Employee 7/29/2022 Highway and Transportation Authority Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

20089 NOGUERAS VALLE, JOSE Public Employee 7/29/2022 Highway and Transportation Authority Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

20108 PC G INT'L Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

20111 PEREZ SERRANO, JESUS Public Employee & Union Grievance 7/29/2022 Highway and Transportation Authority Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 20133 MONJE RIVERA, MOISES Public Employee 7/29/2022 Highway and Transportation Authority Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

20134 SANTIAGO GARCIA, EDUARDO Public Employee & Union Grievance 7/29/2022 Highway and Transportation Authority Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

20141 TORRES, MARIELA GONZALEZ Public Employee & Pension/Retiree 10/22/2020 Department of Housing & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A Y Y N/A N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 27 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

20174 ESTRADA SILVA , RAUL J. Public Employee & Pension/Retiree 10/22/2020 Child Support Administration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 20177 PINEIRO, ULISES SEPULVEDA Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

20178 VAZQUEZ, HERIBERTO Public Employee 7/29/2022 Highway and Transportation Authority Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

20185 CARTAGENA, HECTOR ALVAREZ Public Employee 7/29/2022 Highway and Transportation Authority Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

20188 GONZALEZ, ANA SOSTRE Public Employee 7/29/2022 Highway and Transportation Authority Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

20189 GONZALEZ, ELISA ALBARRAN Public Employee 7/29/2022 Highway and Transportation Authority Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

20192 MOLINA RIVERA, JOSE Public Employee & Pension/Retiree2 5/4/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

20194 PENA COLON, ARTEMIO Public Employee & Union Grievance 7/29/2022 Highway and Transportation Authority Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

20217 CARDONA QUILES, RICARDO Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

20221 VIALIZ HERNANDEZ, NORMA I Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

20223 MARTINEZ RODRIGUEZ, LIZETTE Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

20228 RIVERA ROCHET, BRENDA E Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

20288 PAGAN PAGAN, REYES Public Employee & Pension/Retiree2 11/11/2020 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

20322 PEREZ-GARCIA, EMILIO Public Employee & Union Grievance 7/29/2022 Highway and Transportation Authority Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

20330 ASOMANTE MEDICAL GROUP Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

20394 DIAZ RIOS, YESSIRAH Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

20435 GENETIC DIAGNOSTIC GROUP, C.S.P. Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

20442 CAMPOS COLON, LYDIA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

20451 GARCIA CRUZ, NEFTALI Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

20465 GONZALEZ CRUZ, FELIX Pension/Retiree 6/10/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

20495 FELICIANO RIVERA, SANTOS Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 28 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

20513 THE NEW 5-7-9 AND BEYOND, INC. Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

20568 ZAYAS CINTRON, IVELISSE Public Employee 11/13/2020 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

20581 QUINONES RIVERA, CARMEN E Public Employee3 11/11/2020 Office of the OMBUDSMAN Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

20840 BURGOS MORALES, BRENDA LIZ Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

20841 MACHADO LOPEZ, ALISYADHIRA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

20909 PEREZ AMARO, MARYLI Tax Refund 4/21/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

20914 SANTOS SANTIAGO, NYDIA EDITH Public Employee 5/4/2021 Department of Family N/A N/A N/A N/A N/A N/A N/A 

20982 MIRANDA BETANCES, INES M Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

21100 RIVERA CRUZ, MAGALY Public Employee & Pension/Retiree 10/22/2020

Department of Family, Socioeconomic 

Development of the Family Administration & Employees Retirement System of the Government of the Commonwealth of Puerto 

Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

21204 FRET QUILES, CARMEN Public Employee & Pension/Retiree2 5/4/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

21255 CRESPO MENDEZ, YOLANDA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

21257 ROJAS SANCHEZ, ALBA N Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

21274 BÁEZ SANTOS, IRIDA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

21351 SERVICE EMPLOYEES INTERNATIONAL UNION Union Grievance 7/29/2022 Multiple Agencies Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

21390 TECH DATA DE PUERTO RICO, INC. Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

21392 COMMSCOPE TECHNOLOGIES LLC Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

21393 OTERO LOPEZ, CARLOS J. Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

21405 SERRANO MARTINEZ, JOSE Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

21525 BAEZ QUINTANA, EVELYN Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

21631 MORALES GONZALEZ, MANUEL Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

21674 ERAZO MORALES, NOEMI Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 29 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

21812 CONNECTICUT GENERAL LIFE INSURANCE COMPANY Tax Refund 7/13/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

21875 MOJICA MARTINEZ, CARMEN L Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

21894 PEREZ, AWILDA CRISCUOLO Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

21920 MELENDEZ RIVERA, ANA I Public Employee & Pension/Retiree 6/10/2021 Department of Justice Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 22025 MELECIO RODRIGUEZ, DARYS Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

22027 LOPEZ FELICIANO, MYRIAM Pension/Retiree 10/22/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

22068 ORTIZ SANTIAGO, INES M Public Employee 6/10/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

22090 MIRANDA MEDINA, BETTY Public Employee & Pension/Retiree 6/10/2021 Administration of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

22207 GONZALEZ ROSA, MIGDALIA Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

22274 ALEJANDRINO OSORIO, JAVIER Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

22303 ZAYAS CINTRON, IVELISSE Public Employee 11/13/2020 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

22412 PPG ARCHITECTURAL COATINGS (PUERTO RICO), INC. Tax Refund 7/13/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

22422 MACHADO LOPEZ, ALISYADHIRA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

22449 OLIVERO RODRIGUEZ, GLADYS M Public Employee & Pension/Retiree 10/22/2020 Department of Family & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

22473 CESAREO PINTO, ANTONIO Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

22537 VIGO CALDERON, CARMEN V Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

22590 POU ROMAN, SANTIAGO L. Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

22617 NIEVES CRESPO, HAYDEE Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

22655 NORTEL NETWORKS (CALA), INC. Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

22664 EXETER GROUP INC Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

22668 BATISTA DE LEON, MILDRED Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 30 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

22696 MONY LIFE INSURANCE COMPANY Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

22719 RIVERA GARCIA, FERNANDO Public Employee & Pension/Retiree4 1/4/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

22743 SANTANA RIVERA, FLORENTINO Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

22855 GUZMAN TORRES, ELVIN Public Employee 3/30/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

22857 PEREZ RIVERA, IRMA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico, Teachers Retirement System

Y N/A Y Y N/A Y In Process/Under Revi

22866 VELEZ IRIZARRY, ZULMA Public Employee3 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

22895 LOPEZ RIVERA, MARGARITA Public Employee & Pension/Retiree 6/10/2021

Department of Correction and Rehabilitation, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

22936 MALAVE, GLADYS Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

23012 RIVERA TORRES, RAUL Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

23025 ROSADO MENDEZ, YAHAIRA Public Employee & Union Grievance 11/13/2020 Family and Children Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 23045 COLON VERA, WANDA M. Public Employee & Pension/Retiree2 5/4/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

23162 RIVERA, MARIA T Public Employee & Pension/Retiree2 5/4/2021 Department of Health, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 23164 OYOLA CALDERON, MONICA I. Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

23198 LOPEZ FONRODONA, CECILIO Public Employee, Pension/Retiree & Union Grievance 6/10/2021 Department of Natural and Environmental Resources Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

23207 VELAZQUEZ SANTIAGO, OLGA E. Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

23271 MONCLOVA GARCIA, SARA Public Employee & Pension/Retiree 4/21/2021 Department of Family Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

23425 COLLAZO ROSADO, LUZ ZENAIDA Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

23480 ROSARIO DIAZ, MARIA DEL Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

23544 ALVARADO, ROSA M Public Employee3 6/10/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

23553 MACHADO MARTINEZ, ZAIDA Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

3rd and Final Information Request 

letter sent to claimant; awaiting 

response

N N/A 

23591 RODRIGUEZ VEGA, RICKY Public Employee & Pension/Retiree2 5/4/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 31 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

23668 O'CONNORS COLON, JEANNETTE Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

23672 MELECIO RODRIGUEZ, DARYS Y Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

23679 HERNANDEZ TORRES, LILLIAM Public Employee 3/30/2021 Administration of the Right to Work N/A N/A N/A N/A N/A N/A N/A 

23743 NIEVES HERNANDEZ, BILLY Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

23754 TORRES GONZALEZ, LINDA Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

23800 RIVERA VELAZQUEZ, DIANA Public Employee 5/4/2021 Department of Public Safety, Puerto Rico Medical Emergencies Corps Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 23903 CARTAGENA RIVERA, MARIBEL Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

23910 ORTA ROMERO, MARITZA I Pension/Retiree 11/13/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

23916 RAMIREZ MOJICA, SONIA I Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

24058 PPG PUERTO RICO, INC. Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

24092 GONZALEZ ROIG, ANA C. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

24123 COLON PAGAN, EDGAR Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

24129 TORRES ROSA, ARMANDO Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

24131 OYOLA PIZARRO, ARIEL Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

24133 AVILES SANTIAGO, EDWARD Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

24200 DEL VALLE, JESUS Public Employee 5/4/2021 Family and Children Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

24277 MPT CONSULTING GROUP, INC Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

24365 ORTIZ PEDROGO, ILIAN Public Employee & Pension/Retiree2 5/4/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

24423 ESTRADA VARGAS, BEATRICE Public Employee & Pension/Retiree 6/10/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

24547 RODRIGUEZ VEGA, NEDYNARDO Public Employee3 6/10/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

24550 CESAREO ORTIZ, EVA Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 32 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

24590 CESAREO ORTIZ, EVA Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

24655 RODRIGUEZ FIGUERO, VICTOR A Public Employee & Pension/Retiree2 5/4/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

24658 FERRER FIGUEROA, ESTHER Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

24726 JMF DEFERRED COMPENSATION TRUST Tax Refund 7/13/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

24789 RODRIGUEZ ROMERO, DUBEL Public Employee 11/11/2020 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

24839 MACHADO LOPEZ, ALISYADHIRA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

24889 VELEZ MELON, LYMARIS Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

24947 MORENO MARRERO, MARIA M Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

24960 CASTRO PACHECO, SOLAMINA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

25000 CARLO RIVERA, AILEEN Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

25107 RIVERA TORRES, ERNESTO Public Employee & Pension/Retiree 6/10/2021 Department of Transportation and Public Works Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

25158 IRIZARRY TORRES, ALMA I Public Employee & Pension/Retiree 3/30/2021 Department of Family & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

25171 VALDEZ CARABALLO, SAMUEL Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

25220 RIVERA MALAVE, EMILY Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

25231 VALENCIA COTTO, YOLANDA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

25343 ROSAS HORTA, MARIA E Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

25448 GONZALEZ GONZALEZ, ENILDA Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

25467 RODRIGUEZ GONZALEZ, EDDIE Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

25479 RIVERA MARTINEZ PSC, OSCAR Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

25573 IRIZARRY ILLAS, HAYDEE Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

25610 RIVERA VEGUILLA, MARIA Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 33 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

25651 FEBRES RIOS, MARIA M Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

25707 PABON FELICIANO, WANDA I Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

25715 SANCHEZ BAREA, JUSTO R Public Employee 5/4/2021 Department of Justice Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

25771 TORRES SANTOS, CARLOS A Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

25926 RAMOS VILLANUEVA, HERMINIO Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

25997 AMERICAN TELEMEDICINE CENTER CORP Tax Refund 7/13/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

26010 LIMA BEAZ, SUCN JOSEFINA Tax Refund 4/21/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

26056 RS LEGACY CORPORATION Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

26078 DEL TORO CABRERA, MAREL Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

26112 REYNALDO GARCIA INC Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

26167 MORALES DIAZ, SONIA M. Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico, Teachers Retirement System

Y N/A Y Y N/A Y In Process/Under Revi

26179 DEL CORDERO MALDONADO, MARIA Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

26209 MARTINEZ RODRIGUEZ, MARILU Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

26284 MONTALVO SANTIAGO, LIZA E Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

26301 MELENDEZ VELEZ, JACKELINE Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

26330 GARCIA, MIGUEL A. Tax Refund 4/21/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

26385 HERNANDEZ, BILLY NIEVES Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

26403 MURIEL SUSTACHE, MARISELA Public Employee & Pension/Retiree 11/11/2020 Department of Family Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

26407 RODRIGUEZ ORTIZ, DAVID Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

26431 CARRASQUILLO VELAZQUEZ, EVELYN Public Employee 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

26453 ALVAREZ FEBUS, NELIDA Pension/Retiree 11/6/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revie

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 34 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

26555 ORTIZ RAMOS, LUIS RICARDO Pension/Retiree1 6/10/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

26602 VALENTIN BARRO, IVELISSE Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

26608 FERRER ALMA, CARMEN L Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

26660 RODRIGUEZ VEGA, VERONICA Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

26690 VAZQUEZ MORALES, EDWARD Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

26711 FIGUEROA RIVERA, EDDIE N. Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

26740 CUMBA POMALES, LUIS G Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

26802 FUENTES TORRES, LUIS A Pension/Retiree1 5/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

26957 TORRES ADORNO, MARTA B Public Employee 6/10/2021 Department of Family, Socioeconomic Development of the Family Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

27088 IRIZARRY CACERES, SONIA M Public Employee & Pension/Retiree 6/10/2021 Family and Children Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

27161 RODRIGUEZ FIGUEROA, ABIGAIL Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

27170 RODRIGUEZ DIAZ, LILLIAN Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

27180 MATOS GARCIA, LUZ YOLANDA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

27189 VELEZ CRESPO, EDUARDO Public Employee & Pension/Retiree4 3/30/2021 Department of Family, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

27266 FAMILIA JIMENEZ, FLOR M Tax Refund 4/21/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

27280 TORRES RAMOS, MAYRA E Public Employee & Pension/Retiree 11/13/2020 Family and Children Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 27349 CANCEL SIERRA, SHEILA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

27364 SANCHEZ ADORNO, MIRIAM R Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

27376 BURGOS NIEVES, ALBERTO M Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

27542 VILLANUEVA TRAVERSO, IDALIZ Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

27604 PADUA ROLDAN, WILDA Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 35 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

27667 HERNANDEZ FELICIANO, FELIX Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

27676 NORDSTROM PUERTO RICO, INC. Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

27749 NIEVES SANTOS, DAMIR Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

27764 GONZALEZ TOLENTINO, LAURA Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

27839 MALDONADO ROLON, ANA S Public Employee 5/4/2021 Department of Justice Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

27852 COSME COSME, MARIA I. Public Employee 5/4/2021 Department of Justice Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

27862 ROSS NIEVES, JOHANNA Public Employee & Union Grievance 11/13/2020 Department of Family Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

27872 RODRIGUEZ ACEVEDO, CARMEN M Pension/Retiree 11/6/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

27922 RODRIGUEZ TORRES, GLORIA L Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

28009 FIDENC IZ RIVERA, MUYIZ RIVERA Pension/Retiree 6/10/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

28019 BRISTOL /MYERS SQUIBB PR INC Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

28083 TIRADO GARCIA, EDGAR Public Employee 11/13/2020 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

28124 LOPEZ FIGUEROA, ROSA Public Employee & Pension/Retiree 6/10/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 28160 LOPEZ RIVERA, MARGARITA Public Employee & Pension/Retiree 6/10/2021

Department of Correction and Rehabilitation, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

28200 CACHO RIVERA, LUIS DANIEL Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 28211 ACEVEDO GONZALEZ, BERNARDO Public Employee & Pension/Retiree4 11/11/2020 Department of Family, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

28230 VEGA REYES, RUBEN LUIS Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

28278 PEREZ MAYSONET, MARIA Public Employee & Pension/Retiree2 5/4/2021

Department of Correction and Rehabilitation, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

28299 FERNANDEZ ALAMO, NYDIA I Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

28342 CAJIGAS JUARBE, CARLOS M Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

28402 ALVARADO ASTACIO, ANA H. Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 36 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

28413 PADILLA RIVERA, JULIO Public Employee & Pension/Retiree4 3/30/2021 Department of Family, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

28456 DE PEREZ DELGADO, VANESSA Public Employee & Union Grievance 7/29/2022 Department of Family, Socioeconomic Development of the Family Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

28477 RODRIGUEZ VALENTIN, HECTOR LUIS Pension/Retiree 9/8/2020 Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A Y Y N/A Y In Process/Under Revi

28496 ZURICH AMERICAN INSURANCE COMPANY Tax Refund 7/13/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

28511 ALMODOVAR LUGO, LARRY W Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

28538 FLUSA CORREA, MAIDA Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

28547 GONZALEZ, NANCY Public Employee & Pension/Retiree4 3/30/2021 Department of Family, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

28557 LORENZANA OQUENDO, JOSE A Public Employee 5/4/2021 Department of Sports and Recreation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

28558 MARTINEZ TORO, MARTA Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

28587 SANTIAGO FELICIANO, WILLIAM Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

28601 MARIA DE LA ROSA JUARBE ESTATE Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

28632 VALENTIN ARBELO, OMAR B Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

28678 CRUZ CONCEPCION, MARIO Public Employee & Pension/Retiree4 1/4/2021 Department of Family, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

28690 RODRIGUEZ MARTINEZ, CARMEN L Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

28705 DE JESUS FIGUEROA, LUZ N Public Employee3 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

28708 LUCENA MARTINEZ, MARCOS A Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

28809 OLIVERO FILOMENO, JOSIAN Pension/Retiree 8/25/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

28810 PABON NUNEZ, TERESA S Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

28814 BAENGA VALLE, MARIA T Public Employee & Pension/Retiree 11/11/2020

Department of Natural and Environmental Resources & Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

28835 GONZALEZ LOPEZ, JOSE H. Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

28891 GONZALEZ SANCHEZ, MARILYN Public Employee, Pension/Retiree & Union Grievance 3/30/2021 Department of Family & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 37 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

28899 RIVERA MEDINA, GILBERTO Pension/Retiree 7/29/2022

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

28939 CAMILO NIEVES, YESENIA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

28967 FOOT LOCKER RETAIL INC Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

28976 FIGUIENDO RODRIQUEZ, WALTON Public Employee, Pension/Retiree & Union Grievance 6/10/2021

Department of Natural and Environmental Resources, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

28987 GARAYUA VIDRO, ESPERANZA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

28991 VEGA RIVERA, MARIA M Public Employee 10/22/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

29113 REYES OTERO, YANELLY Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

29177 FIGUEROA FIGUEROA, ANGEL LUIS Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

29321 ROSS NIEVES, JOHANNA Public Employee & Union Grievance 11/13/2020 Department of Family Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

29324 LAMOURT VELEZ, GLENDA I Public Employee 5/4/2021 Department of Justice Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

29359 MEJIAS MARIN, GLADYS M Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

29407 BURGOS APONTE, ANA L Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

29423 MATOS LOPEZ, ROSA I Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

29468 RODRIGUEZ ALVARADO, MARIBEL Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

29608 CARATTINI ARROYO, IDINEY Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

29639

SUCESIÓN NORBERTO MEDINAVÉLEZ, COMPOSED BY NORBERTO 

MEDINA-ZURINAGA, MARÍA MEDINA-ZURINAGA AND YVONNE 

SILVA-MEDINA

Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

29644 MACHIN OCASIO, MARIA Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

29676 APONTE TORRES, MARTA E. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

29713 NIEVES MARTINEZ, MINERVA Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

29715 SANES FERRER, MARISOL T Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

29740 SANTIAGO RUIZ, MAXIMINA Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 38 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

29760 MARTINEZ ORTIZ, MARIA M. Public Employee & Pension/Retiree 11/11/2020 Department of Family & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 29790 COLLAZO OTERO, MARIEL Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

29808 VARGAS NIEVES, VIRGINIA Public Employee & Pension/Retiree2 5/4/2021 Department of Transportation and Public Works Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

29848 BAERGA VALLE, MARIA T Public Employee & Pension/Retiree 11/11/2020

Department of Natural and Environmental Resources, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

29915 FERNANDEZ RODRIGUEZ, MARIESLYN Public Employee & Pension/Retiree2 5/4/2021 Department of Family Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

30020 AGOSTO CARRASQUILLO, LISA M Pension/Retiree 11/11/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

30033 DEL VALLE MOJICA, MARIBEL Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

30082 GONZALEZ VELEZ, VILMA Y Pension/Retiree 3/30/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

30132 DIAZ ORTIZ, ANGEL L Public Employee & Union Grievance 7/29/2022 Department of Family, Socioeconomic Development of the Family Administration Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

30158 ARROYO CANDELARIO, JORGE Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

30236 JIMENEZ FOSSE, LISETTE T. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

30250 VEGA GUZMAN, ERIC C Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

30254 LOPEZ SANTANA, MEILING Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

3rd and Final Information Request 

letter sent to claimant; awaiting 

response

N N/A 

30267 PEREZ BUTLER, YANIRA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revie

30316 LEON RIVERA, CARMEN A Public Employee & Union Grievance 7/29/2022 Mental Health Services and Addiction Control Administration Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

30319 ALBINO CRESPO, CAMALICH Public Employee & Pension/Retiree 6/10/2021 Department of Transportation and Public Works Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

30528 FELICIANO TORRES, JIMMY Public Employee 3/30/2021 Family and Children Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

30549 RABELL MENDEZ C.S.P. Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

30576 TOTAL PETROLEUM PUERTO RICO CORP Tax Refund 7/13/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

30594 SERRANO, JANNETTE Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

30654 AGRONT MENDEZ, LILIA M. Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 39 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

30711 SALGADO RODRIGUEZ, ENRIQUE Public Employee & Union Grievance 7/29/2022 Department of Correction and Rehabilitation, Administration of Correction Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

30764 SOTO MARQUEZ, OSCAR R Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

30790 CLAUDIO-ROSARIO, HEIDI J Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

30794 STEADFAST INSURANCE COMPANY Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

30836 SANES FERRER, MARISOL T Public Employee & Pension/Retiree4 3/30/2021 Puerto Rico Police Bureau, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

30853 ABRAMS SANCHEZ, LUZ M. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

30879 SOTO ROSA, CARMEN Public Employee & Pension/Retiree 6/10/2021 Department of Family Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

30882 MORALES ALVAREZ, ZAIDA L. Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

30883 CRUZ COLON, ADALJISA Public Employee, Pension/Retiree & Union Grievance 6/10/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

30917 MELENDEZ FRAGUADA, EVA E. Tax Refund 4/21/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

30927 VELAZQUEZ VELAZQUEZ, NORBERTO Pension/Retiree 1/4/2021 Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A Y Y N/A Y In Process/Under Revi

30949 ORTIZ TORRES, RAMON A Public Employee 7/2/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

30990 RAMOS CLEMENTE, ZAIDA Pension/Retiree 11/13/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

31029 GUZMAN CINTRON, EDUARDO Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

31036 HERNAN JR MACHADO TORRES PE PSC Tax Refund 7/13/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

31063 GUZMAN CINTRON, EDUARDO Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

31090 BRITO RODRIGUEZ, ALDO Public Employee 5/4/2021 Public Service Appellate Commission Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

31130 INVERSIONES & CONSTRUCTORA R B GROUP Tax Refund 7/13/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

31160 SOLIVÁN PÉREZ, EDWIN Public Employee3 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

31215 INNOVATIVA CONSULTORES INC Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

31274 DRAGONI MENDEZ, JOSE A. Public Employee 5/4/2021 Administration of Youth Institutions, Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 40 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

31349 ORTIZ SANTIAGO, WANDA I. Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

31350 JIMENEZ RIVERA, IRENES Public Employee 3/30/2021 Department of Transportation and Public Works Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

31379 CROWE HORWATH LLP Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

31415 SOTO ACEVEDO, LUIS Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

31479 MONTALVO SANTIAGO, LIZA E. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 31581 BEARDSLEY LEON, FRANCISCO Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

31592 RIVERA VELASQUEZ , CANDIDA LUZ Public Employee 5/4/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

31640 VALENTIN SANTIAGO, MARIEL Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

31668 PIZARRO GONZALEZ, CARMEN Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

31708 LUGO RIOS, MARIA V. Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

31767 TORO FELICIANO, JULIO C. Union Grievance 8/25/2021 Department of Natural and Environmental Resources Y N/A Y Y N/A N N/A 31771 FERNANDEZ-HERNANDEZ , RAMONITA Pension/Retiree 9/8/2020 Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A Y Y N/A Y In Process/Under Revi

31861 HERNANDEZ RIVERA, DIANA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

31987 RODRIGUEZ GUILBE, MARIA E. Public Employee & Pension/Retiree2 11/11/2020

Department of Correction and Rehabilitation, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

32066 RIVERA DIAZ, DAVID Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

32119 FIDELITY & DEPOSIT CO. OF MARYLAND Tax Refund 7/13/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

32148 PEREZ MAYSONET, MARIA L Public Employee & Pension/Retiree 10/22/2020 Department of Family & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 32186 MIRANDA ARIEL, TIRADO Public Employee, Pension/Retiree & Union Grievance 6/10/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

32223 GONZALEZ COLON, NOEMI Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

32283 RIVERA CARDENALES, LILLIAM Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 32323 ORTIZ HERNÁNDEZ, EVELYN N Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 41 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

32335 MARTINEZ TORRES, GLENISSE MARIE Pension/Retiree 1/4/2021 Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A Y Y N/A Y In Process/Under Revi

32347 CRUZ CASTREJON, RODOLFO Pension/Retiree1 6/10/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

32375 DIAZ LEON, JOSE A. Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

32395 ROSADO RIVERA, NAYDA Pension/Retiree1 6/10/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

32404 JIMENEZ MALDONADO, MARIA Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

32429 GONZALEZ PEREZ, MYRTHA I Public Employee & Pension/Retiree2 5/4/2021 Department of Family, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

32461 PEREZ PEREZ, SONIA N. Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

32509 MARQUEZ ROSADO, DANIEL Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

32553 SANTOS DIAZ, ERNESTO RAUL Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

32564 SEDA ORTIZ, EVELYN Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

32598 VEGA RODRÍGUEZ, ROSA IVELISSE Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

32621 RIVERA MATEO, PEDRO IVAN Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

32642 ALICEA GARCIA, MIGDALIA Union Grievance 7/13/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

32718 PEREZ AVILES, CRISTINA Public Employee & Union Grievance 3/30/2021 Family and Children Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

32758 VELEZ CANCEL, EDISON Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

32812 BAERGA VALLE, MARIA T. Public Employee & Pension/Retiree 11/13/2020

Department of Natural and Environmental Resources & Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

32813 BRITO NUNEZ, JANNETTE M Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

32817 SANTIAGO CAMACHO, ALEXIS Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

32881 GONZALEZ CAMPOS, MARILYN Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

32899 GONZALEZ PEREZ, MYRTHA I Public Employee & Pension/Retiree 6/10/2021

Socioeconomic Development of the Family Administration, Employees Retirement System 

of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

32912 TORO MARRERO, CARMEN LIDIA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 42 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

33010 BAEZ MALAVE, RAUL Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

33060 CARRASCO SANTOS, ANGELICA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

33085 RUIZ SANTIAGO, ADRIAN A Union Grievance 8/25/2021 Department of Natural and Environmental Resources Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 33096 VARGAS MARTINEZ, MARIA M Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

33127 MEDINA ROSAS, MARIA R Public Employee & Pension/Retiree 6/10/2021 Public Building Authority Y N/A Y Y N/A N N/A 

33141 FIGUEROA NIEVES, MAYRA Tax Refund 4/21/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

33144 ORTIZ VELEZ, MARIA DEL CARMEN Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

33200 CHAVEZ QUIROGA, AMPARO Public Employee 5/4/2021 Department of Natural and Environmental Resources Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

33230 BERRIOS MERCADO, VICTOR Public Employee & Pension/Retiree 11/11/2020

Family and Children Administration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

33246 DE JESUS ROSA , SANTY Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

33313 MARTINEZ, GRACIA RUIZ Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

33364 FLORES SUAREZ, MARISOL Public Employee & Pension/Retiree 11/11/2020 Department of Family & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

33393 RODRIGUEZ ALICEA, SYLKIA D Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

33396 PEREZ ORTIZ, BLANCA R Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

33431 RODRIGUEZ RAMOS, ISMAEL Public Employee3 7/13/2021 Department of Transportation and Public Works Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

33472 SANTIAGO MORALES, LOURDES Public Employee, Pension/Retiree & Union Grievance 6/10/2021 Department of Natural and Environmental Resources Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

33513 HOTEL MARBELLA INC Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

33535 RODRIGUEZ RIVERA, GEORGINA Public Employee & Union Grievance 6/10/2021 Department of Natural and Environmental Resources Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

33637 SANTOS GARCIA, JUAN A Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

3rd and Final Information Request 

letter sent to claimant; awaiting 

response

N N/A 

33642 VELEZ VELEZ, JEANNETTE YAHAIRA Union Grievance 5/4/2021 Socioeconomic Development of the Family Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

33710 CARABALLO RAMIREZ, MARTA Public Employee & Pension/Retiree2 5/4/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 43 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

33784 ALMODOVAR TORRES, GLORIMAR Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

33793 MADERA DEL VALLE, CESAR Public Employee & Union Grievance 7/29/2022 Department of Family Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 33810 GONZALEZ PABON, JOSE R Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

33846 RODRIGUEZ TORO, ELIGIO Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

33856 ORTIZ GUEVARA, LUIS R Public Employee & Union Grievance 7/29/2022 Mental Health Services and Addiction Control Administration Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

33873 CRISPIN REYES, DIANA Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

33921 BORGOS DIAZ, MYRNA L Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

33957 GARCIA SANTIAGO, JOSE GERARDO Public Employee & Pension/Retiree 6/10/2021

Department of Correction and Rehabilitation & Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

34028 RAMOS CUEBAS, NORMA M Public Employee 5/4/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

34048 COLON TORRES, ANDREA Public Employee & Pension/Retiree2 5/4/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

34123 ALVAREZ TORRES, LUZ Z. Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

34134 GARCIA MALDONADO, EVELYN Public Employee & Pension/Retiree 6/10/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

34156 SANJURJO PEREZ, ROBERTO L Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

34189 R&D MASTER ENTERPRISES, INC. Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

34197 GOMEZ ACOSTA, YARITZA Public Employee 3/30/2021 Family and Children Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

34205 CRUZ FIGUEROA, VIVIAN Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

34221 CORIANO GONZALEZ, LYNET V. Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

34224 NIEVES IZQUIERDO, EDDIE Pension/Retiree1 6/10/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

34235 ALVAREZ FUENTES, MARIA C Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

34238 MALDONADO ESCOBAR, REINALDO Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

34246 RODRIGUEZ CASELLAS, ZINIA Pension/Retiree1 6/10/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 44 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

34296 RIVERA OTERO, JUANA M Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

34325 SANTANA DIAZ, MONSERRATE Public Employee & Pension/Retiree2 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

34326 AVILES RIVERA, LESLIE Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

34408 SANTIAGO VEGA, LUZ DEL C Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

34410 MOROVIS COMMUNITY HEALTH CENTER Tax Refund 7/13/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

34441 RIVERA RODRIGUEZ, MIGDALIA Public Employee & Union Grievance 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

34451 QUINONES HERNANDEZ, RAMON Tax Refund 4/21/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

34477 GUADARRAMA CAMACHO, CARMEN M Public Employee & Pension/Retiree 3/30/2021

Department of Transportation and Public Works & Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

34541 RODRIGUEZ RODRIGUEZ, JANICE Union Grievance 7/13/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

34558 RIVERA RIVERA, LYDIA Public Employee3 6/10/2021 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

34560 ROMAN GONZALEZ, BRENDA IVETTE Pension/Retiree 9/8/2020 Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A Y Y N/A Y In Process/Under Revi

34564 BERRIOS SANTOS, VIRGENMINA Public Employee3 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

34566 SOTO VAZQUEZ, MIRZA I Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

34569 ANTHONY ALICEA GARCIA - ESTATE Tax Refund 4/21/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

34626 COLON ORTIZ, LOURDES I Public Employee & Pension/Retiree2 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

34628 VENTURA RIVAS, IRAQUELIZ Public Employee & Pension/Retiree 6/10/2021

Highway and Transportation Authority & Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

34673 HERNANDEZ GONZALEZ, BLANCA Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

34700 RENTA RUIZ, LUIS G. Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

34734 ECHEVARRIA ORTIZ, JOSE A. Public Employee & Pension/Retiree 6/10/2021 Administration of Correction Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

34771 FELICIANO VELEZ, IRENE Public Employee & Pension/Retiree 10/22/2020

Department of Natural and Environmental Resources, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

34819 PANETO ACOSTA, SYLVIA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 45 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

34842 RIVERA RODRIGUEZ, RICARDO Union Grievance 8/25/2021 Department of Natural and Environmental Resources Y N/A Y Y N/A N N/A 

34864 MALDONADO ESPINOSA, MODESTO Public Employee 11/11/2020 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

34911 TORRES SANTIAGO, LISETTE M Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

34944 RIOS MALDONADO, LESLIE FRANK Public Employee, Pension/Retiree & Union Grievance 6/10/2021

Department of Natural and Environmental Resources and Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

34978 RODRIGUEZ VARGAS, JACQUELI Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

34980 LOPEZ MARTINEZ, JORGE Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

34995 JIMENEZ NIEVES, CARMEN J. Public Employee & Pension/Retiree2 5/4/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

35024 RIOS RIVERA , MAYRA L Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

35041 ESCOBAR NEGRON, MAYRA Public Employee & Pension/Retiree2 5/4/2021 Department of Natural and Environmental Resources Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 35226 SJS MNGT ASSOCIATES INC Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

35234 DE L. RIVERA ALLENDE, MARIA Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

35235 RODRIGUEZ MARTINEZ, CARMEN L Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

35250 LEBRON CORREA , MIGDALIA Public Employee & Pension/Retiree 6/10/2021 Department of Family, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

35361 COTAY HAYS, NITZA Public Employee 11/11/2020 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

35377 SANTIAGO SILVA, VERONICA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

35393 ESTRELLA PONEALES, YIRIAM NEE Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

35422 CAMACHO HERNANDEZ, MARIA DEL C Public Employee & Union Grievance 7/29/2022 Mental Health Services and Addiction Control Administration Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

35515 OROZCO LABOY, VILMA L. Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

35532 ACOSTA CINTRON, CARMEN L. Public Employee 5/4/2021 Department of Family, Department of Social Services Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

35544 ZAYAS VENDRELL, CARMEN L. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

35551 LEBRON RUIZ, JOSE A. Public Employee & Pension/Retiree 6/10/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 46 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

35552 PÉREZ BONILLA, MARIA D. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

35605 GARRIGA RODRIGUEZ, FERDINAND Public Employee & Pension/Retiree 11/11/2020 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

35656 RDA LEGAL, PSC. Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

35664 COLON RIVERA, WANDA I Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

35709 LOPEZ DAVID, MIRIAM Tax Refund 4/21/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

35715 BRUNET VALENTIN, DOLORES Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

35782 CASTRO VALENCIA, CARLOS M Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

35840 CRUZ GONZALEZ, BETSY Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 35842 COLON LOPEZ, NANCY Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 35851 LOPEZ FUENTES, MORAIMA Pension/Retiree1 6/10/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

35898 VELEZ ALICEA, NANCY Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

35917 ROMAN RUIZ, NIDRA I. Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

35931 CONTRERAS GOMEZ, FIDEICOMISO Tax Refund 4/21/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

35940 MALDONADO GONZALEZ, HECTOR Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

35949 HERNANDEZ MIRANDA, ANGELA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

35978 CARABALLO RAMIREZ, MARTA Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

35982 FIGUEROA RAMOS, BETZAIDA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

36029 HERNANDEZ RUIZ, YANITZA Public Employee & Pension/Retiree 3/30/2021

Socioeconomic Development of the Family Administration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

36037 ARCE RODRIGUEZ, AMALIA N. Public Employee 11/11/2020 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

36092 ROLON RIVERA, ROSANNIE Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

36137 PEREZ DIAZ, JOSE L. Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 47 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

36149 COSTCO WHOLESALE CORPORATION Tax Refund 7/13/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

36186 RESILIENCIAS, INC Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

36220 ORTIZ LOPEZ, MARTA M Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

36226 PONS CINTRON, GASPAR Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

36329 RIVERA MARRERO, LUIS Pension/Retiree1 6/10/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

36387 RAMOS CARRASQUILLO, JOSE O Pension/Retiree1 6/10/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

36494 HERNANDEZ SANTIAGO, WILLIAM Public Employee & Pension/Retiree 10/22/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

36578

JOSE LUIS OPPENHEIMER ALMODOVAR ARCADIA FIGUEROA DIAZ

Tax Refund 4/21/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

36622 AYALA BRENES, ADA Public Employee & Pension/Retiree 6/10/2021 Department of Family Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

36642 MARTINEZ SIERRA, MIGDALIA R Public Employee & Pension/Retiree 10/22/2020 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

36663 ROBLES OQUENDO, LETICIA Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

36674 SANTIAGO ARROYO, LUZ A Public Employee & Pension/Retiree 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

36718 ORTIZ LOPEZ, NERIDA O Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

36765 ROSA MORALES, MORAIMA Union Grievance 11/13/2020 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

36775 PEREZ SANTIAGO, MIRIAM LUZ Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

36787 GUERRERO ALTORAN, OSCAR Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

36813 GONZALEZ NIEVES, BARBARA Public Employee 5/4/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

36837 GUZMAN CRUZ, JUANITA Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

36843 A.L. SUAREZ MANAGEMENT COMPANY INC. Tax Refund 7/13/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

36847 REYES CASELLAS, AIDA M Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

36931 NIEVES SIFRE, YADIRA E Pension/Retiree 3/30/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 48 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

37002 COTTO RIVERA, IDALIA Public Employee & Pension/Retiree2 3/30/2021 Department of Family Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

37017 SOTO CORCHADO, MARISOL Public Employee & Union Grievance 11/11/2020 Department of Family Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 37091 TORRES, ELIEZER SOTO Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

37128 ESCUDERO SAEZ, JYBETTSSY Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

37159 PEREZ RODRIGUEZ, JESSICA Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

37226 APONTE PEREZ, ZENAIDA Public Employee & Union Grievance 7/29/2022 Department of Family, Socioeconomic Development of the Family Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

37263 CLAUDIO, NANCY TORRES Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

37286 GARCIA SANTIAGO, JOSE GERARDO Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

37305 MALDONADO LOPEZ, EDWIN Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

37308 AYALA RODRIGUEZ, VICTORIA Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

37364 COLON MULERO, LYDIA ROSA Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

37377 ROSA FERNANDEZ, WANDA M. Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

37382 BURGOS HUERTAS, ROBERTO Public Employee & Pension/Retiree2 5/4/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

37456 MATOS TORRES, MIRTA Public Employee & Pension/Retiree 10/22/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

37542 NEGRON DECLET, ROBERTO Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

37602 ALICANO EDUARDO, MARRERO Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

37694 TORRES, CARMEN RUIZ Public Employee & Pension/Retiree 10/22/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

37704 RIVERA BUTHER, YANIRA Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

37740 FLORES ROSELLO, MARIA DE F Public Employee 10/22/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

37749 IRIZARRY-GALARZA, ROBERTO Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

3rd and Final Information Request 

letter sent to claimant; awaiting 

response

N N/A 

37762 NEGRON PADILLA, JOSE Public Employee & Union Grievance 7/29/2022 Highway and Transportation Authority Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 49 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

37786 HERNANDEZ CAJIGAS, GILBERTO Tax Refund 4/21/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

37787 CALDERIN GARCIA, MARIA M. Public Employee 1/4/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

37792 ORTIZ RUIZ, FLOR MARIA Public Employee & Pension/Retiree4 9/8/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

37806 DRAGONI BAEZ, WANDA I. Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

37807 MELENDEZ RAMOS , BRENDA E. Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

37815 BENITEZ RODRIGUEZ, GERARDO Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

37859 CORIANO GONZALEZ, ISMALY Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

37897 FIGUEROA LOZADA, LETICIA Union Grievance 7/13/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

37945 RIVERA LOZADA, RAMON Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

37956 FLORES GONZALEZ, ANA R Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

38002 GONZALEZ PINTADO, MARISOL Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

38090 GONZALEZ CORDERO, EDWIN Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

38140 SANTIAGO SANTIAGO, MARIA Public Employee 3/30/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

38154 MARTINEZ VELEZ, RUTH DALIA LUISA Public Employee & Pension/Retiree2 5/4/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

38203 SANTIAGO BRIGNONI, MARIE L. Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

38221 VELEZ VELEZ, SONIA I. Public Employee & Pension/Retiree 6/10/2021 Highway and Transportation Authority Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

38230 ZAPATA PADILLA, ARLYN Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

38236 TORRES ORTIZ, CYNTHIA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

38254 CINTRON JURADO, MARIA L. Public Employee 10/22/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

38261 FIGUEROA RODRIGUEZ, YARITZA Public Employee3 10/22/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

38321 BARRETO RAMOS , JOSE R. Public Employee 10/22/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 50 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

38346 DEL C. MEDINA OCASIO, VILMA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 38379 MARRERO SANCHEZ, MIKE S Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

38401 SANCHEZ MEJIAS , DANIEL Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

38429 SANTIAGO, LILLIAM HERNANDEZ Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 38435 MARTINEZ CESANI, RAUL E. Public Employee & Pension/Retiree2 5/4/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

38442 MUNOZ, MIGUEL LEON Tax Refund 4/21/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

38458 COLON CRUZ, JOSE A. Public Employee 7/29/2022 Highway and Transportation Authority Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

38475 DE JESUS ORTIZ, MIRIAM Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

38579 MANUEL SEVILLA - SUP ZONA DE MATEMATICA Public Employee 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

38612 ALVARADO AVILES, NOEMI Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

38647 COLLAZO COLON, ILSA Public Employee & Pension/Retiree2 5/4/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

38676 RIVERA DIEZ, IRMA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

38691 HERNANDEZ SANTIAGO, LILLIAM Public Employee & Pension/Retiree 10/22/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

38757 TORRES LOPEZ, TAMARA L. Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

38758 TORRES MARTINEZ, JENYS Public Employee 6/10/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

38763 OCASIO HERRERA, ISAMAR Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

38861 ORTIZ VEGA, IVELISSE Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

38871 MONTERO MARTINEZ, MARITZA Public Employee & Union Grievance 6/10/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

38892 BERRIOS RODRIGUEZ, MARIA F Public Employee 10/22/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

38900 CRUZ, JUAN FLORES Public Employee & Pension/Retiree 6/10/2021 Department of Health, AFASS - Hospital Regional - Caguas Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

38943 PEREZ DIAZ, MARIA G Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 51 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

38969 RUIZ ALVAREZ, JORGE A. Public Employee & Union Grievance 7/29/2022 Highway and Transportation Authority Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

38979 PEREZ MULERO, JAVIER Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

39009 CRISPIN REYES, MARISOL Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

39060 VERA VARGAS, OMAYRA Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

39134 GONZALEZ PACHECO, MELISSA Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

39136 ALOMAR RIGUAL, GLORIA E. Public Employee 5/4/2021 Mental Health Services and Addiction Control Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

39191 SUÁREZ RAMÍREZ, MARIANA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

39259 CONCEPCION FUENTES, NIDIA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

39299 MERCADO CANALS, ISAMARYS Public Employee & Union Grievance 11/13/2020 Family and Children Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

39314 FERRER CATALA, ADA L Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

39318 GARCIA GONZALEZ, DORIS T Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

39338 JIMENEZ LOPEZ, JANET Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 39347 RIOS LOPEZ, ROSA I Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

39365 HERNANDEZ PELLOT, EVERLIDIS Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

39373 ROSSY PADILLA, ZAIDA Public Employee & Pension/Retiree 10/22/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 39387 ALEJANDRO ROLDAN, LAURA E. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

39436 SANTIAGO SANTIAGO, BRENDA L Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

39451 JIMENEZ LOPEZ, JANET Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

39468 MERCADO TONES, ROBERTO Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

39486 QUILES, EDWIN RAMOS Public Employee & Union Grievance 7/29/2022 Highway and Transportation Authority Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

39518 FUENTES RAMOS, ANGEL D Public Employee3 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 52 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

39643 HERNANDEZ SANTIAGO, WILLIAM Public Employee3 10/22/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

39656 RODRIGUEZ RIVERA, ANA CELIA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

39675 RUPERTO RIVERA, ABIGAIL Public Employee3 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

39760 VERA CUEVAS, MIRTA Public Employee 5/4/2021 Administration of Labor Rights, Department of Work and Human Resources Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 39780 TORRES COLON, GLORIA E. Public Employee 6/10/2021 Department of Labor and Human Resources Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

39804 ESCALERA TORRES, MARÍA L. Pension/Retiree 10/22/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

39865 CEPEDA SANCHEZ, ISELLE Public Employee & Pension/Retiree 6/10/2021 Department of Economic Development and Commerce Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

39871 RODRIGUEZ VEGA, NEDYNARDO Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

39938 FIGUEROA VELAZQUEZ, WANDA I Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

39977 RIVERA PEREZ, FELICITA M. Public Employee & Pension/Retiree2 5/4/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

39995 SANTIAGO SANTIAGO, BRENDA L Public Employee & Pension/Retiree 10/22/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

40052 LOPEZ TORRES, MADELINE Public Employee & Union Grievance 7/29/2022 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

40116 FLORES ZAYAS, ADALBERTO Public Employee 5/4/2021 Department of Agriculture Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

40272 GARCIA LOPERENA, ELISA M. Public Employee & Pension/Retiree 6/10/2021 Department of Transportation and Public Works Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

40285 SOTO RIVERA, NURIA M. Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

40317 DAVILA OLMEDA, ADA Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

40330 GIL-HERNANDEZ, YAZMIN Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

40332 FERNANDEZ HERNANDEZ, JESSICA Public Employee & Union Grievance 3/30/2021 Family and Children Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

40394 ACRO SERVICE CORP Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

40423 AROCHO VALENTÍN, ZULEYKA M. Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

40453 ROMAN LUGO, ELIEZER Public Employee 3/30/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 53 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

40497 ESPARRA COLON, LEMUEL Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

40502 CEPEDA RODRIGUEZ, CARMEN R Public Employee & Union Grievance 7/29/2022 Department of Transportation and Public Works Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 40589 ROMAN MALDONADO, YELITZA Public Employee & Union Grievance 7/29/2022 Department of Family Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 40591 ALVARADO LOPEZ, MARTA Public Employee & Pension/Retiree2 11/11/2020 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

40597 MALDONADO DE FIGUEROA, DORIS Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

40612 PELLOT TIRADO, VANESSA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

40616 MALDONADO ARROYO, HECTOR Public Employee 5/4/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

40648 LOPEZ RODRIGUEZ, YAZIM Public Employee & Pension/Retiree 11/13/2020

Socioeconomic Development of the Family Administration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

40654 TORRES RUIZ, NOEMI Public Employee 5/4/2021 Office of Court Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

40686 PÉREZ SÁNCHEZ, MIRIAM Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico, Teachers Retirement System

Y N/A Y Y N/A Y In Process/Under Revi

40694 RODRIGUEZ RODRIGUEZ, REYNALDO Public Employee3 6/10/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

40708 HERNANDEZ RAMOS, JANET Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

40771 CARRERO, MARIBEL VEGA Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

40778 GONZALEZ CORDERO, EDWIN Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

40814 ALICEA COLON, GLENDA L Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

40823 RIVERA PADILLA, BELMARI Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

40831 MORALES FONSECA, ANA L. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

40852 CONTRERAS CHICLANA, MARIBEL Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

40865 LOPEZ GERENA, IVELISSE Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

40873 BARRIENTO SANTANA, ANA DELIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

40882 VELEZ RIVERA, WILLIE Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 54 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

40907 BORRES OTERO, FLORENTINA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

40969 PEREZ OTERO, OLGA Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

40979 CASANOVA MONROIG, MARTA A. Public Employee & Pension/Retiree2 5/4/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

41005 SERRANO VÉLEZ, ROBERT Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

41008 MEDINA, MILAGROS SANTIAGO Public Employee 6/10/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

41064 PEREZ, WILLIAM TOLEDO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

41089 SERVICIOS DE TRANSPORTACION JUAN CARLOS INC Tax Refund 7/13/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

41154 PETERSON LAUREANO, JOSE Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

41245 CHAPARRO PEREZ, JANET Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

41266 MANGUAL VAZQUEZ, MARLYN Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

41292 ORTIZ MONTES, CESAR LUIS Public Employee 7/29/2022 Department of Agriculture Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

41393 REMIGIO LOPEZ, JUAN A. Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

41458 RIVERA LEBRON, LUZ M. Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

41498 RODRIGUEZ VELEZ, MORAIMA T Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

41519 VELAZQUEZ CRUZ, MARILYN Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

41543 MORALES ALVARADO, LUZ Public Employee 5/4/2021 Administration of the Right to Work, Department of Work Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

41564 PIZARRO CARABALLO, RUTH EILEEN Public Employee & Pension/Retiree 11/13/2020

Vocational Rehabilitation Administration & Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A N N/A 

41568 ORTIZ ROMERO, ORLANDO Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

41605 MARTELL MORALES, CARMEN M. Public Employee & Pension/Retiree 10/22/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 41610 CUADRADO RIVERA, REINALDO Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

41626 ABADIA MUNOZ, NANNETTE M Pension/Retiree 11/11/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 55 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

41658 TORRES VEGA, WALESKA I. Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

41666 ALVARADO ORTIZ, SHAIRA J. Public Employee3 6/10/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

41676 VELAZQUEZ CRUZ, MARILYN Public Employee & Pension/Retiree 5/4/2021 Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

41687 VEGA COLON, MARIBEL Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

41710 RAMIREZ VELEZ, MIRIAM Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

41788 GARCIA MALDONADO, EVELYN Public Employee & Pension/Retiree 6/10/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

41816 VILLANUEVA, RUBEN MIRANDA Public Employee 5/4/2021 Administration of Correction Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

41878 COTTO COLON, JUANITA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

41893 MARTINEZ ORTEGA, ROSA L Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

41942 MERCADO SANTIAGO, EVELYN Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

41943 MARTINEZ BETANCOURT, DIANA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

41966 ACEVEDO ROMAN, DINELIA E. Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

41972 RIVERA RIVERA, VILMARI Public Employee 7/13/2021 Department of Education, Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 42007 PADIN GUZMAN, IBIS I. Pension/Retiree 3/30/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

42045 TALAVERA MARTINEZ, CARLOS R. Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

42073 SANTIAGO GUZMAN, AIDA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

42126 CASILLAS BARRETO, KATHLEEN Public Employee 6/10/2021 Department of Labor and Human Resources Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

42139 ATECA, MARIA DE LOS A. Public Employee 11/11/2020 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

42167 NIEVES CRUZ, VIVIAN Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

42190 RIVERA FELICIANO, NEREIDA Public Employee & Union Grievance 11/13/2020 Department of Family Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

42196 SIERRA CASTELLANOS, SHIRLEY G. Public Employee & Pension/Retiree 6/10/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 56 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

42208 RIVERA ORTIZ, JUNIL Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

42209 VELEZ COSME, ZORAIDA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

42248 ALVAREZ BUZO, CRUZ CELIA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

42280 BERRIOS RIVERA, MARIA S. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 42290 MORENO SANTIAGO, MARLJORIE Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

42304 MARTINEZ SANTIAGO, AIDA RUTH Public Employee & Pension/Retiree 6/10/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 42324 HERNANDEZ SANTIAGO, WILLIAM Public Employee3 10/22/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

42375 TORRES, KATHIE Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

42391 RODRIGUEZ COLON, JANETTE Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

42430 SANTIAGO RIVERA, IDELMARI Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

42433 MORALES TORRES, EDWIN Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

42434 IRIZARRY RIOS, FRANCISCO JOSE Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

42445 GONZALEZ CANCEL, CLARA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

42457 APONTE MALDONADO, CARMEN F Union Grievance 7/13/2021 Department of Transportation and Public Works Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 42503 MUNOZ GONZALEZ, SHEILA D Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

42515 LAZU PAGAN, ASLIN Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

42548 CARRASQUILLO CIRINO, CARMEN J. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

42587 VAZQUEZ DIAZ, JEANETTE Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

42607 CALDERON VEGUILLA, EDGAR Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

42690 DE LEON RIVERA, MARIA D. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

42773 HERNÁDEZ TORRES, AIXA M. Public Employee & Pension/Retiree 10/22/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 57 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

42855 MORALES DE JESUS, ZAIDA R Public Employee, Pension/Retiree & Union Grievance 6/10/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 42863 VIDAL DEL VALLE, MARIA M Public Employee & Pension/Retiree 10/22/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 42877 CORTES RIVAS, ANGIEMEL Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

42909 JORGE L. IRIZARRY DOMINICCI Y MARIAN I. ROIG FRANCESCHINI Tax Refund 4/21/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

42963 OSORIO CEPEDA, MARIBEL Public Employee & Union Grievance 7/29/2022 Department of Housing Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 43082 LOPEZ ARIZMENDI, FELICITA Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

43085 RIVERA MALDONADO, RAFAEL Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

43147 ROSADO CRESPO, BEATRIZ Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

43150 ATANACIO RIVERA, SUSANA Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

43217 FONTÁNEZ DE JESÚS, YINERVA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 43218 RODRIGUEZ RAMOS, TERESITA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N 3rd and Final Information Request letter sent to claimant; awaiting 

response

N N/A 

43231 BATTISTINI OLIVERAS, ZENAIDA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 43257 HERNANDEZ MEDINA, CAROL E. Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

43262 RODRIGUEZ DE JESUS, JOANNE CECILIA Public Employee & Pension/Retiree 8/25/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

43266 ORTIZ CORREA, LYDIA M. Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

43290 CRUZ GUZMAN, JENNIFER Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

43323 LORENZO-PEREZ, MIGDALIA Pension/Retiree 7/29/2022

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A N N/A 

43333 DEL VALLE ARROYO, CARLOS J Public Employee & Pension/Retiree 6/10/2021 Institute of Forensic Science Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

43360 LOPEZ BURGOS, MARILYN JANEL Public Employee & Pension/Retiree 11/11/2020 Department of Family & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

43363 JIMENEZ MONROIG, CARMEN M Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

43383 GONZALEZ RODRIGUEZ, ANGELA R Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 58 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

43390 SILVA TORRES, LUZ A Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

43432 MELENDEZ MARRERO, YANICE M. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 43483 KUILAN PEREZ, ESTHER Public Employee 10/22/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

43492 SOTOMAYOR NEGRON, IRIS N. Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

43500 DIAZ DELGADO, LISANDRA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

43526 VELEZ MARRERO, CARLOS A. Pension/Retiree1 6/10/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

43537 RAMOS ROMAN, WILDA Public Employee 3/30/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

43545 ZAYAS BAUZA, SONIA Public Employee 7/2/2021

Administration of the Government Retirement Systems and the Judiciary, Department of Education

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

43555 BERRIOS MEDINA, SOAMI Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

43571 CAMACHO, BRENDA L Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

43603 CUEVAS ORTIZ, ROSA E. Public Employee3 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

43612 RAMOS LUGO, CARMEN Public Employee & Pension/Retiree2 10/22/2020 Office of Court Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

43613 RIOS, BETZAIDA OYOLA Public Employee & Pension/Retiree2 5/4/2021 Corps of Firefighters Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

43627 BAEZ MORA, NILDA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

43630 ROSA VALLES, MELBA J Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

43672 IRIZARRY FRASQUERI, YVETTE Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

43679 RODRIGUEZ BRACETTY, CARMEN M Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

43703 MIRANDA NEGRON, ANGEL R. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

43711 SUCESION LOURDES MONTALVO TORRES Tax Refund 7/13/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

43736 BARBOSA RISO, IRAMA E Public Employee & Pension/Retiree 6/10/2021

Family and Children Administration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

43834 JORGE RIVERA, MAYRA L. Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 59 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

43867 BERROCALES VEGA, LUIS Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

43868 CUBERO VEGA, BLANCA M Public Employee3 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

44005 TORRES ORTEGA, CARMEN Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

44016 SOTO MARTINEZ, MAGALY Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

44028 FIGUEROA PEREZ, CARMEN M. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

44053 ORTA PEREZ, CARMEN J Public Employee & Pension/Retiree 11/13/2020

Department of Correction and Rehabilitation & Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

44062 BERRIOS TORRES, SANDRA I. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

44124 CANDELARIO, LUIS Public Employee & Pension/Retiree2 5/4/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

44131 SERBIA, CLAUDIO F. Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

44134 MENDEZ, CARMEN M Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

44191 COLÓN ROSADO, ELIZABETH Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

44205 BAEZ NIEVES, ZAIDA Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

44212 HERNANDEZ RODRIGUEZ, YOLANDA Pension/Retiree 3/30/2021 Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A Y Y N/A Y In Process/Under Revi

44213 MIRANDA TORRES, GIOMARIE Public Employee & Pension/Retiree2 5/4/2021 Administration of the Government Retirement Systems and the Judiciary Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

44267 NEGRON PEREZ, RAFAEL Public Employee & Pension/Retiree2 11/11/2020

Department of Natural and Environmental Resources, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

44269 COLON OLIVERAS, LIZBETH Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

44313 FLORES VARGAS, WILFREDO Public Employee & Pension/Retiree 6/10/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

44368 MIRANDA, RAFAEL VASSALLO Public Employee & Pension/Retiree 10/22/2020 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 44376 VALENTIN REYES, ROBERTO Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

44419 SANTIAGO FIGUEROA, CARMEN L Public Employee & Pension/Retiree 10/22/2020 Department of Justice & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

44423 VELAZQUEZ VEGA, EASLIA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 60 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

44432 POU RIVERA, SANDRA I. Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

44528 RODRIGUEZ CANDELARIA, NORMA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

44547 TORRES HUERTAS, NELLY C Public Employee & Pension/Retiree 10/22/2020

Socioeconomic Development of the Family Administration & Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

44594 VALENTIN VILLEGAS, LISANDRA Public Employee & Pension/Retiree 3/30/2021

Socioeconomic Development of the Family Administration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

44620 SANTANA RODRIGUEZ, ADA C Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

44624 RUBIO ARROYO, CHRISTINA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

44632 COLON PICA, CARLOS M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

44663 SOTO MERCED, PEDRO Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

44714 CLAUDIO JIMENEZ, JOSE J. Public Employee 1/4/2021 Department of Family, Family and Children Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 44720 PRIETO ROSARIO, WILNELIA Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

44782 COLON MANDRY, NILDA I. Public Employee & Pension/Retiree 10/22/2020 Department of Treasury & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

44838 REYES AYALA, ROSA M. Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

44940 COLON RIVAS, MARGARITA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

44956 SANTIAGO FUENTES, NIVIA A. Public Employee & Pension/Retiree 7/13/2021 Puerto Rico Education Council, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

44997 BONILLA ACEVEDO, WILDANNY Tax Refund 4/21/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

45042 TORRES SANTIAGO, MIRIAM Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

45043 DRAGONI BAEZ, SANDRA I Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

45069 MORALES FIGUEROA, SALLY A. Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

45076 RIVERA-SANTIAGO, TERESITA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

45094 SOLIVAN CARTAGENA, HECTOR M. Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

45095 VELEZ PAGAN, BELITZA D Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 61 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

45138 GONZALEZ GONZALEZ, ENILDA Public Employee 5/4/2021 Department of Justice Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

45156 HERNANDEZ VALENTIN, ISABEL Public Employee & Pension/Retiree2 10/22/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

45158 ALBALADEJO TORRES, ENID Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

45163 CRUZ AGUILA, NELIDA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

45179 VELEZ-VELAZQUEZ, MARIA M. Public Employee & Pension/Retiree 3/30/2021 Department of Health, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

45224 DIAZ JUAREZ, JOSE Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

45254 SOLER ROMAN, GISELA E Public Employee3 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

45280 ENCARNACION OSORIO, GLADYS E. Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

45285 MORALES CASIANO, ROSA B. Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

45293 APONTE, LUISA IRIGOYEN Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

45301 GOTAY HAYS, NITZA Public Employee & Pension/Retiree2 5/4/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

45331 ACEVEDO FIGUEROA, GLENDA L Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

45344 ROMAN DELERME, JANETT Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

45383 VELEZ TORRES, EMILIANO J Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

45399 RODRIGUEZ VAZQUEZ, MARIA M Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

45409 AYALA CORREA, RAMON A. Public Employee 6/10/2021 Mental Health Services and Addiction Control Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 45428 MATOS RARGEL, OLGA E. Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

45432 FIGUEROA APONTE, CARMEN MILAGROS Public Employee 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

45466 GARRIGA RODRIGUEZ , FERDINAND Public Employee & Pension/Retiree 6/10/2021

Department of Correction and Rehabilitation, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

45495 GOMEZ VEGA, JULIA Public Employee 5/4/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

45535 JOSE GIMENEZ, LUIS Public Employee 10/22/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 62 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

45540 MERCADO CAMACHO, NILDA L Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

45541 MONTANEZ VARGAS, NOEMI Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

45542 MATOS RANGEL, ALICIA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

45574 CORREA IRIZARRY, HELGA MARIA Public Employee 10/22/2020 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

45577 COLON SANTIAGO, LUZ A Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

45616 RODRIGUEZ RIVERA, NYDIA M Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

45708 DE F. RIVERA NEGRON, MARIA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

45761 ORTIZ ORTIZ, MARIA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

45786 ALCANTARA MAGALLANES, MARIA D Pension/Retiree1 6/10/2021 Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A Y Y N/A Y In Process/Under Revi

45787 MERCADO ROMAN, RUBEN Public Employee & Pension/Retiree2 5/4/2021 Department of Natural and Environmental Resources Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

45809 SANTIAGO PERE, ELSA D. Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

45811 DE JESUS ORTIZ, MIRIAM Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

45931 MIRANDA ROMAN, SYLVIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

45934 ALOMAR MARTINEZ, ALEJANDRA I Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

45946 RESTO PEREZ, MAXIMO Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

45995 FIGUEROA MORALES, JUSTINO Pension/Retiree1 6/10/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

46015 GUTIERREZ MULERO, JESSICA Public Employee3 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

46047 QUINONES CARRASQUILLO, YADIRA Pension/Retiree 1/4/2021 Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A Y Y N/A Y In Process/Under Revi

46074 RIVERA PEREZ, LUZ M Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

46108 CARDONA PEDROSA, DAISY Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

46137 DE JESUS, ABIGAIL Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 63 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

46187 SALDIVAR ALEJANDRO, JASMINE Public Employee 3/30/2021 Driver Services Center, Transportation and Public Works Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

46269 TORRES VIERA, VICTOR M Public Employee3 6/10/2021 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

46298 DELGADO ALICEA, DENISE E. Public Employee 3/30/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

46340 CANDELARIO RUIZ, SOL M. Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

46344 GARCIA MALPICA, JULIA M Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

46367 VIDALES GALVAN, AUREA R. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

46369 ESTRADA-CRUZ, WILMER Public Employee & Pension/Retiree 6/10/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

46380 COLLAZO MORINGLANE, WILLIAM O. Public Employee 1/4/2021 Department of Family Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

46496 QUINONES RODRIGUEZ, RAMIRO Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

46497 FRANQUI RIVERA, CARMEN T Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

46526 DIAZ DIAZ, EDNA M Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

46527 HERNANDEZ RODRIGUEZ, SUSANO Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

46587 RIVERA RUIZ, WILLIBALDO Public Employee & Pension/Retiree 6/10/2021 Department of Sports and Recreation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

46606 CARDONA VARGAS, ELIZABETH Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

46660 DOMINGUEZ PEREZ, JAVIER E. Public Employee 7/29/2022 Highway and Transportation Authority Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

46678 SOTO MARQUEZ, ANELISA Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

46685 COLON CRUZ, LORRAINE Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

46700 DE JESUS ORTIZ, MIRIAM Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 46701 CARTAGENA FUENTES, EDGARDO Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

46708 CRUZ GARCIA, GLADYS Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

46737 DE JESUS ORTIZ, MIRIAM Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 64 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

46741 VELAZQUEZ NIEVES, PEDRO L. Public Employee & Pension/Retiree 3/30/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 46743 MONTALVO ALICEA, AWILDA Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

46855 ERAZO ORTEGA, IRAIDA Public Employee & Pension/Retiree4 1/4/2021 Office of Court Administration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

46963 RUIZ LOPEZ, ARNALDO Public Employee, Pension/Retiree & Union Grievance 6/10/2021 Department of Labor and Human Resources Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

46988 CORDERO ROSA, CARLOS J. Public Employee 7/29/2022 Department of Natural and Environmental Resources Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 47000 ARIAS HERNANDEZ, SUSANA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

47048 ORTIZ QUINONES, MARIA DE L Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

47085 MELENDEZ ROSA, ARNALDO Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

47110 ESPANOL RODRIGUEZ, MAGALY J. Union Grievance 7/13/2021 Child Support Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

47150 RODRIGUEZ LOPEZ, SANDRA I Public Employee & Union Grievance 7/29/2022 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

47166 GARCIA BURGOS, TAMARYS Public Employee 5/4/2021 Socioeconomic Development of the Family Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 47235 MORALES ALVAREZ, LUZ GRISSEL Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

47259 CINTRON VELAZQUEZ, LUIS I Public Employee & Union Grievance 7/29/2022 Department of Natural and Environmental Resources Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

47307 CINTRON VELAZQUEZ, LUIS I. Union Grievance 8/25/2021 Department of Natural and Environmental Resources Y N/A Y Y N/A N N/A 

47315 RUIZ RIVERA, EDUARDO Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

47358 RAMIREZ ORTIZ, CARMEN H. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

47369 FIGUEROA GUZMAN, ZULIMA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

47405 MOLINA GARCIA, CLOTILDE Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

47524 IRIZARRY TORRES, RICARDO Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

47547 COLON RIVERA, MARITZA Union Grievance 7/13/2021 Administration of the Government Retirement Systems and the Judiciary Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

47646 DONATIU BERRIOS, RAFAEL Pension/Retiree 9/8/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 65 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

47657 ANDUJAR ROMERO, BRITTANY Tax Refund 4/21/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

47699 TIRADO LORENZO, GLORIA E. Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

47719 DELGADO MAYSONET, LORMARIEL Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 47800 GONZALEZ QUINTANA, EDWARD Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

47838 AVILES CRUZ, AIXA R Public Employee & Pension/Retiree 6/10/2021 Department of Justice Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 47865 BENITEZ SANCHEZ, PIA Pension/Retiree1 6/10/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

47889 RODRIGUEZ ORDONEZ, HECTOR Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

47948 LOZADA SALGADO, JOSE F Pension/Retiree1 7/13/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

48117 MARRERO COLON, EDGARDO Public Employee 7/29/2022 Highway and Transportation Authority Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

48141 LUGO BEAUCHAMP, VICTOR E Pension/Retiree 11/11/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

48169 PEREZ SANTIAGO, CARLOS A Public Employee & Pension/Retiree 6/10/2021 Department of Public Safety, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

48187 OCASIO MIRANDA, EVA M Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

48201 LABORDE BLONDET, GILDA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

48229 DELIZ GARCÍA, EDNA H. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

48230 MIRANDA BERMÚDEZ, GLENDA MARIE Public Employee 5/4/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

48235 MALDONADO CAMACHO, YOLANDA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

48302 SANTIAGO MALDONADO, MARI I Public Employee & Pension/Retiree 3/30/2021 Department of Family & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

48349 LOPEZ GONZALEZ, CARMEN Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

48371 DIPINI, LYMARI JIMENEZ Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

48396 NEGRON RODRIGUEZ, MADELINE Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

48490 RIVERA MARRERO, DENIS Public Employee 7/29/2022 Highway and Transportation Authority Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 66 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

48502 CRUZ MARTINEZ, ARSENIA Public Employee 10/22/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

48523 ROLON PICOT, CARMEN Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

48526 COTTO RIVERA, IDALIA Public Employee 3/30/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

48531 QUINONES PINTO, SANDRA I Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 48544 TORRES RIVERA, EVELYN Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

48595 RAMOS RIVERA, EILLEEN Public Employee & Pension/Retiree 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 48617 PIZARRO CASTRO, MARIBEL Pension/Retiree 11/11/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

48629 TORRES ROSADO, JULIO Public Employee 10/22/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

48640 SANTOS RAMIREZ, HECTOR F. Public Employee 3/30/2021 Department of Court, Department of Justice Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

48648 COMUNIDAD AGRICOLA BIANCHI INC Tax Refund 7/13/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

48694 TORRES MELENDEZ, ROSA M. Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

48725 DIAZ SEIJO, MIGUEL A Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

48738 CRUZ SERRANO, ROSA E Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

48742 BAEZ AGOSTO, NELIDA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

48750 FELICIANO CORTES, AMARILIS Public Employee & Union Grievance 3/30/2021 Socioeconomic Development of the Family Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 48786 QUINTERO SOLLIVAN, MELVA Public Employee3 6/10/2021 Socioeconomic Development of the Family Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

48802 CIRINO ROSARIO, BARBARA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

48803 SEIN ALVAREZ, AUREA I. Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

48847 TORRES NEGRON, JOSE H. Public Employee & Pension/Retiree 3/30/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

48863 PEREZ RODRIGUEZ, JESUS Public Employee & Pension/Retiree2 5/4/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

48907 SANTIAGO SANTIAGO, BRENDA L. Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 67 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

48932 RUIZ TORRES, CARMEN G. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 48989 ARZON MENDEZ, JOSE R. Public Employee 7/29/2022 Highway and Transportation Authority Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

49025 ROMAN GINORIO, HEDDA S Public Employee 6/10/2021 Socioeconomic Development of the Family Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

49028 COLON TORRES, YOLANDA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 49036 GALAN CRESPO, CARMEN I. Public Employee 10/22/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

49065 SANTIAGO SANTIAGO, BRENDA L. Public Employee & Pension/Retiree2 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

49088 SANTIAGO, WILLIAM HERNANDEZ Public Employee & Pension/Retiree 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

49113 NARVAEZ, MARIA ADORNO Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

49133 OCASIO ACEVEDO, NANCY A. Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

49160 BEAZ ESTATE, JOSEFINA LIMA Tax Refund 4/21/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

49167 MIRANDA CRISTOBAL, LILLIAM Public Employee 7/29/2022 Highway and Transportation Authority Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

49184 HERRERA, EVELYN RODRIGUEZ Public Employee & Pension/Retiree 10/22/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

49214 ALAMO CUEVAS, JOSE M Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

49244 ROSARIO TORRES, NIRVIA M. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

49253 BERRIOS FUENTES, MARTA M Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

49271 CRUZ MENDEZ, OLGA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

49291 SANTAGO RODRIGUEZ, ANA Public Employee3 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

49299 RIVERA MIRANDA, ALBA IRIS Public Employee 7/29/2022 Highway and Transportation Authority Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

49308 DIAZ RIVERA, EVELYN Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

49339 MALDONADO RIVERA, EVELYN Public Employee, Pension/Retiree & Union Grievance 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

49344 AYALA-SEGUI, SANDRA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 68 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

49347 DÍAZ ORTIZ, LOURDES E. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 49358 SANTIAGO SANTIAGO, BRENDA L. Public Employee3 10/22/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

49422 MARTÍNEZ COTTO, LINETTE AIXA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

49470 ORTIZ RIVERA, MARIA M. Pension/Retiree 10/22/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

49483 BAEZ IRIZARRY, NANCY Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

49510 MELENDEZ CRUZ, SANDRA D. Public Employee & Pension/Retiree 11/11/2020 Department of Family & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

49590 COSME RIVERA, HERIBERTO Public Employee 7/29/2022 Highway and Transportation Authority Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

49592 HERNANDEZ SANTIAGO, WILLIAM Public Employee3 10/22/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

49673 HERNANDEZ ALMODOVAR, MARYSOL Public Employee 10/22/2020 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

49675 VELEZ-VELAZQUEZ, MARIA M. Public Employee & Pension/Retiree 10/22/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

49682 COLON DIAZ, MARIAM LYZET Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

49702 HERNANDEZ SANTIAGO, WILLIAM Public Employee & Pension/Retiree 10/22/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

49760 VALLES ORTIZ, MIGNA L L Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

49769 SANTIAGO SANCHEZ, LUZ M. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

49789 MATOS ALOMAR, JOSE J. Pension/Retiree 11/6/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

49797 ASTACIO CORREA, ILEANA Public Employee & Pension/Retiree2 11/13/2020 Department of Family Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

49805 FELICIANO, MILDRED Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

49830 RODRIGUEZ, ROBERTO SANTIAGO Public Employee & Union Grievance 6/10/2021 Department of Natural and Environmental Resources Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

49869 ROBLES QUIROS, BRENLIZ Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

49931 CASANOVA TOLEDO, MIRIAM I Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

49937 RODRIGUEZ ORTIZ, ZAIDA Public Employee & Pension/Retiree2 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 69 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

49942 CAMACHO ANDUJAR, CARMEN T. Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

49943 RIVERA, IMAYDA PEREZ Public Employee & Pension/Retiree 11/11/2020

Vocational Rehabilitation Administration & Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A N N/A 

49968 RODRIGUEZ SILVA, MYRTA I Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

49977 DURAN JIMENEZ, VIVIAN Public Employee & Pension/Retiree 7/13/2021 Department of Family, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 49984 MARTINEZ SANTIAGO, AIDA RUTH Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 50052 DE LEON ORTIZ, MARIBEL Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

50054 CABRERA RODRIGUEZ, EDUARDO Public Employee 5/4/2021 Department of Housing Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

50060 ORTIZ, NANCY Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

50070 CARDONA PEREZ, JANNETTE Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

50076 HERNANDEZ SANTIAGO , LILLIAM Public Employee & Pension/Retiree 10/22/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

50093 ESTRELLA RIOS, WENDY Public Employee 5/4/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

50124 HERNANDEZ SANTIAGO, WILLIAM Public Employee3 10/22/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

50126 RIVERA SANTANA, MARGARITA Public Employee & Pension/Retiree 10/22/2020 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

50162 FIGUEROA LUGO, MIGUEL E Public Employee & Pension/Retiree 6/10/2021 Department of Public Safety, Puerto Rico Police Bureau Y N/A N N 3rd and Final Information Request letter sent to claimant; awaiting 

response

N N/A 

50176 CINTRON PEREZ, CARMEN Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

50178 COLON TORRES, CARMEN L. Public Employee & Pension/Retiree 11/13/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

50179 COURET VÁSQUEZ, ARMINDITA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

50183 SANTIAGO DIAZ, DANIEL Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

50189 SUAREZ DELGADO, AZALEA D. Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

50198 RIOS ALFONSO, MARIA M Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

50218 FIGUEROA LOYOLA, MILDRED M. Public Employee & Pension/Retiree 7/13/2021 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 70 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

50224 FIGUEROA LOYOLA, MILDRED M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 50261 BERRÍOS ORTIZ, CARMEN M. Public Employee, Pension/Retiree & Union Grievance 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 50315 SANTIAGO MALDONADO, MARTHA I. Public Employee 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

50324 NAVARVO RIVERA, RAQUEL Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

50351 GONZALEZ REYES, ROSA MARIA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

50373 ADORNO ESQUILIN, MILISA Public Employee 7/29/2022 Highway and Transportation Authority Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

50403 ECHEVARRIA CARABALLO, HERIBERTO Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

50408 RIVERA VAZQUEZ, MIRTA Public Employee 7/2/2021 Department of Education N

Claimant did not provide an 

address for request letters to 

be sent

N N

Claimant did not provide an 

address for request letters to be 

sent

N N/A 

50457 SANTAELLA, GLADYS I. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

50460 GALLEGO LOPEZ, LUIS A. Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

50470 LOZADA , YAZMIN ORTIZ Public Employee & Pension/Retiree 10/22/2020 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 50481 FIGUEROA FERNANDEZ, MARITZA E Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

50502 ALICEA RODRIGUEZ, REBECCA J Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

50513 MARTINEZ SIERRA, MIGDALIA R. Public Employee & Pension/Retiree 10/22/2020 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

50530 COLON MARTINEZ, ZULMA Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

50545 HARGROVE CORDERO, KATHERINE Public Employee & Pension/Retiree 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

50561 DOMIANI, OLGA LUGO Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

50563 MANFREDY FIGUEROA, MINERVA Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

50573 FIGUEROA BAEZ , DINORAH Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

50584 RODRIGUEZ CRUZ, EVELYN R Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

50604 VENTURA, MARIBEL DEL CARMEN Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 71 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

50635 VALLE VALENTIN, PEDRO E. Public Employee & Pension/Retiree 10/22/2020 Public Housing Administration & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A Y Y N/A N N/A 

50658 MARRERO LANDRO, JONATHAN Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

50675 VAZQUEZ, JAHAIRA L. Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

50710 MARTINEZ SIERRA, MIGDALIA R, Public Employee & Pension/Retiree 10/22/2020 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 50719 NEGRON MORALES , ADELAIDA Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

