UNITED STATES DISTRICT COURT

FOR THE DISTRICT OF PUERTO RICO 

-------------------------------------------------------------x

In re:

THE FINANCIAL OVERSIGHT AND 

MANAGEMENT BOARD FOR PUERTO RICO,

as representative of

THE COMMONWEALTH OF PUERTO RICO, et al.

Debtors.

1

-------------------------------------------------------------x

PROMESA

Title III

No. 17 BK 3283-LTS

(Jointly Administered)

SUPPLEMENTAL CERTIFICATE OF SERVICE

I, Hassan Alli-Balogun, depose and say that I am employed by Prime Clerk LLC (“Prime 

Clerk”), the solicitation, claims and noticing agent for the Debtors in the above-captioned cases 

under Title III of the Puerto Rico Oversight, Management, and Economic Stability Act 

(PROMESA).

On April 10, 2018, at my direction and under my supervision, employees of Prime Clerk 

caused the following documents to be served via First Class Mail on the Supplemental Employee 

Scheduled Claimants Service List attached hereto as Exhibit A:

• Notice of Deadlines for Filing Proofs of Claim, (the “Bar Date Notice”), a copy of which

is attached hereto as Exhibit B

• Proof of Claim Form (the “Proof of Claim Form”), a copy of which is attached hereto as

Exhibit C, customized to include the name and address of the party, and the debtor,

amount, nature, and classification of the schedule claim.

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 (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); and (v) Puerto Rico Electric Power Authority (“PREPA”) (Bankruptcy Case No. 17 BK 

4780-LTS) (Last Four Digits of Federal Tax ID: 3747) (Title III case numbers are listed as 

Bankruptcy Case numbers due to software limitations). 

Case:17-03283-LTS Doc#:2912 Filed:04/17/18 Entered:04/17/18 20:35:55 Desc: Main

Document Page 1 of 58
Case:17-03283-LTS Doc#:2912 Filed:04/17/18 Entered:04/17/18 20:35:55 Desc: Main

Document Page 2 of 58
Exhibit A

Case:17-03283-LTS Doc#:2912 Filed:04/17/18 Entered:04/17/18 20:35:55 Desc: Main

Document Page 3 of 58
Exhibit A

Supplemental Employee Scheduled Claimants Service List

Served via First Class Mail

MMLID Name Address1 Address2 Address3 City State PostalCode

1675 ACEVEDO ALVAREZ, GENOVEVA Redacted Redacted Redacted Redacted Redacted Redacted

777841 ACEVEDO ECHEVARRIA, ELBA Redacted Redacted Redacted Redacted Redacted Redacted

4224 ACOSTA LLANOS, BIENVENIDA Redacted Redacted Redacted Redacted Redacted Redacted

13768 ALGARIN ALVAREZ, JAHZEEL Redacted Redacted Redacted Redacted Redacted Redacted

16719 Alonso Berrios, Omayra Redacted Redacted Redacted Redacted Redacted Redacted

23855 ANDINO RIVERA, DINEIDA Redacted Redacted Redacted Redacted Redacted Redacted

29074 ANTONSANTI GARCIA, BLANCA I Redacted Redacted Redacted Redacted Redacted Redacted

779707 APONTE DEJESUS, FERNANDO Redacted Redacted Redacted Redacted Redacted Redacted

779714 APONTE ESTRADA, CHRIS Redacted Redacted Redacted Redacted Redacted Redacted

29927 APONTE MELENDEZ, CARLOS ALBERTO Redacted Redacted Redacted Redacted Redacted Redacted

30973 Aquino Diaz, Mario Redacted Redacted Redacted Redacted Redacted Redacted

780012 ARES ESTRADA, ANGEL J Redacted Redacted Redacted Redacted Redacted Redacted

780020 AREVALO SANTAELLA, MARIA F Redacted Redacted Redacted Redacted Redacted Redacted

34625 ARROYO LOPEZ, ANDELMO Redacted Redacted Redacted Redacted Redacted Redacted

34962 ARROYO PEREZ, DIANA Redacted Redacted Redacted Redacted Redacted Redacted

35281 ARROYO RUIZ, MARIA N Redacted Redacted Redacted Redacted Redacted Redacted

42710 BAEZ LOPEZ, BETZAIDA Redacted Redacted Redacted Redacted Redacted Redacted

781878 BIANCHI ALBARRAN, RAQUEL Redacted Redacted Redacted Redacted Redacted Redacted

54135 Bonano Rexach, Oscar Redacted Redacted Redacted Redacted Redacted Redacted

54941 BONILLA MONTALVO, DIOR M Redacted Redacted Redacted Redacted Redacted Redacted

55421 BONILLA VEGA, IDALI Redacted Redacted Redacted Redacted Redacted Redacted

55425 BONILLA VEGA, MARCELINO Redacted Redacted Redacted Redacted Redacted Redacted

59747 Burgos Lopez, Juan Redacted Redacted Redacted Redacted Redacted Redacted

59828 BURGOS MARTINEZ, MELANIE Redacted Redacted Redacted Redacted Redacted Redacted

62053 Cabrera Cirilo, Manuel Redacted Redacted Redacted Redacted Redacted Redacted

65716 CAMACHO VELAZQUEZ, GLORIA E. Redacted Redacted Redacted Redacted Redacted Redacted

In re: The Commonwealth of Puerto Rico, et al.

Case No. 17-03283 (LTS) Page 1 of 9

Case:17-03283-LTS Doc#:2912 Filed:04/17/18 Entered:04/17/18 20:35:55 Desc: Main

Document Page 4 of 58
Exhibit A

Supplemental Employee Scheduled Claimants Service List

Served via First Class Mail

MMLID Name Address1 Address2 Address3 City State PostalCode

66138 CAMPOS CARTAGENA, KELCIE Redacted Redacted Redacted Redacted Redacted Redacted

66314 CAMPS LOPEZ, MARISOL Redacted Redacted Redacted Redacted Redacted Redacted

66771 CANCEL GONZALEZ, SAUDHI V. Redacted Redacted Redacted Redacted Redacted Redacted

68592 CARABALLO CEDENO, GRIMILDA Redacted Redacted Redacted Redacted Redacted Redacted

68593 CARABALLO CEDENO, JEIEL Redacted Redacted Redacted Redacted Redacted Redacted

68731 CARABALLO FIGUEROA, ADA Redacted Redacted Redacted Redacted Redacted Redacted

69055 CARABALLO OLIVERAS, ONELIA Redacted Redacted Redacted Redacted Redacted Redacted

69103 CARABALLO PACHECO, ELSA Redacted Redacted Redacted Redacted Redacted Redacted

69151 CARABALLO PEREZ, MARIA C Redacted Redacted Redacted Redacted Redacted Redacted

69164 CARABALLO PUEYO, MADELINE Redacted Redacted Redacted Redacted Redacted Redacted

69349 CARABALLO SAEZ, EVELIO Redacted Redacted Redacted Redacted Redacted Redacted

69435 CARABALLO TORO, ROSALINDA Redacted Redacted Redacted Redacted Redacted Redacted

783675 CARDONA RIVERA, YVETTE Redacted Redacted Redacted Redacted Redacted Redacted

82523 CASTILLO CARABALLO, ALEX Redacted Redacted Redacted Redacted Redacted Redacted

83269 CASTRO CASTRO, ANGELO ANIBAL Redacted Redacted Redacted Redacted Redacted Redacted

87668 CERVONI FIGUEROA, JUDITH Redacted Redacted Redacted Redacted Redacted Redacted

88208 CHANG SIERRA, JACQUELINE Redacted Redacted Redacted Redacted Redacted Redacted

90726 CINTRON GARCIA, MORAIMA Redacted Redacted Redacted Redacted Redacted Redacted

94978 COLLAZO RIVERA, TERESA Redacted Redacted Redacted Redacted Redacted Redacted

96233 COLON CANTERO, CARMEN E Redacted Redacted Redacted Redacted Redacted Redacted

101850 COLON TORRES, JOEL Redacted Redacted Redacted Redacted Redacted Redacted

104475 CONTRERAS GOMEZ, FERMIN M. Redacted Redacted Redacted Redacted Redacted Redacted

106788 CORDERO VELEZ, ZULEIKA Redacted Redacted Redacted Redacted Redacted Redacted

112477 CRESPO PEREZ, OMAYRA Redacted Redacted Redacted Redacted Redacted Redacted

127757 De Jesus Lopez, Roy V Redacted Redacted Redacted Redacted Redacted Redacted

131223 DEL RIO RIVERA, RAFAEL Redacted Redacted Redacted Redacted Redacted Redacted

In re: The Commonwealth of Puerto Rico, et al.

Case No. 17-03283 (LTS) Page 2 of 9

Case:17-03283-LTS Doc#:2912 Filed:04/17/18 Entered:04/17/18 20:35:55 Desc: Main

Document Page 5 of 58
Exhibit A

Supplemental Employee Scheduled Claimants Service List

Served via First Class Mail

MMLID Name Address1 Address2 Address3 City State PostalCode

137030 DIAZ CORTIJO, FRANCISCO J. Redacted Redacted Redacted Redacted Redacted Redacted

139259 DIAZ MONTALVAN, FELIX Redacted Redacted Redacted Redacted Redacted Redacted

789998 DIAZ MONTANEZ, JOSE Redacted Redacted Redacted Redacted Redacted Redacted

139274 DIAZ MONTANEZ, JOSE L Redacted Redacted Redacted Redacted Redacted Redacted

139701 DIAZ ORTIZ, LUZ MYRIAM Redacted Redacted Redacted Redacted Redacted Redacted

163379 FELICIANO NEGRON, JESSICA Redacted Redacted Redacted Redacted Redacted Redacted

163482 FELICIANO PALOMO, LEONEL Redacted Redacted Redacted Redacted Redacted Redacted

163561 FELICIANO QUINONES, MICHAEL Redacted Redacted Redacted Redacted Redacted Redacted

163803 FELICIANO RODRIGUEZ, MADELINE Redacted Redacted Redacted Redacted Redacted Redacted

172295 FIGUEROA RODRIGUEZ, SILVIA E Redacted Redacted Redacted Redacted Redacted Redacted

172461 FIGUEROA RUIZ, SANDRA I Redacted Redacted Redacted Redacted Redacted Redacted

175516 FLORES TORRES, MIRIAM Redacted Redacted Redacted Redacted Redacted Redacted

186400 Garcia Milan, Jorge Redacted Redacted Redacted Redacted Redacted Redacted

187341 GARCIA RAMOS, LUIS A. Redacted Redacted Redacted Redacted Redacted Redacted

187540 GARCIA RIVERA, FRANCISCO Redacted Redacted Redacted Redacted Redacted Redacted

195462 GOMEZ VAZQUEZ, JOSUE Redacted Redacted Redacted Redacted Redacted Redacted

198580 GONZALEZ FIGUEROA, ORLANDO Redacted Redacted Redacted Redacted Redacted Redacted

201788 GONZALEZ OLIVERAS, WALESKA Redacted Redacted Redacted Redacted Redacted Redacted

202539 Gonzalez Perez, Samuel Redacted Redacted Redacted Redacted Redacted Redacted

205765 GONZALEZ TORRES, RAMONITA Redacted Redacted Redacted Redacted Redacted Redacted

209671 GUILBE GASTON, ALMA Y Redacted Redacted Redacted Redacted Redacted Redacted

210065 GUINIS QUINONES, MIGDALIA Redacted Redacted Redacted Redacted Redacted Redacted

210851 Guzman Amaro, Nitza M Redacted Redacted Redacted Redacted Redacted Redacted

223916 HIRALDO ROSADO, RAUL Redacted Redacted Redacted Redacted Redacted Redacted

229372 IRIZARRY BURGOS, WALDEMAR Redacted Redacted Redacted Redacted Redacted Redacted

240133 JIMENEZ MORALES, MIRIAM Redacted Redacted Redacted Redacted Redacted Redacted

In re: The Commonwealth of Puerto Rico, et al.

Case No. 17-03283 (LTS) Page 3 of 9

Case:17-03283-LTS Doc#:2912 Filed:04/17/18 Entered:04/17/18 20:35:55 Desc: Main

Document Page 6 of 58
Exhibit A

Supplemental Employee Scheduled Claimants Service List

Served via First Class Mail

MMLID Name Address1 Address2 Address3 City State PostalCode

260642 LABOY TORRES, ANTONIA Redacted Redacted Redacted Redacted Redacted Redacted

261758 LANZA ROSARIO, MARIA DE LOS A Redacted Redacted Redacted Redacted Redacted Redacted

262222 LARRIUZ BRAVO, KEVIN Redacted Redacted Redacted Redacted Redacted Redacted

264535 LEBRON RODRIGUEZ, JAZMIN Redacted Redacted Redacted Redacted Redacted Redacted

798308 LEON TORRES, FELICITA Redacted Redacted Redacted Redacted Redacted Redacted

265914 LEON TORRES, FELICITA Redacted Redacted Redacted Redacted Redacted Redacted

269999 Loperena Roman, Nathanael Redacted Redacted Redacted Redacted Redacted Redacted

270794 LOPEZ CARABALLO, ADONIA Redacted Redacted Redacted Redacted Redacted Redacted

270833 LOPEZ CARDONA, ELIZABETH Redacted Redacted Redacted Redacted Redacted Redacted

270844 LOPEZ CARDONA, MAYRA Redacted Redacted Redacted Redacted Redacted Redacted

272250 LOPEZ GAUTIER, MITCHELL Redacted Redacted Redacted Redacted Redacted Redacted

276340 LOPEZ RUBETTS, LEONOR Redacted Redacted Redacted Redacted Redacted Redacted

276386 LOPEZ RUIZ, WILLIAM Redacted Redacted Redacted Redacted Redacted Redacted

276934 Lopez Terron, Harold Redacted Redacted Redacted Redacted Redacted Redacted

279809 LUCENA MERCADO, JOSUE Redacted Redacted Redacted Redacted Redacted Redacted

290822 MALDONADO COLON, ANGEL L Redacted Redacted Redacted Redacted Redacted Redacted

291856 MALDONADO MARRERO, DAVID Redacted Redacted Redacted Redacted Redacted Redacted

302130 MARIN VARGAS, MARION Redacted Redacted Redacted Redacted Redacted Redacted

304451 MARRERO CARABALLO, MIGUEL A Redacted Redacted Redacted Redacted Redacted Redacted

308893 MARTINEZ FELICIANO, DIONISIO Redacted Redacted Redacted Redacted Redacted Redacted

311522 MARTINEZ PUEYO, LUIS A. Redacted Redacted Redacted Redacted Redacted Redacted

319352 MEDINA FIGUEROA, JUAN Redacted Redacted Redacted Redacted Redacted Redacted

802822 MELENDEZ MELENDEZ, ELIZABETH Redacted Redacted Redacted Redacted Redacted Redacted

803043 MENDEZ BONILLA, CARMEN Redacted Redacted Redacted Redacted Redacted Redacted

803083 MENDEZ CUEVAS, EMMA Redacted Redacted Redacted Redacted Redacted Redacted

325623 MENDEZ CUEVAS, EMMA Z Redacted Redacted Redacted Redacted Redacted Redacted

In re: The Commonwealth of Puerto Rico, et al.

Case No. 17-03283 (LTS) Page 4 of 9

Case:17-03283-LTS Doc#:2912 Filed:04/17/18 Entered:04/17/18 20:35:55 Desc: Main

Document Page 7 of 58
Exhibit A

Supplemental Employee Scheduled Claimants Service List

Served via First Class Mail

MMLID Name Address1 Address2 Address3 City State PostalCode

326527 Mendez Ramos, Hasmir Redacted Redacted Redacted Redacted Redacted Redacted

329202 MERCADO QUINONEZ, JORGE Redacted Redacted Redacted Redacted Redacted Redacted

341920 MONTES ACEVEDO, ALMA Redacted Redacted Redacted Redacted Redacted Redacted

341941 Montes Andujar, Ivis M. Redacted Redacted Redacted Redacted Redacted Redacted

343263 MORALES BORGES, CARLOS O. Redacted Redacted Redacted Redacted Redacted Redacted

343359 MORALES CARABALLO, NILSA Redacted Redacted Redacted Redacted Redacted Redacted

343451 MORALES CASTRO, JULIO A Redacted Redacted Redacted Redacted Redacted Redacted

345865 MORALES ORENGO, AILEEN Redacted Redacted Redacted Redacted Redacted Redacted

346348 MORALES QUINONES, MAGDA I Redacted Redacted Redacted Redacted Redacted Redacted

350264 MULERORIVERA, CARMELO Redacted Redacted Redacted Redacted Redacted Redacted

805540 MUNIZ PEREZ, NOEMI Redacted Redacted Redacted Redacted Redacted Redacted

355856 NAVAS COLON, MARILYN Redacted Redacted Redacted Redacted Redacted Redacted

363588 NIEVES PEREZ, CARMEN I Redacted Redacted Redacted Redacted Redacted Redacted

370887 OLAVARRIA TRUJILLO, JOSE A Redacted Redacted Redacted Redacted Redacted Redacted

807257 OLIVIERI VELAZQUEZ, KARINA Redacted Redacted Redacted Redacted Redacted Redacted

807519 ORTEGA ELIAS, CARMEN Redacted Redacted Redacted Redacted Redacted Redacted

807531 ORTEGA MORALES, WILNELIA Redacted Redacted Redacted Redacted Redacted Redacted

807571 ORTIS DE JESUS, RAMON Redacted Redacted Redacted Redacted Redacted Redacted

376419 Ortiz Alicea, Raquel Redacted Redacted Redacted Redacted Redacted Redacted

377172 Ortiz Camacho, Sonia M Redacted Redacted Redacted Redacted Redacted Redacted

382149 ORTIZ PEREZ, WILLIAM Redacted Redacted Redacted Redacted Redacted Redacted

383221 ORTIZ RODRIGUEZ, CARMEN I Redacted Redacted Redacted Redacted Redacted Redacted

389714 PACHECO FELICIANO, DAVID Redacted Redacted Redacted Redacted Redacted Redacted

391806 PADRO ROMERO, MARY Redacted Redacted Redacted Redacted Redacted Redacted

393386 PAGAN PEREZ, ALEJANDRINA Redacted Redacted Redacted Redacted Redacted Redacted

393583 PAGAN RIVERA, DOMINGO Redacted Redacted Redacted Redacted Redacted Redacted

In re: The Commonwealth of Puerto Rico, et al.

