Official Form 106A/B Schedule A/B: Property page 1

Official Form 106A/B

Schedule A/B: Property 12/15

In each category, separately list and describe items. List an asset only once. If an asset fits in more than one category, list the asset in the 

category where you think it fits best. Be as complete and accurate as possible. If two married people are filing together, both are equally 

responsible for supplying correct information. If more space is needed, attach a separate sheet to this form. On the top of any additional pages, 

write your name and case number (if known). Answer every question.

Part 1: Describe Each Residence, Building, Land, or Other Real Estate You Own or Have an Interest In

1. Do you own or have any legal or equitable interest in any residence, building, land, or similar property?

 No. Go to Part 2.

 Yes. Where is the property?

 

1.1. _________________________________________

Street address, if available, or other description

_________________________________________

_________________________________________

City State ZIP Code 

_________________________________________

County

What is the property? Check all that apply.

 Single-family home

 Duplex or multi-unit building

 Condominium or cooperative

 Manufactured or mobile home

 Land

 Investment property

 Timeshare

 Other __________________________________

Do not deduct secured claims or exemptions. Put 

the amount of any secured claims on Schedule D: 

Creditors Who Have Claims Secured by Property.

Current value of the 

entire property?

$________________

Current value of the 

portion you own?

$_______________

Describe the nature of your ownership 

interest (such as fee simple, tenancy by 

the entireties, or a life estate), if known. 

Who has an interest in the property? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

__________________________________________

 Check if this is community property 

(see instructions)

Other information you wish to add about this item, such as local 

property identification number: _______________________________

If you own or have more than one, list here:

1.2. ________________________________________

Street address, if available, or other description

________________________________________

________________________________________

City State ZIP Code 

________________________________________

County

What is the property? Check all that apply.

 Single-family home

 Duplex or multi-unit building

 Condominium or cooperative

 Manufactured or mobile home

 Land

 Investment property

 Timeshare

 Other __________________________________

Do not deduct secured claims or exemptions. Put 

the amount of any secured claims on Schedule D: 

Creditors Who Have Claims Secured by Property.

Current value of the 

entire property?

$________________

Current value of the 

portion you own?

$_________________

Describe the nature of your ownership 

interest (such as fee simple, tenancy by 

the entireties, or a life estate), if known. 

Who has an interest in the property? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

__________________________________________

 Check if this is community property 

(see instructions)

Other information you wish to add about this item, such as local 

property identification number: _______________________________

Debtor 1 __________________________________________________________________ 

First Name Middle Name Last Name

Debtor 2 ________________________________________________________________

(Spouse, if filing) First Name Middle Name Last Name

United States Bankruptcy Court for the: ______________________________________

Case number ___________________________________________

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

 Check if this is an 

amended filing

Alejandro Fabian Scolnik

Southern District of Florida

19-16856-RAM

X

21200 POINT PL 501

X

816,000.00

Aventura FL 33180

Tenancy by the Entirety

Miami-Dade

X

Case 19-16856-RAM Doc 144 Filed 11/25/19 Page 1 of 62
Debtor 1 _______________________________________________________ Case number (if known)_____________________________________

First Name Middle Name Last Name

Official Form 106A/B Schedule A/B: Property page 2

1.3. ________________________________________

Street address, if available, or other description

________________________________________

________________________________________

City State ZIP Code 

________________________________________

County

What is the property? Check all that apply.

 Single-family home

 Duplex or multi-unit building

 Condominium or cooperative

 Manufactured or mobile home

 Land

 Investment property

 Timeshare

 Other __________________________________

Do not deduct secured claims or exemptions. Put 

the amount of any secured claims on Schedule D: 

Creditors Who Have Claims Secured by Property.

Current value of the 

entire property?

$________________

Current value of the 

portion you own?

$_________________

Describe the nature of your ownership 

interest (such as fee simple, tenancy by 

the entireties, or a life estate), if known. 

Who has an interest in the property? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

__________________________________________

 Check if this is community property 

(see instructions)

Other information you wish to add about this item, such as local 

property identification number: _______________________________

2. Add the dollar value of the portion you own for all of your entries from Part 1, including any entries for pages 

you have attached for Part 1. Write that number here. ......................................................................................

$_________________

Part 2: Describe Your Vehicles

Do you own, lease, or have legal or equitable interest in any vehicles, whether they are registered or not? Include any vehicles 

you own that someone else drives. If you lease a vehicle, also report it on Schedule G: Executory Contracts and Unexpired Leases.

3. Cars, vans, trucks, tractors, sport utility vehicles, motorcycles

 No

 Yes

3.1. Make: ______________

Model: ______________

Year: ____________

Approximate mileage: ____________

Other information:

Who has an interest in the property? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

Check if this is community property (see 

instructions)

Do not deduct secured claims or exemptions. Put 

the amount of any secured claims on Schedule D: 

Creditors Who Have Claims Secured by Property.

Current value of the 

entire property?

$________________

Current value of the 

portion you own?

$________________

If you own or have more than one, describe here:

3.2. Make: ______________

Model: ______________

Year: ____________

Approximate mileage: ____________

Other information:

Who has an interest in the property? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

Check if this is community property (see 

instructions)

Do not deduct secured claims or exemptions. Put 

the amount of any secured claims on Schedule D: 

Creditors Who Have Claims Secured by Property.

Current value of the 

entire property?

$________________

Current value of the 

portion you own?

$________________

Alejandro Fabian Scolnik 19-16856-RAM

0.00

X

BMW

K1600B X

2018

15,945.00

VIN XXXXXXXXXX6629

Land Rover

Range Rover

2017

0.00

Case 19-16856-RAM Doc 144 Filed 11/25/19 Page 2 of 62
Debtor 1 _______________________________________________________ Case number (if known)_____________________________________

First Name Middle Name Last Name

Official Form 106A/B Schedule A/B: Property page 3

3.3. Make: ______________

Model: ______________

Year: ____________

Approximate mileage: ____________

Other information:

Who has an interest in the property? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

Check if this is community property (see 

instructions)

Do not deduct secured claims or exemptions. Put 

the amount of any secured claims on Schedule D: 

Creditors Who Have Claims Secured by Property.

Current value of the 

entire property?

$________________

Current value of the 

portion you own?

$________________

3.4. Make: ______________

Model: ______________

Year: ____________

Approximate mileage: ____________

Other information:

Who has an interest in the property? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

Check if this is community property (see 

instructions)

Do not deduct secured claims or exemptions. Put 

the amount of any secured claims on Schedule D: 

Creditors Who Have Claims Secured by Property.

Current value of the

entire property?

$________________

Current value of the 

portion you own?

$________________

4. Watercraft, aircraft, motor homes, ATVs and other recreational vehicles, other vehicles, and accessories 

Examples: Boats, trailers, motors, personal watercraft, fishing vessels, snowmobiles, motorcycle accessories

 No

 Yes

4.1. Make: ____________________

Model: ____________________

Year: ____________

Other information:

Who has an interest in the property? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

Check if this is community property (see 

instructions)

Do not deduct secured claims or exemptions. Put 

the amount of any secured claims on Schedule D: 

Creditors Who Have Claims Secured by Property.

Current value of the 

entire property?

$________________

Current value of the 

portion you own?

$________________

If you own or have more than one, list here:

4.2. Make: ____________________

Model: ____________________

Year: ____________

Other information:

Who has an interest in the property? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

Check if this is community property (see 

instructions)

Do not deduct secured claims or exemptions. Put 

the amount of any secured claims on Schedule D: 

Creditors Who Have Claims Secured by Property.

Current value of the 

entire property?

$________________

Current value of the 

portion you own?

$________________

5. Add the dollar value of the portion you own for all of your entries from Part 2, including any entries for pages 

you have attached for Part 2. Write that number here ............................................................................................................................

$_________________

Alejandro Fabian Scolnik 19-16856-RAM

Land Rover

Range Rover

2017

X

Fair Market Value Unknown

Lease - Claim 12 filed

X

0.00

Case 19-16856-RAM Doc 144 Filed 11/25/19 Page 3 of 62
Debtor 1 _______________________________________________________ Case number (if known)_____________________________________

First Name Middle Name Last Name

Official Form 106A/B Schedule A/B: Property page 4

Part 3: Describe Your Personal and Household Items

Do you own or have any legal or equitable interest in any of the following items? Current value of the 

portion you own?

Do not deduct secured claims 

or exemptions.

6. Household goods and furnishings

Examples: Major appliances, furniture, linens, china, kitchenware

 No

 Yes. Describe......... $___________________

7. Electronics

Examples: Televisions and radios; audio, video, stereo, and digital equipment; computers, printers, scanners; music 

collections; electronic devices including cell phones, cameras, media players, games

 No

 Yes. Describe.......... $___________________

8. Collectibles of value

Examples: Antiques and figurines; paintings, prints, or other artwork; books, pictures, or other art objects; 

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

 No

 Yes. Describe.......... $___________________

9. Equipment for sports and hobbies

Examples: Sports, photographic, exercise, and other hobby equipment; bicycles, pool tables, golf clubs, skis; canoes

and kayaks; carpentry tools; musical instruments

 No

 Yes. Describe.......... $___________________

10.Firearms 

Examples: Pistols, rifles, shotguns, ammunition, and related equipment

 No

 Yes. Describe........... $___________________

11. Clothes

Examples: Everyday clothes, furs, leather coats, designer wear, shoes, accessories

 No

 Yes. Describe........... $___________________

12. Jewelry

Examples: Everyday jewelry, costume jewelry, engagement rings, wedding rings, heirloom jewelry, watches, gems, 

gold, silver

 No

 Yes. Describe........... $___________________

13. Non-farm animals

Examples: Dogs, cats, birds, horses

 No

 Yes. Describe............. $___________________

14. Any other personal and household items you did not already list, including any health aids you did not list

 No 

 Yes. Give specific 

information..................

$___________________

15. Add the dollar value of all of your entries from Part 3, including any entries for pages you have attached 

for Part 3. Write that number here ........................................................................................................................................................

$______________________

Alejandro Fabian Scolnik 19-16856-RAM

X see attached B 6; Books 4,000.00

X

X

X

X

X everyday usual clothes 50.00

X 50.00

X

X

4,100.00

Case 19-16856-RAM Doc 144 Filed 11/25/19 Page 4 of 62
Debtor 1 _______________________________________________________ Case number (if known)_____________________________________

First Name Middle Name Last Name

Official Form 106A/B Schedule A/B: Property page 5

Part 4: Describe Your Financial Assets

Do you own or have any legal or equitable interest in any of the following? Current value of the 

portion you own?

Do not deduct secured claims 

or exemptions.

16. Cash

Examples: Money you have in your wallet, in your home, in a safe deposit box, and on hand when you file your petition

 No

 Yes..................................................................................................................................................................... Cash: ....................... $__________________

17. Deposits of money

Examples: Checking, savings, or other financial accounts; certificates of deposit; shares in credit unions, brokerage houses, 

and other similar institutions. If you have multiple accounts with the same institution, list each.

 No

 Yes..................... Institution name:

17.1. Checking account: _________________________________________________________

17.2. Checking account: _________________________________________________________

17.3. Savings account: _________________________________________________________

17.4. Savings account: _________________________________________________________

17.5. Certificates of deposit: _________________________________________________________

17.6. Other financial account: _________________________________________________________

17.7. Other financial account: _________________________________________________________

17.8. Other financial account: _________________________________________________________

17.9. Other financial account: _________________________________________________________

$__________________

$__________________

$__________________

$__________________

$__________________

$__________________

$__________________

$__________________

$__________________

18. Bonds, mutual funds, or publicly traded stocks

Examples: Bond funds, investment accounts with brokerage firms, money market accounts

 No

 Yes.................. Institution or issuer name:

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

$__________________

$__________________

$__________________

19. Non-publicly traded stock and interests in incorporated and unincorporated businesses, including an interest in 

an LLC, partnership, and joint venture

 No 

Yes. Give specific 

information about

them. ........................