50752 MORENO CINTRON, MARTA M Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 50757 RIVERA LEON, LYDIA ESTHER Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 50767 TORRES CARDENALES, ANTONIO LUIS Public Employee & Pension/Retiree2 10/22/2020 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

50768 PEREZ TORRES, CLARA M Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

50786 SEPULVEDA MARTINEZ, LUIS G Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 50797 AVILES VELEZ, MATILDE Public Employee 5/4/2021 Mental Health Services and Addiction Control Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

50798 BETANCOURT DEASIO, ANN I Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

50802 DEL P. GONZALEZ FIGUEROA, AMANDA M. Public Employee 5/4/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

50838 RODRIGUEZ RODRIGUEZ, ADA MERCEDES Public Employee & Pension/Retiree2 7/2/2021 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

50848 MUNIZ IRIZARRY, IVIA L. Public Employee 11/11/2020 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

50863 CRUZ RIVERA, RAMON Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

50872 FELICIANO NATAL, PRISCILLA Public Employee & Pension/Retiree 10/22/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

50880 DE JESUS GOMEZ, IVETTE Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

50905 PEREZ GONZALEZ, JUANITA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

50909 BAEZ AVILES, SANDRA ENID Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

50914 RODRIGUEZ DE PABLO, JOESSY Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 72 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

50918 ORTIZ ROSADO, MIGDALIA Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 50919 MORAN LOPEZ, DORIS V. Public Employee & Pension/Retiree 11/11/2020 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

50927 COLON PEREZ, ELIDES Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

50935 RODRIGUEZ ARCE, ELBA I Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 50938 SANTIAGO, MARCOLINA BAYOUA Public Employee & Pension/Retiree 3/30/2021 Department of Labor and Human Resources Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 50975 SANCHEZ, MILDRED ROSADO Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 50982 ORTIZ CRUZ , JENNITH Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

50987 RAQUEL LOPEZ, MARIA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

50995 RIOS DEJESUS, MAGDALENA Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

50998 NAVARRO FALCON, ELBA I. Public Employee3 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

51011 ALVAREZ FUENTES, MARIA C. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

51022 CARDOZA SEDA, EVER Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

51061 SANTIAGO HERNANDEZ, JOSE A Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

51062 RAMOS ECHEVARRIA, MARIA M Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

51064 ALVARADO JIMENEZ, JOHANNA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

51072 RODRIGUEZ, SAIME FIGUEROA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico, Teachers Retirement System

Y N/A Y Y N/A Y In Process/Under Revi

51118 ALICEA RODRIGUEZ, REBECCA J. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

51119 MORALES VAZQUEZ, MARGARITA Public Employee & Pension/Retiree 7/29/2022 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

51135 LUNA SANTIAGO , MARTA M. Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

51148 RIVERA RODRIGUEZ, ANA Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

51155 ORTIZ ORTIZ, LUIS R. Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 73 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

51157 SANTIAGO HERNANDEZ, ANGEL L. Public Employee & Pension/Retiree 11/13/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 51224 COLON ALVARADO, NELSON Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 51264 MORERA RIVERA, EDDIE Public Employee & Pension/Retiree2 11/11/2020 Public Housing Administration & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

51279 MOLINA CRUZ, JELLIE N. Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

51314 KUILAN PEREZ, ESTHER Public Employee3 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

51331 CRESPO CRUZ, ELISA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

51358 JOHN L. KORDASH AND JUDITH W. KORDASH Tax Refund 7/13/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

51370 LOPEZ RIVERA, RICARDO Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

51375 ALICEA ALICEA, MARÍA M. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

51408 RODRIGUEZ CARABALLO, ROSA ESTHER Public Employee & Pension/Retiree 10/22/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

51409 RIVERA TORRES, FELIX Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

51412 CEDEÑO TORRES, WANDA I. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

51419 ALICEA, RUTH ARLEQUIN Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

51495 CONCEPCION, ARAMIS RIVERA Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

51500 PAGAN MARTINEZ, LYMARIE M. Public Employee & Pension/Retiree2 5/4/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 51530 QUIÑONES PEREZ, JOAQUIN Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

51587 MATEO BERMUDEZ, VIVIAN E. Public Employee & Pension/Retiree 10/22/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

51593 BAEZ MENDEZ, ROSA Public Employee, Pension/Retiree & Union Grievance 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

51596 RODRIGUEZ CANDELARIA, NORMA Pension/Retiree1 7/13/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

51604 FLORES CRUZ, JOSE G. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

51608 CRUZ LUGO, LIGIA A Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 74 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

51614 VAZQUEZ-MARTINEZ, TILSA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

51635 VAZQUEZ MASSA, MARIA D. Public Employee & Pension/Retiree2 5/4/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

51651 MARQUEZ CRUZ, RAFAEL A Public Employee & Pension/Retiree 6/10/2021 Mental Health Services and Addiction Control Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

51657 OYOLA RIOS , IRIS B. Public Employee & Pension/Retiree2 11/11/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

51662 FIGUEROA COLLAZO, IRMA Public Employee 5/4/2021 Office of Court Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

51663 REYMUNDI CONCEPCION, CARLOS M Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

51678 CRUZ MARTÍNEZ, LUZ IVETTE Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

51690 COURET COURET, NEIDA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

51705 CINTRON DIAZ, EFRAIN Public Employee & Pension/Retiree 1/4/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 51772 RODRIGUEZ ORENGO, IRIS E. Public Employee 5/4/2021 Office of Court Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

51782 FIGUEROA FERNANDEZ, MARITZA E Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

51800 REYES RIVERA, SONIA I. Public Employee 10/22/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

51806 RODRIGUEZ CANDELARIA, NORMA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

51823 DE JESUS TORO, MARIA M. Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

51828 LUNA ZAYAS, WILBERTO Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

51843 AVILES OCASIO, MARIA I Public Employee & Pension/Retiree 6/10/2021

Mental Health Services and Addiction Control Administration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

51886 RIVERA ORTIZ, JOSEIRA Public Employee & Pension/Retiree 6/10/2021 Department of Public Safety, Puerto Rico Police Bureau Y N/A N N 3rd and Final Information Request letter sent to claimant; awaiting 

response

N N/A 

51891 FIGUEROA FERNANDEZ, MARITZA E. Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

51892 RIVERA ROSARIO , JAVIER Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

51907 ORTIZ-GONZALEZ, ENRIQUE Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

51909 LOMBA RODRIGUEZ, IRMA J. Public Employee & Pension/Retiree2 5/4/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 75 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

51947 VALAZQUEZ LOPEZ, MARTHA MARIA Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

51964 GARICA MARTINEZ , SONIA N. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

51982 VELAZQUEZ NIEVES, PEDRO L. Public Employee & Pension/Retiree 10/22/2020 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

51983 PEREZ OLIVERAS, ANGEL ALFONSO Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

52007 SERRANO TORRES, SYNTHIA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

52012 GARCIA CRUZ , MARTA R. Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

52017 MOLINA PAGAN, ANDRES A Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

52018 RIVERA, NANCY RODRIGUEZ Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico, Teachers Retirement System

Y N/A Y Y N/A Y In Process/Under Revi

52031 TORO TOLEDO, JUAN ESTEBAN Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

52041 SANCHEZ ALICEA, HECTOR SAMUEL Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

52064 MELENDEZ RODRIGUEZ, ELBA E. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

52115 PEREZ CORCHADO, ROSA J Public Employee & Union Grievance 3/30/2021 Department of Family Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

52119 SANTIAGO RODRIGUEZ, ELIZABETH Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

52184 ALBERTORIO RENTAS, EMMA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

52191 VEGA SANCHEZ, WYDALYS Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico, Teachers Retirement System

Y N/A Y Y N/A Y In Process/Under Revi

52233 RAMOS , MELANIE GONZALES Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

52236 PADILLA, REINA MONTALVO Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

52283 GONZALEZ TIRADO, DORIS Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

52284 QUIÑONES PIZARRO, LYDIA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

52294 CALCERRADA DELGADO, MARIA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

52326 MORALES VILLANUEVA, ANA D Public Employee & Pension/Retiree 10/22/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 76 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

52331 LASTRA GAETAN, DORIS E Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 52361 NIEVES RIVERA, OLGA Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 52366 GONZALEZ RODRIGUEZ, EILEEN M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 52392 SANTANA BARRETO, LILLIAM Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 52438 CASTILLO GOMEZ, DORIS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 52452 RIVERA, MILAGROS ROSA Pension/Retiree 10/22/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

52465 MALDONADO MALDONADO, MARTHA E Pension/Retiree 1/4/2021 Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A Y Y N/A Y In Process/Under Revi

52535 FELICIANO SANTIAGO, LAURA E. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

52541 FERNANDEZ DIAZ, ARACELIS Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 52606 RODRIGUEZ RODRIGUEZ, FLOR M Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

52637 MERCADO GONZALEZ, NAISY I Public Employee & Pension/Retiree 10/22/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

52706 PALOS, JOVITA FLORES Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

52746 ANDINO SABATER, ANGELA Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

52808 MORA PARRENO, OLGA L. Pension/Retiree1 10/22/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

52840 HERNANDEZ RODRIGUEZ, WANDA I. Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico, Teachers Retirement System

Y N/A Y Y N/A Y In Process/Under Revi

52858 AGOSTO BENCEBI, JULIA Public Employee & Pension/Retiree2 11/11/2020 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

52921 JIMENEZ VEGA, CARMEN G Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

52932 RAMOS RAMOS, ROBERTO Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

52943 GINONIO DOMIUNGUEZ, ELSA I. Public Employee & Pension/Retiree 6/10/2021 Department of Family Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

52970 GONZALEZ MENDOZA, LESLIE Public Employee & Pension/Retiree2 10/22/2020 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

52997 DIAZ COTTO, IRIS Y Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 77 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

53000 GONZALEZ RODRIGUEZ, DIANE L Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 53027 RIVERA RIVERA, AILEEN A. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

53052 DECLET SERRANO, LUZ M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 53072 MELENDEZ MAISONET, WANDA Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

53074 LEON RIVERA, CARMEN MERCEDES Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 53079 GONZÁLEZ RIVERA, JANISSA N. Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico, Teachers Retirement System

Y N/A Y Y N/A Y In Process/Under Revi

53083 FIGUEROA TORRES, NILDA I Public Employee & Pension/Retiree2 10/22/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

53134 ESCRIBANO FUENTES, MIRIAM T Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

53154 MEYER COMAS, MARÍA CRISTINA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

53162 VELAZQUEZ TORRUELLA, MARTA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

53178 FERNANDEZ DIAZ, ALIDA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

53202 RIVERA, NORMA JULIA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

53204 CALZADA BETANCOURT, MARIBEL Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

53237 CORREA RODRIGUEZ, AURA L. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

53267 OQUENDO HERNÁNDEZ, CARLOS Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

53284 R E BUSINESS CONSULTANTS INC Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

53303 SANTIAGO RODRIGUEZ, ELIZABETH Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

53310 RODRIGUEZ, JEANETTE DRAGONI Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

53324 AYALA QUIÑONES, GRICELYS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

53331 DE VALLE MALDONADO, AIDA L. Public Employee 6/10/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

53344 DECLET SERRANO, LUZ M. Public Employee & Pension/Retiree 7/13/2021 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 78 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

53348 ORTIZ AGOSTO, JUANITA Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

53383 LOPEZ PAGAN, LYNNETTE Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 53385 LOMBA RODRIGUEZ, IRMA J. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 53425 QUIRINDONGO, MINERVA TORRES Public Employee & Pension/Retiree 3/30/2021 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 53456 FUENTES QUIÑONES, AUREA Public Employee & Pension/Retiree 10/22/2020 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 53495 ESQUILIN GARCIA, TAYNA Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

3rd and Final Information Request 

letter sent to claimant; awaiting 

response

N N/A 

53533 COLON VELEZ, IVETTE M Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

53569 PADILLA, EDGARDO RIVERA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

53615 ORTIZ ORTIZ, IRMA Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

53616 PEREZ GARCIA, IDELYS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 53711 AYUSO PONCE, HEDRIAN Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 53714 GARCIA NIEVES, LYDIA E. Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

53717 CHEVERE SANCHEZ, LILLIAM Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

53743 RIVERA FIGUEREO, ANA A. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 53748 ORTIZ CINTRON, CARMEN Y. Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 53760 MENDOZA RAMOS, IRMA Z Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico, Teachers Retirement System

Y N/A Y Y N/A Y In Process/Under Revi

53768 ALOMAR MARTINEZ, ALEJANDRA I. Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

53809 RODRÍGUEZ OTERO, CARMEN L. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

53827 GARCIA ALBARRAN, JORGE L. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

53854 ALICEA CRUZ, NORMA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

53894 ORTIZ LOPEZ, CARMEN M Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 79 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

53922 MIRANDA MENDEZ, MARIA C. Public Employee & Pension/Retiree 11/11/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 53930 CAQUIAS CRUZ, WANDA Public Employee, Pension/Retiree & Union Grievance 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 53972 GONZALEZ LOPEZ, CYNTHIA Public Employee & Pension/Retiree4 1/4/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

53984 RODRIGUEZ DIAZ, MILDRED L. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

54008 PADILLA ALMESTICA, ISABEL Public Employee & Pension/Retiree 6/10/2021

Department of Labor and Human Resources & Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

54024 LANDRÓN RIVERA, LILLIAN Public Employee & Pension/Retiree 10/22/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

54041 MARTINEZ, ZENAIDA ROBLES Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

54045 DIAZ TALAVERA, ESTHER M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

54073 SANTIAGO RONDON, MARGARITA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

54091 GONZALEZ LOPEZ, CYNTHIA I Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

54112 COLLAZO COLON, ILSA MILAGROS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

54121 VALERIO ALGARRA, PATRICIA MARIA Pension/Retiree 1/4/2021 Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A Y Y N/A Y In Process/Under Revi

54122 CASTRO DIAZ, CARMEN SARA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

54142 CRUZADO, BELEN ORTIZ Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

54154 ORTIZ COSME, ROSA I. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

54179 ROSALY GERENA, DORA H Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

54181 SANCHEZ, LEONOR Public Employee & Pension/Retiree2 11/11/2020 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

54197 FELICIANO NATAL , PRISCILLA Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

54234 CARDONA ROSA, NILDA M Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

54238 PENA SANTOS, VICTOR L Public Employee3 10/22/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

54241 GARCIA BONILLA, GLENDA L Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 80 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

54379 RIVERA RAMÍREZ, MARÍA DEL C. Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

54389 GARCIA PEREZ, ALBERTO Public Employee3 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

54401 LOPEZ-SOTO , AWILDA Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 54475 MARTINEZ RODRIGUEZ, SALLY R Public Employee & Pension/Retiree2 5/4/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 54518 LOMBA RODRIGUEZ, EUGENIO Public Employee & Pension/Retiree2 5/4/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

54539 RODRIGUEZ OTERO, RAMON LUIS Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

54546 RIVERA SIERRA, JANISSE Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

54552 MONTANEZ OQUENDO, MARÍA M. Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

54589 RIVERA CALDERON, MARIA M. Public Employee & Pension/Retiree2 11/11/2020 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

54612 MATOS RODRIGUEZ, ELIZABETH Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

54613 RIVAS CINTRON, MAYRA V. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

54617 RIVERA DAVILA, MAYDA L Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

54625 FUENTES, MINERVA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

54644 DÍAZ, MARISOL MÁRQUEZ Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

54654 DEL TORO, MARTIN RUIZ Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

54675 SERRANO ROBLES, CARMEN EUGENIA Public Employee 7/29/2022 Highway and Transportation Authority Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

54700 MORALES CORDERO, JESUS R. Public Employee 7/29/2022 Highway and Transportation Authority Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

54706 MARRERO QUINTERO, JAYNE Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

54719 MARTINEZ GONZALEZ, ALICE Public Employee 5/4/2021 Hospital Sequadria Forence, Mental Health Services and Addiction Control Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 54736 CASTRO ROMERO, JOSE V. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

54750 MERCED VEGA, KELVIN Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 81 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

54760 SANTIAGO ANDUJAR, MARIA D Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 54806 PEREZ MIRANDA, BESTY Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 54809 MORALES PABON, CARMEN D. Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 54854 RODRIGUEZ VAZQUEZ, MARIA M Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 54874 BULTRON RODRIGUEZ, WANDA I Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

54895 RESTO DE JESÚS, RAMONITA Public Employee, Pension/Retiree & Union Grievance 11/11/2020

Department of Family, Family and Children 

Administration & Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

54919 OCASIO ACEVEDO, NANCY A. Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

54923 BRISTOL LOPEZ, LUCILA Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

54940 RIVERA VENEZ, CARMEN G Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

54982 BAELLO REY, NINA Public Employee3 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

55013 GORDILLO MOLINA, IRMA N Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

55073 RODRIGUEZ MELENDEZ, JORGE L Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

55080 BUXEDA DIAZ, IVAN R. Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

55084 RIVERA SILVA, MARTA M. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

55103 TORO RODRIGUEZ, IRMA J. Public Employee 3/30/2021 Administration of Health Facilities and Services, Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 55124 CONCEPCION PANTOJA, AIDA L. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

55160 CARABALLO TOLOSA, VICTOR J Public Employee & Pension/Retiree 6/10/2021 Department of Security and Public Protection Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

55188 RIOS VELEZ, DAISY I. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

55252 MOYETT RODRIGUEZ, WANDA L. Public Employee3 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

55259 NEGRON OQUENDO, IDALIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

55263 RUIZ OLAVARRIA, JESSICA Pension/Retiree 11/6/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revie

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 82 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

55265 RAMOS PEREZ, OLGA ROSALIE Public Employee & Pension/Retiree 7/2/2021 Department of Housing & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 55347 GIMENEZ, LUIS JOSE Public Employee 10/22/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

55365 TRAVERSO VAZQUEZ, DORIS M. Public Employee & Pension/Retiree2 10/22/2020 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

55386 MORALES SANCHEZ , MARIA Public Employee & Pension/Retiree 10/22/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

55413 GIBOYEAUX VALENTIN , AMALIA Public Employee & Pension/Retiree2 10/22/2020 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

55459 OCASIO ACEVEDO, NANCY A. Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

55469 COLÓN SANTOS, JOEL Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

55484 VICENTE MARTINEZ, JOSE R. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

55499 CASIANO FELICIANO, LUIS Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

55500 AGRAIT ZAPATA, WILMA E Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

55502 MACHADO ACEVEDO, AIDA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

55546 MARTINEZ GONZALEZ, ALICIA Public Employee3 6/10/2021 Hospital Sequadria Forence, Mental Health Services and Addiction Control Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

55568 FELICIANO ALICEA, JAYLEEN Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

55581 RUIZ TORRES, CARMEN G. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

55599 MARTINEZ MARRERO, CARMEN M Public Employee & Pension/Retiree 10/22/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

55609 CUBERO RODRIGUEZ, CARMEN I. Public Employee & Union Grievance 11/13/2020 Socioeconomic Development of the Family Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

55653 LOPEZ ORTIZ, RAQUEL E. Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

55661 MONTANEZ OQUENDO, MARIA M. Public Employee & Pension/Retiree 11/11/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

55673 COTAL COPPIN, MAGDA A. Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

55691 SOTO BARRETO, LILLIAM Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

55701 ECHEVARRIA ORTIZ, IVETTE M Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 83 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

55705 AGUILAR GARCIA, LISSETTE Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 55728 BERRIOS VAZQUEZ, VICTOR M Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 55729 RIVERA, MARIELY FELICIANO Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 55738 FIGUEROA GARCIA, YAZMIN Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 55750 SANTIAGO MARTINEZ, ADA I. Public Employee & Pension/Retiree 10/22/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 55767 RIVERA, LILLIAM D. Public Employee 10/22/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

55784 NIEVES MALDONADO, DELIA M. Public Employee & Pension/Retiree 10/22/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 55797 OSORIO ROSA, MARIA A. Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

55811 RODRIGUEZ VAZQUEZ, VICTOR M. Public Employee & Pension/Retiree2 10/22/2020 Department of Health, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

55816 RIVERA TORRES, NORMA E. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

55817 RIBOT SANTANA, MADELINE Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

55869 QUIÑONES, NAYDA AYALA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

55880 CRUZ ALVELO, MILAGROS D Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

55890 ACEVEDO LOPEZ, DEBORAH Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

55928 MORALES CRUZ, MIGDALIA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

55933 MARRERO PENA, NORKA A Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

55978 MERCADO SANTOS, MARTA Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

56001 VÉLEZ-VELÁZQUEZ, MARÍA M. Public Employee & Pension/Retiree 3/30/2021 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

56032 RODRIGUEZ REYES, MARGARITA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

56039 LANDRON RIVERA, LILLIAN Public Employee & Pension/Retiree 10/22/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

56056 SANTINI BOCACHICA, JOSE E. Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 84 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

56057 GONZALEZ GONZALEZ, MARIA E. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 56060 SOTO BARRETO, MARIA N. Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

56078 RIVERA SANTIAGO, FREDESWINDA Public Employee & Pension/Retiree 7/13/2021 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

56081 VELÁZQUEZ TORRUELLA, ILIA Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 56108 LEBRON LOPEZ, RAMONITA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

56200 NIEVES ROMAN, LUIS RAUL Public Employee & Pension/Retiree 11/11/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

56204 VÉLEZ-VELÁZQUEZ, MARÍA M. Public Employee & Pension/Retiree 10/22/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

56212 TORRES RODRIGUEZ, MARIA A Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

56258 LIBRAN EFRE, ISABEL Public Employee 10/22/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

56274 QUINONES TORRES, MARIA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

56306 ALBERTORIO RIVERA, FRANCES T. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

56318 CASTRO RODRIGUEZ, JORGE OMAR Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

56327 RAMOS, MYRIAM MAGENST Public Employee3 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

56339 BERMUDEZ SOTO, YARITZA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

56341 COTTO ALVAREZ, AIDA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

56371 AYALA RODRIGUEZ, NYDIA I Public Employee & Pension/Retiree 6/10/2021 Office of Court Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

56405 FELICIANO RIVERA, MARIELY Public Employee & Union Grievance 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

56475 CUBERO CEPEDA, IDALIA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

56482 DUMENG , LESLIE GARCIA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

56486 ALAMO CUEVAS, JOSE M. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

56492 FIGUEROA FERNANDEZ, MARITZA E. Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 85 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

56534 LOPEZ SALGADO, PAULA I. Public Employee & Pension/Retiree2 10/22/2020 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 56538 ROBERTO VAZQUEZ, JOSE L. Public Employee 11/13/2020 Mental Health Services and Addiction Control Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

56633 MORALES VILLANUEVA, ANA D Public Employee 10/22/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

56660 ANGEL SANTIAGO, MIGUEL Public Employee & Pension/Retiree 6/10/2021 Department of Family Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 56676 RODRÍGUEZ ORTIZ, EDWIN A. Public Employee & Pension/Retiree 3/30/2021 Mental Health Services and Addiction Control Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 56677 BONILLA ALICEA, ANA M Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 56682 TORO RODRIGUEZ, RADAMÉS Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

56687 ORTIZ RABELO, IDA M. Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

56690 PEREZ GONZALEZ, YESENIA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

56725 DIAZ RIVERA, CARMEN M. Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

56742 BARRON RUIZ, ILYSETTE Pension/Retiree1 7/13/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

56764 BAÑOS CRUZ, ELSA N. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

56769 RODRIGUEZ MONTIJO, CARMEN Public Employee3 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

56773 RIVERA RAMÍREZ, MARÍA DEL C Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

56791 RIVERA SANCHEZ, ADA M. Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

56821 ALBINO PAGÁN, CARMEN M. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

56846 BAYONA SANTIAGO, RAUL ANTONIO Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

56875 ALVAREZ ORTIZ, CARMEN A Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

56949 TORO RODRIGUEZ, WANDA ENID Public Employee 3/30/2021 Administration of Health Facilities and Services, Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 56990 MARTINEZ GONZALEZ, ALICIA Public Employee3 6/10/2021 Hospital Sequadria Forence, Mental Health Services and Addiction Control Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

57027 MENDRELL HERNANDEZ, HILDA Public Employee & Pension/Retiree 10/22/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 86 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

57044 RIVERA VENES, CARMEN G. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

57068 MELENDEZ BERMUDEZ, LUZ Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 57077 FUENTES GUTIERREZ, SONIA I Public Employee 10/22/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

57150 HERNANDEZ PEREZ, MARITZA Public Employee & Pension/Retiree 10/22/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 57160 PENA GONZALEZ, OMAYRA Public Employee 10/22/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

57163 BETANCOURT COLLAZO, ROMUALDO Public Employee 11/11/2020 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

57169 SALAZAR, AWILDA RIVERA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 57182 DE JESUS , ROSA RODRIGUEZ Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

57224 MORALES VELEZ, YAZMIN Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

57243 RODRIGUEZ VAZQUEZ, VICTOR M. Public Employee & Pension/Retiree 10/22/2020 Department of Health & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 57279 NEVAREZ MARRERO, ANEBIS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 57289 CALDERON RAMOS, PEDRO L Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

57299 SANTIAGO RODRIGUEZ, ELIZABETH Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

57309 VILLEGAS RIVERA, NAYDA L. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

57318 OCASIO ACEVEDO, NANCY A. Public Employee 10/22/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

57401 RIVERA PÉREZ, CARMEN L. Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

57404 SANTAPAU, KAREN RAMIREZ Public Employee3 6/10/2021 Department of Family (Cabo Rojo, PR local office - Region Mayaguez) Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

57445 HERNANDEZ-ESPADA, GERMANY Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

57477 RODRIGUEZ RAMIREZ, ILEANA I. Public Employee & Pension/Retiree 10/22/2020 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

57537 RODRIGUEZ RIVERA, LUIS A. Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

57541 ORTIZ ORTIZ, LUZ C. Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 87 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

57556 FELICIANO ECHEVARRIA, SILKA J. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 57572 RIVERA MARTINEZ, JOSE A. Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

57606 RAMOS COLON, AIDA L. Public Employee 6/10/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

57613 GONZALEZ DIAZ, CARMEN MERCEDES Pension/Retiree 1/4/2021 Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A Y Y N/A Y In Process/Under Revi

57624 MIRANDA QUINONES, RUTH NOEMI Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

57666 NEGRON CUBANO, AILEEN MARIE Public Employee & Pension/Retiree 6/10/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 57682 RIVERA, NILDA COLON Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 57702 FERRER ROMAN, JOSE ENRIQUE Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

57713 RIVERA VEGA, CARMEN Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

57716 MEDINA OCASIO, VILMA DEL C. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

57735 TORRES DE JESUS, CARMEN AMELIA Public Employee & Pension/Retiree 10/22/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 57741 VILLALONGO CRUZ, WIDALYS Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

57796 ARROYO LUCENA, LUZ N Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 57800 LEDESMA MOULIER, ZENAIDA Public Employee3 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

57808 SANTIAGO RODRIGUEZ, ELIZABETH Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

57823 COLON DIAZ, DIANA IVETTE Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

57833 CARDONA SOTOMAYOR, ANGEL G. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

57860 VELEZ AROCHO, CYNTHIA M Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

57889 VARGAS MEDINA, LUCIANO Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

57893 MARRERO RODRIQUEZ, NELIDA Public Employee & Pension/Retiree 6/10/2021 Department of Family Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

57899 CARMONA FIGUEROA, SONIA NOEMI Public Employee & Union Grievance 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 88 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

57903 RIVERA QUINONES, MIGDALIA Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

57908 GUERRERO ALTORAN, OSCAR Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

57949 CRUZ GONZALEZ, EVELYN Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

58016 GARCIA NIEVES, CARMEN DELIA Public Employee 10/22/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

58024 BARRIOS JIMENEZ, ERNESTINA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

58048 MARTINEZ CALDER, VIRGINIA Public Employee & Pension/Retiree 6/10/2021 Department of Transportation and Public Works Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

58071 BETANCOURT ALAMO, MARIA TERESA Public Employee & Pension/Retiree2 10/22/2020 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

58072 DELIA FORTE, CARMEN Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

58094 GUERRERO ALTORAN, OSCAR Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

58109 BONILLA SANTOS, DOLORES Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

58120 RODRIGUEZ FIGUEROA, CARMEN S Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

58126 RIOS APONTE, MARIBEL Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

58196 COLON DELGADO, ENRIQUE Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

58209 GUZMAN RESTO, OMAYRA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

58238 RIVERA SANTIAGO, SHEILA M Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

58252 CARDONA CASTRO, ZAIDA Public Employee 10/22/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

58259 ALVAREZ FUENTES, MARIA C. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

58340 SANCHEZ CARABALLO, MABEL Union Grievance 7/13/2021 Administration of the Government Retirement Systems and the Judiciary Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

58355 SANTIAGO PELLOT, ELIZABETH Public Employee & Pension/Retiree 3/30/2021 Department of Family & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

58399 RUIZ GERENA, SUCESION ANTONIA Public Employee & Pension/Retiree 6/10/2021 Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

58427 FIGUEROA CARABALLO, INOCENCIO Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 89 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

58439 NAVARRO FIGUEROA, ANDRES Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

58479 CRUZ TORRES, MARIO J Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

58487 SANTOS PADILLA, YARA LEE Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

58492 SANTIAGO SANTIAGO, IRENE Public Employee 10/22/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

58497 CABRERA MORALES, ESTELA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

58518 TORRES GUZMAN, NILSA AMPARO Public Employee & Pension/Retiree2 3/30/2021 Department of Housing Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

58523 ORTIZ, MICHELLE DAVILA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

58529 CARDONA ROSA, LISSETTE Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

58540 SERRANO, NORMA IRIS Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

58542 ORTIZ COSME, ELIZABETH Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

58566 RIVERA TORRES, CARMEN ADA Public Employee, Pension/Retiree & Union Grievance 6/10/2021 Department of Family (Ponce Region) Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

58604 MELENDEZ DE LEON, RUTH M. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

58607 QUILES RODRIGUEZ , SOL TERESA Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

58622 CEPEDA PIZARRO, GABRIEL Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

58625 MORALES ALVARADO, MIRIAM L Public Employee, Pension/Retiree & Union Grievance 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

58651 ACEVEDO MARTÍNEZ, LISA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

58673 CORIANO MORALES, ARACELIS Public Employee & Pension/Retiree 10/22/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

58685 ORTA GAUTIER, IDALIA Public Employee & Pension/Retiree 7/13/2021

Family and Children Administration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

58694 OJEDA FRADERA, JENNIFER Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

58753 QUINONES RECIO, ANTONIO Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

58770 VIERA, MARLEM PEREZ Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 90 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

58795 BORRAS DIAZ, HILDA I Public Employee3 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

58797 PEREZ CARABALLO, YVETTE Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

58888 RIVERA PÉREZ, CARMEN L. Public Employee 10/22/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

58895 MONTALVO RIVERA, HARRY Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

58952 CHABRIEL GONZALEZ, LUZ L. Public Employee & Pension/Retiree 7/13/2021 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

58956 LAUREANO RODRIGUEZ, ESTHER Public Employee 10/22/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 58995 MORALES DOMINGUEZ, JAIME L. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

59009 MALDONADO SERRANO, MARISOL Public Employee & Pension/Retiree2 7/13/2021 Department of Family, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

59020 DEL CARMEN ALBALADEJO, MIRNA Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N 3rd and Final Information Request letter sent to claimant; awaiting 

response

N N/A 

59030 CORIANO MORALES, ARACELIS Public Employee & Pension/Retiree 10/22/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

59046 CAPARROS GONZALEZ, RAQUEL E. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

59074 ROSADO SANCHEZ, MILDRED Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

59114 SANTOS RODRIGUEZ, GLORIA ENID Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

59132 SANTIAGO ARROYO, IRIS B Public Employee & Pension/Retiree 10/22/2020 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

59134 SOLIVAN ORTIZ, NILSA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

59162 ROSALY GERENA, DIONISIO Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

59176 DECLET DIAZ, PIERRE Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

59212 VARELA RIESTRA, MELBA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

59229 DE JESUS RIVERA, ZULMA I. Public Employee & Pension/Retiree 6/10/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

59246 NIEVES, PEDRO VELAZQUEZ Public Employee & Pension/Retiree 11/11/2020 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

59258 SANCHEZ ROSADO, MARLYN Public Employee & Pension/Retiree 3/30/2021

Family and Children Administration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 91 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

59274 LOPEZ DE JESUS, IVAN Public Employee & Pension/Retiree 6/10/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

59289 AYALA-CADIZ, ELADIA Public Employee 3/30/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

59312 RIVERA VEGA, CARMEN E Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

59319 CARLO SOTO, ELSIE Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

59390 ALMODOVAR, YOLANDA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

59430 AGOSTO , MELVIN FONSECA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

59455 ALICEA RODRÍGUEZ, MARÍA J. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

59465 SANTOS RIVERA, MIGUEL A Public Employee & Pension/Retiree4 1/4/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

59469 CARRASQUILLO, ANTONIA PIZARRO Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

59526 PEREZ MARTINEZ, JULIA Public Employee3 11/11/2020 Office of Court Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

59570 FIGUEROA LÓPEZ, GISELA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

59573 RODRIGUEZ RAMIREZ, ILEANA I. Public Employee & Pension/Retiree2 10/22/2020 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

59576 FIGUEROA MOLINA, GERARDO Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico, Teachers Retirement System

Y N/A Y Y N/A Y In Process/Under Revi

59592 RODRIGUEZ JIMENEZ , RAFAELA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico, Teachers Retirement System

Y N/A Y Y N/A Y In Process/Under Revi

59613 CARMONA FIGUEROA, SONIA NOEMI Public Employee & Union Grievance 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

59637 RIVERA MIRANDA, RITA M Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

59666 FREYTES PANTOJAS, LUIS Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

59678 ROSARIO TORRES, SANDRA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

59684 RAMIREZ NIN, JULIO JUAN Public Employee 10/22/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

59687 VALENTIN MENDEZ, ALEXANDRA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

59702 HIRALDO HANCE, MARIBEL Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 92 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

59725 LOPEZ, MIGDALIA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

59755 SANCHEZ ROMERO , LEONARDA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

59761 NEGRON MARTINEZ, CARMEN Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 59779 ROSADO GONZALEZ, LUZ A Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

59800 RIVERA PEREZ, CARMEN L. Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

59811 RIVERA SANCHEZ, MIRIAM E Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 59847 RODRIGUEZ RIVERA, CARLOS Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

59858 AYALA MORENO, HENRY Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

59859 REYES ABREU, GLORIA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

59866 DIAZ MORALES, MARIO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 59868 RODRIGUEZ HERNANDEZ, SANDRA EILEEN Public Employee & Pension/Retiree 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

59888 RIVERA CAMACHO, HERMINIO Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

59923 NATAL MALDONADO, SANDRA I. Public Employee & Pension/Retiree2 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

59935 ESPINAL MATIAS, DALMARIS Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

59936 SOTO GONZALEZ, SONIA Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

59960 SANTIAGO ROBLES, LUZ N Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

59985 TORRES SANTIAGO, IRIS D. Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

59988 DEL CARMEN PACHECO NAZARIO, MARIA Public Employee3 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

60003 RIVERA MATOS, IVETTE Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

60005 GONZALEZ MARTINEZ, ELISA EILEEN Public Employee & Pension/Retiree 10/22/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

60077 RIVERA BERLY, SANDRA G. Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 93 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

60087 ORTEGA VÉLEZ, SONIA N. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

60101 ALICEA ALICEA, PROVIDENCIA Public Employee & Pension/Retiree 6/10/2021 Department of Labor and Human Resources Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 60110 COLON RIVERA, FRANCES M. Public Employee3 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

60139 CRUZ MARTINEZ, ANA LOPEZ Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

60221 RAMOS RAMOS, NANCY Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

60223 GONZALEZ LATORRE, SUJEIL Public Employee & Union Grievance 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

60233 BAERGA, NILDA L. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

60256 RIVERA RIVERA, ROMARI Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

60278 RIVERA ACEVEDO, AGLAE Public Employee & Pension/Retiree 7/13/2021 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

60289 DE JESUS GARCIA, DAMARY Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

60463 MEDINA DUPREY, DENISE Public Employee 5/4/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

60464 AYALA SALGADO, ANGEL M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

60468 BENITEZ CONCEPCION, MIRTA L. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

60479 SEGARRA TORO, KANY Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

60481 RIVERA RODRIGUEZ, NELIDA Public Employee 10/22/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

60490 ORENGO AVILES, ELIZABETH Public Employee3 11/11/2020 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

60500 CORREA CORCONO, MARIA DE LOS A. Public Employee 3/30/2021 Department of Family, Socioeconomic Development of the Family Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

60524 JORGE PAGAN, GLENDA I. Public Employee 5/4/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

60535 QUESTELL MONTES, MARITZA S. Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

60566 BAJANDAS FIGUEROA, CARMEN L. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

60662 RAMIREZ ORTIZ, CARMEN H. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 94 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

60692 MORRO VEGA, WALLESKA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

60715 VALLE VALENTIN, PEDRO E Public Employee & Pension/Retiree 10/22/2020 Public Housing Administration & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A Y Y N/A N N/A 

60806 LUGO RODRIGUEZ, LEE SANDRA Public Employee & Pension/Retiree 10/22/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

60809 RAMIREZ NIN, JULIO JUAN Public Employee 10/22/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

60851 ALERS SEGARRA, JAZMIN Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

60863 QUINONES RIVERA, LUIS Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

60882 QUINTERO SULIVAN, MELVA Public Employee 11/11/2020 Socioeconomic Development of the Family Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

60905 FALCON AYALA, JEANNETTE Public Employee & Union Grievance 7/29/2022 Department of Family Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 60954 ROSADO MALDONADO, AMARYLIS Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

60978 RUIZ DELGADO, MIGUEL Public Employee & Pension/Retiree 6/10/2021

Family and Children Administration & Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

60980 RIVERA SANTIAGO, SHEILA MADAY Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

61011 RIVERA TORRES, ELENA I Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

61065 RODRIGUEZ GUZMAN, MARIA DEL C. Pension/Retiree 10/22/2020 Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A Y Y N/A Y In Process/Under Revi

61181 QUINONES DIAZ, DENISE Public Employee & Pension/Retiree 7/13/2021 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

61222 PEREZ NIEVES, LUZ A Public Employee & Union Grievance 11/13/2020 Socioeconomic Development of the Family Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

61279 OLIVERAS, ELENA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

61286 RODRIGUEZ BRUNO, CAMELIA Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

61318 ROSADO SANCHEZ, MILDRED Public Employee & Pension/Retiree 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

61334 REYES DE JESUS, HECTOR M. Public Employee & Pension/Retiree2 5/4/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

61340 CANCEL ROSARIO, ABIGAIL Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

61344 MALDONADO TORRES, DELIRIS Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 95 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

61347 SANCHEZ ROSADO, MARLYN Public Employee & Pension/Retiree 11/13/2020

Department of Family, Family and Children 

Administration & Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

61398 PAGAN CARRASQUILLO, EDNA L Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 61406 FIGUEROA GUERRA, JUAN A. Public Employee & Pension/Retiree2 10/22/2020 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

61425 GARCIA GASTON, ANA M. Union Grievance 7/13/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

61437 GARCIA NIEVES, CARMEN DELIA Public Employee 10/22/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

61451 MORENO SOTO, AURELIO Public Employee & Pension/Retiree 11/11/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

61508 CURBELO JARAMILLO, DAISY Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

61555 ACOSTA SANTIAGO, ZUZETH ENID Public Employee 10/22/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

61561 RIVERA TORRES, RAMON Public Employee & Pension/Retiree 10/22/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

61571 RIVERA SANCHEZ, MIRIAM E. Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

61598 NAVARRO FALCON, ELBA I. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

61608 AMALBERT VILLEGAS, WANDA L. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

61621 FIGUEROA GUZMAN, MIGDALIA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

61682 RODRIGUEZ HERNANDEZ, SANDRA EILEEN Public Employee & Pension/Retiree 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

61701 RIVERA-ALVAREZ, ISABEL Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

61720 RAMIREZ MARRERO, CARMEN ANA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

61729 MORENO PANTOJA, ROSA R. Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

61744 CABRERA AVILES, MILAGROS Public Employee & Pension/Retiree 1/4/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 61753 FIGUEROA MELENDEZ, YOLANDA Public Employee3 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

61815 CARABALLO RIVERA, LUCILA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

61860 RAMOS SUAREZ, NANCY Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 96 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

61899 ORTEGA DAVILA, DEBORAH Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

61903 SANCHEZ RODRIGUEZ, RAMON Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

61910 LATORRE, SUJEIL GONZALEZ Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

61914 GONZALEZ LATORRE, SUJEIL Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

61923 SALICHS RODRIGUEZ, MARGARITA J. Public Employee 11/11/2020 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

61934 DELGADO ATILES, DAVID Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

61935 RODRIGUEZ CABRERA, ROSA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

61949 DE JESUS MEDINA, MARIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

62024 COLON GARCIA, CARMEN Q. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

62025 GARCIA SALAS, AMPARO Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

62048 CRUZ GALARZA, HELEN Public Employee, Pension/Retiree & Union Grievance 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

62063 CARDONA COLL, LUIS A. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

62125 ROSARIO ALMODOVAR, LUZ E. Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

62179 SUAREZ RIVERA, LYDIA E. Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

62199 SOTO GONZALEZ, SONIA Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 62223 ARROYO PERCY, ANTONIA M. Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

62225 COLON COLON, NITZA M. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

62229 NEGRON ANGULO, JACQUELINE Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

62238 ROSARIO GONZALEZ, JAIRONEX Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

62239 CHEVEREZ OTERO, MARIA DEL C. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

62269 COLON HERNANDEZ, DIONISIA Public Employee 10/22/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 97 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

62306 SANTIAGO MARRERO, DELFINA Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

62311 RODRIGUEZ DE JESUS, HECTOR L. Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

62340 ALICEA BURGOS, CARMEN T. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

62344 PACHECO CALDERON, IRIS BENITA Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

62420 SANTOS RAMIREZ, BLANCA C Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

62461 ORTEGA VELEZ, SONIA N. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

62466 SANTOS RAMIREZ, BLANCA C Public Employee 10/22/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 62471 GONZALEZ RUIZ, ALFREDO Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

62474 SERRANO DIAZ, EVELYN Public Employee & Pension/Retiree2 5/4/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

62490 AGOSTO VEGA, ANA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

62493 CARDONA PÉREZ, MARÍA J. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

62501 ROBLES RIVERA, ELSIE Pension/Retiree1 6/10/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

62517 TORRES VARGAS, JOSE ARNALDO Public Employee & Pension/Retiree 10/22/2020 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

62526 FERRER SANJURJO, NIMIA Public Employee & Pension/Retiree 11/11/2020 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

62527 NUNEZ RIVERA, MAYRA M Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

62588 SANTOS ARROYO, NILDA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

62598 DEL VALLE NEVAREZ, SHEILA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

62604 FONSECA AGOSTO, MELVIN Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

62659 ROMAN GOTAY, MAYRA Public Employee & Pension/Retiree 10/22/2020 Department of Health & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

62687 BENITEZ CASTRO, YOEL Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

62727 CARMONA FIGUEROA, SONIA NOEMI Public Employee, Pension/Retiree & Union Grievance 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 98 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

62816 VELEZ PEREZ, ELBA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

62840 HUERTAS RIVERA, MARIA R Public Employee & Pension/Retiree 10/22/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 62842 RIVERA, GLORIA RIVERA Public Employee & Pension/Retiree 10/22/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 62870 DEL VALLE, MARIA S Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 62885 RIVERA RIVERA, GLORIA Public Employee & Pension/Retiree2 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

62912 RODRIGUEZ MIRANDA, LOURDES Public Employee 6/10/2021 Mental Health Services and Addiction Control Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 62929 RODRIGUEZ MARTINEZ, ROSA E Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

62982 ROSADO MALPICA, JACINTO Public Employee & Pension/Retiree 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

63008 FLORES MELECIO, VERONICA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

63013 PEREZ AMIGOT, RAFAEL Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

63025 LEGARRETA VEGA, MARY Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

63030 COLON OLIVERAS, LIZBETH Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

63040 AROCHO RIVERA, CARLOS O. Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

63047 MARTI LÓPEZ, HÉCTOR LUIS Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

63080 VALENTIN AROCHO, NORMA E Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico, Teachers Retirement System

Y N/A Y Y N/A Y In Process/Under Revi

63114 CEPEDA PIZARRO, GABRIEL Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

63165 COLON RENTAS, IRIS E Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

63187 CASTRO ECHEVARRIA, ALBA J Public Employee 7/29/2022 Highway and Transportation Authority Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

63205 ACEVEDO RAMOS, ALBA IRIS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

63208 MATIAS ROVIRA, MARIA Public Employee, Pension/Retiree & Union Grievance 7/13/2021 Department of Health, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 63211 RIVERA CALIZ, RAMON E. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System, Institute of Puerto Rican Culture Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 99 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

63266 RIVERA LÓPEZ, FRANCES M. Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

63273 RODRIGUEZ BRUNET, ILEANA E. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

63308 RIVERA SANABRIA, JOSE AXEL Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

63350 RAMOS SANTIAGO, CARLOS Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

63408 COLON ORTIZ, JOSE MIGUEL Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

63411 CARDONA RIVERA, MARISOL Public Employee, Pension/Retiree & Union Grievance 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

63415 GARCIA TORRES, JORGE L. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

63449 SANTOS COLON, VANESSA Public Employee, Pension/Retiree & Union Grievance 7/13/2021 Department of Family & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

63513 NIEVES TANON, LIETSCHEN M. Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

63570 ROMAN LOPEZ, HERIBERTO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

63578 RIVERA REYES, GERTRUDIS Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

63612 REYES BONILLA, MILDRED E. Public Employee & Pension/Retiree 6/10/2021 Department of Family, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

63615 SANTIAGO RODRIGUEZ, ANA M Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

63644 RODRIGUEZ ORTIZ, ANA L. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

63647 DESIDERIO GARCIA, DAMARIS E Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 63649 FLORES ZAYAS, MARILYN Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

63656 FIGUEROA BERMUDEZ, MYRNA L. Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico, Teachers Retirement System

Y N/A Y Y N/A Y In Process/Under Revi

63673 CASTRO PARSONS, GRETCHEN H. Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

63677 VELEZ SALICRUP, MARIA M Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

63691 SANTIAGO RODRIGUEZ, ANA L. Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

63731 RAMOS RODRIGUEZ, EDNA J Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 100 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

63742 MELENDEZ VAZQUEZ, DARLENE Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

63749 MILLAN, EDITA GOMEZ Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

63769 LOPEZ PABON, JORGE L Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 63813 RODRIGUEZ LOPEZ, CYNTHIA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

63817 MALDONADO VAZQUEZ, ESPERANZA Public Employee, Pension/Retiree & Union Grievance 10/22/2020 Department of Health & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

63822 FONT, IDALIA ELIAS Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 63826 RODRIGUEZ ECHEVARRIA, EUGENIO Public Employee & Pension/Retiree 6/10/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

63832 REYES LAGUER, BENJAMIN Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

63850 DIAZ LOPEZ, HENRY Public Employee & Pension/Retiree2 5/4/2021 National Guard of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

63867 RODRIGUEZ, JOSEFINA Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 63868 JUSTINIANO VALENTIN, HERIBERTO Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

63876 ROSA RIVERA, IVETTE Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

63883 ACEVEDO ECHEVARRIA, ELBA REBECCA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

63895 PENCHI SANTANA, JEANIFFER OBED Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

63899 MORALES NEGRON, MARIA Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

63914 BONILLA COLON, ALEXANDER Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

63931 CABAN TORRES , YAZMIN Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

63977

ARMANDO JOSE MALDONADO CRIADO-EN CARACTER DE HEREDERO-SUCESION CARMEN N. CRIADO CRIADO

Public Employee & Union Grievance 6/24/2022 Department of Justice, Office of Court Administration Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

63987 CAMACHO ILARRAZA, CARMEN Public Employee & Pension/Retiree 10/22/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

64014 MATOS RANGER, ELBA E. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

64049 CASILLAS CASTRODAD, SARA I. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 101 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

64088 CASTRO, TERESA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

64099 RIVERA JIMENEZ, JULIO Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 64103 MARRERO COLON, GILBERTO Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

64192 FELICIANO BERRIOS, TOMAS A. Public Employee3 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

64201 FARGAS LOPEZ, IVONNE J. Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

64314 VELEZ MUNIZ, CARMEN Z. Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

64318 RIOS RAMOS, WANDA I. Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico, Teachers Retirement System

Y N/A Y Y N/A Y In Process/Under Revi

64344 NIEVES MARTINEZ, ANA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

64391 RODRIGUEZ-DIAZ, MARITZA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

64421 CARDONA CASTRO, ZAIDA Public Employee 10/22/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

64424 RIVERA MALDONADO, ANGEL L. Public Employee 11/13/2020 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

64443 CABRERA MORALES, ESTELA Public Employee & Pension/Retiree 7/13/2021 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

64484 ORTIZ NIEVES, AIDA L. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

64496 ASTACIO NIEVES, CARMEN Public Employee & Pension/Retiree2 5/4/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

64547 FELICIANO ECHEVARIA, SILKA J. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

64548 POLANCO RAMOS, ROSANNA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N 3rd and Final Information Request letter sent to claimant; awaiting 

response

N N/A 

64549 MERCADO CARTAGENA, LOURDES R. Public Employee 5/4/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

64569 VELEZ GONZÁLEZ, DOLLY Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

64607 JACKSON NATIONAL INSURANCE COMPANY Tax Refund 7/13/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

64611 VEGA ROSADO, CLARIBET Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

64634 BÁEZ ROMAN, MIRIAM Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 102 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

64705 LOPEZ ECHEGARAY, LAURA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 64719 LUNA LOPEZ, JUAN Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

64752 RESTO ACEVEDO, JUANA N. Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

64840 SANTOS SOTOMAYOR, CARMEN N. Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

64848 DELGADO SANTANA, AIDA LUZ Public Employee & Pension/Retiree2 5/4/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

64850 BAEZ SANTOS , LAURA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

64869 SUAREZ RAMIREZ, MARIANA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

64882 CACERES RAMOS, MILDRED I. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

64891 CRUZ RIVERA, JANETTE Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

64950 PELLOT ROSADO, CARMEN Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

65081 AVILES, LILLIAN Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

65102 GASTON GARCIA, AIDA J. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

65110 FLORES LEBRON, EPIFANIO R Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

65140 CABELLO ROSARIO, ISMAEL Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

65163 RIVERA ORTIZ, EVELYN Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

65177 GUZMAN RESTO, ROSA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

65201 BONILLA SALDANA, ANA ELBA Public Employee 10/22/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

65214 GONZALEZ PRATTS, ELBA I. Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

65227 RODRIGUEZ LEON, ANA A. Public Employee & Pension/Retiree 7/13/2021 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

65313 GONZALEZ MAYSONET, MIGUEL A Public Employee & Pension/Retiree 10/22/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

65365 MARQUEZ CASTILLO, CELIA I. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 103 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

65370 ALEMAN SOIZA, YOLANDA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

65374 LOPEZ RODRIGUEZ, AWILDA Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

65397 FARGAS LLANOS, NANCY Public Employee 7/29/2022 Department of Justice Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

65415 LOPEZ ACEVEDO, MARIA S. Public Employee & Pension/Retiree 10/22/2020 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

65418 MALDONADO FREYTES, NOEMI Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 65420 VAZQUEZ MARTINEZ, JOHANNA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

65507 TORRES LÓPEZ, ISABELO Public Employee & Pension/Retiree2 5/4/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

65673 PENA HERNANDEZ, LUZ A Public Employee & Pension/Retiree2 3/30/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 65678 CUBERO PONCE, DANELLE J. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

65721 ROMAN ROSARIO, MARIE C. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

65724 CINTRON MELENDEZ, NILDA E. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

65743 RIVERA MARTINEZ, LUIS A Public Employee 3/30/2021 National Guard of Puerto Rico Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

65751 RAMOS ROSA, YAMARIS Public Employee 5/4/2021 Socioeconomic Development of the Family Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 65796 GUZMAN RUIZ, TERESITA Public Employee & Pension/Retiree 10/22/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

65798 MORALES ALVARADO, MIRIAM L. Public Employee, Pension/Retiree & Union Grievance 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

65829 JIMÉNEZ SÁNCHEZ, OLGA M. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

65910 JORGE PAGAN, GLENDA I Public Employee 5/4/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

65941 ORTIZ ORTIZ, JOANSELLE Union Grievance 7/13/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

65954 TORRES CRUZ, VILMA E Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

65961 BAUZA TORRES, GLORIA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 66020 AGRAIT ZAPATA, MILAGROS Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 104 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

66045 ROSADO RODRIGUEZ, LUIS MANUEL Public Employee & Pension/Retiree 11/11/2020

Department of Correction and Rehabilitation & Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

66054 LISBOA TORRES, IRMA M Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

66065 SARTORIUS STEDIM BIOTECH GMBH Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

66203 FELICIANO SOTO, MARISOL Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

66204 RODRIGUEZ JIMENEZ, RAFAELA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

66230 FIGUEROA OJEDA, JANNETTE Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

66248 SANCHEZ, NANCY Public Employee 7/2/2021 Department of Education N

Claimant did not provide an 

address for request letters to 

be sent

N N

Claimant did not provide an 

address for request letters to be 

sent

N N/A 

66252 RIVERA LANDRON, MYRNA M Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

66286 SIERRA COLON, CARLOS J. Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

66300 SYSTEMAX PUERTO RICO Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

66362 RIVERA PIZARRO, JUDITH M Public Employee & Pension/Retiree 3/30/2021

Department of Correction and Rehabilitation, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

66404 GUTIERREZ CARTAGENA, NYDIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

66441 MONTALVO PEREZ, OLGA I Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

66537 RODRIGUEZ SANCHEZ, MIGDA E. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

66560 SOTO MALDONADO, ISAAC Public Employee 6/10/2021 National Parks of Puerto Rico Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

66611 HERNANDEZ SANTIAGO, CARMEN N Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

66662 RIVERA RODRIGUEZ, CARMEN IVETTE Public Employee & Pension/Retiree2 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

66688 DIAZ ORTIZ, MILAGROS Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

66782 ORTEGA VELEZ, SONIA N. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

66826 TORRES CRUZ, BRENDA I. Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

66841 CORREA BOSQUE, MARIA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 105 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

66847 ECHEVARRIA MARTINEZ, CARMEN I. Pension/Retiree 1/4/2021 Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A Y Y N/A Y In Process/Under Revi

66861 QUILES ARROYO, JORGE L. Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

66863 SANTOS PEDRAZA, SANDRA J. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

66873 HERNANDEZ SOTO, ADELFINA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

66891 RIVERA MEDINA, ISRAEL Pension/Retiree 6/10/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

66894 SANTOS RAMIREZ, ALMA R. Public Employee & Pension/Retiree2 3/30/2021 Department of Social Services Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

66907 RIVERA DE JESUS, WILLIAM Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

66939 DAVILA BOCACHICA, GRISEL Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

66989 APONTE, JONATHAN PEREZ Public Employee 6/10/2021 Department of Health, Mental Health Services and Addiction Control Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 67036 SANTIAGO, MADELYN ESTREMERA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

67039 GARCIA RODRIGUEZ, YOLANDA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

67073 LOPEZ RUIZ, MABEL Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

67100 LOPEZ AUDIFFRED, ZOILA M. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

67112 MARTINEZ RIVERA, JESSICA Public Employee & Pension/Retiree2 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

67130 ALVAREZ VIDAL, EVELYN Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

67197 ROBLES DE LEON, GLORIA Public Employee & Pension/Retiree2 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

67257 CINTRON GUZMAN, MARIA P. Public Employee & Pension/Retiree2 5/4/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

67272 FIGUEROA SOTO, MARGARITA Public Employee3 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

67286 ROMERA HERNANDEZ, IDAMITH M Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

67302 E. ROSA MAYSONET, VILMA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

67366 GOY LATASA, GLADYS MABEL Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 106 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

67374 RIVERA SALVA, ANGEL O Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 67377 CONCEPCION BAEZ, MARIA E Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 67392 LABOY LUGO, LUCILA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 67399 VARGAS VELEZ, RUTH L. Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

67433 PEREZ GONZALEZ, MARIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 67449 MEDINA TIRADO, LUIS YARIEL Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

67471 SANTIAGO MARRERO, DELFINA Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

67523 ALVAREZ RUIZ, RANFIS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

67538 DAVILA, CARMEN Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

67567 MARTINEZ RIVERA, JESSICA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

67570 ROJAS CUMMINGS, NILSA A. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

67614 CRUZ RODRIGUEZ, MARISOL Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

67638 IRIZARRY ORTIZ, JUDITH Public Employee & Union Grievance 10/22/2020 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 67639 ROSADO RIVERA, CRUZ M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

67644 NUÑEZ SANTOS, NILSA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

67683 HERNANDEZ VELEZ, TEDDY V. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

67717 LEDESMA-MOULIER, ZENAIDA Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

67802 VELAZQUEZ SUREN, LYDIA Public Employee & Pension/Retiree 11/13/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

67823 RUIZ SOLA, ISAAC Public Employee & Pension/Retiree2 11/11/2020 Department of Education, National Guard of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

67824 SOTO RODRIGUEZ, IRIS E Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

67886 ROSADO SANCHEZ, MILDRED Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 107 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

67887 ROSADO VALLE, JOSE R. Public Employee & Pension/Retiree 3/30/2021

Family and Children Administration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

67910 DAVILA RODRIGUEZ, RUTH Public Employee 11/11/2020 Puerto Rico Police Bureau Y N/A N N

3rd and Final Information Request 

letter sent to claimant; awaiting 

response

N N/A 

67912 MORALES LUGO , NATIVIDAD Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 67953 ALVARADO TORRES, ROSA J. Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

68006 ERAZO CEPEDA, GLADYS Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

68020 SANTIAGO MARRERO, CARMEN S Public Employee & Pension/Retiree2 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

68028 COLON ALEJANDRO, LUZ M Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

68030 COTTO JIMENEZ, GLORIA E. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

68146 PÉREZ PÉREZ, GLENDA Y. Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

68147 DIAZ MULERO , VIVIANA Pension/Retiree 3/30/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

68160 MIRANDA, JAVIER H Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

68163 QUIJANO GARCIA, MARIA E Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

68179 RODRIGUEZ GUZMAN, GILBERTO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

68188 CORDOVA ORTIZ, ANA HILDA Public Employee & Pension/Retiree2 11/13/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

68189 MELENDEZ ALGARIN, HUGO N Public Employee & Pension/Retiree2 5/4/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

68248 RODRIGUEZ RODRIGUEZ, EDITH Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

68254 RODRIGUEZ NEGRON, DARISABEL Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

68305 JUAN MONTALVO, MARILYN Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

68336 ROSADO GARCIA, ABIGAIL Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

68343 MIGHALOWSKI SEPULVEDA, MARGARET Public Employee 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

68365 CORCHADO COLON, NILDA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 108 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

68440 MALDONADO SOBERAL, RUTH M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 68450 JUANA DEL . RIVERA SANTIAGO Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

68458 VEGA COLÓN, MARIBEL Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 68486 SILVESTRINI ROSALY, MARGARITA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

68515 MELEDY VEGA ECHEVARRIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 68540 GERENA ALVALLE, MARY EDNA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 68552 TORRES LÓPEZ, ANA F. Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

68594 TOLEDO VELEZ, MARIA R Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

68608 GONZALEZ NEGRÓN, BLANCA I. Public Employee & Pension/Retiree 10/22/2020 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

68619 OQUENDO GARCÍA, MIGUEL A. Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 68620 VEGA SANTIAGO, MAHALETH H. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

68626 CASTRO AGUAYO, MARIA DE LOURDES Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

68679 RODRIGUEZ GARCIA, MAGDALIS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 68702 ROMAN ACOSTA, DALMA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 68722 SÁNCHEZ TORRES, LUZ M. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

68770 FELICIANO ALMODOVAR, JUANA MARIA Public Employee 5/4/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

68772 MUÑIZ RODRÍGUEZ, ELIZABETH Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

68776 MARRERO MARTINEZ, ANA L. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

68865 ORTIZ REYES, ALEJO Public Employee & Pension/Retiree 11/11/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

68920 MONTALVO, VICTORIA GARCIA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

68938 PARRILLA MATOS, YOLANDA Public Employee & Pension/Retiree2 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 109 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

68939 VEGA DONCELL, CECIAH Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

69008 VELEZ SANCHEZ, IDALIS M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 69031 MANON JIRAU, JOEL R. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 69037 MELENDEZ RIOS, MADELYN Public Employee & Pension/Retiree2 11/11/2020 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 69047 GARCÍA APONTE, NANETTE J Public Employee 10/22/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

69068 RIVERA PÉREZ, MYRTHA EDITH Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 69078 ROMAN RIVERA, YANITTE Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 69082 NATER MARRERO, ABIGAIL Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 69098 DIAZ MARIN, AUREA L. Public Employee 10/22/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

69110 ROSADO SANCHEZ, MILDRED Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 69188 JORGE PAGAN, GLENDA I Public Employee 5/4/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

69199 TOLLENS BURGOS, MARANGELY Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

69200 DELBREY ORTIZ, IRIS J Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

69210 LAGUNA FIGUEROA, HARRY Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

69236 GONZALEZ RIVERA, ANTONIO Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

69241 RODRIGUEZ RODRIGUEZ, BRENDA I. Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

69292 RIVERA LOPEZ, TERESA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

69306 PEREZ SEGARRA, GREGORIO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

69332 DOMINGUEZ SOTO, MARIA M Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

69349 CINTRON MELENDEZ, NILDA E. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

69372 ALEMAN GERENA, OMAYRA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 110 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

69409 ALBINO DEL VALLE, IVETTE Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 69410 QUINONES RECIO, ANTONIO Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico, Teachers Retirement System

Y N/A Y Y N/A Y In Process/Under Revi

69473 CABAN JIMENEZ, MARIA M Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

69516 CANCEL ROSARIO, ABIGAIL Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

69636 RIVERA ORTIZ, SANDRA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 69645 SANTOS SANTIAGO, RUTH M Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 69689 ALEJANDRO GONZALEZ, RAFAELA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 69692 GONZALEZ PADILLA, KAREN Pension/Retiree 11/6/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico, Teachers Retirement System

Y N/A Y Y N/A Y In Process/Under Revie

69820 ALVAREZ FONSECA, NORBERTO Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

69822 CASTRO FONSECA, CARLOS Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

69858 REYES RODRIGUEZ, MARIA DEL Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

69866 ROSADO CARRILLO, JOSE Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

69870 RODRIGUEZ DELGADO, RAMONA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

69888 LAUREANO VALENTIN, PEDRO Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

69892 CALO GARCIA, NORMA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

69913 ROJAS CENTENO, FRANCISCO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

69936 MENDEZ PEREZ, AWILDA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

69949 RODRIGUEZ DELANNOY , IVETTE Public Employee & Union Grievance 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

70002 ARROYO CARRION, MARIA J Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

70090 DIAZ RIVERA, MARIA A. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

70124 FERRER ROMAN, JOSE E Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 111 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

70147 FRANCO GONZALEZ, NEREIDA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

70159 ORTIZ MELENDEZ, NILSA I Public Employee 11/11/2020 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

70163 DIAZ MARIN, AUREA L. Public Employee 10/22/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

70239 MEDINA MARTINEZ, LUIS MANUEL Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

70266 ROSADO ALICEA , ELIA MARIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 70275 DEL RIO RIVERA, BERNARDO Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

70318 VIVES NEGRON, MIGUELINA Public Employee 3/30/2021 Mental Health Services and Addiction Control Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

70362 DIAZ MARIN , AUREA L. Public Employee 10/22/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

70426 COLLAZO SANTOS, LUZ Z. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 70429 COTTO GONZALEZ, EDGAR Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

70466 RIVERA FELICIANO, IRIS H. Public Employee & Pension/Retiree 6/10/2021 Department of Justice Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 70487 PEREZ HERNANDEZ, MARISOL Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

70491 LOPEZ LOPEZ, JOSE ENRIQUE Public Employee3 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

70502 FLORES ALICEA, IRIS DAMARIS Public Employee & Pension/Retiree2 5/4/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 70582 RODRIGUEZ ECHEVARRIA , GRACE J. Public Employee 11/13/2020 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

70594 SANTANA RODRIGUEZ, LILLIAM E. Public Employee & Pension/Retiree 7/13/2021 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

70615 RIVERA LOPEZ, IVELISSE Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

70625 LUGARO PAGAN, ROSALIA Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

70652 RIVERA VENES, WILLIAM Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

70657 LOPEZ SANTIAGO, CARMEN M. Public Employee3 10/22/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

70660 AVILA MARTINEZ, MARILU Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 112 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

70667 DE JESUS DELGADO, AMADA Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

70731 GODEN IZQUIERDO, MARILYN Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

70740 ALVAREZ SANTIAGO, RODNEY Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

70749 APONTE LABOY, BLANCA I. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

70793 CHARDON RODRIGUEZ, CARMEN J Public Employee & Pension/Retiree2 1/4/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

70850 FERREIRA CRUZ, TANIA M Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico, Teachers Retirement System

Y N/A Y Y N/A Y In Process/Under Revi

70860 MIRANDA VALENTIN, DAMARIS Public Employee & Pension/Retiree 11/11/2020 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

70861 ALICEA PEREZ, GLADYS Public Employee & Pension/Retiree2 5/4/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

70885 RIVERA MELENDEZ, LIZ NOHELY Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

70903 RAMIREZ SALGADO, AIDA L. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

71006 SEPÚLVEDA VÁZQUEZ, MICHELLE Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

71056 MERCADO CRUZ, CARLOS ENRIQUE Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

71057 MORAELS RIVERA, MAGALIS Public Employee & Pension/Retiree 11/11/2020 Office of Court Administration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

71072 NEGRON GUZMAN, JOEL Public Employee3 11/11/2020 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

71103 COSS CRESPO, YAHER Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

71129 FERNANDEZ AVILES , WANDA I Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

71136 ALMODOVAR TORRUELLA, MARTA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

71149 FIGUEROA TORRES, NANCY Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

71192 ORFILA HERNANDEZ, EDWIN Public Employee & Union Grievance 7/29/2022 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

71194 NIEVES GARCIA, NEREIDA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

71257 VELAZQUEZ NIEVES, ALEJANDRINA Pension/Retiree 3/30/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 113 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

71297 MONTALVO BERROCALES, MARCO ANTONIO Public Employee & Pension/Retiree 6/10/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

71316 CABALLER VINAS, GLORIA Public Employee 10/22/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

71369 MOJICA ORTIZ, LUCILA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

71408 NAVARRO, ALBA G. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

71410 ARBELO-SANDOVAL, LORRAINE Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

71427 DIAZ RIVERA, FERNANDO Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

71511 LUGO SANTANA, INES M. Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

71520 ASTRAZENECA LP Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

71535 GARCIA MACHIN, VILMA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

71548 JORGE RIVERA , RICHARD N. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

71562 APONTE ZAYAS, ANABEL Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

71571 OTERO VEGA, MARIA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

71590 RAMOS RAMOS, NANCY Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

71609 MORALES, JULIO Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 71626 HERNANDEZ VELEZ, ELIZABETH Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

71629 RIVERA VENES, WILLIAM Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

71678 CONCEPCION PEREZ, NAYDA LUZ Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

71682 MOLINA PEREZ, MARIA D Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

71702 MORALES GONZALEZ, JUDITH Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

71742 FIGUEROA MARTINEZ, CARMEN TERESA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

71788 CANDELARIA SEMPRIT, YADIRA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 114 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

71789 DONES TORRES, SOCORRO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 71790 SANTIAGO DELEON, IRIS V. Public Employee & Pension/Retiree2 5/4/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

71795 PADILLA TORRES, DANIEL Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

71810 PEREZ FERNANDEZ, SALLIE A. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

71818 CARRION ORTEGA, GLADYS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

71834 DIAZ MORALES, IRIS N. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

71837 CABRERA AVILES, MILAGROS Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

71849 GARCIA MARTINEZ, LILLIAM A Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

71869 SERRANO PALAU, DANIEL Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

71885 GONZALEZ GARCIA, ELBA Public Employee 10/22/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

71932 RIVERA LOPEZ, MARIBEL Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

71958 JORGE PAGAN, GLENDA I Public Employee 5/4/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

71986 GARCIA BONILLA, GLENDA L Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

72003 RIVERA CHARRIEZ, MARITZA Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

72010 ACOSTA ALBINO, MARIA M Public Employee 5/4/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

72062 DELGADO RODRIGUEZ, SIXTO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

72087 SANTIAGO CASILLAS, MARITZA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

72101 ROSA RIVERA, JANET Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

72132 RULLAN VERA, ELIZABETH Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

72147 RIVERA LÓPEZ, MARIA DEL C Public Employee & Union Grievance 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

72163 BERRIOS MARTINEZ, MARIE Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 115 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

72222 PEREZ LÓPEZ, CANDIDA Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 72225 MENDEZ MILLET, JOSE RUBEN Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

72232 JIMENEZ PADRO, MARIA M Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 72311 CORREA FONSECA, AMALIA Public Employee & Pension/Retiree2 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

72320 GARCIA QUINONES, MIGDALIA ISABEL Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

72336 REYES ROSARIO, CARMEN Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

72394 CANCEL ROSARIO, ABIGAIL Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

72514 ROSADO CORDERO, JOSE D. Public Employee & Pension/Retiree 11/13/2020 Mental Health Services and Addiction Control Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

72530 COLON JUSINO, VIRGENMINA Public Employee 7/13/2021 DEPARTMENT OF EDUCATION Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

72600 IRIZARRY BURGOS, ERICK Public Employee & Pension/Retiree 6/10/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

72628 VAZQUEZ GARCIA, NIRMA Y. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

72640 RENTAS HERNANDEZ, NITZA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

72670 LUGO IRIZARRY, IRIS M. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

72678 COLON MERCED, NOELIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

72741 CASTILLO DE JESUS, ARMINDA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

72753 PEREZ MULER, LYMARIE I. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

72756 DELGADO MENA, LACKMEE Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

72760 DIAZ, ALBA BEAUCHAMP Public Employee & Pension/Retiree 6/10/2021 Department of Agriculture, Department of Housing Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

72780 CORIANO SANCHEZ, AWILDA Public Employee & Pension/Retiree2 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

72781 ZAYAS DE JESUS, WILLIAM Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

72785 RIVERA CARTAGENA, SONIA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 116 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

72803 CORDERO PEREZ, MARIA M Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

72820 MEJIAS SOTO, ADAMILA Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

72872 GONZALEZ RIVERA, JOSE ANIBAL Public Employee & Pension/Retiree2 5/4/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 72875 ARROYO DIAZ, IVAN Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

72887 PEREZ ORTIZ, NITZA B Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

72901 PEREZ VELAZQUEZ, CARMEN Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

72911 RIVERA PEREZ, MYRTHA EDITH Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

72935 MIRANDA ROLON , LOURDES Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

72947 BURIOS BERRIOS, NOEMI Public Employee 5/4/2021 Emergency and Disaster Management Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

72963 BERRIOS RIVERA, CARMEN D. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

72964 PAGAN ROBLES, MARGARITA Public Employee & Pension/Retiree 6/10/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

72987 VEGA DÍAZ, MADELINE Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

73003 FIGUEROA ACEVEDO, MAYRA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

73032 RAMIREZ VEGA, ESTHER Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

73045 MONTANEZ QUINONES, AILEEN Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

73051 ALICEA RODRIGUEZ, MARIA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

73067 BURGOS CRUZ, LUZ A. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

73071 LOPEZ RIVERA, HECTOR M. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

73076 VALENTIN AVILA, NELSON D. Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

73093 RIVERA-MELENDEZ, FRANCISCO A. Public Employee & Pension/Retiree2 7/2/2021 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

73122 PÉREZ ORTIZ, NITZA B. Public Employee 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 117 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

73145 DEGRO LEON, DAISY Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 73166 CONCEPCION DE JESUS, AIDA Public Employee 10/22/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

73171 AYALA OSORIO, HAYDEE MARIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 73202 COLLAZO CARDONA, WIGBERTO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 73210 GONZALEZ LOPEZ, DANETTE Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 73253 RIVERA SERRANO, ISABEL Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 73263 LAFFITTE, HECTOR M. Tax Refund 5/4/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

73266 ACABA RIVERA, JOSE MIGUEL Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

73270 MORALES, ARLENE I Public Employee & Pension/Retiree2 11/13/2020 Department of Agriculture & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

73302 CABAN JIMENEZ, MARIA M Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

73351 MARTINEZ RODRIGUEZ, JESSICA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

73377 MOJICA PAZ, MARJORIE Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

73379 DE JESUS COLOM, ERROL Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

73407 EDWARDS LIFESCIENCES MALAYSIA SDN. BHD Tax Refund 7/13/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

73424 COLON, MYRNA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

73426 OSORIO LOPEZ, MAURA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

73444 GARCÍA GONZÁLEZ, MARINILDA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

73467 ORTIZ ORTIZ, JOANSELLE Public Employee & Union Grievance 7/29/2022 Department of Family Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

73471 FELICIANO, FRANCISCO J Pension/Retiree 6/10/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

73531 TORRES ILARRAZA, ADA I. Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

73553 MENDEZ MENDEZ, VIRMARY Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 118 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

73556 SALVA SANTIAGO, YUSERDI Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 73588 SANTOS RODRIGUEZ, LUISA M Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

73596 OSORIO LOPEZ, MAURA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 73651 IRIZARRY AMELY, AUREA E. Public Employee & Pension/Retiree 6/10/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 73698 MARTINEZ SOTOMAYOR, LEIDA E. Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico, Teachers Retirement System

Y N/A Y Y N/A Y In Process/Under Revi

73701 FEBLES GONZALEZ, JOSE M. Public Employee 5/4/2021 Department of Sports and Recreation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

73755 ORTIZ GONZALEZ, MARILUZ Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 73757 CABALLER VINAS, GLORIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 73815 COLON RIVERA, FRANCES M. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

73819 CASTRO BORIA, JOSEFINA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

73845 NIEVES GARCIA, MARIA J Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

73865 ALVAREZ ORTIZ, VIVIAN Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

73899 LUGO MARTY, MYRTA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

73956 NEVAREZ MARRERO, EVELIA Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

73958 CINTRON RODRIGUEZ, NELSON Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

73977 JORGE PAGAN, GLENDA I Public Employee 5/4/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

73978 LUGO GUTIERREZ, DOLORES DEL CARMEN Public Employee & Pension/Retiree2 5/4/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

74005 HERNANDEZ MARTINEZ, VICTOR Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

74016 COLON, VIRNA L. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

74033 LABOY ACOSTA, MARTA I Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

74050 RAMOS SUAREZ, NANCY Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 119 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

74111 PAGAN COTTO, JOSEFINA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

74138 RUIZ, MARITZA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

74147 RIVERA NEGRON, ZULMA D. Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

74168 RUIZ QUINTANA, IISA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

74176 COLLAZO RIVERA, GLENDA L. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

74203 COMZALEZ SANTIAGO, ROSA Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

74209 MARTINEZ RIVERA, JESSICA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

74311 VELEZ GONZALEZ, LIZBETH Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

74339 MARCUCCI GUTIERREZ, MYRNA M Public Employee & Pension/Retiree2 5/4/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

74348 PEREZ SEGARRA, GREGORIO Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

74388 HERNANDEZ ARCAY, CARMEN Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

74394 RODRIGUEZ MALDONADO, DIANA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

74413 BORRERO ALDAHONDO, MARCIANO Public Employee, Pension/Retiree & Union Grievance 6/10/2021 Family and Children Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

74456 MEJIAS LUGO, ORLANDO Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

74487 FELICIANO ALICEA, GRISELLE Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N N/A N N/A 

74518 MARTINEZ PAGAN, ESTHER Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

74520 BARROS DIAZ, CARMEN H Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

74532 HERNANDEZ RAMOS, BETTY Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

74533 PEREZ TORADO, JESUS Public Employee & Pension/Retiree2 5/4/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

74582 SOTOMAYOR VAZQUEZ, JUANA I. Public Employee & Pension/Retiree 6/10/2021 Department of Family & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

74610 OTERO AVILA, JOSE A. Public Employee & Pension/Retiree 6/10/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 120 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

74689 DE JESUS MARTINEZ, ANGEL Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 74760 MARTE PERALTA, MARIA D. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

74769 MATEO SANTOS, EMMA Public Employee, Pension/Retiree & Union Grievance 6/10/2021 General Services Administration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 74779 ESPINO VALENTIN, DORCA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

74797 BARRETO RODRIGUEZ, LUZ E. Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

74817 BERGARA ROLDAN, MARGARITA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

74848 ROSADO TORRES, EDWIN Public Employee & Pension/Retiree 6/10/2021 Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