Case No. 17-03283 (LTS) Page 5 of 9

Case:17-03283-LTS Doc#:2912 Filed:04/17/18 Entered:04/17/18 20:35:55 Desc: Main

Document Page 8 of 58
Exhibit A

Supplemental Employee Scheduled Claimants Service List

Served via First Class Mail

MMLID Name Address1 Address2 Address3 City State PostalCode

393747 PAGAN RODRIGUEZ, JASON Y. Redacted Redacted Redacted Redacted Redacted Redacted

395275 PAREDES CRUZ, YARITZA M. Redacted Redacted Redacted Redacted Redacted Redacted

400832 PEREZ CASIANO, LUZ LEIDA Redacted Redacted Redacted Redacted Redacted Redacted

407312 PEREZ SANCHEZ, BETZAIDA Redacted Redacted Redacted Redacted Redacted Redacted

407326 PEREZ SANCHEZ, ESTHER I Redacted Redacted Redacted Redacted Redacted Redacted

416903 QUINONES CARABALLO, MILDRED Redacted Redacted Redacted Redacted Redacted Redacted

417171 QUINONES FELICIANO, AUREA Redacted Redacted Redacted Redacted Redacted Redacted

417465 QUINONES LUGO, LIBRADA Redacted Redacted Redacted Redacted Redacted Redacted

417550 Quinones Matos, Juan D. Redacted Redacted Redacted Redacted Redacted Redacted

418315 QUINONES SANTIAGO, SARITA Redacted Redacted Redacted Redacted Redacted Redacted

418708 Quinonez Irizarry, Fernando Redacted Redacted Redacted Redacted Redacted Redacted

422287 RAMIREZ IRIZARRY, ANA G. Redacted Redacted Redacted Redacted Redacted Redacted

422349 RAMIREZ LLUVERAS, EVELYN I. Redacted Redacted Redacted Redacted Redacted Redacted

425028 RAMOS ARROYO, NITZA MARIA Redacted Redacted Redacted Redacted Redacted Redacted

433771 REYES BATISTA, CRISTINA Redacted Redacted Redacted Redacted Redacted Redacted

440319 RIOS VAZQUEZ, LORAINE Redacted Redacted Redacted Redacted Redacted Redacted

441842 RIVERA ARROYO, MIGUEL A. Redacted Redacted Redacted Redacted Redacted Redacted

442065 Rivera Ayala, Pablo Redacted Redacted Redacted Redacted Redacted Redacted

443452 RIVERA CASTRO, EFRAIN Redacted Redacted Redacted Redacted Redacted Redacted

444548 RIVERA COTTO, ANGEL L Redacted Redacted Redacted Redacted Redacted Redacted

447821 RIVERA GRAJALES, MARIA L. Redacted Redacted Redacted Redacted Redacted Redacted

451542 Rivera Morales, Hjalmar Redacted Redacted Redacted Redacted Redacted Redacted

457445 RIVERA RODRIGUEZ, NEFTALI Redacted Redacted Redacted Redacted Redacted Redacted

458109 RIVERA ROSADO, JOSE A Redacted Redacted Redacted Redacted Redacted Redacted

458191 RIVERA ROSADO, ZABASKAMARY Redacted Redacted Redacted Redacted Redacted Redacted

459606 RIVERA SEPULVEDA, LUDGERIO Redacted Redacted Redacted Redacted Redacted Redacted

In re: The Commonwealth of Puerto Rico, et al.

Case No. 17-03283 (LTS) Page 6 of 9

Case:17-03283-LTS Doc#:2912 Filed:04/17/18 Entered:04/17/18 20:35:55 Desc: Main

Document Page 9 of 58
Exhibit A

Supplemental Employee Scheduled Claimants Service List

Served via First Class Mail

MMLID Name Address1 Address2 Address3 City State PostalCode

461291 RIVERA VAZQUEZ, WANDA L. Redacted Redacted Redacted Redacted Redacted Redacted

816754 ROBLES APONTE, KEISHLA I Redacted Redacted Redacted Redacted Redacted Redacted

464671 ROBLES, LILLIAN Redacted Redacted Redacted Redacted Redacted Redacted

466112 RODRIGUEZ AYALA, ALIS B. Redacted Redacted Redacted Redacted Redacted Redacted

817174 RODRIGUEZ CARABALLO, YOLANDA Redacted Redacted Redacted Redacted Redacted Redacted

469226 RODRIGUEZ DE_JESUS, GLORIA E Redacted Redacted Redacted Redacted Redacted Redacted

469967 RODRIGUEZ FELICIANO, JOSE I Redacted Redacted Redacted Redacted Redacted Redacted

470706 RODRIGUEZ GARCIA, IRMA Redacted Redacted Redacted Redacted Redacted Redacted

817648 RODRIGUEZ GHIGLIOTTY, ASTRY Redacted Redacted Redacted Redacted Redacted Redacted

472741 RODRIGUEZ LOPEZ, MILKA Redacted Redacted Redacted Redacted Redacted Redacted

474312 RODRIGUEZ MERLO, SALVADOR Redacted Redacted Redacted Redacted Redacted Redacted

476222 RODRIGUEZ PACHECO, IRIS BETSY Redacted Redacted Redacted Redacted Redacted Redacted

818342 RODRIGUEZ PEREZ, JANNETTE Redacted Redacted Redacted Redacted Redacted Redacted

477009 RODRIGUEZ POLA, JOSE A Redacted Redacted Redacted Redacted Redacted Redacted

480416 RODRIGUEZ ROSADO, ENID Redacted Redacted Redacted Redacted Redacted Redacted

819211 RODRIGUEZ VELEZ, ELIUD Redacted Redacted Redacted Redacted Redacted Redacted

486434 ROMAN ACEVEDO, MYRNA I Redacted Redacted Redacted Redacted Redacted Redacted

486464 Roman Aguiar, Xavier C. Redacted Redacted Redacted Redacted Redacted Redacted

486599 ROMAN BELEN, JACQUELINE Redacted Redacted Redacted Redacted Redacted Redacted

487925 ROMAN ORTIZ, JOSE J. Redacted Redacted Redacted Redacted Redacted Redacted

489020 ROMAN VELEZ, JOSE A. Redacted Redacted Redacted Redacted Redacted Redacted

499676 ROUSS CHAPMAN, AIDA Redacted Redacted Redacted Redacted Redacted Redacted

502128 RUIZ ORENGO, NOEL Redacted Redacted Redacted Redacted Redacted Redacted

509012 SANCHEZ MARTINEZ, ALMIDA Redacted Redacted Redacted Redacted Redacted Redacted

511136 SANCHEZ VAZQUEX, FELIX Redacted Redacted Redacted Redacted Redacted Redacted

512152 SANJURJO FIGUEROA, BRENDA Redacted Redacted Redacted Redacted Redacted Redacted

In re: The Commonwealth of Puerto Rico, et al.

Case No. 17-03283 (LTS) Page 7 of 9

Case:17-03283-LTS Doc#:2912 Filed:04/17/18 Entered:04/17/18 20:35:55 Desc: Main

Document Page 10 of 58
Exhibit A

Supplemental Employee Scheduled Claimants Service List

Served via First Class Mail

MMLID Name Address1 Address2 Address3 City State PostalCode

513134 SANTANA HERNANDEZ, SERGIO Redacted Redacted Redacted Redacted Redacted Redacted

516457 SANTIAGO FIGUEROA, RAUL Redacted Redacted Redacted Redacted Redacted Redacted

518999 SANTIAGO ORTIZ, MARGARO Redacted Redacted Redacted Redacted Redacted Redacted

520451 Santiago Rodriguez, Benito Redacted Redacted Redacted Redacted Redacted Redacted

523547 SANTOS FIGUEROA, CARMEN D Redacted Redacted Redacted Redacted Redacted Redacted

524140 Santos Nieves, Eliezer M. Redacted Redacted Redacted Redacted Redacted Redacted

525014 SANTOS TORRES, EMMA Redacted Redacted Redacted Redacted Redacted Redacted

532791 Silva Laboy, Santos Redacted Redacted Redacted Redacted Redacted Redacted

541504 SUAREZ MONTIJO, EUGENE Redacted Redacted Redacted Redacted Redacted Redacted

546384 TILLERO ROSAS, MILAGROS T Redacted Redacted Redacted Redacted Redacted Redacted

548359 Toro Lugo, Carlos R Redacted Redacted Redacted Redacted Redacted Redacted

550531 TORRES COLON, RUBEN DARIO Redacted Redacted Redacted Redacted Redacted Redacted

551535 TORRES FELICIANO, HENRY Redacted Redacted Redacted Redacted Redacted Redacted

552397 TORRES GOTAY, MARIVANGELI Redacted Redacted Redacted Redacted Redacted Redacted

553539 TORRES MARTINEZ, MARTHA Redacted Redacted Redacted Redacted Redacted Redacted

554619 TORRES OLIVERA, JOSEFINA Redacted Redacted Redacted Redacted Redacted Redacted

555423 TORRES PEREZ, SHEILA M Redacted Redacted Redacted Redacted Redacted Redacted

556939 Torres Rodriguez, Jose L Redacted Redacted Redacted Redacted Redacted Redacted

557845 TORRES SANTANA, LORENA M Redacted Redacted Redacted Redacted Redacted Redacted

558807 TORRES TORRES, MARIA M Redacted Redacted Redacted Redacted Redacted Redacted

558884 TORRES TORRES, SANDRA I. Redacted Redacted Redacted Redacted Redacted Redacted

559049 TORRES VARGAS, RAMON L Redacted Redacted Redacted Redacted Redacted Redacted

559127 TORRES VAZQUEZ, LUZ E Redacted Redacted Redacted Redacted Redacted Redacted

827089 TRAVIESO CRESPO, REY F Redacted Redacted Redacted Redacted Redacted Redacted

827094 TRETO TORRES, JUANITA Redacted Redacted Redacted Redacted Redacted Redacted

566257 Valle Valle, Israel A Redacted Redacted Redacted Redacted Redacted Redacted

In re: The Commonwealth of Puerto Rico, et al.

Case No. 17-03283 (LTS) Page 8 of 9

Case:17-03283-LTS Doc#:2912 Filed:04/17/18 Entered:04/17/18 20:35:55 Desc: Main

Document Page 11 of 58
Exhibit A

Supplemental Employee Scheduled Claimants Service List

Served via First Class Mail

MMLID Name Address1 Address2 Address3 City State PostalCode

569234 VAZQUEZ ALVAREZ, RAFAEL Redacted Redacted Redacted Redacted Redacted Redacted

569894 VAZQUEZ CORTES, MIGUEL Redacted Redacted Redacted Redacted Redacted Redacted

570190 VAZQUEZ DIAZ, LUZ M. Redacted Redacted Redacted Redacted Redacted Redacted

573413 VAZQUEZ SANTIAGO, ZULEIMA Redacted Redacted Redacted Redacted Redacted Redacted

574553 VEGA CANCEL, MILDRED Redacted Redacted Redacted Redacted Redacted Redacted

575490 VEGA MALDONADO, GLENDA Redacted Redacted Redacted Redacted Redacted Redacted

576022 VEGA ORTIZ, MADELYN Redacted Redacted Redacted Redacted Redacted Redacted

582618 VELEZ RODRIGUEZ, WILBERT Redacted Redacted Redacted Redacted Redacted Redacted

583977 VERA MAYA, VIVIAN Redacted Redacted Redacted Redacted Redacted Redacted

In re: The Commonwealth of Puerto Rico, et al.

Case No. 17-03283 (LTS) Page 9 of 9

Case:17-03283-LTS Doc#:2912 Filed:04/17/18 Entered:04/17/18 20:35:55 Desc: Main

Document Page 12 of 58
Exhibit B

Case:17-03283-LTS Doc#:2912 Filed:04/17/18 Entered:04/17/18 20:35:55 Desc: Main

Document Page 13 of 58
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 

Case No. 17 BK 3283-LTS

(Jointly Administered)

NOTICE OF DEADLINES FOR FILING PROOFS OF CLAIM 

TO ALL CREDITORS OF THE DEBTORS, AND TO OTHER PARTIES IN INTEREST,

PLEASE TAKE NOTICE OF THE FOLLOWING:

The Financial Oversight and Management Board for Puerto Rico (the “Oversight Board”) has filed 

voluntary petitions under section 304(a) of Puerto Rico Oversight, Management, and Economic 

Stability Act (“PROMESA”),1initiating Title III cases under PROMESA (each, a “Title III Case” and 

collectively, the “Title III Cases”) for the debtors listed below (each, a “Debtor” and collectively, the 

“Debtors”). You may be a creditor of one of the Debtors, and you may be required to file a proof 

of claim (“Proof of Claim”). 

A list of the names of the Debtors, their case numbers, and the commencement date of the Debtors’ 

Title III Cases is as follows:

Title III Cases Federal Tax 

ID No. Case No. Commencement Date

Commonwealth of Puerto Rico 3481 17 BK 3283 May 3, 2017

Puerto Rico Sales Tax Financing 

Corporation (“COFINA”)

8474 17 BK 3284 May 5, 2017

Employees Retirement System of the 

Government of the Commonwealth of Puerto 

Rico (“ERS”)

9686 17 BK 3566 May 21, 2017

Puerto Rico Highways and Transportation 

Authority (“HTA”)

3808 17 BK 3567 May 21, 2017

Puerto Rico Electric Power Authority 

(“PREPA”)

3747 17 BK 4780 July 2, 2017

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

Case:17-03283-LTS Doc#:2912 Filed:04/17/18 Entered:04/17/18 20:35:55 Desc: Main

Document Page 14 of 58
OVERVIEW – KEY POINTS

• This document is a legal notice concerning the Title III Cases of the Debtors (listed 

above). This document is being sent to all parties that may be owed money by the 

Debtors (known as “creditors”).

• The Overview on this page describes the key terms of this document. Please read 

the entire document carefully for further details. 

• In a Title III proceeding under PROMESA, creditors may be required to file claim forms 

stating the amount of money owed to them as of the day the Title III proceeding was 

filed. This document explains how to file claims.

• Many creditors in the Title III Cases are not required to file a claim. This document 

explains who is required to file a claim and who is not required to file a claim. Please see 

Section 2 of this document for a complete list of parties not required to file a claim.

• If you are not required to file a claim, you do not need to complete and return a 

claim form, and you will still keep your rights to vote on a plan of adjustment and 

receive payments under the plan. A plan of adjustment is a document that explains how a 

Debtor proposes to pay the amounts it owes to its creditors. Once filed, this plan will be 

available for creditors to review. Who gets to vote on the plan will be determined at a 

later date. The amount you may receive under the plan also will be determined later.

• If you are required to file a claim against any of the Debtors, you must do so by 

May 29, 2018 at 4:00 p.m., Atlantic Standard Time. A form that you may use to file 

your claim is provided with this document. 

• Claims may be filed by (a) electronically filing on the Claims Agent’s website at 

https://cases.primeclerk.com/puertorico/EPOC-Index, or (b) mail or hand delivery to the 

addresses provided in Section 6 of this document.

• After reading this document, if you require additional information regarding this Notice, 

you may contact the Claims Agent 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), or by email at puertoricoinfo@primeclerk.com. 

Please note that the people answering the phone number are not able to provide legal 

advice. If you have questions about your legal rights, including whether you need to file 

a claim, you should talk to an attorney.

Case:17-03283-LTS Doc#:2912 Filed:04/17/18 Entered:04/17/18 20:35:55 Desc: Main

Document Page 15 of 58
Section 1 – The Bar Dates

On February 15, 2018, the United States District Court for the District of Puerto Rico (the 

“District Court”) entered an order (the “Bar Date Order”) in the above-captioned Title III Cases in 

accordance with Bankruptcy Rule 3003(c) fixing the following deadlines to file Proofs of Claim 

(collectively, the “Bar Dates”):

(a) General Bar Date: 4:00 p.m. (Atlantic Standard Time) on May 29, 2018, is the 

deadline (the “General Bar Date”) for filing proofs of claim (as defined in 

Bankruptcy Code section 101(5)), against the Debtors on account of (i) claims 

arising, or deemed to have arisen, prior to the respective commencement dates for 

their Title III Cases, including, for the avoidance of doubt, bond claims and claims 

arising under Bankruptcy Code section 503(b)(9), and (ii) claims asserted by 

governmental units (as defined in Bankruptcy Code section 101(27));

(b) Rejection Bar Date: Except as otherwise set forth in any order authorizing the 

rejection of an executory contract or unexpired lease, 4:00 p.m. (Atlantic 

Standard Time) on the date that is the later of (i) the General Bar Date and 

(ii) the first business day that is thirty-five (35) calendar days after the entry 

of an order by the Court authorizing such rejection is the deadline for a party 

to any such rejected executory contract or unexpired lease to file proofs of claim 

relating to the rejection of such contract or lease (the “Rejection Bar Date,” and 

together with the General Bar Date, the “Bar Dates”); and

(c) Bar Date if Creditor List is Amended or Supplemented: If, after the Bar Date 

Notice is served, any Debtor (a) amends its respective Creditor List to reduce a 

claim and/or to change the classification, nature or characterization of a claim, or 

(b) supplements its respective Creditor List, such Debtor shall give notice of any 

amendment or supplement to the holders of claims reduced or changed thereby, 

and advise such holders they shall each have until the later of (i) the General Bar 

Date and (ii) thirty-five (35) days from the date of such notice to file a proof of 

claim, or an amended proof of claim, if applicable, or be barred from so doing.

As used in this Notice, a “claim,” as defined in section 101(5) of the Bankruptcy Code, 

whenever arising, includes in each case any claims against any of the Debtors based upon the Debtors’ 

primary, secondary, direct, indirect, fixed, secured, unsecured, contingent, guaranteed, disputed, 

undisputed, liquidated, unliquidated, matured, unmatured, legal, or equitable liability or otherwise, 

including, for the avoidance of doubt, claims arising under section 503(b)(9) of the Bankruptcy Code 

(each, a “Claim”).

Case:17-03283-LTS Doc#:2912 Filed:04/17/18 Entered:04/17/18 20:35:55 Desc: Main

Document Page 16 of 58
Section 2 – Who Is NOT Required To File a Proof of Claim

THE FACT THAT YOU RECEIVED THIS NOTICE DOES NOT MEAN THAT YOU 

HAVE A CLAIM AGAINST THE DEBTORS OR THAT THE DEBTORS BELIEVE YOU 

HAVE A CLAIM.

The following persons and entities are not required to file a Proof of Claim on or before 

the applicable Bar Date: 

A. Allowed Claims: Any person or entity whose claim was previously allowed by an order 

of this Court entered on or before the applicable Bar Date; 

B. Paid Claims: Any person or entity whose claim was paid in full by a Debtor, including 

claims paid by a Debtor after the commencement date of its respective Title III Case; 

C. Proofs of Claim Already Filed: Any person or entity who already properly filed a proof 

of claim, which substantially conforms to the Proof of Claim Form, in these Title III Cases 

with the Court or the Debtors’ claims and noticing agent;

D. Claims Properly Listed and Categorized on Creditor Lists: Any person or entity whose 

claim is listed on one of the Creditor Lists and (i) the claim is not listed as “disputed,” 

“contingent,” or “unliquidated,” (ii) the person or entity does not dispute the amount and 

nature of the claim as set forth on the applicable Creditor List, and (iii) the person or entity 

does not dispute that the claim is an obligation of the subject Debtor;

E. PREPA Customers: Customers of PREPA in connection with the disposition of their 

deposits or any individual billing or service disputes; provided, however, that any such 

holder must assert a claim not otherwise excepted from filing a proof of claim by 

Paragraphs A. through O. of this Section by filing a proof of claim with respect to such 

other claim on or before the General Bar Date to avoid disallowance of such other claim;

F. Pension Claims: With respect to pension benefits and any and all other post-retirement 

benefits, any retiree, active employee, and former employee of a Title III Debtor

(including any former employee of a Title III Debtor receiving early pension, financial 

incentive, or other benefits provided under Act No. 70-2010 or Act No. 211-2015 or 

similar laws or programs), or any person who is or was a participant in a pension plan 

administered by a Title III Debtor, and any beneficiary of any the foregoing persons; 

provided, however, that any such holder must assert a claim not otherwise excepted from 

filing a proof of claim by Paragraphs A. through O. of this Section by filing a proof of 

claim with respect to such other claim on or before the General Bar Date to avoid 

disallowance of such other claim;

G. Union or Non-Union Employee Claims: Any union-represented or non-union represented 

employee, furloughed employee, or former employee for compensation and employment 

benefits, including, without limitation, wages, salaries, employee medical benefits and/or 

insurance benefits or workers’ compensation claims (“Compensation Claims”); provided, 

however, that Compensation Claims shall not include claims asserted or to be asserted in 

any lawsuit or administrative proceeding based on tort or non-employment-related 

common law, statutory law, or regulation even where such claims assert as damages an

entitlement to wages, salaries, employee medical benefits and/or insurance benefits;

Case:17-03283-LTS Doc#:2912 Filed:04/17/18 Entered:04/17/18 20:35:55 Desc: Main

Document Page 17 of 58
H. Individual Union Members’ Claims: Any person or entity that holds a claim limited to

obligations due under their respective collective bargaining agreements, including, but not 

limited to, grievances, or claims arising from their current or former employment 

relationship with the Commonwealth; provided, however, that any such holder must assert 

(i) a claim not otherwise excepted from filing a proof of claim by Paragraphs A. through 