Name of entity: % of ownership:

_____________________________________________________________________ ___________%

_____________________________________________________________________ ___________%

_____________________________________________________________________ ___________%

$__________________

$__________________

$__________________

Alejandro Fabian Scolnik 19-16856-RAM

X 50.00

X

X

X Piacere News & Cafe Corp 100 0.00

See Attachment 1 100 Unknown

See Attachment 2 100 Unknown

See Attachment 3: Additional Non-Publically Traded Stocks and Interests in Incorporated and

Case 19-16856-RAM Doc 144 Filed 11/25/19 Page 5 of 62
Debtor 1 _______________________________________________________ Case number (if known)_____________________________________

First Name Middle Name Last Name

Official Form 106A/B Schedule A/B: Property page 6

20. Government and corporate bonds and other negotiable and non-negotiable instruments

Negotiable instruments include personal checks, cashiers’ checks, promissory notes, and money orders. 

Non-negotiable instruments are those you cannot transfer to someone by signing or delivering them.

 No 

Yes. Give specific 

information about

them. ......................

Issuer name: 

______________________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

$__________________

$__________________

$__________________

21. Retirement or pension accounts

Examples: Interests in IRA, ERISA, Keogh, 401(k), 403(b), thrift savings accounts, or other pension or profit-sharing plans

 No

 Yes. List each 

account separately.. Type of account: Institution name:

401(k) or similar plan: ___________________________________________________________________

Pension plan: ___________________________________________________________________

IRA: ___________________________________________________________________

Retirement account: ___________________________________________________________________

Keogh: ___________________________________________________________________

Additional account: ___________________________________________________________________

Additional account: ___________________________________________________________________

$__________________

$__________________

$__________________

$__________________

$__________________

$__________________

$__________________

22.Security deposits and prepayments

Your share of all unused deposits you have made so that you may continue service or use from a company

Examples: Agreements with landlords, prepaid rent, public utilities (electric, gas, water), telecommunications 

companies, or others

 No

 Yes........................... Institution name or individual:

Electric: ______________________________________________________________________

Gas: ______________________________________________________________________

Heating oil: ______________________________________________________________________

Security deposit on rental unit: _____________________________________________________________

Prepaid rent: ______________________________________________________________________

Telephone: ______________________________________________________________________

Water: ______________________________________________________________________

Rented furniture: ______________________________________________________________________

Other: ______________________________________________________________________

$___________________

$___________________

$___________________

$___________________

$___________________

$___________________

$___________________

$___________________

$___________________

23. Annuities (A contract for a periodic payment of money to you, either for life or for a number of years)

 No

 Yes........................... Issuer name and description:

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

$__________________

$__________________

$__________________

Alejandro Fabian Scolnik 19-16856-RAM

X

X

X

X

Case 19-16856-RAM Doc 144 Filed 11/25/19 Page 6 of 62
Debtor 1 _______________________________________________________ Case number (if known)_____________________________________

First Name Middle Name Last Name

Official Form 106A/B Schedule A/B: Property page 7

24. Interests in an education IRA, in an account in a qualified ABLE program, or under a qualified state tuition program.

26 U.S.C. §§ 530(b)(1), 529A(b), and 529(b)(1).

 No

 Yes ..................................... Institution name and description. Separately file the records of any interests.11 U.S.C. § 521(c): 

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

$_________________

$_________________

$_________________

25.Trusts, equitable or future interests in property (other than anything listed in line 1), and rights or powers 

exercisable for your benefit

 No

 Yes. Give specific 

information about them. .. $__________________

26. Patents, copyrights, trademarks, trade secrets, and other intellectual property

Examples: Internet domain names, websites, proceeds from royalties and licensing agreements

 No

 Yes. Give specific 

information about them. .. $__________________

27. Licenses, franchises, and other general intangibles

Examples: Building permits, exclusive licenses, cooperative association holdings, liquor licenses, professional licenses

 No

 Yes. Give specific 

information about them. .. $__________________

Money or property owed to you? Current value of the 

portion you own?

Do not deduct secured 

claims or exemptions.

28.Tax refunds owed to you

 No

 Yes. Give specific information 

about them, including whether 

you already filed the returns 

and the tax years. ......................

Federal: $_________________

State: $_________________

Local: $_________________

29. Family support

Examples: Past due or lump sum alimony, spousal support, child support, maintenance, divorce settlement, property settlement

 No

 Yes. Give specific information. .............

Alimony: 

Maintenance:

Support: 

Divorce settlement:

Property settlement: 

$________________

$________________

$________________

$________________

$________________

30. Other amounts someone owes you

Examples: Unpaid wages, disability insurance payments, disability benefits, sick pay, vacation pay, workers’ compensation, 

Social Security benefits; unpaid loans you made to someone else

 No

 Yes. Give specific information. ...............

$______________________

Alejandro Fabian Scolnik 19-16856-RAM

X

X

X

X Santa Fe News and Expresso (Sante Fe)

Unknown

X

X

X Per settlement Agreement

600,000.00

Case 19-16856-RAM Doc 144 Filed 11/25/19 Page 7 of 62
Debtor 1 _______________________________________________________ Case number (if known)_____________________________________

First Name Middle Name Last Name

Official Form 106A/B Schedule A/B: Property page 8

31. Interests in insurance policies 

Examples: Health, disability, or life insurance; health savings account (HSA); credit, homeowner’s, or renter’s insurance

 No

 Yes. Name the insurance company 

of each policy and list its value. ....

Company name: Beneficiary:

___________________________________________ ____________________________

___________________________________________ ____________________________

___________________________________________ ____________________________

Surrender or refund value:

$__________________

$__________________

$__________________

32. Any interest in property that is due you from someone who has died

If you are the beneficiary of a living trust, expect proceeds from a life insurance policy, or are currently entitled to receive 

property because someone has died.

 No

 Yes. Give specific information. .............

$_____________________

33. Claims against third parties, whether or not you have filed a lawsuit or made a demand for payment 

Examples: Accidents, employment disputes, insurance claims, or rights to sue

 No

 Yes. Describe each claim......................

$______________________

34.Other contingent and unliquidated claims of every nature, including counterclaims of the debtor and rights 

to set off claims

 No

 Yes. Describe each claim......................

$_____________________

35. Any financial assets you did not already list

 No 

 Yes. Give specific information............ $_____________________

36. Add the dollar value of all of your entries from Part 4, including any entries for pages you have attached 

for Part 4. Write that number here ........................................................................................................................................................ $_____________________

Part 5: Describe Any Business-Related Property You Own or Have an Interest In. List any real estate in Part 1.

37. Do you own or have any legal or equitable interest in any business-related property? 

 No. Go to Part 6.

 Yes. Go to line 38.

Current value of the 

portion you own?

Do not deduct secured claims 

or exemptions.

38. Accounts receivable or commissions you already earned

 No

 Yes. Describe........

$_____________________

39. Office equipment, furnishings, and supplies

Examples: Business-related computers, software, modems, printers, copiers, fax machines, rugs, telephones, desks, chairs, electronic devices

 No

 Yes. Describe........ $_____________________

Alejandro Fabian Scolnik 19-16856-RAM

X

X

X Loan to Pablo Barreiro

80,000.00

X

X

680,050.00

X

X

X

Case 19-16856-RAM Doc 144 Filed 11/25/19 Page 8 of 62
Debtor 1 _______________________________________________________ Case number (if known)_____________________________________

First Name Middle Name Last Name

Official Form 106A/B Schedule A/B: Property page 9

40. Machinery, fixtures, equipment, supplies you use in business, and tools of your trade

 No

 Yes. Describe........ $_____________________

41. Inventory

 No

 Yes. Describe........ $_____________________

42. Interests in partnerships or joint ventures 

 No

 Yes. Describe........ Name of entity: % of ownership:

______________________________________________________________________ ________%

______________________________________________________________________ ________%

______________________________________________________________________ ________%

$_____________________

$_____________________

$_____________________

43. Customer lists, mailing lists, or other compilations 

 No

 Yes. Do your lists include personally identifiable information (as defined in 11 U.S.C. § 101(41A))?

 No

 Yes. Describe.........

$____________________

44. Any business-related property you did not already list

 No

 Yes. Give specific 

information .........

______________________________________________________________________________________ $____________________

______________________________________________________________________________________ $____________________

______________________________________________________________________________________ $____________________

______________________________________________________________________________________ $____________________

______________________________________________________________________________________ $____________________

______________________________________________________________________________________ $____________________

45. Add the dollar value of all of your entries from Part 5, including any entries for pages you have attached 

for Part 5. Write that number here ........................................................................................................................................................

$____________________

Part 6: Describe Any Farm- and Commercial Fishing-Related Property You Own or Have an Interest In.

If you own or have an interest in farmland, list it in Part 1.

46. Do you own or have any legal or equitable interest in any farm- or commercial fishing-related property?

 No. Go to Part 7.

 Yes. Go to line 47.

Current value of the 

portion you own?

Do not deduct secured claims 

or exemptions.

47. Farm animals

Examples: Livestock, poultry, farm-raised fish

 No

 Yes...........................

$___________________

Alejandro Fabian Scolnik 19-16856-RAM

X

X

X

X

X

X

0.00

X

X

Case 19-16856-RAM Doc 144 Filed 11/25/19 Page 9 of 62
Debtor 1 _______________________________________________________ Case number (if known)_____________________________________

First Name Middle Name Last Name

Official Form 106A/B Schedule A/B: Property page 10

48. Crops—either growing or harvested

 No 

 Yes. Give specific 

information. ............ $___________________

49.Farm and fishing equipment, implements, machinery, fixtures, and tools of trade

 No

 Yes...........................

$___________________

50.Farm and fishing supplies, chemicals, and feed

 No

 Yes...........................

$___________________

51. Any farm- and commercial fishing-related property you did not already list

 No 

 Yes. Give specific 

information. ............ $___________________

52. Add the dollar value of all of your entries from Part 6, including any entries for pages you have attached 

for Part 6. Write that number here ........................................................................................................................................................

$___________________

Part 7: Describe All Property You Own or Have an Interest in That You Did Not List Above

53. Do you have other property of any kind you did not already list?

Examples: Season tickets, country club membership

 No 

 Yes. Give specific 

information. ............