74905 CORDERO PEREZ, MARIA M Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

74908 PEREZ GERENA, AGRIMALDE Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

74923 GUZMÁN ROSARIO, MYRIAM Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

74944 GUZMÁN MALDONADO, DARNE M. Public Employee & Pension/Retiree2 5/4/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

74998 DIAZ MORALES, SONIA N. Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

75012 AYALA RODRIGUEZ, NYDIA IVETTE Pension/Retiree1 6/10/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

75023 CAMARENO CANCEL, JAVIER Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

75089 ALVARADO ORTIZ, NORMA I Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

75119 PAGAN PORRATA, CYNTHIA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

75135 TAPIA MELÉNDEZ, MAYRA E. Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

75143 ALICEA RODRIGUEZ, MARIA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

75164 MACHADO MONTANEZ, BILLY Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

75179 CALDERÍN DELGADO, LIZBETH Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

75218 MARTINEZ GUTIERREZ, CARMEN MARGARITA Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 121 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

75240 LOPEZ RIVERA, HILDA LIZ Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

75243 SANTIAGO PEREZ, MARVIN Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 75257 ARROYO VALENTIN, DAISY Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

75291 SERRANO GARCIA, IVELISSE Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

75308 MARCANO RIVERA, EDWIN Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

75339 LEBRON BORRERO, MIGDALIA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 75435 VELAZQUEZ APONTE, ALICE M Public Employee 5/4/2021 Public Service Regulatory Board Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

75438 ROJAS CUMMINGS, NILSA A Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

75441 CUEVAS MATOS, LILIANA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

75581 COLON PEREZ, EDDA Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

75613 FOLCH FIGUEROSA, MARIA T Public Employee & Pension/Retiree2 6/10/2021 Department of Family Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

75626 BONILLA ADAMES, NILSA I Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

75635 COLLAZO RUIZ, MARTA C. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

75648 DIAZ COMACHO, PEDRO A. Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

75657 COLON ORTIZ, JOSE M Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

75686 BERMUDEZ MELENDEZ, MIZRAIM Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

75692 CAVAZOS , LOLIANETTE Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

75711 CANALES DIAZ, AMILCAR Public Employee & Pension/Retiree 6/10/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

75725 CUADRADO NIEVES, MARILYN Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

75739 CRUZ RAMOS, MARÍA L. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

75756 ANDUCE RIVERA, DENISE M. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 122 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

75792 COLON RIVERA, FRANCES M. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

75813 COLON RIVERA, FRANCES M. Public Employee & Pension/Retiree2 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

75895 OCASIO ADORNO, BETSY Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

75907 VELEZ PEREZ, RAMONA Public Employee 3/30/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

75924 VIVES NEGRON, ANTONIA Public Employee 5/4/2021 Mental Health Services and Addiction Control Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 75950 AGOSTO CASAS, MANUEL A. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

75964 AYALA SANTIAGO, MARIA R. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

75976 CANDELARIO ROBLES, ANGEL Public Employee 4/21/2021 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

75981 ROJAS RIVERA, MILITZA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

75995 MUNERA ROSA, MARLYN A Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

76052 HERNANDEZ BAYRON, SYLVIA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

76070 ECHEVARRIA VALENTIN, MANUEL Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

76105 DOMINGUEZ TORRES, MARIA DE LOS MILAGROS Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

76119 RODRIGUEZ HERNANDEZ, MARTA I Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

76129 RIVERA ROSADO, OSCAR Public Employee & Pension/Retiree2 3/30/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

76131 BUEZ INZARY, EVA A. Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

76138 CRESPO MENDEZ, JEANNETTE Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

76217 AYALA COLON, NIXIDA LUZ Public Employee 6/10/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

76250 PAGAN RUEMELE, MARILYN Public Employee 5/4/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

76253 DAVILA, PETRONILA Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

76257 MORALES COLON, WANDA IVELISSE Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 123 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

76287 TORRES JIMENEZ, NEREIDA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

76294 SANTIAGO SANTANA, JOSE A Public Employee 5/4/2021 Department of Agriculture Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

76299 LEDUCTECH SOLUTIONS INC. Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

76303 COLON RODRIGUEZ, RUTH MARY Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

76317 BLASINI ALVARADO, MIGUEL H Public Employee 3/30/2021 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

76360 CRUZ CRUZ, LUZ MINERVA Public Employee & Pension/Retiree 10/22/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 76378 LOPEZ RODRIGUEZ, LUIS ALBERTO Public Employee3 11/11/2020 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

76382 VALLE VELEZ, MARIA I Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

76390 QUIÑONES RODRÍGUEZ, ROSA MARÍA Pension/Retiree 3/5/2021 Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A Y Y N/A Y In Process/Under Revi

76484 RODRIGUEZ SANCHEZ, NAYDA E Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

76490 RIVERA LLERA, IVETTE Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

76503 CRUZ GUADALUPE, LUZ M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

76532 RIVERA MARTINEZ, IRMA L Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

76538 HERNANDEZ GOMEZ, RAMON A. Public Employee & Pension/Retiree 6/10/2021 Department of Justice Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

76557 CRUZ GUADALUPE, LUZ M. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

76569 ALFONSO ALMODOVAR, JOSE Public Employee & Pension/Retiree2 5/4/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

76607 FELICIANO RIVERA, GASPAR Public Employee & Pension/Retiree 6/10/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

76629 DEL CARMEN GUZMÁN NOGUERAS, JUDI Pension/Retiree 3/30/2021 Employees Retirement System of the Government of the Commonwealth of Puerto Rico, Teachers Retirement System Y N/A Y Y N/A Y In Process/Under Revi

76654 VEGA ROSARIO, NYDIA E. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

76678 SANTIAGO TORRES, CARMEN E. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

76719 CANDELARIA VEGA, OFELIA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 124 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

76754 PLAZA PEREZ, JOSEITO Public Employee & Pension/Retiree2 5/4/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

76790 DE JESUS RIVERA, JORGE Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

76802 DIAZ GUZMAN, MIGDALIA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

76808 FUENTES SANCHEZ, BRENDA LIZ Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

76830 SANCHEZ GARCIA, EVERIS AIXA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

76870 DIAZ FEBO, LUZ O. Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

76894 CARRASQUILLO GONZALEZ, JENNIFER Tax Refund 4/21/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

76895 RIVERA MARTINEZ, WANDA M Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

76900 CRUZ GUADALUPE , LUZ M. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

76914 OYOLA RIOS, ANGELA Public Employee 11/11/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 76955 MORALES TIRADO, MARTA Public Employee & Pension/Retiree2 5/4/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

76959 ALICEA RODRIGUEZ, MARIA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

76975 ORTIZ HERNÁNDEZ, MARÍA L. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

76990 MARTINEZ DAVILA, CAROL J. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

76999 RODRIGUEZ ROJAS, AMARILYS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

77027 ROSADO PACHECO, ANA M. Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

77047 FIGUEROA RAMOIS, ONIX Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

77048 SANTIAGO COLON, LESLIE Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 77061 CARDONA ROMAN, JEIDDY Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

77083 RIVERA LOPEZ, GELY Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

77103 GONZALEZ RODRIGUEZ, ELSIE Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 125 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

77120 GONZALEZ MARTINEZ, NANCY E. Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

77197 SANTIAGO MARRERO, DELFINA Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 77211 ROMAN TOLEDO, LUIS ANGEL Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

77261 AVON PRODUCTS, INC. (PUERTO RICO BRANCH) Tax Refund 7/13/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

77264 RIVERA PACHECO, MARIA Public Employee & Pension/Retiree2 5/4/2021 Department of Health, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

77327 LEON LUGO, ANA EVA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

77333 LUNA GUZMAN, JANETTE Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

77339 RENTAS CRUZ, BENIVETTE Public Employee, Pension/Retiree & Union Grievance 6/10/2021

Mental Health Services and Addiction Control Administration & Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

77387 RODRIGUEZ GONZALEZ, MIRNA M. Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

77388 VELAZQUEZ ARROYO, ANGELA LUISA Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

77452 GONZALEZ NIEVES, ENRIQUE Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

77495 ROSADO MARCHESE, CARMEN Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

77567 LOPEZ MORALES , HILDA E. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

77587 FERRER ALICEA, CARLOS Public Employee 7/13/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

77643 MATIAS MARTINEZ, MYRTA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

77702 RODRIGUEZ, OSCAR Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

77710 MELENDEZ FELICIANO, ALEX Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

77745 RIVERA SANTIAGO, NORMA E. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

77748 FARIA PAGAN, AUREA E. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

77787 RIVERA, MABEL Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

77790 MELIA MUNIZ, MADELINE Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 126 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

77819 GARCIA AGOSTO, BRENDA LIZ Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

77827 VEGA CASTRO, MILAGROS Public Employee 6/10/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

77830 MEDTRONIC LOGISTICS LLC Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

77944 SANCHEZ ROSADO, FLOR M. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

77955 TORRES SANTANA, BRUNILDA Public Employee & Pension/Retiree2 11/13/2020 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

77987 VELEZ IRIZARRY, ZULMA Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

78056 PEREZ LOPEZ, BLANCA CELIDA Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

78057 LÓPEZ MÁRQUEZ, NELLY R. Public Employee & Pension/Retiree 10/22/2020 Department of Family & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

78110 VILLA ARMENDARIZ, SANDRA C. Public Employee & Pension/Retiree2 3/30/2021 Department of Education and Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 78111 COLLADO LOPEZ, FRANCISCA Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

78121 BAEZ CONCEPCION, KAREN SARAHI Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

78191 CABAN SOTO, DELIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

78201 CRESPO, JAIME Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

78231 ALICEA VEGA, RAMONITA Public Employee 10/22/2020 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

78254 MORALES, ARLENE I Public Employee & Pension/Retiree 11/11/2020 Department of Agriculture, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

78273 CORDERO ROBLES, ABIGAIL Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

78305 GONZALEZ MARTINEZ, NANCY E. Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

78328 ALVARADO VILA, GLADYS Public Employee 6/10/2021 Department of Labor and Human Resources Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

78331 ALICEA FÉLIX, MARIELA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

78357 RIVERA COLON, FLORENCIO Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

78398 RIVERA COLON, NACHELYN Pension/Retiree 3/30/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 127 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

78406 MILLAN MUNIZ, BETSY Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

78423 MORALES ILLAS, MIGUEL A. Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 78430 GONZALEZ BONILLA, DORIS RAQUEL Public Employee & Pension/Retiree2 6/10/2021

Department of Labor and Human Resources, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

78498 BAEZ SERRANO, JOSE I. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

78518 TORRES CAMACHO, JESELYN Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

78523 GARCIA RUIZ, BRENDA LIZ Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

78530 RODRIGUEZ LOPEZ, ARNALDO Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

78566 SANFELIZ RAMOS, MARIANO J Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

78584 AVILES MEDINA, WALESKA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

78606 RODRIGUEZ CANDELARIA, NORMA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

78609 MARTINEZ GONZALEZ, LUIS Public Employee 10/22/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

78618 COLON LEON, PABLO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

78623 MAISONET DIAZ, WANDA I. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

78665 RODRIGUEZ GONZALEZ, EMILIO Public Employee 5/4/2021 Department of Agriculture Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

78721 ORTIZ RIVERA, NANCY L. Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

78729 ORTIZ RUIZ, FLOR MARIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

78839 RIOS TORRES, IVONNE M Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

78868 SOSA LEON, MYRIAM Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

78886 MOLINA PÉREZ, MARÍA D. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

78945 GONZALEZ DIAZ, ZULMARIE Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

78954 AYALA PEREZ, ANGEL PABLO Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 128 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

79004 ARUZ BARBOSA, MINERVA Public Employee & Pension/Retiree2 5/4/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

79027 QUIJANO RAMOS, ZAYDA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

79081 NIEVES SANCHEZ, SONIA Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

79090 RIVERA MARRERO, JORGE LUIS Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

79110 BARROS DIAZ, CARMEN H Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

79179 BUSCAMPER, ANNETTE Union Grievance 7/2/2021 Mental Health Services and Addiction Control Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 79191 MARQUEZ ESPINET, MIGUEL Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

79197 MORALES RAMOS , ROSA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

79292 CRUZ VAZQUEZ, SHARIMEL Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

79318 CUEVAS PEREZ, JESUS A Public Employee 5/4/2021 Department of Agriculture Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

79323 BONILLA-ADAMES, NILSA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

79345 ECHEVARRIA SANTIAGO, LYDIA Public Employee & Union Grievance 7/29/2022 Department of Health Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

79350 GONZÁLEZ GONZÁLEZ, GUILLERMINA Public Employee 5/4/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

79412 COLON COLON, NITZA M Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

79481 CINTRON CRUZ, HECTOR L. Public Employee & Pension/Retiree 6/10/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

79562 JESURUN VAZQUEZ, WILFREDO Public Employee 5/4/2021 Department of Justice Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

79583 CRUZ RAMOS, MARIA C. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico, Teachers Retirement System

Y N/A Y Y N/A Y In Process/Under Revi

79586 CRUZ RODRIGUEZ, MARISOL Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

79610 BAJANDAS FIGUEROA, SARAI Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

79634 HORRACH, FELIPE ALICEO Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

79636 SANCHEZ CUEVAS, LUIS A. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 129 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

79641 TORRES ORTIZ, RITA M Public Employee & Pension/Retiree 11/13/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 79684 SANTIAGO HERNANDEZ, MIRIAM M Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 79695 MIRANDA FEBRES, CLAUDIO Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

79704 RIVERA TORRES, NORMA E Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

79710 SANTIAGO LOPEZ , ADA INES Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

79728 TORRES MUNOZ, EDNA E Public Employee & Pension/Retiree 6/10/2021 Department of Health, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

79748 FLECHA ROSSY, MILAGROS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 79772 GONZALEZ PINO, LEYLA Public Employee & Pension/Retiree2 6/10/2021 Child Support Administration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

79796 VARGAS ROSAS, AIDA Public Employee 5/4/2021 Department of Transportation and Public Works Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 79826 JUSTINIANO VALENTÍN, HERIBERTO Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

79862 RIVERA BURGOS, GILBERTO I Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

79870 SOTO RAMOS, LOURDES Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

79884 ORTIZ ROSADO, TOMAS Pension/Retiree 3/30/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

79916 SANTANA VAZQUEZ, CARLOS M Public Employee & Union Grievance 7/29/2022 Highway and Transportation Authority Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

79944 MEDINA SOTO, WILLIAM Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

79947 RIOS SIERRA, LUZ HAYDEE Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

79970 VELEZ CARRION, ZULMA I. Public Employee & Union Grievance 6/10/2021 Public Housing Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

79973 ROSARIO GONZALEZ, ROBERTO Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

79977 SALAMAN TORRES, WILLIAM Public Employee 6/10/2021 Highway and Transportation Authority Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

80042 GONZALEZ ALVARADO, WANDA ENID Public Employee & Pension/Retiree 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

80054 HERNANDEZ ALMODOVAR, BRENDA L Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 130 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

80067 RAMOS ANGULO, MYRNA Y Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

80110 SANTIAGO ORTIZ, ANDREA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

80137 SANTALIZ JUSTINIANO, GLORISEL Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

80154 SANTIAGO DIAZ, NECTAR AURELIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

80155 GAUD SANCHEZ, MERCEDES A Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

80163 CANDELARIA ROSARIO, DAMARIS Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

80167 CARDONA RIVERA, WILMER A. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

80174 FIGUEROA RIVERA, SOFIA DEL PILAR Public Employee3 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

80181 CRUZ MATOS, MARIA DEL CARMEN Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

80240 MASSOL SANTANA, MARIA L Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

80274 VELAZQUEZ VEGA, DEBBIE A. Public Employee 5/4/2021 Mental Health Services and Addiction Control Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 80288 MARTINEZ RIVERA, MARISOL Public Employee & Pension/Retiree 11/11/2020

Family and Children Administration & Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

80302 RODRIGUEZ RODRIGUEZ, LOYDA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

80304 CRUZ VAZQUEZ, RAQUEL Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

80309 PENA GOMEZ, MILAGRITOS Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

80337 ORTIZ SANTOS, LAURA Public Employee & Pension/Retiree2 5/4/2021 Public Service Appellate Commission Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

80349 RODRIGUEZ FLORES, VIVIAN Public Employee 6/10/2021 Vocational Rehabilitation Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

80356 VELEZ TORRES, MIRIAM Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

80379 HERNANDEZ COLON, NORMA Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

80383 EDWARDS LIFESCIENCES (CANADA) INC. Tax Refund 7/13/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

80437 NOLASCO PADILLA, CARMEN M Pension/Retiree 11/6/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revie

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 131 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

80474 GARCIA DE LA PAZ, SAMUEL Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

80482 MONTANEZ CORTEZ, LISSETTE Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

80500 GONEZ MALDONADO, ELSA IRIS Public Employee & Pension/Retiree2 5/4/2021 Office of Court Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

80512 GONZALEZ MARTINEZ, NANCY E Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

80528 CARRASQUILLO ARROYO, MARIA M Public Employee 1/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

80529 COLON SANCHEZ, MARIA Public Employee & Union Grievance 7/29/2022 Department of Family, Socioeconomic Development of the Family Administration Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

80532 GARCIA MARTINEZ, SONIA N. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

80598 RODRIGUEZ TORRUELLA, SANDRA I Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

80617 RIVERA OLIVERO, EVELYN Pension/Retiree1 6/10/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

80619 COLON MONTANEZ, ROLANDO Public Employee 11/13/2020 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

80635 GONZALEZ OLIVER , NANCY Public Employee & Pension/Retiree 1/4/2021 Department of Family Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 80660 TRINIDAD CONCEPCION, SARAHI Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

80685 TORRES NIEVES, RAMÓN Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

80697 RODRIGUEZ FELICIANO, MILAGROS Public Employee 5/4/2021 Department of Health, AFASS - Hospital Regional - Caguas, Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

80724 PRATTS AYALA, NOEMI Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

80729 MENDEZ MARTINEZ, CARMEN M Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

80734 SANTIAGO ALVARADO, ELSA R. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

80760 RIVERA LUGO, HERIBERTO Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

80763 REYES RIVERA, SONIA I. Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

80771 ALICEA RODRIGUEZ, REBECCA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

80811 TIRADO RODRIGUEZ, NORMA I Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 132 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

80828 CORDERO MILLAN, MARIELLY Public Employee & Pension/Retiree 6/10/2021 Family and Children Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 80839 OSORIO ESCOBAR, IRAIDA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

80866 QUILES MORENO, ALEXANDER Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 80909 NORIEGA VELEZ, LUDMILLA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

80913 DIAZ VELEZ, FLAVIO RUBEN Public Employee & Union Grievance 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

80935 MARIANI GUEVARA, VIOLETA Public Employee, Pension/Retiree & Union Grievance 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 80945 CRUZ MAYSONET, AMNERIS Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

80960 JAVIER SANTIAGO CARABALLO, JOSÉ LUIS Pension/Retiree 3/5/2021 Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A Y Y N/A Y In Process/Under Revi

80964 ACEVEDO PONCE, MAIRA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 81011 VELAZQUEZ VARGAS, DOLORES Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 81068 NORIEGA VELEZ, LUDMILLA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

81069 ROSAS SANCHEZ, JEANNETTE Public Employee & Pension/Retiree 3/30/2021 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

81078 MARTI LUGO, ENRIQUE Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

81085 LEON RIVERA, CARMEN M Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

81087 MORALES DIAZ, MAGDALENA Public Employee & Pension/Retiree 6/10/2021 Correctional Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

81106 LOPEZ GONZALEZ, WILMA M Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

81135 GONZALEZ SERRANO, VIRGENMINA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

81155 RODRIGUEZ MALDONADO, FRANKIE Public Employee 5/4/2021 Administration of Youth Institutions Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

81170 ACEVEDO PONCE, MAIRA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

81203 MEDINA-DURAN, MADELINE Public Employee3 11/11/2020

Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

81207 CRUZ COLLAZO , MARIA ESTHER Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 133 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

81222 MEJIAS CEPERO, ROSA E. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

81230 COSME RODRIGUEZ, NITZA Public Employee & Union Grievance 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 81337 QUIROS LUGO, MARIA M Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 81346 RODRIGUEZ MUNOZ, ANA A. Public Employee, Pension/Retiree & Union Grievance 6/10/2021 Department of Health, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 81361 CASTRO QUINONES, NORMA A. Public Employee & Pension/Retiree2 5/4/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

81374 DECLET SALGADO, CARMEN MARIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

81405 ANTONIA RUIZ TORRES SUCECION JUAN JACOB RIVERA ROSADO Public Employee & Union Grievance 6/24/2022 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

81465 MEJIAS CEPERO, ROSA E. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

81529 ROSARIO-SOTOMAYOR, BLANCA E. Pension/Retiree 3/30/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

81552 REYES RIVERA , SONIA I. Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

81576 RODRIGUEZ RODRIGUEZ, BRUNILDA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

81577 PEREZ ORTIZ, ANA MATILDE Public Employee & Pension/Retiree2 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

81579 MERCADO LUGO, ANGEL D. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

81661 AMALBERT-MILLAN, MARIA A. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

81662 AYALA BAEZ, ASTRID M Public Employee 11/11/2020 Socioeconomic Development of the Family Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 81700 MORENO CINTRON, MARTA MILAGROS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

81716 GONZALEZ GONZALEZ, JENNY Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

81765 RODRIGUEZ CRUZ, EVELYN Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

81767 ALFONSO ARROYO, MIRTA DAMARIS Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

81783 SANTIAGO COLON , LESLIE Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

81792 MERCADO NEGRON, ALBA NELLY Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 134 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

81832 RODRIGUEZ CRUZ, EVELYN Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 81838 ORTIZ PADILLA, LIZETTE Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

81862 GONZALEZ GONZALEZ, ROSAEL Public Employee & Pension/Retiree2 6/10/2021 Department of Health, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

81957 SESENTON VALENTIN, MILTON Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

81999 RIVERA RODRIGUEZ, FELIX I Public Employee & Pension/Retiree2 5/4/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

82031 SANTIAGO LOPEZ, JOSE G. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

82032 ROSADO PACHECO, ANA M. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

82086 HERNANDEZ MORALES , CLARA I. Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

82116 AMALBERT MILLAN , ROSA M. Public Employee & Pension/Retiree2 11/13/2020 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

82118 RODRIGUEZ ECHEVARRIA, GRACE J. Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

82119 MARTINEZ PEREZ, DAVID Public Employee & Pension/Retiree4 11/11/2020

Socioeconomic Development of the Family Administration & Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

82128 SAEZ HERNANDEZ, ONELIA Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

82135 LUYANDO BURGOS, YOLANDA Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

82141 SAEZ HERNANDEZ , ONELIA Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

82146 RODRIGUEZ RIVERA, SONIA ENID Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

82167 MARTINEZ-PEREZ, NORMA R Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

82188 MORENO CINTRON, MARTA MILAGROS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

82201 LOYOLA FORNES, AMALIA HERMINIA Public Employee & Pension/Retiree 11/11/2020 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

82238 CINTRON DIAZ , EFRAN Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

82250 MELIA MUNIZ, EVELYN Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

82285 ALCANTARA MANANA, MAITE Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 135 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

82292 PEREZ SANTIAGO, MARTHA E Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

82304 RODRIGUEZ VAZQUEZ, CARMEN Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

82324 IRIZARRY ROMERO, ELIZABETH Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

82372 TORRES NICOT, CRUCITA Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

82376 BUMBLE BEE INTERNATIONAL, INC AND ITS SUCCESSORS AND ASSIGNS Tax Refund 7/13/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

82422 RIVERA ROSARIO, HECTOR T. Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

3rd and Final Information Request 

letter sent to claimant; awaiting 

response

N N/A 

82474 ECHEVARRIA ABREU, SANDRA I. Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

82476 TORRES PEREZ, MARIA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

82482 FIGUEROA FERNANDEZ, MARITZA E. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

82491 CRESPO GONZALEZ, EMMANUEL F Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

82509 FIGUEROA FERNANDEZ, MARITZA ENID Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

82513 MOJICA ORTIZ, LUCILA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

82536 MEDINA RIVERA, NYDIA ANNIE Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

82541 RODRIGUEZ CRUZ, EVELYN Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 82590 ARROYO-PANTOJAS, LUIS M. Public Employee & Pension/Retiree2 5/4/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

82607 DIAZ SANTIAGO, LUZ E Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

82614 RAMOS QUINTANA, RAMONITA Public Employee & Pension/Retiree2 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

82616 RIVERA MARTINEZ, EVELYN Pension/Retiree 5/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

82719 CABRERA AVILES, MARIA M Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

82782 AYALA SEGARRA, MARISOL Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

82837 MARTINEZ RIVERA, YOLANDA Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 136 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

82841 AGOSTO ARROYO, EDWIN DAVID Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

82895 TORRES REYES, MARIA ROSA Pension/Retiree 11/11/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

82917 APONTE SANTIAGO, MIRIAM Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

82938 HERNANDEZ GUERRIDO, DIALYS Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

82977 CALCANO RIVERA, AUREA E Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

82990 MATIAS LOPEZ, FELIX Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

83024 ORTIZ BONILLA, MILAGROS Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

83025 ORTIZ BONILLA, MILAGROS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico N/A N/A N/A N/A N/A N/A N/A 

83075 CARABALLO VELEZ, FERNANDO Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

83078 TORRES BAEZ, JESELYN Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

83149 SOSA RODRIGUEZ, SHEIDA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

83216 GARCIA CARLO, YOLANDA Public Employee 6/10/2021 Mental Health Services and Addiction Control Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 83219 MARRERO PACHECO, LYUMARIE Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

83227 RODRIGUEZ ROSADO, NIVIA I Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

83235 RIVERA GUZMAN, ILIA MILAGROS Public Employee3 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

83300 SANTIAGO HERNANDEZ, CARMEN S Public Employee & Pension/Retiree 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

83315 CABAN GONZALEZ, LUZ E. Public Employee, Pension/Retiree & Union Grievance 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

83321 CANALES RIJOS, LYDIA M. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

83357 SANTAELLA SOTO , GLADYS I. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

83370 VALENTIN AQUINO, ROSARIO Public Employee, Pension/Retiree & Union Grievance 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

83470 RIVERA SANTIAGO, DORIS M. Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 137 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

83519 DIAZ GUZMAN, MIGDALIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 83523 BAEZ TORRES, SANDRA I. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico, Teachers Retirement System

Y N/A Y Y N/A Y In Process/Under Revi

83541 REYES BENITEZ, EDGRALY Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

83556 CARRASQUILLO LOPEZ, NOEMI Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

83584 MOLINA PEREZ , MARIA D Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 83591 MARI MERCADO, VIRGINIA Public Employee & Pension/Retiree 7/13/2021 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 83713 DIAZ OTERO, ENCARNACION Public Employee & Pension/Retiree 6/10/2021 Permits Management Office, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 83721 FIGUEROA TORRES, WANDA I. Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

83735 SANTIAGO DIAZ, ANGELINA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 83763 GALARZA RUIZ , ARCANGEL Public Employee3 6/10/2021 Department of Sports and Recreation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

83764 BRACERO ORTIZ, LUIS A. Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

83769 NEGRON RIVERA, CARMEN J. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

83771 MARTINEZ RAMIREZ, CARMEN LEONOR Public Employee & Pension/Retiree 10/22/2020 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

83776 PEREZ RIVERA, MIGDALIA Public Employee 6/10/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

83779 PEÑA RODRÍGUEZ, ELBA J. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

83784 REYES DEJESUS, ALBA I Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

83787 VARGAS ROSADO, AIDA M. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

83827 CARABALLO FERNANDEZ, RAMONY Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

83871 MARRERO ORTIZ, MERCEDES Public Employee & Pension/Retiree 11/11/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

83933 COLLAZO DELGADO, MARILUZ Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

83966 PEREZ SANTIAGO, FRANCISCO Public Employee & Pension/Retiree2 3/30/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 138 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

83987 DOMORACKI, WANDA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

83998 FIGUEROA RIVERA, JEANETTE Public Employee 10/22/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

83999 OLIVERAS MONTALVO, EDDIE Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

84002 LOPEZ MAYRA, BONET Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 84053 ROJAS CORDERO, HILDA L Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

84063 ACOSTA ANAYA, CARMEN MARIA Public Employee & Pension/Retiree2 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

84064 DIAZ BONES, BIENVENIDO Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

84077 PAGAN MENDEZ, HILDA I Public Employee & Pension/Retiree 3/30/2021 Child Support Administration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

84094 VELAZQUEZ-TORRUELLA, MARTA R. Public Employee 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

84113 MANFREDY FIGUEROA, MINERVA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

84144 JIMENEZ VAZQUEZ, DINORAH Public Employee 10/22/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

84184 MORALES VAZQUEZ, MARGARITA Public Employee & Pension/Retiree 7/29/2022 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

84201 ASTACIO RIVERA, CARMEN H. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

84229 ARROYO OTERO, LUZ S Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

84256 MARTINEZ PAGAN, ESTER Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

84327 BARRETO TOSADO, ELIX N. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

84338 ALERS SEGANA, JUDITH Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

84341 CRUZ CASTRO, LEONOR Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto 

Rico

Y N/A Y Y N/A Y In Process/Under Revi

84344 PEREZ MARTINEZ, ENELLY Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

84345 RENTAS CRUZ, BENIVETTE Public Employee, Pension/Retiree & Union Grievance 6/10/2021 Mental Health Services and Addiction Control Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

84352 REYES MATEO , ILIA A. Public Employee 5/4/2021 Mental Health Services and Addiction Control Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 139 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

84426 SANCHEZ ZAYAS, MARISOL Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

84449 ALVADRADO SANCHEZ, JORGE LUIS Public Employee3 6/10/2021 National Guard of Puerto Rico Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

84465 DEL VALLE FELICIANO, KAREN Public Employee 7/29/2022 Mental Health Services and Addiction Control Administration Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 84582 ORTIZ MATOS, NANCY I. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

84725 ZAPATA VEGA, SARAH Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

84748 COLON RODRIGUEZ, WANDA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

84774 SOTO RAMOS, LOURDES Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

84792 DE LEON SANTOS, ANGEL Public Employee & Pension/Retiree2 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 84808 PADIN RIOS, MARIA R. Public Employee & Pension/Retiree 3/30/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

84810 LAURENAO ROSADO, RAFAEL Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

84815 SANTOS ORTEGA, IVAN Public Employee 3/30/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

84844 GARRAFA RODRIGUEZ, ELIZABETH Public Employee & Pension/Retiree 11/11/2020 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 84846 LEON AMARO, GLENDA E. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

84873 RAMONA GARCIA , JULIA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

84874 AVILES ROMAN, JOSE Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

84917 CRUZ OSORIO, AMPARO Public Employee, Pension/Retiree & Union Grievance 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

84975 RIVERA ALVARADO, NILDA ROSA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

84980 SANTIAGO SANTIAGO, IRIS NEREIDA Public Employee 3/30/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

84998 GUZMAN, HAYDEE E. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

85009 DE JESUS JUSINO, MIGUELINA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

85034 MATOS MATOS, CARMEN E. Public Employee & Pension/Retiree 11/11/2020 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 140 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

85046 VELAZQUEZ ARROYO, ANGELA LUISA Public Employee & Pension/Retiree 11/13/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

85092 GONZALEZ IRIZARRY, PABSI Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

85095 TORRES RODRIGUEZ, RAMON F. Public Employee & Pension/Retiree 7/13/2021 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 85096 MORALES VAZQUEZ, AIDA IRIS Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

85099 PARRILLA CEPEDA, MILAGROS Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

85106 RIVERA ACEVEDO, ANTONIA Public Employee & Pension/Retiree 3/30/2021 Office of Court Administration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

85123 MALDONADO BLANCO, CARMEN M. Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

85124 BONILLA COLON, ANITA Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

85126 FIGUEROA CORREA, LYDIA H Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

85132 ANDUJAR MARTINEZ, CARMEN E. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

85145 MORALES CRUZ, MARISOL Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

85188 MONTERO MORALES, MARTA I Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

85204 ELI LILLY EXPORT, S.A. (PUERTO RICO BRANCH) Tax Refund 7/13/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

85208 CAMACHO QUINONES, CLARIBEL Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

85253 RIVERA MARTINEZ, ROSARIO DEL PILAR Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

85279 RODRIGUEZ SANTRAGO, MARIA M. Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

85297 ARAGONES RODRIGUEZ, ENID D Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

85316 LEBRON RAMOS, AGUSTIN Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

85318 MONTALVO VEGA, VIRGEN MILAGROS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

85329 ALMONDOVAR LEBRON, IVONNE Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

85406 PACHECO CALDERON, LUZ CELENIA Public Employee & Pension/Retiree 7/13/2021 Department of Justice, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 141 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

85446 RIVERA VILLALOBOS, GLORIA M. Public Employee3 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

85468 PEREZ RODRIGUEZ, DORIS N. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

85472 GONZALEZ, RUPERTA PIZARRO Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

85481 GARCIA CRUZ, CARLOS J. Public Employee 11/11/2020 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

85530 SANTIAGO HERNANDEZ, IRIS E Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

85565 FELICIANO VELAZQUEZ, NANCY Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

85586 BIRRIEL CACERES, NORA I Public Employee 7/29/2022 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

85593 RUIZ MARTINEZ, MIGDALIA Public Employee 11/11/2020 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

85596 RIVERA TORRES, SONIA EDITH Public Employee 11/11/2020 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

85598 CARRASQUILLO VELAZQUEZ, MARIA Public Employee 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

85628 GRAJALES VILLANUEVA, VILMA N. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

85649 VIZCARRONDO AYALA, NADIA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

85650 BARTOLOMEY VELEZ, IRMA R. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

85656 PADILLA BELTRAN, JOSE M Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

85705 CARDONA RIOS , MARIA DE LOS A. Public Employee 6/10/2021 Family and Children Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

85715 MELENDEZ REYES, YADIRA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

85717 RODRIGUEZ CAMACHO, ABIGAIL Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

85750 VEGA RODRIGUEZ, MARISOL Pension/Retiree 5/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

85791 VOLCY SANCHEZ, ALEX Public Employee & Pension/Retiree 6/10/2021 Program of Youth Affairs & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

85812 VELEZ PEREZ, PROVIDENCIA Public Employee 6/10/2021 Public Housing Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

85816 DEL VALLE RODRIGUEZ, NYDIA L Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 142 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

85844 TRUJILLO PIZARRO, IVAN Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

85860 SERRA LARACUENTE, MINERVA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 85894 VALENTIN DIAZ, ADA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

85896 PABON VAZQUEZ, ZOLIO Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 85898 PABON VAZQUEZ, ZOILO Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 85924 GONZALEZ BURGOS, MARIA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

85948 RIVERA ORENGO , SALVADOR Public Employee 11/11/2020 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

85954 RODRIGUEZ ANDINO, DANITZA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

85980 BOCACHICA COLON, MARIA I. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

85998 HERNANDEZ SOSTRE, ELSA A. Public Employee & Pension/Retiree 10/22/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 86004 MORALES ROSARIO, EDGAR A Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

86074 LOPEZ AYALA, CARMEN ANA Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

86108 FELICIANO LORENZO, ROBERTO Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

86144 ROMAN HERNANDEZ, ISADELY Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 86189 CALDERO RIOS, DORAIMI Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto 

Rico

Y N/A Y Y N/A Y In Process/Under Revi

86199 PINTADO MELENDEZ, ELBA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

86213 ECHEVARRIA ABREU, SANDRA I. Public Employee & Pension/Retiree 3/30/2021 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

86229 CRUZ DALMAU, EVA MARIE Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

86235 RIVERA RIVERA, MARIA M. Public Employee & Pension/Retiree 6/10/2021 Department of Health, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

86264 PEREZ DE LOS SANTOS, RAMON Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

86288 BAEZ BAEZ, AIDA E. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 143 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

86290 RIOS JIMENEZ, IVAN Public Employee3 6/10/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

86343 SUAREZ MATOS, RAMONITA Public Employee 7/2/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

86350 RIVERA ROSARIO, HECTOR T. Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

3rd and Final Information Request 

letter sent to claimant; awaiting 

response

N N/A 

86352 VELEZ PADILLA, ELIZABETH Public Employee & Pension/Retiree2 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

86363 GONZALEZ SANCHEZ, CARMEN Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

86369 FELICIANO RIVERA, IVELISSE Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

86370 LOPEZ AYALA, IVETTE Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

86375 ANDUJAR MARTINEZ, CARMEN E Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

86403 DAVILA OSTOLAZA , MARISEL Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

86428 COLAZO GARCIA, VANESSA I. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

86437 ANAYA ALVAREZ, JUANA B Public Employee & Pension/Retiree 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

86474 RIVERA RODRIGUEZ, MADELINE Public Employee & Pension/Retiree 11/11/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

86548 RAMIREZ MIRANDA, ROSA ESTHER Public Employee 11/11/2020 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

86572 AYALA COTTO, ELENA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

86580 CARABALLO RODRIGUEZ, MIRTA Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

86604 FOURNIER ARCE, ROSA Public Employee & Union Grievance 6/24/2022 Department of Education Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

86609 ANDINO CALDERON, CLARA Public Employee3 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

86617 ALVAREZ LORA, DAYNELLE Public Employee & Pension/Retiree 6/10/2021 Department of Justice Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

86660 VALDES DE JESUS, JULIO A. Pension/Retiree 11/13/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

86662 TORRES RODRIGUEZ, DIANA Public Employee 11/13/2020 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

86673 COLON TORRES , CARMEN L. Public Employee & Pension/Retiree 3/30/2021 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 144 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

86705 RIVERA SANTANA, CARMEN E. Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

86706 FIGUEROA BREBAN, MARIA LUISA Public Employee & Pension/Retiree 6/10/2021 Department of Family Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

86725 LUGO OLIVERAS, IRIS BELSIE Public Employee 10/22/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

86778 RAMOS HERNANDEZ, CARMEN M. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

86780 ESMURIA JESUS, MARIA E E Public Employee 5/4/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

86802 VAZQUEZ OLIVIERI, MILDRED M Public Employee & Pension/Retiree2 11/13/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

86843 DAVIS DE LEON, JORGE V. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

86875 ROBLES RIVERA, ESTEBAN Public Employee 6/10/2021 Department of Health, Mental Health Services and Addiction Control Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 86880 GERENA ACEVEDO, JORGE L. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

86893 MARTINEZ SOSA, VILMA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

86915 QUIJANO GARCIA, MARIA E. Public Employee & Pension/Retiree4 3/5/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 86920 AMADOR DE LA PAZ, RAFAELA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

86930 RIVERA PEREIRA, ALBA N. Public Employee & Pension/Retiree 11/13/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

87005 ORTIZ ORTIZ, OCTAVIA Public Employee 11/11/2020 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

87062 RODRIGUEZ GONZALEZ, HARRY L Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

87100 DE JESUS CASTILLO, IVAN Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

87111 AVILES PLAZA, YERILDA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

87195 APONTE MARTINEZ, MARIA DEL S. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

87273 TORRES, ANGELITA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

87275 SANTIAGO ALVARADO, ELSA R. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

87322 RODRIGUEZ, LEILA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 145 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

87325 OYOLA RIOS, BETZAIDA Public Employee & Pension/Retiree2 11/11/2020 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

87366 RODRIGUEZ MUNOZ, ANA A Public Employee, Pension/Retiree & Union Grievance 6/10/2021 Department of Health, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

87375 RIVERA ROSARIO, HECTOR T Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

3rd and Final Information Request 

letter sent to claimant; awaiting 

response

N N/A 

87376 ALICEA FONSECA, CARLOS ALBERTO Public Employee & Pension/Retiree 7/13/2021

Department of Economic Development and Commerce, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

87379 LUGO SANTANA, INES M. Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

87398 MALDONADO TORRES, LYDIA E. Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

87400 BELLIDO RUIZ , MIRIAM JULIA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

87404 ALVARADO OLIVIERI, PEDRO Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico, Teachers Retirement System

Y N/A Y Y N/A Y In Process/Under Revi

87418 MERCADO RIVERA, ISAAC Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

87462 LUGO SANTANA, INES M Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

87472 ESTRADA LEBRON, SONIA I. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

87473 LUGO SANTANA, INES M. Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

87477 RIVERA RUIZ, MARILYN Public Employee 11/11/2020 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

87480 MONTES VAZQUEZ, GEORGINA Public Employee & Pension/Retiree 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

87514 RODRIGUEZ LUGO, LETICIA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

87552 SANTIAGO GONZALEZ, MARIA Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

87554 PAGAN ACOSTA, ANGELA Public Employee 5/4/2021 Mental Health Services and Addiction Control Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 87581 MARTI PEREZ, JEDRICK Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

87591 DIAZ ROSARIO, BIANCA A. Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

87592 CARMONA LAMOUTTE, LUZ R. Public Employee 6/10/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

87617 REYES RIVERA, SONIA I. Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 146 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

87621 SANTIAGO COLON, WILDA Public Employee & Pension/Retiree 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 87637 CRESPO RUIZ, RAMONITA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 87695 RIVERA TIRADO, ROSAURA Pension/Retiree 5/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

87743 MARIN RIOS, LUIS A Public Employee, Pension/Retiree & Union Grievance 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 87765 MALDONADO GARCIA, MARISOL Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

87833 LOPEZ RIOS, ALIDA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

87871 DE JESUS AYALA, MARGARITA Public Employee 3/30/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

87889 MARTINEZ QUINONES, SHEILA M Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico, Teachers Retirement System

Y N/A Y Y N/A Y In Process/Under Revi

87914 MONTERO MORALES, MARTA I. Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 87918 MONTERO MORALES, MARTA I. Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 87926 OYOLA RIVERA, MILAGROS Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

87939 MARTINEZ, JANET Public Employee & Pension/Retiree 6/10/2021 Pretrial Services Program, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 87954 LEON COLON, ALBERTO Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

87967 AVILES ESTRADA, MYRIAM LISBELL Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

87997 CRISPIN TORRES, CHARISSA Pension/Retiree 5/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A N N/A 

88022 CUEVAS , CRISTINA CANCEL Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

88030 BAEZ SALAS, BLANCA I. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 88047 NEGRON LOPEZ, GLORIA E. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 88086 RAMOS CANDELARIO, ADA Public Employee & Pension/Retiree2 5/4/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

88093 FIGUEROA TORRES, CARMEN E. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

88096 GARCIA RIVERA, FRANCIS Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 147 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

88131 RIVERA IRIZARRY, ANGELIEN Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

88159 BONILLA COLON, ANITA Public Employee 7/13/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

88184 SERRANO CRUZ, NELLIE M. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

88190 RAMIREZ HERNANDEZ, ADOLFO Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

88198 IBÁNEZ SANTOS, MAGDALENA Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 88202 PEREZ HERNANDEZ, EVA JUDITH Public Employee & Pension/Retiree 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 88224 MONTALVO SANTIAGO, JOSE G. Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

88242 RIVERA, VIRGINIA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 88246 GRACIA VELAZQUEZ, SARAI Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

88311 CORDERO MATOS, SONIA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

88365 REYES RODRIGUEZ, MARIA DE LOURDES Public Employee 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

88368 PABON SANCHEZ, MAYRA O. Public Employee & Pension/Retiree 6/10/2021 Department of Health & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 88370 TORRES MARTINEZ, ANA MARIA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 88392 SANCHEZ MENDEZ, JOSE M Public Employee & Pension/Retiree 7/13/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

88418 RODRIGUEZ RIVERA, DIGNA Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

88429 ALFONSO ROLDAN, WILDA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

88459 DIAZ SAVINON, ELENA A Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

88463 LOPEZ MARCUCICI, DAVID Public Employee & Pension/Retiree 6/10/2021 Department of Correction and Rehabilitation, Administration of Correction Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

88482 VELEZ IRIZARRY, MARIA INES Public Employee 3/30/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

88548 GONZALEZ SANTIAGO, MIGDALIA Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

88552 ROSA, ALEXANDER Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 148 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

88564 MEDINA OLIVERAS, ANGELICA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico, Teachers Retirement System

Y N/A Y Y N/A Y In Process/Under Revi

88600 APONTE MARTINEZ , MARIA DEL S. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 88674 FIGUEROA FERNANDEZ, MARITZA E. Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 88690 ALVARADO HERNANDEZ, RITA E. Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

88703 MERCADO PADILLA , LOURDES Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

88739 ORTIZ MOLINA, LUZ S. Public Employee 11/11/2020 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

88750 DEL VALLE NIEVES, LYDIA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

88751 ORTIZ RAMOS, WILLIAM Public Employee & Union Grievance 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

88760 RODRIGUEZ COLON, CARMEN T. Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

88764 TORRES ORTIZ, RITA M. Public Employee & Pension/Retiree 11/13/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

88816 RIVERA ALVARADO, IVELISSE Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

88818 PEREZ RIVERA, JOSE R. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N 3rd and Final Information Request letter sent to claimant; awaiting 

response

N N/A 

88838 BERNIER COLON, CARMEN L. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

88857 LEVANTE LOPEZ, FERNANDO L. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

88860 SANTIAGO MARTINEZ, OMELIA Public Employee & Pension/Retiree2 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

88863 ESCALERA FELICIANO, HILDA E. Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

88865 MERCADO DE LEON, LUZ EVELYN Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

88882 AVILES ESTRADA, MYRIAM LISBELL Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

88892 RODRIGUEZ TORRES, ROSA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

88936 MEDINA MUÑIZ, LUIS A. Union Grievance 8/25/2021 Department of Natural and Environmental Resources Y N/A Y Y N/A N N/A 

88953 CRUZADO MARRERO, NILDA E. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 149 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

88958 RODRIGUEZ-LOPEZ, BRENDA J Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 88972 LEON COLON , ALBERTO Public Employee & Pension/Retiree2 5/4/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

89029 RIVERA TORRES, CARMEN MARIA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

89031 CRUZ PEREZ, GLADYS MARIA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

89053 GUZMAN AYUSO, NORA G Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

89097 ROSADO TRICOCHE, MARILYN Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

89110 ABREU PELLOT, ROSA E Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

89204 SANTOS MARTINEZ, LIRIO A Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

89214 MEDINA RIVERA, NYDIA ANNIE Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

89239 RODRIGUEZ RODRIGUEZ, IVETTE Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

89294 DIAZ COLON, ALBA IRIS Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

89301 ORTIZ PEREZ, IVELISSE DEL CARMEN Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

89321 SANTIAGO RIVERA, MELANNIE Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

89367 MOJICA ORTIZ, LUCILA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

89430 GARCIA, ROSAURA LAGUER Public Employee, Pension/Retiree & Union Grievance 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

89449 GUTIERREZ GONZALEZ, GUILLERMO A. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

89465 VENTURA RODRIGUEZ, ANA D. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

89474 ORTIZ ZAYAS , GISELA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

89479 ZAVALA CAMACHO, ANDREA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

89484 CABRERA AVILES, MARIA M Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

89502 RODRIGUEZ CRUZ, EVELYN R Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 150 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

89507 CASILLAS MEDINA, PRISCILLA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

89545 IRIZARRY HERNANDEZ, LYDIA E. Public Employee 5/4/2021 Department of Health, Pediatric Hospital Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

89555 VEGA ZAYAS, LYDIA MARIA Public Employee & Pension/Retiree 11/13/2020 Department of Health & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 89567 ECHEVARRIA ABREU, SANDRA I. Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 89627 CORTES RIVERA, BETHZAIDA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

89644 GONZALEZ SALGADO, JOSE JAVIER Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

89680 FINES RIVERA, NORMA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 89704 LABORATORIO CLINICO MINILLAS CORP Tax Refund 7/13/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

89722 COLON TORRES, ENID Public Employee & Pension/Retiree 11/13/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 89724 RIVERA SANTIAGO, FREDESWINDA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 89746 SANTIAGO TORRES, CARMEN E Public Employee & Pension/Retiree 7/13/2021 Department of Health & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 89760 COLON CONCEPCION, ANGIE Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 89766 DAVILA COLON, NANCY Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

89809 LOPEZ BARRIOS, MYRNA Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 89812 CARABALLO GARCIA, AIDA I. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

89833 ROLON COSME, FRANCISCA Public Employee & Pension/Retiree 3/30/2021 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

89877 RIVERA RIVERA, AWILDA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

89923 COSME RODRIGUEZ, NITZSA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

89930 REYES RIVERA, SONIA I Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

89941 FIGUEROA OJEDA, PATRIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

89945 DAVILA APONTE, MIGDALIA Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 151 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

89951 LEON AMARO, GLENDA E Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

89955 HERNANDEZ PELLOT, EVERLIDIS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

89996 LEON RIVERA, ANA M. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

90014 RIVERA ROSARIO, HECTOR T Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

3rd and Final Information Request 

letter sent to claimant; awaiting 

response

N N/A 

90048 NIEVES RIVAS, MARGARITA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

90076 REYMUNDI CONCEPCION, CARLOS M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

90127 CABAN, MARIA M Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

90134 RODRIGUEZ COLON, ANGELITA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

90170 GUERRERO SAKEDO, REINALDO Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

90192 SANTIAGO ALVARADO, ELSA R Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

90201 MONTALVO SANTIAGO, JOSE G Public Employee & Pension/Retiree2 5/4/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

90214 GARCIA COLON, ROSA M. Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

90228 MORALES ARROYO, EMILIA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

90231 VAZQUEZ ROMERO, CARMEN L. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

90250 PEREZ ORTIZ, ANA M Public Employee & Union Grievance 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

90293 RAMOS CINTRON, ERMIS Z. Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

90299 CRUZ GONZALEZ, SONIA IVELISSE Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

90309 OCASIO RIVERA, MARTA L Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

90316 LEON COLON, ALBERTO Public Employee & Pension/Retiree2 5/4/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

90328 ACOSTA LUCIANO, EVELYN Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

90332 LICIAGA PEREZ, JEANNETTE Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 152 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

90353 OSORIO LOPEZ, MAURA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 90367 ROSARIO RODRIGUEZ, ALICIA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 90371 RODRIGUEZ GUZMAN, JOSEFINA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

90376 MELENDEZ DELGADO, MARIA S. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 90435 LUGARO PAGAN, ROSALIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 90445 AGUIRRE GONZALEZ, GREGORIO Public Employee & Pension/Retiree 6/10/2021 Administration of Correction Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 90451 FIGUEROA TORRES, CARMEN E. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

90456 FANTAUZZI MENDEZ, WALESKE DEL C. Pension/Retiree 3/5/2021 Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A Y Y N/A Y In Process/Under Revi

90463 CRUZ SOSA, ABRAHAM Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 90474 LUGARO PAGAN, ROSALIA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

90485 CABRERA AVILES, MARIA M Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 90492 GONZALEZ GONZALEZ, MARIA E Public Employee & Pension/Retiree2 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

90525 ROCHE LEON , IRMA R. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

90581 RAMIREZ TORRES , HERIBERTA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

90590 FELICIANO GONZALEZ, CARMEN MARIA Pension/Retiree 3/5/2021 Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A Y Y N/A Y In Process/Under Revi

90595 RODRIGUEZ MUNOZ, MARIA B Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

90607 ROSA AVILLAN, KAROLL HAYDEE Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

90625 PAGAN RODRIGUEZ, ARIEL Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

90628 MARI GONZALEZ, IRAIDA O. Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

90634 LOPEZ GONZALEZ, WANDA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

90653 SERRANO, YOHAMMA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 153 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

90665 RODRIGUEZ MUNOZ, MARIA B Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 90668 CAMACHO DIAZ, LUIS A. Public Employee & Pension/Retiree 6/10/2021 Department of Labor and Human Resources Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 90690 IRIZARRY VALENTIN, CARMEN Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 90708 CARDONA PEREZ, LUZ E. Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

90715 GERENA, DIONISIO ROSALY Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

90733 BARROS DIAZ, CARMEN H. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

90738 GONZALEZ GONZALEZ, MARIA E. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

90745 GONZALEZ GONZALEZ, JENNY Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

90750 RIVERA ROSARIO, JAVIER Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

90786 CRUZ FIGUEROA, MABEL Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

90802 RIVERA GONZALEZ, JUAN JOSE Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

90831 GONZALEZ RODRIGUEZ, RAMON A Public Employee 5/4/2021 Administration of Correction Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

90849 RIVERA GONZALEZ, JOSE L. Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

90866 DIAZ ROSA , GLORIA M Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

90874 MATOS GONZALEZ, FELIPE Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

90889 RIVERA ROSARIO, YADIRA Pension/Retiree1 7/13/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico, Teachers Retirement System

Y N/A Y Y N/A Y In Process/Under Revi

90900 BALSEIRO ASTOR, DORIS L. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

90963 VELAZQUEZ ARROYO, ANGELA Public Employee & Pension/Retiree 11/13/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

90965 RODRIGUEZ IRIZARRY, AGLAER Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

90967 COLON RIVERA, GLORIA M. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

90971 MARTINEZ FELICIANO, FELICITA Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 154 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

91014 AMALBERT MILLAN, ROSA M Public Employee & Pension/Retiree 11/13/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 91058 AYALA BAEZ, ASTRID M Public Employee & Pension/Retiree 3/30/2021 Department of Family, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 91063 RIVERA MANGUAL, NIRMA Public Employee & Pension/Retiree2 3/30/2021 Department of Health, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 91065 RIVERA RODRIGUEZ, ANA A. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 91076 FRANCO MOLINA, MARTA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 91083 LUGARO PACHECO, MERCEDES Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 91092 RIVERA MONSERRATE, NANCY Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

91107 GARCIA LUGO, DIANA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

91118 FIGUEROA CRUZ, EVELYN Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

91122 NUNEZ FALCON, WILMA Public Employee & Pension/Retiree 11/11/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

91143 PAGAN, JUAN ROSARIO Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

91155 LOURIDO PADRO, LETICIA M Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto 

Rico, Teachers Retirement System

Y N/A Y Y N/A Y In Process/Under Revi

91160 RIVERA RODRIGUEZ, MIRIAM Public Employee 3/30/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

91163 DEL VALLE APONTE, JESUS Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

91189 CUEVAS EFRE, TEOBALDO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

91240 GUZMAN CINTRON, EDUARDO Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

91261 SANTA RIVERA, LUISA Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

91334 SANTIAGO ANDUJAR, VIRGEN S. Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

91336 PAGAN RODRIGUEZ, ARIEL Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

91341 RENTAS ROJAS, MILDRED ELISA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

91351 MORO RODRIGUEZ, MARIA J Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico, Teachers Retirement System

Y N/A Y Y N/A Y In Process/Under Revi

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 155 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

91370 RIVERA PEREZ, RAQUEL Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

91373 RIVERA PEREZ, NORMA IRIS Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

91384 SOTO MORALES, JUAN A Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

91424 TOLEDO MENDEZ, GEORGE Public Employee & Pension/Retiree 6/10/2021 Department of Public Safety Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

91432 VAZQUEZ ALVAREZ, CARMEN E. Public Employee & Pension/Retiree 11/13/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

91438 MARTINEZ MORALES, ILIA ROSA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

91443 SANTIAGO LOZADA, MARIA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

91472 RODRIGUEZ PADILLA, ANA M. Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

91481 FIGUEROA RIVERA, MAGDALENA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

91482 GEORGI RODRIGUEZ, JESUS M. Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

91526 DE LOS ANGELES ROGRIGUEZ CRUZ, MARIA Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

91537 CRUZ TORRES, MARIO J. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

91625 NEGRON ORTIZ, ALICIA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

91626 ROMAN RAMOS, SONIA S Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

91647 SANCHEZ VEGA, NILDA L Public Employee & Pension/Retiree 3/30/2021 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

91648 ORTEGA CHINEA, YOLANDA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

91656 DE ARMAS FIGUEROA, MARIA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

91666 QUINONES VAZQUEZ, GREGORIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

91667 MARRERO SANTIAGO, GISELA Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

91705 RODRIGUEZ TORRES, MARISELI Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

91721 MELENDEZ MARTINEZ, MARCELINA Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 156 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

91736 VEGA RIVERA, ADALBERTO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 91761 RIVERA RIVERA, GLADYS Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

91786 GUZMAN AROCHO, DIANA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 91814 SANTIAGO GONZALEZ, INA R Public Employee & Pension/Retiree 6/10/2021 Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

91891 RIVERA FONTANEZ, BRENDA LEE Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

91916 REYES OQUENDO , LESLIE F Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

91948 LOZANO RIVERA, ARLEEN Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

91950 TORRES ROSARIO, MARÍA ISABEL Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

91958 CRUZ TORRES, WILMA E. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

91976 CARDONA MORENO, CARMEN MARIA Public Employee 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

91985 COLON RIVERA, MAYDA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

92093 LUGARO PACHECO, MERCEDES Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

92114 SANTIAGO BERMUDEZ, ARIEL A. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

92126 GARCIA CARLO, YOLANDA Public Employee 5/4/2021 Mental Health Services and Addiction Control Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 92146 CINTRON SERRANO, ANA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

92161 SOLIS CORDERO, GUADALUPE Public Employee & Pension/Retiree 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

92166 ACEVEDO ZAMBRANA, CARMEN Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

92188 LOPEZ CRUZ, MIGDALIA Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

92207 TORRES SANTIAGO, ENRIQUE LUIS Public Employee & Pension/Retiree 6/10/2021 Public Building Authority, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

92236 DOMENECH MANSO , NILKA M Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

92334 VAZQUEZ MASSA, MILAGIOS Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 157 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

92335 RIVERA COLON, ERIC L Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

92336 SANTANA RODRIGUEZ , MAGDA L. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 92360 MATOS MATOS, CARMEN E. Public Employee & Pension/Retiree2 11/11/2020 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

92367 ORTIZ MERCADO, GERARDO Public Employee 6/10/2021 Mental Health Services and Addiction Control Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 92379 CALCADOR RIVERA, NILFA I. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

92383 CHARDON RODRIGUEZ, CARMEN J Public Employee & Pension/Retiree2 11/11/2020 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

92422 FRATICELLI PAGAN, ROSA J. Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

92470 RODRIGUEZ SANCHEZ, MARTA Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

92473 GONZALEZ MERCADO, NIDIA Pension/Retiree1 7/13/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

92474 NUNEZ FALCON, NORMA IRIS Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

92512 CRESPO SANTIAGO, CYNTHIA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

92518 CARRASQUILLO ORELLANO, CARMEN S. Pension/Retiree 3/5/2021 Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A Y Y N/A Y In Process/Under Revi

92543 CARDONA VELEZ, HILDA ZORAIDA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

92547 BERNIER COLON, ALIDA I. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

92556 RODRIGUEZ MARRERO, CARMEN D. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

92559 DIAZ COTAL, LILLIAN Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

92609 IRIZARRY PIERANTONI, LUZ V Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

92646 LEON GARCIA, GISELLE Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

92716 RODRIGUEZ VELAZQUEZ, LOIDA Public Employee & Pension/Retiree 11/11/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

92754 LUGARO PACHECO, MERCEDES Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

92794 VAZQUEZ FERNANDEZ, IRIS YARIDZA Public Employee & Pension/Retiree2 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 158 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

92825 LABOY LUGO, LUCILA Public Employee & Pension/Retiree2 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

92827 CASTRO DIAZ, IRMA LUZ Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

92867 NIEVES ALBINO, JOSE A. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

92885 AVILES VELEZ, MATILDE Public Employee & Pension/Retiree 3/30/2021 Mental Health Services and Addiction Control Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

92903 SANTIAGO COLON, LESLIE Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

92928 RIVERA TOLEDO, NILDA MARIA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

92931 KUILAN PEREZ, NILSA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

92992 COLLAZO MORALES, CARMEN E Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

93009 MENDEZ SANTIAGO, MARIA MAGDALENA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

93012 RODRIGUEZ LOPEZ , LOIDA Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

93044 ARROYO PEREZ, ANTONIA Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

93049 CORDERO RODRIGUEZ, EDWIN P Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

93066 BAEZ IRIZARRY, ORLANDO Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

93090 LINARES ROSARIO, VILMARI Pension/Retiree 5/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

93099 VEGA ZAYAS, LOURDES Public Employee & Pension/Retiree 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

93101 NUNEZ FALCON, NORMA IRIS Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

93196 LEON RIVERA, CARMEN M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

93232 MATTEI MADERA, MARLYN Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

93240 NEVAREZ SANTANA, DORIS I. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

93243 MIRANDA, SYLVIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

93261 SALGADO MERCADO, ALAN Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 159 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

93332 BERRIOS TORRES, THELMA I Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

93354 IRIZARRY MALDONADO, SOL A Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 93406 NUNEZ FALCON, NORMA IRIS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 93431 RODRIGUEZ MUNOZ, ANA Public Employee, Pension/Retiree & Union Grievance 6/10/2021 Department of Health, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 93500 RODRIGUEZ RIOS, MARIA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 93504 RACHUMI CORTES, GERARDO A. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

93534 GRULLON ROSSELLO, CHARMAINE A. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

93585 RIVERA GONZALEZ, JUAN JOSE Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

93592 NEGRON FIGUEROA, NELIDA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

93594 CRUZ VARGAS, ENEIDA Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

93603 AVENAUT LEVANTE, ROSABEL Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

93630 BURGOS VELAZQUEZ, FELICITA Public Employee 10/22/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

93636 SOTO TORRES, MYRNA Y Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

93646 DORTA NIEVES, MARITZA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

93661 CASASNOVAS CUEVAS, LUZ N Public Employee 7/29/2022 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 93688 KUILAN PEREZ, MINERVA Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

93712 EDWARDS LIFESCIENCES PTY. LTD Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

93752 UNIVERSITY OF PUERTO RICO RETIREMENT SYSTEM TRUST Pension/Retiree 10/29/2021 Employees Retirement System of the Government of the Commonwealth of Puerto Rico N Claim amended by subsequently filed claim N N N/A N N/A 

93771 DIAZ MONTALVO , ANA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

93788 RENTA VARGAS, MARTA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

93811 MARTINEZ MENDEZ, DENISSE G. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 160 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

93839 JIMENEZ MEDINA, JOSE L. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

93861 RIVERA ORTIZ, CARMEN LYDIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 93876 MELENDEZ ALICEA, JUAN Public Employee & Pension/Retiree2 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

93889 ORTIZ APONTE, IRIS DALILA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

93899 SERRANO SERRANO, IRMA I Public Employee 5/4/2021 Mental Health Services and Addiction Control Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 93911 SILVA MORALES, SONIA M. Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

93918 MENDEZ SANTIAGO, RAFAEL Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

93928 MORENO SOTO, IRMA T Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

93945 TORRES RIVERA, MARIA R Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

93946 VILLAMIL PORRATA, MARISABEL Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

93962 RIVERA TOLEDO, NILDA MARIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

93963 AVILA PEREZ , VIVIAN MARIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

93999 REYES FONSECA, DANIEL Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

94006 ALBIZO BARBOSA, MARTHA E Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

94047 LEON SANTIAGO, JUDITH Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

94057 COLON TORRES, TAMARA Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

94091 ALICEA DIAZ, MIGDALIA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

94093 ECHEVARRIA MOLINA, CARMEN GLADYS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

94095 RIVERA VENES, CARMEN G. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

94108 CINTRON CINTRON, ARNALDO LUIS Public Employee & Pension/Retiree 6/10/2021 Socioeconomic Development of the Family Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

94118 MORALES MARTE, MAYRA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico, Teachers Retirement System

Y N/A Y Y N/A Y In Process/Under Revi

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 161 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

94127 CINTRON CINTRON, ARNALDO LUIS Public Employee 5/4/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

94170 VEGA FIGUEROA, CARMEN C. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

94185 FARIA, CARMEN I Public Employee & Pension/Retiree 11/11/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 94211 VAZQUEZ MARCANO, RAMIRO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 94213 RODRIGUEZ RODRIGUEZ, ADA MERCEDES Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

94235 SEVILLA ESTELA, MANUEL A. Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

94246 RODRIGUEZ FIGUEROA, ROSA ELIZA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

94278 COLON RIVERA, NILDA Public Employee & Pension/Retiree 11/11/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

94314 RODRIGUEZ FLORES, FELICITA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

94363 RAMOS TORRES, ADA M. Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

94377 RIVERA MEDINA, JUDITH Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

94383 BERMUDEZ SANTIAGO, LUIS ALBERTO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

94398 LEDESMA MOULIER, ZENAIDA Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

94402 RAMOS CRUZ, VILMA E. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico, Teachers Retirement System

Y N/A Y Y N/A Y In Process/Under Revi

94432 BELTRAN RODRIGUEZ , MARIA MAGDALENA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

94468 RODRIGUEZ FERNANDEZ, ADA J Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

94517 PAGAN ROBLES, MARGARITA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

94543 PAGAN RODRIGUEZ, ARIEL Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

94548 AQUIRRE RIVERA, ZENAIDA Public Employee 5/4/2021 Mental Health Services and Addiction Control Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

94554 VILLARINI IRIZARRY, MILAGROS Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

94571 LOZADA RIVERA, ELENA Public Employee3 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 162 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

94597 RODRIGUEZ PAGAN, CRUZ MARIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 94624 ACOSTA SANTIAGO, CLARA TERESA Public Employee 5/4/2021 Public Service Commission Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

94627 SOSA LEON, MYRIAM Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

94628 LOPEZ RODRIGUEZ, CARMEN LUZ Public Employee, Pension/Retiree & Union Grievance 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

94629 FIGUEROA TORRES, CARMEN E. Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 94642 MEDINA RIVERA, LIZAMARIE Public Employee & Pension/Retiree 6/10/2021 Department of Justice Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 94666 MERCADO ROSAS, VIRGEN Public Employee3 11/11/2020 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

94723 CRUZ ESCUTE, CARMEN NITZA Public Employee & Pension/Retiree 11/11/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

94758 ELI LILLY AND COMPANY Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

94805 TORRES NICOT, CRUCITA Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

94824 AMBERT DAVIS, RAFAEL Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

94826 COLON MARTINEZ, ZULMA Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

94835 CHAPMAN RIVERA, JORGE E Pension/Retiree 6/24/2022

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A N N/A 

94849 NEGRON RIVERA, CARMEN J. Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

94855 ORTIZ COLON, WANDA Public Employee & Pension/Retiree 3/30/2021 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

94876 SEVILLA ESTELA, MANUEL A Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

94910 KERCADO-SANCHEZ, EDNA MARIA Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

94937 GONAZALEZ SANTOS, JUAN E. Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

94950 PADILLA AQUINO, GLADYS Public Employee & Pension/Retiree 6/10/2021

Department of Correction and Rehabilitation, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

94954 PEREZ TORRES, LUZ L. Pension/Retiree 11/11/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

94969 RODRIGUEZ VEGA , FRANCISCO JAVIER Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 163 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

94987 DELGADO RODRIGUEZ, IRMA N. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

95017 ALICEA FIGUEROA, LUZ MINERVA Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 95030 SEPULVEDA MARTINEZ, LUIS G Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 95056 BLANCO BLANCO, LUIS DAVID Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 95071 MIRABAL LEANDRY, CARMEN LUCY Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

95121 MEDINA GARCIA, MARIA DE LOURDES Public Employee 11/11/2020 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

95144 ORTIZ COLON, WANDA Public Employee & Pension/Retiree 11/13/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 95159 PROSPERE SERRANO , NORA ELSIE Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 95168 BAEZ ORTIZ, CARLINA Public Employee & Pension/Retiree 10/22/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 95169 LEBRON NAVARRO, EDGARDO Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 95194 LEON RODRIGUEZ, LIZZIE Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 95221 RODRIGUEZ SANCHEZ, PEDRO Public Employee & Pension/Retiree 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

95225 GREEN ROSARIO, GLORIA MARIA Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

95315 COLON RIVERA, SANDRA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 95335 MELENDEZ COLON, MODESTA Public Employee 11/11/2020 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

95363 SANTIAGO GONEZ, HECTOR Public Employee & Pension/Retiree 3/30/2021 General Services Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 95366 CAPELES DIAZ, CARMEN D. Public Employee & Pension/Retiree 11/13/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 95393 RODRIGUEZ FLORES, FELICITA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

95420 MERCUCCI PIETRI, MARTHA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

95490 FIGUEROA RIVERA, MARIA A. Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

95493 PEREZ ORTIZ, ELSA MARIA Public Employee & Union Grievance 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 164 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

95523 CHARDON RODRIGUEZ, CARMEN J Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 95550 AVILES VELEZ, MATILDE Public Employee 6/10/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

95630 FLORES ZAYAS , MARILYN Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

95648 ORTIZ, MIGDALIA Public Employee & Pension/Retiree 11/11/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

95770 RIVERA RIVERA, CARMEN M Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

95774 MORALES MALDONADO, CESILIO Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

95789 VAZQUEZ MANZANO, MADELINE Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

95812 ALVAREZ HERNANDEZ, JOSE M. Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

95818 RIVERA GONZALEZ, ZAIDA M Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

95820 DONATO RAMOS, ZUGEILY Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

95835 LOPEZ RODRIGUEZ, CARMEN LUZ Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

95847 SEPULVEDA MARTINEZ, LUIS G Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

95857 MORALES FIGUEROA, EVELYN Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

95887 SANTOS REYES , SYLVIA Public Employee 5/4/2021 Socioeconomic Development of the Family Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 95959 LINARES TORO, VICTOR JOSE Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

95964 SOTO PAGAN, HEIDI Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

95972 NEGRON RIVERA, CARMEN J Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

95986 BERMUDEZ CAPIELLO, ASCENSION ELENA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

95994 VIALIZ ORTIZ, MILAGROS E Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

96007 LOPEZ ROSA, GLADYS Public Employee, Pension/Retiree & Union Grievance 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

96018 RODRIGUEZ MARTINEZ, CARMEN LYDIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 165 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

96039 CASIANO COLON, LUIS ALBERTO Public Employee 5/4/2021 Department of Agriculture Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

96048 AYALA VILLARIN, ELSIE L Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 96051 LEBRON RIVERA, PETRONILA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

96059 RODRIGUEZ QUIROS, HECTOR Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 96060 ABRAHAM LLAMAS, ELBA I Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

96063 BENERO ROSSY, NILSA J Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

96068 RIVERA ORTIZ, CARMEN LYDIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

96092 SALAMAN FIGUEROA, YOLANDA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

96117 FIGUEROA CORREA, LYDIA H. Public Employee & Pension/Retiree 11/13/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

96126 LÓPEZ HADDOCK, CRISTOBAL GUILLERMO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

96149 DIAZ SIERRA, EDMEE Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

96159 ACEVEDO CANCELA, LISANDRA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

96182 SEPULVEDA HERNANDEZ, AWILDA M Pension/Retiree 3/5/2021 Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A Y Y N/A Y In Process/Under Revi

96185 ARES BOUET, STUART Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

96191 HERNANDEZ FIGUEROA, VILMA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

96192 VELEZ MARTINEZ, ELIZABETH Public Employee & Pension/Retiree 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

96201 RAMOS SANCHEZ, EVELYN Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

96206 RODRIGUEZ RODRIGUEZ, JANET Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

96207 DIAZ PEREZ, YOMARIS Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

96218 LUGO PACHECO, LUZ B. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

96264 TOLEDO PEREZ, BRUNILDA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 166 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

96269 PAGAN MENDEZ, MIRTA S. Public Employee & Pension/Retiree4 11/11/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

96273 LOYOLA COSME, NORMA I. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

96285 MALDONADO CARRION, NORA J Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

96287 VELAZQUEZ MONTALVO, EDGAR Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

96294 LAMBOY ORTIZ, PEDRO JUAN Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

96299 CARRASQUILLO MALDONADO, LUIS A. Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

96348 FELICIANO PLATA, DORIS I. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

96370 MORENO CINTRON, EDA MAYELA Public Employee3 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

96373 SALGADO MERCADO, ALAN Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

96441 GONZALEZ MERCADO, NIDIA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

96455 OYOLA CRUZ, JULIA TRINIDAD Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

96478 FIGUEROA COLON, JOSE ANIBAL Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

96505 SANCHEZ VEGA, NILDA L Public Employee & Pension/Retiree 3/30/2021 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

96516 LAPLACA ASTOR, TANYA O. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

96530 AGUIRRE ORTIZ, LUIS E. Public Employee 5/4/2021 State Elections Commission Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

96538 RAMOS URBINA, JOSE WILLIAM Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

96560 RIVERA NEGRON, VILMA N. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

96598 DOMINGUEZ GONZALEZ, ADA IRIS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

96619 RAMOS TORRES, ADA M Public Employee & Pension/Retiree2 11/11/2020 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

96665 RENTA RODRIGUEZ, DELIA A. Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

96682 RIVERA GONZALEZ, ZULMA I Public Employee & Pension/Retiree 6/10/2021 Mental Health Services and Addiction Control Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 167 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

96709 CINTRON PEREZ, APOLINAR Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 96760 RODRIGUEZ FLORES, FELICITA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

96837 FERNANDEZ COLON , CARMEN E Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 96846 ALVAREZ VALDES, HAYDEE M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 96854 COLON TORRES, CEREIDA Public Employee3 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

96856 ALVARADO CASIANO, ELBA L. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

96881 RODRIGUEZ SERRANO, YOLANDA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

96887 RIVERA GUZMAN, ILIA MILAGROS Public Employee & Pension/Retiree 11/11/2020 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

96915 TORRES SANTIAGO, JANICE Union Grievance 7/13/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

96920 CASTANER NEGRON, NORMA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

96958 ALICEA BURGOS, CARMEN T. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

96966 DONES APONTE , EUA L. Public Employee 11/11/2020 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

96969 FUENTES ORTIZ, MARIA DEL CARMEN Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

96980 MONTERO MORALES, NORMA Public Employee 11/11/2020 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

96987 AGUILAR MARTINEZ, MILDRED Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

97035 OLIVERA SANTIAGO, LENNIS M. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

97063 SANTIAGO ANDUJAR, VIRGEN S. Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

97082 MADERA CARABALLO, AWILDA Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

97102 RAMOS RODRIGUEZ, CARMELA Public Employee & Pension/Retiree 11/11/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

97171 BAEZ BAEZ, CARMEN Public Employee & Pension/Retiree2 5/4/2021 Department of Health and Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

97215 MATOS HERNANDEZ, MARITZA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 168 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

97249 SANTANA RODRIGUEZ, MAGDA L Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

97264 RULLAN CRUZ, EGDIA M. Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

97277 BENITEZ JAIME, RUTH M Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

97340 MULER RODRIGUEZ, LUIS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

97386 MENDOZA VASQUEZ, MARIA M. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

97435 SANCHEZ OJEDA, LUIS ALFREDO Public Employee & Pension/Retiree 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

97468 ALVARADO MARTINEZ, MARIA DELIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

97490 MIRANDA, SYLVIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

97497 SOSTRE GONZALEZ, LINDA IVETTE Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

97509 RIVERA MIRANDA, MARITZA M. Public Employee 7/29/2022 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

97518 SANTIAGO ANDUJAR, VIRGEN S. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

97526 MERCADO RUIZ, JOSE H Pension/Retiree1 6/10/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

97534 RODRIGUEZ VELAZQUEZ, MARIA Public Employee & Pension/Retiree2 11/11/2020 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

97544 RIVERA VALENTIN, CARMEN Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

97555 ROSARIO, GLADYS IRIZARRY Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

97557 SANTOS BERRIOS, MARIA L. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 97559 VELAZQUEZ LOPEZ, MARTHA M. Public Employee & Pension/Retiree 11/13/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

97563 FIGUEROA CORREA, LYDIA H. Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

97574 RODRIGUEZ SANTANA, MARILUZ Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

97588 FIRPI SOLIS, MYRNA E. Public Employee & Pension/Retiree 11/11/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

97598 LAJARA SANABRIA, MIRIAM Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 169 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

97624 SANTIAGO BURGOS, CARMEN J Public Employee & Pension/Retiree2 3/30/2021 State Elections Commission Y N/A Y Y N/A N N/A 

97635 SERRANO CRUZ, RAFAEL Public Employee & Pension/Retiree2 5/4/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

97637 FREIRE RODRIGUEZ, ADRIA A. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 97638 COLON FIGUEROA, FRANCISCA Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

97639 MARTINEZ LAGARES, JUANITA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 97650 RODRIGUEZ CUSTODIO, CARMEN L Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

97652 DIAZ ORTIZ, MIRIAM Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 97673 DAVILA APONTE, MIGDALIA Public Employee & Pension/Retiree 11/11/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 97690 DEL ROSARIO OLIVERA RIVERA, MARIA Public Employee & Pension/Retiree2 7/2/2021 Department of Education and Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