O. of this Section, or (ii) a claim for a grievance that has been resolved and liquidated by 

settlement or arbitration award as of February 28, 2018, by filing a proof of claim with 

respect to such other claim on or before the General Bar Date to avoid disallowance of 

such other claim;

I. Individual Bondholder Claims Arising From Bonds That Do Not Have an Indenture 

Trustee, Fiscal Agent, or Similar Agent or Nominee: Any person or entity that holds a 

claim that is limited to the repayment of principal, interest and such other amounts that 

may arise under the respective trust agreement or bond document that does not provide 

for an indenture trustee, fiscal agent, or similar agent or nominee that could file a Master 

Proof of Claim; provided, however, that any such holder must assert a claim not otherwise 

excepted from filing a proof of claim by Paragraphs A. through O. of this Section by filing 

a proof of claim with respect to such other claim on or before the General Bar Date to 

avoid disallowance of such other claim;

J. Individual Bondholder Claims Covered by Timely Filed Bond Master Proof of Claim: 

Any person or entity that holds a claim that is limited to the repayment of principal, interest

and other fees and expenses, to the extent the relevant indenture trustee, fiscal agent, or 

similar agent or nominee files a Bond Debt Master Proof of Claim against the relevant 

Debtor on or before the General Bar Date on account of all bond claims against the 

relevant Debtor under the respective trust agreement or bond document; provided, 

however, that any such holder must assert a claim not otherwise excepted from filing a 

proof of claim by Paragraphs A. through O. of this Section by filing a proof of claim with 

respect to such other claim on or before the General Bar Date to avoid disallowance of 

such other claim;

K. Individual Credit Agreement Lender Claims: Any person or entity that holds a claim that 

is limited to the repayment of principal, interest and other fees and expenses, to the extent

the relevant agent, if such agent exists, files a Credit Agreement Master Proof of Claim

against the relevant Debtor on or before the General Bar Date on account of all lender 

claims against the relevant Debtor under the respective credit agreement; provided, 

however, that any such holder must assert a claim not otherwise excepted from filing a 

proof of claim by Paragraphs A. through O. of this Section by filing a proof of claim with 

respect to such other claim on or before the General Bar Date to avoid disallowance of 

such other claim;

L. Inter-Governmental Claims: (i) Any municipality, department, or agency of the 

Commonwealth that is not a Debtor or “covered territorial instrumentality” (as defined in 

PROMESA) asserting a claim against a Debtor in an amount less than $200 million, or 

(ii) any Debtor or “covered territorial instrumentality”. For the avoidance of doubt, any 

entity described in the foregoing clause (i) asserting a claim against a Debtor equal to or 

greater than $200 million must file a proof of claim with respect to such claim on or before 

the General Bar Date to avoid disallowance of such claim;

Case:17-03283-LTS Doc#:2912 Filed:04/17/18 Entered:04/17/18 20:35:55 Desc: Main

Document Page 18 of 58
M. Administrative Expenses: Any holder of a claim allowable under Bankruptcy Code

sections 503(b) and 507(a)(2) as an administrative expense (other than a claim under 

Bankruptcy Code section 503(b)(9));

N. Proofs of Claim with Separate Deadlines: Any holder of a claim for which a separate 

deadline is or has been fixed by this Court; and

O. Professionals’ Administrative Claims: Professionals who assert administrative claims for 

fees and expenses subject to the Court’s approval pursuant to PROMESA section 316;

provided, however, that, should the District Court fix a date by which the Claims described in 

Paragraphs A. through O. above must be filed, you will be notified of such bar date at the appropriate 

time.

Section 3 – Who MUST File a Proof of Claim

You MUST file a Proof of Claim to vote on any plan of adjustment filed by the Oversight 

Board on behalf of the Debtors or to share in any distributions from the Debtors if you have a Claim 

that arose prior to the commencement dates and it is not one of the types of Claims described in 

Paragraphs A. through O. in Section 2 above.

A holder of a possible Claim against the Debtors should consult an attorney if such 

holder has any questions regarding this Notice, including whether the holder should file a Proof 

of Claim.

Section 4 – Consequences of Failure to File a Proof of Claim by the Applicable Bar Date

ANY HOLDER OF A CLAIM THAT IS NOT EXCEPTED FROM THE 

REQUIREMENTS OF THE BAR DATE ORDER, AS SET FORTH IN PARAGRAPHS A. 

THROUGH O. IN SECTION 2 ABOVE, AND THAT FAILS TO TIMELY FILE A PROOF 

OF CLAIM IN THE APPROPRIATE FORM WILL BE FOREVER BARRED (UNLESS 

OTHERWISE ORDERED BY THE COURT) FROM ASSERTING SUCH CLAIM AGAINST 

THE DEBTORS, FROM VOTING ON ANY PLAN OF ADJUSTMENT FILED IN THESE 

TITLE III CASES, AND FROM PARTICIPATING IN ANY DISTRIBUTION IN THESE 

TITLE III CASES ON ACCOUNT OF SUCH CLAIM. 

Section 5 – What to File

IF YOU ARE ASSERTING A CLAIM AGAINST MORE THAN ONE DEBTOR, 

SEPARATE PROOFS OF CLAIM MUST BE FILED AGAINST EACH SUCH DEBTOR AND 

YOU MUST IDENTIFY ON YOUR PROOF OF CLAIM THE SPECIFIC DEBTOR AGAINST 

WHICH YOUR CLAIM IS ASSERTED AND THE CASE NUMBER OF THAT DEBTOR’S TITLE 

III CASE. 

Each Proof of Claim, to be properly filed pursuant to this Notice, shall: (i) be written in English 

or Spanish; (ii) be denominated in lawful currency of the United States as of the relevant Title III 

Case commencement date; (iii) set forth with specificity the legal and factual basis for the asserted 

claim; (iv) include a copy of the supporting documentation (or, if such documentation is voluminous, 

you must attach a summary of such documentation) or an explanation as to why such documentation 

is not available, with such documentation, summary, or explanation being provided in English or 

Spanish; (v) include an original or electronic signature of the claimant or an authorized agent of the 

Case:17-03283-LTS Doc#:2912 Filed:04/17/18 Entered:04/17/18 20:35:55 Desc: Main

Document Page 19 of 58
claimant; and (vi) substantially conform to the Proof of Claim Form approved by the Bar Date Order. 

If you file a summary of the supporting documentation because they are voluminous, you must 

transmit the supporting documentation to (a) the Claims Agent and (b) the applicable Debtor within

ten days after the date of a written request by the Debtors for such documents.

The Proof of Claim Form can be obtained, as well as filed, on the website established and 

maintained by the Claims Agent at https://cases.primeclerk.com/puertorico/. 

Section 6 – Where and How to File

All Proofs of Claim, except as otherwise provided for or specifically excepted in Section 2 above, 

shall be filed with the claims and noticing agent, Prime Clerk LLC (the “Claims Agent”) pursuant to 

the procedures provided herein so as to actually be received on or before the applicable Bar Date, 

depending upon the nature of the Claim.

Proofs of Claim may be filed through any of the following methods: 

(i) completing the electronic Proof of Claim on the Claims Agent’s website at 

https://cases.primeclerk.com/puertorico/EPOC-Index, 

(ii) if delivered by first class mail, at the following address: Commonwealth of Puerto Rico, 

Claims Processing Center, c/o Prime Clerk LLC, Grand Central Station, PO Box 4708, 

New York, NY 10163-4708,

(iii) if by overnight courier, at the following address: Commonwealth of Puerto Rico, Claims 

Processing Center, c/o Prime Clerk, LLC, 850 Third Avenue, Suite 412, Brooklyn, NY 

11232, or 

(iv) if by hand delivery, at any of the following locations: (a) Commonwealth of Puerto Rico, 

Claims Processing Center, c/o Prime Clerk, LLC, 850 Third Avenue, Suite 412, Brooklyn, 

NY 11232, or (b) the following locations in the Commonwealth, available during the listed 

dates and times:

Locations in the Commonwealth

Accepting Proofs of Claim by Hand Delivery

All locations are available from February 27, 2018 to May 29, 2018

(except weekends and Court Holidays)

Address Hours (AST)

José V. Toledo Federal Building & US Courthouse

Clerk’s Office

300 Recinto Sur Street

San Juan, PR 00901

M-F

8:00 a. m.

to

5:00 p. m.

Federico Degetau Federal Building and Clemente Ruiz Nazario U.S. Courthouse

Clerk’s Office

150 Carlos Chardón Street,

San Juan, Puerto Rico, 00918-1767

M-F

8:30 a. m.

to

4:30 p. m.

Case:17-03283-LTS Doc#:2912 Filed:04/17/18 Entered:04/17/18 20:35:55 Desc: Main

Document Page 20 of 58
Locations in the Commonwealth

Accepting Proofs of Claim by Hand Delivery

All locations are available from February 27, 2018 to May 29, 2018

(except weekends and Court Holidays)

Address Hours (AST)

MCS Building, Suite 222 A

Bankruptcy Court Clerk’s Office

880 Tito Castro Avenue

Ponce, PR 00716-4732

M-F

8:00 a. m.

to

5:00 p. m.

Aerotek Añasco

Bianca Convention Center

Carr 2 KM 143, Suite 3

Añasco, PR 00610

M-F

8:30 a. m.

to

5:00 p. m.

Oceana HUB Center

2 Calle Acerina

Caguas, PR 00725

M-F

8:30 a. m.

to

5:00 p. m.

CoSpazio

53 Calle Las Palmeras, 4th Floor

San Juan, PR 00901

M-F

8:30 a. m.

to

5:00 p. m.

Proofs of Claim sent by facsimile, telecopy, or electronic mail transmission will not be accepted; 

provided, however, they may be submitted through Prime Clerk’s website: 

https://cases.primeclerk.com/puertorico/EPOC-Index.

Section 7 – Additional Information

The Debtors’ Creditor Lists and the Bar Date Order may be downloaded and examined free 

of charge from the Claims Agent website, https://cases.primeclerk.com/puertorico/. Any creditor that 

relies on the Debtors’ Creditor Lists bears responsibility for determining that its Claim is accurately 

listed therein.

If you require additional information regarding this Notice, you may contact the Claims Agent 

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), or by email at 

puertoricoinfo@primeclerk.com. 

Additional information regarding the claims filing process is also available on the website for 

the statutory creditors’ committee appointed in the Title III cases at www.creditorspr.com, 

www.prcreditorscommittee.com, or www.comitedeacreedoresdePR.com.

Dated: February 15, 2018

Case:17-03283-LTS Doc#:2912 Filed:04/17/18 Entered:04/17/18 20:35:55 Desc: Main

Document Page 21 of 58
TRIBUNAL DE DISTRITO DE LOS ESTADOS UNIDOS

PARA EL DISTRITO DE PUERTO RICO

En la causa:

LA JUNTA DE SUPERVISIÓN Y

ADMINISTRACIÓN FINANCIERA PARA PUERTO

RICO,

como representante de

EL ESTADO LIBRE ASOCIADO DE PUERTO RICO, Y

OTROS

Deudores.

PROMESA

Título III

Caso n.o 17 BK 3283-LTS

(Administrados en forma conjunta)

AVISO DE PLAZOS PARA LA PRESENTACIÓN

DE EVIDENCIAS DE RECLAMACIONES

A TODOS LOS ACREEDORES DE LOS DEUDORES Y OTRAS PARTES INTERESADAS,

TENGA A BIEN NOTIFICARSE:

La Junta de Supervisión y Administración Financiera para Puerto Rico (la “Junta de Supervisión”)

presentó peticiones voluntarias en virtud del artículo 304(a) de la Ley para la Supervisión,

Administración y Estabilidad Económica de Puerto Rico (“PROMESA”),2 que inician casos en virtud

del Título III de PROMESA (cada uno de ellos, un “Caso en virtud del Título III” y, en conjunto, los

“Casos en virtud del Título III”) para los deudores que se mencionan a continuación (cada uno de

ellos, un “Deudor” y, en conjunto, los “Deudores”). Usted podría ser acreedor de uno de los

Deudores y es posible que deba presentar una evidencia de reclamación (“Evidencia de

reclamación”).

La lista de los nombres de los Deudores, sus números de caso y la fecha de inicio de los Casos en

virtud del Título III de los Deudores es la siguiente:

Casos en virtud del Título III

N.° de id.

tributaria

federal

Caso n.o. Fecha de inicio

Estado Libre Asociado de Puerto Rico (“Commonwealth”) 3481 17 BK 3283 3 de mayo de 2017

Corporación del Fondo de Interés Apremiante de Puerto

Rico (“COFINA”)

8474 17 BK 3284 5 de mayo de 2017

Sistema de Retiro de los Empleados del Gobierno de

Commonwealth de Puerto Rico (“SRE”)

9686 17 BK 3566 21 de mayo de 2017

Autoridad de Carreteras y Transportación de Puerto Rico

(“ACT”)

3808 17 BK 3567 21 de mayo de 2017

Autoridad de Energía Eléctrica de Puerto Rico (“PREPA”) 3747 17 BK 4780 2 de julio de 2017

 

2 PROMESA está codificada en el Título 48, artículos 2101-2241 del Código de los Estados Unidos (U.S.C.).

Case:17-03283-LTS Doc#:2912 Filed:04/17/18 Entered:04/17/18 20:35:55 Desc: Main

Document Page 22 of 58
INFORMACIÓN GENERAL: PUNTOS CLAVE

• Este documento es un aviso legal con respecto a los Casos en virtud del Título III de

los Deudores (mencionados anteriormente). El documento se enviará a todas las partes

con las cuales los Deudores posiblemente tengan deudas en dinero (conocidas como

“acreedores”).

• En la información general de esta página, se describen los términos clave del

documento. Lea detenidamente todo el documento para obtener más detalles.

• En los procedimientos según el Título III conforme a la ley PROMESA, es probable

que se les exija a los acreedores que presenten formularios de evidencia de

reclamaciones que indiquen el monto adeudado hasta el día en que se presentó el

procedimiento según el Título III. En este documento, se explica cómo presentar sus

reclamaciones.

• A muchos acreedores de Casos en virtud del Título III no se les exige presentar

una reclamación. En este documento, se indica quiénes deben presentar una

reclamación y quiénes no deben presentarla. Consulte la Sección 2 de este

documento para obtener una lista completa de las partes que no deben presentar

una reclamación.

• Si a usted no se le exige presentar una reclamación, no es necesario que complete

y devuelva un formulario de evidencia de reclamación, y seguirá manteniendo sus

derechos de votar con respecto a un plan de ajuste y recibir pagos en virtud del plan.

Un plan de ajuste es un documento en el que se explica la manera en que un Deudor

propone pagar los montos adeudados a sus acreedores. Una vez presentado, este plan

estará disponible para que lo revisen los acreedores. En una fecha posterior, se

determinará quién votará en el plan. El monto que puede recibir en virtud del plan

también se determinará más adelante.

• Si debe presentar una reclamación en contra de alguno de los Deudores, debe

hacerlo antes del 29 de mayo de 2018 a las 4:00 p. m., hora del Atlántico. Con este

documento, se proporciona un formulario que puede usar para presentar su

reclamación.

• Las reclamaciones pueden presentarse (a) de manera electrónica, realizando la

presentación en el sitio web del Agente de reclamaciones en

https://cases.primeclerk.com/puertorico/EPOC-Index, o (b) por correo postal o entrega

personalmente en las direcciones indicadas en la Sección 6 de este documento.

• Si, después de leer este documento, necesita información adicional sobre este Aviso,

puede comunicarse con el Agente de reclamaciones al (844) 822-9231 (línea gratuita

para los EE. UU y Puerto Rico) o al (646) 486-7944 (para llamadas internacionales),

de 10:00 a. m. a 7:00 p. m. (hora del Atlántico) (disponible en español), o por correo

electrónico a la dirección puertoricoinfo@primeclerk.com. Tenga en cuenta que las

personas que responden las llamadas no pueden brindar asesoramiento legal. Si tiene

preguntas sobre sus derechos legales, entre ellos, si necesita presentar una

reclamación, debe hablar con un abogado.

Case:17-03283-LTS Doc#:2912 Filed:04/17/18 Entered:04/17/18 20:35:55 Desc: Main

Document Page 23 of 58
Sección 1. Las Fechas límite

El 15 de febrero de 2018, el Tribunal de Distrito de los Estados Unidos para el Distrito de Puerto Rico

(el “Tribunal de Distrito”) emitió una resolución (la “Orden de fechas límite”) para los Casos en virtud

del Título III mencionados anteriormente de conformidad con la Norma de quiebra 3003(c) en la que

se establecen los siguientes plazos para presentar Evidencias de reclamaciones (en conjunto, las

“Fechas límite”):

(a) Fecha límite general: 4:00 p. m. (hora estándar del Atlántico) del 29 de mayo

de 2018. Este es el plazo (la “Fecha límite general”) para presentar evidencias de

reclamaciones (según se definen en el artículo 101(5) del Código de Quiebras), en

contra de los Deudores en concepto de (i) reclamaciones que surgieron o se

considera que surgieron antes de las respectivas fechas de inicio de los Casos en

virtud del Título III, incluidos, a fin de disipar dudas, reclamaciones en forma de

bonos y reclamaciones que surgieron de conformidad con el artículo 503(b)(9) del

Código de Quiebras, y (ii) reclamaciones alegadas por entidades gubernamentales

(según se definen en el artículo 101(27) del Código de Quiebras).

(b) Fecha límite de rechazos: salvo que se estipule lo contrario en alguna orden que

autorice el rechazo de un contrato de ejecución pendiente o un arrendamiento

vigente, las 4:00 p. m. (hora estándar del Atlántico) de la fecha que sea

posterior entre (i) la Fecha límite general y (ii) el primer día hábil después de

los treinta y cinco (35) días calendario posteriores a la emisión de la orden por

parte del Tribunal que autorice dicho rechazo es el plazo para que una parte del

contrato de ejecución pendiente o arrendamiento vigente rechazados presente

evidencias de reclamaciones relacionadas con el rechazo de dicho contrato o

arrendamiento (la “Fecha límite de rechazos” y, junto con la Fecha límite general,

las “Fechas límite”).

(c) Fecha límite si se modifica o complementa la Lista de acreedores: si, una vez

entregado el Aviso de la Fecha límite, algún Deudor (a) modifica su respectiva

Lista de acreedores para reducir una reclamación o cambiar la clasificación,

naturaleza o caracterización de una reclamación, o (b) complementa su respectiva

Lista de acreedores, dicho Deudor deberá notificar sobre cualquier modificación o

complemento a lostitulares de lasreclamaciones reducidas o modificadas por estos

cambios, e informarles a estos titulares que tendrán hasta (i) la Fecha límite

general y (ii) treinta y cinco (35) días desde la fecha de dicho aviso, la fecha

que sea posterior, para presentar una evidencia de reclamación o una evidencia de

reclamación modificada, si corresponde, o se les prohibirá hacerlo.

Según su uso en este Aviso, una “reclamación”, tal como se define en el artículo 101(5) del

Código de Quiebras, siempre que surge, incluye, en cada caso, cualquier reclamación en contra de

alguno de los Deudores basado en la responsabilidad primaria, secundaria, directa, indirecta, fija,

garantizada, no garantizada, eventual, asegurada, impugnada, no impugnada, liquidada, no liquidada,

vencida, no vencida, legal o conforme al sistema del Equity de los Deudores o de alguna otra manera,

incluidos, a fin de disipar dudas, las reclamaciones que surjan de conformidad con el

artículo 503(b)(9) del Código de Quiebras (cada uno de ellos, una “Reclamación”).

Case:17-03283-LTS Doc#:2912 Filed:04/17/18 Entered:04/17/18 20:35:55 Desc: Main

Document Page 24 of 58
Sección 2. Quiénes NO deben presentar Evidencias de reclamaciones

EL HECHO DE QUE HAYA RECIBIDO ESTE AVISO NO IMPLICA QUE USTED

TENGA UNA RECLAMACIÓN EN CONTRA DE LOS DEUDORES NI QUE LOS

DEUDORES CONSIDEREN QUE USTED TIENE UNA RECLAMACIÓN.