$________________

$________________

$________________

54. Add the dollar value of all of your entries from Part 7. Write that number here ................................................................... $________________

Part 8: List the Totals of Each Part of this Form

55.Part 1: Total real estate, line 2.................................................................................................................................................................... $________________

56.Part 2: Total vehicles, line 5 $________________

57.Part 3: Total personal and household items, line 15 $________________

58.Part 4: Total financial assets, line 36 $________________

59.Part 5: Total business-related property, line 45 $________________

60.Part 6: Total farm- and fishing-related property, line 52 $________________

61.Part 7: Total other property not listed, line 54 + $________________

62.Total personal property. Add lines 56 through 61. ................... $________________ Copy personal property total  + $_________________

63.Total of all property on Schedule A/B. Add line 55 + line 62........................................................................................ $_________________

Alejandro Fabian Scolnik 19-16856-RAM

X

X

X

X

0.00

X

0.00

0.00

4,100.00

680,050.00

0.00

0.00

0.00

684,150.00 684,150.00

684,150.00

Case 19-16856-RAM Doc 144 Filed 11/25/19 Page 10 of 62
Attachment

Debtor: Alejandro Fabian Scolnik Case No: 19-16856-RAM

Attachment 1

Godiva American Corp., b/b/a Santa Fe New and Expresso d/b/a Piacere News & Cafe

Attachment 2

Brickell Restaurante LLC d/b/a Santa Fe new and Expresso at Brickell City Center

Attachment 3: Additional Non-Publically Traded Stocks and Interests in Incorporated and Unincorporated Businesses

100% interest in Sunny Isles Beach Restaurant Corp

Value: Unknown

100% interest in Brickell S.F. Corp

Value: Unknown

100% interest in Piacere Aventura Corp

Value: Unknown

Case 19-16856-RAM Doc 144 Filed 11/25/19 Page 11 of 62
(Subject to adjustment on 4/01/22

more than $170,350?

Official Form 106C Schedule C: The Property You Claim as Exempt page 1 of __ 

Official Form 106C 

Schedule C: The Property You Claim as Exempt 

Be as complete and accurate as possible. If two married people are filing together, both are equally responsible for supplying correct information. 

Using the property you listed on Schedule A/B: Property (Official Form 106A/B) as your source, list the property that you claim as exempt. If more 

space is needed, fill out and attach to this page as many copies of Part 2: Additional Page as necessary. On the top of any additional pages, write 

your name and case number (if known). 

For each item of property you claim as exempt, you must specify the amount of the exemption you claim. One way of doing so is to state a 

specific dollar amount as exempt. Alternatively, you may claim the full fair market value of the property being exempted up to the amount 

of any applicable statutory limit. Some exemptions—such as those for health aids, rights to receive certain benefits, and tax-exempt 

retirement funds—may be unlimited in dollar amount. However, if you claim an exemption of 100% of fair market value under a law that 

limits the exemption to a particular dollar amount and the value of the property is determined to exceed that amount, your exemption 

would be limited to the applicable statutory amount. 

Part 1: Identify the Property You Claim as Exempt

1. Which set of exemptions are you claiming? Check one only, even if your spouse is filing with you.

 You are claiming state and federal nonbankruptcy exemptions. 11 U.S.C. § 522(b)(3)

 You are claiming federal exemptions. 11 U.S.C. § 522(b)(2)

2. For any property you list on Schedule A/B that you claim as exempt, fill in the information below.

Brief description of the property and line on 

Schedule A/B that lists this property 

Current value of the 

portion you own 

Copy the value from 

Schedule A/B

Amount of the exemption you claim 

Check only one box for each exemption. 

Specific laws that allow exemption

Brief 

description: 

Line from 

Schedule A/B:

_________________________ $________________  $ ____________ 

 100% of fair market value, up to

any applicable statutory limit

____________________________ 

____________________________ 

____________________________ 

______ ____________________________ 

Brief 

description: 

Line from 

Schedule A/B:

_________________________ $________________  $ ____________ 

 100% of fair market value, up to

any applicable statutory limit

____________________________ 

____________________________ 

____________________________ 

____________________________ ______ 

Brief 

description: _________________________ 

$________________  $ ____________ 

 100% of fair market value, up to

any applicable statutory limit

____________________________ 

____________________________ 

____________________________ 

____________________________ 

Line from 

Schedule A/B: ______ 

3. Are you claiming a homestead exemption of

and every 3 years after that for cases filed on or after the date of adjustment.)

 No

 Yes. Did you acquire the property covered by the exemption within 1,215 days before you filed this case?

 No

 Yes

Debtor 1 __________________________________________________________________ First Name Middle Name Last Name

Debtor 2 ________________________________________________________________ 

(Spouse, if filing) First Name Middle Name Last Name

United States Bankruptcy Court for the: __________ District of __________ 

Case number ___________________________________________ 

 (If known) 

  Fill in this information to identify your case: 

 Check if this is an

amended filing

_____________________________________________

04/19

Alejandro Fabian Scolnik

Southern District of Florida

19-16856-RAM

X

S Fla. Const., Art. 10, § 4(a)(1), FSA § 222.01, ee Attachment 1

X TotalAllowed 222.02

U.S.C. 11 § 522(b)(3)(B)

1.0

BMW Motorcycle Model K1600B

X 0.00

3.1

see attached B 6

3,500.00 X 0.00

6

X

2

Case 19-16856-RAM Doc 144 Filed 11/25/19 Page 12 of 62
____________________________ 

____________________________ 

Debtor 1 _______________________________________________________ Case number (if known)_____________________________________ First Name Middle Name Last Name

 Official Form 106C Schedule C: The Property You Claim as Exempt page ___ of __

Part 2: Additional Page

Brief description of the property and line 

on Schedule A/B that lists this property 

Current value of the 

portion you own 

Copy the value from 

Schedule A/B

Amount of the exemption you claim 

Check only one box for each exemption

Specific laws that allow exemption

Brief 

description: 

Line from 

Schedule A/B:

_________________________ $________________  $ ____________ 

 100% of fair market value, up to

any applicable statutory limit

____________________________ 

____________________________ 

____________________________ 

______ ____________________________ 

Brief 

description: 

Line from 

Schedule A/B:

_________________________ $________________  $ ____________ 

 100% of fair market value, up to

any applicable statutory limit

____________________________ 

____________________________ 

______ ____________________________ 

Brief 

description: 

Line from 

Schedule A/B:

_________________________ $________________  $ ____________ 

 100% of fair market value, up to

any applicable statutory limit

____________________________ 

____________________________ 

____________________________ 

______ ____________________________ 

Brief 

description: 

Line from 

Schedule A/B:

_________________________ $________________  $ ____________ 

 100% of fair market value, up to

any applicable statutory limit

____________________________ 

____________________________ 

____________________________ 

______ ____________________________ 

Brief 

description: 

Line from 

Schedule A/B:

_________________________ $________________  $ ____________ 

 100% of fair market value, up to

any applicable statutory limit

____________________________ 

____________________________ 

____________________________ 

____________________________ ______ 

Brief 

description: 

Line from 

Schedule A/B:

_________________________ $________________  $ ____________ 

 100% of fair market value, up to

any applicable statutory limit

____________________________ 

____________________________ 

____________________________ 

____________________________ ______ 

Brief 

description: 

Line from 

Schedule A/B:

_________________________ $________________  $ ____________ 

 100% of fair market value, up to

any applicable statutory limit

____________________________ 

____________________________ 

____________________________ 

______ ____________________________ 

Brief 

description: 

Line from 

Schedule A/B:

_________________________ $________________  $ ____________ 

 100% of fair market value, up to

any applicable statutory limit

____________________________ 

____________________________ 

____________________________ ______ 

Brief 

description: 

Line from 

Schedule A/B:

_________________________ $________________  $ ____________ 

 100% of fair market value, up to

any applicable statutory limit

____________________________ 

____________________________ 

____________________________ 

____________________________ ______ 

Brief 

description: 

Line from 

Schedule A/B:

_________________________ $________________  $ ____________ 

 100% of fair market value, up to

any applicable statutory limit

____________________________ 

____________________________ 

____________________________ 

______ ____________________________ 

Brief 

description: 

Line from 

Schedule A/B:

_________________________ $________________  $ ____________ 

 100% of fair market value, up to

any applicable statutory limit

____________________________ 

____________________________ 

____________________________ 

____________________________ ______ 

Brief 

description: 

Line from 

Schedule A/B:

_________________________ 

$________________  $ ____________ 

 100% of fair market value, up to

any applicable statutory limit

____________________________ 

____________________________ 

____________________________ 

______ ____________________________ 

Alejandro Fabian Scolnik 19-16856-RAM

Books

500.00 X 0.00

6

everyday usual clothes

50.00 X 0.00

11

50.00 X 0.00

12

2 2

Case 19-16856-RAM Doc 144 Filed 11/25/19 Page 13 of 62
Attachment

Debtor: Alejandro Fabian Scolnik Case No: 19-16856-RAM

Attachment 1

21200 POINT PL 501 Aventura, Florida 33180 CondominiumHomestead property & entireties

Case 19-16856-RAM Doc 144 Filed 11/25/19 Page 14 of 62
 Official Form 106D Schedule D: Creditors Who Have Claims Secured by Property page 1 of ___

Official Form 106D

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

Be as complete and accurate as possible. If two married people are filing together, both are equally responsible for supplying correct

information. If more space is needed, copy the Additional Page, fill it out, number the entries, and attach it to this form. On the top of any 

additional pages, write your name and case number (if known). 

1. Do any creditors have claims secured by your property?

 No. Check this box and submit this form to the court with your other schedules. You have nothing else to report on this form.

 Yes. Fill in all of the information below.

Part 1: List All Secured Claims

2. List all secured claims. If a creditor has more than one secured claim, list the creditor separately 

for each claim. If more than one creditor has a particular claim, list the other creditors in Part 2.

As much as possible, list the claims in alphabetical order according to the creditor’s name.

Column A

Amount of claim

Do not deduct the 

value of collateral.

Column B

Value of collateral

that supports this 

claim

Column C

Unsecured 

portion

If any

2.1

______________________________________

Creditor’s Name

______________________________________

Number Street

______________________________________

______________________________________

City State ZIP Code

Describe the property that secures the claim: $_________________ $________________ $____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Nature of lien. Check all that apply.

 An agreement you made (such as mortgage or secured 

car loan)

 Statutory lien (such as tax lien, mechanic’s lien)

 Judgment lien from a lawsuit

 Other (including a right to offset) ____________________

Who owes the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim relates to a 

community debt

Date debt was incurred ____________ Last 4 digits of account number ___ ___ ___ ___

2.2

______________________________________

Creditor’s Name

______________________________________

Number Street

______________________________________

______________________________________

City State ZIP Code

Describe the property that secures the claim: $_________________ $________________ $____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Nature of lien. Check all that apply.

 An agreement you made (such as mortgage or secured 

car loan)

 Statutory lien (such as tax lien, mechanic’s lien)

 Judgment lien from a lawsuit

 Other (including a right to offset) ____________________

Who owes the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim relates to a 

community debt

Date debt was incurred ____________ Last 4 digits of account number ___ ___ ___ ___

Add the dollar value of your entries in Column A on this page. Write that number here: $_________________

Debtor 1 __________________________________________________________________ 

First Name Middle Name Last Name

Debtor 2 ________________________________________________________________

(Spouse, if filing) First Name Middle Name Last Name

United States Bankruptcy Court for the: ______________________________________

Case number ___________________________________________

(If known)

 Fill in this information to identify your case:

 Check if this is an 

amended filing

Alejandro Fabian Scolnik

Southern District of Florida

19-16856-RAM

X

882,659.00 816,000.00 66,659.00 See Attachment 1

21200 POINT PL 501 Aventura, Florida 33180

Condominium Homestead property & entireties

c/o Siegfried Rivera

201 Alhambra Circle, 11Floor

Coral Gables FL 33134

X

X See 2

July 23, 2019

882,659.00 816,000.00 66,659.00 Bank Of America

21200 POINT PL 501 Aventura, Florida 33180

Condominium Homestead property & entireties 450 American Street

X

Simi Valley CA 93065 X

X

X

11/16/2006 4 0 5 6

1,765,318.00

2

Case 19-16856-RAM Doc 144 Filed 11/25/19 Page 15 of 62
Debtor 1 _______________________________________________________ Case number (if known)_____________________________________

First Name Middle Name Last Name

 Official Form 106D Additional Page of Schedule D: Creditors Who Have Claims Secured by Property page ___ of ___

Part 1: 

Additional Page

After listing any entries on this page, number them beginning with 2.3, followed 

by 2.4, and so forth.