97692 NUNEZ FALCON, NORMA IRIS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

97705 RAMIREZ ORTIZ, JOSE A Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

97708 TOUSET RODRIGUEZ, MYRIAM Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

97746 CABRERA AVILES, MARIA M. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

97757 COLON TORRES, CARMEN L. Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

97758 BASORA RUIZ, MILAGROS S Public Employee 10/22/2020 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

97765 COLON TORRES, YOLANDA Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

97811

IVONNE D. GRAHAM URDAZ IN REP. OF JOSE XAVIER RODRIGUEZ GRAHAM

Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

97842 TORRES NICOT, CRUCITA Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

97886 RODRIGUEZ MARTINEZ, FRANCISCO A Public Employee 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

97896 ALVAREZ ROSADO, MARIBEL Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

97902 ALEQUIN VALLES, DIGNA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 170 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

97942 FIRPI SOLIS, MYRNA E Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 97948 FERNANDEZ COLON, CARMEN E Public Employee & Pension/Retiree 10/22/2020 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 97983 CRUZ CARRION, PEDRO Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

97995 LOPEZ RODRIGUEZ, CARMEN LUZ Public Employee, Pension/Retiree & Union Grievance 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 98003 MEDINA MEDINA, LUZ Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

98068 CASTRO PAZGANI, CLARITZA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

98120 GOMEZ PEREZ, RUTH D Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

98123 SIERRA PAGAN, CARMEN Public Employee, Pension/Retiree & Union Grievance 6/10/2021 Department of Justice Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 98126 SANTIAGO MIRANDA, ROSA V Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

98146 SANTIAGO ORTIZ, MARIA Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

98196 RODRIGUEZ FLORES, FELICITA Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

98199 MENDEZ SANTIAGO, RAFAEL Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

98212 OQUENDO VAZQUEZ, GERSON Public Employee3 6/10/2021 National Guard of Puerto Rico Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

98214 RODRIGUEZ PRATTS, LILLIAN Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

98234 RIVERA SERRANO, JUAN R Public Employee3 6/10/2021 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

98300 RAMOS RIVERA, RAQUEL Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

98301 ARROYO ROSADO, MAGDA M Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

98325 FIRPI SOLIS, MYRNA E Public Employee & Pension/Retiree 11/11/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

98349 BAEZ SALAS, BLANCA I Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

98360 RIVERA VALENTIN, MIGDALIA Public Employee & Pension/Retiree 11/11/2020 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

98374 QUIROS LUGO, MARIA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 171 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

98380 ALEMANY COLON, LUZ Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 98462 ORTIZ, DINAH E. CARDONA Public Employee & Pension/Retiree 11/11/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 98464 ALBERTORIO SANTON, LOURDES Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

98475 VAZQUEZ SANTANA, ROSALINA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

98476 OQUENDO DIAZ, NURIA S Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 98505 APONTE GUZMAN, DERMIS Public Employee & Pension/Retiree 3/30/2021 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 98547 CRESPO RIOS, HAYDEE Public Employee & Pension/Retiree 11/11/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 98554 ACOSTA CRUZ, MYRNA Public Employee 3/30/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

98559 SOTO CEDENO, ISABEL Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

98567 LAPORTE VARGAS, CARMEN IRIS Public Employee3 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

98614 REYES MATOS, CECILIO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

98644 MOLINA GARCIA, CLOTILDE Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

98673 VAZQUEZ MALDONADO , IVETTE Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

98759 ALVARADO RODRIGUEZ, PAQUITA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

98769 RIOS JUMENEZ, NOEMARIS A Public Employee 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 98810 FERNANDEZ CRESPO, VIVIAN Pension/Retiree1 6/10/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

98830 LOPEZ GINORIO, IVAN Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

3rd and Final Information Request 

letter sent to claimant; awaiting 

response

N N/A 

98833 CABRERA AVILES, MARIA M. Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

98866 RIVERA MEJIAS, ARMANDA Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

98884 MELENDEZ CABRERA, MIRIAM G Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

99000 VILLARREAL CRUZ, CARMEN I Public Employee 5/4/2021 Mental Health Services and Addiction Control Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 172 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

99006 RIVERA MARTINEZ, ELSA R. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 99022 RODRIGUEZ MARTINEZ, NORMA I Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

99045 CARRASQUILLO RODRIGUEZ, JOSÉ O. Public Employee 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

99056 CAMACHO MARQUEZ, CARMEN GLORIA Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

99065 TORRES VAZQUEZ, ELSA E. Public Employee & Pension/Retiree 11/13/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 99079 MORALES COLON, WANDA IVELISSE Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 99125 LEGARRETA VEGA, MARY Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

99136 ROJAS COSME, WILLIAM Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 99153 ALVAREZ FIGUEROA, ANLIZ Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

99190 SIERRA LOPEZ, LOURDES Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

99193 DIAZ LOPEZ, MARIA V. Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

99197 ROSARIO COLON, MYRIAM R Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

99203 SOSA SOTO, MAGALY Public Employee 6/10/2021 Family and Children Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

99205 RIVERA TIRADO, ROSAURA Public Employee & Pension/Retiree2 5/4/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

99265 MARTINEZ ARROYO, ELBA IRIS Public Employee & Pension/Retiree 10/22/2020

Department of Family, Socioeconomic 

Development of the Family Administration & Employees Retirement System of the Government of the Commonwealth of Puerto 

Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

99270 ALVARADO ALVARADO, OLGA I Public Employee 3/30/2021 Socioeconomic Development of the Family Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 99272 BACHIER ORTIZ, AMOS RAFAEL Public Employee & Pension/Retiree2 7/2/2021 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

99286 RODRIGUEZ SANCHEZ, DAISY Public Employee & Pension/Retiree 6/10/2021 Public Service Commission Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

99299 SEGARRA RIVERA, IVELISSES Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

99301 RIVERA TIRADO, WILLIAM Public Employee & Pension/Retiree2 5/4/2021 Administration for the Training of Future Entrepreneurs and Workers Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

99337 PEREZ TORRES, FERNANDO E Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 173 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

99359 DEJESUS RIVERA, MARILUZ Public Employee & Pension/Retiree 6/10/2021

Socioeconomic Development of the Family Administration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

99375 CABRERA AUILOS, MARCA M Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

99379 MORALES COLON, CARMEN D. Public Employee & Union Grievance 11/11/2020 AFASS Health Ponce Region, Department of Health, Program for people with intellectual Disabilities Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 99386 RODRIGUEZ FERNANDEZ, ADA J. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

99397 COLON TORRES, ENID Public Employee & Pension/Retiree 11/11/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 99475 GALORZA FIGUEROA, JOSE J Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

99489 VELEZ RIVERA, MARILYN Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 99501 MONTANEZ MARRERO, LILLIAM Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 99506 ROMAN GOMEZ, JOSE L. Public Employee & Pension/Retiree 3/30/2021 Office of Court Administration & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 99508 BAEZ SANTANA, RAMON A. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 99523 CRUZ AYALA, MARGARITA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

99541 REILLO RIVERA, CARMEN S. Public Employee3 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

99612 VELAZQUEZ OSORIO, MARILENA Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

99613 LEWIS-VELEZ, ALLAN Public Employee & Union Grievance 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

99626 ORTIZ REYES, IVETTE Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

99633 PACHECO GONZALEZ, LISANDRA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

99680 FIGUEROA PEREZ, ALMA I. Public Employee & Pension/Retiree2 7/13/2021 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

99701 LOPEZ SANCHEZ, JOHN Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

99728 ALVARADO MARTINEZ, MARIA DELIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

99739 ALICEA FONSECA, CARLOS ALBERTO Public Employee & Pension/Retiree 3/30/2021

Department of Economic Development and Commerce, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

99917 CLASS CANDELARIA, NYDIA I Public Employee & Pension/Retiree 3/30/2021

Family and Children Administration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 174 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

99918 VIRELLA NIEVES, LAURA N. Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

99937 MAISONET RIVERA, FABIAN Public Employee 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

99938 RAMOS BERNARD, RENIA Public Employee & Pension/Retiree2 3/30/2021 Department of Family Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

99969 BUJOSA ROSARIO, VILMA ESTHER Public Employee 10/22/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

99982 RODRIGUEZ ALVARADO, GILBERTO Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

100031 RIVERA TOLEDO, NILDA MARIA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

100035 MEDINA-DURAN, MADELINE Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

100069 NISTAL GONZALEZ, LLIANA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

100073 HERNANDEZ STGO, CARMEN G. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

100091 DE JESUS TORRES, CARMEN M. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

100102 SANCHEZ ZAYAS, MARISOL Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

100113 MARTINEZ SANTIAGO, ROSALIA Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

100125 REYES FERNANDEZ, JULIO Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

100137 FELICIANO PAGAN, MARITZA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

100165 RIVERA MOLINA, RAFAEL O. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

100188 PEREZ BENITEZ, EDWARD Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

100191 BERBERENA MALDONADO, GLADYS Public Employee & Union Grievance 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

100241 SANTIAGO AYALA, LETICIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

100254 CRUZ DOMINICCI, ANA H. Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

100271 PEREZ MALDONADO, ELSA I Public Employee & Pension/Retiree 6/10/2021 Mental Health Services and Addiction Control Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

100301 RIVERA ALVAREZ, ANA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 175 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

100330 MELENDEZ RIVERA, ISABEL Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

100338 DIAZ LOPEZ, MARTA ROSA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 100360 BETANCOURT MALDONADO, WILMA Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

100382 ALVARADO TAPIA, MIGUEL A Public Employee & Pension/Retiree2 5/4/2021

Department of Natural and Environmental Resources, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

100390 RAMIREZ VEGA, ESTHER Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

100404 RODRIGUEZ HERNANDEZ, ANTONIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

100420 RODRIGUEZ LEON, ROSA ESTHER Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

100421 RENTAS ROJAS, MILDRED ELISA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

100426 MADERA LOPEZ, AGNES EILEEN Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

100464 ORTIZ GONZALEZ, ANA I. Public Employee & Pension/Retiree2 5/4/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

100484 HERNANDEZ ROJAS, MARIA M Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

100513 GONZALEZ GONZALEZ , NEREIDA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

100543 ORTIZ CEPEDA, BASILIO Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

100571 MALDONADO SAMO, CARMEN A. Public Employee & Pension/Retiree2 5/4/2021 Family and Children Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

100615 NIEVES SANCHEZ, SONIA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

100637 MORA MORA, CARMEN Pension/Retiree1 6/10/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

100646 REILLO RIVERA, CARMEN S Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

100648 MULER RODRIGUEZ, RAFAEL A. Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

100657 OSORIO ROSA, MARIA A. Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

100681 TORRES OLIVERAS, LESTER R. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

100682 ARROYO HERNANDEZ, SANDRA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 176 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

100689 MARTINEZ GUTIERREZ, CARMEN M. Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

100706 MULER RODRIGUEZ, MAYRA L. Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

100798 ROTGER RODRIGUEZ, ZORAIDA Public Employee & Pension/Retiree2 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 100853 VAZQUEZ MALDONADO, IVETTE Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

100859 CEDENO RIOS, IRMA IRIS Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

100870 MCCOY JORDAN , LOYD R. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

100911 SEVILLA ESTELA, MANUEL A. Public Employee & Pension/Retiree 11/13/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 100950 RODRIGUEZ FERNANDEZ, ADA J. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

100957 DIAZ ALVAREZ, NANCY M. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

100968 MARTINEZ ACOSTA, EDWIN J Public Employee 10/22/2020 Public Building Authority Y N/A Y Y N/A N N/A 100973 COLON MARTINEZ, ZULMA Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

100980 REYES DEJESUS, ALBA I Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 101008 LOPEZ VEGA, CARMEN IVETTE Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

101036 RAMOS CINTRON, ERMIS Z. Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 101064 FUENTES-RIVERA, ZULMA Public Employee & Pension/Retiree2 5/4/2021 Department of Health, Mental Health Services and Addiction Control Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

101066 RODRIGUEZ MEDINA, ESTIFANIO Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

3rd and Final Information Request 

letter sent to claimant; awaiting 

response

N N/A 

101111 FRANCO ALEJANDRO, MARIA T. Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 101120 MASSOL SANTANA, MARIA L. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

101141 SANTANA MORALES, NOELIA Public Employee & Pension/Retiree 11/11/2020 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 101183 SANTIAGO COLON, LESLIE Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

101184 FIGUEROA TORRES, CARMEN E. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 177 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

101190 PAGANI PADILLA, RAQUEL A Public Employee & Pension/Retiree 11/11/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 101203 ROMAN ACOSTA, BRUNILDA Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 101220 FELICIANO RIVERA, ABIMAEL Public Employee & Pension/Retiree 6/10/2021 Corps of Firefighters Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 101241 VARGAS PEREZ, SONIA N. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 101248 VALENTIN LOPEZ, DIANA IVETTE Public Employee & Pension/Retiree 6/10/2021

Socioeconomic Development of the Family Administration & Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

101255 LOPEZ ROSA, GLADYS Public Employee, Pension/Retiree & Union Grievance 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 101256 PACHECO NEGRON, LUZ Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

101261 MUNIZ RIVERA, CARMEN Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

101280 QUIJANO GARCIA, MARIA E Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 101285 LOPEZ ROSADO, VICTOR Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

101297 COLON MIRANDA, LOIDA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

101300 MARTINEZ GARCIA, TERESITA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 101330 ORTIZ RIVERA, OLGA Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 101343 SUAREZ RUIZ, DAISY Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

101443 GARCIA CUEBAS, HEIDY Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

101452 NEVAREZ SANTANA, DORIS I. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 101454 DONATE RAMOS, MYRNA I. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 101487 CUEVAS ORTIZ, JOSE A. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

101491 ZENO PEREZ, HILDA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

101535 DAVIS PEREZ, ROSARIO C. Public Employee & Pension/Retiree 11/11/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 101536 GONZALEZ DIAZ, MARILU Pension/Retiree 3/30/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 178 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

101562 CHARDON RODRIGUEZ, CARMEN J. Public Employee & Pension/Retiree2 11/11/2020 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

101584 VELAZQUEZ ARROYO, ANGELA LUISA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

101712 FERNANDEZ LOPEZ, CARMEN DELIA Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

101714 VELEZ REYES, DAMANZ Pension/Retiree1 7/13/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico, Teachers Retirement System

Y N/A Y Y N/A Y In Process/Under Revi

101770 MALDONADO ORTIZ, ANA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

101803 SERRANO QUINONES, MIGDONIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

101810 GONZALEZ COLLAZO, ARACELIS Public Employee & Pension/Retiree2 11/13/2020 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

101814 MEDINA-DURAN, MADELINE Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

101839 ROSADO DE JESUS, IRMA L. Public Employee3 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

101872 PIZARRO CAITALE, YOMAIRA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

101887 BOCACHICA COLON, MARITZA Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

101904 MAYSONET BARRETO, SARA Public Employee & Pension/Retiree 6/10/2021 Department of Family Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

101928 OLIVIERI, CARMEN M. Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

102008 ALLENDE ESCOBAR, MARIA DEL C. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

102013 VENDRELL MANTILLA , MARIA NITZA Public Employee & Union Grievance 6/10/2021 Department of Family Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

102021 CARDONA RIVERA, WILMER A. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

102047 CARMONA MARQUEZ, LUZ MINERVA Public Employee & Pension/Retiree2 11/13/2020 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

102103 CARBALLO DINGUIS, MANUEL A Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

102114 TRONCOSO SANTIAGO, JULIA M Public Employee & Union Grievance 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

102169 MORALES FIGUEROA, GLORIA N. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

102220 ACEVEDO ROJAS, MARICELIS Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 179 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

102223 RODRIGUEZ TORRES, BIENVENIDO Public Employee & Pension/Retiree 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 102235 MULER RODRIDUEZ, JESUS A. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

102252 ORTIZ RUIZ, ERNESTO L Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 102261 ORTIZ MELENDEZ, MARTA IVETTE Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

102262 MARTINEZ MORALES, CARMEN M. Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

102278 OLIVER FRANCO, ELFREN C. Public Employee & Pension/Retiree 6/10/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

102284 COLON RIVERA, JOSE A. Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

102322 VARGAS NEGRÓN, MILAGROS Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

102342 TORRES RODRIGUEZ, MARIA MONSERRATE Public Employee 11/13/2020 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

102343 DE ARMAS SOTO, EDWIN A. Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

102347 MATOS RANGEL, ELBA ELENA Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

102360 MALDONADO RODRIGUEZ, NILDA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

102425 CHEVERE COLON , FLOR I. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 102450 TORRES FIGUEROA, YOLANDA Public Employee 5/4/2021 Department of Transportation and Public Works Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

102463 HERNANDEZ RODRIGUEZ, CARMEN O. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

102476 MARTINEZ RIVERA, HILDA M Public Employee & Pension/Retiree 11/11/2020 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 102489 RIVERA ACOSTA, EILEEN Public Employee 6/10/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

102539 MELENDEZ HERRERA, ELIZABETH Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 102607 GONZALEZ RIVERA, MARIANA Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

102616 RODRIGUEZ REY, AIDA ESTHER Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

102704 RODRIGUEZ GONZALEZ, MINERVA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 180 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

102710 ALVARADO COLON, MARIBEL Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

102752 BOURDON LASSALLE, DAMARIS Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

102781 PEREZ ORTIZ, ELSA MARIA Public Employee, Pension/Retiree & Union Grievance 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 102794 FIGUEROA TORRES , CARMEN E Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 102795 RUIZ PEREZ, NERYS L. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 102836 PACHECO COLON, ADELAIDA Public Employee & Pension/Retiree 1/4/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 102840 VEGA FIGUEROA , CARMEN C Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 102849 NARVAEZ DIAZ, MARCO A. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 102857 SERRANO QUINONES, MIGDONIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 102864 MARRERO TORRES, MARISOL Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

102866 MALDONADO MALDONADO, PEDRO C. Public Employee & Pension/Retiree4 3/5/2021 Employees Retirement System of the Government of the Commonwealth of Puerto Rico, Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

102894 MORALES VALLADARES, GRISEL Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

102906 COLON SIERRA, ANA R. Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 102908 RODRIGUEZ TIRADO, ENEIDA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

102914 RODRIGUEZ REYES, LUZ MARIA Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

102916 RODRIGUEZ SANTIAGO, JOSE R Public Employee 5/4/2021 Department of Labor and Human Resources Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

102935 VELEZ ROSADO, BENITO Public Employee & Pension/Retiree2 5/4/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

102947 RODRIGUEZ PONS, HIGINIA A. Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

102948 BURGOS GUZMAN, EDITH Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

102970 ALVARADO TAPIA, MIGUEL A Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

102974 FUENTES RIVERA, ZULMA Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 181 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

102986 DIAZ SUAREZ, EVELYN Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

102996 SANCHEZ VEGA, NILDA L. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

102999 LEON TORRES, ELSA M Public Employee 1/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

103036 MANGUAL FORESTIER, HAYDEE Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

103081 ALVARADO OLIVIERI, PEDRO Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

103132 BERRIOS MORALES, SAMUEL Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

103145 TORRES CRUZ, BENITO Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

103191 ALVARADO RODRIGUEZ, PAQUITA Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

103256 DAMOUDT RODRIGUEZ, BERNARDO Public Employee & Pension/Retiree2 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

103286 TORRES JIMENEZ , MARIA VIRGINIA Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

103298 CINTRON HERNANDEZ, VICTOR L. Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 103341 CABRERA AVILES, MILAGROS Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

103399 MUNIZ JIMENEZ, ZULMA IVETTE Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

103424 ALVARADO SANTOS, CARMEN Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

103459 MACY'S PUERTO RICO Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

103479 MEDINA-DURAN, MADELINE Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

103568 CUEVAS MORALES, OZVALDO Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

103573 DE JESUS MORALES, AIDA M. Public Employee & Pension/Retiree2 5/4/2021 Department of Housing Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

103584 RIVERA DIAZ, EMMA J. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

103608 MATOS VEGA, MARIA DE LOS A. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

103648 MORALES COLON, WANDA IVELISSE Public Employee3 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 182 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

103656 MENDEZ SALCEDO, EDILTRUDIS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 103667 GONZALEZ GONZALEZ, NEREIDA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

103675 BURGOS RIVERA, MARLENE Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 103705 RIVERA SALGADO, EDNA L Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 103709 AGUILA SANTANA, WANDA Pension/Retiree1 6/10/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

103710 PENA VEGA, BRENDA L. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

103713 MACHUCA GARCIA , VIRGINIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

103732 COLON PINEIRO, FRANCISCO Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau Y N/A N N 3rd and Final Information Request letter sent to claimant; awaiting 

response

N N/A 

103738 RIVERA CINTRON, MARISELY Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

103746 ALVAREZ RODRIGUEZ, SYLVIA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

103750 LOPEZ SALGADO, ADA L. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

103824 MADERA BOYER, NANCY Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

103835 RIVERA PACHECO, CARMEN L Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

103848 REYES PEREZ, JASMINE Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

103849 FIGUEROA ALBINO, ENRIQUE Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

3rd and Final Information Request 

letter sent to claimant; awaiting 

response

N N/A 

103876 RODRIGUEZ FIGUEROA, RUTH E Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

103887 SANTIAGO COLON, LESLIE Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

103894 MATOS GARCED, LUIS M. Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

3rd and Final Information Request 

letter sent to claimant; awaiting 

response

N N/A 

103905 TORRES FERNANDEZ, JANICET Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

103911 RODRIGUEZ GARCIA, MARIBEL Public Employee & Pension/Retiree 6/10/2021 Department of Health, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 103920 RODRIGUEZ TORRES, MARISELI Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 183 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

103924 MENDEZ SALCEDO, EDILTRUDIS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 103926 RODRIGUEZ HERNANDEZ, EVELYN Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

103934 RIVERA MARTINEZ, ELSA R. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

103949 MARTINEZ MORALES, ILIA ROSA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

104008 BONILLA ORTIZ, ANGELES S. Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

104018 RIVERA ROLA, MAYRA I. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

104050 TORRES VEGA, ELBA IRIS Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 104068 RIVERA TORRES, SIMON PEDRO Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

104071 ROSADO RIVERA, GLORIA E Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 104082 VOGA SOTO, ELIEZER Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 104101 ROSARIO TORRES, MARTA Public Employee & Pension/Retiree 6/10/2021 Family and Children Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 104104 MORALES ROBLES, EVELYN Pension/Retiree 5/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

104109 ROMAN RIVERA, YOLANDA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

104117 LOPEZ RIVERA, JOSEFINA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 104124 TOYENS MORTINEZ, JUANITA Public Employee & Pension/Retiree 7/13/2021 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 104133 BATISTA RODRIGUEZ, MYRIAM A Public Employee & Pension/Retiree4 3/5/2021 Department of Health, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

104166 SANTOS VASSALLO, MARIA S. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

104196 LEON DE RUEDA, NYDIA J. Public Employee & Pension/Retiree 6/10/2021 Department of Family, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

104207 ROLDAN ESTRADA, HELGA I. Public Employee & Pension/Retiree 6/10/2021

Department of Correction and Rehabilitation, 

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

104230 AVILES PEREZ, NAUD Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

104246 VAQUER OCASIO, LUIS ROBERTO Pension/Retiree 5/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 184 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

104258 RIVERA LEON, OCTAVIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 104259 SUAREZ RIVERA , LUZ DELIA Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

104263 CONCEPCION FERREIRA, JUDITH Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 104304 RIVERA DE PENA, CARMEN I. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 104321 CASASNOVAS CUEVAS, LUZ N. Public Employee & Pension/Retiree 6/10/2021

Department of Correction and Rehabilitation, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

104334 RODRIGUEZ VAZQUEZ, AIDA ESTHER Public Employee 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

104339 RIVERA SALGADO, MARTA B. Public Employee 11/11/2020 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

104346 DIAZ SUAREZ, SONIA Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

104349 ALICEA FIGUEROA, LUZ MINERVA Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

104379 FARIA PAGAN, AUREA E. Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 104386 RODRIGUEZ ORTIZ, MARIA E. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

104413 RODRIGUEZ COLON, JACQUELINE Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 104419 SANTO DOMINGO, ADRIA I OTERO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

104421 ORTIZ QUINONES, MARIA DE L. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

104434 RODRIGUEZ ALBIZU, NEREIDA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

104439 COLON MELENDEZ, CARLOS M. Public Employee & Pension/Retiree 6/10/2021 Department of Public Safety, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

104444 ESTRADA CRUZ, SARA L Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

104465 RUZ FRANCO, LIZ Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

104474 RODRIGUEZ SERRANO, YOLANDA Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

104503 BERMUDEZ MALDONADO, RUTH E. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

104507 BONILLA CINTRON, JAVIER H Public Employee & Pension/Retiree 7/13/2021 Department of Family, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 185 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

104516 QUINONES RIVERA, VICTOR M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 104526 VEGA RIVERA, MARIA DE LOS ANGELES Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

104536 SANTIAGO GONEZ, HECTOR L. Public Employee & Pension/Retiree 3/30/2021 General Services Administration & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 104556 COLON BAEZ, CARMEN MARITZA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 104565 RODRIGUEZ ALBINO, JINETTE Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

104598 LISOJO CRESPO, RAMON A. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 104655 POLACO RAMOS, IVONNE M. Public Employee & Pension/Retiree 11/11/2020 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 104690 SANCHEZ VEGA, NILDA L. Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

104693 NEGRON RIVERA , CARMEN J. Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 104697 PEREZ RUIZ, MARTA Public Employee 11/11/2020 Socioeconomic Development of the Family Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

104703 BAEZ FIGUEROA, DORA Public Employee3 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

104713 VELAZQUEZ RODRIQUEZ, CARLOS Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

104723 TORRES GONZALEZ, MARIA M Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

104737 COLLADO VAZQUEZ, LEYINSKA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

104792 SERRANO QUINONES, MIGDONIA Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

104824 RIVERA TOLEDO, NILDA MARIA Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

104934 TORRES MARTINEZ, CARMEN E. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

104956 CASTILLO LOPEZ, SYLVIA Public Employee3 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

105043 AYALA VARGAS, NIDIA ELSIC Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

105087 MALAVE LOPEZ, MARY A. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

105141 VELEZ RODRIGUEZ, GLORIA ESTHER Public Employee 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 186 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

105148 ALARCON VEGA, MILAGROS E Public Employee & Pension/Retiree 6/10/2021 General Court of Justice Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 105212 MIRANDA COLON, ANGELES DEL CARMEN Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

105215 RIVERA RODRIGUEZ, DIGNA M. Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

105268 RIVERA GARCIA, FERNANDO Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

105278 RIVERA CORTES, RAMONA Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

105293 SEPULVEDA RUIZ, FREDDY Public Employee & Pension/Retiree 6/10/2021 Department of Health, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

105304 VELAZQUEZ OSORIO, MARILENA Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

105305 VEGA CRUZ, HIRAM Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

105362 FEBUS MORALES, MILAGROS Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

105364 PEREZ DIAZ, ANA WILDA Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

105378 TORRES SUAREZ, GLORIA I. Public Employee & Pension/Retiree 11/13/2020 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 105395 RODRIGUEZ MIRANDA, HORSTENSIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

105403 STRIKER MENDEZ, DAMIAN Public Employee3 3/30/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

105414 REYES RIVERA, SONIA I. Pension/Retiree1 3/30/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

105446 VAZQUEZ ROMERO, ELSA Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

105450 RODRIGUEZ LACOT, EVELYN Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

105487 MALDONADO GARCIA , MARISOL Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

105499 PEREZ CRUZ , CARMEN E. Public Employee & Pension/Retiree 11/11/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 105501 LEON MARTINEZ, ROSA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

105519 NEVAREZ SANTANA, JORGE A Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

105590 RODRIGUEZ BACHIER, NESTOR RAFAEL Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 187 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

105605 ALCALA CABRERA, LICELLE M Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 105628 RIVERA ACOSTA, CONSTANCIA Public Employee & Pension/Retiree2 11/11/2020 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 105653 PIZARRO NIEVES, MIRIAM Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 105662 MARTINEZ MORALES, ILIA ROSA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

105670 MARTINEZ SANTOS, EVELYN Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

105705 GREEN NEGRON, DARIA E. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

105724 VELEZ RODRIGUEZ, GLORIA ESTHER Public Employee 11/13/2020 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

105766 SERRANO QUINONES, MIGDONIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

105776 RIVERA TORRES, JOSUE D. Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

3rd and Final Information Request 

letter sent to claimant; awaiting 

response

N N/A 

105859 VILLADARES FIGUEROA, GRETCHEN I Pension/Retiree 3/30/2021 Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A Y Y N/A Y In Process/Under Revi

105860 PAGAN MORALES, MARIA V. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

105908 DIAZ SARRAGA, JOSE ANTONIO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

105914 TORRES OLIVERAS, HILDA Public Employee & Pension/Retiree 6/10/2021

Department of Housing, Housing Development

and Improvement Administration, Administration of Social Programs, Rural Housing Administration, Administration 

development improvements sale

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

105916 RODRIGUEZ RODRIGUEZ, MARIA V. Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

105935 RODRIGUEZ ROSADO, SONIA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

105961 ROBLEDO RIVERA, SYLVIA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

105963 GOMEZ MALAVE, CANDIDA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 105994 LOPEZ LAMADRID, ROBERTO EMILIO Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

106006 MEDINA SCHELMETY, LUZ NIDIA Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

106016 GONZALEZ GONZALEZ, NEREIDA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

106019 DIAZ REYES, LUISA M. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 188 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

106022 MELENDEZ CABRERA, MIRIAM G Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 106049 MATOS NEGRON, CARMEN MILAGROS Public Employee & Pension/Retiree2 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

106054 RAMOS RODRIGUEZ, FRANCISCO Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 106092 SANTIAGO CRUZ, BRENDA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

106103 SANTINI VAZQUEZ, ORLANDO Public Employee & Pension/Retiree 3/30/2021 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

106106 ROBLES CARRILLO, ROSA I Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

106118 SANCHEZ VEGA, NILDA L. Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 106143 MALDONADO DIAZ, JAVIER Public Employee & Pension/Retiree 6/10/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

106207 ZAYAS SOTOMAYOR, NORMA I Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 106211 SANTOS ORTIZ, GISELA Public Employee 3/30/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

106241 RUIZ MUNIZ, DORIS N. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

106251 PAGAN LOPEZ, MAYRA Public Employee & Pension/Retiree 11/11/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 106275 GUEVARA DELGADO, FELIX Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 106276 SOLIS PEREZ, MARGARITA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 106295 CONCEPCION RIOS, EDWIN A Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

106325 MONTANEZ RIVERA, DORA LUZ Public Employee & Pension/Retiree 11/11/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 106341 DIAZ SANTIAGO, SONIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 106359 JULIA RIVERA, MIRTA Public Employee 10/22/2020 Department of Family, Family and Children Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

106366 MARTINEZ ACEVEDO, MARIA E Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 106370 ALVARADO FLORES, IRMA R. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 106372 MIRANDA RIVERA, EDITH Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 189 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

106394 VAZQUEZ SANCHEZ, JORGE L. Public Employee 7/13/2021 Urban Housing Renovation Corporation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

106414 GRILLASCA LOPEZ, SARY L Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 106459 NIEVES NIEVES, OSVALDO Public Employee & Pension/Retiree 11/11/2020

Department of Health, Administration of Health Facilities and Services & Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

106463 RODRIGUEZ TORRES, WILFREDO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 106475 ROSADO RIVERA, NELIDA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 106480 COSME THILLET, MARIA J Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

106492 CINTRON TORRES, CLARIBEL Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 106530 SANDOVAL FLORES, HELEN R. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 106535 MARIANI VELEZ, ADA H. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

106539 RIOS MUNIZ, AUREA B. Public Employee & Pension/Retiree 6/10/2021 Department of Health & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

106545 ASENCIO DE TROCHE, CYNTHIA Public Employee 5/4/2021 Administration of Youth Institutions Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

106559 ESTRADA RESTO, GRISEL Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

106599 RODRIGUEZ CRUZ, RAMONITA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 106612 ALOMAR TORRES, FRANCISCO Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

106617 CRUZ CRUZ, ANA R. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 106638 PENA FONSECA, GENARO Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

106643 VAZQUEZ MALDONADO, IVETTE Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

106686 LUGO MEDINA, MELUA W Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

106691 BATISTA CANCEL, ROSA M. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

106696 RAMIREZ VEGA, ESTHER Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

106698 TARONJI TORRES, JACQUELINE N Public Employee & Pension/Retiree2 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 190 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

106720 RIVERA TIRADO, WILLIAM Pension/Retiree 5/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

106722 COLON PINEIRO, FRANCISCO Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau Y N/A N N 3rd and Final Information Request letter sent to claimant; awaiting 

response

N N/A 

106737 MARTINEZ GONZALEZ, IVY C Public Employee3 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

106784 SANTIAGO ALVARADO, ELSA R. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

106787 SANCHEZ VEGA, NILDA L. Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

106788 BELEN LATIMER, MARIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

106796 BERMUDEZ BAEZ, NATIVIDAD Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

106843 BERRIOS RODRIGUEZ, RUTH D. Public Employee 5/4/2021 Public Service Commission Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

106847 ZAYAS COLLAZO, EDUARDO Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

106864 ALVARADO RODRIGUEZ, ANABEL Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

106869 TORRES BARRIERA, ELISEO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

106990 GARCIA NIEVES, CARMEN DELIA Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

107032 FIGUEROA HERNANDEZ, YOLANDA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

107039 TRUJILLO PANISSU, MARGARITA Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

107088 ANDRADES RODRIGUEZ, RAQUEL Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

107099 OTERO MIRANDA, NELLY E. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 107154 VEGA COLON, MARIBEL Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 107206 ROLON MONTIJO, WANDA Pension/Retiree1 7/13/2021 Teachers Retirement System Y N/A Y Y N/A Y In Process/Under Revi107229 ALVARADO MARTINEZ, CARMEN Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

107235 LOPEZ PEREZ, MARITZA Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 107272 RODRIGUEZ CINTRON, CARMEN ROSARIO Public Employee 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 191 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

107282 CABRERA SOTOMAYOR, JOSE A. Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 107343 LEON MARTINEZ, MERILIA Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

107354 FEBUS OCASIO, DAMARIS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

107361 GONZALE LOPEZ, DANETTE Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

107382 MONTANEZ RIVERA , NOEMI Public Employee & Pension/Retiree 11/11/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 107409 FARIA, CARMEN I. Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 107421 LUGO RODRIGUEZ, MARIA SOCORRO Public Employee & Pension/Retiree2 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

107432 MELENDEZ CABRERA, MIRIAM G. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

107436 MORALES VAZQUEZ, CARLOS Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

107460 MARTINEZ SANTIAGO , SONIA ENID Public Employee & Pension/Retiree 7/13/2021 Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

107482 LOPEZ MARTINEZ, OLGA Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

107492 CORA CORA, CARMEN D. Public Employee & Pension/Retiree 11/11/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 107529 ALVARADO HERNANDEZ, CARMEN J. Public Employee & Pension/Retiree2 5/4/2021 Office of Court Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 107537 DE JESUS ALLENDE, FRANCISCA Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 107539 DIAZ MALDONADO, DOLLY Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

107566 NIEVES RIVERA, MARILYN Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico, Teachers Retirement System

Y N/A Y Y N/A Y In Process/Under Revi

107603 SANTIAGO RIVERA, AURORA Public Employee & Pension/Retiree2 5/4/2021 Office of Court Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

107604 TORO GONZALEZ, GLADYS Public Employee & Pension/Retiree 6/10/2021

Mental Health Services and Addiction Control Administration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

107611 GONZALEZ ORTIZ, LUISA M. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

107637 DELGADO AMADOR, LUISA A. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

107681 AVILA FEREIRA, FANY M. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 192 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

107707 TORRES CAMPUSANO, MAGDALENA Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

107710 RODRIGUEZ ALBARRAN, CARMEN IRIS Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

107724 VELAZQUEZ ARROYO, ANGELA LUISA Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

107758 RUIZ TORRES, RAFAEL Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

107769 IRIZARRY SANTIAGO, ALADINO Public Employee & Pension/Retiree2 3/30/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

107771 VARGAS RODRIGUEZ, DANIEL ISAAC Public Employee 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

107786 LUGO RIVERA, CARLOS ANTONIO Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

107821 MARRERO RODRIGUEZ, NILDA I. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

107831 ORTEGA LOPEZ, CARMEN Public Employee & Pension/Retiree 7/13/2021 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

107888 MORENO PANTOJA, ROSA R Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

107890 TORRES RIVAS, LUZ V. Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

107954 JORDAN TORRES, NORMA I. Public Employee, Pension/Retiree & Union Grievance 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

107962 MAYMI OTERO, ANA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 108032 MORALES FIGUEROA, CARMEN A. Public Employee & Pension/Retiree 11/11/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 108040 CABRERA SOTOMAYOR, JOSE A. Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 108049 VAZQUEZ VELEZ, LUZ E. Pension/Retiree 3/30/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

108053 LAUREANO MONTALVO, PEDRO JUAN Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

108092 FARIA PAGAN, AUREA E. Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 108094 SEPULVEDA MARTINEZ, LUIS G. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 108106 IRIZARRY CEDENO, CARLOS Public Employee 5/4/2021 Administration of Youth Institutions Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

108118 CRUZ BURGOS, MYRIAM Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 193 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

108165 MORALES ENCARNACIÓN, MARIA DEL MAR Public Employee 7/13/2021 Department of Education Y N/A N N 3rd and Final Information Request letter sent to claimant; awaiting 

response

N N/A 

108199 PEREZ NEGRON, ENEIDA Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

108207 AYALA VEGA, EVA J. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

108218 RIVERA GOMEZ, DANIELA Public Employee & Pension/Retiree 6/10/2021 Office of Court Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

108294 ZAYAS LEON, RAQUEL Y Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

108306 RIVERA RODRIGUEZ, NORMA I. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

108307 GONZALEZ MELENDEZ, JOHANNA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

108320 PAGAN MENDEZ, JUAN E. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

108337 RIVERA RIVERA, JOVITA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

108351 MORALES COLON, WANDA IVELISSE Public Employee3 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

108385 STRUBBE PLANAS, ANNETTE Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

108412 RUIZ SOLA, ISAAC Public Employee & Pension/Retiree 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

108433 RODRIGUEZ RODRIGUEZ, ANA MARGARITA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

108437 DE JESUS MEDINA, EFRAIN Public Employee & Pension/Retiree 7/13/2021

Department of Sports and Recreation, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

108442 SUAREZ CABRERA, SARA M. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

108447 PARRILLA TORRES, FREDDY Public Employee & Pension/Retiree 6/10/2021 Socioeconomic Development of the Family Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

108451 LOPEZ CHANZA, NEREIDA Public Employee 10/22/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

108460 FIGUEROA PADUA, HECTOR L Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

108465 MORALES LEBRON, JOSEFINA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

108528 ANAYA DE LEON, MIRIAM Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

108567 MATEO SANTIAGO, OBDULIA Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 194 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

108604 RAMOS OSTOLAZA, ALBA E. Public Employee & Pension/Retiree 7/29/2022 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 108605 LASANTA RESTO, EMILIA Public Employee & Pension/Retiree2 5/4/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

108612 CARABALLO RODRIGUEZ, MIRTA Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

108626 RIVERA, IRISBELLY FELICIANO Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

108656 CENTENO ALVELO, ENRIQUE Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

108657 TOYENS MARTINEZ, JUANITA Public Employee & Pension/Retiree 7/13/2021 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

108681 OLIVERA RIVERA, MARIA DEL ROSARIO Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

108689 RIVERA VALENTIN, CARMEN Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

108702 CUEVAS MARTINEZ, LUZ T. Public Employee, Pension/Retiree & Union Grievance 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 108714 SUAREZ ROSADO, INES DE ELSY Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 108773 TORRES GUILBE, DELVIS Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

108794 MASSOL SANTANA, MARIA L Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 108802 GONZALEZ TANCO, GLORIMAR Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

108818 BURGOS VELAZQUEZ, FELICITA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

108856 GONZALEZ LOPEZ, DANETTE Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

108902 PINTO VEGA, AMANDA Public Employee & Pension/Retiree 11/11/2020 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 108905 FENEQUL RUIZ, CARMEN MILAGROS Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

108914 NICOLAU COTTO, VICTOR M. Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

108953 MELENDEZ GONZALEZ, EDWIN Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

108955 CABRERA AVILES, MARIA M. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

108962 PENA ALEJANDRO, CYNTHIA E Public Employee & Pension/Retiree 3/30/2021 Department of Family & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 195 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

108996 REILLO RIVERA, CARMEN S. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 109009 SOTO TORRES, MYRNA Y. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 109026 NEGRON ZAYAS, WILFREDO Public Employee 5/4/2021 National Guard of Puerto Rico Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

109028 SOTO BARBOSA, FRANCIA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

109033 CARRILLO CASIANO, ABIGAIL Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

109112 FELICIANO PASCUAL, MARIA A Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 109121 HERNANDEZ ORTEGA, ANTONIA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

109123 TRONCOSO SANTIAGO, JULIA M Public Employee & Pension/Retiree4 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

109169 REYES PEREZ, JASMINE Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

109170 ROSADO VALLE, SONIA M

Union Grievance & Pension/Retiree5 7/13/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

109206 CARABALLO DIAZ, RADAMES Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

109222 JIMENEZ COLON, PABLO Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

109244 MULERO HERNANDEZ, ANA L. Public Employee & Pension/Retiree 6/10/2021 Department of Justice Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

109258 MARTIN SILVA, VICTOR M. Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

109272 VAZQUEZ LOPEZ, HECTOR Pension/Retiree 3/30/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

109289 RIVERA MEDINA, NANCY J Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

109293 PEREZ PENA, MILAGROS S. Public Employee & Pension/Retiree 6/10/2021 Department of Labor and Human Resources Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

109294 FANTAUZZI VILLANUEVA, VICTOR M. Pension/Retiree 3/5/2021 Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A Y Y N/A Y In Process/Under Revi

109295 ORTIZ ORTIZ, NELLIE Public Employee & Pension/Retiree 7/13/2021 Department of Social Services, Department of Family Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 109300 VELAZQUEZ OSORIO, MARILENA Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

109331 ROCA CARRILLO, EVELYN Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 196 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

109340 TORO SOLA, MARIA V. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 109344 LABOY CRUZ, MARIBEL Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 109346 MOURA GRACIA, ADA E. Public Employee & Pension/Retiree 11/11/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 109379 GARCIA ROSA, CARMEN MINA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

109409 RIVERA OCASIO, JOSE J Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

109433 JOUBERT MARTINEZ, MYRTA Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 109450 ORTIZ ORTIZ, GLORIA M Public Employee & Pension/Retiree 11/11/2020 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 109456 UNIVERSITY OF PUERTO RICO RETIREMENT SYSTEM TRUST Pension/Retiree 3/5/2021 Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A Y Y N/A Y In Process/Under Revi

109487 ORTIZ CARTAGENA, MARTZ ELIA Public Employee & Union Grievance 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 109497 TORRES ORTIZ, KRISTAL J. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

109500 LLERA RODRIGUEZ, NORMA I. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

109504 IRIZARRY FIGUEROA, ANA AUREA Public Employee & Pension/Retiree 3/30/2021 Department of Health, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

109511 RODRIGUEZ , MYRTA N Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 109547 COTTO LEBRON, WANDA I. Public Employee & Pension/Retiree2 3/30/2021 Child Support Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

109555 ORTIZ BAEZ, NILSA IVETTE Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 109592 CRUZ RODRIGUEZ, MARIA M. Public Employee3 3/30/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

109598 PEREZ BOSQUES, ANGEL L. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

109601 HORTON MERENGUELLI, WENCESLA Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

109636 AVILES ZAYAS, DORIS M Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

109652 CUADRADO GARCIA, GERARDO J. Public Employee & Pension/Retiree4 3/5/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

109653 VAZQUEZ MEDINA, JOSE A Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 197 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

109676 GONZALEZ LOPEZ, DANETTE Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

109706 TORRES SUAREZ, FEDERICO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 109711 IRIZARRY RODRIGUEZ, LUZ S Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 109758 NEGRONI RIVERA, MARGARITA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 109767 RIOS ARROYO, MARIA VICTORIA Public Employee & Pension/Retiree2 5/4/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

109779 COTTE NIEVES, ANGEL Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

109786 MARRERO TORRES, ROSALINA Public Employee 7/29/2022 Department of Education Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

109814 REYES RIVERA, SONIA I Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

109830 CRUZADO CINTRON, MARIA E. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

109861 MARTINEZ GONZALEZ, IVY C. Public Employee3 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

109872 LOPEZ SANCHEZ, ANA L Public Employee & Pension/Retiree 6/10/2021 Department of Health & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

109894 GALDOS CRUZ, FABIOLA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

109901 VILLA FLORES, ADALBERTO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

109928 OQUENDO CONCEPCION, ALVIN Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

109950 OQUENDO OTERO, VIVIAN E. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

109956 MERCED CLEMENTE, OSVALDO Pension/Retiree 11/11/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

110030 BALLESTER AROCHO, VIRGINIA I. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

110032 CRUZ SANTIAGO, NYDIA ZOE Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

110036 ALGARIN ARROYO , AIDA LUZ Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

110072 RAMOS SANTOS, ANGELA R. Public Employee3 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

110190 RAMOS TORRES, ADA M Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 198 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

110193 PEREZ TORRES, FERNANDO E. Public Employee & Pension/Retiree 11/11/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 110230 RUIZ RIVERA, RAUL Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

110242 ORTIZ APONTE, ADA M Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 110316 ORTA MELENDEZ, BERNARDO Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

110333 RAMOS SEPULVEDA, MARITZA Public Employee 6/10/2021 Department of Labor and Human Resources Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

110343 SANTIAGO RAMOS, ANA LYDIA Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

110348 ROCHE TORRES , EDGARDO Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

110377 MAYSONET MEDINA, DAMARIS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

110383 PEREZ GONZALEZ, CARMEN M. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

110427 MORALES FIGUEROA, CARMEN M Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

110465 LOPEZ RODRIGUEZ, CARMEN LUZ Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

110474 SERRANO CRUZ, NELLIE M Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 110486 BONILLA ORTIZ, ANGELES S Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

110491 FIGUEROA HERNANDEZ, YOLANDA Public Employee & Pension/Retiree2 11/13/2020 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 110509 VINALES RODRIGUEZ, MARIA DEL CARMEN Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

110560 PEREZ DIAZ, ROSITA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

110588 RIVERA PEDROGO, ELSA M Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 110613 TORRES VELEZ, DORA M. Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

110619 OCASIO COTTO, SAMIRA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

110638 BURGOS RIVERA, LILLIAN Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 110669 ALMODOVAR RUIZ, LIDIA L Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 199 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

110676 TORRES GRANELA, ANA R. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

110705 MELENDEZ ALICEA, JUAN Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 110712 HERNANDEZ MICHELS, GERTRUDIS CRISTINA Public Employee 7/13/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

110714 CRUZ CRUZ, ANA R Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 110717 DELGADO AGOSTO, EMERITA Public Employee & Pension/Retiree 11/13/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 110723 RIVERA CONCEPCION, JACOB Public Employee & Pension/Retiree 11/11/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 110767 GARCIA DE RIVERA, LOURDES M. Public Employee3 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

110775 RIVERA DE PENA, CARMEN I. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

110804 VELEZ RODRIGUEZ, GLORIA ESTHER Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

110837 MELENDEZ ROSADO, CRUZ N Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

110838 SALICETI PIAZZA, SONIA Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

110866 MATOS ARROYO, VICENTA Public Employee & Pension/Retiree 1/4/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 110884 BONILLA PINEDA, FELICITA L. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

110886 SOTO PEREZ, SYLVIA MARGARITA Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

110919 RAMOS ECHEVARRIA, NORA Public Employee & Pension/Retiree 6/10/2021

Socioeconomic Development of the Family Administration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

110922 CINTRON HERNANDEZ, VICTOR LUIS Public Employee & Pension/Retiree 11/11/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

110934 JIMENEZ FOSSE, LISETTE T. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

110956 NEGRON ZAYAS, WILFREDO Public Employee & Pension/Retiree 6/10/2021 National Guard of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

110961 MARTINEZ COSS, ALEJANDRO Pension/Retiree1 6/10/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

110972 MORALES COLON, WANDA IVELISSE Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

110981 NAVARRO FIGUERO, OSCAR Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 200 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

111007 TORRES RIVERA, RAINIER MANUEL Public Employee 11/13/2020 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

111019 OLIVO MARRERO, HILDA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 111025 CARTAGENA DEL VALLE, MARIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 111027 VEGA VAZQUEZ, IRIS N Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 111034 ORTIZ OQUENDO, SARA L. Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

111045 MELENDEZ CABRERA, MIRIAM G. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

111061 LOZANO RUIZ, HECLY A Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

111110 COLON VAZQUEZ, ESPERANZA Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

111128 CASTRO RODRIGUEZ, NORMA IRIS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

111150 RIVERA TORRES, ADA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

111171 LOPEZ RODRIGUEZ, GLADYS Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

111175 CARABALLO RODRIGUEZ, MIRTA Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

111223 AGOSTO AMEZQUITA, NEREIDA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

111242 OTERO HERNANDEZ, EDNA L. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

111311 DONES COLON, HECTOR JESUS Public Employee 11/11/2020 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

111336 MARTINEZ MERCADO, CIRO Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

111353 PEREZ ROSA, RAJAEL A. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

111355 BORRERO IBARRONDO, LINDALIZ Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

111371 GONZALEZ VAZQUEZ, MARTA ELENA Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

111392 DEYNES SOTO, MARIA E Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

111410 MORALES SANTIAGO, JOHN Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 201 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

111416 CUADRADO BLOND, MANSELA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 111434 ORAMA FELICIANO, CRUCITA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 111446 CARTAGENA SANCHEZ, EVA LUZ Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

111478 RIVERA QUILES, MANUEL Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

111506 VILLANUEVA CRUZ, ANA LUISA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

111513 CAMUY TERRON, VICTOR Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

111580 LOPEZ RIVERA, LISETTE Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

111607 MARTINEZ MORALES, CARMEN M Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

111629 RAMOS ECHEVARRIA, NORA Public Employee & Pension/Retiree 6/10/2021

Socioeconomic Development of the Family Administration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

111682 GONZALEZ RIVERA, ROSA E. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

111721 COLLAZO SANTIAGO, GLENDA LEE Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

111740 OTERO DIAZ, MARISOL Public Employee & Pension/Retiree 6/10/2021

Department of Correction and Rehabilitation, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

111766 CORDERO BARREIRO, LIZ J. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

111774 FELICIANO APONTE, REGALADA Public Employee & Pension/Retiree2 6/24/2022 Department of Labor and Human Resources Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

111786 SALUD INTEGRAL DE LA MONTANA, INC. Tax Refund 7/13/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

111789 FERNANDEZ HIRALDO, LUZ AIDA Public Employee3 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

111817 MARRERO BRACERO , IVETTE M Pension/Retiree 5/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

111857 MUNOZ GONZALEZ, MARITZA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

111882 TIRADO BERRIOS, MINERVA Public Employee & Pension/Retiree 6/10/2021 Agency Not Provided Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

111883 DIAZ RIVERA, JUANITA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

111886 MONTALVO PADRO, JULIO Public Employee 11/11/2020 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 202 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

111898 DE LEON ROSA, JUDITH Y. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 111904 RIVERA VAZQUEZ , LYMARI Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

111917 CINTRON SANTIAGO, JUAN JOSE Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

111930 SANTIAGO MELENDEZ, JUAN ALBERTO Pension/Retiree 3/5/2021 Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A Y Y N/A Y In Process/Under Revi

111940 ROBLES COLON, ZULMA Public Employee & Pension/Retiree2 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

111953 VEGA MILAN, ANTHONY Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

111954 ORTEGA BAEZ, NEREIDA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

111967 PEREZ SERRANO, ODETTE Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

111969 CRUZ HERNANDEZ, MARIA DEL CARMEN Public Employee & Pension/Retiree2 6/10/2021

Department of Labor and Human Resources & Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

111981 BERRIOS DIAZ, ELIZABETH Pension/Retiree1 7/13/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A N N/A 

112012 MANFREDY FIGUEROA, MINERVA Public Employee & Pension/Retiree 11/13/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

112013 CRUZ CRUZ, DALIANISE Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

112018 RIVERA NIEVES, ALBERTO Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

112021 IRIZARRY PEREZ, BESSIE Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

112028 MORALES COLON, WANDA IVELISSE Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

112043 CORREA VELEZ, IRMA J. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

112049 HERNANDEZ TORRES, SOCORRO Public Employee & Pension/Retiree2 5/4/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

112061 RODRIGUEZ FERNANDEZ, MARTA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

112071 SANTANA CENTENO, JOSE J. Public Employee 7/2/2021 Administration of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 112087 ALVAREZ MONSEGUR, AGNES I Public Employee 7/13/2021 Department of Labor and Human Resources Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

112092 AVILES MENDEZ, MILAGROS Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 203 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

112105 RIVERA SANTIAGO, MARIBEL Public Employee 3/30/2021 Family and Children Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

112110 CRUZ CRUZ, YOLANDA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

112140 CARTAGENA DEL VALLE, MARIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

112142 GARCIA GONZALEZ, MARY JANE Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

112149 HERNANDEZ ESCALANTE, ELENA Public Employee 3/30/2021 Socioeconomic Development of the Family Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 112158 FELICIANO CRESPO, CARMEN Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

112178 MIGRANT HEALTH CENTER, INC Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

112220 ALVAREZ TROSSI, DORIS A. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

112227 CASTRO CRUZ , MARIA E Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

112240 RIVERA OTERO, MILAGROS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

112267 HERNANDEZ RAMOS, MARIA S Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

112287 SIERRA ESCALERA, JOSE R Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

112376 CRUZ ROSADO, MARITZA Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

112394 LOPEZ MALDONADO, ANA Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

112396 RODRIGUEZ VELAZQUEZ, MARTHA Public Employee & Pension/Retiree2 11/13/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

112419 GARRAFA RODRIGUEZ, CARMEN M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

112425 MARTINEZ ORTIZ, MIRIAM Public Employee 11/13/2020 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

112426 MENDEZ BARRETO, ANA D. Public Employee & Pension/Retiree 7/13/2021 Employees Retirement System of the Government of the Commonwealth of Puerto Rico, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

112446 HERNANDEZ GONZALEZ, MILAGROS Public Employee & Pension/Retiree2 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

112447 VILLEGAS ORTIZ, ILDEFONSO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

112479 LORENZO ALERS, VICTOR Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 204 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

112481 VARGAS PEREZ, SONIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 112507 MORALES RAMOS, OMALIS Public Employee 3/30/2021 Socioeconomic Development of the Family Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 112519 GONZALEZ ALVARADO, WANDA E. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 112531 RIVERA ORSINI, YOLANDA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

112546 ORTIZ APONTE, ADA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 112567 RAMOS VAZQUEZ, MARIBEL Public Employee 3/30/2021 Family and Children Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

112598 CRUZ SANTIAGO, MARIA ENID Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

112636 RODRIGUEZ DIAZ, DOMINGO Public Employee & Pension/Retiree 6/10/2021

Socioeconomic Development of the Family Administration & Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

112670 RIVERA ORTIZ, ALMA R. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 112723 SANCHEZ FALCON, MARGARITA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 112803 ROSADO DIAZ, BETZAIDA Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 112809 RIVERA MORALES, NEREIDA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

112830 GARCIA CABRERA, JACKELINE Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 112840 REYES PEREZ, JASMINE Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 112864 ORTIZ ORTIZ, EFRAIN Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 112875 RODRIGUEZ ORTIZ, MARIA E. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 112887 NEGRON ESTRADA, WANDA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

112916 BERRIOS BERRIOS, TERESA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 112918 DENDARIARENA SOTO, HAYDEE Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

112925 ORTIZ OQUENDO, SARA L. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

112939 MEDINA ORTIZ, DALILA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 205 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

112940 CRESPO MOLINA, GENEROSA Public Employee, Pension/Retiree & Union Grievance 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 112957 MELENDEZ ALVARADO, BETTY Public Employee & Pension/Retiree 3/30/2021 Department of Family & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 112963 BOSQUE LANZOT, CARLOS E. Pension/Retiree1 6/10/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

112965 ORTIZ RIVERA, CARMEN LUISA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

112993 GONZALEZ ORTIZ, RUTH I Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

113026 RIVERA MIRANDA, OLGA I Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

113036 RIVERA PEREZ, INES V. Public Employee & Pension/Retiree 3/30/2021

Mental Health Services and Addiction Control Administration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

113072 MADERA PACHECO, ANA E. Public Employee & Pension/Retiree 6/24/2022 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

113116 LOPEZ LOPEZ, PAULA Public Employee & Pension/Retiree 11/13/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 113191 REVERON LEBRON, WANDA I. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

113200 HERNANDEZ VELASCO, MAYRA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

113204 RUIZ SOTO, RENE Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

113234 RUIZ SOTO, RENE Pension/Retiree 3/30/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico, Teachers Retirement System

Y N/A Y Y N/A Y In Process/Under Revi

113239 VARGAS SANTIAGO, IRIS M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

113257 RIVERA ROSARIO, GRACIELA Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

113265 ORTIZ OCASIO, LUIS A. Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

113269 MONSEGUR VELEZ, LUISA DOLORES Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 113276 MUNOZ, JOSE A. Public Employee & Pension/Retiree2 5/4/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

113277 RIVERA FIGUEROA, KAREN Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

113307 MELENDEZ GREEN, SOL MARITZA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

113312 KUILAN MEDINA, ALICIA M. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 206 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

113328 BEZARES GONZALEZ, GILBERTO Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 113330 NIEVES GARCIA, MARIA DE LOS A Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 113334 CARRERO JUSINO, MIGUEL Public Employee 6/24/2022 Administration of Correction Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

113361 DIAZ FEBO, LUZ O. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 113380 GONZALEZ GONZALEZ , FELICITA Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

113391 QUILES SANTIAGO, ELIA MARIA Pension/Retiree 3/30/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico, Teachers Retirement System

Y N/A Y Y N/A Y In Process/Under Revi

113420 FIGUEROA COLON, CARMEN L Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

113450 MARCANO RODRIGUEZ, JUDITH D. Public Employee & Pension/Retiree 6/10/2021

Department of Correction and Rehabilitation, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

113456 FG MARKETING PUERTO RICO INC Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

113458 GUTIERREZ SOTO, LAURA E. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 113492 CUBERO LOPEZ, MONSERRATE Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

113521 SANCHEZ AMEZQUITA, MARIBEL Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

113535 NAVARRO FIGUEROA, OSCAR Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

113538 RODRIGUEZ LABOY, CARMEN M. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

113549 ALICEA NIETO, EDMEE Public Employee3 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

113577 VAZQUEZ ORTIZ, CARLOS IVANI Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

113594 ORTIZ RECIO, EVA MITTA Public Employee 5/4/2021 Department of Health, Environmental Health Program Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 113619 ROMAN ROMAN, MINERVA Public Employee & Pension/Retiree 6/10/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

113621 CAMACHO SOTO, MAGDALENA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

113656 HANCE RODRIGUEZ, ELIZABETH Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

113659 MILAN CALDERON, MAYRA T. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 207 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

113676 TORRES OQUENDO, DORA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 113713 DELIZ GARCIA, EDNA HILDA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 113725 DIAZ, AWILDA Public Employee & Pension/Retiree2 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

113738 MUNIZ JIMENEZ, AIXA Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

113776 RIVERA COLON, WILMA IVETTE Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

113786 BURGOS CASTRO, MARIA ISABEL Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

113821 FIGUEROA HERNANDEZ, CARMEN C Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

113849 RIVERA ARROYO, LUZ MARIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

113852 OTERO LOPEZ, OLGA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

113853 LOPEZ CARTAGENA, SARA L. Public Employee & Pension/Retiree 8/25/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

113870 FELICIANO SOTO, MINERBA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

113882 COLON MORALES, WANDA M. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

113921 DEL VALLE, MARIA CARTAGENA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

113961 HERNANDEZ RIVERA , JOSE LUIS Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

113971 RODRIGUEZ CRUZ, IRIS YOLANDA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

113978 NAVARRO COTTO, AGUSTINA Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

114000 NIEVES VELAZCO, AIDA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

114001 LASSALLE BOSQUES, GLORIA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

114029 FRED MALDONADO, HILDA R. Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

114055 PEREZ NIEVES, CARMEN Public Employee & Pension/Retiree 6/10/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

114081 MARTINEZ GARCIA, ROSA H. Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 208 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

114082 SERRANO ROSA, GERARDO Public Employee & Pension/Retiree 6/10/2021

Department of Labor and Human Resources, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

114123 RODRIGUEZ MELENDEZ, AIDA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 114189 ACEVEDO MARQUEZ, NILSA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

114199 PEREZ MONTANO, GLORIA Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

114304 ORTIZ VAZQUEZ, MANUEL Public Employee & Pension/Retiree2 5/4/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

114325 RAMOS VAZQUEZ, MIRIAM Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

114334 CHEVERE SANTOS, AIDA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

114373 SOLIS MORALES, JAVIER E. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

114377 LOPEZ MOYA, JUAN R. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

114407 RIVERA RIVERA, LOURDES Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

114419 LOPEZ ACEVEDO, CARLOS A. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

114461 MORALES LEBRON, JOSEFINA Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

114465 RIVERA RIVERA, MARGARITA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

114482 CRUZ OMS, ANGELA RITA Public Employee & Pension/Retiree 6/10/2021 Department of Family, Department of Social Services Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

114627 DAVID RUIZ, WIDALYS A Public Employee & Pension/Retiree 6/10/2021 Department of Family, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

114645 ESTOADA LEBRON, SONIA I Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

114649 COLOM GEITZ, SANDRA E. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

114666 MOJICA CRUZ, ELIZABETH Public Employee & Pension/Retiree 7/2/2021 Department of Family Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 114706 PEREZ VARGAS, MARIA ELISA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

114712 RIVERA TORRES, SONIA E. Public Employee 3/30/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

114741 ROMERO LOPEZ, LUIS Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 209 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

114753 SANTIAGO VAZQUEZ, CARMEN M. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

114758 HERNANDEZ MICHELS, GERTRUDIS CRISTINA Public Employee 5/4/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

114771 ARILL TORRES, CARLOS MIGUEL Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

114779 RUIZ GODREAU, ANA L Public Employee & Pension/Retiree2 3/30/2021

Department of Labor and Human Resources, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

114810 RIVERA FIGUEROA, KAREN Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 114868 GONZALEZ RIVERA, MIRTA LUZ Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

114894 COTTO LOZANO, RAFAEL Public Employee & Pension/Retiree 6/10/2021 Department of Housing Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 114920 LUISA TORRUELLA, ANA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

114985 CRUZ PENA, OLGA IRIS Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 114999 RIVERA QUILES, MANUEL Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

115024 CRESPO MARTINEZ, CRUZ Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

115071 HERNANDEZ VELEZ, ANNETTE Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

115073 DIAZ MORALES, ROSA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

115082 SANCHEZ FUENTES, AUGUSTO C. Pension/Retiree 3/30/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico, Teachers Retirement System

Y N/A Y Y N/A Y In Process/Under Revi

115089 LEON MATTEI, DEIANIRA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

115121 RIVERA COTTO, MARITZA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 115147 TORRES RODRIGUEZ, JORGE Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

115248 RIVERA RAMOS, ANA ROSA Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

115270 CUBI RODRIGUEZ, ANA D. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

115327 MARTINEZ ZAYAS, WANDA E. Public Employee 11/13/2020 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

115367 ROSADO RIVERA, ORLANDO Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 210 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

115410 ROQUE RODRIGUEZ, SONIA A. Public Employee 11/13/2020 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

115456 MUNOZ ORTIZ, SAMUEL Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 115463 RODRIGUEZ LABOY, CARMEN M Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

115474 RIVERA MEDINA, MIRIAM Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 115490 ESTRADA RESTO, GRISEL Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 115494 FELIX LAUREANO, JUAN Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 115498 FERNÁNDEZ RIVERA, MARIA B. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

115517 PADIN RODRIGUEZ, MARIA M Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 115531 LUGO IRIZARRY, ILIA R. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

115566 GONZALEZ SERRANO, JUAN R. Pension/Retiree1 6/10/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

115572 PUGOLS DEL RIO, CARMEN L Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

115583 ORTIZ RIVERA, MARIA M. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

115613 MALPICA PADILLA, LYDIA M Public Employee & Pension/Retiree 10/22/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 115623 TORRES HERNANDEZ, MYRNA L. Pension/Retiree 3/30/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

115672 RODRIGUEZ JIMENEZ, RAMON Public Employee 5/4/2021 Highway and Transportation Authority Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

115678 RIVERA LOPEZ, ALIDA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

115699 TORRES CARMONA, ROGELIO Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

115732 FIGUEROA CORREA, LYDIA H. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

115770 REYES RIVERA, NAYDA L Public Employee & Pension/Retiree 6/10/2021 Department of Labor and Human Resources Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

115771 PUGOLS DEL RIO, CARMEN L. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

115773 PUJOLS DEL RIO, CARMEN L. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 211 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

115805 SOTO VILLANUEVA, EFRAIN Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 115811 RODRIGUEZ COTTO, JAVIER Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 115814 MARTI PEREZ, JEDRICK Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 115815 BUTTRON ALMENAS, MARIA C. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

115817 RAMIREZ RODRIGUEZ, EVELYN M. Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

115830 RUIZ-RODRIGUEZ, ANA M. Public Employee & Pension/Retiree 6/10/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 115834 DIAZ RIVERA, EDDIE Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

115842 COLON OTERO, MYRNA L. Public Employee & Pension/Retiree 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

115844 DE JESUS RAMOS, PEGGY ANN Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

115856 RODRIGUEZ RUIZ, MILAGROS Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

115889 RIVERA VILLALOBOS, GLORIA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

115895 DIAZ COTAL, LILLIAN Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 115904 LOPEZ CORCINO, MARIA M. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

115916 COSS FELICIANO, MYRTA I. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

115923 FERNANDEZ GONZALEZ, JOE E. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

115928 VELAZQUEZ BELTRON, MEDELICIA Public Employee & Pension/Retiree4 3/5/2021 Office of Court Administration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

115943 CRUZ DIAZ, VILMA MARIE Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

115958 DELVALLE HERNANDEZ, MARIA DEL C Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

115994 MERCADO FELICIANO, NILDA Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

115999 GONZALEZ FIGUEROA, GERARDA Public Employee3 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

116002 CRUZ PEREZ, OLGA IRIS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 212 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

116008 CRUZ ZAYAS, AIDA LUZ Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 116037 RODRIGUEZ VEGA, FRANCISCO JAVIER Public Employee 11/13/2020 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

116047 CLEMENTE PENA, PEDRO PABLO Public Employee & Pension/Retiree2 11/13/2020 Department of Transportation and Public Works Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

116052 RUIZ SOTO, RENE Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

116098 VELEZ SANTIAGO, AUREA E. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

116120 ORTIZ VAZQUEZ, MARIBEL Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

116122 MENDEZ-MARTINEZ, OLGA V. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

116148 HORRACH, FELIPE ALICEA Public Employee & Pension/Retiree 6/10/2021 Department of Health, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

116233 LLITERAS BATISTA, MARIBEL Public Employee3 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

116240 MUNIZ JIMENEZ, ZULMA I. Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

116241 TIRADO GARCIA, ALEXIS Public Employee & Pension/Retiree 6/10/2021 Department of Natural and Environmental Resources Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

116244 MELENDEZ VEGA, DOMINGO Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

116247 SANTIAGO CABRERA, WILLIAM Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

116263 ARILL TORRES, IDA Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

116274 RIVERA CARDERA, DAMARY Public Employee & Pension/Retiree2 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

116275 MARTINEZ SANTIAGO, MARIA DEL CARMEN Public Employee 11/11/2020 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

116288 HERNANDEZ ROJAS, MARIA M. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

116321 RIVERA CINTRON, JOSE MIGUEL Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

116338 MALDONADO SOTO, HIRAM Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

116349 GONZALEZ VAZQUEZ, SUSANNA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

116368 JOVET OQUENDO, MAGDA J. Public Employee 5/4/2021 Department of Labor and Human Resources Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 213 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

116408 IRIZARRY IRIZARRY, INEABELLE Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 116409 CRUZ QUINTERO, ISOLINA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

116480 TOLEDO CAJIGAS, ELSA Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 116485 TORRES ESTELA, IRIS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 116494 RIVERA LOPEZ, ALIDA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

116498 TORRES SANCHEZ, VERONICA Tax Refund 4/21/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

116501 ARADONDO QUINONES, SYLVIA IRIS Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

116505 GONZALEZ CRUZ, EVELYN MARGARITA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

116540 RODRIGUEZ FIGUEROA, LIDIA Public Employee & Pension/Retiree2 3/30/2021

Socioeconomic Development of the Family Administration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

116552 FIGUEROA GUISAO, NOEMI Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

116553 BANCH PAGAN, JAIME ANTONIO Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

116560 OLIVO BAEZ, LOYDA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

116608 SANTIAGO CABRERA, MARIA DE LOS ANGELES Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

116642 ORTIZ CASTRO, LUZ M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

116645 COSS MARTINEZ, CARMEN GLORIA Public Employee & Pension/Retiree 10/22/2020 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 116660 MARTINEZ NIEVES, PROVIDENCIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

116677 RAMOS ECHEVARRIA, NORA Public Employee & Pension/Retiree 6/10/2021

Socioeconomic Development of the Family Administration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

116688 PORTALATIN COLON, LYDIA Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

116691 RIVERA GONZALEZ, LILLIAM Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico, Teachers Retirement System

Y N/A Y Y N/A Y In Process/Under Revi

116706 ARZUAGA GUZMAN, JUANITA M. Public Employee & Pension/Retiree2 11/13/2020 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

116708 GONZALEZ RIVERA, ZENAIDA Public Employee, Pension/Retiree & Union Grievance 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 214 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

116714 ZABALETA ALVAREZ, ZENAIDA Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 116718 RODRIGUEZ CARABALLO, VICTORIA Public Employee & Pension/Retiree 6/24/2022 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

116721 GERENA LANDRAU, MARTA R. Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

116731 SUAREZ RIVERA, GENOVEVA Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

116739 MAYMI TORRES, NANCY Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

116755 DAVID ESPARRA, MAGDA M. Public Employee, Pension/Retiree & Union Grievance 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

116764 VELEZ MOLINA, ELIZABETH Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

116768 MARTINEZ COURET, LINEL Public Employee 7/29/2022 No Agency Provided Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

116795 DE JESUS SAN MIGUEL, EMMA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

116799 RODRIGUEZ ARROYO, MARIA ELENA Public Employee 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

116825 RUIZ LUCIANO, MILAGROS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

116834 CRUZ HERNANDEZ, MARIA DEL CARMEN Pension/Retiree1 6/10/2021 Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A Y Y N/A Y In Process/Under Revi

116835 RIVERA PEREZ, INEZ V. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

116850 ASTOR ACOSTA, EGLANTINA Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

116865 MOJICA CRUZ, ZAIDA LUZ Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

116889 LOPEZ CACERES, IRIS M Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

116933 CARTAGENA SANCHEZ, EVA LUZ Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

116954 LOPEZ GONZALEZ, WILMARIE Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

116971 RIVERA SANCHEZ-MAESTRA, CARMEN Z Public Employee 5/4/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

116973 BOU SANTIAGO, MARIO A. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 117007 ARROYO PEREZ, CARMEN JULIA Public Employee & Pension/Retiree 6/10/2021 Department of Health, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 215 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

117029 HERNANDEZ SOTO, AIDA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

117031 AMADOR DE LA PAZ, ROSAURA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

117035 ESTEVEZ GUTIERREZ, EVELYN Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

117052 MORALES PEREZ, ROSALINDA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico, Teachers Retirement System

Y N/A Y Y N/A Y In Process/Under Revi

117088 MALAVE LOPEZ, MARY A. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

117093 RUIZ MARTINEZ, GRACIA M. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 117105 VÁZQUEZ ROSA, ALMA D. Public Employee & Pension/Retiree 6/10/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 117107 ARILL TORRES, CARLOS M. Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

117143 DIAZ MARRERO, NIDZA IVETTE Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 117153 ALMODOVAR RODRIGUEZ, RICARDO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

117175 LUGO MORALES, NOEMI Public Employee & Pension/Retiree2 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

117181 RODRIGUEZ FLORES, ENRIQUE Public Employee & Pension/Retiree 6/10/2021 Office of Court Administration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 117188 SANTIAGO BONILLA, MARIA E. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 117197 RIVERA TORRES, JULIA ISABEL Public Employee 5/4/2021 Department of Transportation and Public Works Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

117224 TORRES SANTIAGO, JEANNETTE Public Employee & Pension/Retiree2 5/4/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

117229 COLÓN PIÑEIRO, FRANCISCO Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau Y N/A N N 3rd and Final Information Request letter sent to claimant; awaiting 

response

N N/A 

117253 CRUZ HERNANDEZ, ROSA N. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

117296 RIVERA TORRES, CARMEN T Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

117314 MORALES RODRIGUEZ, CARMEN I. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

117329 LAMBOY IRIZARRY, JOSEFINA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

117406 MOLINA AYALA, GLORIA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 216 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

117420 FLORES OYOLA, EPIFANIO Public Employee 11/13/2020 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

117458 FIRPI SOLIS, MYRNA E. Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 117480 GONZALEZ CRUZ, INES Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

117483 FIGUEROA MARQUEZ, MIRIAM Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

117491 HERNANDEZ ABRAMS, CARMEN G. Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

117501 ORTIZ ORTIZ, NELSON ANIBAL Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

117529 GONZALEZ FIGUEROA, GERARDA Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

117539 RODRIGUEZ MOLINA, ESTHER Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

117543 LOPEZ SANTIAGO, LYMARI Public Employee & Pension/Retiree2 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

117549 GONZALEZ NAVARRO, GLADYS V. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

117551 LIND GARCIA, NADIA D. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

117553 TORRES VAZQUEZ, VIVIANA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

117569 VERDEJO DELGADO, ELIZABETH Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

117581 RODRIGUEZ REYMUNDY, MYRNA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

117584 HADDOCK JIMENEZ, JAIME A. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

117604 ORTIZ ALVARADO, EVELYN Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

117622 FIGUEROA TORRES, CARMEN E. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

117625 MALDONADO NAZARIO, MARTA E. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

117661 RODRIGUEZ CARABALLO, MYRIAM Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

117662 RODRIGUEZ AGOSTO, NANCY Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

117665 AVILES CASIANO, EFRAIN Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 217 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

117687 DONES SANJURJO, EDWIN Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 117704 CUEVAS MARTINEZ, LUZ T Public Employee & Union Grievance 11/13/2020 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

117807 LOPEZ RODRIGUEZ, GLADYS Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

117840 CABRERA NIEVES, MARITZA Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 117913 DIAZ MORALES, AUSTRIA Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 117933 ALVAREZ MONSEGUR, LOURDES A. Public Employee & Pension/Retiree 6/10/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 117935 ARROYO REYES, ROSA I Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 117960 ZAYAS SOTOMAYOR, CARMEN N. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 117975 TORRES, AMALIA KUILAN Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 118002 MIRANDA RODRIGUEZ, ROSA NELLY Public Employee & Union Grievance 7/29/2022 Department of Family, Department of Social Services Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

118027 TORRES CUBERO, FELICITA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 118029 NIEVES HERNANDEZ, HILDA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 118056 VAZQUEZ ROSA , ALMA D Public Employee3 7/13/2021 Family and Children Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

118063 RODRIGUEZ, TOMAS WADAL Public Employee & Pension/Retiree 6/10/2021 Administration of Correction Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

118104 SANTOS SANTIAGO, NYDIA EDITH Public Employee 5/4/2021 Socioeconomic Development of the Family Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

118107 HERNANDEZ RODRIGUEZ, EDWIN Public Employee 6/10/2021 Vocational Rehabilitation Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

118109 SANTOS RUIZ, SONIA N. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

118133 HERNANDEZ MELENDEZ, ROSE Public Employee & Pension/Retiree 3/30/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

118216 CONCEPCION PEREZ, NAYDA LUZ Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

118244 RODRIGUEZ SANCHEZ, FRANCISCO JAVIER Public Employee 11/13/2020 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

118288 TORRES ORTIZ, MAYRA ENID Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 218 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

118336 GONZALEZ PEREZ, DEITER J Public Employee & Pension/Retiree 6/10/2021 Department of Family & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 118338 RAMOS ECHEVARRIA, NORA Public Employee & Pension/Retiree 6/10/2021 Department of Family, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 118353 NUNEZ RIVERA, MAYRA M Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 118506 DAVILA PEREZ, FELIX Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

118526 GONZALEZ MARTINEZ, IVETTE M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

118538 GONZALEZ NEVARES, SARA Public Employee & Pension/Retiree 6/10/2021 Corps of Firefighters Bureau, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A Y Y N/A N N/A 