A las siguientes personas y entidades no se les exige presentar una Evidencia de

reclamaciones en la Fecha límite correspondiente o con anterioridad:

A. Reclamaciones permitidas: cualquier persona o entidad cuya reclamación se haya

permitido anteriormente mediante una orden de este Tribunal emitida en la Fecha límite

correspondiente o con anterioridad.

B. Reclamaciones pagadas: cualquier persona o entidad cuya reclamación se haya pagado

totalmente por parte de un Deudor, incluidas las reclamaciones pagadas por un Deudor

después de la fecha de inicio de su respectivo Caso en virtud del Título III.

C. Evidencias de reclamaciones ya presentadas: cualquier persona o entidad que ya presentó

correctamente una evidencia de reclamación, que respeta sustancialmente el Formulario

de evidencia de reclamación, en estos Casos en virtud del Título III ante el Tribunal o el

agente de reclamaciones y avisos de los Deudores.

D. Reclamaciones correctamente mencionados y categorizados en las Listas de acreedores:

cualquier persona o entidad cuya reclamación figure en una de las Listas de acreedores y

(i) si la reclamación no se menciona como “impugnada”, “eventual” o “no liquidada”, (ii)

si la persona o la entidad no impugnan el monto y la naturaleza de la reclamación, tal como

se establece en la Lista de acreedores correspondiente, y (iii) si la persona o la entidad no

disputan que la reclamación es una obligación del Deudor en cuestión.

E. Clientes de PREPA: los clientes de PREPA en relación con la disposición de sus depósitos

o disputas individuales de servicio o facturación; sin embargo, dicho titular debe alegar

una reclamación que no esté exceptuada, de alguna u otra manera, de la presentación de

una evidencia de reclamaciones según los párrafos A a O de esta sección, para lo cual debe

presentar una evidencia de reclamaciones con respecto a esta otra reclamación en la Fecha

límite general o con anterioridad para evitar el rechazo de la otra reclamación.

F. Reclamaciones por pensión: con respecto a beneficios de pensión y cualquier otro

beneficio posterior a la jubilación, cualquier jubilado, empleado activo y exempleado de

un Deudor según el Título III (incluyendo a cualquier ex empleado de un Deudor de Título

III que reciba una pensión anticipada, un incentivo financiero u otros beneficios provistos

bajo la Ley Núm. 70-2010 o la Ley Núm. 211-2015 o leyes o programas similares), o

cualquier persona que participe o haya participado de un plan de pensiones administrado

por un Deudor según el Título III, y cualquier beneficiario de las personas mencionadas

anteriormente; sin embargo, dicho titular debe alegar una reclamación que no esté

exceptuada, de alguna otra manera, de la presentación de una evidencia de reclamaciones

según los párrafos A a O de esta sección, para lo cual debe presentar una evidencia de

reclamaciones con respecto a esta otra reclamación en la Fecha límite general o con

anterioridad para evitar el rechazo de la otra reclamación.

G. Reclamaciones de empleados sindicalizados o no sindicalizados: cualquier empleado,

empleado con licencia o exempleado representados por un sindicato o no representados

por un sindicato para la indemnización y los beneficios de empleo, incluidos, entre otros,

los sueldos, salarios, beneficios médicos para empleados, o beneficios de seguros o

reclamaciones de indemnización por accidentes laborales (“Reclamaciones de

indemnización”); sin embargo, las reclamaciones de indemnización no deben incluir

Case:17-03283-LTS Doc#:2912 Filed:04/17/18 Entered:04/17/18 20:35:55 Desc: Main

Document Page 25 of 58
reclamaciones que se alegaron o se alegarán en una causa judicial o un procedimiento

administrativo sobre la base de agravio o derecho consuetudinario, derecho estatutario o

reglamentaciones no relacionados con el empleo, incluso cuando dichas reclamaciones se

alegan como daños o derecho a recibir sueldos, salarios, beneficios médicos para

empleados o beneficios de seguros.

H. Reclamaciones de miembros de sindicatosindividuales: cualquier persona o entidad titular

de una reclamación se limita a obligaciones en virtud de sus respectivos convenios

colectivos de trabajo, incluidas, entre otras, las quejas o reclamaciones que surgen de su

relación laboral actual o anterior con Commonwealth; sin embargo, dicho titular debe

alegar (i) una reclamación que no esté exceptuada, de alguna otra manera, de la

presentación de una evidencia de reclamaciones según los párrafos A a O de esta sección

o (ii) una reclamación por una queja que se resolvió y liquidó mediante un arreglo o laudo

arbitral al 28 de febrero de 2018, y, para ello, debe presentar una evidencia de

reclamaciones con respecto a la reclamación en la Fecha límite general o con anterioridad

para evitar el rechazo de la otra reclamación.

I. Reclamaciones de tenedores de bonos individuales que surgen de bonos que no tienen un

fiduciario, agente fiscal, o agente o designado similares: cualquier persona o entidad titular

de una reclamación que se limita al pago de capital, intereses y otros montos que pueden

surgir conforme al respectivo acuerdo de fideicomiso o documento del bono que no

estipulan un fiduciario, agente fiscal, o agente o designado similares que podrían presentar

una Evidencia de reclamaciones principal; sin embargo, dicho titular debe alegar una

reclamación que no esté exceptuada, de alguna u otra manera, de la presentación de una

evidencia de reclamaciones según los párrafos A a O de esta sección, para lo cual debe

presentar una evidencia de reclamaciones con respecto a esta otra reclamación en la Fecha

límite general o con anterioridad para evitar el rechazo de la otra reclamación.

J. Reclamaciones de tenedores de bonos individuales cubiertos por evidencias de

reclamaciones principales de deudas en bonos presentadas oportunamente: cualquier

persona o entidad titular de una reclamación que se limita al pago de capital, intereses y

otros cargos y gastos, en la medida en que el fiduciario, agente fiscal, o agente o designado

similares pertinentes presenten una Evidencia de reclamaciones principal de una deuda en

bonos en contra del Deudor pertinente en la Fecha límite general o con anterioridad en

concepto de todos las reclamaciones en forma de bonos en contra del Deudor pertinente

en virtud del respectivo acuerdo de fideicomiso o documento del bono; sin embargo, dicho

titular debe alegar una reclamación que no esté exceptuada, de alguna u otra manera, de

la presentación de una evidencia de reclamaciones según los párrafos A a O de esta

sección, para lo cual debe presentar una evidencia de reclamaciones con respecto a esta

otra reclamación en la Fecha límite general o con anterioridad para evitar el rechazo de la

otra reclamación.

K. Reclamaciones de prestamistas de contratos de préstamos individuales: cualquier persona

o entidad titular de una reclamación que se limita al pago de capital, intereses y otros

cargos y gastos, en la medida en que el agente pertinente, si existiera, presente una

Evidencia de reclamaciones principal por un contrato de préstamo en contra del Deudor

pertinente en la Fecha límite general o con anterioridad en concepto de todas las

reclamaciones del prestamista en contra del Deudor pertinente conforme al respectivo

contrato de préstamo; sin embargo, dicho titular debe alegar una reclamación que no esté

exceptuada, de alguna u otra manera, de la presentación de una evidencia de reclamaciones

según los párrafos A a O de esta sección, para lo cual debe presentar una evidencia de

Case:17-03283-LTS Doc#:2912 Filed:04/17/18 Entered:04/17/18 20:35:55 Desc: Main

Document Page 26 of 58
reclamaciones con respecto a esta otra reclamación en la Fecha límite general o con

anterioridad para evitar el rechazo de la otra reclamación.

L. Reclamaciones intergubernamentales: (i) cualquier municipio, departamento u organismo

de Commonwealth que no sea un Deudor ni un “organismo territorial cubierto” (según se

define en la ley PROMESA) que alegue una reclamación en contra de un Deudor por un

monto menor que $200 millones, o (ii) cualquier Deudor u “organismo territorial

cubierto”. A fin de disipar dudas, cualquier entidad descrita en la cláusula anterior (i) que

alegue una reclamación en contra de un Deudor igual o superior a $200 millones debe

presentar una evidencia de reclamaciones con respecto a dicha reclamación en la Fecha

límite general o con anterioridad para evitar el rechazo de dicha reclamación.

M. Gastos administrativos: cualquier titular de una reclamación permisible en virtud de los

artículos 503(b) y 507(a)(2) del Código de Quiebras como gasto administrativo (que no

sea una reclamación en virtud del artículo 503(b)(9) del Código de Quiebras).

N. Evidencias de reclamaciones con plazos independientes: cualquier titular de una

reclamación para el cual este Tribunal fije o haya fijado un plazo independiente.

O. Reclamaciones administrativas de profesionales: profesionales que alegan reclamaciones

administrativas por honorarios y gastos sujetos a la aprobación del Tribunal de

conformidad con el artículo 316 de la ley PROMESA.

Sin embargo, en caso de que el Tribunal de Distrito fije una fecha antes de la cual deban presentarse

las reclamaciones descritas anteriormente en los párrafos A a O, usted recibirá oportunamente una

notificación de dicha fecha límite.

Sección 3. Quiénes DEBEN presentar Evidencias de reclamaciones

Usted DEBE presentar una Evidencia de reclamaciones para votar en cualquier plan de

ajuste presentado por la Junta de Supervisión en nombre de los Deudores o para participar en las

distribuciones de los Deudores si tiene una reclamación que surgió antes de las fechas de inicio y que

no corresponde a uno de los tipos de reclamaciones descritos anteriormente en los párrafos A a O de

la Sección 2.

Un titular de una posible reclamación en contra de los Deudores debe consultar con un

abogado si tiene preguntas relacionadas con este Aviso, entre ellas, si dicho titular debe

presentar una Evidencia de reclamación.

Sección 4. Consecuencias de no presentar una Evidencia de reclamaciones antes de la Fecha

límite correspondiente

A TODO TITULAR DE UNA RECLAMACIÓN QUE NO ESTÉ EXIMIDA DE LOS

REQUISITOS DE LA ORDEN DE FECHAS LÍMITE, TAL COMO SE INDICÓ

ANTERIORMENTE EN LOS PÁRRAFOS A-O DE LA SECCIÓN 2, Y QUE NO PRESENTE

DE MANERA OPORTUNA UNA EVIDENCIA DE RECLAMACIONES EN EL

FORMULARIO APROPIADO SE LE PROHIBIRÁ A PERPETUIDAD (SALVO QUE EL

TRIBUNAL RESUELVA LO CONTRARIO) ALEGAR DICHA RECLAMACIÓN EN

CONTRA DE LOS DEUDORES, VOTAR EN CUALQUIER PLAN DE AJUSTE

PRESENTADO EN ESTOS CASOS EN VIRTUD DEL TÍTULO III Y PARTICIPAR DE

CUALQUIER DISTRIBUCIÓN EN ESTOS CASOS EN VIRTUD DEL TÍTULO III EN

CONCEPTO DE DICHA RECLAMACIÓN.

Case:17-03283-LTS Doc#:2912 Filed:04/17/18 Entered:04/17/18 20:35:55 Desc: Main

Document Page 27 of 58
Sección 5. Qué se debe presentar

SI ALEGARÁ UNA RECLAMACIÓN EN CONTRA DE MÁS DE UN DEUDOR, DEBE

PRESENTAR EVIDENCIAS DE RECLAMACIONES SEPARADAS EN CONTRA DE CADA

DEUDOR Y DEBE IDENTIFICAR EN SU EVIDENCIA DE RECLAMACIONES EL DEUDOR

ESPECÍFICO EN CONTRA DEL CUAL SE ALEGA SU RECLAMACIÓN Y EL NÚMERO DE

CASO DEL CASO EN VIRTUD DEL TÍTULO III DE ESE DEUDOR.

Cada Evidencia de reclamación, para presentarse correctamente de conformidad con este

Aviso, deberá: (i) estar escrita en inglés o en español; (ii) estar denominada en moneda de curso legal

de los Estados Unidos a la fecha de inicio del Caso pertinente en virtud del Título III; (iii) establecer

específicamente el fundamento legal y fáctico de la reclamación alegada; (iv) incluir una copia de la

documentación de respaldo (o, si esta documentación es demasiado extensa, debe adjuntar un

resumen de dicha documentación) o una explicación de por qué la documentación no está disponible,

y la documentación, el resumen o la explicación deben proporcionarse en inglés o en español;

(v) incluir una firma original o electrónica del reclamante o un representante autorizado del

reclamante, y (vi) respetar sustancialmente el Formulario de evidencia de reclamaciones aprobado

por la Orden de fechas límite. Si presenta un resumen de la documentación de respaldo porque es

muy extensa, debe enviar esta documentación (a) al Agente de reclamaciones y (b) al Deudor

pertinente en un plazo de diez días posteriores a la fecha de una solicitud escrita de dichos documentos

por parte de los Deudores.

El Formulario de evidencia de reclamaciones se puede obtener, así como presentar, en el sitio

web que establece y mantiene el Agente de reclamaciones en

https://cases.primeclerk.com/puertorico/.

Sección 6. Dónde y cómo realizar la presentación

Todas las Evidencias de reclamaciones, salvo que se indique lo contrario o se eximan específicamente

en la sección 2 incluida anteriormente, deberán presentarse ante el Agente de reclamaciones y avisos,

Prime Clerk LLC, (el “Agente de reclamaciones”) de conformidad con los procedimientos descritos

en el presente documento para que se reciban efectivamente en la Fecha límite correspondiente o

con anterioridad, según la naturaleza de la reclamación.

Las Evidencias de reclamaciones pueden presentarse a través de cualquiera de los siguientes métodos:

(i) Completar la Evidencia de reclamaciones en formato electrónico en el sitio web del

Agente de reclamaciones en https://cases.primeclerk.com/puertorico/EPOC-Index.

(ii) Realizar el envío por servicio de correo “first class” a la siguiente dirección:

Commonwealth of Puerto Rico, Claims Processing Center, c/o Prime Clerk LLC, Grand

Central Station, PO Box 4708, New York, NY 10163-4708.

(iii) Enviar mediante servicio de correo “overnight” a la siguiente dirección: Commonwealth

of Puerto Rico, Claims Processing Center, c/o Prime Clerk, LLC, 850 Third Avenue, Suite

412, Brooklyn, NY 11232.

(iv) Realizar la entrega personalmente en cualquiera de las siguientes ubicaciones: (a)

Commonwealth of Puerto Rico, Claims Processing Center, c/o Prime Clerk, LLC, 850

Third Avenue, Suite 412, Brooklyn, NY 11232, o (b) las direcciones de Commonwealth

que se indican a continuación, disponibles durante las fechas y los horarios señalados:

Case:17-03283-LTS Doc#:2912 Filed:04/17/18 Entered:04/17/18 20:35:55 Desc: Main

Document Page 28 of 58
Ubicaciones de Commonwealth

donde se acepta la entrega personalmente de las Evidencias de reclamaciones

Todas las ubicaciones están abiertas desde el 27 de febrero de 2018 al 29 de mayo de 2018

(excepto los fines de semana y los feriados judiciales)

Dirección Horarios (AST)

José V. Toledo Federal Building & US Courthouse

Clerk’s Office

300 Calle Recinto Sur

San Juan, PR 00901

De lun. a vier.

de 8:00 a. m.

a

5:00 p. m.

Federico Degetau Federal Building and Clemente Ruiz Nazario U.S. Courthouse

Clerk’s Office

150 Avenida Carlos Chardón

San Juan, Puerto Rico, 00918-1767

De lun. a vier.

de 8:30 a. m.

a

4:30 p. m.

MCS Building, Suite 222 A

Bankruptcy Court Clerk’s Office

880 Avenida Tito Castro

Ponce, PR 00716-4732

De lun. a vier.

de 8:00 a. m.

a

5:00 p. m.

Aerotek Añasco

Bianca Convention Center

Carr 2 KM 143, Suite 3

Añasco, PR 00610

De lun. a vier.

de 8:30 a. m.

a

5:00 p. m.

Oceana HUB Center

2 Calle Acerina

Caguas, PR 00725

De lun. a vier.

de 8:30 a. m.

a

5:00 p. m.

CoSpazio

53 Calle Las Palmeras, 4to Piso

San Juan, PR 00901

De lun. a vier.

de 8:30 a. m.

a

5:00 p. m.

No se aceptarán las Evidencias de reclamaciones enviadas por facsímil, telecopia o transmisión por

correo electrónico; sin embargo, pueden enviarse a través del sitio web de Prime Clerk:

https://cases.primeclerk.com/puertorico/EPOC-Index.

Sección 7. Información adicional

Las Listas de acreedores de los Deudores y la Orden de fechas límite pueden descargarse y

revisarse sin cargo en el sitio web del Agente de reclamaciones,

https://cases.primeclerk.com/puertorico/. Todo acreedor que se base en las Listas de acreedores de

los Deudores asume la responsabilidad de determinar que su reclamación figure correctamente en

dichas listas.

Si necesita información adicional sobre este Aviso, puede comunicarse con el Agente de

reclamaciones al (844) 822-9231 (línea gratuita para los EE. UU y Puerto Rico) o al (646) 486-7944

(para llamadas internacionales), de 10:00 a. m. a 7:00 p. m. (hora del Atlántico) (disponible en

español), o por correo electrónico a la dirección puertoricoinfo@primeclerk.com.

También se encuentra disponible información adicional sobre el proceso de presentación de

reclamos en el sitio web para el comité de acreedores estatutarios designado en los casos del Título

III en www.creditorspr.com, www.prcreditorscommittee.com o www.comitedeacreedoresdePR.com.

Fecha: 15 de febrero de 2018

Case:17-03283-LTS Doc#:2912 Filed:04/17/18 Entered:04/17/18 20:35:55 Desc: Main

Document Page 29 of 58
Exhibit C

Case:17-03283-LTS Doc#:2912 Filed:04/17/18 Entered:04/17/18 20:35:55 Desc: Main

Document Page 30 of 58
Modified Official Form 410 Proof of Claim page 1

Part 1 / Parte 1

UNITED STATES DISTRICT COURT FOR THE DISTRICT OF PUERTO RICO / TRIBUNAL DE DISTRITO DE LOS ESTADOS UNIDOS PARA EL

DISTRITO DE PUERTO RICO

Fill in this information to identify the case (Select only one Debtor per claim form). / 

Llene esta información para identificar el caso (seleccione sólo un deudor por formulario de reclamación).

 Commonwealth of Puerto Rico

El Estado Libre Asociado de Puerto Rico

Case No. 17-bk-03283 Petition Date: 

May 3, 2017

 Puerto Rico Sales Tax Financing Corporation (COFINA)

La Corporación del Fondo de Interés Apremiante de Puerto Rico

Case No. 17-bk-03284 Petition Date: 

May 5, 2017

 Puerto Rico Highways and Transportation Authority

La Autoridad de Carreteras y Transportación de Puerto Rico

Case No. 17-bk-03567 Petition Date: 

May 21, 2017

 Employees Retirement System of the Government of the

Commonwealth of Puerto Rico

El Sistema de Retiro de los Empleados del Gobierno del Estado

Libre Asociado de Puerto Rico

Case No. 17-bk-03566 Petition Date: 

May 21, 2017

 Puerto Rico Electric Power Authority

La Autoridad de Energía Eléctrica de Puerto Rico

Case No. 17-bk-04780 Petition Date: 

July 2, 2017

Modified Official Form 410 / Formulario Oficial 410 Modificado

Proof of Claim / Evidencia de reclamación 04/16

Read the instructions before filling out this form. This form is for making a claim for payment in a Title III case. Do not use this form to make a

request for payment of an administrative expense, other than a claim entitled to administrative priority pursuant to 11 U.S.C. § 503(b)(9). Make

such a request according to 11 U.S.C. § 503.