Column A

Amount of claim

Do not deduct the 

value of collateral.

Column B

Value of collateral 

that supports this 

claim

Column C

Unsecured 

portion

If any

______________________________________

Creditor’s Name

______________________________________

Number Street

______________________________________

______________________________________

City State ZIP Code

Describe the property that secures the claim: $_________________ $________________ $____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Nature of lien. Check all that apply.

 An agreement you made (such as mortgage or secured 

car loan)

 Statutory lien (such as tax lien, mechanic’s lien)

 Judgment lien from a lawsuit

 Other (including a right to offset) ____________________

Who owes the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim relates to a 

community debt

Date debt was incurred ____________ Last 4 digits of account number ___ ___ ___ ___

______________________________________

Creditor’s Name

______________________________________

Number Street

______________________________________

______________________________________

City State ZIP Code

Describe the property that secures the claim: $_________________ $________________ $____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Nature of lien. Check all that apply.

 An agreement you made (such as mortgage or secured 

car loan)

 Statutory lien (such as tax lien, mechanic’s lien)

 Judgment lien from a lawsuit

 Other (including a right to offset) ____________________

Who owes the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim relates to a 

community debt

Date debt was incurred ____________ Last 4 digits of account number ___ ___ ___ ___

______________________________________

Creditor’s Name

______________________________________

Number Street

______________________________________

______________________________________

City State ZIP Code

Describe the property that secures the claim: $_________________ $________________ $____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Nature of lien. Check all that apply.

 An agreement you made (such as mortgage or secured 

car loan)

 Statutory lien (such as tax lien, mechanic’s lien)

 Judgment lien from a lawsuit

 Other (including a right to offset) ____________________

Who owes the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim relates to a 

community debt

Date debt was incurred ____________ Last 4 digits of account number ___ ___ ___ ___

Add the dollar value of your entries in Column A on this page. Write that number here: $_________________

If this is the last page of your form, add the dollar value totals from all pages. 

Write that number here: $_________________

Alejandro Fabian Scolnik 19-16856-RAM

See Attachment 3 882,659.00 816,000.00 66,659.00

21200 POINT PL 501 Aventura, Florida 33180

Condominium Homestead property & entireties

4515 N. Santa Fe Ave. Dept APS

Oaklahoma City OK 73118

X X

See 4 0 0 0 0

See Attachment 5 882,659.00 816,000.00 66,659.00

21200 POINT PL 501 Aventura, Florida 33180

Condominium Homestead property & entireties

Arthur C. Neiwirth, Esquire

One East Broward Blvd., Suite 1200

Fort Lauderdale FL 33301

X

X

1,765,318.00

3,530,636.00

2.3

2.4

2.5

2 2

Case 19-16856-RAM Doc 144 Filed 11/25/19 Page 16 of 62
Attachment

Debtor: Alejandro Fabian Scolnik Case No: 19-16856-RAM

Attachment 1

Atlantic I At The Point CondominiumAssociation, Inc.

Attachment 2

Condos asscoiation's notice of claimof lien

Attachment 3

BMW Bank of N.A. c/o AIS Portfolio Services, LP

Attachment 4

4/5/2018 BR Claim9 filed

Attachment 5

First-Citizens Bak & Trust Company (F/k/n Biscayne Bank)

Case 19-16856-RAM Doc 144 Filed 11/25/19 Page 17 of 62
Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page 1 of ___

Official Form 106E/F

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

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

List the other party to any executory contracts or unexpired leases that could result in a claim. Also list executory contracts on Schedule 

A/B: Property (Official Form 106A/B) and on Schedule G: Executory Contracts and Unexpired Leases (Official Form 106G). Do not include any 

creditors with partially secured claims that are listed in Schedule D: Creditors Who Hold Claims Secured by Property. If more space is 

needed, copy the Part you need, fill it out, number the entries in the boxes on the left. Attach the Continuation Page to this page. On the top of 

any additional pages, write your name and case number (if known). 

Part 1: List All of Your PRIORITY Unsecured Claims

1. Do any creditors have priority unsecured claims against you?

 No. Go to Part 2.

 Yes.

2.List all of your priority unsecured claims. If a creditor has more than one priority unsecured claim, list the creditor separately for each claim. For 

each claim listed, identify what type of claim it is. If a claim has both priority and nonpriority amounts, list that claim here and show both priority and 

nonpriority amounts. As much as possible, list the claims in alphabetical order according to the creditor’s name. If you have more than two priority 

unsecured claims, fill out the Continuation Page of Part 1. If more than one creditor holds a particular claim, list the other creditors in Part 3.

(For an explanation of each type of claim, see the instructions for this form in the instruction booklet.) 

Total claim Priority 

amount

Nonpriority 

amount

2.1

____________________________________________

Priority Creditor’s Name

____________________________________________

Number Street

____________________________________________

____________________________________________

City State ZIP Code

Last 4 digits of account number ___ ___ ___ ___ $_____________ $___________ $____________

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of PRIORITY unsecured claim:

 Domestic support obligations

 Taxes and certain other debts you owe the government

 Claims for death or personal injury while you were 

intoxicated

 Other. Specify _________________________________

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

2.2

____________________________________________

Priority Creditor’s Name

____________________________________________

Number Street

____________________________________________

____________________________________________

City State ZIP Code

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

Last 4 digits of account number ___ ___ ___ ___

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of PRIORITY unsecured claim:

 Domestic support obligations

 Taxes and certain other debts you owe the government

 Claims for death or personal injury while you were 

intoxicated

 Other. Specify _________________________________

$_____________ $___________ $____________

Debtor 1 __________________________________________________________________ 

First Name Middle Name Last Name

Debtor 2 ________________________________________________________________

(Spouse, if filing) First Name Middle Name Last Name

United States Bankruptcy Court for the: ______________________________________

Case number ___________________________________________

(If known)

 Fill in this information to identify your case:

 Check if this is an 

amended filing

Alejandro Fabian Scolnik

Southern District of Florida

19-16856-RAM

X

Florida Department of Revenue 5 2 5 9 256,774.92 128,387.46 128,387.46

Miami Service Center

8175 NW 12 Street, Ste 119

Doral FL 33126-1828 X

X

X

X

X

Intternal Rvenue Service 0.00 Unknown

Centralized Insovency Operations

P.O. Box 7348

Philadephia PA 19101-7346

X

X

X

24

Case 19-16856-RAM Doc 144 Filed 11/25/19 Page 18 of 62
Debtor 1 _______________________________________________________ Case number (if known)_____________________________________

First Name Middle Name Last Name

 Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page __ of ___

Part 2: List All of Your NONPRIORITY Unsecured Claims

3. Do any creditors have nonpriority unsecured claims against you?

 No. You have nothing to report in this part. Submit this form to the court with your other schedules.

 Yes

4. List all of your nonpriority unsecured claims in the alphabetical order of the creditor who holds each claim. If a creditor has more than one 

priority unsecured claim, list the creditor separately for each claim. For each claim listed, identify what type of claim it is. Do not list claims already 

included in Part 1. If more than one creditor holds a particular claim, list the other creditors in Part 3.If you have more than four priority unsecured claims 

fill out the Continuation Page of Part 2. 

Total claim

4.1

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Last 4 digits of account number ___ ___ ___ ___

$__________________

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce 

that you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify ______________________________________

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

4.2

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Last 4 digits of account number ___ ___ ___ ___ $__________________

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce 

that you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify ______________________________________

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

4.3

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Last 4 digits of account number ___ ___ ___ ___

$_________________

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce 

that you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify ______________________________________

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

Alejandro Fabian Scolnik 19-16856-RAM

X

17190 Collins Avenue holdings, LLC

Unknown

See Attachment 1

Miami FL 33180

X

X

X

X X Guaranty of Lease

23,629.25 Allen Norton & Blue P.A.,

121 Majorca Avenuem Suite 300

Coral Gables FL 33134

X

X

X

X

X Legal Services X

Ameican Express National Bank, AENB

15,064.94

c/o Zwicker & Associates, P.C. P.O. Box 9043

Andover MA 01810+1041

X

X

X Credit Card Charges

2 24

Case 19-16856-RAM Doc 144 Filed 11/25/19 Page 19 of 62
Debtor 1 _______________________________________________________ Case number (if known)_____________________________________

First Name Middle Name Last Name

 Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page __ of ___

Part 2: Your NONPRIORITY Unsecured Claims ─Continuation Page

After listing any entries on this page, number them beginning with 4.5, followed by 4.6, and so forth. Total claim

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

Last 4 digits of account number ___ ___ ___ ___

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify________________________________

$____________

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

Last 4 digits of account number ___ ___ ___ ___

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify________________________________

$____________

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

Last 4 digits of account number ___ ___ ___ ___

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify________________________________

$____________

Alejandro Fabian Scolnik 19-16856-RAM

1 0 0 2 American Express National Bank 15,064.94

2/2019

c/o Becket and Lee LLP P.O. Box 3001

Malvern PA 19335-0701

X

X Credit Card Charges

X

0 0 0 0 9,637.00 Amex/DSNB

1996

9111 Duke Blvd

Mason OH 45040

X

X Credit Card Charges

X

Bal Harbor Shops LLP

420 Lincoln Road, suite 243

Miami Beach FL 33139

X

X

4.4

4.5

4.6

3 24

Case 19-16856-RAM Doc 144 Filed 11/25/19 Page 20 of 62
Debtor 1 _______________________________________________________ Case number (if known)_____________________________________

First Name Middle Name Last Name

 Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page __ of ___

Part 2: Your NONPRIORITY Unsecured Claims ─Continuation Page

After listing any entries on this page, number them beginning with 4.5, followed by 4.6, and so forth. Total claim

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

Last 4 digits of account number ___ ___ ___ ___

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify________________________________

$____________

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

Last 4 digits of account number ___ ___ ___ ___

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify________________________________

$____________

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

Last 4 digits of account number ___ ___ ___ ___

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify________________________________

$____________

Alejandro Fabian Scolnik 19-16856-RAM

0 0 0 0 Bank of America 21,324.00

1994

4060 Ogletown Stanton Road

Newark DE 19714

X

X Credit Card Charges

X

0 0 0 0 21,324.00 Bank of America

1994

4060 Ogletown Stanton Road

Newark DE 19714

X

X Credit Card Charges

X

12,148.00

0 0 0 0 Bank Of America

2003

4060 Ogletown Station Road DE5-019-03-07

Newark DE 19713

X

X Credit Card Charges

X

4.7

4.8

4.9

4 24

Case 19-16856-RAM Doc 144 Filed 11/25/19 Page 21 of 62
Debtor 1 _______________________________________________________ Case number (if known)_____________________________________

First Name Middle Name Last Name

 Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page __ of ___

Part 2: Your NONPRIORITY Unsecured Claims ─Continuation Page

After listing any entries on this page, number them beginning with 4.5, followed by 4.6, and so forth. Total claim

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

Last 4 digits of account number ___ ___ ___ ___

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify________________________________

$____________

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

Last 4 digits of account number ___ ___ ___ ___

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify________________________________

$____________

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

Last 4 digits of account number ___ ___ ___ ___

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify________________________________

$____________

Alejandro Fabian Scolnik 19-16856-RAM

Bella Espinosa 30,000.00

10-09/2018

c/o Zandro E. Palma P.A. 9100 S. Dadeland Blvd., Ste 1500

Miami FL 33157

X

X

X

X

X Business loan guaranty

X

4 0 7 4 74,029.00 Bentley Financial

2016-2017

One Porsche Drive

Atlanta GA 30354

X

X

X

0.00

0 0 0 0 Bloomingdales

911 Duke Blvd

Mason OH 45040

X

X Credit Card Charges

X

4.10

4.11

4.12

5 24

Case 19-16856-RAM Doc 144 Filed 11/25/19 Page 22 of 62
Debtor 1 _______________________________________________________ Case number (if known)_____________________________________

First Name Middle Name Last Name

 Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page __ of ___

Part 2: Your NONPRIORITY Unsecured Claims ─Continuation Page

After listing any entries on this page, number them beginning with 4.5, followed by 4.6, and so forth. Total claim

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

Last 4 digits of account number ___ ___ ___ ___

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify________________________________

$____________

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

Last 4 digits of account number ___ ___ ___ ___

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify________________________________

$____________

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

Last 4 digits of account number ___ ___ ___ ___

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify________________________________

$____________

Alejandro Fabian Scolnik 19-16856-RAM

BlueBridge Financial, LLC Unknown

See Attachment 2

Weston FL 33326

X

X

X

X

X commercial equipment lease Lawsuit filed 19-23739

X

0 0 0 0 5,375.00 BMW Bank of N.A.