118543 MALDONADO NAZARIO, MARTA E. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

118561 BAEZ MORALES, CARMEN N. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

118562 RIVERA MENENDEZ, DENISSE L. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

118578 NAVARRO FIGUEROA, OSCAR Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

118593 SANTIAGO GONZALEZ, JEAN Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

118598 BULNES OLIU, ANA MARIA Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

118636 TORRES FIGUEROA, MIGDALIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

118639 SEPULVEDA SANTIAGO, LUZ N. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

118646 NIEVES ALICEA, LUCIA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

118649 RUIZ GOYCO, DORIS B. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

118654 CASTRO RIVERA, MARITZA Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

118667 GONZALEZ SONIA, ALEJANDRO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

118687 REYES SANCHEZ, EDNA R. Public Employee 5/4/2021 Department of Labor and Human Resources Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

118688 MERCADO NEGRON, ALBA N Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

118695 SANTOS COLON, ANA M Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 219 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

118718 TORRES CAMPUSANO, SONIA M. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 118725 MOURA GRACIA, LILLIAN Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 118742 RIVERA GONZALEZ, PEDRO Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

118751 DIAZ COTAL, LILLIAN Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 118760 NEGRON ORTIZ, ELSIE M. Public Employee & Pension/Retiree4 3/5/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

118792 LUGO PEREZ, SANTOS Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

118815 PELLOT JIMENEZ, CLARIBEL Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

118832 VIDAL TORRES, ZAIRA I Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

118863 HERNANDEZ PELLOT, PEDRO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

118873 VIRELLA MATIAS, ANNET Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

118913 ROQUE-TORRES, NITSA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

118924 REYES CAPPOBIANEO, ANA ESTHER Public Employee & Pension/Retiree 6/10/2021 Department of Family Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

118927 VELAZQUEZ PADILLA, NANCY Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

118928 SANTIAGO ANDUJAR, VIRGEN S. Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

118946 MEDTRONIC INTERNATIONAL TRADING SARL Tax Refund 7/13/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

118949 MOJICA NAZARIO, GAMARY F. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

118951 QUINONES DE RIVERA, NILMA L. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

118974 DE JESUS RIVAS, IVETTE Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

118991 FUENTES CANALES, MARTA Public Employee & Pension/Retiree2 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 119012 ROSARIO FERNANDEZ, CARMEN I. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

119019 MEDINA TORRES , MAYRA ENID Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 220 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

119020 AMALBERT MILLAN, ROSA M Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 119028 HERNANDEZ RAMOS, MARIA S Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 119032 PANTOJA GONZALEZ, LUZ M. Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

119044 VARGAS CINTRON, LYDIA Public Employee & Union Grievance 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 119089 ROSADO PADILLA, AMARALIS Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

119134 SANTIAGO ALMENA , MYRNA I Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

119136 MUNIZ JIMENEZ, ZULMA I. Public Employee 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

119143 PEREZ MONTANO, GLORIA Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

119172 DAMOUDT RODRIGUEZ, BERNARDO Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

119205 CRESPO MARTINEZ, TERESA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

119225 FONTANEZ CARRASQUILLO, LAURA Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

119243 QUINONES MERLE, MARYLIN S. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

119278 FAUSTO SANCHEZ, LEILA M Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

119287 ACOSTA TORO, JOSE LUIS Public Employee & Pension/Retiree 6/10/2021 Corps of Firefighters Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

119300 DIAZ CINTRON, JORGE A. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

119311 FELICIANO CORA, IRIS NEREIDA Public Employee & Pension/Retiree 6/10/2021

Department of Labor and Human Resources, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

119379 ARROYO VELAZQUEZ, ROSA I. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

119389 RIVERA, MIRNA ROSA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

119404 BONILLA RIVERA, MIGDALIA Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

119426 MONSEGUR VELEZ, JUANITA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

119427 ALEJANDRO MONTANEZ, AIDA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 221 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

119430 RIVERA FIGUEROA, KAREN Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 119433 ALSINA LOPEZ, CARMEN ENEIDA Public Employee & Pension/Retiree 11/13/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 119503 RODRIGUEZ SOTO, IRMA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

119506 ALVIRA CALDERON, JULIA F. Public Employee & Pension/Retiree 11/13/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

119522 COLLAZO RAMOS, CARMEN G Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

119533 CRUZ PALMER, MELVIN J. Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

3rd and Final Information Request 

letter sent to claimant; awaiting 

response

N N/A 

119602 RIVERA PEREZ, TERESA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 119604 BONILLA ROBLES, MIGUEL Public Employee3 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

119607 TORRES BAEZ, GLORIA E. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

119611 RODRIGUEZ ROSSELLO, MONICA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

119614 TORRES MENA, MARTHA Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

119632 GUTIERREZ ROIG, ELIZABETH Public Employee 3/30/2021 Socioeconomic Development of the Family Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 119635 RIVERA GONZALEZ, CARMEN G. Pension/Retiree 3/30/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

119649 DAVID ESPARRA, IRIS N. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

119666 VAZQUEZ MALDONADO, LILLIAN Public Employee 6/10/2021 Mental Health Services and Addiction Control Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 119668 RAMOS MARRERO, ZORAYDA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

119673 LEBRON RIVERA, SALLY Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

119674 MARTINEZ RUIZ, GLORIA M. Public Employee & Pension/Retiree2 11/13/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

119685 RODRIGUEZ CRUZ, JOSE LUIS Public Employee & Pension/Retiree 6/10/2021 Agency Not Provided Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

119688 SANCHEZ RODRIGUEZ, NELIDA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

119691 FLORES MONTALVO, GRACE E. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 222 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

119692 NIEVES DE SNYDER, DORIS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 119716 HERNANDEZ-CACERES, ANGEL L. Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

119746 MORALES NEGRON, JESUS Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

119768 RODRIQUEZ LABOY, CARMEN M. Public Employee & Pension/Retiree 11/13/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 119838 VIANA DE JESUS, ELIZABETH Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

119849 CONCEPCION PEREZ, NAYDA LUZ Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

119878 CARABALLO FERNANDEZ, LUZ MARIA Public Employee 5/4/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

119898 NOGUERAS RIVERA, CARMEN MILAGROS Public Employee 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

119905 NOVOA GARCIA, BRENDA M. Public Employee & Pension/Retiree2 5/4/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

119925 FEBO BURGOS, ANA L. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

119967 RIVERA REYES, RAMONA Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

119993 CINTRON RESTO, MARIBEL Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

120010 CARTAGENA SANCHEZ, EVA LUZ Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

120025 SANTOS COLON, ANA M. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

120037 FIGUEROA MANGUAL, FELIX L. Public Employee3 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

120055 DE HOYOS PENAS, MILAGROS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

120076 LUGO MORALES, NOEMI Public Employee & Pension/Retiree2 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

120093 LUGO MORALES, NOEMI Public Employee & Pension/Retiree 11/13/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 120097 FIGUEROA GOMEZ, MARIA SOCARO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 120117 CARDONA GONZALEZ , LILLIAN Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico, Teachers Retirement System

Y N/A Y Y N/A Y In Process/Under Revi

120124 ROMÁN MANTILLA, VERÓNICA MABEL Public Employee 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 223 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

120147 RIVERA VAZQUEZ, LYMARI Public Employee & Pension/Retiree2 7/2/2021 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

120153 LOPEZ RODRIGUEZ, GUILLERMO Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

120175 FIGUEROA MARQUEZ, MIRIAM Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 120183 RIVERA MIRANDA, OLGA I. Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

120221 RAMOS PASTRANA, ANGEL L Public Employee & Pension/Retiree 6/10/2021 Department of Correction Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

120245 RIVERA ROMERO, OLGA I. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

120251 DE JESUS ORTIZ, MARIA ESTHER Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

120288 RODRIGUEZ COLON, HARRY Public Employee 11/13/2020 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

120316 VELEZ RODRIGUEZ, MYRIAM E. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

120323 DIAZ ESPINOSA, RAFAEL Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

120331 BAEZ MORA, NILDA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

120356 RIVERA , MARILYN NIEVES Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

120362 RODRIGUEZ PEREZ, CLARIBEL Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

120363 SANTIAGO NIGAGLIONI, ROSA ELENA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

120364 LOPEZ FENEQUE, ANA ELENA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

120381 RODRIGUEZ SEPULVEDA, ANABELLE Public Employee & Pension/Retiree 6/10/2021

Mental Health Services and Addiction Control Administration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

120398 LOPEZ RODRIGUEZ, CARMEN IRIS Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico, Teachers Retirement System

Y N/A Y Y N/A Y In Process/Under Revi

120424 DELIZ GARCIA, EDNA H Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

120428 JIMENEZ MEDINA, ISABEL M. Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

120436 VERGARA, ISABEL CRUZ Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

120438 ALICEA FONSECA, NORMA I. Public Employee & Pension/Retiree 11/13/2020

Vocational Rehabilitation Administration & Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 224 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

120439 CRUZ BURGOS, VICTOR R. Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

120455 GUASP MONTALVO, LUIS I. Public Employee & Pension/Retiree2 5/4/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 120458

VELEZ CANDELARIO; ROSEMARY ALFONSO-VELEZ, MYRNA ALFONSOVELEZ, SHIRLEY ALFONSO-VELEZ, HEREDAS DE ROSALINA

Public Employee & Pension/Retiree 6/24/2022

Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

120460 PEREZ MEDINA, OLGA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

120463 RODRIGUEZ-TORRES, MARTA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

120472 FLORES RODRIGUEZ, ELIGIO Public Employee 5/4/2021 Department of Agriculture Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

120480 LOPEZ-CACERES, IRIS M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

120511 ALVAREZ MONSEGUR, AGNES I. Public Employee & Pension/Retiree 6/10/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

120527 FRANCO ALEJANDRO, MARIA TERESA Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

120545 CRESPO MARTINEZ, TERESA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

120562 ORTIZ HERNANDEZ, MILDRED E. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

120614 JIMENEZ RODRIGUEZ, OCTAVIO Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

120671 VELEZ MONTALVO, ARNOLD Public Employee & Pension/Retiree4 3/5/2021 Department of Health, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

120681 BATISTA BADILLO, MARITZA J. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

120710 CURET GARCIA, DORIS IVETTE Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

120723 CRUZ GONZALEZ, GLORIA I. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

120733 GONZALEZ RUIZ, MYRIAM Public Employee 7/2/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

120740 ORTIZ BETANCOURT, AIXA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

120785 ANDRADES RODRIGUEZ, RAQUEL Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

120799 LLANES SANTOS, JUAN Public Employee & Pension/Retiree 6/10/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

120822 DORTA DORTA, ANA L Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 225 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

120825 RIVERA FRANCO, ROSAURA Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

120835 RODRIGUEZ HERNANDEZ, HECTOR L. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

120849 RODRIGUEZ ZAYAS, ORLANDO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 120858 IRENE LOPEZ, CARMEN TERESA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 120876 TORRES SANTIAGO, SONIA M. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 120885 RIVERA DIAZ, EMMA J. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 120916 RIVERA COLON, OBED Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 120925 GERENA CRESPO, HILDA I. Public Employee & Pension/Retiree 7/13/2021 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 120937 MORALES VAZQUEZ, MARISOL Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 120999 SANTINI RODRIGUEZ, ANA LUISA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

121040 CLARKE VIVES, ANDRES Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

121110 ORTIZ MIRANDA, MELVYN F. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

121128 SAMOT OLAVARRIA, NOEMI Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

121131 OCASIO HERNANDEZ, ELIZABETH Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

121132 MALDONADO MERCADO, NEREIDA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

121135 VELAZQUEZ ALAMO, CARMEN L Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

121155 JIMENZ BUROOS, MARIA DE L. Public Employee & Pension/Retiree 6/10/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 121165 ROSADO CHAPARRO, MANUEL Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

121173 CABALLER VINAS, SANTOS Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 121190 TORRES OQUENDO, DORA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 121191 RAMOS ECHEVARRIA, MARIA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 226 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

121206 RODRIGUEZ GARCIA, PETRA R. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 121236 CRUZ VARGAS, RUBEN Public Employee & Pension/Retiree2 6/10/2021 Vocational Rehabilitation Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

121243 RIVERA NEGRON, MILTON Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

121266 CRUZ CRUZ, LUZ MINERVA Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

121297 CARTAGENA SANCHEZ, EVA LUZ Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

121302 VEGA DIAZ, ANIBAL Pension/Retiree 11/6/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

121309 DAVID ESPADA, WILFREDO Public Employee & Pension/Retiree 6/10/2021

Department of Correction and Rehabilitation, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

121333 ARZOLA NEGRON, MAYRA DORIS Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

121348 CRUZ VERA , AUGUSTO Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

121354 PEREZ GONZALEZ, MIRTA F. Public Employee & Pension/Retiree 6/10/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

121363 AGUIRRE COLON, EDBERTA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

121384 DIAZ MARRERO, NIDZA IVETTE Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

121394 ESTEVEZ GUTIERREZ, EVELYN Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

121420 MUNIZ VAZQUEZ, ERIC JOSE Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

121436 NEGRON, MARICONCHI RIVERA Public Employee 3/30/2021 Vocational Rehabilitation Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

121467 VEGA FIGUEROA, LUZ ESTHER Public Employee & Pension/Retiree2 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

121471 MUNIZ GONZALEZ, EMMA Public Employee & Pension/Retiree 7/13/2021 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

121484 ROSAS VAZQUEZ, CARMEN RAQUEL Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

121494 COLON BERNARDI, CARLOS Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

121498 PORRATA COLON, LUIS R. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

121521 RODRIGUEZ PEREZ, JUAN Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 227 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

121522 TORRES MARTINEZ, CARMEN E Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 121531 RODRIGUEZ TORRES, MARTA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 121554 CRUZ RIVERA, CARMEN Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

121564 ALVAREZ MONSEGUR, LOURDES A. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

121592 RIVERA FONTANEZ, MARIA M. Pension/Retiree1 3/30/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico, Teachers Retirement System

Y N/A Y Y N/A Y In Process/Under Revi

121604 ANGEL R. GUERRA SANCHEZ & LEYDA C. TORRES-TUTOR Public Employee & Pension/Retiree 6/10/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

121643 DE JESUS, ELIZABETH VIANA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

121646 RODRIGUEZ GUZMAN, CARLOS Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

121663 RODRIGUEZ ALBARRAN, CARMEN I. Public Employee 3/30/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

121687 VINAS CARDONA, LILLIAN E Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

121745 RODRIGUEZ SOLER, ZAHIRA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

121757 DIANA SILVA, VICTOR A Public Employee 5/4/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

121779 NIEVES DE SNYDER, DORIS N Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

121798 CRUZ VERGARA, ISABEL Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

121804 PELLOT JIMENEZ , CLARIBEL Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

121825 DELGADO MORALES, TERESA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

121878 RODRIGUEZ DE JESUS, ROSA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

121906 SANCHEZ-PEREIRA, ELENA Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

121918 BATISTA DIAZ, MACYS H. Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

3rd and Final Information Request 

letter sent to claimant; awaiting 

response

N N/A 

121920 CORA DELGADO, NYLSA S. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

121930 REYES FONSECA, PABLO Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 228 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

121939 HERNANDEZ DELFI, CLOTILDE Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 121941 BIBILONI GONZALEZ, MARTA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

121950 RIVERA PENA, LUZ MARIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

121954 TROCHE FIGUEROA, ENAIDA Public Employee 3/30/2021 Department of Sports and Recreation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

121990 COLON, LYDIA PORTALATIN Public Employee & Pension/Retiree 11/13/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 121998 ARACENA RODRIGUEZ, INDIANA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 122000 NEVAREZ MARTINEZ, JUAN E. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

122030 JESUS PRATTS, EIDA E E Public Employee 7/2/2021

Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

122052 DELVALLE HERNANDEZ, GENOVEVA Public Employee 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

122063 MIRANDA ROMERO, DOMINGO Public Employee & Pension/Retiree2 7/2/2021 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

122094 MARTINEZ SANTIAGO, AIDA RUTH Public Employee 7/13/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

122107 RODRIGUEZ-TORRES, MARTA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

122123 LOPEZ CACERES, IRIS M. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

122171 GARCIA CABAN, MARGARITA G. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

122182 HERNANDEZ PEREZ, DIANA I. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

122201 PINA VARGAS, GLADYS Public Employee3 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

122220 DIEPPA ALVAREZ, ZULMA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

122230 RIVERA MORALES, MARISELA Public Employee & Pension/Retiree 7/13/2021 Department of Health, University Hospital Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

122241 RODRIGUEZ MOLINA , ESTHER Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

122250 RAMOS RODRIGUEZ, DIANA E. Public Employee3 6/10/2021 Mental Health Services and Addiction Control Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

122252 RUIZ-RODRIGUEZ, ANA M. Public Employee & Pension/Retiree 6/10/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 229 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

122253 VEGA FIGUEROA, LUZ ESTHER Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

122271 HORTON MERENGUEL, MARTHA Public Employee 5/4/2021 Mental Health Services and Addiction Control Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 122292 CARRION RIVERA, GLADYS Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

122313 MARTORELL VAZQUEZ, JOSE R. Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

122337 RODRIGUEZ DE DURAN, IVETTE Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

122339 CRUZ RIVERA, MARIA DE LOURDES Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

122346 PAGAN RUIZ, JOSE A Public Employee & Pension/Retiree2 5/4/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

122352 GARCIA ARROYO, SANDRA N. Public Employee & Pension/Retiree2 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 122371 SANCHEZ VEGA, NILDA L. Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

122397 RODRIGUEZ-TORRES, MARTA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 122411 HERNANDEZ CUEVAS, LUZ S. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

122424 CASTRO RIVERA, MARITZA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 122425 QUINTANA FLORES, CARMEN L. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 122431 PEREZ MEDINI, WILMA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

122453 GONZALES LOPEZ, JESUS M. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

122465 LEON VEGA, ADALINDA Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

122472 LANZO NUNEZ, JOSE O Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

122484 JAMES SOTO, CECILIA Public Employee & Pension/Retiree 7/13/2021 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

122566 ORTEGA FALCON, ANA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

122594 CUEVAS-PEREZ, JOSE R. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

122595 RIVERA TOLEDO, NILDA MARIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 230 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

122644 MILLAN VALETTE, PRISCILLA I. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

122651 PAGAN PEREZ, PETRA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

122662 MASSOL SANTANA, MARIA L. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 122674 NATER MARTINEZ, LUIS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 122678 AMALBERT-MILLAN, MARIA A. Public Employee & Pension/Retiree 11/13/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 122684 MENDEZ MUNOZ, MYRIAM Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

122686 REYES CRUZ, MARGARITA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 122698 CHARDON RODRIGUEZ, CARMEN J. Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

122759 RODRIGUEZ ORTIZ, GLORIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

122786 ROSARIO TORRES, TERESA Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

122844 DE LOURDES RUIZ, MARIA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

122891 LOPEZ ALVAREZ, ANA C. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

122917 COLON TORRES, YOLANDA Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

122925 CONDE ARES, CARMEN M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

122935 LEDUC MARQUEZ, MADELINE Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

122968 MIRANDA COLON, ANGELES DEL CARMEN Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

122971 VIVDA DE TORRES, ALIDA VELAZQUEZ NIEVES Public Employee & Pension/Retiree 6/10/2021 Department of Consumer Affairs Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

122974 NAZARIO PEREZ, NANCY Public Employee & Pension/Retiree2 5/4/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

123024 JIMENEZ RODRIGUEZ, MILCA L Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

123025 CASIANO RIVERA, MILDRED Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

123031 BERRIOS BATISTA, MARIA M. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 231 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

123062 NIEVES ROSADO, RAMON M. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

123071 RAMOS GONZALEZ, ORLANDO Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 123154 ALEMANY COLON , LUZ N Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

123164 ORTIZ APONTE, ADA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 123182 ROMAN MARTINEZ, NAYDE I Public Employee & Pension/Retiree 3/30/2021 Department of Health, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 123194 RIVERA SANTIAGO, CARMEN N. Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

123202 RUIZ LEBRON , CARMEN G Public Employee & Pension/Retiree4 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

123207 CINTRON COSME, MERCEDES Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

123237 RODRIGUEZ TORRES, MARIA M. Public Employee 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 123262 RODRIGUEZ ZAYAS, ORLANDO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

123290 DIAZ MORALES, AUSTRIA Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

123293 CONCEPCION GONZALEZ, NELLY Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

123359 VAZQUEZ ALMENAS, MARIA SOCORRO Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

123408 CASTILLO MALDONADO, MIRIAN Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

123439 ROBLES RIVERA, ESTEBAN Public Employee 5/4/2021 Mental Health Services and Addiction Control Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 123460 ESCOBAR VELEZ, JUAN L. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

123487 CRUZ MIRANDA, CARMEN E Public Employee & Pension/Retiree 6/10/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

123488 LOPEZ VELEZ, BRUNILDA

Union Grievance & Pension/Retiree5 7/13/2021

Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

123505 BORRERO SIBERON, DORIS H. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

123510 DE LA CRUZ RIVERA, JUAN R. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

123513 RODRIGUEZ GONZALEZ, GRISEL Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 232 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

123524 RAMOS RODRIGUEZ, DIANA E. Public Employee3 6/10/2021 Department of Housing Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

123527 PEREZ RIVERA, MARGARITA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

123544 FLORES DEL VALLE, MERCEDES Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

123580 NIEVES VARGAS, IRIS M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

123593 SANABRIA RIVERA, IRIS M. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

123602 ROBLES MACHADO, AIDA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

123631 APONTE SEPULVEDA, INES Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

123636 IRIZARRY IRIZARRY, INEABELLE Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

123639 NEGRON ORTIZ, ALICIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

123665 RAMOS VELAZQUEZ, RAMONA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

123717 BERRIOS SAEZ , AUREA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

123753 COLON GONZALEZ, JOSE A. Public Employee & Pension/Retiree2 7/13/2021 Department of Family, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

123762 GARCIA DIAZ, GILBERTO Pension/Retiree 5/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

123778 ALVAREZ ORTIZ, DINORAH Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

123787 RAMOS CRUZ, MIGDALIA Public Employee & Pension/Retiree 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

123799 VEGA-MARTINEZ, ANTONIA M. Public Employee & Pension/Retiree 6/10/2021 Department of Transportation and Public Works Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

123812 DE LEON TORRES, JUANA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

123817 JIMENEZ SANTIAGO, LYDIA E. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

123818 CRUZ LEON, WANDA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

123829 SILVA CARO, ROSA M Public Employee 7/29/2022 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

123865 NORIESA ROSAS, DUJARDIN Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 233 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

123875 CASTILLO MALDONADO, MIRIAN Pension/Retiree 3/30/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

123918 ORTIS RIVERA , WANDA I. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 123945 ARROYO REYES, ROSA I. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 123981 SANTALIZ AVILA, VIRGINIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 123983 CINTRON MENDEZ, NORA SILVA Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 123994 MARTINEZ SANTIAGO, OLGA Public Employee 3/30/2021 Department of Family, Department of Social Services Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 124015 ORTIZ MERCADO, BERNICE Public Employee & Pension/Retiree2 7/2/2021 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

124046 FUMERO RODRIGUEZ, MIRIAM Z. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

124050 COTTO MARTINEZ, MAYRA A. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

124055 TIRADO ROMAN, GILBERTO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

124077 FRAU ESCUDERO , JUAN ANTONIO Public Employee & Pension/Retiree 6/10/2021 Office of Court Administration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

124083 NOGUERAS RIVERA, CARMEN M Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

124099 RIOS RIVERA, BETZAIDA Public Employee & Pension/Retiree 3/30/2021

Department of Correction and Rehabilitation, 

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

124101 DAVILA RODRIGUEZ, RUYSDAEL Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

124105 RODRIGUEZ ARROYO, ADALBERTO Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

124106 CRUZ RODRIGUEZ, MYRNA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

124107 VERESTIN BARREDO, JOEL A Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

124120 GONZALEZ FIGUEROA, GERARDA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

124135 HERNANDEZ CRUZ, SAUL Public Employee & Pension/Retiree 6/10/2021 Department of Labor and Human Resources Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

124154 HERNANDEZ CLEMENTE, SONIA M Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

124168 MONSEGUR VELEZ, LIGIA E. Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 234 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

124173 GUEVARA MARIA, CLAUDIA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

124174 RODRIGUEZ TIRADO, LYDIA R. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

124195 GARCIA SANTIAGO, NILDA I Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

124200 SOTO RAMOS, LOURDES Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

124219 MILLAN SERRANO, IRMA L Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

124249 JESUS JUSTINIANO, JUAN DE Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

124264 MARIANI VELEZ, ADA H. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

124273 ORTIZ ROSARIO, ELDA Public Employee & Pension/Retiree 3/30/2021 Department of Family, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

124278 RAMOS ECHEVARRIA, NORA Public Employee & Pension/Retiree 6/10/2021

Socioeconomic Development of the Family Administration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

124304 RIVERA MARTINEZ, FELICITA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

124384 ORTIZ MELENDEZ, REINALDO Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

124388 CRUZ CARRION, PEDRO Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

124396 CABRERA AVILES, MILAGROS Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

124408 RODRIGUEZ REYES, LUZ M Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

124426 FIGUEROA GOMEZ, MARIA SOCOURO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

124434 RAMOS CHAPARRO, MARIANELA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

124451 VILLAMIL PORRATA, MARISABEL Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

124503 ALVAREZ SANTIAGO, BETTY Pension/Retiree1 6/10/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

124546 ORTIZ CORREA, LYDIA M. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

124565 ECHEVARRIA, MARIA M. RAMOS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

124574 CORDERO BARREIRO, LIZ J. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 235 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

124590 CRESPO LOPEZ, RAMONITA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

124615 DAVILA RIVERA, MARIA TERESA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

124616 SANCHEZ CRUZ, EDNA I. Public Employee & Pension/Retiree 3/30/2021 Department of Family, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 124617 LOPEZ MAYRA, BONET Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 124626 DE JESUS SANTIAGO, CRISTINA Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 124629 RODRIGUEZ ARROYO, MARIA ELENA Public Employee 5/4/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

124657 RAMOS SOTO, ARACELIS Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

124671 ROQUE TORRES, NITSA Public Employee & Pension/Retiree2 11/13/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

124674 DEL-VALLE TIRADO, FIDELINA Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

124692 JIRAU TOLEDO, NILDA A. Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 124698 RUIZ MARTINEZ, GRACIA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

124714 MALDONADO GARCIA, LUIS A. Public Employee & Pension/Retiree2 11/13/2020 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

124731 LOPEZ MARTINEZ, LUZ N Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

124763 CINTRON ORTIZ, VILMA IVETTE Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

124771 RODRIGUEZ CASILLAS, MAGDALENA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

124773 OLMA BARREIRO, CARMEN IRIS Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

124777 DEL C VINALES, MARIA Public Employee & Pension/Retiree2 7/2/2021 Commonwealth of Puerto Rico, Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

124791 CARPENA MARTINEZ, DANIA M. Public Employee 3/30/2021 Socioeconomic Development of the Family Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 124797 ORTIZ MONTES, CANDIDA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

124798 IRIZARRY SISCO, JENNY Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

124806 DE JESUS SOTO, MITCHELL E. Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

3rd and Final Information Request 

letter sent to claimant; awaiting 

response

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 236 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

124848 MORALES RIVERA, MARGARITA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

124858 RIVERA SANTIAGO, CARMEN M. Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

124866 DIAZ CARABALLO, CARMEN L Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

124868 CASTILLO MALDONADO, MIRIAN Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

124890 MARTINEZ RIVERA, MARIA DE LOS ANGELES Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

124934 PEREIRA MONZON, LETICIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

124946 IRIZARRY ALBINO, MILAGROS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

124947 PEREZ HERNANDEZ, MYRNA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

124963 CINTRON ORTIZ, VILMA IVETTE Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

124965 SANTIAGO ORTIZ, CARMEN Public Employee 3/30/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

124996 QUINTANA TOLLINCHI, CARMEN ILEANA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

125067 ORTIZ MERCADO, BERNICE Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

125101 RODRIGUEZ ROSARIO, MYRIAM Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

125146 CENTENO APONTE, IRIS V Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

125153 VEGA DUQUE, SANDRA Y. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

125159 ORTIZ PRIMS, ERMELINDA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

125203 MANGUAL VAZQUEZ, MARIA C. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

125243 TORRES VELAZQUEZ, MARGARITA Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

125267 MORALES, NILSA J Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

125275 TORRES SANTIAGO, ELIZABETH Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

125294 DELGADO MORALES, MARIBEL Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 237 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

125324 ISABEL FONSECA TORRES, MARIA Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

125341 ALMODOVAR LUGO, SAHILY E. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

125343 ILARRASA AVILES, MILAGROS Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

125347 DE VILLA MALAVE, RUTH CIMA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

125366 NEGRON OJEDA, JANICE Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

125375 CARRASQUILLO FLORES, DELIA E. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

125382 RIVERA BARRIOS, ENEIDA Public Employee 5/4/2021 Department of Health (Jose N Gandara Hospital District) Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 125405 HADDOCK JIMENEZ, SONIA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

125412 ALONSO ROSARIO, JOSEFINA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico, Teachers Retirement System

Y N/A Y Y N/A Y In Process/Under Revi

125424 NUNEZ SANTIAGO, MARITZA Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

125458 SANCHEZ COLON, SANDRA I. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

125471 OLAN RAMIREZ, AIDA LUZ Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

125476 DOMINICCI TURELL, CARMEN MARIA Public Employee 5/4/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

125496 FIGUEROA ORTIZ, RUBEN Public Employee 10/22/2020 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

125511 NARVAEZ PABON, CARMEN Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

125512 RAMOS RODRIGUEZ, AIDA N. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

125569 MOJICA CRUZ, ELIZABETH Public Employee 11/13/2020 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

125599 MENDEZ MARTINEZ, OLGA V. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

125600 RIOS APONTE, BERNARDO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

125623 TORRES AGOSTINI, JOSUE DAVID Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

125658 RODRIGUEZ ARROYO, ADALBERTO Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 238 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

125660 CRUZ SILVA, RITA E. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 125705 LUGO RAMIREZ, WILFREDO Public Employee & Pension/Retiree 6/10/2021 Environmental Quality Board & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 125746 GONZALEZ NAZARIO, GLADYS Public Employee 3/30/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

125753 PLAZA TRUJILLO, JORGE S Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

125784 DE JESUS SANTIAGO, CRISTINA Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

125788 GONZALEZ RIVERA, LOURDES Public Employee 3/30/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

125789 GARRAFA RODRIGUEZ, CARMEN M. Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

125818 RAMIREZ TORRES, ZENAIDA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

125823 PAGAN CARABALLO, CARMEN L Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

125989 MALDONADO RODRIGUEZ, WIDALIZ Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

126013 MELENDEZ LUNA, ENRIQUE Public Employee & Pension/Retiree2 5/4/2021 Department of Family, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

126025 MUNOZ MATOS, ELSIE Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

126038 RODRIGUEZ ZAYAS, ORLANDO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

126039 RIVERA TORRES, MARIA DEL CARMEN Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

126047 SANTIAGO RIVERA, ANA M Public Employee 3/30/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

126078 MORALES MALDONADO, SANTOS Public Employee & Pension/Retiree2 5/4/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 126085 MUNOZ MATOS, ELSIE Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

126089 MARIN OQUENDO, ENEIDA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

126143 RIVERA VIVES, NAHIR D. Public Employee & Pension/Retiree2 5/4/2021 Department of Health (WIC Program) Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

126168 MUNIZ OSORIO , BRENDA Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 126188 CUEVAS RIVERA, CARMEN TERESA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 239 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

126202 MARIN OQUENDO , ENEIDA Public Employee & Union Grievance 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 126214 LOPEZ CARTAGENA, SARA L. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 126260 CRESPO MERCED, ARLENE Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 126281 REYES RODRIGUEZ, DIXIE E. Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

126289 REYES RODRIGUEZ, DIXIE E. Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 126296 RIVERA CORTES, NANCY Public Employee & Pension/Retiree4 3/5/2021

Department of Labor and Human Resources, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

126314 MONSEGUR VELEZ, JUANITA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

126319 CASTRO RIVERA, MARITZA Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

126357 MASSA, MARIA VAZQUEZ Public Employee & Pension/Retiree2 5/4/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

126377 HERNANDEZ HUERTAS, MINNELLY Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

126464 NIEVES VAZQUEZ, NAYDA C. Public Employee 5/4/2021 Department of Health (Guayama Area Hospital) Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 126497 RIVERA RIVERA, LOURDES Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

126502 TORRES OQUENDO, DORA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

126556 RUIZ AVILES, RUTH E. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

126585 COLON ROSA, ALICE S. Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

126591 ROMAN GONZALEZ, NITSA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

126600 BONILLA RODRIGUEZ, JANETTE R. Public Employee & Pension/Retiree 11/13/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 126601 CALDERON PEREZ, ANTONIO Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

126609 VELEZ CINTRON, ELSA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

126627 TORRES OQUENDO, DORA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

126635 ALFONSO VEGA, ALEXIS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 240 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

126644 SANTAIGO, MIDALIA NUNEZ Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

126650 MORA RAMOS, MARCOS ANTONIO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

126666 SOTOMAYOR NARVAEZ, CARMEN L. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

126675 HERNANDEZ PEREZ, MARGARITA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

126682 HERNANDEZ MELENDEZ, SYLVIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 126696 LEVANTE LOPEZ, FERNANDO L. Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

126710 RIVERA GONZALEZ, DILLIAN Public Employee & Pension/Retiree 7/13/2021 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 126752 OLMO BARRERIRO, CARMEN IRIS Public Employee & Pension/Retiree 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 126756 SIFONTE RIVERA, ISABEL Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 126759 RODRIQUEZ VELAZQUEZ, THAMAR Public Employee & Pension/Retiree2 11/13/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

126794 RODRIGUEZ DE PABLO, JOESSY Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

126808 CORCHADO TORRES, WILDA Public Employee 5/4/2021 Department of Labor and Human Resources Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

126821 VIDAL ACEVEDO, GLORIA M. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

126845 FIGUEROA GUISAO, NYLSA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

126888 RIVAS VAZQUEZ, ELSIE E Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

126892 DE JESUS MORALES, CAROLYN Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

126909 CASTILLO DEFILLO, ANA S. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

126917 FRED ENCARNACION, FRANCISCA Public Employee3 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

126918 CRUZ VILLANUEVA, BETSY ANN Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

126924 SERRANO ORTEGA, LAURA M Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

126938 RAMOS, IVELISA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 241 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

126942 FERNANDEZ PEREZ, LYDIA M. Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

126944 RIVERA ORTIZ, INGRID Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico, Teachers Retirement System

Y N/A Y Y N/A Y In Process/Under Revi

126946 SOTO RAMOS, LOURDES Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

126988 MALDONADO RODRIGUEZ, WIDALIZ Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

126997 RAMIREZ VALENTIN, MYRTA Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

127008 GARCIA MAYSONET, AGUSTINA Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 127018 CORDERO BARREIRO, LIZ J Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 127019 HERNANDEZ JIRAU, ZAIDA Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

127046 MALDONADO RODRIGUEZ, WIDALIZ Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

127048 NIEVES ROLON, WILFREDO Pension/Retiree6 7/2/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

127089 RIVERA DIAZ, EMMA J Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

127106 ZAYAS REYES, YOLONDA ROSA Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

127124 HERNANDEZ ABRAMES, CARMEN G Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

127128 LOPEZ RODRIGUEZ, MAARIA D Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

127135 RIVERA GONZALEZ, ERMELINDA Public Employee 3/30/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

127152 RIVERA DIAZ, EMMA J. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

127156 CORDERO FELICIANO, CAROL A. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

127252 ECHEVARRIA MEDINA, LUIS ENRIQUE Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

127258 SANTIAGO SEPULVEDA, ENEIDA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

127277 LETICIA NOEMI, MARRERO HERNANDEZ Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

127307 RIVERA OTERO, MILAGROS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 242 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

127319 DAVILA BOCACHICA, GRISEL Public Employee & Pension/Retiree2 7/13/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

127329 QUILES ALGARIN, MARTA I. Public Employee & Pension/Retiree 6/10/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

127347 JIMENEZ DE LA CRUZ, SONIA M Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

127428 FELICIANO SILVA, NELIDA Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

127481 QUINONES RIVERA, CARMEN E. Public Employee 3/30/2021 Child Support Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

127506 VELEZ REYES, DAMARIZ Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

127509 MARTINEZ TORRES, LUVIA I. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

127538 RODRIGUEZ ZAYAS, ONLANDO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

127569 MATOS CARRASQUILLO, SYLVIA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

127584 SANTANA RODRIQUEZ, IRMA I. Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

127601 DE JESUS ANDINO, REBECA I Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

127605 BORRERO OLIVERAS, ALICIA Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

127606 TORRES EMMANUELLI, GISELLE Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

127607 RIOS HERNANDEZ, VICTOR Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 127632 RODRIGUEZ SOTO, MINERVA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 127660 SANTOS LOPEZ, MARIA DE LOS A Public Employee, Pension/Retiree & Union Grievance 6/10/2021

Department of Correction and Rehabilitation, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

127675 OCASIO CINTRON , LEONOR Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

127689 AVILES GONZALEZ, GLADYS M. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

127690 CHEVERE ORTIZ, HECTOR L. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 127697 JIMENEZ DE LA CRUZ , SONIA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 127713 OLIVENCIA RIVERA, DAISY Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 243 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

127736 COLON SIERRA, ANA R. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 127747 RODRIGUEZ ACOSTA, DELIA Public Employee 3/30/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

127776 MENDEZ REYES, JUAN L. Public Employee & Pension/Retiree 7/13/2021 Department of Housing, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 127777 NICOLA ALTIERY, ISABEL Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

127804 HERNANDEZ PEREZ, OLGA A. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 127828 ALEMANY COLON , LUZ N Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

127830 LOPEZ CACERES, IRIS M. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

127843 QUINONES, ALMA E. Public Employee 3/30/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

127886 NAVARRO ROMERO, LUZ D. Public Employee & Pension/Retiree2 3/30/2021

Department of Education, Department of Social Services, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

127889 SOTO LEBRON, CARIDAD Pension/Retiree 11/6/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revie

127901 RIVAS DIAZ, CARMEN MARIA Public Employee 5/4/2021 Department of Housing Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

127954 DE JESUS ORTIZ, IRIS Public Employee3 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

127984 CARDONA LUQUE, FRANCISCA Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 127988 REYES COLON, ALEJANDRINO Public Employee & Pension/Retiree 10/22/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 127992 FONTANEZ BERRIOS, OLGA J. Public Employee & Pension/Retiree4 3/5/2021 Employees Retirement System of the Government of the Commonwealth of Puerto Rico, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

128030 VEGA FIGUEROA, LUZ ESTHER Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

128052 LOZADA SANCHEZ, ZORAIDA Public Employee & Pension/Retiree 11/13/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 128066 MARTINEZ COLON, CARMEN J. Public Employee & Pension/Retiree 10/22/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

128093 NIEVES SANCHEZ, SONIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 128144 PADIN RODRIGUEZ, MARIA M. Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 128160 ROSA TORRES, JOSE LUIS Public Employee 3/30/2021 Administration of Correction, Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 244 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

128192 RAMOS RIVERA, NANCY Public Employee 5/4/2021 Administration of Youth Institutions Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

128193 DIAZ LEON, LUZ MARIA Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

128232 DAVILA LIZARDI, MAYRA I. Public Employee 7/13/2021 Department of Labor and Human Resources Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

128248 MORALES ALBERTORIO, GLADYS Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

128254 PADILLA ALVAREZ, IRIS MARGARITA Public Employee3 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

128257 RODRIGUEZ HOWELL, MIOLANYS Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

128280 MARTINEZ-MORALES, ELBA I. Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

128281 MARIA DOLORES ZENO - JUAN G. COLON ZENO HEREDERO Public Employee 7/29/2022 Department of Education Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

128288 VAZQUEZ LOPEZ, ELSIE GLADYS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

128318 GONZALEZ OLMO, NELIDA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

128421 MEDTRONIC PUERTO RICO OPERATIONS COMPANY Tax Refund 7/13/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

128431 RODRIGUEZ GLORIMAR, SANCHEZ Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

128441 RODRIGUEZ SANTIAGO, ROSA MILAGROS Public Employee & Pension/Retiree 11/13/2020 Department of Family & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

128494 CARLO PABON, CLARA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

128499 SANTIAGO CABRERA, WILLIAM Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 128510 FORTIS RIVERA, IRMA IRIS Public Employee & Pension/Retiree 6/10/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 128515 PEREZ ESQUILIN, LOURDES M. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

128520 PUJOLS DEL RIO, CARMEN L Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 128524 HERNANDEZ RODRIGUEZ, EDWIN Public Employee 3/30/2021 Vocational Rehabilitation Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

128550 RODRIGUEZ TORRES, CECILIA Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

128557 DIAZ COTAL, LILLIAN Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 245 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

128563 RIVERA DE JESUS, NEREIDA Public Employee & Pension/Retiree 3/30/2021 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

128603 HERNANDEZ QUINONAS, MIGDALIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 128612 CRUZ GONZALEZ, GLORIA I. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

128670 PEREZ TORRES, FERNANDO E. Public Employee & Pension/Retiree2 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

128695 ACEVEDO CINTRON, NILDA R. Public Employee & Pension/Retiree2 5/4/2021 Administration of Health Facilities and Services, Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

128712 SANTIAGO COLON, LESLIE Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 128722 RODRIGUEZ ALICEA, LISSETTE Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

128733 RODRIGUEZ FRANCO, JOSE F. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

128734 BLANCO GONZALEZ, AXEL J Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

128740 GONZALEZ MOLINA, NYDIA I. Public Employee 3/30/2021 Office of the OMBUDSMAN Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

128748 RODRIGUEZ TORRES, CARMEN L. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

128755 MONTESINOS, MAYRA M. JIMENEZ Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

128767 KUILAN PEREZ, NILSA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

128770 LOZADA RIVERA, DORA A. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

128792 HERNANDEZ ABRAMS, CARMEN G Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

128820 GREEN-HERNANDEZ, CARMEN LUZ Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

128835 RIVERA REYES, GERTRUDIS Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

128836 O'NEILL GONZALEZ, WANDA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

128860 OCASIO FLORES, CARMEN Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

128952 CRUZ ROSADO, MARTHA Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

128953 FIGUEROA ORTIZ, SANTA VALERIANA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 246 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

128968 ORTEGA-RAMIREZ, MARIA VIRGINIA Public Employee & Pension/Retiree 6/10/2021 Department of Natural and Environmental Resources Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

128998 PEREZ RAMOS, LOUIS M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 129001 CUEVAS PEREZ, JOSE R. Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

129010 BURGOS CRUZ, LOIDA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

129048 DE LEON DIAZ, TERESA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

129093 RIVERA SANTIAGO, BENJAMIN Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

129107 GARCIA IRIZARRY, JOHANNA Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

129141 CRUZ, ESTHER LOZANO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

129175 REYES RIVERA, TERESITA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

129177 RIVERA OTERO, JORGE L. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

129182 BELLO CORREA, KAREN JOLENE Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

129191 FLORES MARTE, MYRNA L. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

129197 ACOSTA ANAYA, CARMEN MARIA Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

129210 DIAZ ORTIZ, ESPERANZA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

129260 CARDONA CARDONA, ADELAIDA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

129279 PADIN RODRIGUEZ, MARIA M Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 129333 SANTIAGO RODRIGUEZ, GERARDO Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

129339 CARO SANCHEZ, VILMARIE Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

129352 REYES BURGOS, JENNY Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

129359 RAMOS MORALES, HECTOR R. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

129365 ORTIZ NEGRON, EMMA M. Public Employee & Pension/Retiree2 7/13/2021 Department of Education and Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 247 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

129410 GONZALEZ FIGUEROA, GERARDA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 129429 LOPEZ RIVERA, MARITZA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 129434 ALVARADO MARTINEZ, MARIA DELIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

129465 MUNOZ MATOS, ELSIE Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

129473 ACOBE FIGUEROA, LUZ M Pension/Retiree1 6/10/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

129484 DURAN ORTIZ , IRIS L. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

129505 VALLE OLAVARRIA, CARMEN A Public Employee & Pension/Retiree 7/13/2021 Department of Health, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

129520 PACHECO TROCHE, MILDRED Public Employee & Pension/Retiree2 5/4/2021 Services and Agricultural Development Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

129544 FLORES TORRES, MARIA Public Employee & Pension/Retiree2 6/10/2021

Mental Health Services and Addiction Control Administration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

129562 DE JESUS, ROSA RODRIQUEZ Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

129597 PEREZ SOTO, ADAMINA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

129627 GASTON GARCIA, AIDA J. Public Employee3 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

129650 RIVERA-ROLON, CARMEN I. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

129659 OROZCO REYES, GLADYS E Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

129664 DIAZ VAZQUEZ, MIGDALIA Public Employee 5/4/2021 Department of Labor and Human Resources Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

129821 AYALA AVILES, CARMEN E Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

129836 TORRES ORTIZ, ROSALIE Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

129859 ORTIZ RODRIGUEZ, NORMA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

129899 MATOS MATOS, CARMEN E. Public Employee & Pension/Retiree2 11/13/2020 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

129911 ROMAN RIVERA, ALTAGRACIA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

129941 DIAZ FERNANDEZ, HECTOR R. Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 248 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

129948 MARTINEZ BRACERO, JAIME Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 129954 MATOS ARROYO , VICENTA Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 129984 CUBERO LOPEZ, MONSERRATE Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

129996 MARRERO BERRIOS, EVELYN Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

130014 OTERO FIGUEROA, CARMEN DELIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

130023 HERNANDEZ RAMOS, NILDA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

130040 MORALES DE JESUS, ALEJANDRO Public Employee & Pension/Retiree2 11/11/2020 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 130074 LORENZO ALERS, VICTOR Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

130080 CALDERON RIVERA, LUZ E Public Employee3 6/10/2021 Family and Children Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

130114 BOSQUE LANZOT, CARLOS E Public Employee & Pension/Retiree2 6/10/2021 Department of Family, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

130115 DIAZ COLON, GLADYS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

130133 REYES ORTIZ, SONIA I. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

130143 RODRIGUEZ CRUZ, EVELYN Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

130154 COLON TORRES, CEREIDA Public Employee & Pension/Retiree 3/30/2021 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

130156 GASCOT MARQUEZ, LUIS RAUL Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

130159 RODRIGUEZ ESTRADA, INES Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

130169

INTERNATIONAL UNION, UNITED AUTOMOBILE, AEROSPACE AND AGRICULTURAL IMPLEMENT WORKERS OF AMERICA (UAW)

Union Grievance 12/10/2021 Multiple Agencies Y N/A N N

Informal Information Request sent 

to claimant; response received and 

being reviewed.

N N/A 

130170 ORTIZ AGOSTO, LOURDES Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

130176 OROZCO PEREZ, MINERVA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

130182 BERNIER COLON, CARMEN L. Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

130198 GOMEZ MORALES, ELIZABETH Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 249 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

130219 ORTIZ MELENDEZ, MARTA IVETTE Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 130247 DAVILA, LUZ C. Public Employee 5/4/2021 Administration of Health Facilities and Services, Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 130263 CORDERO VARGAS, VIRGINIA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

130274 BURGOS TZSCHOPPE, ILIANA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

130305 CUEVAS RODRIGUEZ, IVELISSE Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 130328 RIVERA RIVERA, CARMEN M Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 130339 MARRERO RIVERA, AURORA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 130361 VEGA RIVERA, NORMA I. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 130384 VEGA BURGOS, NELIDA Public Employee & Pension/Retiree2 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

130402 GALARZA FELICIANO, JOSE R. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

130421 NEGRON GONZALEZ, IVY M. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

130428 CRUZ PEREZ, GLADYS MARIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 130429 COLLAZO MORINGLANE, MYRNA G. Public Employee 11/13/2020 Department of Family, Socioeconomic Development of the Family Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

130431 ROSARIO GONZALEZ, ELIZABETH Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 130445 BERBERENA SANCHEZ, LUZ M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 130457 BALLESTER RUIZ, MYRTELINA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 130482 NORIEGA ROSAS, DUJARDIN Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

130488 MORALES DIAZ, HAYDEE Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

130493 LEON TORRES, EVA YOLANDA Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

130510 SANTONI LOPEZ, ROSA M. Public Employee & Pension/Retiree2 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

130511 MONSEGUR VELEZ, ROSARIO H Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 250 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

130515 RODRIGUEZ COTTO, AMARILIS Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

130547 BERRIOS BERRIOS, MARIA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 130610 MARRERO MARRERO , MARIANO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 130620 SAN MIGUEL VELAZQUEZ, IRASEMA Public Employee & Pension/Retiree2 5/4/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

130636 RODRIGUEZ SANCHEZ, LILLIAM Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

3rd and Final Information Request 

letter sent to claimant; awaiting 

response

N N/A 

130646 ILARRASA AVILES, MILAGROS Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

130661 MATIAS RUIZ, EVELYN Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

130690 CRESPO CRUZ, ELISA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 130702 OCASIO TORRES, JUAN EFRAIN Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

130730 TORRES OQUENDO, DORA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 130758 ORTA REZ, CARMEN J Public Employee & Pension/Retiree2 5/4/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

130764 TORRES CORDERO, LUIS A. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

130777 RIVERA RIVERA, LOURDES Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

130778 BAEZ MORA, NILDA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

130822 MALDONADO SALDANA, JANETTE Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

130834 LUGO MARTY, MYRTA L. Public Employee & Pension/Retiree2 5/4/2021 Department of Health, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

130865 DIAZ HERNANDEZ , IRIS S. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

130934 ORTIZ ORTIZ, EDNA EVELYN Public Employee & Pension/Retiree 6/10/2021 Department of Labor and Human Resources Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

130942 BARBOSA ANAYA, GLORIRMA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

130952 NIEVES DELGADO, ABIGAIL Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

130964 GARCIA ARROYO, SANDRA N. Public Employee & Pension/Retiree2 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 251 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

130966 CORTES RIVERA, ALBERTO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 130969 DIAZ CINTRON, MARIA I. Public Employee & Pension/Retiree2 5/4/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

130981 GARCIA RIVERA, MARTA Public Employee3 6/10/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

131007 TERRON RUIZ, ALMA I. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

131110 SANTOS TORRES, ALFREDO Public Employee & Pension/Retiree 6/10/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

131112 NIEVES PEREZ, CESAR R. Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

131156 VELAZQUEZ FIGUEROA, GREGORIA Public Employee & Pension/Retiree 3/30/2021 Mental Health Services and Addiction Control Administration, Office of the OMBUDSMAN - Women Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

131167 RUIZ COLON, GONZALO Public Employee & Pension/Retiree 3/30/2021

Department of Correction and Rehabilitation, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

131212 ARROYO REYES, ROSA I. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

131263 ANDUJAR VAZQUEZ, LILLIAN E. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

131270

JOSE LUIS ALVAREZ VALLE - SOLE INHERITOR OF THE LATE DAVID ALVAREZ VALLE

Public Employee & Pension/Retiree 6/24/2022 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

131277 CASTRO MARTINEZ, ILMI A. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

131290 RIVERA BELTRAN, GILBERTO Public Employee & Pension/Retiree2 5/4/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

131306 MARRERO PENA, NIEVELYN RUTH Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 131309 FELICIANO PASCUAL, MARIA A. Public Employee & Pension/Retiree2 5/4/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 131316 RODRIGUEZ ALVAREZ, MIGUELINA Public Employee3 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

131326 CRESPO TORRES, LUZ M. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

131332 RIVERA ESPADE, RAMON Public Employee & Pension/Retiree 6/10/2021

Department of Natural and Environmental 

Resources, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

131364 ORTIZ NEGRON, EMMA M. Pension/Retiree1 7/13/2021 Teachers Retirement System Y N/A Y Y N/A N N/A 

131371 MERCED SANTOS, OLGA I. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

131376 DEL VALLE TIRADO, MARIA DE LOS ANGELES Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 252 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

131382 CRESPO MOLINA, AWILDA Public Employee, Pension/Retiree & Union Grievance 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 131400 MORALES CRUZ, JOSE LUIS Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

131402 SUAREZ VAZQUEZ, TERESA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 131425 CAMBRELEN GONZALEZ, SUHEIDY Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

131478 RAMIREZ TORRES, OLGA I Public Employee & Pension/Retiree 6/10/2021 Department of Family Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 131480 MOYET DE LEON, NESTOR R Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

131491 ROSADO GONZALEZ, MARIA TERESA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

131530 PEREZ SOSA, LOURDES Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

131546 MONTALVO AMILL, IRMA Public Employee & Pension/Retiree2 3/30/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

131564 LEGRAND MONTANEZ, YOLANDA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

131612 CRESPO MARTINEZ, TERESA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

131614 MUNIZ TORRES, GARCIELA Public Employee 5/4/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

131621 SEMIDEY TORRES, JULIA A Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

131635 MORALES TORRES, JOSEFINA Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

131656 SAN MIGUEL TORRES, BRUNILDA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

131663 RAMOS ECHEVARRIA, MARIA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

131665 NEGRON JIMENEZ, EDWIN Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

131701 MORENO DE JESUS, IRIS ELIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 131714 MATOS ARROYO, MARIBEL Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

131737 ORTIZ QUINONES, YASMIN Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

131738 IRIZARRY LUGO, CARLOS J. Public Employee & Pension/Retiree2 11/13/2020 Corps of Firefighters Bureau, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A Y Y N/A N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 253 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

131753 REYES PEREZ, NILSA I. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 131761 OSORIO CRUZ, BENITA Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

131785 MAISONAVE HERNANDEZ, JUDITH N Public Employee 7/29/2022 Department of Education Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

131795 HUAMAN RUBIO, RUBEN A. Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

131809 LINARES TORRES, LOURDES NIDIA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

131812 LOPEZ SAEZ, LEOVIGILDO Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

131838 VELEZ LUGO, IRIS M Public Employee 5/4/2021 Department of Labor and Human Resources Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

131845 LINARES TORRES, LOURDES NIDIA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

131886 RIVERA ALEMAN, NORMAN Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 131889 MATOS ARROYO, MARIBEL Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

131912 OCASIO RIVERA, AMARYLLIS Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

131932 RIVERA GONZALEZ, JUDITH Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 131933 SANTIAGO PEREIRA, EDWIN Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 131951 DE JESUS SANTIAGO, SOCORRO Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 131957 RIVERA RODRIGUEZ, HECTOR LUIS Public Employee & Pension/Retiree 6/10/2021 Department of Family Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 131958 RODRIGUEZ MERCADO, ELSA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

131962 SANTOS MOLINA, FELIX Public Employee & Pension/Retiree 6/10/2021

Department of Correction and Rehabilitation & Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

131981 SNYDER NIEVES, LOUIS J. Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

3rd and Final Information Request 

letter sent to claimant; awaiting 

response

N N/A 

131998 DIAZ DELGADO, ADELAIDA Public Employee & Pension/Retiree2 5/4/2021 Department of Health, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

132050 ALVARADO IGLESIAS, MARGARITA R. Public Employee 11/13/2020 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

132082 MUNIZ SOTO, IRMA I Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 254 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

132086 SEMIDEY TORRES, JULIA A Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 132097 RIVERA CARDERA, DAMARY Public Employee & Pension/Retiree 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 132102 ORTEGA RODRIGUEZ, EDGARDO RAFAEL Public Employee & Pension/Retiree2 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

132110 FELICIANO PEREZ, CARMEN H. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

132111 LUGO RIVERA, WANDA T Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

132122 MARIN OQUENDO, ENEIDA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

132147 PAGAN VIVAS, IVELYS Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

132173 GONZALEZ RUIZ, HELEN Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

132180 BERMUDEZ MARTINEZ, MARIA DE LOS A. Public Employee 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

132189 FIGUEROA TORRES, CARMEN E. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 132238 ARZOLA RODRIGUEZ, ROSA ELENA Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 132241 LEON TORRES, JOSE A. Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

132246 RODRIGUEZ SALAS, PABLO A Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

132255 HUMANO NIEVES, AIXA IVETTE Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

132271 VAZQUEZ TORRES, DIANA A Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

132273 CRUZ RIVERA, BETHZAIDA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

132283 ORTIZ ARROYO, MANUEL ANTONIO Public Employee & Pension/Retiree 6/10/2021 Administration of Correction, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

132309 RIVERA COLON, OBED Public Employee 1/4/2021 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

132339 GARCIA VARGAS, LETICIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

132354 RIVERA COLON, OBED Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

132383 VELAZQUEZ AGOSTO, CRUCITA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 255 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

132385 COLON ROLDAN, ELVIN L. Public Employee & Pension/Retiree 6/10/2021 Corps of Firefighters Bureau, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 132402 CRUZ MATEO, IRIS VANESSA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

132414 MAYSONET BARRETO, ANTONIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 132438 MARRERO DIAZ, RICARDO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 132475 VELAZQUEZ GONZALEZ, MAIDA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

132493 REYES BERRIOS, LYZETTE Public Employee, Pension/Retiree & Union Grievance 6/10/2021 Institute of Forensic Science Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

132525 GARCIA GONZALEZ, ROQUE L. Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

132534 FERRER RODRIGUEZ, IRIS N Public Employee & Pension/Retiree 7/13/2021 Department of Family, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 132536 RODRIGUEZ ARROYO, ADALBERTO Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

132541 SOLIS CORPS, NYRIA L. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

132584 SANTOS BULA, ROSA I. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

132586 DEL VALLE HERNANDEZ, MARIA DEL CARMEN Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

132632 BONET ECHEVARRIA, MADELINE Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

132641 REYES AYALA, MIGDALIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

132667 NAVARRO SMITH, CONSUELO Public Employee & Pension/Retiree 6/10/2021 Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

132695 ARROYO REYES, ROSA I. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

132721 VAZQUEZ LEON, ELISELOTE Public Employee3 6/10/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

132736 GARCIA IRIZARRY, JOHANNA Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

132797 QUILES RIVERA, NOEL Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

132810 RODRIGUEZ SABATER, SADER Public Employee 11/13/2020 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

132832 PEREZ MARTINEZ, ROBERTO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 256 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

132848 PABON COLON, ALICE M. Public Employee 3/30/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

132853 GUZMAN ALVARADO, FILIBERTO Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 132855 COLON ORTIZ , JULIA M. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

132884 NUNEZ COLON, LOPERCIO Public Employee & Pension/Retiree 6/10/2021 Department of Agriculture, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

132885 RODRIGUEZ SANTIAGO, CARMEN G Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

132888 MARTINEZ SULE, VANESSA Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 132898 ORTIZ MIRANDA, OLGA MARGARITA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

132900 PORTALATIN COLON, LYDIA Public Employee & Pension/Retiree 11/13/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 132921 MORALES MORALES, LUZ ENID Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

132961 MARTINEZ BRANUELAS, MARIA L. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 132977 ZAMBRANA GARCIA, AWILDA C. Public Employee & Pension/Retiree2 5/4/2021 Department of Family Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

133006 TORRES SANTIAGO, ELIZABETH Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

133041 RUIZ RODRIGUEZ , ANGELITA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

133065 SANTINI BOCACHICA, JOSE E Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

133079 SNYDER NIEVES, LOUIS J. Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

3rd and Final Information Request 

letter sent to claimant; awaiting 

response

N N/A 

133099 DE JESUS TORRES, FRANCISCO Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

133103 PEREZ SOTO, JUAN Public Employee 1/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

133105 BELTRAN PONCE , GLENDA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

133130 RIVERA GINORIO, CARMEN V. Public Employee & Pension/Retiree2 3/30/2021

Cooperative Development Administration & Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

133137 VARGAS NEGRON, NILKA R. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

133152 DELGADO MEJIAS, DIANA I. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 257 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

133162 SNYDER NIEVES, LOUIS J. Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

3rd and Final Information Request 

letter sent to claimant; awaiting 

response

N N/A 

133176 FEBUS PAGAN, WANDA Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

133177 CRESPO MEDINA, AMELIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 133197 OCASIO MIRANDA, EVA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 133206 TORRES ALICEA, ELSA E. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

133250 RODRIGUEZ MOJICA, MARIA C Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

133287 OCASIO MELENDEZ, MAYRA LUZ Public Employee & Pension/Retiree 6/10/2021 Department of Housing, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

133291 GONZALEZ PEREZ, LEONOR Public Employee 6/10/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

133307 ORTIZ LEBRON, JESUS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 133311 BULTRON CRUZ, JANETTE Public Employee 5/4/2021 Mental Health Services and Addiction Control Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 133327 CRUZ FRANCO, GLORIA Pension/Retiree 7/29/2022

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A N N/A 

133388 VALENTIN SIERRA, CATHERINE Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

133393 NOLASCO LOMBA, DEBORAH L. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

133394 SNYDER NIEVES, LOUIS J. Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau Y N/A N N 3rd and Final Information Request letter sent to claimant; awaiting 

response

N N/A 

133425 LOPEZ CARTAGENA, SARA L. Public Employee & Pension/Retiree 8/25/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 133430 VARGAS GONZALEZ, NORMA IRIS Public Employee & Pension/Retiree 3/30/2021

Department of Sports and Recreation & Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

133475 HERNANDEZ VELEZ, ANNETTE Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

133486 RIVERA DIAZ, EMMA J. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 133507 VALENCIA RIVERA, CARMEN JULIA Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 133516 ROSADO LOZADA, MARTA ELENA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 133517 RODRIGUEZ, MARIA E. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 258 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

133526 DAVILA SOLIVAN, CARLOS J. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

133530 BETANCOURT TOLEDO, ENID Y Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 133533 NEGRON RODRIGUEZ, DELMALIZ Public Employee3 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

133535 TORRES OLIVERA, LESTER ROSA Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

133537 CLEMENTE ROSA, MARIA A. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

133556 RODRIGUEZ COLON, FERNANDO Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

133576 CONCEPCION ROSA, ADALINA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

133587 MONTES CORDERO, MARIA LINA Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

133620 MUNIZ SOTO , GLORIA E. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

133627 VILLANUEVA FIGUEROA, LUZ E Public Employee & Pension/Retiree2 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

133648 RIOS VILLEGAS, JOSE Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

133676 BAHAMUNDI SANTALIZ, MIGDALIA Public Employee 5/4/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

133681 ORTIZ GARCIA, NEFTALI Public Employee, Pension/Retiree & Union Grievance 3/30/2021 Department of Health, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

133717 CORDERO VARGAS, VIRGINIA Public Employee & Pension/Retiree2 5/4/2021 Department of Health, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

133735 CORDERO VEGA, GUILLERMO Pension/Retiree 3/30/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

133738 MIRANDA RIVERA, DOMITILA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

133745 MUNIZ TORRES, GRACIELA Public Employee 5/4/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

133749 RODRIGUEZ VALLE, ELIE MINET Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

133779 RIVERA MORALES, ARACELIS Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

133788 VELEZ REYES, DAMANZ Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

133795 SANTIAGO MARTINEZ, DOMINGO Public Employee & Pension/Retiree2 3/30/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 259 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

133799 DIAZ MARTINEZ, JOSE A Pension/Retiree1 3/30/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

133818 ROBLES MORALES, ANA G Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

133821 MUNIER CASTRO, ROSA J J Public Employee & Pension/Retiree2 5/4/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

133835 LINARES TORRES, LOURDES NIDIA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

133861 DE JESUS ORTIZ, MARIA ESTHER Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

133884 SANTOS NUNEZ, ANA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

133889 DINELIA MORALES MIRANDA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

133910 BELLO CORREA, KAREN JOLENE Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

133959 SANTOS OTERO, MARIA T. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

133969 MORALES ELIAS, ALBA E. Public Employee & Pension/Retiree 7/13/2021 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

133973 RIOS RUIZ, MILAGROS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

133999 DIAZ COTAL, LILLAN Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

134040 RIVERA GONZALEZ, HERIBERTO Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

134058 TORRES VELAZQUEZ, ALBERT Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

134060 FEBUS PAGAN, WANDA Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 134084 SANABRIA LOPEZ, ODA L. Public Employee 3/30/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

134132 NAZARIO OTERO, ADELIA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

134157 RODRIGUEZ MARTINEZ, JUAN A. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 134175 SOTO SALGADO, LILLIAM S. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 134201 VEGA KLIMEZEK, SARAY N. Public Employee & Pension/Retiree2 7/29/2022 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

134233 RIVERA GUZMAN, EMERITO Public Employee & Pension/Retiree 3/30/2021

Department of Correction and Rehabilitation & Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 260 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

134244 FONTANEZ RODRIGUEZ, FALARIS Pension/Retiree 5/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

134254 CUEVAS PEREZ, JOSE R Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

134256 ORTIZ MARTINEZ, MIGUEL A. Public Employee & Pension/Retiree2 5/4/2021 National Parks of Puerto Rico, Recreational Development Comp Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

134285 LOPEZ ORTIZ, JOSE ANTONIO Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

134293 HERNANDEZ PEREZ, MARIA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

134320 VAZQUEZ TORRES, MARIA E. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

134339 ALVAREZ MONTALVO, CARMEN J. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

134376 FRANCO ALEJANDRO, MARIA TERESA Public Employee & Pension/Retiree 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

134383 RIVERA SERRANO, MARIA E. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

134409 CINTRON ORTIZ, VILMA IVETTE Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

134420 RAMOS COTTO, CLARIBEL Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

134456 LEBRON RODRIGUEZ, SARA Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

134467 COTTY PABON, CARMEN R Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

134468 MARTIN GALARZA, AIDA L Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

134477 VILLEGAS NAVARRO, EDUARDO Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

3rd and Final Information Request 

letter sent to claimant; awaiting 

response

N N/A 

134483 TORRES SANTOS, NORMA I. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N 3rd and Final Information Request letter sent to claimant; awaiting 

response

N N/A 

134492 RODRIGUEZ FIGUEROA, NANCY Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 134514 IRIZARRI IRIZARRI, SILVIA M. Public Employee & Pension/Retiree 6/10/2021

Mental Health Services and Addiction Control Administration & Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

134531 MEDINA VAZQUEZ, RAQUEL Public Employee & Pension/Retiree 6/10/2021 Office of Court Administration, Puerto Rico Judicial Branch Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 134536 TORRES AVILES, RICARDO Public Employee 3/30/2021 Department of Sports and Recreation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

134561 FERNANDEZ SILVA, MIGDALIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 261 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

134606 HERNANDEZ ROSSI, MIGUEL A. Public Employee & Pension/Retiree 6/10/2021 Department of Housing Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 134638 COLON RODRIGEZ, GLORIA E. Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

134646 GARCIA TORRES, CARMEN Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

134677 RIVERA NEGRON, REBECA Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

134695 RODRIGUEZ GONZALEZ, NATIVIDAD Public Employee 5/4/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

134701 FLORES ROMAN, JOSE Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

134710 OCASIO RIOS, LILLIAM Public Employee & Pension/Retiree 6/10/2021 Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

134765 SEGARRA RIVERA, IVELISSES Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 134882 RAMOS REYES, ANGELICA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 134893 ROSARIO RIVERA, MARGARITA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

134896 FIGUEROA RIVERA, CARMEN M. Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

134902 AGOSTO VARGAS, MILAGROS MARAIMO Public Employee 5/4/2021 Department of Housing Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

134916 PEREZ RODRIGUEZ, REBECCA Public Employee & Pension/Retiree 6/10/2021 Department of Housing Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

134958 ALBARRAN IRIZARRY, WILSON Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

134965 GONZALEZ RUIZ, GILBERTO Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

134969 DE JESUS, ELIZABETH VIANA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

134996 PAGAN SALGADO, ORLANDO L. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

135037 NIEVES VEIRA, MATILDA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

135042 RIVERA RIVERA, CARMEN S. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

135061 GOMEZ ZAYAS, MARIA DE LOS A. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

135106 SANTIAGO PEREIRA, EDWIN Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 262 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

135120 MATOS ARROYO, MARIBEL Pension/Retiree1 7/13/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico, Teachers Retirement System

Y N/A Y Y N/A Y In Process/Under Revi

135139 RIVERA RIVERA, LUZ A. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

135170 ORTIZ RIVERA, ADA IVETTE Public Employee, Pension/Retiree & Union Grievance 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

135285 RIVERA OCASIO, ANA E. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

135286 RIVERA DIAZ, EMMA J. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

135288 FELICIANO APONTE, REGALADA Public Employee & Pension/Retiree 6/24/2022 Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

135302 RIVERA RIOS, MANUEL A Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

135337 GRILLASCA LOPEZ, SARY L. Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

135349 DEL VALLE, ELSA JORGE Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

135385 DIAZ SARRAGA, JOSE ANTONIO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

135403 BAEZ, DINELIA PEREZ Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

135410 PEREZ PAGAN, MAYRA ROSA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

135422 RAMIREZ ANDUJAR, MYRNA E Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

135456 CRUZ MELENDEZ, JOSE L. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

135462 CASILLAS RODRIGUEZ, MYRNA L. Public Employee & Pension/Retiree2 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

135498 ORTIZ MALDONADO, MARIA D L Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

135511 BONILLA RODRIGUEZ, JORGE L. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

135523 RIVERA ROLA, MAYRA I. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

135530 NIEVES MULERO, HILDA I. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

135533 SANTOS RIVERA, BAUDILIA Public Employee 5/4/2021 Department of Housing Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

135588 RIVERA MARTINEZ, HORTENSIA Public Employee 3/30/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 263 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

135593 VARGAS ZAPATA, ISABEL Y. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

135717 GARCIA MALDONADO, ILIANA ESTHER Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

135737 LOPEZ ALICEA, DIMANE Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

135743 RIVERA, MARLENE BURGOS Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 135750 OCASIO TORRES, ELIZABETH Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico, Teachers Retirement System

Y N/A Y Y N/A Y In Process/Under Revi

135808 PEREZ SOTO, ELBA IRIS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

135826 VAZQUEZ PADILLA, NILDA Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

135845 RODRIGUEZ CANOBRE, SUSSANNE JOAN Public Employee & Pension/Retiree 6/10/2021

Services and Agricultural Development Adminstration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

135863 OCASIO PAGAN, MILAGROS Public Employee & Pension/Retiree2 5/4/2021 Department of Labor and Human Resources Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

135890 MATIAS BAEZ, WILFREDO Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

135927 COLON GONZALEZ, MIRIAM Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

135962 ROBLES OQUENDO, LETICIA Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

135983 GONZALEZ CINTRON, SONIA Public Employee & Pension/Retiree 3/30/2021

Mental Health Services and Addiction Control Administration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

136010 VEGA PAMBLANCA, BILMA I. Public Employee & Pension/Retiree2 5/4/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

136012 RIVERA COLON, OBED Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

136023 RIOS TEXEIRA, PAULA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

136024 MONTES CORDERO, CARMEN MILAGROS Public Employee 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

136040 CUEVAS PEREZ, JOSE R. Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

136061 SERRANO CEDENO, LUIS D Public Employee & Pension/Retiree 3/30/2021 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

136140 NUNEZ LUNA, ANGEL H. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

136141 ARRIGOITA ROJAS, CARMEN ELISA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 264 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

136164 BORRERO SIBERON, ELENA Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 136165 SEMIDEY TORRES, JULIA A. Public Employee3 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

136183 RIVERA RODRIGUEZ, RUBEN Public Employee 5/4/2021 General Services Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

136239 MAISONAVE HERNANDEZ, JUDITH N Public Employee 7/29/2022 Department of Education Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

136288 ALVAREZ ORTIZ, MARITZA Public Employee3 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

136300 PAGAN RODRIGUEZ, BETH ZAIDA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

136316 VAZQUEZ LOPEZ, RAFAELA A. Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

136364 RIVERA RIVERA, LOURDES Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

136368 BATISTA BADILLO, MARITZA J. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

136432 LION DE LA PAZ, TEOFILO Pension/Retiree 5/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

136454 MULERO SERRANO, EPIFANIO Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

136478 ORTIZ DONES , EUSEBIO Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

136539 ORTIZ VAZQUEZ, MIRNA I Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

136547 MEDINA, RAMON G. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

136571 ARROYO NEGRONI, MIGDALIA Public Employee & Pension/Retiree 11/13/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

136597 RODRIGUEZ LOPEZ, NOEMI Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

136610 HERNANDEZ HERNANDEZ, ISRAEL Public Employee & Pension/Retiree 6/10/2021

Department of Correction and Rehabilitation, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

136674 HERNANDEZ ABRAMS, CARMEN Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 136679 CAMBRELEN GONZALEZ, SUHEIDY M Union Grievance & Pension/Retiree5 7/2/2021 Vocational Rehabilitation Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

136680 RESTO MARTINEZ, MARIA MILAGROS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

136681 RIVERA FIGUEROA , KAREN Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 265 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

136685 MONTALVO MARTINEZ, NORBERTO Public Employee & Pension/Retiree2 3/30/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

136701 SOTO ESCALARA, CARMEN M. Public Employee 5/4/2021 Department of Labor and Human Resources Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

136721 MUSKUS MIRANDA, YOLANDA Public Employee 5/4/2021 Department of Labor and Human Resources Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

136744 RIVERA RIVERA, ZORAIDA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

136754 TORRES ORTIZ, LISA J Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

136769 VILLANUEVA FIGUEROA, LUZ E. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

136806 GARCIA VISBAL, CELIA E. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

136825 ORTIZ RIVERA, OLGA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

136875 HERNANDEZ BERRIOS, MARIA L. Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

136877 QUIRINDONGO GONZALEZ, SONIA Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

136890 ORTIZ ARROYO, MANUEL ANTONIO Public Employee & Pension/Retiree 6/10/2021 Administration of Correction, Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

136948 MONTES VELEZ , BETZAIDA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 136949 BILBRAUT MARTINEZ, IVONNE Public Employee 5/4/2021 Department of Labor and Human Resources Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

136950 ROSADO FIGUEROA, JOSE A. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

136964 PINTADO PINTADO, MIREYDA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

136974 OLIVERA RIVERA, MARIA TERESA Public Employee 5/4/2021 Family and Children Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

136975 ORTEGA BRANA, JOSEFINA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 137013 TORRES RIVERA, ANGELINA Public Employee 3/30/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

137045 DOMENECH TALAVERA, YOLANDA MILAGROS Public Employee & Pension/Retiree2 6/10/2021 Department of Labor and Human Resources Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

137048 DE JESUS MULDONAVO, EDNA L. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

137049 ALMODOVAR LUGO, LARRY W Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 266 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

137060 FRANCIS ROSARIO, ILIA M. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

137066 PAGAN GARCIA, JOEL Pension/Retiree 3/30/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

137078 CRUZ MARTINEZ, PROVIDENCIA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

137081 RIVERA LEON, ANTONIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 137109 CRESPO MARTINEZ, TERESA Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

137123 NIEVES RIVERA, EVETTE Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

137129 HERNANDEZ CRUZ, ADELINA Public Employee & Pension/Retiree2 5/4/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

137172 LOPEZ CORCINO, MARIA M. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

137173 DELGADO GUTIERREZ, RAFAELA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

137196 MIRANDA COLON, ANGELES DEL CARMEN Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

137201 FELICIANO RODRIGUEZ, RICARDO L Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

137222 SOTO RAMOS, AWILDA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

137310 AVELLANET ACOSTA, MARIA SOCORRO Public Employee 5/4/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

137345 GUZMAN AROCHO, DIANA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

137347 DIAZ PAGAN, EDUARDO J. Public Employee 5/4/2021 Public Service Commission Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

137352 MUNOZ GONZALEZ, MARITZA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

137381 OCASIO RAMIREZ, RAMON GERALDO Public Employee3 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

137390 ROSARIO CARMONA, LUZ S Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

137398 MARQUEZ ALEJANDRO, ANA Public Employee & Pension/Retiree 6/10/2021 Public Housing Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

137491 NUNEZ MERCADO, NORMA I. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

137496 RAMIREZ IRIZARRY, DAMARIS Public Employee & Pension/Retiree 6/10/2021

Family and Children Administration & Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 267 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

137518 HERNANDEZ RAMOS , NAYDA E Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

137532 TORRES SANTOS, CARMEN G. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 137564 GUZMAN BARBOSA , JUANITA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

137579 LOPEZ PABOU, JORGE L. Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

137580 ROSA MEDINA, SATURNINO Public Employee & Pension/Retiree2 3/30/2021 Department of Sports and Recreation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

137586 RIVERA MELENDEZ, RUTH J. Public Employee & Pension/Retiree 7/13/2021 Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

137608 MALDONADO MEDINA, GLORIA E. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

137684 MERCADO ROMAN, NANCY Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

137699 MATOS ARROYO, VICENTA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

137708 MUNIZ GINEL, LUIS R. Public Employee 5/4/2021 Administration of Correction Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