Filers must leave out or redact information that is entitled to privacy or subject to confidentiality on this form or on any attached documents. Attach redacted

copies of any documents that support the claim, such as promissory notes, purchase orders, invoices, itemized statements of running accounts, contracts,

judgments, mortgages, and security agreements. Do not send original documents; they may be destroyed after scanning. If the documents are not

available, explain in an attachment.

Lea las instrucciones antes de completar este formulario. Este formulario está diseñado para realizar una reclamación de pago en un caso en

virtud del Título III. No utilice este formulario para solicitar el pago de un gasto administrativo que no sea una reclamación que reúna los

requisitos para ser tratada como prioridad administrativa conforme al Título 11 § 503(b) (9) del U.S.C. Ese tipo de solicitud debe realizarse de

conformidad con el Título 11 § 503 del U.S.C.

Quienes presenten la documentación deben omitir o editar información que reúna los requisitos para ser tratada con privacidad o confidencialidad en

este formulario o en cualquier otro documento adjunto. Adjunte copias editadas de cualquier otro documento que respalde la reclamación, tales como

pagarés, órdenes de compra, facturas, balances detallados de cuentas en funcionamiento, contratos, resoluciones judiciales, hipotecas y acuerdos de

garantías. No adjunte documentos originales, ya que es posible que los documentos adjuntos se destruyan luego de analizarlos. En caso de que los

documentos no estén disponibles, explique los motivos en un anexo.

Fill in all the information about the claim as of the Petition Date.

Complete toda la información acerca de la reclamación a la fecha en la que se presentó el caso.

Identify the Claim / Identificar la reclamación

1. Who is the current

creditor?

¿Quién es el

acreedor actual? Name of the current creditor (the person or entity to be paid for this claim)

Nombre al acreedor actual (la persona o la entidad a la que se le pagará la reclamación)

Other names the creditor used with thedebtor

Otros nombres que el acreedor usó con el deudor 

You may also submit your claim electronically by visiting http://cases.primeclerk.com/puertorico/EPOC‐Index

______________________________________________________ 

Case:17-03283-LTS Doc#:2912 Filed:04/17/18 Entered:04/17/18 20:35:55 Desc: Main

Document Page 31 of 58
Modified Official Form 410 Proof of Claim page 2

Part 2 / Parte 2:

2. Has this claim been

acquired from

someone else?

¿Esta reclamación

se ha adquirido de

otra persona?

 No / No

 Yes. From whom?

Sí. ¿De quién?

3. Where should notices

and payments to the

creditor be sent?

Where should notices to the creditor be sent?

¿A dónde deberían enviarse las notificaciones al

acreedor?

Where should payments to the creditor be sent?

(if different)

¿A dónde deberían enviarse los pagos al

acreedor? (En caso de que sea diferente)

Federal Rule of

Bankruptcy Procedure

(FRBP) 2002(g)

¿A dónde deberían

enviarse las

notificaciones al

acreedor?

Norma federal del

procedimiento de

quiebra (FRBP, por

sus siglas en inglés)

2002(g

Name / Nombre

Number / Número Street / Calle

City / Ciudad State / Estado ZIP Code / Código postal

Contact phone / Teléfono de contacto

Contact email / Correo electrónico de contacto

4. Does this claim amend

one already filed?

¿Esta reclamación es

una enmienda de otra

presentada

anteriormente?

 No / No

 Yes. Claim number on court claims registry (if known)

Sí. Número de reclamación en el registro de reclamaciones judiciales (en caso de saberlo)

Filed on / Presentada el (MM /DD/YYYY) / (DD/MM/AAAA)

5. Do you know if anyone

else has filed a proof of

claim for this claim?

¿Sabe si alguien más

presentó una evidencia

de reclamación para

esta reclamación?

 No / No

 Yes. Who made the earlier filing?

Sí. ¿Quién hizo la reclamación anterior? __________________________________________

Give Information About the Claim as of the Petition Date

Complete toda la información acerca de la reclamación desde la fecha en la que se presentó el caso.

6. Do you have a claim

against a specific agency 

or department of the

Commonwealth of Puerto

Rico?

¿Tiene una reclamación

en contra de algún

organismo o

departamento específico

del Estado Libre Asociado

de Puerto Rico?

 No / No

 Yes. Identify the agency or department and contact name. (A list of Commonwealth of Puerto Rico agencies and

departments is available at: https://cases.primeclerk.com/puertorico/.)

Sí. Identifique el organismo o departamento y nombre del representante. (Una lista de agencias y departamentos del

Estado Libre Asociado de Puerto Rico está disponible en: https://cases.primeclerk.com/puertorico/).

_______________________________________________________________________________________________

7. Do you supply goods

and / or services to the

government?

¿Proporciona bienes y /

o servicios al gobierno?

 No / No

 Yes. Provide the additional information set forth below / Sí. Proporcionar la información adicional establecida a

continuación:

Vendor / Contract Number | Número de proveedor / contrato: _______________________________

List any amounts due after the Petition Date (listed above) but before June 30, 2017:

Anote la cantidad que se le debe después de la fecha que se presentó el caso (mencionados anteriormente), pero antes

del 30 de junio de 2017 $ ____________________

Contact phone / Teléfono de contacto

Contact email / Correo electrónico de contacto 

Case:17-03283-LTS Doc#:2912 Filed:04/17/18 Entered:04/17/18 20:35:55 Desc: Main

Document Page 32 of 58
Modified Official Form 410 Proof of Claim page 3

8. How much is the claim?

 ¿Cuál es el importe de la

 reclamación?

$ . Does this amount include interest or other charges?

¿Este importe incluye intereses u otros cargos?

 No / No

 Yes. Attach statement itemizing interest, fees, expenses, or other

charges required by Bankruptcy Rule 3001(c)(2)(A).

Sí. Adjunte un balance con intereses detallados, honorarios,

gastos u otros cargos exigidos por la Norma de Quiebras

3001(c)(2)(A).

9. What is the basis of the

claim?

¿Cuál es el

fundamento de la

reclamación?

Examples: Goods sold, money loaned, lease, services performed, personal injury or wrongful death, or credit card.

Attach redacted copies of any documents supporting the claim required by Bankruptcy Rule 3001(c). Limit 

disclosing information that is entitled to privacy, such as health careinformation.

Por ejemplo: Venta de bienes, préstamo de dinero, arrendamiento, prestación de servicios, lesiones personales u

homicidio culposo, o tarjetas de crédito. Adjunte copias editadas de cualquier documento que respalde la

reclamación conforme a lo exigido por la Norma de Quiebras 3001(c). Limite la divulgación de información que

reúne los requisitos para ser tratada con privacidad, tal como información sobre atención médica.

10. Is all or part of the claim

secured?

¿La reclamación está

garantizada de manera

total o parcial?

 No / No

 Yes. The claim is secured by a lien on property.

Sí. La reclamación está garantizada por un derecho de retención sobre un bien.

Nature of property / Naturaleza del bien:

 Motor vehicle / Vehículos

 Other. Describe:

Otro. Describir:

Basis for perfection / Fundamento de la realización de pasos adicionales: 

____________________________________________________________________________________

Attach redacted copies of documents, if any, that show evidence of perfection of a security interest(for

example, a mortgage, lien, certificate of title, financing statement, or other document that shows the lien has

been filed or recorded.)

Adjunte copias editadas de documentos, si los hubiere, que demuestre la realización de pasos adicionales

para hacer valer un derecho de garantía (por ejemplo, una hipoteca, un derecho de retención, un

certificado de propiedad, una declaración de financiamiento u otro documento que demuestre que se ha

presentado o registrado un derecho de retención.

Value of property / Valor del bien: $

Amount of the claim that is secured /

Importe de la reclamación que está garantizado: $

Amount of the claim that is unsecured /

Importe de la reclamación que no está garantizado: $

(The sum of the secured and unsecured amounts should match the amount in line 7.)

(La suma del importe garantizado y no garantizado debe coincidir con el importe de la línea 7.)

Amount necessary to cure any default as of the Petition Date / 

Importe necesario para compensar toda cesación de pago a la fecha que se presentó el caso : $

Annual Interest Rate (on the Petition Date)

Tasa de interés anual (cuando se presentó el caso) %

 Fixed / Fija

 Variable / Variable

11. Is this claim based on a

lease?

¿Esta reclamación está

basada en un

arrendamiento?

 No / No

 Yes. Amount necessary to cure any default as of the Petition Date.

Sí. Importe necesario para compensar toda cesación de pago a partir de la que se presentó el caso$

Case:17-03283-LTS Doc#:2912 Filed:04/17/18 Entered:04/17/18 20:35:55 Desc: Main

Document Page 33 of 58
Modified Official Form 410 Proof of Claim page 4

12. Is this claim subject to a

right of setoff?

¿La reclamación está

sujeta a un derecho de

compensación?

 No / No

 Yes. Identify the property /

Sí. Identifique el bien:

13. Is all or part of the

claim entitled to

administrative priority

pursuant to

11 U.S.C. § 503(b)(9)?

¿La reclamación, total

o parcial, cumple los

requisitos para ser

tratada como prioridad

administrativa

conforme al Título 11 §

503(b)(9) del U.S.C.?

 No / No

 Yes. Indicate the amount of your claim arising from the value of any goods received

by the debtor within 20 days before the Petition Date in these Title III case(s), in

which the goods have been sold to the debtor in the ordinary course of such

debtor’s business. Attach documentation supporting such claim.

Sí. Indique el importe de la reclamación que surge del valor de cualquier bien

recibido por el deudor dentro de los 20 días anteriores a la fecha de inicio en estos

casos del Título III, en el que los bienes se han vendido al deudor en el transcurso

normal de los negocios del deudor. Adjunte la documentación que respalda dicha

reclamación.

$ ____________________

Part 3 / Parte 3:

Sign Below / Firmar a continuación

The person completing

this proof of claim must

sign and date it.

FRBP 9011(b).

If you file this claim

electronically, FRBP

5005(a)(2) authorizes

courts to establish local

rules specifying what a

signature is.

La persona que complete

esta evidencia de

reclamación debe firmar

e indicar la fecha.

FRBP 9011(b).

Si presenta esta reclamación

de manera electrónica, la

FRBP 5005(a)(2) autoriza al

tribunal a establecer normas

locales para especificar qué

se considera una firma.

Check the appropriate box / Marque la casilla correspondiente:

 I am the creditor. / Soy el acreedor.

 I am the creditor’s attorney or authorized agent. / Soy el abogado o agente autorizado del acreedor.

 I am the trustee, or the debtor, or their authorized agent. Bankruptcy Rule 3004. / Soy el síndico, el deudor o su agente

autorizado. Norma de quiebra 3004.

 I am a guarantor, surety, endorser, or other codebtor. Bankruptcy Rule 3005. / Soy el garante, fiador, endosante u otro

codeudor. Norma de quiebra 3005.

I understand that an authorized signature on this Proof of Claim serves as an acknowledgment that when calculating 

the amount of the claim, the creditor gave the debtor credit for any payments received toward thedebt.

Comprendo que una firma autorizada en esta Evidencia de reclamación se considera como un reconocimiento de que

al calcular el importe de la reclamación, el acreedor le proporcionó al deudor crédito para todo pago recibido para

saldar la deuda

I have examined the information in this Proof of Claim and have a reasonable belief that the information is

true and correct.

He leído la información en esta Evidencia de reclamación y tengo motivos razonables para suponer que la

información es verdadera y correcta.

I declare under penalty of perjury that the foregoing is true and correct. / Declaro bajo pena de perjurio que

lo que antecede es verdadero y correcto.

Executed on date / Ejecutado el _______ (MM/DD/YYYY) / (DD/MM/AAAA)

Signature / Firma_____________________________________________________________________________________________

Print the name of the person who is completing and signing this claim / Escriba en letra de imprenta el nombre de

la persona que completa y firma esta reclamación:

Name

First name / Primer nombre Middle name / Segundo nombre Last name / Apellido

Title / Cargo

Company / Compañía

Identify the corporate servicer as the company if the authorized agent is a servicer.

Identifique al recaudador corporativo como la compañía si el agente autorizado es un recaudador.

Address / Dirección

Number / Número Street / Calle

_________________________ ___________________________

City / Ciudad State / Estado ZIP Code / Código postal

Contact phone / Teléfono de contacto Email / Correo electrónico

Case:17-03283-LTS Doc#:2912 Filed:04/17/18 Entered:04/17/18 20:35:55 Desc: Main

Document Page 34 of 58
Instructions for Proof of Claim

United States Bankruptcy Court 12/15

These instructions and definitions generally explain the law. In certain circumstances, such as bankruptcy cases that debtors do

not file voluntarily, exceptions to these general rules may apply. You should consider obtaining the advice of an attorney, 

especially if you are unfamiliar with the bankruptcy process and privacy regulations.

How to fill out this form

 Fill in all of the information about the claim as of the

petition date.

 Fill in the caption at the top of the form.

 If the claim has been acquired from someone else,

then state the identity of the last party who owned the

claim or was the holder of the claim and whotransferred it

to you before the initial claim was filed.

 Attach any supporting documents to this form.

Attach redacted copies of any documents that show thatthe

debt exists, a lien secures the debt, or both. (See the

definition of redaction on the next page.)

Also attach redacted copies of any documents thatshow

perfection of any security interest or any assignments or

transfers of the debt. In addition to the documents, a

summary may be added. Federal Rule of Bankruptcy

Procedure (called “Bankruptcy Rule”) 3001(c) and (d).

 Do not attach original documents because

attachments may be destroyed after scanning.

 If the claim is based on delivering health care goods

or services, do not disclose confidential health care

information. Leave out or redact confidential

information both in the claim and in the attached

documents.

 A Proof of Claim form and any attached documents

must show only the last 4 digits of any social security

number, individual’s tax identification number, or

financial account number, and only the year of any

person’s date of birth. See Bankruptcy Rule 9037.

 For a minor child, fill in only the child’s initials and

the full name and address of the child’s parent or

guardian. For example, write A.B., a minor child (John

Doe, parent, 123 Main St., City, State). See Bankruptcy

Rule 9037.

Confirmation that the claim has been filed

To receive confirmation that the claim has been filed, either 

enclose a stamped self-addressed envelope and a copy of this 

form or contact the Claims and Noticing Agent at (844) 822-

9231 (toll free for U.S. and Puerto Rico) or (646) 486-7944 

(for international callers), or by email at 

puertoricoinfo@primeclerk.com. You may view a list of filed 

claims in the Title III cases by visiting the Claims and 

Noticing Agent's website at

https://cases.primeclerk.com/puertorico.

Understand the terms used in this form

Administrative expense: Generally, an expense that arises

after a bankruptcy case is filed in connection with operating,

liquidating, or distributing the bankruptcy estate.

11 U.S.C. § 503.

Claim: A creditor’s right to receive payment for a debt that the 

debtor owed on the date the debtor filed for bankruptcy. 11 

U.S.C. §101 (5). A claim may be secured or unsecured.

Case:17-03283-LTS Doc#:2912 Filed:04/17/18 Entered:04/17/18 20:35:55 Desc: Main

Document Page 35 of 58
Claim Pursuant to 11 U.S.C. § 503(b)(9): A claim arising from 

the value of any goods received by the Debtor within 20 days 

before the petition date, in which the goods have been sold to 

the Debtor in the ordinary course of the Debtor's business. 

Attach documentation supporting such claim.

Creditor: A person, corporation, or other entity to whom a

debtor owes a debt that was incurred on or before the date the

debtor filed for bankruptcy. 11 U.S.C. § 101 (10).

Debtor: A person, corporation, or other entity who is in

bankruptcy. Use the debtor’s name and case number asshown

in the bankruptcy notice you received. 11 U.S.C. § 101 (13).

Evidence of perfection: Evidence of perfection of a security

interest may include documents showing that a security interest 

has been filed or recorded, such as a mortgage, lien, certificate 

of title, or financingstatement.

Information that is entitled to privacy: A Proof of Claim form 

and any attached documents must show only the last 4 digits of 

any social security number, an individual’stax identification 

number, or a financial account number, only the initials of a 

minor’s name, and only the year of any person’s date of birth. If 

a claim is based on delivering health care goods or services, 

limit the disclosure of the goods orservices to avoid 

embarrassment or disclosure of confidential health care 

information. You may later be required to give more

information if the trustee or someone else in interest objectsto

the claim.

Proof of claim: A form that shows the amount of debt the

debtor owed to a creditor on the petition date. The form must be 

filed in the district where the case is pending.

Redaction of information: Masking, editing out, ordeleting

certain information to protect privacy or confidential 

information. Filers must redact or leave out information entitled 

to privacy on the Proof of Claim form and any attached

documents.

Do not file these instructions with your form

Secured claim under 11 U.S.C. § 506(a): A claim backed by a 

lien on particular property of the debtor. A claim issecured to 

the extent that a creditor has the right to be paid fromthe

property before other creditors are paid. The amount of a

secured claim usually cannot be more than the value ofthe

particular property on which the creditor has a lien. Any

amount owed to a creditor that is more than the value ofthe

property normally may be an unsecured claim. But exceptions

exist; for example, see 11 U.S.C. § 1322(b) and the final

sentence of § 1325(a).

Examples of liens on property include a mortgage on real estate 

or a security interest in a car. A lien may bevoluntarily granted 

by a debtor or may be obtained through a court proceeding. In

some states, a court judgment may be a lien.

Setoff: Occurs when a creditor pays itself with money

belonging to the debtor that it is holding, or by canceling a debt 

it owes to the debtor.

Unsecured claim: A claim that does not meet the requirements 

of a secured claim. A claim may be unsecured in part to the

extent that the amount of the claim is more than the value of the

property on which a creditor has a lien.

Offers to purchase a claim

Certain entities purchase claims for an amount that is less than

the face value of the claims. These entities may contact

creditors offering to purchase their claims. Some written

communications from these entities may easily be confused

with official court documentation or communications from the

debtor. These entities do not represent the bankruptcy court, the 

bankruptcy trustee, or the debtor. A creditor has no obligation 

to sell its claim. However, if a creditor decidesto sell its claim, 

any transfer of that claim is subjectto Bankruptcy Rule 

3001(e), any provisions of the Bankruptcy Code (11 U.S.C. § 

101 et seq.) that apply, and any orders of the bankruptcy court

that apply.

Please send completed Proof(s) of Claim to:

If by first class mail:

Commonwealth of Puerto Rico

Claims Processing Center 

c/o Prime Clerk LLC

Grand Central Station, PO Box 4708

New York, NY 10163-4708

If by overnight courier or hand delivery:

Commonwealth of Puerto Rico

Claims Processing Center

c/o Prime Clerk, LLC

850 Third Avenue, Suite 412

Brooklyn, NY 11232

Case:17-03283-LTS Doc#:2912 Filed:04/17/18 Entered:04/17/18 20:35:55 Desc: Main

Document Page 36 of 58
Instrucciones para la Evidencia de reclamación

Tribunal de Quiebras de los Estados Unidos 12/15

Estas instrucciones y definiciones explican la ley de forma general. En ciertas circunstancias, tales como casos de quiebra que

los deudores no presentan de forma voluntaria, se pueden aplicar excepciones a estas normas generales. Debe considerar la

posibilidad de obtener el asesoramiento de un abogado, en especial si no conoce el proceso de quiebra y las reglamentaciones

de privacidad.

Cómo completar este formulario

 Complete toda la información acerca de la

reclamación a la fecha en la que se presentó el caso.

 Complete el título en la parte superior del formulario.

 Si la reclamación se ha adquirido de otra persona,

indique la identidad de la última parte que fue

propietaria de la reclamación o fue titular de la

reclamación y que la transfirió a usted antes de que se

presente la reclamación inicial.

 Adjunte cualquier documento de respaldo a este

formulario.

Adjunte copias editadas de cualquier documento que

demuestre que la deuda existe, que un gravamen garantiza la

deuda, o ambos. (Ver la definición de edición en la siguiente

página).