2011

2735 East Parley's way Ste 301 po#2071998

Salt Lake City UT 84109

X

X Credit Card Charges

X

1,651,166.60

Brickell City Centre LLC

c/o Serber & Associates, P.A. 2875 NE 191 Street, Suite 801

Aventura FL 33179

X

X

X

X

X Guaranty of commercial lease

X

4.13

4.14

4.15

6 24

Case 19-16856-RAM Doc 144 Filed 11/25/19 Page 23 of 62
Debtor 1 _______________________________________________________ Case number (if known)_____________________________________

First Name Middle Name Last Name

 Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page __ of ___

Part 2: Your NONPRIORITY Unsecured Claims ─Continuation Page

After listing any entries on this page, number them beginning with 4.5, followed by 4.6, and so forth. Total claim

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

Last 4 digits of account number ___ ___ ___ ___

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify________________________________

$____________

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

Last 4 digits of account number ___ ___ ___ ___

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify________________________________

$____________

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

Last 4 digits of account number ___ ___ ___ ___

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify________________________________

$____________

Alejandro Fabian Scolnik 19-16856-RAM

C2C Resources, LLC 1,515.00

6/3/19

56 Perimeter Center East Suite 100

Atlanta GA 30346

X

X

X Services to Santa Fe News

X

0 0 0 0 4,441.00 Capital One Bank USA NA

1998

PO BOX 85015

Richmond VA 23285-5075

X

X Credit Card Charges

X

55,144.00

Caymus Funding, Inc.

attn Roy Roberts George Busbee Parkway, Ste 225

Kennesaw GA 30144

X

X

X

X

X Business loan guaranty

X

4.16

4.17

4.18

7 24

Case 19-16856-RAM Doc 144 Filed 11/25/19 Page 24 of 62
Debtor 1 _______________________________________________________ Case number (if known)_____________________________________

First Name Middle Name Last Name

 Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page __ of ___

Part 2: Your NONPRIORITY Unsecured Claims ─Continuation Page

After listing any entries on this page, number them beginning with 4.5, followed by 4.6, and so forth. Total claim

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

Last 4 digits of account number ___ ___ ___ ___

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify________________________________

$____________

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

Last 4 digits of account number ___ ___ ___ ___

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify________________________________

$____________

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

Last 4 digits of account number ___ ___ ___ ___

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify________________________________

$____________

Alejandro Fabian Scolnik 19-16856-RAM

0 0 0 0 Chase 24,847.00

2001

301 N Walnut St Floor 09

Wilmington DE 19801-3935

X

X Credit Card Charges

X

0 0 0 0 20,686.00 Chase

301 N Walnut St Floor 09

Wilmington DE 19801-3935

X

X Credit Card Charges

X

36,609.26

3 5 4 5 Citicards CBNA

2018

701 E 60th St N IBS Disputes

Sioux Falls SD 57104

X

X Credit Card Charges

X

4.19

4.20

4.21

8 24

Case 19-16856-RAM Doc 144 Filed 11/25/19 Page 25 of 62
Debtor 1 _______________________________________________________ Case number (if known)_____________________________________

First Name Middle Name Last Name

 Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page __ of ___

Part 2: Your NONPRIORITY Unsecured Claims ─Continuation Page

After listing any entries on this page, number them beginning with 4.5, followed by 4.6, and so forth. Total claim

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

Last 4 digits of account number ___ ___ ___ ___

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify________________________________

$____________

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

Last 4 digits of account number ___ ___ ___ ___

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify________________________________

$____________

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

Last 4 digits of account number ___ ___ ___ ___

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify________________________________

$____________

Alejandro Fabian Scolnik 19-16856-RAM

4 0 2 1 City National Bank of Florida

2019

See Attachment 3

Plantation FL 33324

X

X

X

X

X Credit Card Charges

X

350,000.00 Complete Business Solutions Group, Inc.

22 N 3 Street

Philadelphia PA 19106

X

X

X

X guaranty of loan

X

91,176.31

Crestview Financial LLC

c/o Steven Zakharyayev, Esquire 1430 Broadway, Suite 402

New York New uyork 10018

X

X

X

X

X Guranty of Business Loan

X

4.22

4.23

4.24

9 24

Case 19-16856-RAM Doc 144 Filed 11/25/19 Page 26 of 62
Debtor 1 _______________________________________________________ Case number (if known)_____________________________________

First Name Middle Name Last Name

 Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page __ of ___

Part 2: Your NONPRIORITY Unsecured Claims ─Continuation Page

After listing any entries on this page, number them beginning with 4.5, followed by 4.6, and so forth. Total claim

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

Last 4 digits of account number ___ ___ ___ ___

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify________________________________

$____________

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

Last 4 digits of account number ___ ___ ___ ___

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify________________________________

$____________

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

Last 4 digits of account number ___ ___ ___ ___

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify________________________________

$____________

Alejandro Fabian Scolnik 19-16856-RAM

2 0 1 8 Crestview Financial, LLC 74,000.00

9/14/18

1430 Broadway, Ste 402

New york See 10018

X

X

X

X money loaned to Piacere news & Cafe

X

4 1 2 0 Unknown Department of Business & Professional Regulation

8/27/19

8240 NW 52 Terrace, suite 101

Doral FL 33166-7766

X

X

X

X

X administrative claim against Godiva American

X

606,000.00

Dios Manda, LLC

7/30/2018

See Attachment 5

Coral Gables FL 33134

X

X

X Action for Breach of Agreement

X

4.25

4.26

4.27

10 24

Case 19-16856-RAM Doc 144 Filed 11/25/19 Page 27 of 62
Debtor 1 _______________________________________________________ Case number (if known)_____________________________________

First Name Middle Name Last Name

 Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page __ of ___

Part 2: Your NONPRIORITY Unsecured Claims ─Continuation Page

After listing any entries on this page, number them beginning with 4.5, followed by 4.6, and so forth. Total claim

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

Last 4 digits of account number ___ ___ ___ ___

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify________________________________

$____________

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

Last 4 digits of account number ___ ___ ___ ___

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify________________________________

$____________

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

Last 4 digits of account number ___ ___ ___ ___

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify________________________________

$____________

Alejandro Fabian Scolnik 19-16856-RAM

DVGA International Bakery LLC 5,550.00

c/o Sprechmen & Fisher P.A. 2775 Sunny Isles Blvd. #100

Miami Flrodia 33160

X

X

X Trade Debt

X

Unknown Fema Group Inc.

1001 N Federal Highway, Suite 243

Hallandale FL 33009

X

X

X

X sale/assignment of stock

X

1,576,282.94

Fivetower, LLC

8/16/2018

c/o Allison Friedman, Esquire 20533 Biscayne Blvd. Ste 4-435

Aventura FL 33180

X

X

X

X

X Breach of Agreement

X

4.28

4.29

4.30

11 24

Case 19-16856-RAM Doc 144 Filed 11/25/19 Page 28 of 62
Debtor 1 _______________________________________________________ Case number (if known)_____________________________________

First Name Middle Name Last Name

 Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page __ of ___

Part 2: Your NONPRIORITY Unsecured Claims ─Continuation Page

After listing any entries on this page, number them beginning with 4.5, followed by 4.6, and so forth. Total claim

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

Last 4 digits of account number ___ ___ ___ ___

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify________________________________

$____________

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

Last 4 digits of account number ___ ___ ___ ___

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify________________________________

$____________

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

Last 4 digits of account number ___ ___ ___ ___

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify________________________________

$____________

Alejandro Fabian Scolnik 19-16856-RAM

Florida Department of Revenue Unknown

Miami Service Center 8175 NW 12 Street, Ste 119

Doral FL 33126-1828

X

X

X

X

Unknown FoxII Funding, Inc.

7/29/2019

Robert R. Dooley, Esquire 96 S. Ocean Drive

Patchogue NY 11772

X

X

X

X

300,000.00

Gimi Group LLC

7/20/206

c/o Castillo, Esquire 1390 Brickell Ave. Ste 200

Miami Flrodia 36131

X

X

X

4.31

4.32

4.33

12 24

Case 19-16856-RAM Doc 144 Filed 11/25/19 Page 29 of 62
Debtor 1 _______________________________________________________ Case number (if known)_____________________________________

First Name Middle Name Last Name

 Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page __ of ___

Part 2: Your NONPRIORITY Unsecured Claims ─Continuation Page

After listing any entries on this page, number them beginning with 4.5, followed by 4.6, and so forth. Total claim

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

Last 4 digits of account number ___ ___ ___ ___

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify________________________________

$____________

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

Last 4 digits of account number ___ ___ ___ ___

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify________________________________

$____________

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

Last 4 digits of account number ___ ___ ___ ___

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify________________________________

$____________

Alejandro Fabian Scolnik 19-16856-RAM

Guillermo Celia 2,000.00

c/o White & Twombly P.A. .9999 NE 2 Avenue, Suite 306

Miami Shores FL 33138

X

X Claim on check

X

202,000.00 Guillermo Szabo

7/26/2017

See Attachment 6

Boca Raton FL 33487

X

X Personal Loan

X

1,740.00

1 2 5 0 Gustami LLC dba GelatoCo

6/10/2019

See Attachment 7

Twinsburg OH 44087

X

X

X Trade debt of corporationJosph Man

X

4.34

4.35

4.36

13 24

Case 19-16856-RAM Doc 144 Filed 11/25/19 Page 30 of 62
Debtor 1 _______________________________________________________ Case number (if known)_____________________________________

First Name Middle Name Last Name

 Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page __ of ___

Part 2: Your NONPRIORITY Unsecured Claims ─Continuation Page

After listing any entries on this page, number them beginning with 4.5, followed by 4.6, and so forth. Total claim

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

Last 4 digits of account number ___ ___ ___ ___

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify________________________________

$____________

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

Last 4 digits of account number ___ ___ ___ ___

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify________________________________

$____________

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

Last 4 digits of account number ___ ___ ___ ___

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify________________________________

$____________

Alejandro Fabian Scolnik 19-16856-RAM

HMF Capital Group, Inc. 73,950.00

2/23/2017

1820 Ave, Ste 213

Brooklyn NY 11230

X

X

X

X Guaranto of Bsuiness loan - ACH

X

Unknown

internal Revenue Service

Cenratlized Insolvency Operations P.O. Box 7348

Philadephia PA 19101+7346

X

X

X

X

X

19,167.32

Itria Ventures, LLC

c/o Mark A. Kirkorsky, P.C. P.O. Box 25287

Tempe AZ 85281

X

X money loaned

X

4.37

4.38

4.39

14 24

Case 19-16856-RAM Doc 144 Filed 11/25/19 Page 31 of 62
Debtor 1 _______________________________________________________ Case number (if known)_____________________________________

First Name Middle Name Last Name

 Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page __ of ___

Part 2: Your NONPRIORITY Unsecured Claims ─Continuation Page

After listing any entries on this page, number them beginning with 4.5, followed by 4.6, and so forth. Total claim

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

Last 4 digits of account number ___ ___ ___ ___

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify________________________________

$____________

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

Last 4 digits of account number ___ ___ ___ ___

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify________________________________

$____________

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

Last 4 digits of account number ___ ___ ___ ___

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify________________________________

$____________

Alejandro Fabian Scolnik 19-16856-RAM

JLA Delivery Inc. 12,000.00

See Attachment 8

Plantation FL 33325

X

X Debt of Godiva American Corp.