137762 SOSTRE QUINONES, NOEMI Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

137793 GONZALEZ GONZALEZ , MILAGROS Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

137794 ACEVEDO VELEZ, WALDEMAR Public Employee & Pension/Retiree 3/30/2021 Department of Health, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

137809 LARA NARANJO, MARTALINA Pension/Retiree 11/6/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revie

137829 RUIZ LOZANO, CARMEN M Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 137835 TAPIA RODRIGUEZ, GLADYS Public Employee & Pension/Retiree 6/10/2021 Department of Housing Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 137857 DEL PILAR-CANALS, GLENDA L. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 137897 PADIN RODRIGUEZ, CARMEN R. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 137911 CRUZ GONZALEZ, GLORIA I. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

137936 LOPEZ FIGUEROA, HECTOR Public Employee 5/4/2021 Corps of Medical Emergencies Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

137965 NOVA PUMA, FELA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 268 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

137990 SOTO RAMOS, LOURDES Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 138007 COSTA FELICIANO, JOSE A. Public Employee 5/4/2021 Administration of Correction, Administration of Youth Institutions Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 138046 TORRES VELAZQUEZ, HAYDEE Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 138098 ORTIZ-OLIVERAS, MYRIAM C. Public Employee & Pension/Retiree4 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

138127 RIVERA RODRIGUEZ, LILLIAM Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

138132 MULERO MONTES, RAMON L. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

138135 PEREZ MONTANO, GLORIA Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

138170 NIEVES HERNANDEZ, MIRIAM Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

138178 RIVERA, MIGDALIA ARROYO Public Employee 7/29/2022 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

138179 HERNANDEZ VEGA, JOSEFINA Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

138184 CRUZ CRUZ, RAMON E. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

138193 MUNOZ SANTIAGO, HECTOR J Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

138195 RODRIGUEZ BURGOS, MIGUEL A. Public Employee & Pension/Retiree 6/10/2021 Office of Court Administration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

138256 DE JESUS RIVERA, VIGERMINA Public Employee & Union Grievance 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 138299 ROMERO AYALA, EMILIANO Pension/Retiree 11/6/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

138321 HERNANDEZ VELEZ, DANNETTE Public Employee & Union Grievance 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 138353 HIRALDO RIVERA, PATRIA L. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

138384 SERRANO RODRIGUEZ, WANDA I. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico, Teachers Retirement System

Y N/A Y Y N/A Y In Process/Under Revi

138395 SOTO ESCALERA, CARMEN M. Public Employee 5/4/2021 Department of Labor and Human Resources Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

138398 CRUZ GONZALEZ, GLORIA I. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

138401 DEL CASTILLO MARTORELL, NELSON Tax Refund 7/13/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 269 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

138410 CARRASQUILLO RODRIGUEZ, MARIA S. Public Employee 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

138415 ARBELO-NIEVES, IRIS M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 138421 ROSADO RODRIGUEZ, IRVING Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 138432 TORRES NAZARIO, GLORYMAR Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 138442 RODRIGUEZ ARGUELLES, MARTA I. Public Employee3 7/13/2021 Department of Transportation and Public Works Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

138443 CRESPO CONCEPCION, ROSAURA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

138456 ORTEGA GALERA, HILDA R. Public Employee & Pension/Retiree2 5/4/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

138470 NIEVES RIVERA, EVETTE Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

138475 BELLO CORREA, KAREN JOLENE Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

138535 BURGOS VALDESPINO, YAMELITTE Public Employee 3/30/2021 Family and Children Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

138559 RODRIGUEZ ADROVER, RAFAEL E. Public Employee & Union Grievance 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

138565 CINTRON ROMAN, MARIXA Public Employee & Pension/Retiree 6/10/2021

Department of Correction and Rehabilitation, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

138606 SERGES FIGUEROA, CARMEN A. Public Employee & Pension/Retiree2 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

138622 ALVARADO MARTINEZ, MARIA DELIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

138704 MALAVE RODRIGUEZ, ELADIA Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

138705 CARRAQUILLO, LUIS R Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

138738 COLLAZO SANTOS, MARIA CRISTINA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

138747 ARROYO REYES, ROSA I. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

138755 REYES OLIVERAS, IVONNE Public Employee & Pension/Retiree 6/10/2021

Department of Labor and Human Resources & Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

138765 SOTO CABRERA, ZAIDA IVETTE Public Employee & Pension/Retiree 3/30/2021 Department of Housing & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

138811 ORTIZ ZAYAS, LILLIAN H. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 270 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

138818 GARCIA RODRIGUEZ, CARMEN G. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 138855 VELAZQUEZ SANTIAGO, LYDIA E Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

138860 MALDONADO RIVERA, MARIA DEL CARMEN Public Employee 11/13/2020 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

138875 RODRIGUEZ RODRIGUEZ, MYRTA Public Employee, Pension/Retiree & Union Grievance 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 138885 VELAZQUEZ PADILLA, NANCY Pension/Retiree 3/30/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

138893 ORTIZ COLON, AWILDA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

138930 ALAMO CUEVAS, JOSE M. Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

138976 HERNANDEZ RODRIGUEZ, CARMEN M. Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

139004 FLORES PEREZ, GILBERTO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 139008 HERNANDEZ FONTANEZ, IVETTE M Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

139021 MORENO CINTRON, MARTA MILAGROS Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

139035 RUIZ FREITES, QUETCY G. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

139063 AGOSTO VARGOS, MILAGROS MURAIMO Public Employee 5/4/2021 Department of Housing Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

139107 GONZALEZ RUIS, HELEN Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

139136 LOPEZ ORTIZ, WILLIAM Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

139137 VEGA ZAYAS, ALBERTO Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

139207 MANGUAL SANTIAGO, JUSTINA Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

139287 RODRIGUEZ FERNANDEZ, ADA J. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

139289 ESPADA DAVID, EVELYN M. Public Employee & Pension/Retiree 3/30/2021 Department of Family & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

139365 ROSADO MARCHESE, CARMEN M. Public Employee & Pension/Retiree4 3/5/2021 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

139391 SANCHEZ MARCANO, LILLIAM Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 271 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

139410 CARABALLO RAMIREZ, DANIEL Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

139421 SANTOS NUNEZ, ANA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 139436 SOTO CRUZ, MIGUEL L. Public Employee 6/10/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

139467 COLOMBANI BERMUDEZ, LIZVETTE Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 139477 HERNANDEZ QUIRINDONGO, EUNICE Public Employee, Pension/Retiree & Union Grievance 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

139486 NAZARIO BARRERAS, RAMONITA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

139490 MUNIZ ROSADO, EVELYN Public Employee & Pension/Retiree2 5/4/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

139498 PACHECO TRINIDAD, SARAH H Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

139499 BARRIENTOS QUINONES, CARMEN R Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 139514 MORENO CINTRON, EDA MAYELA Public Employee & Pension/Retiree 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 139516 BURGOS RIVERA, MARLENE Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 139599 LOPEZ BATIZ, LUIS A. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 139638 QUINONES TEXIDOR, ANA A Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

139679 RODRIGUEZ SIERRA, ELSIE J Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 139682 OCASIO MIRANDA, EVA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 139684 OSORIO FLORES , MARITZA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

139686 NIEVES RIVERA, EVETTE Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 139688 RIVERA GONZALEZ, KAREN Public Employee & Pension/Retiree2 5/4/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

139714 YERA ORTIZ, CARMEN M. Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

139717 MIRANDA RIVERA, DOMITILA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

139739 RIVERA CRUZ, MARISOL Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 272 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

139743 ORTIZ RIVERA, CARMEN L. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 139786 RODRIGUEZ HERNANDEZ, MARCIAL Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 139842 ABRAMS SANCHEZ, LUZ M. Public Employee & Pension/Retiree 11/13/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 139852 MELENDEZ COLON, FRANCISCO Public Employee 11/13/2020 General Services Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

139858 RAMOS RAMOS, VILNA I Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

139880 VEGA ORTIZ, LYSETTE Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

139892 ALONSO ROSARIO, JOSEFINA Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

139912 LOPEZ ORENGO, MADELINE Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

139927 DOMINGUEZ MARTINEZ, HILKAMIDA C. Public Employee 11/13/2020 Family and Children Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

139951 YORDAN CENTENO , NELLY Public Employee & Pension/Retiree 3/30/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

139988 BORGES GARUA, QUINTIN Public Employee 11/13/2020 Highway and Transportation Authority Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

140019 GONZALEZ FIGUEROA, GERARDA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

140022 CRUZ MATOS, MARIA DEL C. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

140024 VERA PEREZ, LYDDA E. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

140044 COTTO PADRO, EVA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

140046 ROSARIO RIVERA, MARGARITA Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

140091 CANDELARIA GOITIA, ISAURA Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

140116 AMARAL GONZALEZ, ISABEL Public Employee & Pension/Retiree 11/13/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 140121 SEGARRA RIVERA, IVELISSES Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

140152 ZAYAS SANCHEZ, GLADYS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 140160 RIVERA COLON, OBED Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 273 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

140165 CABALLERO CABRERA, NORLA E Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

140179 DAVILA , CARMEN I. SANTA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 140181 SOLIS SOTO, ANGELES A. Public Employee & Union Grievance 7/13/2021 Department of Education Y N/A N N 3rd and Final Information Request letter sent to claimant; awaiting 

response

N N/A 

140194 HERNANDEZ PEREZ, CARLOS J Public Employee & Pension/Retiree 11/11/2020 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 140207 LOZADA RIVERA, DORA A. Public Employee & Pension/Retiree 11/13/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 140257 RIVERA MELENDEZ, SUSAN Public Employee & Pension/Retiree2 5/4/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

140277 SEPULVEDA SANTIAGO, LUZ N. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

140290 CRUZ AYALA, HILDA MARIA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

140310 VELAZQUEZ FUENTES, LUIS A. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

140327 DAVILA GARCIA, SAMUEL Public Employee & Pension/Retiree 6/10/2021 Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

140357 PADIN-RODRIGUEZ, AIDA L. Public Employee & Pension/Retiree 7/13/2021 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

140367 VEGA COLÓN, MARIBEL Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

140440 ROMAN ALUARADO, MARIA ISABEL Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

140544 CRUZ ZAYAS, JANET Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

140562 TRINIDAD RAMOS, NEREIDA Public Employee & Pension/Retiree 6/10/2021 Department of Housing & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

140572 ORTIZ CINTRON, CARMEN Y. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

140580 SANCHEZ MASSAS, JACQUELINE Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

140604 ADAMES LUGO, ROSA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

140629 GONZALEZ TORRES, NILDA I. Public Employee & Pension/Retiree 6/10/2021 Department of Health, Medical Assistance Program Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

140646 RIVERA FELICIANO , LOALY Pension/Retiree1 6/10/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

140648 NIEVES RIVERA, LEIDA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 274 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

140655 MÉNDEZ MUÑOZ, MYRIAM Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

140665 MONTES VALENTIN, FERNANDO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 140678 HERNANDEZ JIMENEZ, TERESA Public Employee & Pension/Retiree2 5/4/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

140704 LOPEZ BURGOS, EMMA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

140711 SANTOS SANTOS, NICOLAS Public Employee 5/4/2021 Department of Family, Department of Social Services Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

140731 SOTO CRUZ, JOSE ANTONIO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 140733 MENDEZ RIOS, LEONARDO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 140748 AROCHO VIDAL, IRMA IRIS Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

140775 MOLINA ZAPATA, CARMEN D Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 140776 NAVARRO BRISTOL , ALIDA Public Employee & Pension/Retiree 6/10/2021 Department of Health, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 140780 RIVERA RODRIGUEZ, ANA CELIA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

140793 VAZQUEZ VAZQUEZ, LUZ E. Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 140794 MUNIZ SOTO, JUAN J Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

140836 FERNANDEZ RIVAS, MIGDALIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

140857 DE JESUS APONTE, MERIAM Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

140858 BAEZ RAMOS, HILDA Public Employee & Pension/Retiree 7/13/2021 Department of Health, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 140897 SILVA ORTIZ, MARIA ISABEL Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

140914 RUIZ FONTANEZ, EDWIN Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 140916 BONET LOPEZ, ERIC Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 140921 RODRIGUEZ TORRES, CECILIA Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

140959 RODRIGUEZ SANCHEZ, RAMONA Public Employee & Pension/Retiree 6/10/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 275 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

141038 FRANCESCHINI RODRIGUEZ, SARAH Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 141045 RODRIGUEZ RIVERA, JOSE LUIS Public Employee & Pension/Retiree 11/13/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 141085 LAUSELL VIOLA, EVELYN Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

141115 MORALES ORTIZ, OLGA Public Employee 3/30/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

141161 ROSADO CARRERO, SOLIMAR Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

141174 DIAZ OSORIO, IDA Public Employee & Pension/Retiree 6/10/2021 Department of Housing Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 141181 VALERIO CASTILLO, JOSE Public Employee & Pension/Retiree 6/10/2021 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

141213 SEPULVEDA, DOMINGO Public Employee 5/4/2021 Hospital Regional Caguas Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

141233 RAMIREZ DE TORRENS, ILEANA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 141258 REYES SANCHEZ, WANDA I. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

141304 MUNIZ SOTO, GLORIA E. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

141336 PIZARRO CEPEDA, MIGDALIA Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

141350 RIVERA SOTO, ARIS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 141367 AGUILAR VELEZ, ISABEL Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

141374 LOPEZ ALICIA, DIMANE Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

141384 GARCIA ARROYO, SANDRA N. Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

141402 VARGAS TORRES, AWILDA Public Employee & Pension/Retiree2 5/4/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 141457 RODRIGUEZ TORRES, HILDA ESTHER Public Employee 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

141508 MALAVE LOPEZ, MARY A. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

141523 RODRIGUEZ TORRES, MARIA MAGDALENA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

141528 ORTIZ CRUZ, CARMEN M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 276 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

141530 OQUENDO MUNIZ, PROVIDENCIA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

141547 DEL VALLE, ELSA JORGE Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

141566 NEGRON CARDONA, MARINILSA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 141606 ZAPATA ZAPATA, VIRGEN M. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

141610 PEREZ GOMEZ, DAVID Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 141626 FONTANEZ RIVERA, JUANITA Public Employee, Pension/Retiree & Union Grievance 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 141689 VELEZ REYEZ, DAMARIZ Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 141690 RIVERA LEBRON, MAGDA G. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 141692 CRUZ RIVERA, NAYDA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 141713 IZQUIERDO RODRIGUEZ, CARMEN MARIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

141748 VIDAL CLARILLO, NILDA IVETTE Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

141756 SUAREZ QUINONES, MIRELLA Public Employee & Pension/Retiree2 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

141757 GONZALEZ PEREZ, LEONOR Public Employee 6/10/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

141770 SANTIAGO BONES, CARMEN Public Employee 3/30/2021 Socioeconomic Development of the Family Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 141781 CORTES TORRES, HERIBERTO Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

141782 CASTRO HERNANDEZ, WILLIAM Public Employee & Pension/Retiree 3/30/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

141821 MILIAN REYES, ANTONIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

141870 DE LEON SANTIAGO, MARITZA Public Employee & Pension/Retiree 7/13/2021 Department of Family Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

141910 HERNANDEZ, SONIA RIVERA Public Employee 3/30/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

141923 MORALES SANTIAGO, ZOBEIDA Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

141932 DAVILA QUINONES, MAYRA M. Public Employee & Pension/Retiree 10/22/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 277 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

141934 MANGUAL MARCUCCI, JESUS M. Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 141978 QUINONES GONZALEZ, HILDA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 142003 DIAZ COTAL, LILLIAN Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 142006 MANGUAL PEREZ, RAYMOND Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

142016 MORALES MORALES, ILDEFONSO Public Employee & Pension/Retiree 7/2/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 142026 ORTA RODRIGUEZ, GERARDO Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

142033 RIVERA CASTILLO, SANDRA V. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

142036 MARTINEZ MASSENOT, JOSE V. Public Employee 3/30/2021 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

142076 VAZQUEZ PADILLA, NILDA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 142084 GRILLASCA LOPEZ, ZINNIA Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

142106 FERNANDEZ FEBUS, MIRIAM Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

142117 CACERES SANCHEZ, DORIS E. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 142129 RIVERA ROSA, MARIA TERESA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 142139 LEON TORRES, JOSE A. Public Employee & Pension/Retiree2 7/13/2021 Department of Health, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

142168 ORTIZ ROSA, ANA I. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

142175 CLINICA LAS AMERICAS GUAYNABO INC. Tax Refund 7/13/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

142202 IRIZARRY FIGUEROA, DORKA I Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

142206 ORTIZ OCASIO, LUIS A. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

142258 ACEVEDO SANTIAGO, MILDRED Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

142286 MONTOYO MARTINEZ, ABIGAIL Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

142287 BERRIOS LOPEZ, ELSA Public Employee & Pension/Retiree 7/13/2021 Department of Labor and Human Resources, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 278 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

142288 DIAZ PARRILLA, GUSTAVO Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

142298 LOPEZ ORTIZ, RUTH N. Public Employee, Pension/Retiree & Union Grievance 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

142314 DIAZ DE JESUS, LUZ E. Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 142325 BURGOS VAZQUEZ, BLANCA E. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 142330 AVILES, ANGEL L. Public Employee & Pension/Retiree 6/10/2021 Department of Health & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 142366 MORENO ACOSTA, MARIA S. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 142401 MONTES GONZALEZ, SONIA IVETTE Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 142410 NAVARRO ANDINO, MARIA J. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

142414 RIVERA RIVERA, GERMAN Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

142415 HERNANDEZ PEREZ, DIANA I. Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

142420 FELICIANO APONTE, REGALADA Public Employee & Pension/Retiree 6/24/2022 Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 142426 COLON SANTIAGO , GLADYS I Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

142442 CARTAGENA DEL VALLE, MARIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 142474 SANTOS NUNEZ, ANA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 142488 AMADOR COLON, VERONICA Pension/Retiree 11/13/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

142504 FERNANDEZ GONZALEZ, JOE E. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 142558 MEDINA-VEGA , ANA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 142598 DEL VALLE-CRUZ, REINALDO Public Employee & Pension/Retiree2 5/4/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

142609 GARCIA REYES, JESUS M. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

142640 VAZQUEZ VASQUEZ , EVELYN ENID Public Employee & Pension/Retiree 6/10/2021 Department of Health, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

142643 ORTIZ ROSA, CLARA LUZ Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 279 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

142674 FUENTES VARGAS, ROBERTO Public Employee & Pension/Retiree 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 142716 GONZALEZ MONTERO, EVELYN Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 142744 RODRIGUEZ DAVILA, MAGDELIN Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 142773 GOMEZ PEREZ, MYRNA Public Employee & Pension/Retiree 6/10/2021 Department of Housing Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 142803 RODRIGUEZ COLON, EDUARDO Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 142824 DE JESUS ALVARADO, JULIO Public Employee 7/13/2021 Department of Education, General Services Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 142865 COTTO BLOISE, MARIA DEL C. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

142958 PEREZ RIVERA, GLADYS E. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

142966 MONTANEZ RIVERA, NORIS Public Employee 3/30/2021 Department of Health, Health Ponce Region AFASS Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 142973 ORTIZ CANALS, MARGARITA C Public Employee & Pension/Retiree2 5/4/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

142977 COLLAZO SANTIAGO , ONILDA Public Employee 5/4/2021 Mental Health Services and Addiction Control Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 142989 VARGAS, NATANAEL Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

143013 SANTOS, LIRIO A. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

143029 RODRIGUEZ ORTIZ, MARIA E Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

143038 BALAGUER ROSARIO, ROSA N. Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

143104 TORRES CEPEDA, BEATRIZ Public Employee & Pension/Retiree2 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

143145 VEGA RODRIGUEZ, MARIA C Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

143170 ROSADO CARRERO, MICHELLE Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

143182 GARCIA PEREZ, NORMA IRIS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

143190 MENDEZ RAMOS, WANDA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

143215 ORTIZ DONES, EUSEBIO Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 280 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

143225 CRUZ ORTIZ, LUISA M. Public Employee & Pension/Retiree 6/10/2021 Department of Family Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 143233 CRUZ RODRIGUEZ, JULIO C. Public Employee & Pension/Retiree 7/2/2021

Department of Correction and Rehabilitation, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

143238 COLLAZO MORALES, NYDIA I. Public Employee & Pension/Retiree 11/13/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 143274 ALVARADO TORRES, JAIME Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 143277 RODRIGUEZ GARCIA, MARIBEL Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

143295 RODRIGUEZ CASTRO, MARCIAL Public Employee 5/4/2021 Permits Management Office Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

143324 LOPEZ MARTINEZ, IRIS Public Employee 5/4/2021 Office of Court Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

143349 JIMENEZ MEDINA, ISABEL M Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

143362 VELAZQUEZ ALAMO, CARMEN L. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

143389 RIVERA LEON, ANTONIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 143390 PONCE RODRIGUEZ, MARIA E. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 143391 LOPEZ RAMOS, ISABEL Public Employee 5/4/2021 Department of Labor and Human Resources Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

143396 ALVARADO RODZ, ADABEL Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

143404 MORENO LUNA, LUISA DE LAS MERCEDES Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

143410 LOPEZ LEBRON, CARMEN I. Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

143416 DEL PILAR CANALS, GLENDA L. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

143443 MORALES ROSADO, LILLIAN Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

143454 GONZALEZ PEREZ, ANGEL M. Public Employee 7/2/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

143460 FIGUEROA CORREA, LYDIA H Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

143461 GARCIA FELICANO , LOURDES S. Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

143485 GRACIANO LOZADO, CRISTOBAL Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 281 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

143505 FIGUEROA VELAZQUEZ, SERGIO L Public Employee & Pension/Retiree 6/10/2021

Department of Labor and Human Resources, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

143528 NAVARRO NEGRON, AWILDA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 143547 COTTO MARTINEZ, MAYRA A Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 143563 SOTO SALGADO, LILLIAM S. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 143564 FONTANEZ PLAZA, DOMINGA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

143568 ROMAN HERNANDEZ, ROSA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 143588 GONZALEZ PEREZ, ANIBAL Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

143630 DE LA ROSA NUNEZ, JUAN F. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

143677 OLMEDA, AIDA M Public Employee, Pension/Retiree & Union Grievance 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 143690 CANALES SOCIA, ISABEL P. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

143693 CLAUDIO CONCEPCION, IRIS N Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 143721 PADIN RODRIGUEZ , AIDA L Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

143724 NIEVES-NIEVES, NELSON Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

3rd and Final Information Request 

letter sent to claimant; awaiting 

response

N N/A 

143733 AGOSTO RIVERA, LUZ MIREYA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico, Teachers Retirement System

Y N/A Y Y N/A Y In Process/Under Revi

143743 VIERA DIAZ, MAGGIE Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

143753 CIRINO ORTIZ, SAMUEL Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

143754 RIVERA ORTIZ, EFRAIN Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 143767 HANCE RODRIGUEZ, ELIZABETH Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 143768 MARTINEZ NATAL, CARMEN G Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 143774 CINTRON DIAZ, IRMA L. Public Employee & Pension/Retiree 11/13/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 143778 VELEZ RODRIGUEZ, GLORIA ESTHER Public Employee 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 282 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

143813 CRUZ ROMERO, MARITZA Public Employee, Pension/Retiree & Union Grievance 6/10/2021 Department of State, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 143830 LOZADO CRUZ, CARMEN D. Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 143849 RODRIGUEZ MARRERO, ADELINA Public Employee & Pension/Retiree 7/13/2021 Department of Health, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 143852 PEREZ AGUILAR, MARITZA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

143854 ORABONA OCASIO, ESTHER Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

143855 ROBLES MALDONADO, OFELIA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 143870 CRUZ BENITEZ, MIRIAM C Public Employee3 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

143871 RODRIGUEZ LUCAS, MARIA DEL C. Public Employee & Pension/Retiree2 5/4/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 143882 DELGADO GUZMAN, RUTH INGRID Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

143891 GONZALEZ MALDONADO , MARIA IRIS Public Employee & Pension/Retiree 6/10/2021 Department of Family Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

143906 ANDRADE GARCIA, WILLIE A. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

143916 RODRIGUEZ ORTIZ, ANA MARTHA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

143918 PORTALATIN COLON, LYDIA Public Employee & Pension/Retiree2 11/13/2020 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

143934 DIAZ ANDUJAR, CARMEN R. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

143993 TORRES SANCHEZ, YADIRA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

144002 COLON PAGAN, EDGAR Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

144016 ROBLES, NEREIDA Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

144020 VALENTIN, MYRTA RAMIREZ Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

144058 RODRIGUEZ ORTIZ, MARIA E. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

144059 SEGARRA RIVERA, IVELISSES Pension/Retiree1 7/13/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

144064 SOLIS DE JESUS, NILDA Public Employee 7/29/2022 Vocational Rehabilitation Administration Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 283 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

144092 BIRRIEL FERNANDEZ, WANDA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

144138 ZENO CENTENO, RICHARD Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

144142 LOPEZ MARTINEZ, ANNETTE Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

144190 GARCIA ORTIZ, KAREM Y. Public Employee 3/30/2021 Family and Children Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

144191 ESTEVES MASSO, JUAN Public Employee 5/4/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

144194 MALDONADO RODRIGUEZ, MARTA Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

144221 NAVEDO HERNANDEZ, ONIXA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 144262 OLIVO BAEZ, LOYDA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

144268 RUIZ RODRIGUEZ, ANA M. Public Employee & Pension/Retiree 6/10/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 144280 LASSALLE BOSQUES, ROSA D. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

144286 MUNIZ SOTO, JUAN J. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

144299 BIDOT IRAZARRY, MARIA MERCEDES Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

144305 HERNANDEZ ALICEA, ALMEIDA E. Pension/Retiree 5/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

144322 OLIVERAS MARTINEZ, ANA R. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

144323 MALDONADO FIGUEROA, JORGE L. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

144347 GUILBE MERCADO, ALICIA Public Employee 3/30/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

144445 OSONIO RUIZ, JOSE A. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

144448 LOPEZ RAMOS, ISABEL Public Employee 5/4/2021 Department of Labor and Human Resources Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

144450 MORALES ORTEGA, SANDRA M. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

144451 TORRES GONZALEZ, MARIA DE LOS A. Public Employee 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

144460 GARCIA VELEZ, ANA MIRIAM Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 284 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

144493 ALERS MARTINEZ, AXA Public Employee & Pension/Retiree 11/13/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 144516 GARCIA FIGUEROA, GLADYS V. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

144524 COTTO LOPEZ, MIGDALIA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

144597 JUARBE MALAVE, JUDITH Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 144607 MALDONADO NAZARIO, MARTA E Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 144633 TORRES ORTIZ, ROSALIE Public Employee & Pension/Retiree2 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

144637 GONZALEZ MARTINEZ, IVETTE M Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

144676 ACEVEDO RUIZ, CARMEN N. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

144688 GONZALEZ-RAMOS, CARMEN A Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 144692 ORTIZ PEREZ, MARIA R. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 144715 PABON NEVAREZ, NOEMI Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 144723 RODRIGUEZ COLON, EDUARDO Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

144725 CUEVAS ORTIZ, CARMEN HILDA Pension/Retiree1 6/10/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

144746 LASALLE CONCEPCION, ROSA M. Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

144790 DAVILA GRACIA, JORGE Pension/Retiree 5/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

144811 CRUZ CRUZ, ELSA MARIA Public Employee 10/22/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

144829 ORTIZ DONES, EUSEBIO Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

144849 LAZU GARCIA, EDNA L. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

144851 VEGA PEREZ, OLGA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

144866 ORTIZ CINTRON, CARMEN Y. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

144876 RODRIGUEZ ORTIZ, HILDA R. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 285 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

144882 TORRES LOPEZ, DAVID Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

144890 GONZALEZ CASTILLO, JACKELINE Public Employee & Pension/Retiree2 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

144891 ALVARAD TORRES, JAIME E. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

144896 GUZMAN AROCHO, DIANA M Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

144936 CAMACHO SANTIAGO, MELESA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico, Teachers Retirement System

Y N/A Y Y N/A Y In Process/Under Revi

144937 COLON FONT, WANDA I Public Employee & Pension/Retiree4 3/30/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

144976 MORENO ACOSTA, MARIA S. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

144984 VELEZ RODRIGUEZ, GLORIA ESTHER Public Employee 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

145019 FERNANDEZ MORALES, JOSE E. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

145020 MONTALVO RIVERA, ZAIDA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

145024 VEGA ROSARIO, LUZ Z Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 145119 GONZALEZ LABOY, LIZANDRA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 145129 VAZQUEZ BORRERO, CINDY Public Employee 7/29/2022 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

145141 SANTIAGO ALEJANDRO, JULIA E. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 145150 GOMEZ PEREZ, MYRNA Public Employee 5/4/2021 Department of Housing Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

145154 RODRIGUEZ RIOS, ANA DELIS Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

145188 RODRIGUEZ-ALERS, RAMONA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

145189 IRIZARRY CUBILLE, IRMA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

145190 NEGRON RIVERA, HECTOR L Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

145206 DIAZ ADORNO, AMANDA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

145207 ALICEA FONSECA, MARIA NEREIDA Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 286 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

145208 DEL RIO LARRIUZ, ANA W. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

145262 MORENO CINTRON, EDA M. Public Employee & Pension/Retiree 3/30/2021 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

145266 ALICEA FONSECA, MARIA N. Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

145282 FONTANEZ PLAZA, DOMINGA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

145304 SANTONI LOPEZ, ROSA M Public Employee & Pension/Retiree2 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

145332 MARCUCCI RAMIREZ, EDGARDO Public Employee 11/13/2020 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

145333 RIVERA BURGOS, ALFREDO Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

145357 RIVERA JIMENEZ, ISIDORA Pension/Retiree 3/30/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

145364 LOPEZ BARRETO, MARISOL Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

145369 CRUZ GARCIA , MARIA I. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

145408 TORRES MARTINEZ, CARMEN N. Public Employee3 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

145423 MOATALVO SANTIAGO , GLORIA E Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

145482 TORRES VELAZQUEZ, HAYDEE Public Employee & Pension/Retiree 6/10/2021 Department of Health, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

145516 AMADOR ROMAN, ALMA L. Public Employee & Pension/Retiree2 5/4/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

145517 REYES AYALA, MARGARITA Public Employee & Pension/Retiree 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

145522 HUERTAS, JUAN Public Employee 5/4/2021 Recreational Development Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

145541 CRESPO MARTINEZ, CRUZ Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

145552 LOPEZ LOPEZ, MARIA DOLORES Public Employee & Pension/Retiree2 5/4/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

145574 MONTALVO DEL VALLE, MARTA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

145580 COLON SANTIAGO, GLADYS I. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

145581 ORONA MORALES, MARGARITA Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 287 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

145611 AYALA MORAN, LUZ NOEMI Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

145614 DESCARTES CORREA, CARMEN TERESA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

145642 HERNANDEZ GARCIA, MARGARITA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

145655 NIEVES RODRIGUEZ, IRMA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

145670 RODRIGUEZ SANCHEZ, RAMONA Public Employee & Pension/Retiree 6/10/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 145671 GENARO MACEIRA, LAURA ESTRELLA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

145695 GUEITS RODRIGUEZ, ELIZABETH Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

145699 LAMBOY MERCADO, ANGEL S. Public Employee & Pension/Retiree 10/22/2020 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 145712 RODRIGUEZ FRANCO, JOSE F. Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

145721 DIAZ COLON, JUAN Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

145725 OTERO FIGUEROA, ROMULO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

145744 DELGADO MILLAN, EVELYN Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

145748 PABON COLON, ALICE M Public Employee & Pension/Retiree 6/10/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

145767 BRISTOL LOPEZ, LUCILA Public Employee & Pension/Retiree 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

145774 HERNANDEZ RIVERA, JOSE LUIS Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

145780 SANCHEZ ROSA, MARIA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

145791 MEJIAS SOTO, ADAMILA Public Employee & Pension/Retiree2 11/13/2020 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

145816 ORTIZ CLAUDIO, FELIX L. Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

145838 FIGUEROA ORTIZ, SANTA VALERIANA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

145843 RIVERA COLON, ANA V Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

145850 HADDOCK RIVERA, ANA M. Public Employee & Pension/Retiree2 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 288 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

145881 ECHEVARRIA MEDINA, LUIS ANGEL Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 145894 MELENDEZ SANTIAGO, HAYDEE Public Employee & Pension/Retiree4 11/11/2020 Department of Education and Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

145919 STELLA TORRES, EVANGELINE Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

145931 MATTEI MADERA, MARLYN Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

145947 ORTIZ FELIX, DELVIS Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

145979 AGOSTO ORTIZ, MATLIDE Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

145988 AYALA MURIEL, DIOSDADA Public Employee & Pension/Retiree 6/10/2021 Department of Health, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

145992 GOMEZ GOMEZ, IVELISSI J. Public Employee 5/4/2021 Public Housing Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

146044 ORTIZ VELEZ, NYDIA M. Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

146060 CONCEPCION MARTINEZ, JOSE F. Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

146078 CRUZ BENITEZ, MIRIAM C Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 146109 DIAZ CARABALLO, CARMEN L. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

146143 VILLALOBOS RIVERA, ELIZABETH Public Employee & Pension/Retiree 7/13/2021 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

146147 PEREZ CINTRON, ELENA R. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

146151 GONZALEZ MUNIZ, PAQUITA Public Employee & Pension/Retiree 6/10/2021 Department of Health, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

146152 JORGE DEL VALLE, ELSA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

146172 MARTINEZ-NATAL, NYDIA E Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

146173 JESUS RODRIGUEZ, JUSTINA Public Employee & Pension/Retiree 6/10/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

146182 ORTIZ VEGA, CORAL Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

146212 VIANA DE JESUS, ELIZABETH Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

146213 MARIN OQUENDO, ENEIDA Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 289 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

146219 HERNANDEZ CORTES, LINDA M. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

146271 RIVAS DIAZ, CARMEN MARIA Public Employee 5/4/2021 Department of Housing Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

146286 NEVAREZ SANTANA, JORGE A. Public Employee & Pension/Retiree 11/11/2020 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

146301 ESPINOSA, CARMELO FIGUEROA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 146342 RIVERA TORRES, CARMEN MARGARITA Public Employee 5/4/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

146343 CARABALLO SANTIAGO, FRANK Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

146349 MUNOZ GOMEZ, MARIA A Public Employee & Pension/Retiree2 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

146354 CARRUCINI FALCON, EDWIN Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 146383 CRUZ SOTOMAYOR, MARIBEL Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 146386 PEREZ RODRIGUEZ, REBECA Public Employee 5/4/2021 Department of Housing Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

146483 MANGUAL VAZQUEZ, PEDRO Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 146505 MERCED LOPEZ, NILSA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 146511 ROSADO GUZMAN, MARIA DE LOS ANGELES Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 146522 MARRERO MARRERO, GRISEL Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 146543 HUAMAN RUBIO, RUBEN A Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

146592 LOPEZ COLON, JULIA Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

146594 TORRES BERMUDEZ, CARMEN M. Public Employee & Pension/Retiree 3/30/2021

Department of Correction and Rehabilitation, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

146596 SANTIAGO MARTINEZ, MAYRA MARITZA Public Employee 3/30/2021 Department of Family Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

146597 VAZQUEZ PADILLA, NILDA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

146607 OLIVO BAEZ, LOYDA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

146684 BURGOS COLLAZO, MARIBEL Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 290 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

146689 FIGUEROA, LYDIA H. Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 146708 GRILLASCA LOPEZ, SARY L. Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

146734 RODRIGUEZ GOTAY, ANNETTE Public Employee, Pension/Retiree & Union Grievance 6/10/2021 Department of Family Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 146783 FRANCESCHI ESCOBAR, MARIA L. Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 146802 BLAKE JIMENEZ, JULIANNA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 146839 SEVRIDRI DELGADO, LICIA ELBA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 146842 VEGA PAMBLANCO, BILMA I. Public Employee & Pension/Retiree2 5/4/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

146849 DIEZ DE ANDINO RODRIGUEZ, MARIA S Public Employee 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

146855 VEGA PAMBLANCO, BILMA I. Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

146860 VEGA PAMBLANCO, BILMA I Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

146862 RODRIGUEZ MERCADO, ELSA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

146871 BORRERO SANTIAGO, LUIS RAMON Public Employee & Pension/Retiree 6/10/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

146882 HERNAIZ CARRASQUILLO, CARMEN M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

146937 GUETIS RODRIGUEZ, ELIZABETH Public Employee 6/10/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

146991 CORREA NARVAEZ, ADLIN L. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

147055 RIVERA MARTINEZ, IRENE Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

147081 JIMENEZ MEDINA , ISABEL M Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

147084 MALDONADO REYES, ZENAIDA Public Employee & Pension/Retiree 6/10/2021 Department of Treasury & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

147087 ISAAC CANALES, OLGA Public Employee & Pension/Retiree 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 147099 CARDONA LUQUE, FRANCISCA Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

147100 MUNOZ VALENTIN, LUZ S. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 291 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

147144 OCASIO RAMIREZ, LUZ H. Public Employee & Pension/Retiree 6/10/2021

Department of Health, Family Health Center, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

147201 DE JESUS BURGOS, ANGEL M. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

147215 REYES RIVERA, NAYDA L. Public Employee & Pension/Retiree 6/10/2021 Department of Labor and Human Resources Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 147217 GUTIERREZ PEREZ, MARIA C. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 147235 MARRERO MARRERO, GRISEL Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 147264 MARTINEZ- MORALES, ELBA I. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 147269 AYALA TANON, MARITZA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 147291 OLIVERAS COLON, AIDA L. Public Employee & Pension/Retiree 6/10/2021

Mental Health Services and Addiction Control Administration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

147295 TORRES GONZALEZ, ORLANDO Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

147343 ROSARIO ANDEJAR, YULIE Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

147410 MORALES RIVERA, RAFAELA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

147423 OCASIO ROSARIO, JOSEFA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 147450 CHARDON RODRIGUEZ, CARMEN J. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 147464 BERRIOS OTERO, MYRNA R Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

147496 LOPEZ FIGUEROA, HECTOR Public Employee 5/4/2021 Corps of Medical Emergencies Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

147531 HARRIS, MICHAEL Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

147554 LUGO RIVERA, MIGDALIA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico, Teachers Retirement System

Y N/A Y Y N/A Y In Process/Under Revi

147569 COLON SANCHEZ, GLORIA M. Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

147581 AGOSTO TORRES, CARLOS J. Public Employee & Pension/Retiree 6/10/2021 Public Housing Administration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

147585 VARGAS CINTRON, MARIA DE LOURDES Public Employee 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

147593 IRIZARRY CRUZ, WILSON Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 292 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

147617 PEREZ PEREZ, CARMEN D. Public Employee & Pension/Retiree2 5/4/2021 Department of Justice Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

147622 VEGA CARMONA, MAYRA I. Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

147665 DIAZ SANTOS, JUDITH Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

147677 RODRIGUEZ AGUILA, MIGUEL A Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

147683 HERNANDEZ SANTANA, ROSA A. Public Employee & Pension/Retiree 6/10/2021 Department of Housing Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

147721 BURGOS RIVERA, MARLENE Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

147741 MONTALVO CARABALLO, LUZ I Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

147778 MENDEZ CUEVAS, SILVIA Public Employee, Pension/Retiree & Union Grievance 7/13/2021 Department of Health, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

147805 LABOY MALDONADO, MARIA T Public Employee & Pension/Retiree 6/10/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

147811 TORRES VELAZQUEZ, HAYDEE Public Employee & Pension/Retiree 3/30/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

147855 DIAZ SAVINON, CLAUDINA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

147857 OVERMAN LEBRON, JOSEFINA Public Employee & Pension/Retiree2 11/13/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

147864 LIND DAVILA, HECTOR S. Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

147877 ORTIZ GONZALEZ, MARIA E. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

147886 PADIN RODRIGUEZ, CARMEN R Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

147909 QUILES QUILES, JOEL Public Employee & Pension/Retiree 3/30/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

147917 MORAS ORTIZ, NELLIE Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

147952 ALVARADO LOPEZ, NORMA ENID Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

148000 CARABELLO ABARRAN, EDWIN Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

148004 RIVERA RIVERA, MARIA S. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

148039 BERNIER COLON, CARMEN L Public Employee & Pension/Retiree 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 293 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

148045 CAMACHO HERNANDEZ , EVELYN Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 148063 SANTOS MARTINEZ, LIRIO DE LOS A Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 148074 DIAZ DIAZ, EDNA M Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

148084 CENTENO VIERA, ELSIE Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

148092 ORTIZ VELEZ, NYDIA M Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

148118 RIVERA RODRIGUEZ, ANA A. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 148128 DIAZ SIERRA, EDMEE Public Employee3 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

148136 ORTIZ MARTINEZ, ILSA I. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

148169 DIAZ SARRAGA , JOSE ANTONIO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

148195 PEREZ RAMOS, MILDRED Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

148212 RODRIGUEZ TORRRES, ELBA I. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 148221 CASTILLO COLON, GLADYS Public Employee 3/30/2021 Department of Labor and Human Resources Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

148227 MARTINEZ MORALES, CARMEN L. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 148310 FELICIANO RIVERA, SAULO Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

148313 RODRIQUEZ RODRIGUEZ, CARLOS A. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

148404 PACHECO RUIZ, AGUSTIN Public Employee 11/11/2020 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

148413 ROSA, MARIA I. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 148420 MARTINEZ TORRES, MIRTA DEL R Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 148421 FUENTES SILVA, EDNA I. Public Employee & Pension/Retiree2 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

148428 ORTIZ VELEZ , NYDIA M Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

148437 CHEVERE ORTIZ, HECTOR L. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 294 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

148458 NIEVES PEREZ, OLGA I. Public Employee & Pension/Retiree2 5/4/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

148463 BENIQUEZ RIOS DE IMBERT, MARIA DEL C Public Employee & Pension/Retiree 6/10/2021

Family and Children Administration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

148544 RODRIGUEZ GARCIA, PURA C Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

148546 FIGUEROA SANTIAGO, CARMEN Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

148565 CRUZ RUIZ, EVELYN Public Employee & Pension/Retiree 6/10/2021 Department of Justice Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

148569 FLORES GARCIA, GLORIA ESTHER Public Employee 6/10/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

148606 REYES BURGOS, JENNY Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

148618 AGOSTO VARGAS , CARMEN MILAGROS Public Employee & Pension/Retiree 6/10/2021 Department of Health, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

148650 NIEVES PEREZ , PABLO I Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

148666 ESCOBOR FELIX , CARMEN N Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

148673 RIVERA SANCHEZ, MIRIAM E Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

148683 DAVILA GARCIA, SAMUEL Pension/Retiree1 6/10/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

148696 RIVERA PEREZ, CARMEN A. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

148707 MORALES FIGUEROA, PEDRO I. Public Employee & Pension/Retiree2 3/30/2021 Department of Natural and Environmental Resources Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

148718 SANTOS BULA, ROSA I. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

148772 DIAZ MORALES, CARLOS M. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

148804 RIVERA ALVARADO, DENISSE I. Public Employee & Pension/Retiree2 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

148809 HERNANDEZ CRUZ, DHARMA R. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

148813 PADILLA MORALES, MARIA M. Public Employee3 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

148821 RAMOS PEREZ, MARIA E Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

148852 DIAZ DIAZ, EDNA M. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 295 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

148858 ALANCASTRO RIVERA, MYRIAM Public Employee 5/4/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

148864 ORTIZ MARTINEZ, JOSEFA DEL C. Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

148871 TORRES RAMOS, MIRIAM I. Public Employee & Pension/Retiree 3/30/2021 Department of Family Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 148882 RODRIGUEZ TORRES, MARIA MAGDALENA Public Employee 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

148896 NIEVES RODRIGUEZ, LOURDES Public Employee & Pension/Retiree 6/10/2021 Department of Health, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

148901 ORTIZ NEGRON, EMMA M. Public Employee & Pension/Retiree2 7/13/2021 Department of Education and Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

148943 HERNAIZ CARRASQUILLO, CARMEN M Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

148945 TORRES MORALES, RICARDO H. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 148957 RIVERA PEREZ, INES V. Public Employee & Pension/Retiree 7/13/2021 Department of Health, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 148967 AVILES MATIAS, CARMEN Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

149061 MAYSONET SANCHEZ, MARIA I. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 149066 RIVERA FIGUEROA , KAREN Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 149072 PEREZ TOLEDO, MIGNA R. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 149103 CRUZ GONZALEZ, GLORIA I. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

149106 TORRES RODRIGUEZ, CARMEN H. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 149122 RODRIGUEZ TORRES, MARISELI Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

149131 RIVERA CUEVAS, NORMA A. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

149152 SEPULVEDA SEPULVEDA, LEONARDO J. Public Employee 5/4/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

149162 ACEVEDO ACEVEDO, NOEMI Public Employee & Pension/Retiree 11/13/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 149167 NAZARIO GONZALEZ, HILDA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

149175 VEGA BORRERO, JUANITA Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 296 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

149203 RIVERA ROMAN, NANCY Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

149231 ORTIZ APONTE, ADA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

149239 DE JESUS TORRES, EVELYN M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 149265 LASALLE ACEUEDO, ISIDRO Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

149282 ALVARADO CARDONA, ANA T. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 149302 MUNIZ VAZQUEZ, ERIC JOSE Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

149356 RIVERA COTTO, ANDRES Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

149366 DIAZ FERNANDEZ, IGNACIO Public Employee & Pension/Retiree2 5/4/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

149375 CARTAGENA RAMOS, ADALBERTO Public Employee & Pension/Retiree2 5/4/2021 Department of Economic Development and Commerce Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

149385 BAEZ TORRES, MYRNA Public Employee & Pension/Retiree 11/13/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 149405 RODRIGUEZ DE JESUS, ROSA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

149426 ALBIZU MERCED, ANA L. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

149449 BERROCALES GOMEZ, CRISTINA Public Employee, Pension/Retiree & Union Grievance 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

149470 ALVARADO TOLEDO, JOSE L. Public Employee 11/13/2020 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

149476 GUADARRAMA REYES, NORMA I. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

149512 RODRIGUEZ RIVERA, VALERIE Pension/Retiree 3/30/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

149530 CARTAGENA GALLOZA, MARIA T Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

149537 RODRIGUEZ ROSADO, LEDA IRIS Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

149546 NIEVES-CRUZ, REYES Public Employee & Pension/Retiree 7/13/2021 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

149555 GARCIA GONZALEZ, RUTH N. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

149557 RODRIGUEZ TORRES, MARIA M. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 297 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

149584 FERRER PABON, MIGDALIA MARITZA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

149593 PEREZ GARCIA, OSVALDO Public Employee & Pension/Retiree 6/10/2021 Department of Labor and Human Resources Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 149600 DIAZ MONTANEZ, MIGNALIS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 149645 JIMENEZ HERNANDEZ, ELIGIO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 149659 CORDOVA UMPIERRE, MYRNA V Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 149661 GARCIA MARCANO, ENID D. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 149685 COLON RIVERA, JORGE A. Public Employee & Pension/Retiree 7/13/2021 Program of Youth Affairs & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 149804 DELVALLE HERNANDEZ, GENOVEVA Public Employee 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

149844 FERNANDEZ RIVAS, MIGDALIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 149885 RIVERA RODRIGUEZ, MARTA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

149902 PEREZ MARTINEZ, DAISY Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

149907 VEGA COLON, HILDA L Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

149945 CARRASQUILLO MALDONADO, RAUL Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

149951 PEREZ SOTO, EDUARDO Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

149959 BADILLO CRUZ, MANSOL Public Employee & Union Grievance 6/10/2021 Child Support Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

149967 RIVERA VELEZ, LUZ L. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

149980 FLORES IGLESIAS, MIGDALIA Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

149982 SANTINI ORTIZ, JORGE A Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

150056 LOPEZ-MARTINEZ, GRISEL M. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

150072 AVILES, ANGEL L. Public Employee & Pension/Retiree 6/10/2021 Department of Health & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

150079 BURGOS, LILLIAN Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 298 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

150080 LOPEZ RAMIREZ, RUTH B. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 150081 BONILLA ORTIZ, SOCORRO Public Employee & Pension/Retiree 6/10/2021

Department of Correction and Rehabilitation, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

150108 DAVILA APONTE, MIGDALIA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

150116 LEBRON PADILLA, JOSE A. Pension/Retiree1 6/10/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

150125 DE JESUS CRESPO, CARMEN Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

150192 TORRES CRUZ, ELBA A. Public Employee & Pension/Retiree 3/30/2021

Mental Health Services and Addiction Control Administration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

150205 DIAZ CARRASQUILLO, YOLANDA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

150208 RAMOS RIVERA, VICTOR M. Public Employee & Pension/Retiree 6/10/2021 Department of Housing Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

150216 DIAZ SARRAGA, JOSE ANTONIO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

150228 OLMEDO MARCIAL, ROSA E Public Employee3 6/10/2021 Department of Labor and Human Resources Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

150249 COLON MOLINA, DIONEY Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

150254 ROHENA MONZON , ANGELICA Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

150255 LEON TORRES, ROSA ESTHER Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

150265 GONZALEZ PENA, HECTOR Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

150298 TORRES RODRIGUEZ, CARMEN H. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

150300 RODRIGUEZ NARVAEZ, AWILDA Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

150306 TORRES RIVERA, MARGARITA Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

150337 FIGUEROA ALMODOVAN, FERNANDO Public Employee & Pension/Retiree 3/30/2021 Department of Health & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

150352 NEGRON RIVERA, HECTOR L. Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

150359 MENDEZ RAMOS, WANDA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

150360 MENDEZ CUEVAS, MARGARITA Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 299 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

150378 NIEVES ALBINO, JOSE A. Public Employee 5/4/2021 Department of Housing Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

150386 DIAZ ORTEGA , LUCILA Public Employee 6/10/2021 Department of Social Services Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

150390 LABOY TEXEIRA, DANIEL Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

150398 MATOS ORTIZ, JAIME H Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

150410 HERNANDEZ RIVERA, MARIA E Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

150417 CAMACHO DIAZ, ANDREA Public Employee & Pension/Retiree 6/10/2021 Department of Health, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 150423 JESUS LABOY, ANA MARIA DE Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

150454 ACEVEDO ACEVEDO, NOEMI Public Employee & Pension/Retiree2 11/13/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

150458 VEGA OQUENDO, MARIA A. Public Employee & Pension/Retiree 6/10/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

150459 RODRIGUEZ HOWELL, MIOLANYS DELI Public Employee 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

150461 NEGRON RODRIGUEZ, DELMALIZ Public Employee3 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

150462 NIEVES LUGARDO, TERESA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

150488 BERRIOS RIVERA, ANTONIO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

150500 GUZMAN TORRES, ROSARIO Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

150525 REYES RAMOS, AMADA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N 3rd and Final Information Request letter sent to claimant; awaiting 

response

N N/A 

150533 FIGUEROA CORREA, LYDIA H Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

150535 TOLEDO AMADOR, MATILDE Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

150544 NAZARIO ACOSTA, RICARDO Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

150545 CARRASQUILLO BAEZ, EDILIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

150589 AROCHO GONZALEZ, ANA MARIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

150626 NIEVES LOPEZ, ENRIQUE Public Employee & Pension/Retiree2 3/30/2021 Department of Family, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 300 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

150665 ZAMOT ARBELO, ANAIDA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 150670 RAMOS-VELAZQUEZ, RAMONA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 150675 GARCIA DAVILA, MARIA B Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 150682 TORRES SANCHEZ, YADIRA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

150715 NIEVES OLICEA, ISMAEL Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 150717 AYALA RIVERA, AMNERIS Public Employee 5/4/2021

Office of Administration and Transformation of Human Resources in the Government of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

150744 HERNANDEZ ESTRADA, JUSTINA V. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

150798 AMALBERT MILLAN, ROSA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 150804 GUILBE ALOMAR, WANDA Public Employee 5/4/2021 Department of Labor and Human Resources Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

150810 OLIVENCIA RIVERA, DAISY Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

150818 PAGAN MENDEZ, CARLOS J Public Employee & Pension/Retiree 11/11/2020 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 150821 BAYON IGLESIAS, ANGEL M. Public Employee & Pension/Retiree 6/10/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

150827 OYOLA RIOS, BETZAIDA Public Employee & Pension/Retiree 11/13/2020 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

150840 DAVILA MEDINA, JOSE H. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

150841 ALVARADO TORRI, JAIME E. Public Employee 10/22/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

150858 PEREZ PENA, MILAGROS S. Public Employee & Pension/Retiree 6/10/2021 Department of Labor and Human Resources Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

150895 DIAZ MATOS, JORGE Public Employee & Pension/Retiree2 5/4/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

150936 HERNANDEZ NAZARIO, ALMIDA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

150969 RIVERA LEON, ANTONIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

150988 SOTO VAZQUEZ, MIRZA I. Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

150990 LUGO RIVERA, WANDA T Pension/Retiree6 5/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 301 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

151002 OQUENDO MUNIZ, PROVIDENCIA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

151057 SANTIAGO SERRANO, NILDA Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

151058 MORALES FIGUEROA, MILDRED Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

151059 FIGUEROA MARIANI, INES A. Public Employee 6/10/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

151067 BETANCOURT DORTA , IRIS E. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

151071 ROSA LLORENS, LUZ IDALMIS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

151078 VEGA RIVERA, MYRIAM Public Employee & Pension/Retiree 6/10/2021

Socioeconomic Development of the Family Administration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

151107 GONZALEZ GONZALEZ, FELICITA Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

151139 RAMOS POMALES, ISTVEN E. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

151151 TORRES RODRIGUEZ, MARIA M. Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

151179 RAPALE MELENDEZ, SHARON D. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

151180 GOMEZ CENTENO, MAYRA E Public Employee3 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

151210 RODRIGUEZ GONZALEZ, CARMEN I. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

151213 AVILES PADIN, JOSE Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

151225 RIVERA SUAZO, MARIA DE LOS ANGELES Public Employee 5/4/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

151238 SANTIAGO QUINONES, LINDA A. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

151261 SANCHEZ PABON, ANA GLORIA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

151273 FERNANDEZ GARCIA, MARIELY Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

151333 ROBLES MORALES, ANA G. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

151353 PINEIRO MERCADO, LAURA E Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

151366 ESTRADA CRUZ, SARA L. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 302 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

151395 JIMENEZ MONTANER, MARIBEL Public Employee & Pension/Retiree2 5/4/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

151400 ESPADA FEBO, REBECCA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

151416 PILLOT-RESTU, MARIA EMILIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

151440 NORIEGA ROSAS, DUJARDIN Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

151441 OLIVIERI RODRIGUEZ, AURA E. Public Employee & Pension/Retiree 6/10/2021 Senate, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

151453 BAEZ ESQUILIN, LILLIAN Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

151466 CANAS SIVERIO, WANDA R. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

151497 RODRIGUEZ MARTINEZ, LUIS E Pension/Retiree1 6/10/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

151519 NEGRON RIVERA, HECTOR LUIS Public Employee & Pension/Retiree2 5/4/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

151522 RODRIGUEZ ORTIZ, HILDA R. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

151523 AYALA TANON, LUZ MARIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

151528 REYES SANTIAGO, AIDA IRIS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

151537 DAVILA PEREZ, ORLANDO Public Employee 5/4/2021 Department of Labor and Human Resources Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

151542 JORGE DEL VALLE, ELSA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

151599 ORTIZ RECIO, NIRMA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

151600 BERNIER COLON, VILMA Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

151622 SEVILLA CRUZ, CARMEN P. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

151660 DE JESUS APONTE, MERIAM Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

151688 MALDONADO APONTE, LYDIA K. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 151766 DAVILA MEDINA, JOSE H. Public Employee3 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

151805 GONZALEZ RODRIGUEZ, NORMA IRIS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 303 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

151807 VAZQUEZ TORRES, NYDIA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 151843 GONZALEZ SULIVERES, EMILIO Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 151860 HERNANDEZ SANCHEZ , WILLIAM Public Employee & Pension/Retiree 6/10/2021 Public Building Authority Y N/A Y Y N/A N N/A 

151883 NEGRON MARTINEZ, CARMEN M. Public Employee 7/2/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

151884 ASTACIO SANCHEZ, ELIZABETH Public Employee & Pension/Retiree 11/13/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 151895 GANDIA TIRADO, IRIS M. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 151910 ACOSTA RODRIGUEZ, JOSE M. Public Employee & Pension/Retiree 11/13/2020 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 151912 DIAZ RODRIGUEZ, JOSE A. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 151933 RODRIGUEZ, EVELYN Public Employee & Pension/Retiree 7/13/2021

Family and Children Administration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

151950 NOMANDIA URBINA, CARMEN VERONICA Public Employee 5/4/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

151983 VELAZQUEZ BENJAMIN, JUANA H Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico, Teachers Retirement System

Y N/A Y Y N/A Y In Process/Under Revi

152046 GONZALEZ RIVERA, JUANA M. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

152049 PAGAN RIVERA, EMMA R. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

152115 SINIGAGLIA ROBLES, ENRIQUE Public Employee 5/4/2021 Public Building Authority Y N/A Y Y N/A N N/A 152128 RODRIGUEZ LOPEZ, JORGE Public Employee 11/11/2020 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

152186 NIEVES CORDERO, IVETTE Public Employee & Pension/Retiree 6/10/2021 Department of Justice, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 152190 DIAZ DE JESUS, ANIBAL Pension/Retiree1 6/10/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

152193 RODRIGUEZ CORNIER, ZORAIDA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

152198 DAVILA PEREZ, FELIX Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

152214 FELICIANO-CUEVAS, NANCY I. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

152220 RODRIGUEZ FRATICELLI, MAYDA N Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 304 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

152252 MEJIAS SOTO, LISSETTE Public Employee 6/10/2021 Department of Family, Socioeconomic Development of the Family Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 152256 BULTRON CRUZ, JANETTE Public Employee & Pension/Retiree 6/10/2021 Department of Housing Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 152270 VALCARCEL MARQUEZ, AYADETT Public Employee 5/4/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

152282 ORTIZ FELIX, DELVIS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 152301 MALDONADO GONZALEZ, LUZ LEIDA Public Employee 3/30/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

152319 ALVARADO CINTRON, JOSE A Public Employee & Pension/Retiree 11/13/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 152336 IRIZARRY CRUZ, MARIA E Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 152354 JOURNET MALAVE, INES L Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

152355 PADIN RODRIGUEZ, CARMEN R. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 152359 TORRES RODRIGUEZ, MARIA M. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

152378 SANABRIA MARTY, ARGENTINA Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 152396 GARCIA CORALES, ADA AMPARO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 152431 GONZALEZ COLON, MIGUEL A. Public Employee 3/30/2021 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

152436 RODRIGUEZ SANTOS, MARILYN Public Employee & Union Grievance 7/29/2022 Department of Health Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 152440 ROHENA QUINONES , JOHANNA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

152463 ORTIZ APONTE, ADA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 152474 GONZALEZ RUIZ, HELEN Public Employee3 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

152504 TORRES RODRIGUEZ, MARIA M Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

152506 COLON TORRES, ENID Public Employee & Pension/Retiree 1/4/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 152569 MARTINEZ GARCIA, ROSA H. Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

152575 MALDONADO ORTIZ, SONIA M. Public Employee & Pension/Retiree 11/13/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 305 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

152577 DE JESUS ROMAN, AYLEEN L. Public Employee & Pension/Retiree 3/30/2021 Department of Family & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 152605 NEGRON RIVERA, HECTOR L. Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

152673 DEL C. VINALES RODRIGUEZ, MARIA Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

152677 ACEVEDO RIOS, YOLANDA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 152704 ORTIZ MOJICA, FELIX Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 152725 ROSAS SANCHEZ, ELIZABETH Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

152736 GARCIA RODRIGUEZ, HECTOR L Public Employee & Pension/Retiree2 5/4/2021 Department of Housing & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

152764 PEREZ DIAZ, NANCY Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 152765 REYES LOZADA, ARLENE Public Employee3 6/10/2021 Department of Labor and Human Resources Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

152773 OSORIO ORTIZ, CARMEN L. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

152789 RODRIGUEZ TORRES, AIDA I. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

152805 LAO ALICEA, MANUEL Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

152806 RODRIGUEZ COLON, MIRNA LIZETTE Public Employee 5/4/2021 Socioeconomic Development of the Family Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

152815 VARGAS VEGA, ROSA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

152827 BERRIOS OLMEDA, NORMA R. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

152859 LOPEZ NEGRON, LUIS J. Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

152868 MORALES DE JESUS, ALEJANDRO Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

152916 GONZALEZ MORAN, MARCO A. Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

152940 MARTINEZ FONTANEZ, RUBEN Public Employee & Pension/Retiree2 11/13/2020 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

152950 MORALES VELAZQUEZ, NELKA LIZ Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

152951 BAEZ TORRES, MYRNA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 306 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

152974 DEL PILAR CANALS, GLENDA L. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 153014 APONTE SANTOS, ELBA L. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

153073 ARROYO LUCENA, LUZ N. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 153076 JIMENEZ COLLAZO, EDNA I. Public Employee & Pension/Retiree2 5/4/2021 Department of Labor and Human Resources Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

153136 RODRIGUEZ CALDERON, NELSON F Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

153179 VALAZQUEZ VIVES, CARMEN RITA Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

153186 NAVARRO SANCHEZ, ANGELICA Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

153205 BORGES PADIN, NILDA M Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

153211 SANTISTEBAN BISBAL, SYLVETTE Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

153217 QUINONES MALDONADO, LUZ N. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

153232 TORRES RODRIGUEZ, CIAMARA Public Employee 5/4/2021 Public Service Appellate Commission Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

153245 SOSTRE LEBRON, MICAELA Public Employee & Pension/Retiree2 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

153286 BURGOS SANTOS, RAFAEL Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

153290 NIEVES VAZQUEZ, IVYS E Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

153298 RUIZ AYALA , ARISTIDES Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

153309 LOPEZ GONZALEZ, RUTH Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

153318 RIVERA BERRIOS, TEODORO Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

153322 REYES OTERO, CARLOS J. Public Employee & Pension/Retiree 6/10/2021 Highway and Transportation Authority Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

153327 GOMEZ CENTENO, MAYRA E. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

153329 BORGES-PADIN, NILDA M Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

153334 BORGES-PADIN, NILDA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 307 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

153341 PADIN RODRIGUEZ, CARMEN R Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 153352 CUBERO ALICEA, ANA HILDA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 153353 MEDINA SOTO, ADA N. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 153365 GONZALEZ MARTINEZ, JOSE LUIS Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 153386 RIVERA RIVERA, ERCILIA Public Employee & Pension/Retiree 6/10/2021 Department of Health, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 153391 LEON LUGO, ANA E Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

153400 PEREZ DIAZ, ENEIDA Public Employee3 3/30/2021 Corporation Urban Renewal and Housing (CRUV), Department of Housing Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

153405 CUEBAS CAMPOS, HIDELISA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

153447 CRUZ FELICIANO, JOSE J. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

153451 REYES OLIVERAS, IVONNE Public Employee & Pension/Retiree 6/10/2021

Department of Labor and Human Resources, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

153452 NAVARRO COTTO, HAYDEE Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

153453 VINALES RODRGIUEZ, EVA LUZ Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

153458 MAGOBET SEDA, EVELYN Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

153462 DEL PILAR-CANALS, GLENDA L. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

153466 ILARRAZA DAVILA, ALBA NYDIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

153467 RIVERA RODRIGUEZ, ISRAEL Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

153470 HERNANDEZ ORTIZ, VIRGINIA Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

153500 RODRIGUEZ ORTIZ, JOSE S. Public Employee 6/10/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

153527 VELAZQUEZ MORALES, MIGDALIA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

153551 ORTIZ DONES, EUSEBIO Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 153554 COLON RIVERA, SARA M Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 308 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

153562 LOPEZ MIRANDA, LESLY F. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

153574 CRESPO ARBELO, CARMEN J. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 153577 GROSS, CONSUELO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 153588 CHACON SANTIAGO, CARMEN L. Public Employee & Pension/Retiree 6/10/2021 Department of Health, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 153591 RIVERA TORRES, SONIA I. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

153614 FLORES HUERTAS, HILDA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

153621 LAMBOY IRIZARRY, JOSEFINA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 153629 VAZQUEZ RIVERA, MARIA ELENA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 153636 BONILLA RIOS, ELMA Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 153692 ELIZA COLON, MARIA NELLY Public Employee & Pension/Retiree2 6/10/2021 Mental Health Services and Addiction Control Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

153703 RESTO MORALES, DEBBIE Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

153720 ROMAN ROMAN, IVELISSE Pension/Retiree 3/30/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

153746 GONZALEZ-MARTINEZ , IVETTE M. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

153763 RUIZ RODRIGEZ, ANA M. Public Employee & Pension/Retiree 6/10/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

153785 SANTIAGO PEREIRA, EDWIN Public Employee & Pension/Retiree2 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

153789 VELAZQUEZ PADILLA, NANCY Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

153821 RODRIGUEZ TORRES, JESUS E. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

153855 IZQUIERDO BRAND, MARIA J. Public Employee 6/10/2021

Administration of Health Facilities and Services, Deparment of Health AFASS Health Ponce Region

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

153860 PEREZ COLLAZO, QUIRPA Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

153878 NIEVES HERNANDEZ, MIGUEL A. Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

153901 MARTINEZ RUIZ, MARGARITA DEL P. Public Employee 11/13/2020 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 309 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

153941 HERNANDEZ CUEVAS, MYRNA Public Employee & Pension/Retiree 10/22/2020 Department of Health & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 154026 SANABRIA MARTY, ARGENTINA Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 154030 OLMO DIAZ, MINERVA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 154064 GONZALEZ NEGRON, MIRIAM Public Employee & Pension/Retiree 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 154073 VILLAFANE VELAZQUEZ, GLADYS Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

154086 ROJAS RIVERA, ELSA Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

154097 DIAZ VASQUEZ, REGINA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

154098 AGOSTO ORTIZ, MARIA M. Public Employee & Pension/Retiree2 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

154117 APONTE CRUZ, REUBEN Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

154135 ACEVEDO BARRETO, SAIDA L. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

154155 CUBERO LOPEZ, MONSERRATE Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

154164 DIAZ MORALES, RAFAEL A. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

154191 PAGAN MORALES, GLADYS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

154214 PLUMEY SOTO, ENID C. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

154219 TORRES RIVERA, MARGARITA Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

154222 VALENTIN NIEVES, LUIS O. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revie

154234 MORALES ANDRADES, MARIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 154242 BERRIOS RIVERA, AIXA Public Employee & Pension/Retiree2 5/4/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

154309 VEGA PEREZ, IZARY Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

154315 ZAPATA CASIANO, LILLIAN J. Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

154332 MELENDEZ ORTIZ, JOSE M. Public Employee & Pension/Retiree 6/10/2021 Department of Housing Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 310 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

154334 COLON DIAZ, MARIAM L Public Employee & Pension/Retiree 11/13/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 154336 GONZALEZ MEDINA , MAGALY Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

154346 RIVERA CRUZ, ILIA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

154347 VALENTIN CARRERO, EMELLY Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

154363 RODRIGUEZ CORNIER, BLANCA A Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

154416 MERCADO VALENTIN, NORMA IRIS Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

154438 OLIVERAS, CARMEN A. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 154469 OLIVENCIA RIVERA , DAISY Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 154480 SOTO BARRETO, NARA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

154524 GONZALEZ VIVO, SANDRA I. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 154542 BARRETO MARTINEZ, LUZ ELENIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 154576 CURET GARCIA, SANDRA ENID Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

154586 CARO, WILFREDO ALVERIO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 154617 CRUZ ESCUTE, CARMEN NITZA Public Employee & Pension/Retiree 11/13/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 154619 DE JESUS ESTRADA, JORGE Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 154624 LOYOLA TORRES, CESAR A. Public Employee & Pension/Retiree 3/30/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

154625 LUGO SANTIAGO, GLORIA M. Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

154644 RIVERA, DAISY OLIVENCIA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

154654 HERNANDEZ CLEMENTE, SONIA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 154666 SALAS PAGÁN, LOYDA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

154671 LELONON DELGADO, AILER Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 311 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

154707 NAVARRO COTTO , AGUSTINA Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

154717 LUGO RODRIGUEZ, DAISY Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

154740 COLON RIVERA, MARIA DEL C. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

154871 COLON MARTINEZ, RUBIAN MARGARITA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

154882 MORA PABON, AMARILYS L Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

154938 GARCIA-TROCHE, SANTIAGO Public Employee & Pension/Retiree2 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

154941 COLON SANTIAGO , ELVIRA Public Employee 5/4/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

154953 SANCHEZ PABON, ANA G. Pension/Retiree 11/11/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

154956 MARTINEZ RODRIGUEZ, BRENDA I. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

154976 CUBERO LORENZO, CARLOS A. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

154978 SANTIAGO VAZQUEZ, MARIE C Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

155008 RIVERA MARTINEZ, CARMEN ELVIRA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

155022 PINO CORCHADO, ANA BETSY Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

155043 BADILLO GRAJALES, CESAR A Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 155053 FLORES MADERA, INES Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 155065 DIAZ ESCRIBANO, MAYRA I. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 155095 COLON RIVERA, JUAN A. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

155105 ROSADO ORTIZ, AUREA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

155120

LUIS A. OLIVERA FRATICELLIEMPLEADO FALLECIDO, CARMEN I. 