También adjunte copias editadas de cualquier documento

que demuestre el perfeccionamiento de un derecho de

garantía o cualquier cesión o transferencia de la deuda.

Además de los documentos, puede agregarse un resumen.

Norma federal del procedimiento de quiebra (denominada

“Norma de quiebra”) 3001(c) y (d).

 No adjunte documentos originales, ya que es

posible que los documentos adjuntos se

destruyan luego de examinarlos.

 Si la reclamación se basa en la prestación de bienes

o servicios de atención médica, no divulgue

información de atención médica confidencial. Omita

o edite la información confidencial tanto en la

reclamación como en los documentos adjuntos.

 El formulario de Evidencia de reclamación y los

documentos adjuntos solo deben mostrar los

últimos 4 dígitos de un número de seguridad social,

el número de identificación tributaria de una persona

o un número de cuenta financiera, y solo el año de la

fecha de nacimiento de una persona. Ver la Norma de

quiebra 9037.

 En el caso de un menor, complete solamente las

iniciales del menor y el nombre completo y la

dirección del padre o madre o el tutor del menor. Por

ejemplo, escriba A.B., un menor (John Doe, padre, calle

123, ciudad, estado). Ver la Norma de quiebra 9037.

Confirmación de que se ha presentado la

reclamación

Para recibir una confirmación de que se ha presentado la

reclamación, puede adjuntar un sobre autodirigido y

estampillado y una copia de este formulario o comunicarse

con el representante de reclamaciones y notificaciones al (844)

822-9231 (número gratuito para EE. UU. y Puerto Rico) o al

(646) 486-7944 (para llamadas internacionales), o por correo

electrónico a puertoricoinfo@primeclerk.com. Para ver una

lista de las reclamaciones presentadas en los casos del Título

III, visite el sitio web del representante de reclamaciones y

notificaciones en

https://cases.primeclerk.com/puertorico.

Comprenda los términos utilizados en este

formulario

Gastos administrativos: En términos generales, gastos que se

generan luego de presentar un caso de quiebra en relación con

el manejo, la liquidación o la distribución del patrimonio de la

quiebra.

Título 11 § 503 del Código de los Estados Unidos (U.S.C.).

Reclamación: El derecho de un acreedor a recibir un pago por

una deuda del deudor a la fecha en la que el deudor solicitó la

quiebra. Título 11 §101 (5) del U.S.C. Una reclamación puede

estar garantizada o no garantizada.

Reclamación de conformidad con el Título 11 § 503(b)(9) del

U.S.C.: Una reclamación que surge del valor de cualquier bien

recibido por el Deudor dentro de los 20 días anterioresa la

fecha en la que se presentó el caso , en el que los bienes se han

vendido al Deudor en el transcurso normal de los negocios del

Deudor. Adjunte la documentación que respalde dicha

reclamación.

Acreedor: Una persona, una sociedad anónima u otra entidad

con la que el deudor tiene una deuda que se contrajo en la fecha

en la que el deudor solicitó la quiebra o con anterioridad. Título

11 § 101 (10) del U.S.C.

Deudor: Una persona, una sociedad anónima u otra entidad que

está en quiebra. Utilice el nombre del deudor y el número de

caso tal como se muestran en el aviso de quiebra que recibió.

Título 11 § 101 (13) del U.S.C.

Case:17-03283-LTS Doc#:2912 Filed:04/17/18 Entered:04/17/18 20:35:55 Desc: Main

Document Page 37 of 58
Prueba de pasos adicionales: La prueba de la realización de

pasos adicionales para hacer valer un derecho de garantía puede

incluir documentos que demuestren que se ha presentado o

registrado un derecho de garantía, tal como una hipoteca, un

derecho de retención, un certificado de propiedad o una

declaración de financiamiento.

Información que debe mantenerse en privado: El formulario

de Evidencia de reclamación y los documentos adjuntos solo

deben mostrar los últimos 4 dígitos de un número de seguridad

social, el número de identificación tributaria de una persona o

un número de cuenta financiera, y solo las iniciales del nombre

de un menor y el año de la fecha de nacimiento de una persona.

Si una reclamación se basa en la prestación de bienes o

servicios de atención médica, limite la divulgación de los

bienes o servicios a fin de evitar la incomodidad o la

divulgación de información de atención médica confidencial.

Es posible que, más adelante, se le solicite que brinde más

información si el síndico u otra persona de interés se opone a la

reclamación.

Evidencia de reclamación: Un formulario que detalla el

monto de la deuda que el deudor mantiene con un acreedor a la

fecha de la presentación. El formulario debe ser presentado en

el distrito donde el caso se encuentra pendiente de resolución.

Edición de información: Ocultamiento, corrección, o

eliminación de cierta información para proteger la privacidad o

la información confidencial. Quienes presenten la

documentación deben editar u omitir información sujeta a

privacidad en el formulario de Evidencia de reclamación y en

cualquier documento adjunto.

Reclamación garantizada en virtud el Título 11 § 506(a) del

U.S.C.: Una reclamación respaldada por un derecho de

retención sobre un bien en particular del deudor. Una

reclamación está garantizada en la medida que un acreedor

tenga el derecho a recibir un pago proveniente del bien antes de

que se les pague a otros acreedores. El monto de una

reclamación garantizada generalmente no puede ser mayor que

el valor del bien en particular sobre el cual el acreedor

mantiene un derecho de retención. Cualquier monto adeudado a

un acreedor que sea mayor que el valor del bien generalmente

se lo considera una reclamación no garantizada. Sin embargo,

existen excepciones; por ejemplo, el Título 11 § 1322(b) del

U.S.C., y la oración final de § 1325(a).

Algunos ejemplos de derechos de retención sobre bienes

incluyen una hipoteca sobre un inmueble o un derecho de

garantía sobre un automóvil. Un derecho de retención puede ser

otorgado de manera voluntaria por un deudor o puede

obtenerse a través de un procedimiento judicial. En algunos

estados, una resolución judicial puede ser un derecho de

retención.

Compensación: Ocurre cuando un acreedor se paga a sí

mismo con dinero que pertenece al deudor y que mantiene en

su poder, o cuando el acreedor cancela una deuda que mantiene

con el deudor.

Reclamación no garantizada: Una reclamación que no

cumple con los requisitos de una reclamación garantizada. Una

reclamación puede no estar garantizada en parte en la medida

que el monto de la reclamación sea mayor que el valor del bien

sobre la cual un acreedor tiene un derecho de retención.

Ofrecimiento de compra de una reclamación

Algunas entidades compran reclamaciones por un monto menor

que su valor nominal. Estas entidades pueden contactar a

acreedores para ofrecerles la compra de sus reclamaciones.

Algunas comunicaciones por escrito de estas entidades pueden

confundirse fácilmente con documentación judicial oficial o

con comunicaciones del deudor. Estas entidades no representan

al tribunal de quiebras, al síndico de la quiebra, ni al deudor.

Un acreedor no tiene obligación alguna de vender su

reclamación. Sin embargo, si decide hacerlo, cualquier

transferencia de esa reclamación está sujeta a la Norma de

Quiebras 3001(e), a las correspondientes disposiciones del

Código de Quiebras (Título 11 § 101 y subsiguientes del

U.S.C.) y a cualquier resolución del tribunal de quiebras que

corresponda al caso.

Envíe la(s) Evidencia(s) de reclamación

completa(s) a:

Si por correo de primera clase:

Commonwealth of Puerto Rico

Claims Processing Center 

c/o Prime Clerk LLC

Grand Central Station, PO Box 4708

New York, NY 10163-4708

Si por el mensajero de una noche o 

la entrega de mensajero a mano:

Commonwealth of Puerto Rico

Claims Processing Center

c/o Prime Clerk, LLC

850 Third Avenue, Suite 412

Brooklyn, NY 11232

No presente estas instrucciones con su

formulario

Case:17-03283-LTS Doc#:2912 Filed:04/17/18 Entered:04/17/18 20:35:55 Desc: Main

Document Page 38 of 58
PLEASE SEND COMPLETED PROOF(S) OF CLAIM SO AS TO BE ACTUALLY RECEIVED ON OR BEFORE THE

APPLICABLE BAR DATE:

General Bar Date: May 29, 2018 at 4:00 p.m., Atlantic Standard Time

Please send completed Proof(s) of Claim to:

If by first class mail: 

Commonwealth of Puerto Rico 

Claims Processing Center 

c/o Prime Clerk LLC 

Grand Central Station, PO Box 4708 

New York, NY 10163-4708

If by overnight courier or hand 

delivery/Para envíar por mensajería o 

entrega al siguiente dia:

Refer to "Section 6 -- Where and 

How to File" in the enclosed notice 

for additional locations in the 

Commonwealth accepting hand 

delivery of completed proof of 

claim forms.

Consulte la "Sección 6: Para ver 

dónde y cómo presentar su 

formulario" del aviso adjunto. Habran 

varias ubicaciones en el

Commonwealth donde se aceptara la 

entrega de estos formularios de 

prueba de reclamo completados.

If you have questions about this notice, please call (844) 822-9231 (US toll free), (646) 486-7944 

(international), email PuertoRicoInfo@primeclerk.com, or visit https://cases.primeclerk.com/puertorico

Si tiene preguntas acerca de este aviso, llame al (844) 822-9231 (local), (646) 486-7944 (internacional), envíe 

un correo electrónico a PuertoRicoInfo@PrimeClerk.com, o visite https://cases.primeclerk.com /puertorico

You may also submit your claim electronically by visiting http://cases.primeclerk.com/puertorico/EPOC‐Index

También puede enviar su reclamo electrónicamente visitando http://cases.primeclerk.com/puertorico/EPOC‐Index

Case:17-03283-LTS Doc#:2912 Filed:04/17/18 Entered:04/17/18 20:35:55 Desc: Main

Document Page 39 of 58
Exhibit D

Case:17-03283-LTS Doc#:2912 Filed:04/17/18 Entered:04/17/18 20:35:55 Desc: Main

Document Page 40 of 58
IMPORTANT LEGAL NOTICE TO PENSION, 

RETIREE, AND EMPLOYEE CLAIMANTS 

The United States District Court for the District of Puerto Rico entered an order (the “Bar Date 

Order”) establishing a deadline for creditors to assert claims against any of the following title III 

debtors: (i) the Commonwealth of Puerto Rico; (ii) the Employees Retirement System of the 

Government of the Commonwealth of Puerto Rico; (iii) the Puerto Rico Highways and 

Transportation Authority; (iv) the Puerto Rico Sales Tax Financing Corporation; and (v) the 

Puerto Rico Electric Power Authority. 

Pursuant to the Bar Date Order, you are not required to file a proof of claim with respect to any 

claims you have for accrued pensions and any and all other post-retirement benefits due to you 

(“Pension Benefits”). However, to the extent you have a claim that is not for Pension Benefits 

against any of the Title III Debtors listed above, then you should file a proof of claim with 

respect to such claim on or before 4:00 p.m. (Atlantic Standard Time) on May 29, 2018

to avoid disallowance of such claim. 

In addition, as an employee, furloughed employee, or former employee you are not required to 

file a proof of claim for any for compensation and employment benefits, including, without 

limitation, wages, salaries, employee medical benefits and/or insurance benefits, or worker’s 

compensation claims, but must file claims asserted or to be asserted in any lawsuit or 

administrative proceeding based on tort or non-employment-related common law, statutory law, 

or regulations, even where such claims assert as damages an entitlement to wages, salaries, 

employee medical benefits and/or insurance benefits; 

Finally, you are not required to file a claim limited to obligations due under a collective 

bargaining agreement, including but not limited to grievances, or claims arising from current or 

former employment relationship with the Commonwealth; however, if you assert a claim for one 

or more grievances that have been resolved and liquidated by settlement or arbitration award as 

of February 28, 2018, you must file a claim. 

All documents filed in the Title III Cases, including the Bar Date Order and the Proof of Claim 

Form, are available, free of charge, by accessing the website https://cases.primeclerk.com/

puertorico/. Additional information for retirees is available at www.porturetiro.com. 

Case:17-03283-LTS Doc#:2912 Filed:04/17/18 Entered:04/17/18 20:35:55 Desc: Main

Document Page 41 of 58
AVISO LEGAL IMPORTANTE PARA 

RECLAMANTES PENSIONISTAS, JUBILADOS Y 

EMPLEADOS 

El Tribunal de Distrito de los Estados Unidos para el Distrito de Puerto Rico emitió una resolución (la 

“Orden de fechas límite”) que establece un plazo para que los acreedores aleguen reclamaciones

en contra de cualquiera de los siguientes Deudores según el Título III: (i) Estado Libre Asociado 

de Puerto Rico, (ii) el Sistema de Retiro de los Empleados del Gobierno de la Commonwealth 

de Puerto Rico, (iii) la Autoridad de Carreteras y Transportación de Puerto Rico, (iv) 

la Corporación del Fondo de Interés Apremiante de Puerto Rico y (v) la Autoridad de 

Energía Eléctrica de Puerto Rico. 

De conformidad con la Orden de fechas límite, a usted no se le exige presentar una evidencia de 

reclamación con respecto a las reclamaciones que tiene por pensiones acumuladas y 

cualquier otro beneficio posterior a la jubilación que se le adeude (“Beneficios de pensiones”). 

Sin embargo, en caso de tener una reclamación que no sea por Beneficios de pensiones en contra 

de alguno de los Deudores según el Título III mencionados anteriormente, entonces, debe 

presentar una evidencia de reclamación con respecto a dicha reclamación a las 4:00 p.m. (hora

estándar del Atlántico) del 29 de mayo de 2018, o con anterioridad, para evitar que se rechace 

dicha reclamación. 

Además, como empleado, empleado con licencia o exempleado, no se le exige presentar una 

evidencia de reclamación para indemnizaciones y beneficios de empleo, incluidos, entre otros, 

los sueldos, salarios, beneficios médicos para empleados, o beneficios de seguros o reclamaciones 

de indemnización por accidentes laborales, sino que debe presentar las reclamaciones que se 

alegaron o se alegarán en una causa judicial o un procedimiento administrativo por agravio o por 

derecho consuetudinario, derecho estatutario o reglamentaciones no relacionadas con el empleo, 

incluso cuando dichas reclamaciones se aleguen como daños o derecho a recibir sueldos, salarios, 

beneficios médicos para empleados o beneficios de seguros.

Finalmente, no se le exige presentar una evidencia de reclamación que se limita a obligaciones 

en virtud de un convenio colectivo de trabajo, incluidas, entre otras, las quejas o reclamaciones 

que surgen de la relación laboral actual o anterior con el Estado; sin embargo, si alega una

reclamación por una o más quejas que se resolvieron y liquidaron mediante un arreglo o laudo 

arbitral al 28 de febrero de 2018, debe presentar una evidencia de reclamación.

Todos los documentos presentados en los Casos en virtud del Título III, incluida la Orden de 

fechas límite y el Formulario Evidencia de Reclamación, están disponibles sin cargo en el sitio 

web https://cases.primeclerk.com/puertorico/. Para obtener información adicional para jubilados, 

ingrese en www.porturetiro.com. 

Case:17-03283-LTS Doc#:2912 Filed:04/17/18 Entered:04/17/18 20:35:55 Desc: Main

Document Page 42 of 58
Exhibit E

Case:17-03283-LTS Doc#:2912 Filed:04/17/18 Entered:04/17/18 20:35:55 Desc: Main

Document Page 43 of 58
Exhibit E

Supplemental Non-Employee Scheduled Claimants Service List

Served via First Class Mail

MMLID Name Address1 Address2 Address3 Address4 City State PostalCode

600071 1 NATION TECHNOLOGY CORP 4027 TAMPA RD #3000 OLDSMAR FL 34677

600153 A A M V A REGION II 4401 WILSON BLVD STE 700 ARLINGTON VA 22203

600319 AAMVA REGION 2 INC 4401 Wilson Blvd Arlington VA 22203

600573 ABIGAIL RODRIGUEZ MELENDEZ Redacted Redacted Redacted Redacted Redacted Redacted Redacted

2323 ACEVEDO HERNANDEZ MD, GILFREDY Redacted Redacted Redacted Redacted Redacted Redacted Redacted

601236 ADA M ZAYAS TORRES Redacted Redacted Redacted Redacted Redacted Redacted Redacted

601336 ADA TORO CORDERO Redacted Redacted Redacted Redacted Redacted Redacted Redacted

601722 ADKINS & COMPANY OF PUERTO RICO 8435 BACKLICK ROAD PO BOX 1213 LORTON VA 22079

9096 AIDA RODRIGUEZ OLIVIERIS Redacted Redacted Redacted Redacted Redacted Redacted Redacted

10475 ALBERTO ENRIQUEZ PEREZ Redacted Redacted Redacted Redacted Redacted Redacted Redacted

15508 ALIDA PAGAN COLON Redacted Redacted Redacted Redacted Redacted Redacted Redacted

20717 AMALID ROMAN MARQUEZ Redacted Redacted Redacted Redacted Redacted Redacted Redacted

21558 AMERICAN LASER PHYSICIAN PARTNERS LLC 49626 TIMBER TRAIL NOVI MI 48374

22533 ANA ISABEL BOURASSEAU ALVAREZ Redacted Redacted Redacted Redacted Redacted Redacted Redacted

24441 ANDREWS MD , FAITH A Redacted Redacted Redacted Redacted Redacted Redacted Redacted

610596 ANGEL L SANTANA MARTINEZ Redacted Redacted Redacted Redacted Redacted Redacted Redacted

611367 ANGEL R SAEZ MIRANDA Redacted Redacted Redacted Redacted Redacted Redacted Redacted

27183 ANGELICA COLON RIVERA Redacted Redacted Redacted Redacted Redacted Redacted Redacted

27352 ANGELITA GOYTIA SALGADO Redacted Redacted Redacted Redacted Redacted Redacted Redacted

27739 ANIBAL RIVERA SOTO Redacted Redacted Redacted Redacted Redacted Redacted Redacted

28259 ANTOINETTE CORES Redacted Redacted Redacted Redacted Redacted Redacted Redacted

613862 APIARIOS DE BORINQUEN INC HC 5 BOX 7276 YAUCO PR 00698

32398 ARENSON MD, RICHARD Redacted Redacted Redacted Redacted Redacted Redacted Redacted

35888 ARY MOLL SAMA Redacted Redacted Redacted Redacted Redacted Redacted Redacted

615945 ASSOCIATION OF PAROLING AUTHORITIES INT SAM HOUSTON STATE UNIVERSITY HUNTSVILLE TX 77340

37222 ATHENA E PERDOMO 1195 SELMI DR # 0302-E RENO NV 89512-2219

37313 ATLANTIC EXPLOSIVES INC PO BOX 801257 COTO LAUREL PR 00780-1257

37451 AUDIOLOGY CLINIC OF PR 1016 ISLAND WAY ST AUGUSTINE FL 32058-5543

38027 AUTORIDAD DE TRANSPORTE MARITIMO PO BOX 41118 SAN JUAN PR 00940-1118

39405 AWILDA MALDONADO RIVERA Redacted Redacted Redacted Redacted Redacted Redacted Redacted

39621 AXEL SENERIZ SILVA Redacted Redacted Redacted Redacted Redacted Redacted Redacted

40051 AYALA CUERVOS MD, JOSE R Redacted Redacted Redacted Redacted Redacted Redacted Redacted

617197 AZALIA TORRES FIGUEROA Redacted Redacted Redacted Redacted Redacted Redacted Redacted

1256310 BAN BAN & PEBBLE DAY CARE, INC. PO BOX 3915 MAYAGUEZ PR 00681-3915

43942 BAN BAN AND PEBBLES DAY CARE PO BOX 3016 MAYAGUEZ PR 00681-3916

44657 BARNEY ALVAREZ, INC 1350 CALLE ESPANA SAN JUAN PR 00911-1443

52516 BETZAIDA PONCE LUGARDO Redacted Redacted Redacted Redacted Redacted Redacted Redacted

619581 BLANCO SANTANA DOMINGO PO BOX 20636 SAN JUAN PR 00928-0636

57784 BRIAN J HERRICK Redacted Redacted Redacted Redacted Redacted Redacted Redacted

57851 BRIDALIS PAGAN TROCHE Redacted Redacted Redacted Redacted Redacted Redacted Redacted

831239 C/M Miranda Exterminating, Corp. PO BOX 10682 San Juan PR 60936

1418875 CAMACHO RODRÍGUEZ, MYRNA Z. Redacted Redacted Redacted Redacted Redacted Redacted Redacted

69676 CARBALLO DURAN MD, FRANCISCO Redacted Redacted Redacted Redacted Redacted Redacted Redacted

626902 CARMEN L GOMEZ HERNANDEZ Redacted Redacted Redacted Redacted Redacted Redacted Redacted

76122 CARMEN M PAGAN ORTIZ Redacted Redacted Redacted Redacted Redacted Redacted Redacted

In re: The Commonwealth of Puerto Rico, et al.