X

6 3 5 8 24,115.89

JP Morgan Chase Bank N/A

See Attachment 9

Boca Raton Flrodia 33487

X

X Credit Card Charges

X

24,927.77

9 2 7 4

JPMorgan Chase Bank NA

301 N Walnut St Floor 09

Wilmington DE 19801-3935

X

X Credit Card Charges

X

4.40

4.41

4.42

15 24

Case 19-16856-RAM Doc 144 Filed 11/25/19 Page 32 of 62
Debtor 1 _______________________________________________________ Case number (if known)_____________________________________

First Name Middle Name Last Name

 Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page __ of ___

Part 2: Your NONPRIORITY Unsecured Claims ─Continuation Page

After listing any entries on this page, number them beginning with 4.5, followed by 4.6, and so forth. Total claim

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

Last 4 digits of account number ___ ___ ___ ___

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify________________________________

$____________

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

Last 4 digits of account number ___ ___ ___ ___

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify________________________________

$____________

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

Last 4 digits of account number ___ ___ ___ ___

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify________________________________

$____________

Alejandro Fabian Scolnik 19-16856-RAM

0 0 0 1 Manufacturers & Traders Trust 492,662.00

2015

1 Manufacturers & Traders Plaza M&t IL

Buffalo NY 14203

X

X

X

X

1 2 5 0 1,740.00 Media Collections, Inc., d/b/a Joseph, Mann & Creed

6/4/19

8948 Canyon Falls Blvd., Suite 200

Twinsburg OH 44087

X

X

X

X Services to Santa Fe News

X

Unknown

Mission Captial

4431 SW 64 Avenue, #111

Davie FL 33314

X

X

X

X ACh business loan

X

4.43

4.44

4.45

16 24

Case 19-16856-RAM Doc 144 Filed 11/25/19 Page 33 of 62
Debtor 1 _______________________________________________________ Case number (if known)_____________________________________

First Name Middle Name Last Name

 Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page __ of ___

Part 2: Your NONPRIORITY Unsecured Claims ─Continuation Page

After listing any entries on this page, number them beginning with 4.5, followed by 4.6, and so forth. Total claim

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

Last 4 digits of account number ___ ___ ___ ___

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify________________________________

$____________

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

Last 4 digits of account number ___ ___ ___ ___

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify________________________________

$____________

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

Last 4 digits of account number ___ ___ ___ ___

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify________________________________

$____________

Alejandro Fabian Scolnik 19-16856-RAM

New York Unity Factor LLC 52,000.00

6/18/2018

22 N 3rd Street

Philadelphia PA 19106

X

X

X

X Business loan Guaranty - Factoring Agreement

X

Unknown Ninter Group JB, LLC

9520 Harding Ave, suite A-1

Surfside FL 33154

X

X

X

X

X guaranty

X

829,071.86

3 8 0 6 PNC Bank, NA

c/o Gunther McIntosh, PLLC 888 S.E. 3 Avenue, Suite 201

Fort Lauderdale FL 33316-1159

X

X

X

X Money loaned

X

4.46

4.47

4.48

17 24

Case 19-16856-RAM Doc 144 Filed 11/25/19 Page 34 of 62
Debtor 1 _______________________________________________________ Case number (if known)_____________________________________

First Name Middle Name Last Name

 Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page __ of ___

Part 2: Your NONPRIORITY Unsecured Claims ─Continuation Page

After listing any entries on this page, number them beginning with 4.5, followed by 4.6, and so forth. Total claim

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

Last 4 digits of account number ___ ___ ___ ___

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify________________________________

$____________

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

Last 4 digits of account number ___ ___ ___ ___

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify________________________________

$____________

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

Last 4 digits of account number ___ ___ ___ ___

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify________________________________

$____________

Alejandro Fabian Scolnik 19-16856-RAM

Raul Pucheta 62,000.00

8/18/2018

X

X

Unknown Ruben Porta

See Attachment 10

Miami FL 33156

X

X

X

X

X Wage and Hour

X

39,523.00

Rutilus Clean & Clear Group, Inc.

See Attachment 11

Miami FL 33130

X

X

X

X

X Personal Loan

X

4.49

4.50

4.51

18 24

Case 19-16856-RAM Doc 144 Filed 11/25/19 Page 35 of 62
Debtor 1 _______________________________________________________ Case number (if known)_____________________________________

First Name Middle Name Last Name

 Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page __ of ___

Part 2: Your NONPRIORITY Unsecured Claims ─Continuation Page

After listing any entries on this page, number them beginning with 4.5, followed by 4.6, and so forth. Total claim

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

Last 4 digits of account number ___ ___ ___ ___

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify________________________________

$____________

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

Last 4 digits of account number ___ ___ ___ ___

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify________________________________

$____________

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

Last 4 digits of account number ___ ___ ___ ___

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify________________________________

$____________

Alejandro Fabian Scolnik 19-16856-RAM

Sealton SA 320,000.00

8/22/2017

X

X Personal Loan

X

31343.84 Sputino, Inc.

1000 NW 54 Street

Miami FL 3327

X

X goods sold

X

2,183.94

6 6 2 9 Sun Trsut Bank

P.O. Box 85092

Richmond VA 23286

X

X Credit Card Charges

X

4.52

4.53

4.54

19 24

Case 19-16856-RAM Doc 144 Filed 11/25/19 Page 36 of 62
Debtor 1 _______________________________________________________ Case number (if known)_____________________________________

First Name Middle Name Last Name

 Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page __ of ___

Part 2: Your NONPRIORITY Unsecured Claims ─Continuation Page

After listing any entries on this page, number them beginning with 4.5, followed by 4.6, and so forth. Total claim

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

Last 4 digits of account number ___ ___ ___ ___

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify________________________________

$____________

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

Last 4 digits of account number ___ ___ ___ ___

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify________________________________

$____________

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

Last 4 digits of account number ___ ___ ___ ___

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify________________________________

$____________

Alejandro Fabian Scolnik 19-16856-RAM

0 0 0 0 SYNCB/Banana Reublic 0.00

2009

4125 Windward Plaza

Alpharetta GA 3005

X

X Credit Card Charges

X

0.00 SYNCB/Chevron PLCC

1995

4125 Windward Plaza

Alpharetta GA 3005

X

X Credit Card Charges

X

50,000.00

Sysco South Florida, Inc.

4/3/2019

c/o Hiday & Ricke, P.A. P.O. Box 550858

Jacksonville FL 32255

X

X See Attachment 12

X

4.55

4.56

4.57

20 24

Case 19-16856-RAM Doc 144 Filed 11/25/19 Page 37 of 62
Debtor 1 _______________________________________________________ Case number (if known)_____________________________________

First Name Middle Name Last Name

 Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page __ of ___

Part 2: Your NONPRIORITY Unsecured Claims ─Continuation Page

After listing any entries on this page, number them beginning with 4.5, followed by 4.6, and so forth. Total claim

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

Last 4 digits of account number ___ ___ ___ ___

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify________________________________

$____________

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

Last 4 digits of account number ___ ___ ___ ___

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify________________________________

$____________

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

Last 4 digits of account number ___ ___ ___ ___

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify________________________________

$____________

Alejandro Fabian Scolnik 19-16856-RAM

The Feleicity Store, Inc. 768,414.15

See Attachment 13

Miami FL 33131

X

X

X

X claim alleging sale of business

X

0 0 0 0 29,876.00 Universal CD CBNA

1998

701 E 60th St N IBS CDV Disputes

Sioux Falls SD 57117

X

X Credit Card Charges

X

43,529.25

2 2 7 1 Wells Fargo Bank, N.A.

11/2018

P.O. Box 29482 MAC S4101-08C

Phoenix AZ 85038

X

X money loaned

X

4.58

4.59

4.60

21 24

Case 19-16856-RAM Doc 144 Filed 11/25/19 Page 38 of 62
Debtor 1 _______________________________________________________ Case number (if known)_____________________________________

First Name Middle Name Last Name

 Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page __ of ___

Part 2: Your NONPRIORITY Unsecured Claims ─Continuation Page

After listing any entries on this page, number them beginning with 4.5, followed by 4.6, and so forth. Total claim

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

Last 4 digits of account number ___ ___ ___ ___

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify________________________________

$____________

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

Last 4 digits of account number ___ ___ ___ ___

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify________________________________

$____________

_____________________________________________________________

Nonpriority Creditor’s Name

_____________________________________________________________

Number Street

_____________________________________________________________

City State ZIP Code

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another 

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

Last 4 digits of account number ___ ___ ___ ___

When was the debt incurred? ____________

As of the date you file, the claim is: Check all that apply. 

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans 

 Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Other. Specify________________________________

$____________

Alejandro Fabian Scolnik 19-16856-RAM

Yellowstone Capital LLC 27,206.68

c/o Vadin Serero, Esquire 55 Broadway, 3rd Floor

New york NY 10006

X

X

X Busioness Loan guaranty

X

4.61

4.62

4.63

22 24

Case 19-16856-RAM Doc 144 Filed 11/25/19 Page 39 of 62
Debtor 1 _______________________________________________________ Case number (if known)_____________________________________

First Name Middle Name Last Name

 Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page __ of ___

Part 3: List Others to Be Notified About a Debt That You Already Listed

5. Use this page only if you have others to be notified about your bankruptcy, for a debt that you already listed in Parts 1 or 2. For 

example, if a collection agency is trying to collect from you for a debt you owe to someone else, list the original creditor in Parts 1 or 

2, then list the collection agency here. Similarly, if you have more than one creditor for any of the debts that you listed in Parts 1 or 2, list the 

additional creditors here. If you do not have additional persons to be notified for any debts in Parts 1 or 2, do not fill out or submit this page. 

_____________________________________________________

Name

_____________________________________________________

Number Street

_____________________________________________________

_____________________________________________________

City State ZIP Code

On which entry in Part 1 or Part 2 did you list the original creditor?

Line _____ of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number ___ ___ ___ ___

_____________________________________________________

Name

_____________________________________________________

Number Street

_____________________________________________________

_____________________________________________________

City State ZIP Code

On which entry in Part 1 or Part 2 did you list the original creditor?