MARTINEZ MUNIZ VDA, VLADIMIR, LUIS A., KANYRA OLIVERA 

MARTINEZ (HIJOS)

Public Employee 6/24/2022 Department of Transportation and Public Works, Driver Services Center Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

155122 COLL PEREZ, JULIA MARIA Public Employee & Pension/Retiree2 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

155135 GONZALEZ CARRERO, NANCY I. Public Employee 10/22/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 312 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

155162 GONZALEZ SANCHEZ, GILBERTO Public Employee & Pension/Retiree2 3/30/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

155219 TORRES SANTIAGO, FRANCISCA E. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

155267 OCASIO RAMIREZ, LUZ H. Public Employee & Pension/Retiree 6/10/2021

Department of Health, Family Health Center, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

155292 DIAZ ESCRIBANO, MAYRA I Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

155307 CRESPO ACEVEDO, ANA DELIA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

155329 OCASIO CEBALLOS, LUZ ENEIDA Public Employee 5/4/2021 Department of Labor and Human Resources Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

155349 FLORES OYOLA, EPIFANIO Public Employee 11/13/2020 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

155352 RODRIGUEZ LUGO, ANGEL L. Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

155396 CANDELARIO ANDINO, VILMA E. Public Employee 5/4/2021 Department of Sports and Recreation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

155398 GALARZA MORALES, ELINETH Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

155399 ZAYAS QUESTELL, LUIS ALBERTO Public Employee & Pension/Retiree2 5/4/2021 Department of Health, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

155443 SEPULVEDA RUIZ, FREDDY Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

155470 PEREZ MONTANO, JUANITA Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

155487 VARGAS MARTINEZ, MARIA A. Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

155506 ORTIZ RIVERA, AIDA MARITZA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

155507 CRUZ HERNANDEZ, ROSA N Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

155544 ARVELO MORALES, WANDA I. Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

155559 PAGAN TORRES, CARMEN DELIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

155584 RIVERA OCASIO, ANA E. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

155589 TORRES MORENO, CARMEN Y. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

155592 OLMO BARREIRO, CARMEN I Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 313 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

155607 CABRERA CORDERO, VIVIAN Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

155629 TORRES RODRIGUEZ, CECILIA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

155639 MERCADO MORALES, ROSENDO Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

155678 RIVERA JUSINO , MILDRED Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

155699 HERNANDEZ REY, LILLIAN Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

155706 SANTIAGO FIGUEROA, EDGAR Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 155718 NAVARRO COTTO, MARIA S. Public Employee & Pension/Retiree2 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

155727 ROSARIO NEGRON, GLORIA I. Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

155758 AROCHO GONZALEZ, ANA MARIA Public Employee & Pension/Retiree 11/13/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

155798 MORALES FIGUEROA, MARGARITA Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

155844 RIVERA REYES, CARMEN M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

155866 RAMOS LOZADA, AIDA L. Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

155881 ACOSTA PADILLA, CRIMILDA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

155923 RIVERA VELAZQUEZ, MARIA Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

155927 ALVARADO CARBONELL, JOSE A Public Employee & Pension/Retiree2 5/4/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 155949 SANTINI ORTIZ, GRISEL Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

155952 RIVERA MARTINEZ, LUIS A A Public Employee & Pension/Retiree 3/30/2021 Department of Health (AFASS Health Ponce Region) Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

155980 CARABALLO DE JESUS, FELICITA Public Employee & Pension/Retiree 7/13/2021 Department of Family Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

155994 OCASIO MIRANDA, EVA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

156000 MIRANDA TORRES, GIOVANNI Public Employee & Pension/Retiree 6/10/2021 Public Building Authority Y N/A Y Y N/A N N/A 156018 ARISTUD RIVERA, MARISOL Public Employee & Pension/Retiree 6/10/2021 Public Housing Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 314 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

156053 MEDINA LOPEZ, GLORICELA Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

156059 MATIAS LEBRON, IRMA L. Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

156065 ITHIER RAMIREZ, JOSE L Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

156068 PEREZ PENA, LEYDA M. Public Employee3 6/10/2021 Department of Transportation and Public Works Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

156093 FELICIANO RODRIGUEZ, JOSE L L Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

156115 RIVERA LOPEZ, ALICIA J. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

156141 SOSA RIVERA, YOLANDA Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

156147 GARCIA LOPORONA, ELISA M. Public Employee & Pension/Retiree 6/10/2021

Department of Transportation and Public Works, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

156185 RODRIGUEZ ANDUJAR, ISAIRA Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

156208 HERNANDEZ ESTRADA, JUSTINA V. Public Employee 10/22/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

156209 AVILES COLLAZO, AIDA E. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

156219 PADRO VIZCARRONDO, MARIA F Public Employee & Pension/Retiree2 6/10/2021 Department of Family Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

156223 VALE CRUZ, WILDA L Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico, Teachers Retirement System

Y N/A Y Y N/A Y In Process/Under Revi

156241 FELICIANO-CUEVAS, NANCY I. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

156246 SEMIDEY TORRES, JULIA A. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

156284 DIAZ COLON, NIVIA Public Employee 5/4/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

156299 GONZALEZ RIVERA, EVELYN Public Employee & Pension/Retiree 6/10/2021 Department of Health, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

156311 ILDEFONSO RIVERA, SARA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

156346 GARCIA DE JESUS, JUAN Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

156362 CUEVAS GONZALEZ, NORMA I. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

156374 RIVERA RIVERA, ANA H. Public Employee & Pension/Retiree 6/10/2021 Administration of Health Facilities and Services, Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 315 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

156397 RIVERA REYES, LUZ E. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 156424 VARGAS ESCOBAR, MIRIAM Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 156438 MATIAS ORTIZ, SAIDY Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

156449 DIAZ CARABALLO, CARMEN L. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 156465 RODRIGUEZ GONZALEZ, LYSBETH Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 156472 ROMAN RIVERA, HAYDEE Public Employee & Pension/Retiree 3/30/2021 Department of Health (Ponce Region - Hospital San Lucas), WIC PROGRAM Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 156500 GUZMAN GREEN, EVELYN M Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

156513 FELICIANO CARABALLO, MIRTA I. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

156515 MELENDEZ LUNA, MARIA I. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 156539 SANCHEZ PRIETO, MARIBEL Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 156583 BORGES PADIN, NILDA MARCE Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

156661 MORENO ACOSTA, MARIA S Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

156685 RIVERA MORENO, JOSE D. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

156734 PENA GOMEZ, MILAGRITOS Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

156742 FIGUEROA ORTIZ, SANTA VALERIANA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

156764 FLORES OYOLA, EPIFANIO Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

156774 GONZALEZ RIOS, JUAN JOSE Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

156776 TOLEDO AMADOR, MATILDE Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

156777 NIEVES-CRUZ, REYES Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

156806 SANTIAGO CANDELARIA, EDNA A. Public Employee & Pension/Retiree2 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

156815 RIVERA DAVILA, LUZ M. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 316 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

156863 AROCHO SALTAR, CARLOS E Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

3rd and Final Information Request 

letter sent to claimant; awaiting 

response

N N/A 

156869 ANGULO CINTRON, MARIA C Public Employee 7/29/2022 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

156896 MORA DELGADO, CASILDA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

156921 LOPEZ GARCIA , FELICITA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 156941 RIVERA FELICIANO, MARIA M Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 157000 RIVERA MELENDEZ, FRANCISCO A. Public Employee & Pension/Retiree2 7/2/2021 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

157080 ALERS MARTINEZ, AIXA M. Public Employee 6/10/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

157087 ACEVEDO ROMAN, DINELIA E. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

157089 RIVERA RODRIGUEZ, YAJAIRA I. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

157127 COLON AGUAYO, MARIA M. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

157133 GARCIA LOPEZ, IBIS WANDA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

157155 RIOS CRUZ, ENILDA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

157170 COLON RUIZ, LUZ M Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

157199 ALVERIO MELENDEZ, YOLANDA Public Employee & Pension/Retiree 11/13/2020 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 157200 GONZALEZ VELEZ, RUBEN O. Public Employee & Pension/Retiree 6/10/2021

Department of Correction and Rehabilitation, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

157204 NAVARRO COTTO, MARIA S. Public Employee & Pension/Retiree2 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

157205 ROSALY GERENA, DORA H. Public Employee & Pension/Retiree2 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 157211 NIEVES SOTO, WALESKA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

157217 VILLAFANE RIVERA, ARACELIS Public Employee 6/10/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

157225 MENDEZ CUEVAS, ADA I Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

157272 TORRES RODRIGUEZ, MARGARITA MARIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 317 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

157298 RIVERA ROBLES, NESTOR Public Employee & Pension/Retiree 6/10/2021

Department of Correction and Rehabilitation & Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

157302 JIMENEZ SANTIAGO, LYDIA E. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

157319 ARROYO DIAZ, CARMEN AVA Public Employee & Pension/Retiree 3/30/2021 Childcare and Childhood Integral Development Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 157374 MORALES RIVERA, EVELYN Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

157413 SANTIAGO COLON, IRIS Public Employee 5/4/2021 Corps of Medical Emergencies Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

157443 MOUX POLANCO, LILLIAN I. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 157445 NIEVES ALICEA, LUCIA Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 157460 NOLASCO NAZARIO, ROCIO Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

157466 BONILLA RIOS, ELMA Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 157494 JIMENEZ SANTIAGO, LYDIA E. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

157516 ECHEVARRIA LUGO, JORGE Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

157542 SANTANA LOPEZ, MARCIANO Public Employee & Pension/Retiree2 3/30/2021 Department of Housing Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

157543 RIVERA FALU, CARMEN M. Public Employee & Pension/Retiree2 3/30/2021 Department of Family Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 157583 GONZALEZ SERRANO, AIDA LUZ Public Employee & Pension/Retiree 6/10/2021 Department of Health, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

157632 RIVERA TORRES, JESUS Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

157637 RIVERA BAEZ, MERIDA Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

157647 QUIÑONES VÉLEZ, ALMA E. Public Employee 5/4/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

157667 VELAZQUEZ DE JESUS, OFELIA Public Employee & Pension/Retiree2 5/4/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

157669 RAMOS CRUZ, CARMEN V. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

157672 QUIRINDONGO GONZALEZ, VICTORIA Public Employee & Pension/Retiree2 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

157716 NAVARRO COTTO, MARIA S Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 318 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

157736 MARTINEZ LUCIANO, INES Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

157752 PIZARRO SANCHEZ, MARIA E. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 157775 HERNANDEZ RIVERA, JOSE LUIS Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

157799 MULLER ARROYO, JUANITA Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

157824 OFARRILL MORALES, ANA L Public Employee 5/4/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

157834 RIVERA MORALES, CARMEN GLORIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

157837 CLASS PEREZ, JOSE E. Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

157855 MORALES RODRIGUEZ, CARMEN C Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

157888 ORTIZ RODRIGUEZ, ANICETO Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

157920 FONSECA RUIZ, MARIA M Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

157946 RODRIGUEZ TORRES, MARIA M. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

157974 SURILLO RUIZ, YOLANDA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

157980 CARTAGENA MOLINA, WANDA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

157998 IRIZARRY CANCEL, ELVIN Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

158007 RUIZ ROMAN, JUAN B. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

158036 OCASIO TORRES, JUAN EFRAIN Public Employee, Pension/Retiree & Union Grievance 6/10/2021

Department of Correction and Rehabilitation, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

158042 RAMOS MEDINA, MIGDALIA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

158046 SOTO CASTELLO, EVA S. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

158065 BERRIOS RIVERA, AIXA Public Employee & Pension/Retiree2 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

158073 OBREGON VARGAS, SILKIA M. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

158087 VARGAS-NIEVES, MARIA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 319 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

158097 DELGADO AGOSTO, IRMA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 158102 ORTIZ CRUZ, SONIA Public Employee & Pension/Retiree2 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

158111 DELERME FRANCO, FRANCISCO Public Employee & Pension/Retiree 6/10/2021 Department of Family, Department of Social Services Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

158116 MATOS MATOS, CARMEN L. Public Employee 11/13/2020 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

158122 MATTOS ESTRADA, MIGUEL ANGEL Public Employee3 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

158152 PUJOLS OTERO, GRICELY Public Employee & Union Grievance 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

158191 OSTOLAZA LOPEZ, JUANA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

158201 PEREZ RODRIGUEZ, GISELA INEABELLE Public Employee & Pension/Retiree 6/10/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

158205 MELENDEZ CRUZ, SONIA I Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

158208 QUIJANO ROSA, IVETTE Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

158226 MATIAS CAMACHO, LUZ AIDA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

158229 BONILLA RIOS, AWILDA Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

158245 MATOS ARROYO, MARIA DE LOS A Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

158251 LOPEZ RIVERA, ISABEL Public Employee3 6/10/2021 Socioeconomic Development of the Family Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

158299 TORRES GARCIA, NILSA YANIRA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

158326 RODRIGUEZ RODRIGUEZ, ANDREA Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

158333 DONES TORRES, SOCORRO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

158339 ANDREU SAGARDIA, HENRY Public Employee 5/4/2021 Mental Health Services and Addiction Control Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 158365 TORRES RAMOS, NORMA I. Public Employee & Pension/Retiree 3/30/2021 Department of Family, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

158384 GONZALEZ ARROYO, CARLOS ROBERTO Public Employee 5/4/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

158404 RAMOS-VELAZQUEZ, RAMONA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 320 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

158413 RIVERA RODRIGUEZ, CARMEN D Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

158415 GARCIA GARCIA, RAFAEL Public Employee & Pension/Retiree 11/13/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 158420 ALICEA BELTRAN, MARIA I. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

158433 CASANOVA BENITEZ, ANGELICA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

158450 MORALES RAMOS, CARMEN L. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

158483 ARBELO ROJAS, ANA E. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

158488 CRESPO GONZALEZ, MAJORIE Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

158533 ESCALERA CASANOVA, MARIA E. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

158558 ALERS MARTINEZ, AIXA M. Public Employee & Pension/Retiree 11/13/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 158561 GONZALEZ GONZALEZ, WILFREDO Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

158612 LOPEZ CARTAGENA, SARA LUZ Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 158622 LOPEZ MATOS, MARIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

158663 RODRIGUEZ MEDINA, SONIA E. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

158669 RAMOS-VELAZQUEZ, RAMONA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

158723 PAGAN MORALES, MARIA V. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

158788 CRUZ ORTIZ, ELIZABETH Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

158791 CANDELARIO MILAN, OBDULIO Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

158844 PEREZ MONTANO, MARIA DOLORES Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

158848 LUGO PADILLA, ILONKA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

158853 COLON SANTIAGO, SANDRA M. Public Employee & Pension/Retiree 3/30/2021 Department of Family & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 158900 SANDERS MUNOZ, WILLIAM Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 321 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

158904 CARDONA RUIZ, GEORGIA J. Public Employee & Pension/Retiree2 3/30/2021 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

158927 FELICIANO MENDEZ, ANGIE M. Public Employee 6/10/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

158931 SANTIAGO MUÑOZ, EDNA ENID Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 158933 TORRES MORALES, RICARDO H. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 158949 FELICIANO MENDEZ, ANGIE M. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

158957 CORTINA RODRIGUEZ, DAVID Public Employee & Pension/Retiree2 5/4/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

158970 RODRIGUEZ MEDINA, ESTIFANIO Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

159008 BURGOS JESUS, HECTOR Public Employee & Pension/Retiree2 3/30/2021 Department of Labor and Human Resources Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

159025 COLON LOPEZ, MABEL Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

159050 ORTIZ , SAMUEL Public Employee 6/10/2021 Mental Health Services and Addiction Control Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 159059 COLON RIVERA, CARMEN A. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

159103 DORTA DORTA, ANA LYDIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

159110 ZAYAS MORENO, MARICELIS Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

3rd and Final Information Request 

letter sent to claimant; awaiting 

response

N N/A 

159112 RODRIGUEZ OTERO, MARISOL Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

159125 QUINONES SANTIAGO, YOLANDA IVETTE Pension/Retiree 3/5/2021 Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A Y Y N/A Y In Process/Under Revi

159162 HERNANDEZ PEREZ , DIANA I. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

159191 SANTOS FEBUS, CARMEN T Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

159193 AYALA SANOGUET, MANFREDO Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

159217 SANTIAGO CORA, CARMEN I Pension/Retiree1 3/30/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A N N/A 

159283 FIGUEROA FELICIANO, NATIVIDAD Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

159284 MARTINEZ ACEVEDO, MYRNA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 322 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

159302 ACOSTA SANTIAGO, DIONISIO Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 159316 FENEQUE CARRERO, BRUNILDA Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

159323 ZAMOT MISLA, ALBA N Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

159327 DE LA PENA RAMOS, MARILYN J. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

159334 ORTEGA ASENCIO, NEREIDA Public Employee & Pension/Retiree 6/10/2021

Department of Correction and Rehabilitation, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

159352 ORTIZ GARCIA, IVONNE Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

159353 RIVERA VEGA, PATRIA Public Employee 5/4/2021 Department of Transportation and Public Works Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 159354 BOSQUES VILLALONGO, WILMARIE Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

159360 OCASIO HERNANDEZ, NOEL Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

159380 MENDEZ SALCEDO, EDILTRUDIS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 159421 ALVARADO-RIVERA, YARITZA ENID Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 159505 RAMOS SANTIAGO, MAGDA I. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 159519 MUNIZ SOTO, IRMA I. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

159543 RODRIGUEZ TORRES, MONSERRATE Public Employee & Pension/Retiree 11/13/2020

Department of Labor and Human Resources & Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

159556 LAMOURT CARDONA, GLADYS Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

159588 ESTRADA ARROYO, EMELI Public Employee & Pension/Retiree2 5/4/2021 Department of Health, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

159594 DIAZ FIGUEROA, CARMEN L Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

159601 DAIZ NAVARRO, ANA I. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

159606 COLON LOZADA, IRMA I. Public Employee & Pension/Retiree 6/10/2021

Department of Correction and Rehabilitation & 

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

159607 GRAU ALVAREZ, MIGUEL A. Public Employee & Pension/Retiree2 5/4/2021 Public Building Authority Y N/A Y Y N/A N N/A 

159620 ORTIZ GONZALEZ, LINDA J. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 323 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

159632 ACEVEDO MUNIZ, WILLIAM Public Employee 6/10/2021 Corporation Urban Renewal and Housing (CRUV), Department of Housing Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 159654 LUGO VALENTIN, SANDRA F. Public Employee & Pension/Retiree 10/22/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 159659 OCASIO RAMIREZ, LUZ H. Public Employee & Pension/Retiree 6/10/2021

Department of Health, Family Health Center, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

159661 ROLON CANINO, ROSA M Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 159681 COLLET MEDINA, MYRTA Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

159706 GARCIA CORALES, ADA AMPARO Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

159750 GARCIA GARCIA, RAFAEL Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

159770 PORTALATIN IRIZARRY, AGRIPINA Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

159776 CORA HUERTAS, LUCILA Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

159781 RODRIGUEZ SANTIAGO, MARIA ALTAGRACIA Public Employee 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

159792 CARTAGENA FIGUEROA, JOSELINE Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

159829 LEBRON MARTELL, MILAGROS Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

159863 VEGA ROMERO, ELIZABETH Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

159889 FELICIANO - CUEVAS, NANCY I. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

159908 APONTE TORRES, LUIS A Pension/Retiree 5/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

159917 MENDEZ SALEEDO, EDILTRUDIS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

159956 SANTIAGO RAMOS, MARIA JULIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

160011 JIMENEZ CUEVAS, GILBERTO Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

160035 VARGAS LISBOA, MARCELINA Public Employee & Pension/Retiree2 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

160055 DELGADO ARROYO, JESUS Pension/Retiree 5/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

160059 REYES PEREZ, MARIBEL Public Employee 3/30/2021

Office of Administration and Transformation of Human Resources in the Government of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 324 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

160062 MARTINEZ MARTINEZ, ZAIRY Public Employee & Pension/Retiree 3/30/2021

Socioeconomic Development of the Family Administration & Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

160067 OCASIO RAMIREZ , LUZ H. Public Employee & Pension/Retiree 6/10/2021

Department of Health, Family Health Center, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

160068 TFO PUERTO RICO, INC. Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

160082 GONZALEZ PEREZ, YOLANDA Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

160085 RIVERA, LOURDES Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 160096 OBREGON VARGAS, SILKIA M Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

160122 MARTINEZ VALENTIN, EUCLIDES Public Employee3 6/10/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

160132 SANABRIA AMELY, MYRNA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

160162 DIAZ CRUZ, LUISA E. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

160171 DIAZ FIGUEROA, CARMEN L Public Employee & Pension/Retiree 6/10/2021

Department of Labor and Human Resources & Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

160195 HERNANDEZ ORTIZ, FELIX Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

160196 RIVERA IRIZARRY, ANA E. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

160209 RIVERA ORTIZ, CARMEN MARIA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

160211 VAZQUEZ GARCIA, ADA NIVIA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

160215 QUINONES NUNEZ , SALVADOR Public Employee & Pension/Retiree 6/10/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

160219 MULLER ARROYO, JUANITA Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

160237 VAZQUEZ PACHECO, LAURA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

160238 MARCUCCI RAMIREZ, EDGARDO Public Employee 11/13/2020 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

160243 LORENZO RAMOS, AWILDA Public Employee 10/22/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

160245 RIVERA TORRESS, ADA I. Public Employee & Pension/Retiree2 5/4/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

160281 RIVERA LOPEZ, EMMA I. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 325 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

160302 CABEZAS CARRASQUILLO, MARIA TERESA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

160310 RODRIGUEZ, MISAEL Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

160325 SANTIAGO PEREZ, AWILDA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

160401 MULLER ARROYO, JUANITA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

160404 MOLINA MEDINA, OLGA A Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

160451 SANTOS RAMOS, MARIA J. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

160498 AYALA VELEZ, ANISA M Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

160512 SIERRA CONCEPCION, PEDRO JUAN Public Employee & Pension/Retiree4 3/5/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

160514 MORALES PIZARRO, MINERVA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

160589 VALENTIN ESQUILIN, ANNETTE Public Employee & Pension/Retiree 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

160623 RAMOS AVILA, CLEMENCIA Public Employee & Pension/Retiree2 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

160656 CRUZ RODRIGUEZ, MILAGROS Public Employee, Pension/Retiree & Union Grievance 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

160681 AVILES PADIN, LUZ E. Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

160693 SANDERS MUNOZ, WILLIAM Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

160707 FIGUEROA ECHEVARRIA, IVAN Public Employee 6/10/2021 Department of Health (AFFAS) Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

160719 IRIZARRY ALBINO, ROLANDO Public Employee & Pension/Retiree2 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

160749 VILLANUEVA ESTEVES, JOSUE Public Employee & Pension/Retiree 6/10/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

160754 AVILES MENDEZ , MILAGROS Public Employee & Pension/Retiree 11/13/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 160755 VEGA ZAYAS, FERNANDO L. Public Employee & Pension/Retiree 3/30/2021 Mental Health Services and Addiction Control Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

160764 RODRIGUEZ, LIZARDO TORRES Public Employee 5/4/2021 Highway and Transportation Authority Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

160771 BERMUDEZ NEGRON, YAMILET Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 326 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

160801 COLON SANTIAGO, GLORIA M. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

160805 DIAZ RODRIGUEZ, JORGE L. Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

160836 RIVERA ORTIZ , JAIME Public Employee, Pension/Retiree & Union Grievance 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

160899 VAZQUEZ DE JESUS, MICHAEL Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

160904 ROSADO CRUZ, RAUL A. Public Employee 3/30/2021 General Court of Justice Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

160905 SANTOS CHAMORRO, AUGUSTINA Public Employee & Pension/Retiree 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

160921 VARGAS-NIEVES, MARIA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

160930 DIAZ CRUZ, LUISA E. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

160980 TORRES SANTOS, EDILBERTO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

160997 NEGRON RIVERA, HECTOR L Public Employee & Pension/Retiree 6/10/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

161001 TORRES MUNOZ, DAISY E. Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

161012 GELABERT CARDOZA, NEREIDA Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

161020 MACHUCA MARTINEZ, IRIS D Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

161026 VARGAS ESCOBAR, MIRIAM Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

161028 OLIVIERI NIEVES, ANA Public Employee & Pension/Retiree 6/10/2021 Department of Housing, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 161045 DIAZ CRUZ, LUISA E. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 161053 SANTIAGO, VIVIAN BAEZ Public Employee & Pension/Retiree 3/30/2021

Family and Children Administration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

161054 CUBERO VEGA, RAFAEL Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 161063 CINTRON SUAREZ, EDUARDO R. Public Employee & Pension/Retiree2 3/30/2021

Department of Labor and Human Resources, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

161064 NIEVES-NIEVES, NELSON Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

3rd and Final Information Request 

letter sent to claimant; awaiting 

response

N N/A 

161069 LUGO DE JESUS, JUAN F. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 327 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

161088 PEREZ MONTANO, JUANITA Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

161118 ORTIZ GARCIA, LUZ N Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

161124 RENDON SANCHEZ, AMIR Pension/Retiree 11/6/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revie

161188 RUIZ ROSADO, ISABEL Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 161211 RODRIGUEZ VIERA, EVA J. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 161222 ZAYAS MARTINEZ, LUZ NEREIDA Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 161267 RODRIGUEZ TORRES, GLADYS Public Employee 5/4/2021 Department of Transportation and Public Works Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

161277 NIEVES NIEVES, NELSON Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

3rd and Final Information Request 

letter sent to claimant; awaiting 

response

N N/A 

161280 ORTIZ FELICIANO, AIDZA E Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

161289 RODRIGUEZ VIERA, CARMEN G Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

161306 NIEVES-NIEVES, NELSON Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

3rd and Final Information Request 

letter sent to claimant; awaiting 

response

N N/A 

161317 ROBLES GARCIA, FRANCISCO Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

161326 BUTLER RODRIGUEZ, ANA H Public Employee & Pension/Retiree 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

161327 RODRIGUEZ COLON, NORMA LUZ Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

161329 GONZALEZ RIVERA, ROSA E. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

161330 LASALLE ACEVEDO, ISIDRO Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

161336 CRUZ ACEVEDO, ISABELITA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

161339 RIVERA QUINONES, EFRAIN Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

161343 SAAVEDRA BARRETO, ZORAIDA Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

161391 BUTLER RODRIGUEZ, ANA H. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

161424 RIVERA LEBRON, JOAQUINA Public Employee 5/4/2021

Department of Sports and Recreation, National Parks of Puerto Rico, Recreational Development Company

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 328 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

161428 JIMENEZ, NILDA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

161436 CASTRO MARQUEZ, JOSE L. (FALLECIDO) Public Employee3 6/10/2021 Department of Correction and Rehabilitation, Administration of Correction Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

161437 VIVES HEYLIGER, MIGUEL A. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

161447 CURBELO RUIZ, CARMEN M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

161449 HERNANDEZ RIVERA, MARIA E. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

161471 FELICIANO-CUEVAS, NANCY I. Pension/Retiree6 7/2/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A N N/A 

161496 JIMENEZ JIMENEZ, ENRIQUE Public Employee & Pension/Retiree2 3/30/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

161514 AMADOR ROMAN, ALMA L. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

161521 ACEVEDO RUIZ, ANA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

161555 GONZALEZ PEREZ, MARIA C. Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

161561 MELENDEZ CRUZ , MAYRA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

161588 CRUZ RODRIQUEZ, VIONNETTE Public Employee, Pension/Retiree & Union Grievance 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

161606 MARCUCCI RAMIREZ, EDGARDO Public Employee 11/13/2020 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

161615 MEDINA CRUZ, WILLIAM Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

161634 RAQUEL CABRERA, ANA Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

161700 ORTIZ FELICIANO, AIDZA E Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

161715 MERCADO HERNANDEZ, MARIA L. Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

161719 RODRIGUEZ TORRES, MARISELI Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

161750 CORREA NARVAEZ, ADLIN L. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

161762 SOTO, LILLIAM ROMAN Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

161793 NARVAEZ, EVA CHINEA Public Employee & Pension/Retiree2 5/4/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 329 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

161800 RODRIGUEZ TORRES, LUIS Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

161805 VEGA COLON, HILDA L. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

161839 AVILES, ANGEL L. Public Employee & Pension/Retiree 6/10/2021 Department of Health & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 161896 OCASIO ROSARIO, DIGNA L Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 161931 RODRIGUEZ ARZUAGA, BLANCA I. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 161963 AVILES MENDEZ, MILAGROS Public Employee & Pension/Retiree 11/13/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 161980 RODRIGUEZ HERNANDEZ, JOSE JUAN Public Employee 5/4/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

162005 HERNANDEZ, NOEL OCASIO Public Employee & Pension/Retiree2 7/2/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

162037 SANTIGO PEREIRA, EDWIN Public Employee & Pension/Retiree2 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

162044 RIVERA QUILES, MARIA I Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

162076 LUGO VALENTIN, SANDRA F. Public Employee & Pension/Retiree 10/22/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 162106 CARRION RIVERA, GLADYS Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

162107 RODRIGUEZ HERRERA, ANTONIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

162119 BARRETO ORTIZ , EMMARIS Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

162125 ANTONY RIOS, MYRIAM Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

162132 GARCIA HERNANDEZ, ARLEEN Pension/Retiree 11/6/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

162139 RODRIGUEZ MORENO, HAYDEE Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 162164 ORTIZ DELGADO, EDWIN Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

162171 CARABALLO FLORAN, YARITZA Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

162189 SEGARRA RIVERA, IVELISSES Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 162192 PADIN RIOS, MARIA R Public Employee & Pension/Retiree2 3/30/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 330 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

162204 CRUZ CRUZ, ROSITA Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

162227 MENDEZ BARRETO, NEREIDA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

162244 HUERTAS TORRES, GLADYS Public Employee, Pension/Retiree & Union Grievance 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

162254 BLANCO FERNANDEZ, JOSE E. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

162273 CURBELO RUIZ, CARMEN M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

162276 HERRERA PEREZ, ANA C. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

162295 DE HOYOS SERRANO, BLANCA E. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

162296 CHAVEZ PINEIRO, ROBERTO Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

162323 BARRETO ADORNO, CARLOS ENRIQUE Public Employee & Pension/Retiree 7/13/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

162326 CRUZ HERNANDEZ, LADIS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

162388 GUERRA SANCHEZ , ANGEL R. Public Employee & Pension/Retiree2 5/4/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

162409 KERCADO SANCHEZ, EDNA MARIA Public Employee & Pension/Retiree2 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

162412 IRIZARRY VALENTIN , CARMEN Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

162427 DE LOS A. TORRES MELENDEZ, MARIA Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

162480 RODRIGUEZ MUNOZ, MARIA B Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

162496 CABRERA SOTOMAYOR, JOSE A Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

162529 DE JESUS, IDUVINA RIOS Public Employee 5/4/2021 Department of Justice Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

162535 PEREZ PIMENTEL, MADELINE Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

162538 MONSEGUR SALCEDO, PEDRO Public Employee 6/10/2021 Department of Health, Mental Health Services and Addiction Control Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 162582 MOJICA ORTIZ, LUCILA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

162586 SANTANA RODRIGUEZ, YOLANDA Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 331 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

162624 LOPEZ RODRIGUEZ, ADA NELLY Public Employee & Pension/Retiree 7/13/2021 Department of Health & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 162648 RIVERA CONCEPCION, ARMINDA Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 162675 MORALES MADERA, JOSUE Pension/Retiree 11/6/2020

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revie

162679 CABALLERO RODRIGUEZ, MARITZA Public Employee 7/13/2021 Department of Education Y N/A N N

3rd and Final Information Request 

letter sent to claimant; awaiting 

response

N N/A 

162709 COLON PINEIRO, FRANCISCO Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 162717 OQUENDO ROSSY, BLANCA I. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

162745 ROSARIO LUNA, NORBERTO Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

162784 HERNANDEZ VELEZ, DANNETTE Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

162790 MARTINEZ TIRADO, LUZ M. Public Employee & Pension/Retiree 11/13/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 162823 VINAS LEDEE, JULIA I. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

162831 BERMUDEZ RODRIGUEZ, MAYRA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

162870 HERNANDEZ ABRAMS, CARMEN GLADYS Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

162899 TIRADO GARCIA, ALEXIS Public Employee & Pension/Retiree 6/10/2021 Department of Natural and Environmental Resources Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 162904 CARPENA TORRES, JAIME E. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 162915 RODRIGUEZ-LOPEZ, EDITH M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

162925 MELENDEZ ROSADO, YOLANDA Public Employee & Pension/Retiree 11/13/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 162926 BOCACHICA COLON, MARIA I Public Employee & Pension/Retiree 11/13/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 162945 DIAZ PAGAN, ELBA IRIS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 162962 PEREZ DIAZ, MARIA G Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 163009 COSME PITRE, IVETTE Y Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 163019 NEGRON RIVERA, ARNALDO Public Employee & Pension/Retiree 6/10/2021

Department of Correction and Rehabilitation & Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 332 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

163054 NEDAL RODRIGUEZ, TOMAS Public Employee & Pension/Retiree 6/10/2021 Administration of Correction Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 163094 ALVAREZ ANDINO, NELSON Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 163145 MEDINA DIAZ, LUCIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 163153 PORTALATIN HERNANDEZ , ALICE Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 163174 RAMOS RODRIGUEZ, DIANA E. Public Employee & Pension/Retiree 6/10/2021 Department of Family & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 163188 RIVERA MORALES, ANA C. Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

163205 MELENDEZ REYES, MIRIAM Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

163228 MUNOZ DELGADO, MARIA Public Employee 5/4/2021 Senate Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

163240 RODRIGUEZ NARVAEZ, AWILDA Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

163300 MENDEZ CRESPO, MARIA A Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

163307 RIVERA RODRIGUEZ, DIANA Public Employee & Union Grievance 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

163330 GOMEZ MORALES, GRACIELA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

163333 LABOY MALDONADO, MARIA T. Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

163345 ALGARIN ROSADO, ARACELIS Public Employee, Pension/Retiree & Union Grievance 6/10/2021 Office of Court Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

163361 FORES GALARZA, EDWARD Public Employee & Pension/Retiree 11/11/2020 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 163423 LABOY MALDONADO, MARIA T. Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

163426 LABOY MALDONADO, MARIA T. Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

163483 RIVERA RODRIGUEZ , RICARDO Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

163493 RIVERA FONSECA, CARLOS F. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 163522 DIAZ MORALES, PEDRO J. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

163531 BURGOS RODRIGUEZ, GLADYS Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 333 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

163580 DIAZ MORALES, SONIA N. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

163586 FRANCIS ROSARIO, DOLORES R. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 163602 COLON WILLIAMS, YOLANDA Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

163626 DIAZ MORALES, PEDRO J. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

163649 VAZQUEZ ROMERO, VIRGENMINA Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

163666 RIVERA RODRIGUEZ, MARITZA Public Employee & Pension/Retiree 3/30/2021

Vocational Rehabilitation Administration & Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

163709 RODRIGUEZ MARTINEZ, RAFAEL Public Employee & Pension/Retiree 6/10/2021

Department of Correction and Rehabilitation, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

163749 RODRIGUEZ CANDELARIO, LUIS ALBERTO Public Employee 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

163784 RAMOS ZAVALA, JORGE IVAN Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 163822 SANCHEZ RESTO, VIRGINIA Public Employee 5/4/2021 Department of Social Services, Department of Family Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

163869 MARTINEZ RUIZ, GLORIA M Public Employee & Pension/Retiree2 11/13/2020 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

163870 GONZALEZ, NITSA ROMAN Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

163908 CRUZ GOMEZ, ROSALIA Public Employee 6/24/2022 Department of Family Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

163932 RODRIGUEZ CARABALLO, NELSON Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

163972 RIVERA FIGUEROA, KAREN Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

163978 BERRIOS LOPEZ, LEYDA N Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

164018 LIND DAVILA, ADELITA Public Employee, Pension/Retiree & Union Grievance 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

164047 BOU SANTIAGO, MARIO A. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

164056 DIAZ APONTE, LUZ LILLIAN Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

164069 PEREZ GRACIA, VIVIAN Public Employee & Pension/Retiree 6/10/2021 Department of Health, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

164077 VEGA PAMBLANCO, BILMA I. Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 334 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

164079 IRIZARRY RODRIGUEZ, REINALDO Pension/Retiree 3/30/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

164083 FERNANDEZ HIRALDO, LUZ AIDA Public Employee 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

164089 HERNANDEZ QUIRINDONGO, GRISELLE Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

164091 LUQUE, FRANCISCA CARDONA Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

164099 RIVERA RENTA, MANUEL Public Employee & Pension/Retiree2 5/4/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

164102 PACHECO VAZQUEZ, MARIA I. Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

164108 RAMOS ECHEVARRIA, MARIA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

164120 CORREA SANABRIA, JOANN Public Employee & Pension/Retiree2 5/4/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

164142 RIVERA, MIRIAM E. Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 164182 CASTRO RIVERA, MARITZA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

164202 DAVILA RODRIGUEZ, RUYSDAEL Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

164262 NICOLA ALTIERY, ISABEL Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

164263 ROSA ROSA, LUIS BENJAMIN Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

164293 RIVERA VALENCIA, NORA Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

164306 BURGOS TZSCHOPPE, ILIANA Public Employee 3/30/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

164313 SANCHEZ VEGA, SANTA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

164322 VARELA TORRES, OLGA REGINA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

164342 SANTONI LOPEZ, ROSA M. Public Employee & Pension/Retiree2 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

164346 NIEVES RODRIGUEZ, HILDA Public Employee & Pension/Retiree2 3/30/2021 Department of Justice Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 164356 RAMOSTORRES, ZULMA Public Employee 5/4/2021 Vocational Rehabilitation Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

164385 RIVERA PEREZ, INES V Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 335 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

164397 LOPEZ CACERES, ANTONIA Public Employee & Pension/Retiree 6/10/2021 Department of Family, Department of Social Services Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 164465 MORALES LEBRON, JOSEFINA Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 164468 MARTINEZ GONZALEZ, MILDRED Public Employee 6/10/2021 Family and Children Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

164512 CORTES FERNANDEZ, RAFAEL Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

164527 RODRIGUEZ LUGO, LETICIA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

164529 DE A. TORO OSUNA, FRANCISCO Public Employee & Pension/Retiree 6/10/2021 Public Building Authority, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

164616 CRUZ SEDA, VIRGINA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

164632 ZAYAS DE JESUS, SHERLEY Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

164651 RODRIGUEZ ESTRADA, SAMMY Public Employee 5/4/2021 Administration of Youth Institutions Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

164672 SANCHEZ SANTIAGO, JOSE A Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

164692 VERA VIROLA, LUZ N. Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

164699 LAGUNA GARCIA, LOURDES Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

164700 RIJOS RODRIGUEZ, RAUL Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

164703 JORGE DEL VALLE, ELSA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

164708 VELAZQUEZ, SERGIO GOMEZ Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

164749 RODRIGUEZ MEDINA, RAMON W Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

164786 VEGA PAMBLANCO, BILMA I. Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

164796 OCANA ZAYAS, DAISY Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

164809 TORRES ALICEA , ELIBETH M. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

164853 FELICIANO CORA, IRIS N. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

164854 OCTAVIANI VELEZ, EDNA H. Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 336 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

164861 PEREZ FONSECA, ELIAS Public Employee & Pension/Retiree 7/29/2022 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

164894 RODRIGUEZ TORRES, CECILIA Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

164932 ORTIZ APONTE, ADA M Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

165045 DE LA CRUZ CRUZ, RAMON Public Employee & Pension/Retiree2 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

165051 RIVERA RODRIGUEZ, DENNIS Public Employee & Pension/Retiree 6/10/2021 Mental Health Services and Addiction Control Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

165053 FONTANEZ PLAZA, DOMINGA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

165086 GARCIA GARCIA, RAFAEL Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

165095 RIVERA FIGUEROA, KAREN Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

165152 GONZALEZ VAZQUEZ, JORGE L. Public Employee 3/30/2021 Administration of Correction Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

165175 OCASIO BERRIOS, LUZ M. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico, Teachers Retirement System

Y N/A Y Y N/A Y In Process/Under Revi

165176 MARTINEZ GARCIA, ROSA H. Public Employee & Pension/Retiree2 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

165204 ACEVEDO SANTIAGO, MILDRED Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

165210 TORRES MUNOZ, DAISY E. Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

165223 AYALA OTERO, SAMUEL Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

165244 VELEZ RIVERA, MARILYN Public Employee & Pension/Retiree2 5/4/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

165291 RODRIGUEZ MARENO, ADELINE Public Employee & Pension/Retiree 7/13/2021 Department of Health, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

165307 MANSO CEPEDA, WANDA L. Public Employee & Pension/Retiree 7/2/2021 Department of Housing Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 165311 CARRASQUILLO MATOS, ENOELIA Public Employee & Pension/Retiree4 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

165331 GONZALEZ RIVERA, EVELYN Public Employee & Pension/Retiree 3/30/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

165334 CARRASQUILLO GARCIA, NIVIA A. Public Employee & Pension/Retiree2 6/10/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

165347 CARRION RIVERA, GLADYS Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 337 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

165375 CRUZ MEDINA, AIDA L. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico, Teachers Retirement System

Y N/A Y Y N/A Y In Process/Under Revi

165386 CRUZ SANTIAGO, MIGUEL Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

165437 ORTIZ MERCADO, BERNICE Public Employee & Pension/Retiree2 7/2/2021 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

165499 CORDORA ALVIRA, FRANCES MARTA Public Employee 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

165503 DIAZ-TORRES, LUIS A. Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

165507 VARGAS SEPULVEDA, EMELINA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

165538 CINTRON RUIZ, ANGEL M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

165551 RIVERA ORTIZ, CARMEN MARIA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

165567 VANDESSPPOOLL ROSADO, JUAN A. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

165573 RIVERA FALU, CARMEN M. Public Employee & Pension/Retiree 6/10/2021 Department of Family Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

165574 VELAZQUEZ VELAZQUEZ, ANA L. Public Employee 6/10/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

165594 MARCUCCI RAMIREZ, EDGARDO Public Employee & Pension/Retiree 3/30/2021 Administration of Correction, Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

165615 PEREZ MONTANO, MARIA DOLORES Public Employee 11/13/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

165646 FELICIANO MONTES, RAMON A Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

165700 RESTO MONTANEZ, MARIA Y. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

165728 RIVERA LEON, ANTONIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

165751 COLLAZO RIVERA, CARMEN L. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

165775 RIVERA GOMEZ, LUZ D. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 165839 ALDARONDO QUINONES, SYLVIA I Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 165869 RIVERA MADERA, LUIS A. Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 165874 SERRANO TORRES, NANCY Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 338 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

165901 SANTIAGO QUINONES, RAFAEL Public Employee 3/30/2021 Administration of Correction Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

165990 DIAZ SILVA, MIGDALIA Public Employee, Pension/Retiree & Union Grievance 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 166034 ACEVEDO HERNANDEZ, ANA E. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

166057 PEREZ MONTES, NATIVIDAD Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

166085 CARRASQUILLO ZAYAS, NEYRA LIZ Public Employee3 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

166152 URDANIVIA MENDEZ, LILIANA B Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

166170 MELENDEZ MALDONADO, MIGUEL ANGEL Public Employee 5/4/2021 Public Housing Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

166180 LOZANO LOZANO, NYDIA A Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

166212 MARTINEZ-NATAL, LUZ I. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

166260 MORALES VAZQUEZ, VICENTE Public Employee3 6/10/2021 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

166272 GONZALEZ PEREZ, MARIA F. Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 166290 SALA RAMIREZ, MARIA L. Public Employee 5/4/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

166307 DE JESUS, MARGARITA Public Employee 6/10/2021 Department of Natural and Environmental Resources Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 166336 SISCO RODRIGUEZ, ELBA Public Employee & Pension/Retiree2 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

166423 RIVERA FLORES, CARLOTA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

166426 RODRIGUEZ DE JESUS, ROSA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

166443 MERCED SANTOS, MARIA L. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

166450 MUNIZ IRIZARRY, WILLIAM Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 166455 BOCACHICA COLON, MARITZA Public Employee & Pension/Retiree2 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

166505 AMARO ORTIZ, JULIO Public Employee, Pension/Retiree & Union Grievance 3/30/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

166523 HERNANDEZ RIVERA, BRUNILDA Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 339 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

166544 REYES BURGOS, JENNY Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

166546 GONZALEZ RUIZ, HELEN Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

166552 CUBI TORRES, MIGUEL M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

166576 ACOSTA MENDEZ, MAGDA I. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

166588 MUNIZ IRIZARRY, IVIA L. Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

166592 RIVERA RIVERA, JOAQUIN Public Employee & Pension/Retiree 6/10/2021

Family and Children Administration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

166619 RIVERA FLORES, CARLOTA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

166630 MELENDEZ MARTINEZ, MARCELINA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 166651 RODRIGUEZ GARCIA, LUIS H. Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 166653 RIVERA FLORES, CARLOTA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

166725 FONT MATOS, LISLE Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 166728 HERNANDEZ RODRIGUEZ, HAYDEE Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 166751 BERRIOS GARCIA, HECTOR LUIS Public Employee 3/30/2021 Department of Agriculture Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

166763 MIRANDA APONTE, ADA N. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 166797 GONZALEZ TORRES, YOLANDA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 166848 APONTE RIOS, REBECCA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 166850 FELICIANO FIGUEROA, VIDALINA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

166880 ROSA RIVERA, NOEL Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 166912 DIAZ CRUZ, LUISA E. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 166958 SANTIAGO ANDUJAR, VIRGEN S. Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

167006 MORALES GARCIA, CARMEN E. Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 340 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

167029 COURET CARABALLO, BRENDA I Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

167045 PEREZ SANCHEZ, NORMA I. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 167083 SOTO ECHEVARRIA, MIRTA I. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 167095 RODRIGUEZ LEDEE, JESUS M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 167109 GOMEZ PENA, LUISA JOSEFINA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

167111 GOMEZ PENA, LUISA JOSEFINA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

167118 JORGE DEL VALLE, ELSA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 167122 DOMENECH MANSO, NILDA R. Public Employee & Union Grievance 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 167129 HERNANDEZ SANTIAGO, CARMEN Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

167145 RIVERA DE PENA, CARMEN I. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 167153 ORTIZ APONTE, IRIS DALILA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 167161 CORREA FONSECA, YOLANDA I. Public Employee & Pension/Retiree2 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

167171 MARTINEZ GUTIERREZ, MIGDALIA Public Employee 5/4/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

167180 LOPEZ-VELEZ, EDNA NYDIA Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

167186 ROCHE CONDE, LUIS F. Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

167214 GONZALEZ LLANES, CARMEN L. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

167221 GONZALEZ, EVELYN ALICEA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

167239 RAMOS MARTINEZ, IVETTE Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

167246 PICOT MARQUEZ, WILFREDO Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

167252 PICOT MARQUEZ, WILFREDO Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

167253 RAMOS MARTINEZ, IVETTE Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 341 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

167257 MARTINEZ MORALES, CARMEN M Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

167266 CORTES MORALES, RAQUEL Public Employee, Pension/Retiree & Union Grievance 7/13/2021 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 167276 LABOY CASTILLO, IRMA Public Employee & Pension/Retiree 11/11/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 167279 RIVERA CRUZ, WILLIE Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

167287 FLORAN RODRIGUEZ, ELIAS Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

167291 MATIAS SOTO, BELFORD A. Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

167313 GALINDO CORDERO, CARMEN L. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

167317 OYOLA MALDONADO, ORLANDO Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

167347 MEDERO ESPANOL, DELIA I. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

167378 MIRABAL ROBERTS, LOURDES Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

167384 MARTINEZ, MARIA MILAGROS COSS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 167392 TORRES MEDINA, DORA E Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

167419 MARTINEZ RUIZ, GUILLERMO Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

167473 MEDINA SOTO, DENIS E. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

167490 CASTRO VELEZ, ROSA I. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

167506 CASTRO VELEZ, NEIDA I. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

167520 MERCADO GALINDO, MOISES M Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

167551 PINTO VEGA , AMANDA Public Employee & Pension/Retiree 3/30/2021 Department of Health & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

167591 ARROYO LOPEZ, MYRNA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

167604 HERNANDEZ SOSA, CARMEN V. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

167607 ESTHER CARRION, GLORIA Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 342 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

167619 RAMOS ECHEVARRIA, NORA Public Employee & Pension/Retiree 6/10/2021 Department of Family Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 167635 SANTOS HERNANDEZ, MARLEEN Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico, Teachers Retirement System

Y N/A Y Y N/A Y In Process/Under Revi

167645 RAMOS MONTALVO, ANTONIO Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

167686 MUNIZ SOTO, JUAN J Public Employee & Pension/Retiree 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 167720 FANJUL VERAS, HAYDEE G. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

167736 LUGO VAZQUEZ, GENOVEVA Public Employee 11/11/2020 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

167740 WEBER LOPEZ, REBECCA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

167741 WEBER LOPEZ, REBECCA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

167743 WEBER LOPEZ, REBECCA Public Employee & Pension/Retiree2 5/4/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

167750 DOMINGUEZ RODRIGUEZ, CARLOS Public Employee 5/4/2021 Vocational Rehabilitation Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

167756 MALDONADO MARRERO, EDWARD E. Pension/Retiree 3/5/2021 Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A Y Y N/A Y In Process/Under Revi

167770 GALVEZ OCASIO, MARTA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

167799 DE JESUS DE JESUS, CANDIDA Public Employee3 6/10/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

167813 MORALES RODRIGUEZ, YOLANDA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

167833 MORALES COLON, EUGENIO Public Employee 5/4/2021 Department of Agriculture Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

167835 MORALES DE JESUS, JUANITA Public Employee 6/10/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

167836 MORALES DE JESUS, OLGA I Public Employee 6/10/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

167837 MORALES DE JESUS, MARITZA Public Employee & Pension/Retiree 6/10/2021 Department of Labor and Human Resources Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

167874 MORALES DE JESUS, MILAGROS Public Employee 7/2/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

167897 RODRIGUEZ QUILES, MILDRED Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

167916 MATOS ARROYO, MARIBEL Public Employee3 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 343 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

167924 CONDE ARES, CARMEN M Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 167937 CONDE ARES, CARMEN M Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 167942 CONDE ARES, CARMEN M Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 167969 RIOS MONTANEZ, LUZ H Public Employee & Pension/Retiree 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 167974 TORRES NICOT, CRUCITA Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 167995 LOPEZ PEREZ, ANGEL L. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

167996 CEBALLOS FUENTES, RUTH E. Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

168017 DEL TORO CARRERO, SERAFINA Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

168029 CORREA BORRERO, VIVIAN O. Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

168030 ESTREMERA DEIDA, LISSETTE Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

168066 RAMOS RIVERA, MARTA I. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 168082 VILLANUEVA STGO, MILDRED Public Employee & Pension/Retiree 6/10/2021 Child Support Administration & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 168093 NAVARRO SANCHEZ, JANNETTE Public Employee & Pension/Retiree2 5/4/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

168104 CURET GALIO, MARCOS ANTONIO Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

168114 ADARONDO QUINONES, SYLVIA IRIS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

168115 DIAZ MONTANEZ, MIGNALIS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

168118 DIAZ MONTANEZ, MIGNALIS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

168120 DIAZ MONTANEZ, MIGNALIS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

168125 MATOS RIOS, EDUVINO Public Employee 5/4/2021 Department of Correction Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

168131 MALDONADO NAVARRO, FRANCISCO J Public Employee & Pension/Retiree 6/10/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

168132 MALDONADO NAVARRO, JESUS M J Public Employee & Pension/Retiree 6/10/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 344 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

168136 MALDONADO NAVARRO, ELERY Public Employee & Pension/Retiree 6/10/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

168139 CASTRO SANTOS, SANDRA L Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

168149 ACEVEDO, MAGDALENA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

168152 COLON, CARMEN Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 168154 CALDERON, MARYBEL Public Employee & Pension/Retiree2 5/4/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

168174 COLON, DORIS J. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

168196 ACEVEDO GONZALEZ, DANIEL Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

168349 RODRIGUEZ RIVERA, RAFAEL Public Employee 6/10/2021 Mental Health Services and Addiction Control Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 168370 RIVERA ALBINO, AWILDA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

168401 MERCADO CRUZ, NORA I. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

168436 FELICIANO PEREZ, CARMEN JUDITH Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

168464 CRUZ VAZQUEZ, RAMBERTO Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

168525 SANTIAGO MARTINEZ, MIGDALIA Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

168536 RIVERA FERNANDEZ, HERIBERTO Public Employee & Pension/Retiree 6/10/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

168590 AHMED GARCIA, NACIMA Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

168620 NAZARIO VELEZ, ROSA IRIS Public Employee & Pension/Retiree 11/11/2020 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 168645 SANCHEZ ORTIZ, JOHNNY Pension/Retiree1 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

168832 SANTIAGO RIVERA , EDWIN Public Employee & Pension/Retiree2 1/4/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

168967 DIAZ, DELFINA MONSERRATE Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

168983 PELLICCIA ANTONGIORGI, JORGE LUIS Public Employee & Pension/Retiree 6/10/2021 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

169005 BERMUDEZ DAVILA, HAYDEE Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 345 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

169034 SANTIAGO, FRANCISCA CASIANO Public Employee & Pension/Retiree 3/30/2021 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 169036 REYES ALICEA, ELEIDA I. Public Employee 5/4/2021 Department of Health, Department of Health - Ponce Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 169061 ORTIZ CARTAGENA, LUIS Pension/Retiree6 3/30/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

169067 CASIANO SANTIAGO, FRANCISCA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

169334 ROCHE, PAULA Public Employee 5/4/2021 Department of Natural and Environmental Resources Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

169362 BURGOS ROLON, RAUL Pension/Retiree1 3/30/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

169524 LANDRO GONZALEZ, JULIO E. Public Employee & Pension/Retiree 10/22/2020 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

169525 RAMIREZ TORRES, VIVIAN Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

169554 ANTONETTY GONZALEZ, MISAEL Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

169568 DE LEON ORTIZ, ADA I. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

169600 OQUENDO MUNIZ, ISAAC Public Employee 3/30/2021 Department of Natural and Environmental Resources Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 169602 DOMINGUEZ MORALES, MILAGROS I. Pension/Retiree 3/30/2021 Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A Y Y N/A Y In Process/Under Revi

169603 DOMINGUEZ MORALES, MILAGROS I. Public Employee & Pension/Retiree2 5/4/2021 Office of the OMBUDSMAN, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

169604 DOMINGUEZ MORALES, MILAGROS I. Public Employee & Pension/Retiree2 7/2/2021 Office of the OMBUDSMAN, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 169620 VARGAS ALVIRA, REINALDO Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

3rd and Final Information Request 

letter sent to claimant; awaiting 

response

N N/A 

169642 SERRANO JIMENEZ, RAMON A. Pension/Retiree 3/30/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

169655 OQUENDO MUNIZ, ISAAC Public Employee 3/30/2021 Department of Natural and Environmental Resources Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 169656 TORRES TORRES, PEDRO ANTONIO Pension/Retiree6 5/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

169674 NAZARIO SANTIAGO, ADA M. Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

169676 LAGO ROIG, NELLIE DEL R Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

169689 NAZARIO SANTIAGO, CARLOS M. Public Employee & Pension/Retiree2 3/30/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 346 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

169694 DIAZ DE JESUS, JOSE LUIS Public Employee & Pension/Retiree 6/10/2021 Mental Health Services and Addiction Control Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 169711 MUNIZ GINEL, LUIS R Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

169733 RODRIGUEZ ARRIBE, ANGELICA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

169760 ORTIZ RODRIGUEZ, ANGEL L. Public Employee & Pension/Retiree2 3/30/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

169766 PAGAN MARTINEZ, ANDRES Public Employee & Pension/Retiree2 5/4/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

169767 RODRIGUEZ VALENTIN, MARIA ISABEL Public Employee & Pension/Retiree2 3/30/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

169779 MARTINEZ VALENTIN, LUIS GUILLERMO Public Employee 7/2/2021 Department of Education Y N/A N N 3rd and Final Information Request letter sent to claimant; awaiting 

response

N N/A 

169795 QUINONES FIGUEROA, LUIS A. Public Employee & Pension/Retiree2 1/4/2021 Department of Agriculture & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

169803 FIGUEROA MENDEZ, WILLIAM Public Employee, Pension/Retiree & Union Grievance 1/4/2021 Department of Agriculture & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

169807 MONTES ALICEA, PETRA Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

169824 SANTIAGO RODRIGUEZ, RAMONA Public Employee & Pension/Retiree 6/10/2021 Department of Labor and Human Resources Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

169827 SANTIAGO RODRIGUEZ, RAMONA Public Employee 5/4/2021 Department of Family, Department of Social Services Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

169858 MUNIZ BATISTA, IVAN A. Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

169889 SANTIAGO ORTIZ, BEATRIZ Public Employee & Pension/Retiree2 7/2/2021 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

169906 MENDEZ MUNIZ, NELSON Pension/Retiree6 5/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

169907 ROMAN DIAZ, ANGEL F. Public Employee, Pension/Retiree & Union Grievance 1/4/2021 Department of Agriculture & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

169921 RODRIGUEZ RODRIGUEZ , EMILIO Public Employee, Pension/Retiree & Union Grievance 3/30/2021 Department of Agriculture & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

169925 ROSA SERRANO, AIDA LUZ Public Employee 5/4/2021 Department of Agriculture Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

169938 SANTIAGO VALENTIN, JOSE A. Public Employee, Pension/Retiree & Union Grievance 1/4/2021 Department of Agriculture & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

169955 SERRANO JIMENEZ, FELIX Public Employee, Pension/Retiree & Union Grievance 3/30/2021 Department of Agriculture & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

169982 VELEZ CARRILLO, GILBERTO Public Employee, Pension/Retiree & Union Grievance 3/30/2021 Department of Agriculture & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 347 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

169984 AROCHO RIVERA, SANTOS Public Employee & Pension/Retiree2 5/4/2021 Department of Agriculture & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

169986 ORTIZ CEDENO, ARCADIO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

170000 AGOSTINI RIVERA, JORGE Public Employee 5/4/2021 Department of Agriculture Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

170019 RIVERA MALDONADO, CARMEN ELIDIA Public Employee 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

170025 VARGAS PEREZ, WILFREDO Pension/Retiree1 3/30/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

170031 SOLER RODRIGUES, CARLOS M Public Employee, Pension/Retiree & Union Grievance 3/30/2021 Transportation and Public Works & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

170039 VELEZ CISCO, AURELIO Public Employee 5/4/2021 Department of Agriculture Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

170044 VELEZ CARRILLO, ADALBERTO Public Employee, Pension/Retiree & Union Grievance 3/30/2021 Department of Agriculture & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

170045 LOPEZ ADAMES, ANGEL Public Employee, Pension/Retiree & Union Grievance 3/30/2021 Department of Agriculture & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

170059 PEREZ MAESTRE, ELENA Pension/Retiree6 5/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

170060 MALAVE VARGAS, EDWIN Public Employee & Pension/Retiree 1/4/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

170062 CORTES ALDAHONDO, VANESSA & GLORIA Public Employee 5/4/2021 Department of Agriculture Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

170070 GONZALES VEGA, OVIDIO Public Employee & Pension/Retiree 6/10/2021 Administration for Agricultural Business Development, Department of Agriculture Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

170081 AVILES CHAPARRO, NESTON Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

170110 GALARZA RUIZ, PELEQRINA Public Employee & Pension/Retiree 6/10/2021

Services and Agricultural Development Adminstration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

170113 VELEZ SISCO, JOSE A. Public Employee 5/4/2021 Services and Agricultural Development Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 170119 HERNANDEZ CRUZ, RAIMUNDO Public Employee 1/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

170120 MERCADO ROSA, HOMAT Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

170131 VAZQUEZ QUILEZ, MARCIANA Public Employee & Pension/Retiree 6/10/2021 Department of Agriculture Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

170135 MONROIG ROMAN, MANUEL A Public Employee & Pension/Retiree 6/10/2021 Department of Agriculture & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

170142 SANCHEZ SANTIAGO, AMPARO Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 348 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

170143 ESPADA FRANCO, GLORIA M. Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

170144 VELEZ CRUZ, LUIS RAUL Public Employee 5/4/2021 Services and Agricultural Development Adminstration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

170146 FELTON RODRIGUEZ, ABIGAIL Public Employee 5/4/2021 Office of the Ombudsman for the Elderly Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

170166 OCASIO PEREZ, CLARIBEL Public Employee 5/4/2021 Department of Agriculture Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

170167 CARRILLO TORRES, ANGEL MANUEL Pension/Retiree6 5/4/2021 Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A Y Y N/A Y In Process/Under Revi

170174 ORTIZ RIOS, FRANCISCO I Public Employee & Pension/Retiree 6/10/2021 Department of Transportation and Public Works Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

170188 COLON ROSARIO, ELIEZER Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

170189 MALAVE RODRIGUEZ, ESTHER Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

170208 ALVARADO RIVERA, EASTERLING Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

170234 MORALES ANTONETTY, RAFAEL Pension/Retiree6 5/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

170249 CRUZ RIOS, LEO ANTONIO Public Employee & Pension/Retiree2 5/4/2021 Department of Health, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

170255 VALENTIN MONTALVO, JOSE Public Employee & Pension/Retiree 6/10/2021 Department of Transportation and Public Works Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

170256 RIVERA RIVERA, LYDA MARTA Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

170257 MORALES SANCHEZ, YANIRA IMAR Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

170269 MATEO MELENDEZ, BLAS Public Employee & Pension/Retiree 3/30/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

170272 FONT RAMIREZ, ANTONIO Public Employee & Pension/Retiree 5/4/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 170273 PEREZ FEBUS, CELESTE Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

170281 MELENDEZ RODRIGUEZ, ELBA E. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

170283 DE JESUS SANTIAGO, LUZ ENEIDA Public Employee & Pension/Retiree 6/10/2021 Department of Family Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

170296 MATEO RIVERA, MIGDALIA Public Employee & Pension/Retiree 6/10/2021 Department of Family Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

170299 RIVERA PEREZ, WILLIAM Public Employee & Pension/Retiree2 5/4/2021 Services and Agricultural Development Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 349 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

170308 VIVIER COLON, JORGE LUIS Public Employee & Pension/Retiree2 5/4/2021

Services and Agricultural Development Administration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

170317 VELES TORRES, ALBINA Public Employee & Pension/Retiree 6/10/2021 Department of Agriculture Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 170331 DE JESUS SANTIAGO, LUZ ENEIDA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

170348 ORTIZ FELICIANO, YOEL Public Employee & Pension/Retiree2 6/10/2021

Services and Agricultural Development Adminstration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

170352 RAMOS RAMOS, MARIA ELSA Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

170356 ORTIZ VAZQUEZ, MAYRA I. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

170370 MARTINEZ MERCADO, CARMEN D Public Employee 5/4/2021 Department of Transportation and Public Works Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 170374 MATEO RIVERA, NILDA ROSA Public Employee & Pension/Retiree2 5/4/2021 Department of Family Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

170378 CAMPOS RAMOS, MARIO Public Employee & Pension/Retiree 6/10/2021 Transportation and Public Works Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

170382 TORRES CENTENO, DIOGENES Public Employee 5/4/2021 Department of Agriculture Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

170383 ARROYO LEDEE, WILFREDO Public Employee & Pension/Retiree 6/10/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

170389 GONZALES RIVERA, GILBERTO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

170395 SANTIAGO MARTINEZ, MARIA L. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

170406 CASTILLO MORALES, LIBRADO Public Employee & Pension/Retiree2 6/10/2021

Services and Agricultural Development Administration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

170407 ORTIZ SUAREZ, NORMA I. Public Employee 5/4/2021 Department of Agriculture Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

170426 CARABALLO TORRES, JESUS Public Employee & Pension/Retiree 6/10/2021 Department of Transportation and Public Works Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

170429 RIVERA MORET, PEDRO Pension/Retiree1 3/30/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

170432 RODRIGUEZ CAMPOS, MANUEL A. Public Employee 5/4/2021 Department of Transportation and Public Works Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

170435 RIVERA ALMODOVAR, ANA L. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

170437 COLON TORRES, WILBERTO Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

170438 QUINONES ORTIZ, SEBASTIAN Public Employee 5/4/2021 Department of Transportation and Public Works Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 350 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

170466 SANCHEZ DE JESUS, CARLOS ALBERTO Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

170486 MENDEZ SANCHEZ, RAMON Public Employee & Pension/Retiree 6/10/2021 Department of Transportation and Public Works Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 170505 LOPEZ SANCHEZ, RAMON Public Employee & Pension/Retiree 6/10/2021 Department of Agriculture Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 170506 MARTINEZ CUEVAS, RADAMES Public Employee & Pension/Retiree 6/10/2021 Department of Agriculture Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 170508 BAEZ SANTIAGO, LUISA ALI Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

170513 MARRERO LUCIANO, ANGEL SAMUEL Public Employee & Pension/Retiree 6/10/2021 Corps of Medical Emergencies Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

170535 GONZALEZ TORRES, VICTOR MANUEL Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

170543 CARTAGENA FLORES, LYDIA E. Public Employee & Pension/Retiree 6/10/2021 Department of Family Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 170550 DELGADO CRUZ, PEDRO Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

170572 COLON ORTIZ, JOSE E Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

170585 BARBOSA MARTINEZ, ILIA Public Employee 7/2/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

170598 TORRES GARCIA, ORLANDO LUIS Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

170604 RODRIGUEZ CINTRON, EDWIN Public Employee 3/30/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

170607 ROSA DIAZ, MIGUEL ANGEL Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

170614 RODRIGUEZ CARABALLO, MYRIAM Public Employee & Pension/Retiree 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 170615 JIMENEZ CRUZ, MANUEL Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

170623 SANTIAGO ACEVEDO, ROBERTO Public Employee & Pension/Retiree2 3/30/2021 Department of Family, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

170624 LOZANO SANTANA, JUANITA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

170632 CORPS RIVERA, WILFREDO Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

170633 ACOSTA MEDINA, MARIA DEL C. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

170641 MONGE BENABE, LUIS F. Public Employee & Pension/Retiree 3/30/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 351 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

170691 CARABALLE RIVERA, NELSON Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 170717 MIRABEL VAZQUEZ, IRMA N Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 170728 GARCIA SOLIVERAS, ANDRES Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

170731 RODRIGUEZ SANTIAGO, MIGUEL A Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

170735 RODRIGUEZ ESCOBAR, MARGARITA Public Employee3 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

170755 COLON ROSADO, NELSON Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

170757 CALDERON MARRERO, NATIVIDAD Public Employee & Pension/Retiree2 5/4/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

170762 CAMACHO GARCIA, RAUL Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

170768 LOZANO SANTANA, FELIX R Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

170777 MORALES MORALES, CANDIDO R. Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

170779 PEREZ MORALES, PATRIA Public Employee 5/4/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

170789 GARCIA LOPEZ, ISABEL A. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

170794 GUADALUPE RIVERA, ADA N Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

170796 RIVERA, MARINA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

170798 NAZARIO ALVIRA, HAYDEE Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

170799 RIOS MEDINA, CARMEN AMALIA Public Employee & Pension/Retiree2 5/4/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

170801 AYALA CEPEDA, NEYSA A Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

170832 CALDERON RODRIGUEZ, JUANITA A. Public Employee & Pension/Retiree2 5/4/2021 Department of Agriculture, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

170839 PACHECO CALDERON, IRIS B Public Employee & Pension/Retiree2 5/4/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 170847 FLORES MORALES, FRANCISCA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

170859 RAMIREZ MONTES, EVELYN Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 352 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

170862 ASENCIO RIVERA, ANA I Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

170863 CARDENAS MAXAN, ORLANDO Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

170864 SILVA CRUZ, MANUELA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

170883 CURBELO BECERRIL, ENID L. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

170884 ARROYO DIAZ, LUIS C Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

170892 ARROYO DIAZ, CARLOS RUBEN Public Employee 5/4/2021 Administration of Correction Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

170898 PLAUD GUTIERREZ, WILMAN M. Public Employee 3/30/2021 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

170900 GARCIA NERIS, GERARDO Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

170907 ORTIZ CORDEN, NAYDA SOCORRO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 170908 BURGOS ACEVEDO, MELGUIADES Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

170924 QUILES RIVERA, ISMAEL Public Employee 3/30/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

170927 RIVERA RIVAS, ARMANDO Public Employee 5/4/2021 Department of Correction Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

170940 CORDERO SOLIS, JUAN A. Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

170949 MUNIZ RAMOS, FERDINAND Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

170951 RIVERA MARTINEZ, JUDITH Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 170957 CARDONA VALAZQUEZ, JOSE LUIS Public Employee & Pension/Retiree2 5/4/2021 Administration of Correction, Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 170962 MARTINEZ REYES, JOSE I Public Employee 5/4/2021 Administration of Correction, Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 170978 ALEQUIN VALLES, OCTAVIO Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

170981 FLORES SANCHEZ, MARGARITA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

171002 SANTOS PAGAN, ALBERT Public Employee 3/30/2021 Administration of Correction, Department of Correction and Rehabilitiation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 171011 CAMACHO DAVILA, FERNANDO Public Employee 5/4/2021 Administration of Correction, Department of Correction Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 353 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

171019 DE JESUS RIOS, DALILA Public Employee 5/4/2021 Department of Transportation and Public Works Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 171020 AMORO GONZALEZ, CARLOS Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

171021 COLON ROSADO, NELSON Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 171022 GARCIA NERIS, GERARDO Public Employee 7/2/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

171025 OLIVENCIA QUILES, SANTOS ELADIO Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

171026 RODRIGUEZ DEJESUS, WILLIAM Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 171047 TORRES MORELAND, MYRIAM Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 171050 RAMIREZ PEREZ, ISIDORO Pension/Retiree1 3/30/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

171065 MORENO VEGA, RAUL Public Employee 5/4/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

171080 QUINONES RIVERA, NOEL Public Employee & Pension/Retiree2 5/4/2021 Administration of Correction, Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

171082 REYES TARDY, MANUEL Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

171100 VELAZQUEZ ZAYAS, NILSA I. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

171109 FELICIANO CIESPO, JESUS A. Public Employee & Pension/Retiree2 5/4/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

171114 SOTO, ISABEL Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

171118 PINEINO SOTO, JULIA Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

171128 RIVERA GONZALEZ, NELSON Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

171129 CEDENO DIAZ (DE MORENO), NOEMI Public Employee 6/10/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

171145 MALDONADO CUBI, ADERMAN Public Employee & Pension/Retiree2 5/4/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

171165 ORTIZ SALINAS, LUIS ORLANDO Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

171168 VELAZQUEZ ZAYAS, ZORAIDA Public Employee & Pension/Retiree 7/13/2021 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

171195 CAMACHO NARVAEZ, MARIA A. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 354 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

171199 GONZALEZ APONTE, CARLOS A Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 171202 VILLODAS MELENDEZ, WILFREDO Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

171204 CAPPAS BAEZ, LILLIAM Public Employee 5/4/2021 Administration of Correction, Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 171205 RODRIGUEZ RODZ, EDWIN Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

171207 FONSECA CRUZ, JUAN Public Employee 5/4/2021 Corps of Firefighters Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

171218 LABOY SANTIAGO, MANUEL Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

171224 RIVERA APONTE, VANESSA Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

171228 SANTIAGO RODRIGUEZ, RAMONA Public Employee 5/4/2021 Mental Health Services and Addiction Control Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

171235 TORVELLA GONZALEZ, DANIEL Public Employee 5/4/2021 Administration of Correction, Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 171236 RIVAS COLON, HECTOR LUIS Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

171238 RIVERA LOZADA, MARGARITA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 171253 CRESPO PEREZ, EFRAIN Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

171288 ALVARADO RODRIGUEZ, MARIBEL Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

171291 GONZALEZ TORRES, ARMANDO Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

171292 ARROYO PEREZ, LEONIDES Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

171300 RODRIGUEZ FELICIANO, ANGEL LUIS Public Employee 5/4/2021 Administration of Correction, Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

171307 RIVERA DELFONT, CARLOS Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

171315 RIVERA RIVERA, NIVIA J. Public Employee & Pension/Retiree2 5/4/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

171337 DIAZ MONTALVO, ANA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

171340 MONTANO QUINONES, WIGBERTO Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

171347 VELEZ RIVERA, MARITZA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 355 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

171368 MUNOZ FELICIANO, WANDA I. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 171428 RAMOS SANCHEZ, HECTOR Public Employee & Pension/Retiree 6/10/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

171444 CRUZ CASTILLO, SAMUEL Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

171527 RIVAS DELGADO, CARMEN JULIA Pension/Retiree 5/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

171658 SANCHEZ RIVERA, OLGA Public Employee 5/4/2021 Department of Labor and Human Resources Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

171703 ORTIZ BORRERO, MIGUEL Pension/Retiree1 3/30/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

171726 ALICEA RODRIGUEZ, FRANCISCO Public Employee3 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

171733 RIVERA PADILLA, NELSON Public Employee & Pension/Retiree 6/10/2021 Department of Sports and Recreation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

171741 SANCHEZ ROSADO, ENRIQUE Public Employee 5/4/2021 Department of Recreation and Sports Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

171753 PADILLA, LUIS VELEZ Public Employee 5/4/2021 Department of Recreation and Sports Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

171773 SANCHEZ GRACIA, EDUARDO Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

171779 PAGAN PEREZ, LUZ C. Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

171789 MIRABAL VAZQUEZ, IRMA N Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

171810 CERVANTES RIVERA, JOSE A Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

171826 DEVARIE CORA, HERMINICA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

171828 ORTIZ CASTRO, FELIX L. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

171836 PADILLA AYALA , RAMON Public Employee 5/4/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

171845 ORTIZ COLON, BRENDO Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

171861 MONTALVO, REMI Public Employee & Pension/Retiree 6/10/2021 Corps of Firefighters Bureau, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

171863 MONTALVO, REMI Public Employee & Pension/Retiree 7/13/2021 Corps of Firefighters Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

171891 CORA ROSARIO, BRUNILDA Public Employee 7/13/2021 Department of Housing Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 356 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

171908 ALICEA RODRIGUEZ, HELIODORA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

171913 FIGUEROA TORRES, CARLOS A. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 171919 CAPO VILLAFANTE, JOSE M Public Employee3 6/10/2021 Department of Sports and Recreation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

171922 FIGUEROA TORRES, VIVIEN V. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

171948 SANTOS TORRES, LUZLEIDA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 171952 GONZÁLEZ VÁZQUEZ, NILSA Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 171957 VELEZ ORTIZ, LILLIAN S Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 171963 RIVERA CORA, JOSE ALBERTO Public Employee3 6/10/2021 Department of Labor and Human Resources Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

171972 MONTALVO, REMI Public Employee & Pension/Retiree 7/13/2021 Corps of Firefighters Bureau, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

171976 ACEVEDO QUINONES, AIDA Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

171977 VALENTIN OLAZAGASTI, FREDERICK Public Employee3 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

172009 RAMOS MERCADO, CARMEN Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

172021 BOBE FELICIANO, NILDA Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

172034 RAMOS GONZALEZ, JOSE M. Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

172039 CORREA AVEZUELA, PLACIDO Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

172061 MONTANEZ FONTANEZ, LUZ E. Public Employee 6/10/2021 Agency Not Provided Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

172071 ENCARNACION RAMOS, JOSE Public Employee 5/4/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

172163 MATIAS ROMAN, JUAN Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

172171 MORALES GARCIA, LIDUVINA Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

172184 CORIANO SANCHEZ, ANGEL Public Employee 5/4/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

172187 ACEVEDO SANTIAGO, RICHARD Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 357 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

172193 PABON VELAZQUEZ, ANA C. Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 172197 DELGADO ROSARIO, MARIANO Public Employee 5/4/2021 Department of Recreation and Sports Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

172208 ALICEA RODRIGUEZ, LUZ M Public Employee3 6/10/2021 Department of Labor and Human Resources Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

172226 CORIANO SANCHEZ, AWILDA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

172232 FERRER OCASIO, WANDA I Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

172272 TORRES ALVARADO, DORIS EMMA Public Employee 5/4/2021 Department of Treasury (Negotiation of Collections) Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 172293 TORRES MALDONADO, RAMONA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

172295 TORRES RODRIGUEZ, JORGE Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

3rd and Final Information Request 

letter sent to claimant; awaiting 

response

N N/A 

172309 ALMA ALMA, KATHERINE Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

172315 ROBLEDO RIVERA, SYLVIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

172323 SANCHEZ FIGUEROA, VIRGILIO Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

172365 MARTINEZ OCASIO, JACQUELINE Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

172392 RIVERA PACHECO, NEIDA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

172412 DIAZ LOPEZ, GLORIA Public Employee & Pension/Retiree 3/30/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

172420 RODRIGUEZ RUIZ, IVELISSE Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

172438 GONZALEZ, MARGARITA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

172442 CRESPO RIVERA, OLGA CELESTE Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

172471 RODRIGUEZ VALAZQUEZ, JUAN Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

172484 HADDOCK RIVERA, ANA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 172504 SANCHEZ RUIZ, ANA RITA Public Employee 5/4/2021 Department of Transportation and Public Works Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 172522 HADDOCK RIVERA, ANA M Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 358 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

172524 JIMENEZ ROSADO, ROSA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 172550 RIVERA DELGADO, ROSA MARIA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

172572 GONZALEZ RIVERA, OLGA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 172585 CRESPO RIVERA, OLGA CELESTE Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

172590 MONTANEZ LABOY, LUIS M. Public Employee 5/4/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

172593 DE JESUS FIGUEROA, LUZ N. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

172594 LAMB MONTANEZ, VANESSA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

172595 CRESPO AROCHO, LUIS A. Public Employee & Pension/Retiree2 5/4/2021 Department of Natural and Environmental Resources Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

172630 SANCHEZ, FRANCISCA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

172633 DAVILA DAVILA, NELSON Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

172634 ALVAREZ DIAZ, ERNESTO Public Employee & Pension/Retiree 6/10/2021 Administration of Correction Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

172642 ORTIZ JOUBERT, WILLIAM R Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

172644 MURILLO RODRIGUEZ, CARLOS A Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

172653 RAMIREZ MORALES, NORMA I. Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

172744 SANTIAGO TORRES, JESUS M. Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

172801 MORALES ORTIZ, NILDA Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

172825 RAMOS FILOMENO, JUAN C. Public Employee 5/4/2021 Administration of Correction Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

172843

NORIS MONTANEZ RIVERA POR LUIS M. ORTIZ VEGA (ESPOSO FALLECIDO)

Pension/Retiree1 6/10/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

172846 MARTINEZ RODRIGUEZ, JORGE A. Public Employee & Pension/Retiree2 5/4/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

172861 ORTIZ, MARIA E. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

172887 SANCHEZ RIVERA, WILLIAM Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 359 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

172899 VEGA MERCADO, CARMELO Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

172906 DIAZ DE JESUS, ALFONSO Public Employee 3/30/2021 Administration of Correction, Department of Correction Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 172980 CRUZ HERNANDEZ, BLANCA IRIS Public Employee 5/4/2021 Vocational Rehabilitation Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

172982 FIGUEROA DE JESUS, BASILIO Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

173029 PAGAN MEDINA, MINERVA Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

173092 AVILES, BLANCA E. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

173103 JUSTINIANO NUNEZ, FREDDIE Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

173104 PRADO RODRIGUEZ, BIENVENIDA Public Employee3 3/30/2021

Department of Family & Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

173108 PRADO RODRIGUEZ, BIENVENIDA Public Employee & Pension/Retiree 3/30/2021

Department of Family, Department of Social Services & Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

173135 VEGA MARTINEZ, WILLIAM Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

173136 VEGA MARTINEZ, WILLIAM Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

173139 VEGA MARTINEZ, WILLIAM Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

173142 VEGA MARTINEZ, WILLIAM Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

173143 VEGA MARTINEZ, WILLIAM Public Employee & Pension/Retiree 3/30/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

173157 SANCHEZ DE JESUS, ARMANDO Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

173165 GARCIA GARCIA, MILAGROS Public Employee 3/30/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

173177 VALLS FERRAIUOLI, GLORIA ELENA Public Employee 3/30/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

173184 ROMAN MORALES, JOSE D Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 173185 CRUZ PAGAN, IRIS YOLANDA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 173193 SANTANA MARTINEZ, LUIS A. Public Employee 3/30/2021 Department of Agriculture Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

173197 SANTANA MARTINEZ, FRANCISCO Public Employee 3/30/2021 Department of Agriculture Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 360 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

173208 MELENDEZ REYES, MIRIAM Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 173211 RODRIGUEZ RODRIGUEZ, GLENDA LEE Public Employee3 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

173227 COLON AMARO, CONRADO Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

173229 TORRES HERNANDEZ, LUISA A. Public Employee & Pension/Retiree 3/30/2021 Public Service Commission & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 173230 RODRIGUEZ ALICEA, JOSE A. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

173232 RIVERA APONTE, VICTOR M. Public Employee 3/30/2021 Administration of Correction, Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

173239 DOELTER BAEZ, MAYRA R. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 173240 CINTRON FIGUEROA, FRANCISCO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 173241 BOU SANTIAGO, TERESITA DEL C. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

173244 DE JESUS FIGUEROA, IBIS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 173247 SATRE VELAZQUEZ, MARIA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 173249 TORRES MORALES, RICARDO H Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 173250 CUILAN RAMOS, ARMIDA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 173268 COSS MARTINEZ, ANGEL L Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

173279 COSS MARTINEZ, ANGEL LUIS Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

173282 LEBRON RIVERA, XIOMARA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 173284 AVILES, BLANCA E. Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

173295 REYES MALAVE, ZULMA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

173297 DE JESUS SOTO, NORMA I. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

173327 TORRES AVILES, YAMILY Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

173352 PANTOJA LOPEZ, PAULINE Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 361 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

173474 TORRES RODRIGUEZ, CARMEN S. Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

173498 VASQUEZ SALOME, CARMEN M Public Employee 1/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

173499 AGUAYO DIAZ, ELIDA M Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

173500 AGUAYO DIAZ, ZORAIDA E. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

173501 ORTIZ NEVAREZ, ROBERTO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

173502 OQUENDO LOPEZ, NELLY Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

173503 HERNANDEZ RODRIGUEZ, LUIS A Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

173510 AGUAYO DIAZ, MYRNA I Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

173631 COLON SANCHEZ, EDGARDO Public Employee 5/4/2021 Highway and Transportation Authority Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

173632 RIVERA, AIDA COLON Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

173718 RIVERA COLON, NESTAR M Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

173724 GARCIA COLON, FLORENCIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 173731 NAVARRO MARTINEZ, JOSEPHINE Tax Refund 4/21/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

173738 RIVERA COLON, NESTAR M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 173741 RODRIGUEZ OQUENDO, EVELYN Public Employee 6/10/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

173746 MARTINEZ VELEZ, RUTH DALIA LUISA Public Employee 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

173758 MARTINO VIERA, AWILDA Pension/Retiree 1/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

173759 NUÑEZ OQUENDO, NYDIA IVETTE Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

173766 FELIX TORRES, EDGAR Public Employee 7/13/2021 Public Building Authority Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

173780 SOTO, RAMONITA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 173788 APONTE ALICEA, MARIA V Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 362 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

173797 DE JESUS ALICEA, MARIA TERESA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 173801 PASCUAL RODRIGUEZ, ASDRUBAL Public Employee 7/13/2021 Public Building Authority Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

173841 VIRELLA ROJAS, JOSE Public Employee 7/13/2021 Public Building Authority Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

173885 ANDUJAR CARRERO, ALEX Public Employee & Pension/Retiree 7/2/2021 Public Building Authority Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 173967 MALDONADO, GLADYS Public Employee & Pension/Retiree2 10/29/2021 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

174057 BONILLA DE JESUS, MARIA V Public Employee & Pension/Retiree4 10/29/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 174126 MASSA DIEPPA, HILDA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