Case No. 17-03283 (LTS) Page 1 of 6

Case:17-03283-LTS Doc#:2912 Filed:04/17/18 Entered:04/17/18 20:35:55 Desc: Main

Document Page 44 of 58
Exhibit E

Supplemental Non-Employee Scheduled Claimants Service List

Served via First Class Mail

MMLID Name Address1 Address2 Address3 Address4 City State PostalCode

76983 CARMEN SAEZ ALVELO Redacted Redacted Redacted Redacted Redacted Redacted Redacted

77930 CAROLYN MALDONADO GRIJALBA Redacted Redacted Redacted Redacted Redacted Redacted Redacted

85775 CELEDONIO CRUZ CRUZ Redacted Redacted Redacted Redacted Redacted Redacted Redacted

86429 CENTER FOR APPLIED LINGUISTICS 1118 22ND STREET N W WASHINGTON DC 20037

631984 CLEAR 403 MARQUIS AVE SUITE 100 LEXINGTON KY 40502

104304 CONSUELO CRUZ MARRERO Redacted Redacted Redacted Redacted Redacted Redacted Redacted

122918 DAISY VLEZ VELμZQUEZ Redacted Redacted Redacted Redacted Redacted Redacted Redacted

126301 DAYANARA GODEN RAMOS Redacted Redacted Redacted Redacted Redacted Redacted Redacted

129648 DE LA ROSA, JOSE A Redacted Redacted Redacted Redacted Redacted Redacted Redacted

134412 DELMARIS A LUCIANO MACHADO Redacted Redacted Redacted Redacted Redacted Redacted Redacted

1419494 DEMERA LÓPEZ, JAYSO Y RIVERA, DAMIAN Redacted Redacted Redacted Redacted Redacted Redacted Redacted

1419493 DEMERA LÓPEZ, JAYSO Y RIVERA, DAMIAN Redacted Redacted Redacted Redacted Redacted Redacted Redacted

134769 DENISSE RODRIGUEZ CEDENO Redacted Redacted Redacted Redacted Redacted Redacted Redacted

135057 DEPRESSION BIPOLAR SUPPORT ALLIANCE 55 E JACKSON BLVD STE 490 CHICAGO IL 60604-4396

638278 DIGGING & TOWING CONSTRUCTION HC 5 BOX 7332 YAUCO PR 00698

638368 DILKA GONZALES LAGARES Redacted Redacted Redacted Redacted Redacted Redacted Redacted

142784 DIOMEDES SANTIAGO MALDONADO Redacted Redacted Redacted Redacted Redacted Redacted Redacted

638497 DIOMEDOS SANTIAGO MALDONADO Redacted Redacted Redacted Redacted Redacted Redacted Redacted

143171 DOEL PEREZ ROLON/ DPR TECHNOLOGIES 8510 CALLE 102 CAROLINA PR 00953-2009

638992 DOMINGO NIEVES HERNANDEZ Redacted Redacted Redacted Redacted Redacted Redacted Redacted

143933 DOMINION PSYCHIATRIC ASSOCIATES PO BOX 8990 VIRGINIA BEACH VA 23450

144430 DORIS I SOTO FELICIANO Redacted Redacted Redacted Redacted Redacted Redacted Redacted

145213 DUNN MD, TYMOTHY Redacted Redacted Redacted Redacted Redacted Redacted Redacted

147540 EDGARDO ROSADO E ISRAEL ROSADO Redacted Redacted Redacted Redacted Redacted Redacted Redacted

147831 EDITH RIVERA DONATE Redacted Redacted Redacted Redacted Redacted Redacted Redacted

148064 EDNA MARIN RAMOS Redacted Redacted Redacted Redacted Redacted Redacted Redacted

641434 EDNALEX RODRIGUEZ FELICIANO Redacted Redacted Redacted Redacted Redacted Redacted Redacted

641951 EDUCO CUIDO LOS SERAFINES INC REPARTO PARQUE CENTRAL 500 CALLE J JIMENEZ SAN JUAN PR 00918

642002 EDWARD DELGADO CRESPO Redacted Redacted Redacted Redacted Redacted Redacted Redacted

151009 ELGA ROSARIO VARGAS Redacted Redacted Redacted Redacted Redacted Redacted Redacted

644767 ELIEZER TORRES CEDENO Redacted Redacted Redacted Redacted Redacted Redacted Redacted

644961 ELISEO PAGAN APONTE Redacted Redacted Redacted Redacted Redacted Redacted Redacted

151987 ELIZABETH MIRANDA BAEZ Redacted Redacted Redacted Redacted Redacted Redacted Redacted

646151 ELVIN E ORTA RODRIGUEZ Redacted Redacted Redacted Redacted Redacted Redacted Redacted

153034 EMELINDA MARCIAL ROMAN Redacted Redacted Redacted Redacted Redacted Redacted Redacted

154226 ENDOCRINE ASSOCIATES LLC 115 TECHNOLOGY DR UNIT A101 TRUMBILL CT 06611-6338

154268 ENEIDA ORTIZ RUIZ Redacted Redacted Redacted Redacted Redacted Redacted Redacted

647347 ENID N FIGUEROA ROQUE Redacted Redacted Redacted Redacted Redacted Redacted Redacted

648732 EROILDA RODRIGUEZ SOTO Redacted Redacted Redacted Redacted Redacted Redacted Redacted

157896 ESTATE OF ANN STRZESZEWSKI 6525 W BLUEMOUND RD STE 21 MILWAUKEE WI 53213-4073

161621 FAYETTEVILLE NEUROLOGY 1308 MEDICAL DR FAYETTEVILLE NC 28304-4442

653339 FELIX ROSADO ALMODOVAR Redacted Redacted Redacted Redacted Redacted Redacted Redacted

653550 FERMIN M CONTRERAS GOMEZ Redacted Redacted Redacted Redacted Redacted Redacted Redacted

656153 FRANCISCO PEREZ MELENDEZ Redacted Redacted Redacted Redacted Redacted Redacted Redacted

179060 FRANK ESCOBAR ROGER Redacted Redacted Redacted Redacted Redacted Redacted Redacted

In re: The Commonwealth of Puerto Rico, et al.

Case No. 17-03283 (LTS) Page 2 of 6

Case:17-03283-LTS Doc#:2912 Filed:04/17/18 Entered:04/17/18 20:35:55 Desc: Main

Document Page 45 of 58
Exhibit E

Supplemental Non-Employee Scheduled Claimants Service List

Served via First Class Mail

MMLID Name Address1 Address2 Address3 Address4 City State PostalCode

179246 FRANKY RAMOS NEGRON Redacted Redacted Redacted Redacted Redacted Redacted Redacted

180000 FRIEDMAN & FEIGER LLC 53 CALLE PALMERAS STE 102 SAN JUAN PR 00901-2402

658501 GEORGE A WILLIAMS ROUSS Redacted Redacted Redacted Redacted Redacted Redacted Redacted

209787 GUILLERMO A VAZQUEZ MACHARGO Redacted Redacted Redacted Redacted Redacted Redacted Redacted

663068 GUSTAVO E BELLO ROJAS Redacted Redacted Redacted Redacted Redacted Redacted Redacted

211148 GUZMAN DEL VALLE, VIONNETTE Redacted Redacted Redacted Redacted Redacted Redacted Redacted

212850 HAROLD MARTINEZ PAGAN Redacted Redacted Redacted Redacted Redacted Redacted Redacted

215020 HEDIBERTO RIVERA LOPEZ Redacted Redacted Redacted Redacted Redacted Redacted Redacted

223589 HILDA N PEREZ RIOS Redacted Redacted Redacted Redacted Redacted Redacted Redacted

226580 III WOLF MD, LLOYD M Redacted Redacted Redacted Redacted Redacted Redacted Redacted

228303 INTERNATIONAL COLLECTION SYSTEMS INC 6421 E GRANT RD TUCSON AZ 85715-3818

669539 INTEROC COM INTERNET SERVICES 33 FRENCH MEADOW LN ROCHESTER NY 14618-5219

669569 INVERSIONES GARCIA VAZQUEZ INC 600 CALLE CEGAR GONZALEZ APT 1703 SAN JUAN PR 00912-3903

670455 IRIS VILLANUEVA ARMAN Redacted Redacted Redacted Redacted Redacted Redacted Redacted

670754 IRMA ONEILL CABAN Redacted Redacted Redacted Redacted Redacted Redacted Redacted

232365 ISRAEL FELICIANO CARABALLO Redacted Redacted Redacted Redacted Redacted Redacted Redacted

673242 IVETTE QUILES PEREZ Redacted Redacted Redacted Redacted Redacted Redacted Redacted

673327 IVETTE SUAREZ MONDESI Redacted Redacted Redacted Redacted Redacted Redacted Redacted

673526 IVONNE OTERO SANTIAGO Redacted Redacted Redacted Redacted Redacted Redacted Redacted

234378 JACQUELINE ROMAN BELEN Redacted Redacted Redacted Redacted Redacted Redacted Redacted

234638 JAIME E SANTIAGO SANTIAGO Redacted Redacted Redacted Redacted Redacted Redacted Redacted

235103 JAMES W NETTERWALD Redacted Redacted Redacted Redacted Redacted Redacted Redacted

235191 JAN PRO OF PUERTO RICO INC 289 T T PINERO AVE SUITE 200 SAN JUAN PR 00918

236633 JAYSON RAMOS GRUPO LEGAL CSP PO BOX 101248 SAN JUAN PR 00919-2248

237935 JESSICA BADILLO GONZALEZ Redacted Redacted Redacted Redacted Redacted Redacted Redacted

677779 JESUS SANABRIA DEL VALLE Redacted Redacted Redacted Redacted Redacted Redacted Redacted

241854 JOEL L VILLAFANE RAMOS Redacted Redacted Redacted Redacted Redacted Redacted Redacted

242765 JOHVAN C SERRANO ROMAN Redacted Redacted Redacted Redacted Redacted Redacted Redacted

242944 JONATHAN CRUZ MALDONADO Redacted Redacted Redacted Redacted Redacted Redacted Redacted

679992 JORGE L GAVILLAN VAZQUEZ Redacted Redacted Redacted Redacted Redacted Redacted Redacted

248327 JOSE L COLL ZAYAS Redacted Redacted Redacted Redacted Redacted Redacted Redacted

248442 JOSE L HERNANDEZ FONSECA Redacted Redacted Redacted Redacted Redacted Redacted Redacted

684929 JOSE L IRIZARRY CASTRO Redacted Redacted Redacted Redacted Redacted Redacted Redacted

248714 JOSE L SANCHEZ FIGUEROA Redacted Redacted Redacted Redacted Redacted Redacted Redacted

685664 JOSE M CHEVERE ORTIZ Redacted Redacted Redacted Redacted Redacted Redacted Redacted

249181 JOSE M GODEN RIVERA Redacted Redacted Redacted Redacted Redacted Redacted Redacted

249190 JOSE M GONZALEZ MALDONADO Redacted Redacted Redacted Redacted Redacted Redacted Redacted

250095 JOSE R ARJONA DE CELIS Redacted Redacted Redacted Redacted Redacted Redacted Redacted

688353 JOSEMARY NEGRON CHARDON Redacted Redacted Redacted Redacted Redacted Redacted Redacted

690309 JUAN GONZALEZ SOLER Redacted Redacted Redacted Redacted Redacted Redacted Redacted

690595 JUAN L MATOS OSTOLAZA Redacted Redacted Redacted Redacted Redacted Redacted Redacted

254258 JUAN PELLICIER VARGAS Redacted Redacted Redacted Redacted Redacted Redacted Redacted

255413 JULIA M GARRIGA TRILLO Redacted Redacted Redacted Redacted Redacted Redacted Redacted

692643 JULIA ROSARIO TORRES Redacted Redacted Redacted Redacted Redacted Redacted Redacted

255888 JULIO C RODRIGUEZ MORALES Redacted Redacted Redacted Redacted Redacted Redacted Redacted

In re: The Commonwealth of Puerto Rico, et al.

Case No. 17-03283 (LTS) Page 3 of 6

Case:17-03283-LTS Doc#:2912 Filed:04/17/18 Entered:04/17/18 20:35:55 Desc: Main

Document Page 46 of 58
Exhibit E

Supplemental Non-Employee Scheduled Claimants Service List

Served via First Class Mail

MMLID Name Address1 Address2 Address3 Address4 City State PostalCode

256394 JULIO VELEZ Redacted Redacted Redacted Redacted Redacted Redacted Redacted

257341 KAREN ROMAN GUERRIOS Redacted Redacted Redacted Redacted Redacted Redacted Redacted

257577 KARLA M TIRADO GONZALEZ Redacted Redacted Redacted Redacted Redacted Redacted Redacted

694226 KARMARIE MALDONADO FUENTES Redacted Redacted Redacted Redacted Redacted Redacted Redacted

257819 KATHLEEN AURIT SCHAEFER FOR TEDD A AURIT Redacted Redacted Redacted Redacted Redacted Redacted Redacted

258833 KHEM KHOOBLALL DR Redacted Redacted Redacted Redacted Redacted Redacted Redacted

260837 LADIE G MERCADO MARTINEZ Redacted Redacted Redacted Redacted Redacted Redacted Redacted

262897 LAURA S CARRERAS Redacted Redacted Redacted Redacted Redacted Redacted Redacted

696510 LEONIDES BAEZ TORRES Redacted Redacted Redacted Redacted Redacted Redacted Redacted

266321 LESLIE COLOMBANI MALDONADO Redacted Redacted Redacted Redacted Redacted Redacted Redacted

267557 LILLY GONZALEZ GONZALEZ Redacted Redacted Redacted Redacted Redacted Redacted Redacted

698663 LIZBETH MORALES CASTRO Redacted Redacted Redacted Redacted Redacted Redacted Redacted

698782 LIZZETTE DIAZ NEGRON Redacted Redacted Redacted Redacted Redacted Redacted Redacted

269187 LLANES MD, FRANKLIN Redacted Redacted Redacted Redacted Redacted Redacted Redacted

278754 LOURDES R GOMEZ VAZQUEZ Redacted Redacted Redacted Redacted Redacted Redacted Redacted

700446 LUIS A COLTON ROSA Redacted Redacted Redacted Redacted Redacted Redacted Redacted

283497 LUIS D MEJIAS FERNANDEZ Redacted Redacted Redacted Redacted Redacted Redacted Redacted

283820 LUIS E RODRIGUEZ VAZQUEZ Redacted Redacted Redacted Redacted Redacted Redacted Redacted

283902 LUIS E. RIVERA MENDOZA Redacted Redacted Redacted Redacted Redacted Redacted Redacted

283993 LUIS F HERNANDEZ SANCHEZ Redacted Redacted Redacted Redacted Redacted Redacted Redacted

284568 LUIS LOYO COLON Redacted Redacted Redacted Redacted Redacted Redacted Redacted

286392 LUZ AIDA SERRANO ARROYO Redacted Redacted Redacted Redacted Redacted Redacted Redacted

287408 LUZ V. TORRES RIVERA Redacted Redacted Redacted Redacted Redacted Redacted Redacted

706757 MADELINE QUI¥ONES Redacted Redacted Redacted Redacted Redacted Redacted Redacted

289236 MAGALY MATANZO CORTES Redacted Redacted Redacted Redacted Redacted Redacted Redacted

707533 MANUEL GARCIA ARIZ Redacted Redacted Redacted Redacted Redacted Redacted Redacted

295020 MANUEL SOTO VAZQUEZ Redacted Redacted Redacted Redacted Redacted Redacted Redacted

297120 MARIA ALEXANDRA SANTANA CAMACHO Redacted Redacted Redacted Redacted Redacted Redacted Redacted

709960 MARIA AQUINO BURGOS Redacted Redacted Redacted Redacted Redacted Redacted Redacted

710212 MARIA CASTRO ARIAS Redacted Redacted Redacted Redacted Redacted Redacted Redacted

297667 MARIA DE LOS A RIVERA GUERRA Redacted Redacted Redacted Redacted Redacted Redacted Redacted

298266 MARIA E MALDONADO RAMOS Redacted Redacted Redacted Redacted Redacted Redacted Redacted

714383 MARIAN NEGRON RENTAS Redacted Redacted Redacted Redacted Redacted Redacted Redacted

714625 MARIBEL BORRERO MEDINA Redacted Redacted Redacted Redacted Redacted Redacted Redacted

300911 MARIBEL SANTIAGO GALARZA Redacted Redacted Redacted Redacted Redacted Redacted Redacted

715015 MARIBER AVILES TIRADO Redacted Redacted Redacted Redacted Redacted Redacted Redacted

301001 MARICARMEN RODRIGUEZ RIVERA Redacted Redacted Redacted Redacted Redacted Redacted Redacted

301539 MARILUZ GIOVANETTI LOPEZ Redacted Redacted Redacted Redacted Redacted Redacted Redacted

303100 MARITZA ORTIZ SANCHEZ Redacted Redacted Redacted Redacted Redacted Redacted Redacted

303321 MARK T MCDOWALL Redacted Redacted Redacted Redacted Redacted Redacted Redacted

315170 MATHEWS AMENGUAL ORTIZ Redacted Redacted Redacted Redacted Redacted Redacted Redacted

321249 MEI LING A YEE MD Redacted Redacted Redacted Redacted Redacted Redacted Redacted

719299 MELISSA DIAZ MONTALVAN Redacted Redacted Redacted Redacted Redacted Redacted Redacted

331213 MICHAEL RODRIGUEZ SOTO Redacted Redacted Redacted Redacted Redacted Redacted Redacted

720254 MICHELLE M RECIO Redacted Redacted Redacted Redacted Redacted Redacted Redacted

In re: The Commonwealth of Puerto Rico, et al.