Line _____ of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured 

Claims

Last 4 digits of account number ___ ___ ___ ___

_____________________________________________________

Name

_____________________________________________________

Number Street

_____________________________________________________

_____________________________________________________

City State ZIP Code

On which entry in Part 1 or Part 2 did you list the original creditor?

Line _____ of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured 

Claims

Last 4 digits of account number ___ ___ ___ ___

_____________________________________________________

Name

_____________________________________________________

Number Street

_____________________________________________________

_____________________________________________________

City State ZIP Code

On which entry in Part 1 or Part 2 did you list the original creditor?

Line _____ of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured 

Claims

Last 4 digits of account number ___ ___ ___ ___

_____________________________________________________

Name

_____________________________________________________

Number Street

_____________________________________________________

_____________________________________________________

City State ZIP Code

On which entry in Part 1 or Part 2 did you list the original creditor?

Line _____ of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured 

Claims

Last 4 digits of account number ___ ___ ___ ___

_____________________________________________________

Name

_____________________________________________________

Number Street

_____________________________________________________

_____________________________________________________

City State ZIP Code

On which entry in Part 1 or Part 2 did you list the original creditor?

Line _____ of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured 

Claims

Last 4 digits of account number ___ ___ ___ ___

_____________________________________________________

Name

_____________________________________________________

Number Street

_____________________________________________________

_____________________________________________________

City State ZIP Code

On which entry in Part 1 or Part 2 did you list the original creditor?

Line _____ of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured 

Claims

Last 4 digits of account number ___ ___ ___ ___

Alejandro Fabian Scolnik 19-16856-RAM

Simon Property Group - Bankrutpcy Dept.

4.15

225 West Washington Street

X

Indianapolis, Indiana 46204

Credit Control, LLC

4.21 P.O. Box 31179

X

Tampa, Florida 33631 3 5 4 5

Robertson, Anschltz & Schneid, P.L.

4.42

6409 Congress Avenue, Suite 100

X

Boca Raton, Florida 33487 9 2 7 4

Gray Robinson, P.A.

4.60

333 SE 2 Avenue

X

Suite 3200

Mimi, Florida 323070 2 2 7 1

23 24

Case 19-16856-RAM Doc 144 Filed 11/25/19 Page 40 of 62
Debtor 1 _______________________________________________________ Case number (if known)_____________________________________

First Name Middle Name Last Name

 Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page __ of ___

Part 4: Add the Amounts for Each Type of Unsecured Claim

6. Total the amounts of certain types of unsecured claims. This information is for statistical reporting purposes only. 28 U.S.C. §159. 

Add the amounts for each type of unsecured claim. 

Total claim

Total claims 

from Part 1

6a. Domestic support obligations 6a. $_________________________

6b. Taxes and certain other debts you owe the 

government 6b.

$_________________________

6c. Claims for death or personal injury while you were 

intoxicated 6c.

$_________________________

6d. Other. Add all other priority unsecured claims. 

Write that amount here. 6d. +$_________________________

6e. Total. Add lines 6a through 6d. 6e.

$_________________________

Total claim

Total claims 

from Part 2

6f. Student loans 6f.

$_________________________

6g. Obligations arising out of a separation agreement 

or divorce that you did not report as priority 

claims 6g. $_________________________

6h. Debts to pension or profit-sharing plans, and other 

similar debts 6h. $_________________________

6i. Other. Add all other nonpriority unsecured claims. 

Write that amount here. 6i. + $_________________________

6j. Total. Add lines 6f through 6i. 6j.

$_________________________

Alejandro Fabian Scolnik 19-16856-RAM

0.00

256,774.92

0.00

0.00

256,774.92

0.00

0.00

0.00

7,741,122.10

7,741,122.10

24 24

Case 19-16856-RAM Doc 144 Filed 11/25/19 Page 41 of 62
Attachment

Debtor: Alejandro Fabian Scolnik Case No: 19-16856-RAM

Attachment 1

c/o EdelboimLieberman Revah Oshinsky PLLC 20200 West Dixie Hwy. suite 905

Attachment 2

c/o Howard S. Toland, Esquire 1200 Weston Road, Penthouse

Attachment 3

c/o robert P. Frankel, Esquire 100 S. Pine Island Road, Suite 410

Attachment 4

new York

Attachment 5

c/o Manuel F. Fente, Esquire 999 Ponce De Leon Blvd., Suite 10

Attachment 6

c/o Robert Seiden, Esquire 6111 Broken Sound Parkway NW, Suite 200

Attachment 7

c/o Joseph Mann & Creed 8848 Canyonn Falls Blvd., Suite 200

Attachment 8

c/o Alvarez, Loor, Morejon & Associates 8201 Peters Road, Suite 1000

Attachment 9

c/o Robertson, Anschutz & Schneid, P.A. 6409 Congress Avenue, suite 100

Attachment 10

c/o Zandro E. Palma P.A. 9100 South Dadeland Blvd. Suite 1500

Attachment 11

c/o Lay Offices of Richard J. Caldwell, P.A. 66 West Flagler Street, Ste 601

Attachment 12

Law suits over Goods sold snd insufficient funds. Three Court Cases filed in Circuit Court Miami-Miami Dade County, Case Nos. 19-6393, 19-

6384, 19-6962

Attachment 13

c/o Blxberg, Grayson, Kukoff & Fortenza P.A. 25 S.E. 2 Avenue

Case 19-16856-RAM Doc 144 Filed 11/25/19 Page 42 of 62
Official Form 106G Schedule G: Executory Contracts and Unexpired Leases page 1 of ___

Official Form 106G

Schedule G: Executory Contracts and Unexpired Leases 12/15

Be as complete and accurate as possible. If two married people are filing together, both are equally responsible for supplying correct 

information. If more space is needed, copy the additional page, fill it out, number the entries, and attach it to this page. On the top of any 

additional pages, write your name and case number (if known). 

1. Do you have any executory contracts or unexpired leases?

 No. Check this box and file this form with the court with your other schedules. You have nothing else to report on this form.

 Yes. Fill in all of the information below even if the contracts or leases are listed on Schedule A/B: Property (Official Form 106A/B).

2. List separately each person or company with whom you have the contract or lease. Then state what each contract or lease is for (for 

example, rent, vehicle lease, cell phone). See the instructions for this form in the instruction booklet for more examples of executory contracts and 

unexpired leases.

Person or company with whom you have the contract or lease State what the contract or lease is for

2.1

_____________________________________________________________________

Name

_____________________________________________________________________

Number Street

_____________________________________________________________________

City State ZIP Code

2.2

_____________________________________________________________________

Name

_____________________________________________________________________

Number Street

_____________________________________________________________________

City State ZIP Code

2.3

_____________________________________________________________________

Name

_____________________________________________________________________

Number Street

_____________________________________________________________________

City State ZIP Code

2.4

_____________________________________________________________________

Name

_____________________________________________________________________

Number Street

_____________________________________________________________________

City State ZIP Code

2.5

_____________________________________________________________________

Name

_____________________________________________________________________

Number Street

_____________________________________________________________________

City State ZIP Code

Debtor __________________________________________________________________

First Name Middle Name Last Name

Debtor 2 ________________________________________________________________

(Spouse If filing) First Name Middle Name Last Name

United States Bankruptcy Court for the:______________________________________

Case number ___________________________________________

(If known)

 Fill in this information to identify your case:

 Check if this is an 

amended filing

Alejandro Fabian Scolnik

Southern District of Florida

19-16856-RAM

X

BMW Bank of North America Lease of 2018 BMW K1600 GT Motorcycle

4515 N Santa Fe Ave. Dept. APS

Oaklahoma City OK 73118

lease of residential unit Bemoes LLC

400 Sunny Isles Blvd. Unit 117

Sunny Isles Beach Florida 33160

1

Case 19-16856-RAM Doc 144 Filed 11/25/19 Page 43 of 62
Official Form 106H Schedule H: Your Codebtors page 1 of ___

Official Form 106H

Schedule H: Your Codebtors 12/15

Codebtors are people or entities who are also liable for any debts you may have. Be as complete and accurate as possible. If two married people 

are filing together, both are equally responsible for supplying correct information. If more space is needed, copy the Additional Page, fill it out, 

and number the entries in the boxes on the left. Attach the Additional Page to this page. On the top of any Additional Pages, write your name and 

case number (if known). Answer every question.

1. Do you have any codebtors? (If you are filing a joint case, do not list either spouse as a codebtor.)

 No 

 Yes

2. Within the last 8 years, have you lived in a community property state or territory? (Community property states and territories include

Arizona, California, Idaho, Louisiana, Nevada, New Mexico, Puerto Rico, Texas, Washington, and Wisconsin.)

 No. Go to line 3.

 Yes. Did your spouse, former spouse, or legal equivalent live with you at the time? 

 No

 Yes. In which community state or territory did you live? __________________. Fill in the name and current address of that person. 

______________________________________________________________________

Name of your spouse, former spouse, or legal equivalent

______________________________________________________________________

Number Street

______________________________________________________________________

City State ZIP Code

3. In Column 1, list all of your codebtors. Do not include your spouse as a codebtor if your spouse is filing with you. List the person 

shown in line 2 again as a codebtor only if that person is a guarantor or cosigner. Make sure you have listed the creditor on 

Schedule D (Official Form 106D), Schedule E/F (Official Form 106E/F), or Schedule G (Official Form 106G). Use Schedule D,

Schedule E/F, or Schedule G to fill out Column 2.

Column 1: Your codebtor Column 2: The creditor to whom you owe the debt

Check all schedules that apply:

3.1

________________________________________________________________________________

Name

________________________________________________________________________________

Number Street

________________________________________________________________________________

City State ZIP Code

 Schedule D, line ______

 Schedule E/F, line ______

 Schedule G, line ______

3.2

________________________________________________________________________________

Name

________________________________________________________________________________

Number Street

________________________________________________________________________________

City State ZIP Code

 Schedule D, line ______

 Schedule E/F, line ______

 Schedule G, line ______

3.3

________________________________________________________________________________

Name

________________________________________________________________________________

Number Street

________________________________________________________________________________

City State ZIP Code

 Schedule D, line ______

 Schedule E/F, line ______

 Schedule G, line ______

Debtor 1 __________________________________________________________________ 

First Name Middle Name Last Name

Debtor 2 ________________________________________________________________

(Spouse, if filing) First Name Middle Name Last Name

United States Bankruptcy Court for the:_______________________________________

Case number ____________________________________________

(If known)

 Fill in this information to identify your case:

 Check if this is an 

amended filing

Alejandro Fabian Scolnik

Southern District of Florida

19-16856-RAM

X

X

Gladys Ulloa Scolnik X 2.2, 2.4, 2.2, 2.1

X See Attachment 1

21200 NE 38 Avenue

X 2.2, 2.1

a Florida 33180`

1

Case 19-16856-RAM Doc 144 Filed 11/25/19 Page 44 of 62
Attachment

Debtor: Alejandro Fabian Scolnik Case No: 19-16856-RAM

Attachment 1

4.9, 4.4, 4.11, 4.9, 4.5, 4.19, 4.12, 4.21, 4.55, 4.43, 4.23, 4.18, 4.10, 4.24, 4.27, 4.30, 4.37, 4.46, 4.61, 4.2, 4.34, 4.29, 4.15, 4.54, 4.3, 4.60, 4.58, 4.48, 4.6,

4.47, 4.1, 4.41, 4.22, 4.32

Case 19-16856-RAM Doc 144 Filed 11/25/19 Page 45 of 62
Official Form 106Sum Summary of Your Assets and Liabilities and Certain Statistical Information page 1 of 2

Official Form 106Sum

Summary of Your Assets and Liabilities and Certain Statistical Information 12/15

Be as complete and accurate as possible. If two married people are filing together, both are equally responsible for supplying correct 

information. Fill out all of your schedules first; then complete the information on this form. If you are filing amended schedules after you file 

your original forms, you must fill out a new Summary and check the box at the top of this page. 