174131 MARTINEZ VELEZ, RUTH DALIA LUISA Public Employee 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

174139 VELEZ MENDEZ, AIDA R. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

174160 REYES NIEVES, NICOLAS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

174162 GUELEN, KEYLA M Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

174164 MARTINEZ VELEZ, RUTH DALIA LUISA Public Employee 5/4/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

174170 RODRIGUEZ CASTILLO, ELIZABETH Public Employee & Pension/Retiree2 5/4/2021 Department of Justice Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

174171 TORRES, IVONNE NOBLE Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

174186 PEREZ CORDERO, NEREIDA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

174188 GONZALEZ RUBERTE, PETRA M. Public Employee & Pension/Retiree 6/10/2021 Department of Justice Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

174198 SANTOS BULA, ROSA I Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

174200 ACEVEDO PÉREZ, MILDRED Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

174232 MORA VELAZQUEZ, CARMEN E. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

174239 GONZALEZ, HIGINIO MORAN Public Employee 5/4/2021 Department of Transportation and Public Works Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 174252 RODRIGUEZ, DAMARIS RODRIGUEZ Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 363 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

174253 IRIZARRY, ANTONIA IRIZARRY Public Employee & Union Grievance 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 174254 IRIZARRY, RAMONITA IRIZARRY Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

174260 LUISA MARTINEZ VELEZ, RUTH DALIA Public Employee 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

174276 MARTINEZ VELEZ, RUTH DALIA LUISA Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

174277 MARTINEZ VELEZ, RUTH DALIA LUISA Public Employee 5/4/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

174278 MARTINEZ VELEZ, RUTH DALIA LUISA Public Employee 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

174279 MARTINEZ VELEZ, RUTH DALIA LUISA Public Employee 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

174281 MARTINEZ VELEZ, RUTH DALIA LUISA Public Employee 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

174284 ACEVEDO, AIDA L. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

174290 MAS GONZÁLEZ, EDNA V. Public Employee 4/21/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

174296 VELEZ CRUZ, PILAR DEL R. Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

174298 ZAYAS BURGOS, ANA VIOLETA Public Employee & Pension/Retiree2 6/10/2021 Department of Family, Child Support Administration, Department of Finance Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 174299 VELEZ CRUZ, ANGEL A Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

174306 LOPEZ, GRISELLE MENDEZ Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

174311 GONALEZ LOPEZ, ROSA H Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

174313 CORCHADO NIEVES, ABIGAIL Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

174318 RAMOS, VINCENTE CAJIGAS Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 174333 ZAYAS RODRIGUEZ, JUDITH M Public Employee & Pension/Retiree2 5/4/2021 Administration of the Right to Work, Department of Labor Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

174336 VELEZ HERNANDEZ, LIZETTE I. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

174348 CAPDEVILA LOPEZ, VIOLETA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

174351 ALVAREZ-SANTIAGO, ELSIE S. Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 364 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

174358 MONTALVO COLLAZO, MARIA L. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

174412 BEAUCHAMP RIOS, MYRTA YARISSA Public Employee & Pension/Retiree2 5/4/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

174437 ROMAN FERNANDEZ, MILAGROS M. Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

174441 VARGAS RIVERA, CLEMENTE Public Employee 5/4/2021 National Guard of Puerto Rico Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

174451

UNION DE EMPLEADOS DE LA AEP ON BEHALF OF JOSE CRUZ GONZALEZ

Union Grievance 8/25/2021 Public Building Authority Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

174462 LAJARA SANABRIA, JOSE Public Employee 5/4/2021 Administration of Correction, Department of Corrections and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 174465 ANDUJAR SANTIAGO, MARIO Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

174497 MARTINEZ QUIÑONES, HERNAN Public Employee & Pension/Retiree 6/10/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

174502 MARTINEZ QUIÑONES, MARTINA Public Employee & Pension/Retiree2 5/4/2021 Department of Family Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

174508 TIRU MATIAS, ELIZABETH Public Employee 5/4/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

174509

UNION DE EMPLEADOS DE LA AEP ON BEHALF OF FREDDIE RODRIGUEZ RIVERA

Union Grievance 8/25/2021 Public Building Authority Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

174511

UNION DE EMPLEADOS DE LA AEP ON BEHALF OF RAUL SOLIS GUZMAN

Union Grievance 8/25/2021 Public Building Authority Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

174515

UNION DE EMPLEADOS DE LA AEP ON BEHALF OF RAUL CASTRO GONZALEZ

Union Grievance 8/25/2021 Public Building Authority Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

174521 UNION DE EMPLEADOS DE LA AEP ON BEHALF OF JORGE MOJICA CRUZ Union Grievance 8/25/2021 Public Building Authority Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

174522

UNION DE EMPLEADOS DE LA AEP ON BEHALF OF JAIME SOLDEVILA RODRIGUEZ

Union Grievance 8/25/2021 Public Building Authority Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

174524

UNION DE EMPLEADOS DE LA AEP ON BEHALF OF HOWARD RAMIREZ VILLA HERMOSA

Union Grievance 8/25/2021 Public Building Authority Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

174525

UNION DE EMPLEADOS DE LA AEP ON BEHALF OF EDGAR LOPEZ SANCHEZ

Union Grievance 8/25/2021 Public Building Authority Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

174526

UNION DE EMPLEADOS DE LA AEP ON BEHALF OF WANDA MALDONADO LAUREANO

Union Grievance 8/25/2021 Public Building Authority Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

174527

UNION DE EMPLEADOS DE LA AEP ON BEHALF OF JUAN RIVERA LEBRON

Union Grievance 8/25/2021 Public Building Authority Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

174528

UNION DE EMPLEADOS DE LA AEP ON BEHALF OF ARCADIO ARROYO VELAZQUEZ II

Union Grievance 8/25/2021 Public Building Authority Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

174529

UNION DE EMPLEADOS DE LA AEP ON BEHALF OF ARCADIO ARROYO VELAZQUEZ

Union Grievance 8/25/2021 Public Building Authority Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 365 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

174530

UNION DE EMPLEADOS DE LA AEP ON BEHALF OF HERIBERTO HERNANDEZ RAMIREZ

Union Grievance 8/25/2021 Public Building Authority Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

174558 CORNIER COLON, ROSARIO Public Employee 5/4/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

174560 CINTRON HERNANDEZ, VICTOR L Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 174564 AVILES RIVERA, MIGUEL A Public Employee & Pension/Retiree2 5/4/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

174565 MORALES TELLADO, AUGUSTO Public Employee & Pension/Retiree 6/10/2021 Department of Justice Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

174572 CINTRON DE SCAMARONI, MIRIAM Pension/Retiree 3/5/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

174582 HERNANDEZ MELENDEZ, ZULMA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

174601

UNION DE EMPLEADOS DE LA AEP ON BEHALF OF BENJAMIN OCASIO - TORRES

Union Grievance 8/25/2021 Public Building Authority Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

174602 UNION DE EMPLEADOS DE LA AEP ON BEHALF OF XAVIER LOPET-BAEZ Union Grievance 8/25/2021 Public Building Authority Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

174603

UNION DE EMPLEADOS DE LA AEP ON BEHALF OF MARIA ROSADO CRUZ

Union Grievance 8/25/2021 Public Building Authority Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

174604

UNION DE EMPLEADOS DE LA AEP ON BEHALF OF GEORGE PAGAN NEGRON

Union Grievance 8/25/2021 Public Building Authority Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

174605

UNION DE EMPLEADOS DE LA AEP ON BEHALF OF JOHN TORRES ROSARIO

Union Grievance 8/25/2021 Public Building Authority Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

174606

UNION DE EMPLEADOS DE LA AEP ON BEHALF OF JOSE RODRIGUEZ FUENTES

Union Grievance 8/25/2021 Public Building Authority Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

174607

UNION DE EMPLEADOS DE LA AEP ON BEHALF OF GILBERTO ROLDAN MOJICA

Union Grievance 8/25/2021 Public Building Authority Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

174608

UNION DE EMPLEADOS DE LA AEP ON BEHALF OF DANIEL HERNANDEZ GONZALEZ

Union Grievance 8/25/2021 Public Building Authority Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

174619 RIVERA ROJAS, VIRGEN M. Public Employee & Pension/Retiree2 6/10/2021

Family and Children Administration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

174651 UNION DE EMPLEADOS DE LA AEP Union Grievance 8/25/2021 Public Building Authority Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

174653 UNION DE EMPLEADOS DE LA AEP Union Grievance 8/25/2021 Public Building Authority Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

174654 UNION DE EMPLEADOS DE LA AEP Union Grievance 8/25/2021 Public Building Authority Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

174668 COLON TORRES, FRANCISCA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

174728 RODRIGUEZ MATEO, YELITZA A. Public Employee3 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 366 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

174732 MARTINEZ RIVERA, MARIA DE LOS ANGELES Public Employee 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

174753 FUENTES - TEJADA, ANA C. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

174761 TORRES QUESADA, OLGA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 174766 DIAZ RIVERA, MADELINE Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 174767 GONZALEZ MALDONADO, AIDA Public Employee 5/4/2021 Commonwealth of Puerto Rico Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

174797 VEGA BARRETO, PASTOR Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

174801 RODRIGUEZ LUGO, ARELIS Public Employee 5/4/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

174806 RIVERA TORRES, JOSE ANTONIO Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

174807 VELAZQUEZ ARIAS, MARITZA LEONOR Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

174823 ANGOSTINI RIVERA, JORGE Public Employee 5/4/2021 Department of Agriculture Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

174832 UNION DE EMPEADOS DE LA AEP ON BEHALF OF NOEL TORRES DAVILA Union Grievance 8/25/2021 Public Building Authority Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

174840 ROSA CONCEPCION, VIONNETTE Public Employee 5/4/2021 Admistration of Correction Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

174849 VAZQUEZ ROSADO, MIRNA IRIS Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

174868 BAEZ RIVERA, ADA R. Public Employee & Pension/Retiree 1/5/2022 Department of Social Services Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 174913 VEGA GONZALEZ, IVELISSE DEL C Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

174918 VEGA GONZALEZ, WALDEMAR Public Employee & Pension/Retiree 6/10/2021 Highway and Transportation Authority Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

174929 VEGA RODRIGUEZ, WALDEMAR Public Employee3 6/10/2021 Department of Transportation and Public Works Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

174951 VAZQUEZ LOPEZ, SILKIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

174962 PEREZ ARROYO, NANCY I. Public Employee & Pension/Retiree2 5/4/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

174979 RAI, ASHA Pension/Retiree6 5/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

175074 CASTELLANO ORTIZ, MARIA A. Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 367 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

175089 MEDINA OTERO, NITZANDRA Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

175092 RAI, GRACE Pension/Retiree6 5/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

175148 COLON MERCED, NOELIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

175158 DIAZ DIAZ, ANA D. Public Employee & Pension/Retiree 6/10/2021 Department of Family, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

175164 CORTES PEREZ, JUDITH B. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

175175 GONZALEZ AYALA, IRIS J. Public Employee3 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

175199 RIVERA DURAN , JAIME Public Employee 5/4/2021 Department of Sports and Recreation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

175205 GARCED PEREZ, CARMEN ROSA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

175237 DIAZ DIAZ, JOSE Z. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

175239 CARRASQUILLO, CARMEN D. Public Employee3 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

175241 CARROSQUILLO RODRIGUEZ, MARIANA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

175245 RIVERA MORALES, ANA CELIS Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

175246 JIMENEZ RIVERA, DANIEL Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

175273 RODRIGUEZ RODRIGUEZ, JULIA Public Employee & Pension/Retiree2 5/4/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

175274 LEBRON NAVARRO, EDGARDO Public Employee & Pension/Retiree2 5/4/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 175291 BERRIOS COLON, NIMIA Public Employee & Pension/Retiree2 5/4/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

175325 DIAZ NIEVES DE BERRIOS, MARIA A. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

175328 RIVERA, MAGDA G. Public Employee & Pension/Retiree2 5/4/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

175354 DIAZ NIEVES, ROSA M. Public Employee & Pension/Retiree2 5/4/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

175356 ECHEVARRIA MOLINA, CARMEN G. Public Employee & Pension/Retiree2 5/4/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

175360 FIGUEROA VEGA, DAVID Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 368 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

175362 GONZALEZ TORRES, SYLVIA M. Public Employee 7/13/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

175364 VELAZQUEZ GONZALEZ, MARIA T Public Employee & Pension/Retiree2 5/4/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

175366 MELENDEZ LUNA , MARIA I Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

175380 MENDOZA RODRIGUEZ, MARIBEL L. Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 175382 VAZQUEZ MORALES, ANA L. Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

175383 RODRIGUEZ ARROYO, JUAN B. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

175385 SUAREZ MONTANEZ, MARIA VIRGINIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

175388 RIVERA PEREZ, TERESA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

175390 GONZALEZ RIVERA, JANET G. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

175395 ORTIZ RUIZ, ERNESTO LUIS Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

175396 RIVERA ROBLES, EDNA R. Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

175446 VELAZQUEZ NIEVES, HILDA R. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

175465 FLORES OYOLA, SYLVIA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

175491 MERCED REYES, ZORAIDA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

175493 CORTES ROLON, ANTONIO Public Employee & Pension/Retiree2 5/4/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

175497 VELAZQUEZ NIEVES, SONIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

175508 MELENDEZ, DOMINGO FALCON Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

175517 COLON ALICEA, WANDA IVETTE Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

175519 SERRANO DIAZ , CARMEN IVETTE Public Employee3 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

175545 MERCED SANTOS, MARIA L. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

175575 SANTIAGO RIVERA, AIDA LUZ Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 369 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

175581 SANTOS AGOSTO, IRMA NYDIA Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

175586 VELAZQUEZ VARGAS, DOLORES Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

175587 VEGA RIVERA, MARIA DE LOS A. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

175590 HERNANDEZ ZAYAS, JUANITA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

175594 TORRES RAMOS, AIDA L. Public Employee & Pension/Retiree2 5/4/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

175596 PEREZ ARROYO, IRIS MARGARITA Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

175622 LOPEZ FELICIANO, ETELVINA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

175624 RAMOS RODRIGUEZ, AIDA N. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

175626 NAVARRO SANCHEZ, ANGELICA Public Employee & Pension/Retiree2 5/4/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

175628 ROSADO MARTINEZ, JOSE J. Public Employee 7/13/2021 Department of Public Safety Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

175631 HERNANDEZ ZAYAS, CARMEN ANA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

175647 VEGA SANTIAGO , DAMARIS Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

175653 MERCADOS RIOS, CESAR A. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

175655 DREGO, JOHANNA VASQUEZ Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

175663 NAVARRO COTTO, AGUSTINA Public Employee & Pension/Retiree2 5/4/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

175766 RIVERA DÍAZ, GRISELE Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

175824 BONILLA DELGADO, MYRNA Public Employee 5/4/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

175841 QUINONES, HERNAN MARTINEZ Public Employee & Pension/Retiree2 5/4/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

175851 TORRES ROIG, LUCY I. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

175868 COLON OTERO, MYRNA LUZ Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

175874 PAGAN RIVERA , ESMERALDA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 370 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

175877 DELGADO RODRIGUEZ, IRMA N. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 175880 REYES FONSECA, DANIEL Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

175896 LEON HERNANDEZ, FREDISMINDA Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

175898 CASTRODAD CASTRODAD, NILDA R. Tax Refund 7/13/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 175899 MELENDEZ DE ALBA, RUTH M Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

175902 OTERO MEDINA, ELIDA G. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

175911 DEGRO ORTIZ, SANDRA E. Public Employee 6/10/2021 Department of Health, Administration of Health Facilities and Services Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

175920 ALVAREZ GRAULAU, CLARA Public Employee & Pension/Retiree 6/10/2021 General Services Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 175937 SANTIAGO ORTIZ, BRENDA LEE Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

175950 ROSARIO COLON, ENRIQUE Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

175957 ROLON PEREZ, ALMA R. Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 175964 TORRES, WILFREDO GARCIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

175972 ACEVEDO COLÓN, MARIA E. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

175978 AYALA MARRERO, NAYDA L. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

175985 RIVERA FELICIANO, RUTH Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

175986 PEDRAZA OLIQUE, NORMA I. Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

175987 LOPEZ GONZALEZ, MARIANA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

175997 LUGO, ROBERTO NAVARRO Public Employee & Pension/Retiree 6/10/2021 Department of Natural and Environmental Resources Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

176066 COLON MERCED, NOELIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

176067 GARCIA CRUZ, MARGARITA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

176068 COUVERTIER BETANCOURT, LESVIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 371 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

176073 HERNANDEZ COLON, NITZA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

176074 ESCRIBANO, ZAIDA J. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 176075 VELAZQUEZ NIEVES, EUGENIO Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

176087 MARTINEZ DIAZ, VICTOR M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 176090 RIVERA FIGUEROA, SOCORRO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 176095 ORTIZ RUIZ, ENEIDA Public Employee & Pension/Retiree2 5/4/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

176137 INSERN HUERTAS, HAYDEE T. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

176138 RIVERA MELENDEZ, MARIA DE LOS ANGELES Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

176139 SANTOS SAEZ, CARMEN GLORIA Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

176150 BERMUDEZ LAUREANO, NORMA IRIS Public Employee 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

176154 MORALES JIMENEZ, MARTIN Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

176170 CORDOVEZ CABASSA, MARIA DEL C. Public Employee 6/10/2021 Department of Sports and Recreation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

176175 BERRIOS TORRES, MARIA S. Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

176181 GONZALEZ SANTIAGO, GLADYS M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

176185 NIEVES DELGADO, MARTA Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

176190 RODRIGUEZ MELENDEZ, JOSE M. Public Employee 5/4/2021 Department of Transportation and Public Works Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 176200 PEREZ CONCEPCION, LUZ M. Public Employee & Pension/Retiree2 5/4/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

176206 NAVARRO COTTO , MARIA S. Public Employee & Pension/Retiree2 5/4/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

176212 ORTIZ COLON, CARMEN D. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

176262 FIGUEROA GUADALUPE, HILDA Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

176263 MORALES FIGUEROA, ADRIAN Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 372 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

176265 MORALES FIGUEROA, PEDRO IVAN Public Employee & Pension/Retiree 6/10/2021

Department of Correction and Rehabilitation & Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

176288 GONZALEZ GONZALEZ, MARIA VICTORIA Public Employee 5/4/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

176299 ROBLES RODRIGUEZ, MARIA ISABEL Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

176302 BERMUDEZ LAUREANO, EDITH I. Public Employee & Pension/Retiree2 5/4/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

176306 TORRES ROSADO, MAGDA N. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

176318 BURGOS CRUZ , JUAN Pension/Retiree 5/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

176319 VEGA MARTINEZ, SYLVIA Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

176321 TORRES CORTES, ELBA I. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

176322 MUÑIZ SANTOS, GRACIELA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

176323 RAMOS GUTIERREZ, MILDRED T. Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

176324 MUÑIZ CRUZ, CARMEN GLORIA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

176327 RODRIGUEZ MELENDEZ, NAYDA R. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

176330 NIEVES MARCANO, ISRAEL Pension/Retiree 5/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

176333 RUIZ MERCADO, EMMA Public Employee & Pension/Retiree2 5/4/2021 Public Service Commission Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

176351 ROBLES RODRIGUEZ, BLANCA I. Public Employee & Pension/Retiree2 5/4/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

176356 HERNÁNDEZ RAMÍREZ, LUIS A. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

176365 SANTIAGO RIVERA, ONOFRE Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

176367 MALDONADO BERRIOS, JOSE G. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

176372 OTERO CRUZ, JUSTINA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

176373 CARRION GUADALUPE, YOLANDA Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

176374 MORALES FIGUEROA, CAMEN A. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 373 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

176398 JIMENEZ VARGAS, CARMEN JUDITH Public Employee & Pension/Retiree 6/10/2021 General Services Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 176399 TORRES ORTIZ, CARMEN ELBA Public Employee3 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

176407 SANCHEZ MARTINEZ, MIGUEL A. Public Employee 6/10/2021 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

176411 MARTINEZ RODRIGUEZ, TOMASA Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

176412 SANCHEZ DELGADO, MIGUEL A. Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

176414 TORRES BONILLA, BRENDA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

176417 CEDENO CARRASQUILLO, CARMEN S. Public Employee & Pension/Retiree2 5/4/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

176425 CARRASQUILLO MALDONADO, LUIS A. Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

176439 QUINONES COTTO, MARIA L. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

176653 BARREIRO MACHIN, NILSA I. Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

176660 HERNANDEZ GUZMAN, FERNANDO M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

176678 NAVARRO LUGO, ROBERTO Public Employee & Pension/Retiree 6/10/2021 Department of Natural and Environmental Resources Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

176681 NAVARRO LUGO, ROBERTO Public Employee 5/4/2021 Department of Natural and Environmental Resources Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 176685 HERGER MONTES, MARIA ASENCION Public Employee 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

176897 NIEVES BALZAC, JESMARY Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

177037 CINTRON CINTRON, IRMA N. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

177122 CORREA MALAVE, EMERITA Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

177144 CUEBAS, ANGEL Public Employee 6/10/2021 La Furtaleza Governor's Office Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

177166 RODRIGUEZ SANTOS, JOSE M. Public Employee 6/10/2021 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

177170 COLON PEREZ, ELIDES Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

177176 SANTOS VAZQUEZ, CARMEN Z. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 374 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

177178 CARRASGUILO-AGENCIA D.E, MARIA S. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

177179 SANTIAGO, GILBERT OTERO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 177180 RODRIGUEZ GUARDIOLA, AMALIA M. Public Employee 5/4/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

177227 RODRIGUEZ CARRILLO, LUZ M. Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 177228 GONZALEZ RIVERA, WILFREDO Public Employee 5/4/2021 Department of Natural and Environmental Resources Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 177263 COLLAZO PENA, JOSE A Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

177265 CENTENO RIVERA, CARMEN Y. Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

177283 MORALES FIGUEROA, MARGARITA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 177414 ISALES GONZALEZ, ILEANA Public Employee 5/4/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

177443 SANTIAGO, OLGA MEDINA Public Employee 5/4/2021 Department of Natural and Environmental resources Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 177457 CORREA GARCIA, ZULMA Public Employee & Pension/Retiree2 5/4/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

177487 BERRIOS COLON, MONSERRATE Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

177511 CASIANO RIVERA, IRIS J. Public Employee3 6/10/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

177523 PASTRANA SOSA, MIGDALIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

177532 MORALES CARRASQUILLO, MARITZA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

177534 RODRIGUEZ CARRERO, GLADYS Public Employee3 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

177541 COLE SIMON, ANGELINA ROSA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

177546 COLON JIMENEZ, EVELYN E. Public Employee & Pension/Retiree2 5/4/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 177547 PEREZ VERA, SYLVIA Public Employee & Pension/Retiree2 5/4/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

177551 DEL VALLE REYES, MIRIAM Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

177553 MARTINEZ NAZARIO, ROSA M. Public Employee & Pension/Retiree 6/10/2021 Department of Health, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 375 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

177554 NIEVES HERNANDEZ, MARIA Public Employee 5/4/2021 Mental Health Services and Addiction Control Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 177556 TAPIA NIEVES, JANICE Public Employee 7/13/2021 Department of Health, Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 177557 ALVAREZ-CHARDON, JULIUS A. Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 177563 DOMINGUEZ, JOSE A. Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 177575 COLON, NELSON Public Employee, Pension/Retiree & Union Grievance 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 177582 CABAN PARES, DORIS V. Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

177585 NIEVES HERNANDEZ, AIDA Public Employee & Pension/Retiree2 5/4/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

177588 RIVERA SANTIAGO, JAVIER H. Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

177594 GARCÍA FONTÁNEZ, CARLOS L. Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

177595 ORTIZ COLON, IRMA E. Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 177596 DELGADO PABON, CARMEN C. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

177599 LOPEZ CASTILLO, CANDY I Public Employee 7/2/2021 Department of Housing Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

177602 IRIZARRY APONTE, AIDA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

177603 MOJICA GONZALEZ, ZENAIDA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

177615 VARGAS RODRÍGUEZ, DANIEL I. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

177624 VIZCARRONDO HERNANDEZ, ANA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

177627 COLLAZO RIVERA, CECILIA Public Employee 5/4/2021 Highway and Transportation Authority Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

177631 MUNOZ, ALMICAR Public Employee & Pension/Retiree2 5/4/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

177634 DAVID MALAVE, ALMA ROSA Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

177639 RIVERA ROSADO, LUZ M. Public Employee & Pension/Retiree2 5/4/2021

Department of Correction and Rehabilitation, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

177641 LOPEZ MARCUCCI, DAVID Public Employee & Pension/Retiree 6/10/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 376 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

177643 DUMONT GUZMAN, LINDA N Pension/Retiree1 6/10/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

177646 NEGRON GIMENEZ, RAMON Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

177651 DE JESUS, IVAN VEGA Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

177657 CORTES PEREZ, JUDITH B. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

177659 TORRES, JOSE ARNALDO Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

177669 MATOS ARROYO, VICENTA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

177680 MORA MARTINEZ, JOSEFINA Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

177682 RODRIGUEZ HERRERA, EVELYN Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

177683 CINTRON ROMAN, MARIXA Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

177684 ORTIZ BERRIOS, LUZ M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 177685 ORTEGA ORTIZ, DELFIN Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 177687 FERNANDEZ MORALES, MARGARITA Public Employee 5/4/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

177690 RODRIGUEZ LOPEZ, OSVALDO Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

177716 MELENDEZ FRAGUADA, EVA E Pension/Retiree 6/10/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

177718 VEGA DE JESUS, IVAN Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 177722 SANTIAGO, JAVIER A. RIVERA Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

177730 LOPEZ TORRES, BETSY E. Public Employee, Pension/Retiree & Union Grievance 10/29/2021 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 177740 RIVERA MIRANDA, OLGA I. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 177745 RAKES, NELSA ACABA Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

177774 LEON TORRES, ROSA E. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

177780 COLON ANDUJAR, ROSA J. Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 377 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

177792 OQUENDO, DORA TORRES Public Employee & Union Grievance 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 177796 MEDINA SANTIAGO, OLGA Public Employee3 6/10/2021 Department of Natural and Environmental Resources Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

177797 RIVERA RIOS, JULIA I. Public Employee3 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

177807 CARTAGENA, JUDITH FLORES Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

177811 MEDINA, NYDIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

177812 VICENS GONZALEZ, RAQUEL M. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

177824 RIVERA LOPEZ, WANDA I. Public Employee3 6/10/2021 Department of Sports and Recreation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

177830 MOCTEZUMA ALVAREZ, LUZ M. Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

177835 CORTES COLON, WILLIAM A. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

177877 RAMOS CLAUDIO, JULIO G. Pension/Retiree1 6/10/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

177888 MENDEZ GONZALEZ, FELIX A Public Employee 5/4/2021 Urban Housing Renovation Corporation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

177915 ACEVEDO PONCE, MAYRA Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

177923 BURGOS RODRIGUEZ, ELVIRA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

177925 COLON VAZQUEZ, ESPERANZA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

177941 LOZANO SEPULVEDA, MIGALIA Public Employee 5/4/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

177950 VEGA NEGRON, LIONEL E. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

177954 MUNIZ SOTO, JUAN J. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

177975 SANTOS ROSADO, NÉLIDA J. Public Employee & Pension/Retiree2 5/4/2021 Department of Recreation and Sports Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

177996 MORELLES RIVERA, MIGDALIA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

178014 ORTIZ COLON, IRMA E. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

178029 PLANAS, ANNETTE STRUBBE Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 378 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

178063 ROBLES FERNANDEZ, LUZ M. Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

178091 GONZALEZ RIVERA, JUAN E. Public Employee 5/4/2021 Department of Natural and Environmental Resources Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 178141 OLMEDA VEGA, AIDA M. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

178184 MEJIAS RIOS, AWILDA Public Employee 5/4/2021 Office of the Commissioner of Insurance Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

178203 ARBELO, IRIS Public Employee & Pension/Retiree2 7/2/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

178205 LEON TORRES, ELIZABETH Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

178211 ARROYO MELENDEZ, OCTAVIA Public Employee & Pension/Retiree 6/10/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

178216 ECHEVARRIA VALENTIN, MANUEL Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

178308 GONZALEZ PEREZ, MARIA F. Public Employee & Pension/Retiree2 5/4/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

178339 FIGUEROA, ROSALINA GONZALEZ Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

178355 AVILES RIVERA, MIGUEL A Public Employee & Pension/Retiree2 5/4/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 178378 SANJURJO, NYMIA FERRER Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

178400 RIVERA, MS. ELBA N. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

178402 RODRIGUEZ, MILDRED VAZQUEZ Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

178414 LABOY RIVERA, ISAAC Public Employee3 6/10/2021 Department of Natural and Environmental resources Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

178421 COLON, DIANA Public Employee & Pension/Retiree2 5/4/2021 Department of Natural and Environmental Resources Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

178433 RIVERA, ANTOR GONZALEZ Public Employee & Pension/Retiree2 7/2/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 178437 MALDONADO RODRIGUEZ, HECTOR E. Public Employee & Pension/Retiree 6/10/2021

Department of Natural and Environmental Resources & Employees Retirement System of the Government of the Commonwealth of Puerto Rico 

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

178463 RIVERA DE JESUS, NEREIDA Public Employee & Pension/Retiree2 5/4/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

178465 CASTILLO, OLGA CARRERO Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

178470 MARTINEZ SANTIAGO, JOEL Public Employee 5/4/2021 Department of Transportation and Public Works Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 379 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

178471 FIGUEROA HERNANDEZ, YOLANDA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 178484 VEGA DONCELL, CESIAH Public Employee 10/29/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

178537 COLON DIAZ, JESUS Public Employee & Pension/Retiree 6/10/2021 Department of Sports and Recreation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 178567 OSORIO PLAZA, DIADINA Public Employee & Pension/Retiree 6/10/2021 Department of Sports and Recreation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 178586 RAMOS MOJICA, NORMA IRIS Public Employee & Pension/Retiree 6/10/2021 Mental Health Services and Addiction Control Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 178597 HERNANDEZ NAZARIO, IDALIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 178598 GONZALEZ AYALA, IRIS J. Public Employee3 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

178621 NEGRON OTERO, ANGEL F. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

178650 MARRERO RIVERA, JACQUELINE I. Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

178658 ROSA SANTIAGO, ANA M. Public Employee 7/13/2021 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

178659 MARTINEZ CAMACHO, HIRAM Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

178667 LOPEZ DE JESUS, JUDITH Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 178689 DE JESUS FLORES, LUIS Public Employee3 6/10/2021 Department of Sports and Recreation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

178704 RODRIGUEZ ROMAN, GLADYS Public Employee & Pension/Retiree 6/10/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

178711 RIVERA LEBRON, JOAQUINA Public Employee3 6/10/2021 Department of Natural and Environmental Resources Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

178722 ROSSNER FIGUEROA, EVERLIDYS Public Employee & Pension/Retiree 6/10/2021 La Furtaleza Governor's Office Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

178729 COLON CABRERA, JOSE R. Public Employee & Pension/Retiree 6/10/2021 Department of Sports and Recreation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

178730 BARBOSA PEREZ, MARIBEL Public Employee & Pension/Retiree2 5/4/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

178736 GONZALEZ RIVERA, ANGEL A. Public Employee 5/4/2021 Department of Recreation and Sports Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

178740 HUERTAS MORALES, JUAN Public Employee & Pension/Retiree 6/10/2021 National Parks of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

178744 GARCIA PEREZ, JOSE A Public Employee3 6/10/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 380 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

178745 DE JESUS BERRIOS, MARGARITA Public Employee 7/13/2021 Department of Natural and Environmental Resources Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 178747 ARROYO DIAZ, RAMON L. Public Employee & Pension/Retiree 6/10/2021

Department of Natural and Environmental Resources, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

178752 RUIZ SANCHEZ, SERGIO Public Employee3 6/10/2021 Department of Sports and Recreation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

178755 CANCEL MONCLOVA, SONIA IDALIA Public Employee3 6/10/2021 Department of Transportation and Public Works Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 178759 ALVAREZ ALICEA, LISANDRA Public Employee3 6/10/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

178762 ROBLES QUINONES, ANTONIO Public Employee & Pension/Retiree 6/10/2021 Department of Sports and Recreation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

178763 NAVARRO LUGO, ROBERTO Public Employee & Pension/Retiree2 5/4/2021 Department of Natural and Environmental Resources Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

178764 MARTINEZ COLLAZO, JUAN R. Public Employee & Pension/Retiree 6/10/2021 Department of Sports and Recreation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

178769 REYES CRUZ, GLADYS Pension/Retiree 5/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

178775 CASTELLON NEGRON, ZORAIDA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

178779 RIVERA TORRES, MARIA DEL C. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

178783 SOTO RAMOS, EDUVIGES Public Employee 5/4/2021 Department of Sports and Recreation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

178792 MENDEZ ESCOBALES, NORMA D. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

178798 AGUILAR VIRUET, YASILKA Public Employee 6/10/2021 Family and Children Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

178801 ROSARIO ANDUJAR, YULIE Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

178806 BERBERENA MUNIZ, CARMEN M. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

178810 MOJICA GONZALEZ, MAGDA IRIS Public Employee & Pension/Retiree 6/10/2021 Department of Health, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

178815 NAVARRO LUGO, ROBERTO Public Employee & Pension/Retiree2 5/4/2021 Department of Natural and Environmental Resources Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

178822 VAZQUEZ CINTRON, MARIA Public Employee & Pension/Retiree 6/10/2021 Department of Health, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

178848 SANTIAGO COLON, WILDA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

178849 NAVARRO LUGO, ROBERTO Public Employee & Pension/Retiree 6/10/2021

Department of Natural and Environmental 

Resources & Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 381 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

178851 DAVILA CAMACHO, INES Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

178852 MENDEZ RODRIGUEZ, MILAGROS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 178856 LOPEZ GRACIA, MARTA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 178859 RIVERA CALDERON, RAFAEL Public Employee & Pension/Retiree 7/13/2021 Department of Sports and Recreation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 178860 NOVA, MERCEDES CATALINA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

178861 CHARRIEZ RIVERA, HAYDEE Public Employee3 6/10/2021 Department of Treasury (Negotiation of Collections) Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

178863 BURGOS HERNANDEZ, ANTONIO Public Employee 5/4/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

178864 RODRIGUEZ RODRIGUEZ, SARA Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

178872 DELGADO MATEO, PEDRO A. Public Employee 5/4/2021 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

178873 SEPULVEDA LEBRON, IRMA NATALIA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

178883 MEDINA COLON, JOSE J Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

178897 ARCE CORCHADO, MARY ELIN Public Employee 5/4/2021 Department of Justice Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

178899 BONET LÓPEZ, ERIC Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 178907 OSORIO CORREA, ADA O. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

178908 OSORIO CORREA, ADA O. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

178909 OSORIO CORREA, ADA O. Public Employee 7/2/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

178910 TORRES COLON, MARIA E. Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 178916 RIVERA ROSA, NOEL O. Public Employee & Pension/Retiree2 5/4/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

178922 VAZQUEZ GONZALEZ, CARMEN I Public Employee & Pension/Retiree2 5/4/2021 Public Service Commission Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 178923 SANCHEZ IRIZARRY, RAMONA DEL R. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

178936 GRACIA MELENDEZ, NIEVES Public Employee3 6/10/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 382 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

178939 CLAUDIO JIMENEZ, JOSE JAVIER Public Employee & Pension/Retiree2 5/4/2021 Family and Children Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

178941 MARTINEZ SIERRA, GRICELIDY Public Employee & Pension/Retiree 6/10/2021

Department of Sports and Recreation, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

178950 ROSA SANTANA, MARTA A. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

178951 ACEVEDO REYES, CARMEN C. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

178953 BELTRAN RAMOS, LYDIA E. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

178954 BELTRAN RAMOS, LYDIA E. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

178955 BELTRAN RAMOS, LYDIA E. Public Employee & Pension/Retiree2 5/4/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

178956 BELTRAN RAMOS, NELLY Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

178957 BELTRAN RAMOS, NELLY Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

178958 BELTRAN RAMOS, NELLY Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

178959 BELTRAN RAMOS, NELLY Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

178960 AMADOR COLON, VERONICA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

178962 HERNANDEZ HERNANDEZ, CARLOS M. Tax Refund 4/21/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

178965 LOYOLA RIVERA, MARIA I Public Employee 5/4/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

178968 RUIZ QUIÑONES, JUAN Pension/Retiree1 5/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

178977 SANABRIA RODRIGUEZ, CARMEN G Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

178982 BELTRAN RAMOS, RUTH Public Employee & Pension/Retiree 6/10/2021 Department of Health, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

178984 BELTRAN RAMOS, RUTH M. Public Employee & Pension/Retiree2 5/4/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

178985 BELTRAN RAMOS, RUTH Public Employee 5/4/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

178987 MALAVE ZAYAS, RAUL Public Employee & Pension/Retiree2 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

178988 BERRIOS CASTRODAD, MARIA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 383 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

178989 COTTO MERCED, MIRTA LUZ Public Employee & Pension/Retiree 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 178990 VAZQUEZ BERRIOS, HECMARY Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

178995 CASTRODAD BERRIOS, ADA M. Public Employee & Pension/Retiree2 5/4/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

179009 RIVIERA MARTINEZ, VIVIAN E. Public Employee & Pension/Retiree2 5/4/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 179012 ORTIZ TORRES, CARMEN Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

179017 RODRIGUEZ MATOS, ROSA M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

179021 FIGUEROA ECHEVARRIA, MAXIMINA Public Employee & Pension/Retiree2 5/4/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

179032 GALARZA FIGUEROA, MARIEVA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

179034 ORTIZ RUIZ, ERNESTO LUIS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

179036 PEDRAZA OLIQUE, NORMA I. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

179043 SANTIAGO RIVERA, NOEMI Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

179044 BERRIOS CASTRODAD, ADA ROSA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

179045 BERRIOS CASTRODAD, AINA I. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

179046 CARRION GONZALEZ, RAMON T. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

179047 FREIRE NIEVES, EDNA J. Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

179048 OYOLA CRUZ, JUAN A. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

179049 BERRIOS CASTRODAD, SEIRA E. Public Employee & Pension/Retiree2 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

179052 MERCADO SANCHEZ, JUAN A Public Employee 5/4/2021 Department of Sports and Recreation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

179068 ORTIZ DIAZ, NORMA I. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

179069 MORALES RIVERA, MIGUEL A. Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

179072 MARTINEZ SANCHEZ, SANTOS MARIA Public Employee 5/4/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 384 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

179079 RODRIGUEZ RODRIGUEZ, ANIBAL Public Employee & Pension/Retiree2 5/4/2021 Department of Sports and Recreation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

179084 ROLON CRUZ, MARIA MAGDALENA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

179085 ROLON MACHADO, MIRIAM M Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

179094 MARTINEZ SANCHEZ, JULIA Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

179097 GUTIERREZ DE JESUS, TERESA Public Employee & Pension/Retiree2 5/4/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

179099 SANTIAGO MELENDEZ, MARIA DOLORES Public Employee & Pension/Retiree2 5/4/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 179100 MARTINEZ SANCHEZ, ELEODORO Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

179101 ROQUE RIVERA, SANTOS V. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

179102 ROQUE RIVERA, SANTOS V. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

179103 ROQUE RIVERA, SANTOS V. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

179104 ROQUE RIVERA, SANTOS V. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

179110 RAMIREZ VEGA, ESTHER Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

179112 ORTIZ LOPEZ, JOSE JR. Public Employee 7/13/2021 Administration of Youth Institutions, Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 179116 CALDERON LOPEZ, ELISEO Public Employee3 6/10/2021 Department of Sports and Recreation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

179117 FLORES, PEDRO Public Employee 5/4/2021 Department of Natural and Environmental Resources Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 179120 RIVERA, CINTHYA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

179129 CIRINO FUENTES, JOSE M. Public Employee & Pension/Retiree2 5/4/2021 Department of Sports and Recreation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

179130 RAMOS RIVERA, MARIA A. Public Employee 5/4/2021 National Parks of Puerto Rico, Recreational Development Comp Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 179138 MONTAÑEZ GUTIERREZ, MARIA ISABEL Public Employee 5/4/2021 Department of Sports and Recreation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

179147 ACEVEDO, MOISES Public Employee 5/4/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

179153 UGARTE VEGA, CARMEN M. Pension/Retiree1 6/10/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 385 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

179156 CRUZ SANTIAGO, NEFTALI Pension/Retiree 7/2/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revie

179167 DIAZ ANTONETTY, NORBERTO Pension/Retiree 5/4/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

179176 OTERO CARRION, BENITO Pension/Retiree1 6/10/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

179187 SERRANO HERNANDEZ, NELSON Pension/Retiree1 6/10/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

179200 CARRASQUILLO LOPEZ, DARYNESH Pension/Retiree 6/10/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

179201 CASILLAS RAMOS, KARLA Pension/Retiree1 6/10/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

179246 CARDONA VELAZQUEZ, JACLHELINE Public Employee & Pension/Retiree 7/13/2021 Planning Board Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

179281 FIGUEROA TORRES, MARIA C. Public Employee 7/2/2021 Department of Health Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

179297 MELENDEZ RIVERA, CARMEN D. Public Employee & Pension/Retiree 7/2/2021 Department of Health & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 179298 DIAZ MIRANDA, ZORAIDA Public Employee 8/25/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

179331 LUGO CONCEPCION, GLADYS S Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

179339 RIVERA ACEVEDO, MARTA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 179341 ALICEA HERNANDEZ, JUAN MANUEL Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

179386 RIVERA RIVERA, PEDRO E Public Employee & Pension/Retiree2 7/13/2021

Department of Correction and Rehabilitation, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

179399 AGOSTO RODRIGUEZ, HILDA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

179409 RODRIGUEZ RODRIGUEZ, LAURA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

179410 SERRANO COLON, LUZ DIVINA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

179421 CINTRON PADILLA, ANGEL M Public Employee & Pension/Retiree2 7/13/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

179435 MARRERO FRANCO, DINORA WILDA Public Employee & Pension/Retiree2 8/25/2021 Department of Health Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 179436 MORALES VAZQUEZ, MARINA E. Public Employee 8/25/2021 Family and Children Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

179491 DE JESUS RIVAS, IVETTE Public Employee & Pension/Retiree2 8/25/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 386 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

179501 TRU OF PUERTO RICO, INC. Tax Refund 8/25/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

179528 SANTIAGO QUIJANO, YEZENIA E Public Employee 8/25/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

179565 ALVAREZ SANGIAGO, ELSIE SOCORRO Public Employee & Pension/Retiree2 10/29/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

179676

INTERNATIONAL UNION, UNITED AUTOMOBILE, AEROSPACE AND AGRICULTURAL IMPLEMENT WORKERS OF AMERICA (UAW)

Union Grievance 6/24/2022 Multiple Agencies Y N/A N N

Debtors’ advisors currently

working with Commonwealth 

government to gather information 

and complete agency review of 

claim

N N/A 

179701 FERNANDEZ SILVA, MIGDALIA Public Employee 12/28/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

179702 FERNANDEZ SILVA, MIGDALIA Public Employee 12/28/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

179703 FERNANDEZ SILVA, MIGDALIA Public Employee 12/28/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

10039-1 MACHADO VARGAS, JUAN Tax Refund 2/24/2022 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

10225-1 BEAUCHAMP RODRIGUEZ, ADALBERTO Public Employee 7/13/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

102255-1 CRUZ IRIZARRY, ZULMA I. Union Grievance 7/13/2021 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

106529-1 MONTILLA LOPEZ, JULIO H Public Employee & Pension/Retiree 7/13/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

107640-1 RAMIREZ RODRIGUEZ, NIVIA H Pension/Retiree 7/13/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

110250-1 ROSADO PACHECO, ANA M Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

11177-1 GONZALEZ COLON, NOEMI Union Grievance 7/13/2021 Family and Children Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

11379-1 ROSAS ROJAS, MARITZA Public Employee 7/13/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

113880-1 RUIZ DIAZ, CARMEN Public Employee 7/13/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

11399-1 MORALES SANCHEZ, YOLANDA Union Grievance 7/13/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

114301-1 DIAZ RODRIGUEZ, MARITZA Public Employee 7/13/2021 Office of Court Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

114326-1 CORTES ORONA, LOURDES Public Employee & Pension/Retiree 7/13/2021 House of Representatives Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

11495-1 CORP SERVICIOS AMA DE LLAVES INC Tax Refund 2/24/2022 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

11703-1 MADERA ROSARIO, ELIEZER Pension/Retiree 6/10/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 387 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

117101-1 FERNANDEZ TORRES, NANCY Public Employee & Pension/Retiree2 7/13/2021 Department of Treasury, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

117438-1 ORTIZ COLON, RAMONITA Public Employee 7/13/2021 Family and Children Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

118303-1 ROQUE MEDINA, MARIA V. Public Employee & Pension/Retiree 7/13/2021 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

12083-1 DIAZ FLOUES, GLENDA LIZ Union Grievance 7/13/2021 Socioeconomic Development of the Family Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

121769-1 SANCHEZ CASTRO, DIANA Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

12201-1 OQUENDO TIRADO, CYNTHIA Public Employee 7/13/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

122217-1 MORALES PAGAN, JEREMY Public Employee 7/13/2021 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

12495-1 LOPEZ GONZALEZ, SOL E Public Employee 7/13/2021 Socioeconomic Development of the Family Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

125652-1 BONILLA ORTIZ, JORGE L. Public Employee & Pension/Retiree 7/13/2021

Department of Correction and Rehabilitation, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

12613-1 LUGO SEGARRA, BRENDA Public Employee 7/13/2021 Socioeconomic Development of the Family Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

130238-1 DAVID RUIZ, WIDALYS A. Public Employee 7/13/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

13226-1 LLAVET DUCHESNE, NEREIDA Public Employee & Union Grievance 7/13/2021 Vocational Rehabilitation Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

133080-1 RIVERA RODRIGUEZ, GLORIA Public Employee 7/13/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

133338-1 ORTIZ ORTIZ, CARMEN N Public Employee 7/13/2021 Socioeconomic Development of the Family Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

133474-1 DE JESUS ALMEDINA, MARIA P. Public Employee & Pension/Retiree2 7/13/2021

Family and Children Administration & Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

133504-1 ALVARADO HOYOS, MARIA C. Public Employee 7/13/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

13521-1 SANTOS RODRIGUEZ, HARRY Public Employee & Pension/Retiree2 7/13/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

13651-1 MARTELL RIVERA, DAVID A Public Employee 7/13/2021 Vocational Rehabilitation Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

13693-1 CASIANO COLON, RAMON Public Employee3 7/13/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

13716-1 ZAYAS VAZQUEZ, JUANITA Union Grievance 7/13/2021 Vocational Rehabilitation Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

138137-1 GALLARDO DE LEON, ALEXANDRA Public Employee 7/13/2021 Socioeconomic Development of the Family Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 388 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

138317-1 RIOS SANTIAGO, CARMEN M. Public Employee 7/13/2021 Socioeconomic Development of the Family Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

138393-1 TORRES, LESLIE M. Public Employee & Pension/Retiree 7/13/2021 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

13974-1 RODRIGUEZ MORALES, MARIA M. Public Employee 7/13/2021 Child Support Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

139810-1 CRUZ RIVERA, RAFAEL Public Employee & Pension/Retiree2 7/13/2021 Socioeconomic Development of the Family Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

139815-1 LEBRON DIAZ, JAMIE Public Employee 7/29/2022 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

140156-1 CRUZ VEGA, SAMUEL Public Employee 7/13/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

141526-1 DE JESUS ROSADO, EDUVINA Public Employee 7/13/2021 Family and Children Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

14186-1 ZAYAS VAZQUEZ, JUANITA Union Grievance 7/13/2021 Vocational Rehabilitation Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

14197-1 GONZALEZ FIGUEROA, FERNANDO Public Employee3 7/13/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

142584-1 DE JESUS ALMEDINA, MARIA P. Public Employee 7/13/2021 Family and Children Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

14267-1 GONZALEZ FIGUEROA, FERNANDO Public Employee3 7/13/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

143153-1 DE JESUS ROSADO, EDUVINA Pension/Retiree6 7/13/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

144186-1 ALVAREZ VALDEZ, HAYDEE M. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

144930-1 ROSARIO DEL RIO, CARMEN M. Public Employee 7/13/2021 Family and Children Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

145026-1 DE JESUS ALMEDIRA, MARIA P. Public Employee 7/13/2021 Family and Children Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

145850-1 HADDOCK RIVERA, ANA M. Tax Refund 3/30/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

14664-1 ROHENA DIAZ, HECTOR L Public Employee3 7/13/2021 Vocational Rehabilitation Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

14676-1 LOPEZ ALVAREZ , NOEMI Union Grievance 7/13/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

147046-1 GONZALEZ GARCIA, LUCRECIA Public Employee 7/13/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

149300-1 SANTIAGO, MARIBEL COLON Public Employee 7/13/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

149442-1 DEJESUS ROSADO, EDUVINA Public Employee 7/13/2021 Family and Children Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 389 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

150441-1 IRIZARRY SOTO, EVA Public Employee 7/13/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

150714-1 CUADRADO FLORES , LUZ M. Public Employee 7/13/2021 Socioeconomic Development of the Family Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

150984-1 HIDALGO SOTO, JUANITO Public Employee 7/13/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

154816-1 DAVID RUIZ, WIDALYS A. Public Employee 7/13/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

155084-1 GUTIERREZ VAZQUEZ, ANA R Public Employee 7/13/2021

Department of Education, Highway and Transportation Authority, Puerto Rico Electric Power Authority

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

155410-1 HERNANDEZ VELEZ, ALEJANDRO Public Employee & Pension/Retiree 7/13/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 156607-1 GONZALEZ RODRIGUEZ, CARMEN D Union Grievance 7/13/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

156907-1 LUGO CRUZ, HECTOR Public Employee 7/13/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

157252-1 FIGUEROA MUNIZ, IRIS M Public Employee 7/13/2021 Family and Children Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

157527-1 SANTIAGO, AMARRELLI ALVARADO Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

157973-1 TORRES BERRIOS, NORVA I Public Employee 7/13/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

159679-1 PEREZ MALDONADO, NERITZA Public Employee, Pension/Retiree & Union Grievance 7/13/2021 Department of Agriculture & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

159926-1 SERRANO PEREZ, ALBA N Public Employee 7/13/2021 Family and Children Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

159974-1 RIVERA MERCADO, BRUNILDA Public Employee 7/13/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

160733-1 CRUZ ORTIZ, NORMA E. Public Employee 7/13/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

163071-1 RIVERA TORRES, CARLOS A. Public Employee & Pension/Retiree 7/13/2021 Puerto Rico Police Bureau Y N/A N N 3rd and Final Information Request letter sent to claimant; awaiting 

response

N N/A 

163083-1 RODRIGUEZ MILLAN, GLADYS Public Employee 7/13/2021 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

163453-1 DAVILA CORTES, MELBA I. Public Employee 7/13/2021 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

163463-1 CEPEDA RODRIGUEZ, CARMEN R. Public Employee 7/13/2021 Department of Transportation and Public Works Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

163788-1 RAMOS LAMBERTY, MARIA T Public Employee 7/13/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

163996-1 DAVID RUIZ, WIDALYS A Public Employee 7/13/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 390 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

164917-1 CRUZ PEREZ, JORGE Public Employee 7/13/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

164949-1 DAVID RUIZ, WIDALYS A. Public Employee 7/13/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

167242-1 FRANCISCO MARTINEZ IRIZARRY AND/Y ELBA I. AYALA RODRIGUEZ Pension/Retiree 7/13/2021 Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A Y Y N/A Y In Process/Under Revi

167423-1 MELENDEZ RENTAS, SONIA Public Employee 7/13/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

168533-1 COLON RIVERA, ELBA IRIS Pension/Retiree 7/13/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

168607-1 RIVERA CORREA, JULIO Pension/Retiree 7/13/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

168678-1 BURGOS SANTIAGO, ANA HILDA Pension/Retiree 7/13/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

168729-1 NEGRON ORTIZ, IDRIANA Pension/Retiree 7/13/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

168791-1 SANCHEZ SANCHEZ, JORGE Public Employee & Pension/Retiree4 7/13/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

168905-1 JALVALLE RAMOS, ANGEL I. Pension/Retiree 7/13/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

169001-1 ROSADO COLON, NORMA Public Employee 7/13/2021 Department of Transportation and Public Works Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 169018-1 REYES DE JESUS, ALBA I. Public Employee 7/13/2021 Department of Agriculture Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

169325-1 AYALA FIGUEROA, GONZALO Public Employee 7/13/2021 Department of Agriculture Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

169363-1 RUIZ RUIZ, EMILIA Public Employee 7/13/2021 Department of Agriculture Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

169437-1 SEGARRA NEGRON, RAMONITA Pension/Retiree 7/13/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

169608-1 AROCHO REYES, EMILIO Public Employee & Pension/Retiree2 7/13/2021 Department of Transportation and Public Works Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

169902-1 GONZALEZ MARTINEZ, ROBERTO Pension/Retiree 8/25/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

169909-1 DIAZ GUZMAN, JOSE A. Pension/Retiree 7/13/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

170140-1 SANCHEZ SANTIAGO, AMPARO Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

170153-1 ORTIZ RUPERTO, VENTURA Pension/Retiree 7/13/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

170183-1 RIVERA MEJIAS, MANUEL Public Employee 7/13/2021 Department of Agriculture Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 391 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

170217-1 VELEZ SOTO, PEDRO JUAN Pension/Retiree 7/13/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

170276-1 VAZQUEZ TORRES, ARCILIA Public Employee 7/13/2021 Department of Agriculture Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

170314-1 DIAZ MERCED, HECTOR Public Employee & Pension/Retiree2 7/13/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

170450-1 LOPEZ DAVID, MIRIAM Public Employee 7/13/2021 Department of Agriculture Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

170494-1 RAMOS RIVERA, BRUNILDA Pension/Retiree 7/13/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

170621-1 LEBRON TORRES, PABLO R. Public Employee, Pension/Retiree & Union Grievance 7/13/2021 Department of Agriculture & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

170636-1 LOPEZ, ANGEL L Pension/Retiree 7/13/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

170725-1 DIAZ RUIZ, MIQUEL A Public Employee 7/13/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

170743-1 SOTO NIEVES, ANDRES Pension/Retiree 7/13/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

170906-1 RAMOS AYALA, MIGUEL A. Public Employee & Pension/Retiree 7/13/2021 Administration of Correction, Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

170909-1 BAEZ ROMAN, ENRIQUE Public Employee 7/13/2021 Department of Transportation and Public Works Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 170992-1 RODRIGUEZ VALENTIN, IRMA I Public Employee 7/13/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

171023-1 LABOY TORRES, JOUINO Public Employee 7/13/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

171028-1 RUIZ LEDEE, UZZIEL Public Employee 7/13/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

171048-1 SANTIAGO RIOS, HECTOR Pension/Retiree 7/13/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

171192-1 PEREZ MENDEZ, CARMEN IRMA Public Employee & Pension/Retiree2 7/13/2021 Family and Children Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

171197-1 ALVARADO CORALES, YOLANDA Public Employee 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

171203-1 PEREZ ORTIZ, JULIO Public Employee 7/13/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

171216-1 RODRIGUEZ VAZQUEZ, RAFAEL A. Public Employee 7/13/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

171232-1 SUREN RODRIGUEZ, REINALDO Public Employee 7/13/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

171318-1 MIRO RAMIREZ, EBED Public Employee 7/13/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 392 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

171364-1 CAY PENA, LUZ V. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

171528-1 RIVERA CINTRON, GISELA Public Employee & Pension/Retiree2 7/13/2021

Family and Children Administration & Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

171569-1 RIVERA RODRIGUEZ, JUAN B Public Employee 7/13/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

171750-1 PEREZ, JORPE Pension/Retiree 7/13/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

171796-1 RUIZ CASTILLO, IRMA I Public Employee 7/13/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

171905-1 PEREZ MAESTRE, ISRAEL Pension/Retiree 7/13/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

171927-1 LOPEZ MENDEZ, JOSE L Public Employee & Pension/Retiree2 7/13/2021

Family and Children Administration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

172132-1 GONZALEZ RIOS, WILFREDO Public Employee 7/13/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

172134-1 COLON PITRE, MANUEL Public Employee & Pension/Retiree 7/13/2021 Department of Agriculture & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

172195-1 MUNOZ, OSCAR LIND Public Employee, Pension/Retiree & Union Grievance 7/13/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

172216-1 RIVERA OLIVO, LIZANDRA Public Employee 7/13/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

172277-1 RODRIGUEZ RODRIGUEZ, ROBERTO Public Employee 7/13/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

172446-1 AMARO MORALES, CESAREO Public Employee & Pension/Retiree 7/13/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

172517-1 MORALES, ALEJANDRO MARTINEZ Public Employee 7/13/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

172520-1 NAVARRO FLORES, JOSE L. Public Employee 7/13/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

172688-1 PAGAN GOMEZ, LUIS E Public Employee & Pension/Retiree 7/13/2021 Administration of Correction Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

172714-1 NEGRON MOLINA, VICTOR M. Pension/Retiree 7/13/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

172733-1 VARGAS PEREZ, LUIS RAMON Pension/Retiree 7/13/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

172854-1 RUIZ DE JESUS, JOSE R Public Employee 7/13/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

172855-1 PADUA VELEZ, JUAN E. Public Employee & Pension/Retiree2 7/13/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

173423-1 OCASIO TORRES, DANIEL Public Employee 7/13/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 393 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

173489-1 MUNOZ MORALES, FELIX L Pension/Retiree 7/13/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

174443-1 DAVILA RIVERA, LOURDES Y. Pension/Retiree 7/13/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

174443-2 DAVILA RIVERA, LOURDES Y. Public Employee & Pension/Retiree2 7/13/2021 Department of Health, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

174599-1 CORTIJO MONTAÑEZ, FE E. Public Employee3 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

175081-1 GOMEZ RIVERA, JOSE Pension/Retiree 7/13/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

175142-1 ESPADA APONTE, DANIEL Pension/Retiree 7/13/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

175382-1 VAZQUEZ MORALES, ANA L. Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

175400-1 BERRIOS CASTRODAD, NORMA D. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

175581-1 SANTOS AGOSTO, IRMA NYDIA Public Employee & Pension/Retiree4 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

175586-1 VELAZQUEZ VARGAS, DOLORES Tax Refund 7/13/2021 Department of Treasury Y N/A N N

3rd and Final Information Request 

letter sent to claimant; awaiting 

response

N N/A 

175588-1 FREIRE RODRIGUEZ, ADRIA A. Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

175647-1 VEGA SANTIAGO , DAMARIS Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

175650-1 VEGA SANTIAGO, NELIDA Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

175907-1 ORTIZ DIAZ, JUDITH Public Employee & Pension/Retiree2 7/13/2021 Department of Education & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

175937-1 SANTIAGO ORTIZ, BRENDA LEE Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 175986-1 PEDRAZA OLIQUE, NORMA I. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

176082-1 FLORES BERMUDEZ, HECTOR LUIS Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

176139-1 SANTOS SAEZ, CARMEN GLORIA Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

17619-1 RIVERA SANTOS, MARIA DEL CARMEN Union Grievance 7/13/2021 Department of Family Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

176265-1 MORALES FIGUEROA, PEDRO IVAN Tax Refund 6/10/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

176682-1 FONSECA TORRES, MARIA ISABEL Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 394 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

176742-1 TOMEI VAZQUEZ, ELMIS IRIADA Pension/Retiree 7/13/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

176752-1 RIVERA GARCIA, JASMINE H. Pension/Retiree 7/13/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

177504-1 MORALES ROSARIO, IVAN J. Public Employee 7/13/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

177674-1 VALENTIN RODRIGUEZ, ERNESTO Public Employee 7/13/2021 Administration of Correction, Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

177733-1 SERRANO JIMENEZ, RAMON A Pension/Retiree 7/13/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

177741-1 VARGAS NIEVES, JUAN Public Employee 7/13/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

177971-1 RODRIGUEZ MONTALVO, WILLIAM Public Employee 7/13/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

17815-1 CARRERO MARTINEZ, FELICITA Public Employee 7/13/2021 Family and Children Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

178995-1 CASTRODAD BERRIOS, ADA M. Tax Refund 5/4/2021 Department of Treasury Y N/A N N

3rd and Final Information Request 

letter sent to claimant; awaiting 

response

N N/A 

179032-1 GALARZA FIGUEROA, MARIEVA Tax Refund 5/4/2021 Department of Treasury Y N/A N N

3rd and Final Information Request 

letter sent to claimant; awaiting 

response

N N/A 

179047-1 FREIRE NIEVES, EDNA J. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

18113-1 MIESES ROSARIO, ADRIANA Public Employee 7/13/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

18266-1 COLON DELGADO, ELIZABETH Pension/Retiree6 7/13/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

19257-1 PONCE MEDICAL SCHOOL FOUNDATION INC Tax Refund 7/29/2022 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

19312-1 ALICEA FERRERIS, CARLOS M Public Employee 7/13/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

21147-1 RIVERA RIVERA, EUFEMIA Union Grievance 7/13/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

23346-1 PAGAN SCHELMETTY, DOLORES M Public Employee & Union Grievance 7/13/2021 Socioeconomic Development of the Family Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

26099-1 FELICIANO ROSADO, JARITZA Pension/Retiree6 7/13/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

26103-1 ACEVEDO CARRERO, LAURA V Public Employee 7/13/2021 Socioeconomic Development of the Family Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

26122-1 ROSADO, JARITZA FELICIANO Public Employee 7/13/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

27198-1 SANTIAGO ROSADO, HERIBERTO Pension/Retiree 6/10/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 395 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

27779-1 JIMENEZ RIVERA, IRENES Public Employee 7/13/2021 Department of Transportation and Public Works Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

28107-1 RIVERA PEREZ, CARMEN J. Union Grievance 7/13/2021 Socioeconomic Development of the Family Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

28425-1 CRUZ CABRERA, MARIA DE LOURDES Public Employee 7/13/2021 Department of Education Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

28432-1 COLON DELGADO, ELIZABETH Public Employee & Pension/Retiree2 7/13/2021 Puerto Rico Police Bureau & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

29302-1 BAEZ MENDEZ, JOSE L Public Employee & Union Grievance 7/13/2021 Family and Children Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

29492-1 COLLAZO OTERO, MARIEL Public Employee 7/29/2022

Department of Health, Department of Family, Mental Health Services and Addiction Control Administration

Y N/A N N Information Request letter sent to claimant; awaiting response N N/A 

31974-1 ALAMO ALGOSTO, CARMEN M

Union Grievance & Pension/Retiree5 7/13/2021 Department of Transportation and Public Works Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

32117-1 REYES ORTIZ, SONIA I Public Employee & Union Grievance 7/13/2021 Department of Family Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

32641-1 DAVILA GONZALEZ, JOSE A. Public Employee 7/13/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

33758-1 LOPEZ GONZALEZ, ISMAEL Public Employee 7/13/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

33789-1 RIOS SANCHEZ, ALMA Public Employee 7/13/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

35103-1 ECHEVARRIA LASSUS, AMPARO Public Employee 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

35399-1 FORGAS TORRUELLAS , JULIO Public Employee & Pension/Retiree 7/13/2021

Department of Correction and Rehabilitation, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

36274-1 MASSANET NOVALES, WANDA I. Pension/Retiree 7/29/2022

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A N N/A 

36476-1 MARRERO SANTIAGO, WILLIAM Public Employee 7/13/2021 Department of Labor and Human Resources Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

37021-1 SUSTACHE SUSTACHE, IRENE Public Employee 7/13/2021 Socioeconomic Development of the Family Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

37025-1 LOPEZ SANTANA, LUDICINIO Pension/Retiree 7/13/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

38315-1 ORTIZ TORRES, MARIA Public Employee 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

38383-1 RODRIGUEZ NEGRON, VIRGEN Y Union Grievance 7/13/2021 Vocational Rehabilitation Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

38482-1 RIVERA ROCHE, RAFAEL Public Employee 7/13/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

38765-1 GALINDEZ SIERRA, CARMEN S.

Union Grievance & Pension/Retiree5 7/13/2021 Family and Children Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 396 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

40886-1 MURIEL SUSTACHE, MARISELA Union Grievance 7/13/2021 Socioeconomic Development of the Family Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

41133-1 LEBRON REYES, JOSE L Union Grievance 7/13/2021 Department of Transportation and Public Works Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

44035-1 CASUL SANCHEZ, JEANNETE Union Grievance 7/13/2021 Family and Children Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

45051-1 ROMAN MALDONADO, YELITZA Public Employee & Union Grievance 7/13/2021 Department of Family Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

46270-1 MALDONADO CRUZ, NANCY Pension/Retiree 1/5/2022

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

4827-1 MALDONADO DIAZ, JAVIER Pension/Retiree 7/13/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

48377-1 MORENO VELAZQUEZ, EULALIA Public Employee 7/13/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

48677-1 ANDUJAR SANTIAGO, LUIS A Pension/Retiree1 7/13/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

49206-1 MUNIZ RAMOS, HECTOR L. Public Employee 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

49646-1 PEREZ CORCHODO, ROSE J. Union Grievance 7/13/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

49847-1 MIRANDA TORRES, HERLINDA Public Employee 7/13/2021 Family and Children Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

50108-1 MARTINEZ RIVERA, JOSE L. Public Employee3 7/13/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

50202-1 FLORES ZAYES, ZOBEIDA Public Employee 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

50531-1 CINTRON, GISELA RIVERA Union Grievance 7/13/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

50897-1 SHELL TRADING (US) COMPANY Tax Refund 7/13/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

50972-1 MERCADO RUIZ, ADA W Public Employee 7/13/2021 Vocational Rehabilitation Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

51417-1 ROMAN ROLDAN, CARMEN Union Grievance 7/13/2021 Department of Transportation and Public Works Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

51423-1 DONES MORALES, NAYDA L. Public Employee 7/13/2021 Socioeconomic Development of the Family Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

51452-1 SANTIAGO ASTACIO, OLGA L Union Grievance 7/13/2021 Socioeconomic Development of the Family Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

51909-1 LOMBA RODRIGUEZ, IRMA J. Tax Refund 5/4/2021 Department of Treasury Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

54146-1 CASUL SANCHEZ, JEANNETE Public Employee 7/13/2021 Family and Children Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 397 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

5537-1 MARTINEZ LUGO, ELSIE Public Employee 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

57348-1 MARRERO NEVAREZ, MAYRA Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

57421-1 PAGAN MORALES, DOLLY Public Employee 7/13/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

57704-1 GONZÁLEZ RIVERA, NESTOR J. Public Employee 7/13/2021 Socioeconomic Development of the Family Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

58953-1 FIGUEROA DIAZ, LINELLY Public Employee & Pension/Retiree2 7/13/2021

Family and Children Administration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

59034-1 ZAYAS CINTRON, GRISSEL Public Employee 7/13/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

59992-1 RUIZ CASTILLO, IRMA I. Public Employee 7/13/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

60868-1 HERNANDEZ CABAN, LETICIA Union Grievance 7/13/2021 Socioeconomic Development of the Family Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

61017-1 QUILES ORTIZ, ALBA N. Public Employee 7/13/2021 Childcare and Childhood Integral Development Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

61354-1 LAZU-COLON, ALBERTO Public Employee 7/13/2021 Child Support Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

63113-1 TORRES DIAZ, GRISEL MARIE Public Employee3 7/13/2021 Department of Education Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

63198-1 ECHEVARRIA CORDOVES, ANIBAL Pension/Retiree 7/13/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

63255-1 SANCHEZ CARRASQUILLO, MARIANN Union Grievance 7/13/2021 Socioeconomic Development of the Family Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

65702-1 CRUZ VALENTIN, MADELYN Union Grievance 7/13/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

65979-1 GONZALEZ DE JESUS, ENID Public Employee & Pension/Retiree2 7/13/2021

Vocational Rehabilitation Administration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

70726-1 MALDONADO GONZÁLEZ, RUBÉN Public Employee & Pension/Retiree 7/13/2021

Department of Correction and Rehabilitation, 

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

71688-1 GONZALEZ MERCADO, OMAR Union Grievance 7/13/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

71873-1 ROSADO RODRIGUEZ, NILSA Public Employee 7/13/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

7255-1 RAMOS SABATER, ROSA M Public Employee 7/13/2021 Puerto Rico Police Bureau Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

7264-1 FIGUEROA NIEVES, ELSA M. Public Employee & Pension/Retiree2 7/13/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

73013-1 MARQUEZ SOLIVERAS, SARA H. Public Employee & Pension/Retiree2 7/13/2021 Department of Family Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 398 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

75640-1 CINTRON CINTRON, ARNALDO L. Public Employee 7/13/2021 Socioeconomic Development of the Family Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

76519-1 MERCADO RUIZ, MALINDA MABEL Public Employee 7/13/2021 Socioeconomic Development of the Family Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

78248-1 MATEO RIVERA, AWILDA Public Employee 7/13/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

7924-1 GONZALEZ CANDELARIO, MARIA L Public Employee 7/13/2021 Vocational Rehabilitation Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

79269-1 CUEVAS SOTO, WILLIAM Public Employee 7/13/2021 Department of Family Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

79920-1 TORRES ROMAN, LOUIS I Public Employee & Pension/Retiree2 7/13/2021 Department of Family & Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

81438-1 VAZQUEZ RODRIGUEZ, JESUS Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

82133-1 LABORATORIO CLINICO JUNCOS INC Tax Refund 7/13/2021 Department of Treasury Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

82806-1 ALICEA RIVERA, HERIBERTO Public Employee 7/13/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

84983-1 CORREA VILLEGAS, CARMEN M.

Union Grievance & Pension/Retiree5 7/13/2021

Socioeconomic Development of the Family Administration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

85326-1 AVILES CORTES, ROSA Public Employee & Pension/Retiree2 7/13/2021

Family and Children Administration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

85610-1 CORREA VILLEGAS, CARMEN M Union Grievance 7/13/2021 Socioeconomic Development of the Family Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

86282-1 ROSADO PACHECO, ANA M Public Employee & Pension/Retiree 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

88105-1 GUTIERREZ MONTALVO, MARGARITA Public Employee & Pension/Retiree2 7/13/2021 Department of Labor and Human Resources Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

88628-1 DONES RODRIGUEZ, MARIA Pension/Retiree6 7/13/2021

Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A Y Y N/A Y In Process/Under Revi

89443-1 RIVERA VAZQUEZ, NEYDA M Public Employee 7/13/2021 Socioeconomic Development of the Family Administration Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

90282-1 SANTOS VAZQUEZ, JOSE Public Employee 7/13/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

9143-1 FELICIANO RODRIGUEZ, IRVING Public Employee & Union Grievance 7/13/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

94793-1 SANTIAGO ANDUJAR, VIRGEN S. Public Employee & Pension/Retiree 7/13/2021 Department of Education, Employees Retirement System of the Government of the Commonwealth of Puerto Rico Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

9744-1 DACOSTA MARTELL, GILDA Public Employee & Pension/Retiree2 7/13/2021

Vocational Rehabilitation Administration, Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

9746-1 SOTO RIVERA, ZAIDA L Public Employee 7/13/2021 Vocational Rehabilitation Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 399 of 402
Fourteenth Administrative Claims Resolution Status Notice

Claim 

Number Claimant

Type of Claim 

(Pension/Retiree, Tax Refund, 

Public Employee, Grievance)

Date 

Transferred into 

ACR

Responsible Agency

Claim Review 

Started? 

(Y/N)

Explanation for Delay in 

Review (Over 60 Days)

Complete 

Administrative 

File? (Y/N)

Initial 

Determination 

Complete? 

(Y/N)

Explanation for Initial 

Determination Extension 

(Beyond 90 Days)

Claimant Appeal 

from Initial 

Determination? 

(Y/N)

Status of Appeal

9749-1 DACOSTA MARTELL, GILDA Public Employee 7/13/2021 Vocational Rehabilitation Administration Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

97853-1 MORENO CORDERO , LOURDES Public Employee & Pension/Retiree 7/13/2021 Department of Correction and Rehabilitation Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

98649-1 ARCELAY LORENZO, ALFREDO Public Employee & Union Grievance 7/13/2021 Puerto Rico Police Bureau Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

98826-1 BURGOS PABON, CARMEN D. Public Employee & Pension/Retiree2 7/13/2021 Department of Education, Teachers Retirement System Y N/A N N Information Request letter sent to claimant; response received and being reviewed. N N/A 

99284-1 CRUZ RIVERA , RAFAEL Public Employee & Pension/Retiree2 7/13/2021

Socioeconomic Development of the Family Administration & Employees Retirement System of the Government of the Commonwealth of Puerto Rico

Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

99524-1 MORENO CORDERO, LOURDES Public Employee 7/13/2021 Department of Correction and Rehabilitation Y N/A N N

Information Request letter sent to 

claimant; response received and 

being reviewed.

N N/A 

See Appendix A for footnotes 

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 D

Exhibit A Page 400 of 402
Appendix A

1 Claim was initially categorized as Public Employee & Pension/Retiree.  Upon further review, it

was determined that no Public Employee assertion was made, therefore the claim has been

recategorized as a Pension/Retiree Claim.

2 Claim was initially categorized as Public Employee.  Upon further review, it was determined

that in addition to the Public Employee assertion there is also a Pension assertion and therefore

will be re‐categorized as a Public Employee & Pension/Retiree Claim.

3 Claim was initially categorized as Public Employee & Pension/Retiree.  Upon further review, it

was determined that no Pension assertion was made, therefore the claim has been

recategorized as a Public Employee Claim.

4 Claim was initially categorized as Pension/Retiree Claim.  Upon further review, it was

determined that in addition to the Pension assertion there is also a Public Employee assertion

and therefore will be re‐categorized as a Public/Employee & Pension/Retiree Claim.

5 Claim was initially categorized as Union Grievance Claim.  Upon further review, it was

determined that in addition to the Union Grievance assertion there is also a Pension assertion

and therefore will be re‐categorized as a Union Grievance & Pension/Retiree Claim.

6 Claim was initially categorized as Public Employee.  Upon further review, it was determined

that no Public Employee assertion was made, therefore the claim has been recategorized as a

Pension/Retiree Claim.

7 This claim was previously marked resolved when claimant did not submit an appeal to their

Initial Determination within the allotted time. However, claimant had substantive duplicate

claims in ACR and response was received to claim put on objection. Accordingly, the Debtors

have reactivated the claim to allow for the response received.

8 This claim was previously marked resolved when claimant did not submit an appeal to their

Initial Determination within the allotted time. However, The Employees Retirement System of

the Government of the Commonwealth of Puerto Rico has accepted the claimants appeal and

the claim is currently under review.

9 This claim was previously marked resolved when claimant did not submit an appeal to their

Initial Determination within the allotted time. However, the Initial Determination was newly

identified as undeliverable.  Accordingly, the Debtors have re‐mailed the Initial Determination

to the claimant.

10 Claim was removed from the ACR Process (ECF No. 22733) and placed on objection exhibit to

expunge.

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 Desc:

Exhibit A Page 401 of 402
11 This claim was previously removed from ACR and placed on an objection to expunge due to

lack of adequate response. However, the claimant's recent response to the objection provided

additional detail in order for the Commonwealth and/or ERS to evaluate the claim.  Accordingly,

the Debtors have reactivated the claim to allow for the response received.

12 Claims identified as “Resolved” on the First ACR Status Notice (ECF No.14515), Second ACR

Status Notice (ECF No.15367), Third ACR Status Notice (ECF No.15812), Fourth ACR Status

Notice (ECF No. 16322), Fifth ACR Status Notice (ECF No. 16684), Sixth ACR Status Notice (ECF

No.17659), Seventh ACR Status Notice (ECF No.18363), Eighth ACR Status Notice (ECF No.

19381), Ninth ACR Status Notice (ECF No. 19945), Tenth ACR Status Notice (ECF No. 20461),

Eleventh ACR Status Notice (ECF No. 21048), Twelfth ACR Status Notice (ECF No. 21599) and

Thirteenth ACR Status Notice (ECF No. 22367) are not included in this Status Notice.

Case:17-03283-LTS Doc#:22901-1 Filed:11/22/22 Entered:11/22/22 12:44:19 Desc:

Exhibit A Page 402 of 402