Exhibit A

Form of Notice

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Exhibit A Form of Notice Page 1 of 7
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UNITED STATES DISTRICT COURT

FOR THE DISTRICT OF PUERTO RICO

In re:

THE FINANCIAL OVERSIGHT AND 

MANAGEMENT BOARD FOR PUERTO RICO,

as representative of

THE COMMONWEALTH OF PUERTO RICO et al.,

Debtors.

PROMESA

Title III

No. 17 BK 3283-LTS

(Jointly Administered)

NOTICE OF HEARING AS TO CERTAIN CLAIMS SUBJECT TO THE THREE 

HUNDRED THIRTY-FOURTH OMNIBUS OBJECTION (NON-SUBSTANTIVE) OF 

THE COMMONWEALTH OF PUERTO RICO, THE EMPLOYEES RETIREMENT 

SYSTEM OF THE GOVERNMENT OF THE COMMONWEALTH OF PUERTO RICO, 

AND THE PUERTO RICO HIGHWAYS AND TRANSPORTATION AUTHORITY TO 

MISCELLANEOUS DEFICIENT CLAIMS

PLEASE TAKE NOTICE THAT the Commonwealth of Puerto Rico (the 

“Commonwealth”), Puerto Rico Highways and Transportation Authority (“HTA”), and 

Employees Retirement System of the Government of the Commonwealth of Puerto Rico (“ERS,” 

collectively with the Commonwealth and HTA, the “Debtors”), by and through the Financial 

Oversight and Management Board for Puerto Rico (the “Oversight Board”), as the representative 

of the Commonwealth and ERS pursuant to Section 315(b) of the Puerto Rico Oversight, 

Management, and Economic Stability Act (“PROMESA”),1 filed the Three Hundred ThirtyFourth Omnibus Objection (Non-Substantive) of the Commonwealth of Puerto Rico, the 

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

Puerto Rico Highways and Transportation Authority to Miscellaneous Deficient Claims (the 

“Omnibus Objection”) with the United States District Court for the District of Puerto Rico (the 

“Court”).2

PLEASE TAKE FURTHER NOTICE THAT if your claim(s) is/are listed on 

Exhibit A to this Notice of Hearings, a hearing will be held on your claim(s) on April 25, 2023, 

at 9:30 a.m. Atlantic Standard Time (the “Claim Objection Hearing”) before The Honorable 

Laura Taylor Swain at the United States District Court for the District of Puerto Rico, 150 Carlos 

Chardón Street, Federal Building, San Juan, Puerto Rico 00918-1767. You may appear and 

speak at the Claim Objection Hearing. You should complete and return the claimant response 

1

 PROMESA is codified at 48 U.S.C. §§ 2101-2241.

2 Capitalized terms used but not defined herein shall have the meanings set forth in the 

Omnibus Objection.

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Exhibit A Form of Notice Page 2 of 7
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form (the “Response Form”), attached to this Notice of Hearing as Attachment 1, to indicate 

whether you intend to attend the Claim Objection Hearing. 

KEY POINTS

• PLEASE CHECK IF YOUR CLAIM(S) IS/ARE LISTED ON EXHIBIT A TO 

THIS NOTICE.

• If your claim(s) is/are listed on Exhibit A to this Notice of Hearing, a hearing regarding 

your claim(s) against the Commonwealth, HTA, or ERS has been scheduled for April 

25, 2023, at the time listed on Exhibit A. To indicate whether you intend to attend the 

Claim Objection Hearing, please complete and return the Response Form attached to 

this Notice of Hearing as Attachment 1.

• If your claim(s) is/are not listed on Exhibit A to this Notice of Hearing, you SHOULD

NOT appear at the Claim Objection Hearing. 

• In the event that public health conditions or other circumstances require cancellation of 

the hearing, the Oversight Board will provide notice of the cancellation to you, and the 

hearing will be rescheduled for another date.

• Copies of the Omnibus Objection and all other filings in the Title III Cases are 

available free online at https://cases.ra.kroll.com/puertorico/.

• If you have questions, please contact Kroll at (844) 822-9231 (toll free for U.S. and 

Puerto Rico) or (646) 486-7944 (for international callers), available 10:00 a.m. to 

7:00 p.m. (Atlantic Standard Time) (Spanish available). DO NOT call the Court.

Claim Objection Hearing on the Omnibus Objection. If your claim is listed on 

Exhibit A to this Notice of Hearing, a hearing will be held on the Omnibus Objection as to your 

claim on April 25, 2023, at 9:30 a.m. Atlantic Standard Time, before The Honorable Laura 

Taylor Swain of the United States District Court for the District of Puerto Rico. You may 

appear and speak at the hearing at the United States District Court for the District of 

Puerto Rico, 150 Carlos Chardón Street, Federal Building, San Juan, Puerto Rico 00918-

1767. 

Availability of Interpretation Services at the Claim Objection Hearing. For any 

claimant who may require Spanish-language interpretation services, the Debtors will provide a 

certified Spanish-language interpreter. Each claimant is also free to bring to the hearing, at his or 

her own expense, a certified Spanish-English interpreter if such claimant does not wish to utilize 

the services of the interpreter provided by the Debtors.

Response Forms to Be Submitted Prior to the Claim Objection Hearing. To assist

the Court in preparing for and managing attendance at the hearing, each party whose claim is 

listed on Exhibit A to this Notice of Hearing should submit the Response Form. The Response 

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Form will provide the Debtors and the Court staff important information regarding which 

claimants intend to appear at the Claim Objection Hearing, whether claimants intend to bring 

their own interpreters to the hearing or to rely on the interpreter provided by the Debtors, and 

whether claimants intend to submit additional supporting documentation in connection with their 

claim. 