Case No. 17-03283 (LTS) Page 4 of 6

Case:17-03283-LTS Doc#:2912 Filed:04/17/18 Entered:04/17/18 20:35:55 Desc: Main

Document Page 47 of 58
Exhibit E

Supplemental Non-Employee Scheduled Claimants Service List

Served via First Class Mail

MMLID Name Address1 Address2 Address3 Address4 City State PostalCode

331523 MID SOUTH NEUROLOGY CLINIC PLL 8577 CORDES CIR GERMANTOWN TN 38139

331991 MIGUEL A CACERES RAMIREZ, EVELYN RAMIREZ Redacted Redacted Redacted Redacted Redacted Redacted Redacted

332228 MIGUEL A MARRERO CARABALLO Redacted Redacted Redacted Redacted Redacted Redacted Redacted

332253 MIGUEL A MENA HERNANDEZ Redacted Redacted Redacted Redacted Redacted Redacted Redacted

332845 MIGUEL E PEREZ SEPULVEDA Redacted Redacted Redacted Redacted Redacted Redacted Redacted

722186 MIGUEL NEGRON VAZQUEZ Redacted Redacted Redacted Redacted Redacted Redacted Redacted

333400 MILAGROS FERNANDEZ CALIMANO Redacted Redacted Redacted Redacted Redacted Redacted Redacted

722675 MILAGROS FIGUEROA TORRES Redacted Redacted Redacted Redacted Redacted Redacted Redacted

722817 MILAGROS PEREZ PE Redacted Redacted Redacted Redacted Redacted Redacted Redacted

334677 MINDJET, LLC 275 BATTERY ST STE 1000 SAN FRANCISCO CA 94111-3333

336890 MIRNA M CRUZ RIOS Redacted Redacted Redacted Redacted Redacted Redacted Redacted

337457 MOHINI PAI Redacted Redacted Redacted Redacted Redacted Redacted Redacted

725199 MORGAN MEGUIRE Redacted Redacted Redacted Redacted Redacted Redacted Redacted

353367 MYRNA L ENCARNACION RUIZ Redacted Redacted Redacted Redacted Redacted Redacted Redacted

726004 MYRNA NEGRON ANTOSANTI Redacted Redacted Redacted Redacted Redacted Redacted Redacted

355187 NATIONAL SOCIETY OF HISPANIC MBAS INC 2711 LYNDON E JOHNSON PWY STE 800 DALLAS TX 75234-7323

727308 NAYDA T VEGA RODRIGUEZ / NIV SOUND 2740 WILLIAMS LANDING CIR APT 430 TAMPA FL 33510-9141

728560 NEREIDA VIANA DIAZ Redacted Redacted Redacted Redacted Redacted Redacted Redacted

361069 NEWARK ELECTRONIC 6400 Rockside Rd INDEPENDENCE OH 44131

729302 NILDA E VAZQUEZ RAMIREZ Redacted Redacted Redacted Redacted Redacted Redacted Redacted

729393 NILDA L RODRIGUEZ Redacted Redacted Redacted Redacted Redacted Redacted Redacted

366583 NORBERTO ALONSO HERRERA VILLEGAS VILLA CAROLINA 58-15 CALLE INOLENLIO LKU2 CAROLINA PR 00985-4920

730943 NORMA I GALARZA MOREIRA Redacted Redacted Redacted Redacted Redacted Redacted Redacted

366973 NORMA I PENA MURIEL Redacted Redacted Redacted Redacted Redacted Redacted Redacted

731013 NORMA I QUINTANA PEREZ Redacted Redacted Redacted Redacted Redacted Redacted Redacted

370891 OLAY LLC 11530 REED HARTMAN HWY BLUE ASH OH 45241-2422

373047 OMAR MARTINEZ VILLA Redacted Redacted Redacted Redacted Redacted Redacted Redacted

732886 OMARYS RIVERA ORTIZ Redacted Redacted Redacted Redacted Redacted Redacted Redacted

733491 ORLANDO MIRANDA MELECIO Redacted Redacted Redacted Redacted Redacted Redacted Redacted

374989 ORLANDO RAMIREZ ARCE Redacted Redacted Redacted Redacted Redacted Redacted Redacted

375069 ORLANDO ROSADO ROSADO Redacted Redacted Redacted Redacted Redacted Redacted Redacted

388482 P SHAWN HEALY Redacted Redacted Redacted Redacted Redacted Redacted Redacted

734966 PAGAN"S WELDING SERVICE HC 1 BOX 5378 CIALES PR 00638-9830

396174 PATRICIA A PLAZA Redacted Redacted Redacted Redacted Redacted Redacted Redacted

396588 PEAK MENTAL HEALTH 1133 HEATHERSTONE DR # 102 FREDERICKSBURG VA 22407-4828

736059 PEDRO CARABALLO ARROYO HC 5 BOX 7514 YAUCO PR 00698

738172 PR.OFFICES MACHINE STATIONERY ATTN: JULIE A. CUEVAS 26018 MEHERRIN RD CAPRON VA 23829-2054

414125 PRIME CARE HEALTH CENTERS 1339 ARLINGTON ST ORLANDO FL 32805-1310

414676 PROGRAMMER'S PARADISE , INC 4 INDUSTRAIL WAY W STE 301 EATONTOWN NJ 07724-4246

738965 PUBLISHING PERFECTION 21155 WATERTOWN RD WAUKESHA WI 53186-1898

415169 PUERTO RICO GOURMET PRODUCTS INC PO BOX 11410 SAN JUAN PR 00922-1419

831594 Qiagen 19300 GERMANTOWN RD GERNMANTOWN MD 20874

420021 RADISSON AMBASSADOR PLAZA HOTEL & CASINO 270 AVE MUNOZ RIVERA # 302 SAN JUAN PR 00918-1001

741191 RAFAEL W RODRIGUEZ ROSADO Redacted Redacted Redacted Redacted Redacted Redacted Redacted

421490 RAMAIAH MD, MATHAIAH Redacted Redacted Redacted Redacted Redacted Redacted Redacted

In re: The Commonwealth of Puerto Rico, et al.

Case No. 17-03283 (LTS) Page 5 of 6

Case:17-03283-LTS Doc#:2912 Filed:04/17/18 Entered:04/17/18 20:35:55 Desc: Main

Document Page 48 of 58
Exhibit E

Supplemental Non-Employee Scheduled Claimants Service List

Served via First Class Mail

MMLID Name Address1 Address2 Address3 Address4 City State PostalCode

741729 RAMON COLON SANTIAGO Redacted Redacted Redacted Redacted Redacted Redacted Redacted

742114 RAMON L RODRIGUEZ MUNOZ Redacted Redacted Redacted Redacted Redacted Redacted Redacted

433473 REY F SANCHEZ GUADALUPE Redacted Redacted Redacted Redacted Redacted Redacted Redacted

434873 REYES M LALUZ Redacted Redacted Redacted Redacted Redacted Redacted Redacted

437248 RICARDO J GONZALEZ ZAYAS Redacted Redacted Redacted Redacted Redacted Redacted Redacted

445851 RIVERA DIGITAL 3205 CAMINO REAL CABO ROJO PR 00623-3957

447282 RIVERA GONZALEZ MD, HECTOR O Redacted Redacted Redacted Redacted Redacted Redacted Redacted

461986 RIVERA-CARRASQUILLO MARTINEZ & FONT 100 CARR 165 STE 404 GUAYNABO PR 00968-8050

462577 ROBERT TAGGART Redacted Redacted Redacted Redacted Redacted Redacted Redacted

746360 ROBERTO APONTE VEGA Redacted Redacted Redacted Redacted Redacted Redacted Redacted

462695 ROBERTO C SEVERINO SARMIENTO Redacted Redacted Redacted Redacted Redacted Redacted Redacted

746440 ROBERTO CARLO RUIZ MORALES Redacted Redacted Redacted Redacted Redacted Redacted Redacted

470532 RODRIGUEZ FRONTERA MD, JOSE G Redacted Redacted Redacted Redacted Redacted Redacted Redacted

485268 ROLANDO FERNANDEZ ROMERO Redacted Redacted Redacted Redacted Redacted Redacted Redacted

494454 ROSADO PEREZ MD, ANGELO Redacted Redacted Redacted Redacted Redacted Redacted Redacted

504018 S W MANAGEMENT 1569 CALLE ALDA STE 201 SAN JUAN PR 00926-2728

506621 SAMUEL VIRELLA PAGAN Redacted Redacted Redacted Redacted Redacted Redacted Redacted

525676 SATURN WIRELESS LLC 179 GROVE ST STE 3 MONTCLAIR NJ 07042-4049

753012 SEARCH GROUP 1900 POINT WEST WAY STE 275 SACRAMENTO CA 95815-4700

530818 SFOAC PR INC 1569 CALLE ALDA STE 201 SAN JUAN PR 00926-2728

753574 SHARMARIE CARIBBEAN INT'L URB SAN AGUSTIN 10 CALLE 10 # 1111 SAN JUAN PR 00923

543718 TABLEAU SOFTWARE INC 1621 N 34TH ST SEATTLE WA 98103-9193

545069 TELECORP COMMUNICATIONS INC 87 CALLE TABONUCO STE 700 GUAYNABO PR 00963-3344

561053 TRI-TECH FORENSICS, INC 5770 TRADE ST LELAND NC 28481-8894

760745 VANGUARD CONTRACTORS INC 218 N 5TH ST PADUCAH KY 42001-1526

571957 VAZQUEZ OTERO MD, LOURDES Redacted Redacted Redacted Redacted Redacted Redacted Redacted

761304 VICTOR A DE LEON LOPEZ Redacted Redacted Redacted Redacted Redacted Redacted Redacted

762065 VICTOR M TORRES Y ALICIA CARRASQUILLO Redacted Redacted Redacted Redacted Redacted Redacted Redacted

585707 VICTOR M. TORRES CASANOVA Redacted Redacted Redacted Redacted Redacted Redacted Redacted

764910 WASCAR VEGA GONZALEZ Redacted Redacted Redacted Redacted Redacted Redacted Redacted

591674 WENDELL ALBINO & ASSOCIATE CORP PO BOX 339 GUANICA PR 00653-8339

591773 WEST EQUIP CORP PO BOX 515 HORMIGUEROS PR 00660

592119 WILDA I SANCHEZ BARRETO Redacted Redacted Redacted Redacted Redacted Redacted Redacted

592184 WILFREDDY LOPEZ CEDENO Redacted Redacted Redacted Redacted Redacted Redacted Redacted

592593 WILFREDO RODRIGUEZ FLORES Redacted Redacted Redacted Redacted Redacted Redacted Redacted

765799 WILFREDO RODRIGUEZ ROSADO Redacted Redacted Redacted Redacted Redacted Redacted Redacted

765824 WILFREDO ROSADO MOJICA Redacted Redacted Redacted Redacted Redacted Redacted Redacted

594174 WORLDS BEST 10K CORP PO BOX 363288 SAN JUAN PR 00936

594306 XAVIER D ROMAN MENDEZ Redacted Redacted Redacted Redacted Redacted Redacted Redacted

595130 YAMARA G SALCEDO SANTIAGO Redacted Redacted Redacted Redacted Redacted Redacted Redacted

595258 YAMIL PAGAN SANTANA Redacted Redacted Redacted Redacted Redacted Redacted Redacted

595508 YANIRA ARCE MARTINEZ Redacted Redacted Redacted Redacted Redacted Redacted Redacted

768080 YANIRA MOLINA BERRIOS Redacted Redacted Redacted Redacted Redacted Redacted Redacted

769490 ZAIDA FLORES VEGA Redacted Redacted Redacted Redacted Redacted Redacted Redacted

769735 ZENAIDA GOMEZ TORRES Redacted Redacted Redacted Redacted Redacted Redacted Redacted

In re: The Commonwealth of Puerto Rico, et al.

Case No. 17-03283 (LTS) Page 6 of 6

Case:17-03283-LTS Doc#:2912 Filed:04/17/18 Entered:04/17/18 20:35:55 Desc: Main

Document Page 49 of 58
Exhibit F

Case:17-03283-LTS Doc#:2912 Filed:04/17/18 Entered:04/17/18 20:35:55 Desc: Main

Document Page 50 of 58
Exhibit F

Supplemental Employee Scheduled Claimants Service List

Served via First Class Mail

MMLID Name Address1 City State PostalCode

853375 LOPEZ MARTINEZ, MARILY Redacted Redacted Redacted Redacted

853671 MERCADO QUIÑONES, MADELINE Redacted Redacted Redacted Redacted

1425970 SANCHEZ APONTE, BRENDA E. Redacted Redacted Redacted Redacted

855109 SANTIAGO HERNANDEZ, NILDA R. Redacted Redacted Redacted Redacted

In re: The Commonwealth of Puerto Rico, et al.

Case No. 17-03283 (LTS) Page 1 of 1

Case:17-03283-LTS Doc#:2912 Filed:04/17/18 Entered:04/17/18 20:35:55 Desc: Main

Document Page 51 of 58
Exhibit G

Case:17-03283-LTS Doc#:2912 Filed:04/17/18 Entered:04/17/18 20:35:55 Desc: Main

Document Page 52 of 58
Exhibit G

Supplemental Non-Employee Scheduled Claimants Service List

Served via First Class Mail

MMLID Name Address1 Address2 City State PostalCode

602219 AGNES J JIMENEZ VAZQUEZ Redacted Redacted Redacted Redacted Redacted

605968 ALMIDA SANCHEZ MARTINEZ Redacted Redacted Redacted Redacted Redacted

840524 ALQUILERES M. BARRIO INC Redacted Redacted Redacted Redacted Redacted

23215 ANA V CABAN DEYNES Redacted Redacted Redacted Redacted Redacted

840997 ARIANNE BARRETO CAMACHO Redacted Redacted Redacted Redacted Redacted

841011 ARLENE BERRIOS CEBALLOS Redacted Redacted Redacted Redacted Redacted

841160 AUTORIDAD DE LOS PUERTOS Redacted Redacted Redacted Redacted Redacted

841503 C&J CLARK AMERICA IN 60 TOWER RD WALTHAM MA 02451-1022

625976 CARMEN E SERGES MARTINEZ Redacted Redacted Redacted Redacted Redacted

102804 COMMUNICATIONS LABORATORIES INC 4005 OPPORTUNITY DR MELBOURNE FL 32934-9296

842393 CORNELL UNIVERSITY PRESS 512 E STATE ST ITHACA NY 14850-4412

636085 DARIO RIVERA CARRASQUILLO Redacted Redacted Redacted Redacted Redacted

135788 DIANA MALDONADO RODRIGUEZ Redacted Redacted Redacted Redacted Redacted

650062 EUFEMIA RIVERA RIVERA Redacted Redacted Redacted Redacted Redacted

655417 FRANCISCO A PLUMEY PEREZ Redacted Redacted Redacted Redacted Redacted

658159 GARRITY AND KNISLEY 30 BRAINTREE HILL PARK STE 102 BRAINTREE MA 02184-8751

669819 IRIS BELTRAN GREEN Redacted Redacted Redacted Redacted Redacted

670237 IRIS N CORTEZ PINTOR Redacted Redacted Redacted Redacted Redacted

671975 ISMENIA M GONZALEZ Redacted Redacted Redacted Redacted Redacted

845240 JAVIER ACOSTA BARBOSA Redacted Redacted Redacted Redacted Redacted

676275 JEANNETTE ALBINO GONZALEZ Redacted Redacted Redacted Redacted Redacted

677648 JESUS MORALES ANDINO Redacted Redacted Redacted Redacted Redacted

845541 JORGE RIVERA NIEVES Redacted Redacted Redacted Redacted Redacted

845887 JSB Cooking Group / José Santaella PO Box 6702 San Juan PR 00914-6792

689217 JUAN A SANCHEZ MALDONADO Redacted Redacted Redacted Redacted Redacted

268516 LISTORIEL LOPEZ LOPEZ Redacted Redacted Redacted Redacted Redacted

699879 LUCIA FLORES TORRES Redacted Redacted Redacted Redacted Redacted

701923 LUIS E BURGOS FELICIANO Redacted Redacted Redacted Redacted Redacted

In re: The Commonwealth of Puerto Rico, et al.

Case No. 17-03283 (LTS) Page 1 of 2

Case:17-03283-LTS Doc#:2912 Filed:04/17/18 Entered:04/17/18 20:35:55 Desc: Main

Document Page 53 of 58
Exhibit G

Supplemental Non-Employee Scheduled Claimants Service List

Served via First Class Mail

MMLID Name Address1 Address2 City State PostalCode

847012 MADELINE RIVERA NEGRON Redacted Redacted Redacted Redacted Redacted

710858 MARIA DEL C BOBE ALBELO Redacted Redacted Redacted Redacted Redacted

302854 MARITIME TRANSPORT AUTHORITY P O BOX 41118 SAN JUAN PR 00940-1118

720896 MIGUEL A NIEVES COLLAZO Redacted Redacted Redacted Redacted Redacted

848074 MIGUEL VAZQUEZ CORTES Redacted Redacted Redacted Redacted Redacted

723394 MILLY FELICIANO BAEZ Redacted Redacted Redacted Redacted Redacted

848478 NELIDA JIMENEZ SANCHEZ Redacted Redacted Redacted Redacted Redacted

848600 NILDA R SANTIAGO HERNANDEZ Redacted Redacted Redacted Redacted Redacted

848671 NORA A FEMENIA BOCCARDO Redacted Redacted Redacted Redacted Redacted

848847 OMAYRA CRESPO PEREZ Redacted Redacted Redacted Redacted Redacted

375087 ORLANDO SEGARRA SEGARRA Redacted Redacted Redacted Redacted Redacted

734403 OWEN F STEWARD Redacted Redacted Redacted Redacted Redacted

735735 PAULINA DE JESUS DAVILA Redacted Redacted Redacted Redacted Redacted

740129 RAFAEL DEL RIO RIVERA Redacted Redacted Redacted Redacted Redacted

849468 RAMIREZ DIAZ YAZMET Y Redacted Redacted Redacted Redacted Redacted

849706 REY F GONZALEZ RIVAS Redacted Redacted Redacted Redacted Redacted

850315 SANTIAGO RIVERA, JOHANNA Redacted Redacted Redacted Redacted Redacted

752575 SARA GONZALEZ MATHEW Redacted Redacted Redacted Redacted Redacted

525470 SARAHI CEDENO MARTINEZ Redacted Redacted Redacted Redacted Redacted

528463 SERGIO E ROSADO BARBOSA Redacted Redacted Redacted Redacted Redacted

755829 STEPHANE MAYSONET SANTIAGO Redacted Redacted Redacted Redacted Redacted

759649 TRINIDAD NERIS OLMEDA Redacted Redacted Redacted Redacted Redacted

760957 VERIDIANA VAZQUEZ ALMODOVAR Redacted Redacted Redacted Redacted Redacted

594798 YADIRA NIEVES LOPEZ Redacted Redacted Redacted Redacted Redacted

851698 YARITZA M PAREDES CRUZ Redacted Redacted Redacted Redacted Redacted

In re: The Commonwealth of Puerto Rico, et al.

Case No. 17-03283 (LTS) Page 2 of 2

Case:17-03283-LTS Doc#:2912 Filed:04/17/18 Entered:04/17/18 20:35:55 Desc: Main

Document Page 54 of 58
Exhibit H

Case:17-03283-LTS Doc#:2912 Filed:04/17/18 Entered:04/17/18 20:35:55 Desc: Main

Document Page 55 of 58
Exhibit H

Supplemental Employee Service List

Served via First Class Mail

MMLID Name Address1 City State PostalCode

31220 ARACELIA RODRIGUEZ ORTIZ Redacted Redacted Redacted Redacted

650443 EUSTAQUIA CARRASQUILLO Redacted Redacted Redacted Redacted

In re: The Commonwealth of Puerto Rico, et al.

Case No. 17-03283 (LTS) Page 1 of 1

Case:17-03283-LTS Doc#:2912 Filed:04/17/18 Entered:04/17/18 20:35:55 Desc: Main

Document Page 56 of 58
Exhibit I

Case:17-03283-LTS Doc#:2912 Filed:04/17/18 Entered:04/17/18 20:35:55 Desc: Main

Document Page 57 of 58
Exhibit I

Supplemental Non-Employee Service List 

Served via First Class Mail

MMLID Name Address1 Address2 City State PostalCode

86623 CENTRO DE APRENDIZAJE INDIVIDUALIZADO COND PASEO DE LAS CUMBRES APT 74 CARR 850 TRUJILLO ALTO PR 00976

670490 IRIS YOLANDA CUEVAS SEDA 3444 CALLE POGGIO DOLETTA # 3C RINCON PR 00677-2555

748862 ROSA RODRIGUEZ 213 AVE D CAROLINA PR 00987-1516

595509 YANIRA ARCE MARTINEZ 1244 ROYAL CREST DR KILLEEN TX 76540-2071

In re: The Commonwealth of Puerto Rico, et al.

Case No. 17-03283 (LTS) Page 1 of 1

Case:17-03283-LTS Doc#:2912 Filed:04/17/18 Entered:04/17/18 20:35:55 Desc: Main

Document Page 58 of 58