Response Forms must be received by Kroll no later than 4:00 p.m. (Atlantic Standard 

Time) on April 18, 2023. You may submit your Response Form to Kroll by email and/or mail. 

Email: puertoricoinfo@kroll.com

Mailing Address: Commonwealth of Puerto Rico Claims Processing Center

c/o Kroll Restructuring Administration LLC

850 Third Avenue

Suite 412

Brooklyn, NY 11232. 

DO NOT send your Response Form to the Court. Doing so may result in delayed 

processing and exclusion from participation in the Claim Objection Hearing.

Additional Documentation in Support of Your Claim(s). If you wish to present any 

additional documentation in support of your claim at the Claim Objection Hearing, you must

submit that documentation with your Response Form.

Safety Procedures at the Hearing. Participants and visitors will be required to follow 

the current protocol for in-person hearings and trials during COVID-19 pandemic at the United 

States District Court for the District of Puerto Rico. Information regarding the most updated 

safety protocols can be found here: https://www.prd.uscourts.gov/covid-19-pandemic-ordersand-important-information. 

Additional Resources and Whom to Contact with Questions

If you have any questions about this Notice of Hearing, about the Claim Objection Hearing, or 

about the Response Form, please contact the Kroll hotline at (844) 822-9231.

All documents filed in the Title III Cases, including copies of claims filed using CM/ECF, are 

available free online at https://cases.ra.kroll.com/puertorico/. This website is maintained by Kroll

and includes a searchable database to assist with locating documents.

If you require additional information regarding the status of your response, your claim, this notice, 

or your Response Form, please contact the Kroll hotline at (844) 822-9231 (toll free for U.S. and 

Puerto Rico) or (646) 486-7944 (for international callers), available 10:00 a.m. to 7:00 p.m. 

(Atlantic Time) (Spanish available). Inquiries may also be sent via email to

puertoricoinfo@kroll.com. Do not call the Court.

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Exhibit A Form of Notice Page 4 of 7
Attachment 1

Claimant Response Form for the Claim Objection Hearing 

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UNITED STATES DISTRICT COURT 

FOR THE DISTRICT OF PUERTO RICO

In re:

THE FINANCIAL OVERSIGHT AND 

MANAGEMENT BOARD FOR PUERTO RICO,

as representative of

THE COMMONWEALTH OF PUERTO RICO et al.,

Debtors.1

PROMESA

Title III

No. 17 BK 3283-LTS

(Jointly Administered)

RESPONSE FORM FOR CLAIMS TO BE 

HEARD AT THE CLAIM OBJECTION HEARING

This form must be received by Kroll no later than 4:00 p.m. (Atlantic Standard 

Time) on April 18, 2023. You may submit your Response Form to Kroll by email and/or mail. 

If you choose to mail this form, the mailing must be delivered to the mailing address below by 

the deadline. 

Email: puertoricoinfo@kroll.com.

Mailing Address: Commonwealth of Puerto Rico Claims Processing Center

c/o Kroll Restructuring Administration LLC

850 Third Avenue

Suite 412

Brooklyn, NY 11232. 

1 The Debtors in these Title III Cases, along with each Debtor’s respective Title III case number 

and the last four (4) digits of each Debtor’s federal tax identification number, as applicable, are 

the (i) Commonwealth of Puerto Rico (the “Commonwealth”) (Bankruptcy Case No. 17 BK 3283-

LTS) (Last Four Digits of Federal Tax ID: 3481); (ii) Puerto Rico Sales Tax Financing Corporation 

(“COFINA”) (Bankruptcy Case No. 17 BK 3284-LTS) (Last Four Digits of Federal Tax ID: 8474); 

(iii) Puerto Rico Highways and Transportation Authority (“HTA”) (Bankruptcy Case No. 17 BK 

3567-LTS) (Last Four Digits of Federal Tax ID: 3808); (iv) Employees Retirement System of the 

Government of the Commonwealth of Puerto Rico (“ERS”) (Bankruptcy Case No. 17 BK 3566-

LTS) (Last Four Digits of Federal Tax ID: 9686); (v) Puerto Rico Electric Power Authority 

(“PREPA”) (Bankruptcy Case No. 17 BK 4780-LTS) (Last Four Digits of Federal Tax ID: 3747); 

and (vi) Puerto Rico Public Buildings Authority (“PBA”, and together with the Commonwealth, 

COFINA, HTA, ERS, and PREPA, the “Debtors”) (Bankruptcy Case No. 19-BK-5532-LTS) (Last 

Four Digits of Federal Tax ID: 3801) (Title III case numbers are listed as Bankruptcy Case 

numbers due to software limitations).

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Claim Number(s): ________________________________________

Claimant(s): _____________________________________________

Attorney Name (if applicable): ___________________________________________

Best Contact Information for Claimant:

Address: _____________________________________________________

Telephone Number: ________________________________________

Email Address: ____________________________________________

Please respond to the following questions by answering 

-Yes or No -

on the line next to the question.

I. Attendance

 I will attend the Claim Objection Hearing. 

 I will not attend Claim Objection Hearing.

 Please move the hearing for my claim to another date. I am requesting the change of 

date because: _______________________________________________________

II. Interpreter Services

I do not need an interpreter. 

I do need an interpreter, and I intend to use the interpreter provided by the Debtors. 

I do need an interpreter, but I intend to bring my own certified Spanish-English 

interpreter. 

III. Documents and Information

 I have attached additional documentation in support of my claim(s) to this Response 

 Form. 

 I do not have any additional documentation that I intend to use in support of my 

claim(s) at the Claim Objection Hearing beyond what I previously included with my 

claim(s) and what I filed with my response to the Omnibus Objection.

[Signature of the Claimant or the Claimant’s Authorized Representative]

By: 

[Printed Name]

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