Part 1: Summarize Your Assets

Your assets

Value of what you own

1. Schedule A/B: Property (Official Form 106A/B)

1a. Copy line 55, Total real estate, from Schedule A/B........................................................................................................

$ ________________

1b. Copy line 62, Total personal property, from Schedule A/B............................................................................................. $ ________________

1c. Copy line 63, Total of all property on Schedule A/B ....................................................................................................... $ ________________

Part 2: Summarize Your Liabilities

Your liabilities

Amount you owe

2. Schedule D: Creditors Who Have Claims Secured by Property (Official Form 106D)

2a. Copy the total you listed in Column A, Amount of claim, at the bottom of the last page of Part 1 of Schedule D ............

$ ________________

3. Schedule E/F: Creditors Who Have Unsecured Claims (Official Form 106E/F)

3a. Copy the total claims from Part 1 (priority unsecured claims) from line 6e of Schedule E/F ..........................................

$ ________________

3b. Copy the total claims from Part 2 (nonpriority unsecured claims) from line 6j of Schedule E/F......................................

+ $ ________________

Your total liabilities $ ________________

Part 3: Summarize Your Income and Expenses

4. Schedule I: Your Income (Official Form 106I)

Copy your combined monthly income from line 12 of Schedule I ........................................................................................

$ ________________

5. Schedule J: Your Expenses (Official Form 106J) 

Copy your monthly expenses from line 22, Column A, of Schedule J.................................................................................. $ ________________

Debtor 1 __________________________________________________________________ 

First Name Middle Name Last Name

Debtor 2 ________________________________________________________________

(Spouse, if filing) First Name Middle Name Last Name

United States Bankruptcy Court for the: ______________________________________

Case number ___________________________________________

(If known)

 Fill in this information to identify your case:

 Check if this is an 

amended filing

Alejandro Fabian Scolnik

Southern District of Florida

19-16856-RAM

0.00

684,150.00

684,150.00

3,530,636.00

256,774.92

8,103,122.10

11,890,533.02

4,300.00

22,525.00

Case 19-16856-RAM Doc 144 Filed 11/25/19 Page 46 of 62
Debtor 1 _______________________________________________________ Case number (if known)_____________________________________

First Name Middle Name Last Name

 Official Form 106Sum Summary of Your Assets and Liabilities and Certain Statistical Information page 2 of 2

Part 4: Answer These Questions for Administrative and Statistical Records

6. Are you filing for bankruptcy under Chapters 7, 11, or 13?

 No. You have nothing to report on this part of the form. Check this box and submit this form to the court with your other schedules.

 Yes

7. What kind of debt do you have?

 Your debts are primarily consumer debts. Consumer debts are those “incurred by an individual primarily for a personal, 

family, or household purpose.” 11 U.S.C. § 101(8). Fill out lines 8-10 for statistical purposes. 28 U.S.C. § 159.

 Your debts are not primarily consumer debts. You have nothing to report on this part of the form. Check this box and submit 

this form to the court with your other schedules.

8. From the Statement of Your Current Monthly Income: Copy your total current monthly income from Official 

Form 122A-1 Line 11; OR, Form 122B Line 11; OR, Form 122C-1 Line 14. $ _________________

9. Copy the following special categories of claims from Part 4, line 6 of Schedule E/F:

Total claim

From Part 4 on Schedule E/F, copy the following:

9a. Domestic support obligations (Copy line 6a.)

$_____________________

9b. Taxes and certain other debts you owe the government. (Copy line 6b.)

$_____________________

9c. Claims for death or personal injury while you were intoxicated. (Copy line 6c.)

$_____________________

9d. Student loans. (Copy line 6f.)

$_____________________

9e. Obligations arising out of a separation agreement or divorce that you did not report as 

priority claims. (Copy line 6g.) $_____________________

9f. Debts to pension or profit-sharing plans, and other similar debts. (Copy line 6h.) + $_____________________

9g. Total. Add lines 9a through 9f. $_____________________

Alejandro Fabian Scolnik 19-16856-RAM

X

X

Case 19-16856-RAM Doc 144 Filed 11/25/19 Page 47 of 62
 Official Form 107 Statement of Financial Affairs for Individuals Filing for Bankruptcy page 1

Official Form 107

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

Be as complete and accurate as possible. If two married people are filing together, both are equally responsible for supplying correct 

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

number (if known). Answer every question.

Part 1: Give Details About Your Marital Status and Where You Lived Before

1. What is your current marital status?

 Married 

 Not married 

2. During the last 3 years, have you lived anywhere other than where you live now? 

 No 

 Yes. List all of the places you lived in the last 3 years. Do not include where you live now.

Debtor 1: Dates Debtor 1 

lived there 

Debtor 2: Dates Debtor 2 

lived there 

__________________________________________

Number Street

__________________________________________

__________________________________________

City State ZIP Code

From ________

To ________

 Same as Debtor 1

___________________________________________

Number Street

___________________________________________

___________________________________________

City State ZIP Code

 Same as Debtor 1

From ________

To ________

__________________________________________

Number Street

__________________________________________

__________________________________________

City State ZIP Code

From ________

To ________

 Same as Debtor 1

___________________________________________

Number Street

___________________________________________

___________________________________________

City State ZIP Code

 Same as Debtor 1

From ________

To ________

3. Within the last 8 years, did you ever live with a spouse or legal equivalent in a community property state or territory? (Community property states 

and territories include Arizona, California, Idaho, Louisiana, Nevada, New Mexico, Puerto Rico, Texas, Washington, and Wisconsin.) 

 No

 Yes. Make sure you fill out Schedule H: Your Codebtors (Official Form 106H).

Debtor 1 __________________________________________________________________ 

First Name Middle Name Last Name

Debtor 2 ________________________________________________________________

(Spouse, if filing) First Name Middle Name Last Name

United States Bankruptcy Court for the: ____________________________________________

Case number ___________________________________________

(If known)

 Fill in this information to identify your case:

 Check if this is an 

amended filing

Alejandro Fabian Scolnik

Gladys Elizabeth Ulloa Scolnik

Southern District of Florida

19-16856-RAM

X

X

X

Case 19-16856-RAM Doc 144 Filed 11/25/19 Page 48 of 62
Debtor 1 _______________________________________________________ Case number (if known)_____________________________________

First Name Middle Name Last Name

Official Form 107 Statement of Financial Affairs for Individuals Filing for Bankruptcy page 2

Part 2: Explain the Sources of Your Income

4. Did you have any income from employment or from operating a business during this year or the two previous calendar years?

Fill in the total amount of income you received from all jobs and all businesses, including part-time activities. 

If you are filing a joint case and you have income that you receive together, list it only once under Debtor 1.

 No 

 Yes. Fill in the details.

Debtor 1 Debtor 2 

Sources of income

Check all that apply.

Gross income 

(before deductions and 

exclusions)

Sources of income

Check all that apply.

Gross income 

(before deductions and 

exclusions)

From January 1 of current year until 

the date you filed for bankruptcy:

 Wages, commissions, 

bonuses, tips

 Operating a business

$________________

 Wages, commissions, 

bonuses, tips

 Operating a business

$________________

For last calendar year:

(January 1 to December 31, _________)

YYYY

 Wages, commissions, 

bonuses, tips

 Operating a business

$________________

 Wages, commissions, 

bonuses, tips

 Operating a business

$________________

For the calendar year before that: 

(January 1 to December 31, _________)

YYYY

 Wages, commissions, 

bonuses, tips

 Operating a business

$________________

 Wages, commissions, 

bonuses, tips

 Operating a business

$________________

5. Did you receive any other income during this year or the two previous calendar years?

Include income regardless of whether that income is taxable. Examples of other income are alimony; child support; Social Security, unemployment, 

and other public benefit payments; pensions; rental income; interest; dividends; money collected from lawsuits; royalties; and gambling and lottery 

winnings. If you are filing a joint case and you have income that you received together, list it only once under Debtor 1.

List each source and the gross income from each source separately. Do not include income that you listed in line 4. 

 No 

 Yes. Fill in the details.

Debtor 1 Debtor 2 

Sources of income

Describe below.

Gross income from 

each source

(before deductions and 

exclusions)

Sources of income 

Describe below.

Gross income from 

each source

(before deductions and 

exclusions)

From January 1 of current year until 

the date you filed for bankruptcy:

__________________ 

__________________

__________________

$_________________

$_________________

$_________________

_____________________ 

_____________________

_____________________

$_________________

$_________________

$_________________

For last calendar year:

(January 1 to December 31, ______)

YYYY

__________________ 

__________________

__________________

$_________________

$_________________

$_________________

_____________________ 

_____________________

_____________________

$_________________

$_________________

$_________________

For the calendar year before that: 

(January 1 to December 31, ______)

YYYY

__________________ 

__________________

__________________

$_________________

$_________________

$_________________

_____________________ 

_____________________

_____________________

$_________________

$_________________

$_________________

Alejandro Fabian Scolnik 19-16856-RAM

X

0.00

-250,000.00

2018 X

-250,000.00

2017 X

X

Case 19-16856-RAM Doc 144 Filed 11/25/19 Page 49 of 62
825* or more in one or more payments and the

Subject to adjustment on 4/01/22

825* or more? 

Debtor 1 _______________________________________________________ Case number (if known)_____________________________________ First Name Middle Name Last Name

Official Form 107 Statement of Financial Affairs for Individuals Filing for Bankruptcy page 3

Part 3: List Certain Payments You Made Before You Filed for Bankruptcy 

6. Are either Debtor 1’s or Debtor 2’s debts primarily consumer debts?

 No. Neither Debtor 1 nor Debtor 2 has primarily consumer debts. Consumer debts are defined in 11 U.S.C. § 101(8) as

“incurred by an individual primarily for a personal, family, or household purpose.” 

During the 90 days before you filed for bankruptcy, did you pay any creditor a total of $6,

 No. Go to line 7.

 Yes. List below each creditor to whom you paid a total of $6,

total amount you paid that creditor. Do not include payments for domestic support obligations, such as 

child support and alimony. Also, do not include payments to an attorney for this bankruptcy case. 

* and every 3 years after that for cases filed on or after the date of adjustment.

 Yes. Debtor 1 or Debtor 2 or both have primarily consumer debts. 

During the 90 days before you filed for bankruptcy, did you pay any creditor a total of $600 or more? 

 No. Go to line 7.

 Yes. List below each creditor to whom you paid a total of $600 or more and the total amount you paid that

creditor. Do not include payments for domestic support obligations, such as child support and 

alimony. Also, do not include payments to an attorney for this bankruptcy case. 

____________________________________ 

Creditor’s Name 

____________________________________ 

Number Street 

____________________________________ 

____________________________________ 

City State ZIP Code

Dates of 

payment

Total amount paid Amount you still owe Was this payment for...

_________ 

_________ 

_________ 

$_________________ $__________________  Mortgage

 Car

 Credit card

 Loan repayment

 Suppliers or vendors

 Other ____________

____________________________________ 

Creditor’s Name 

____________________________________ 

Number Street 

____________________________________ 

____________________________________ 

City State ZIP Code

_________ 

_________ 

_________ 

$_________________ $__________________  Mortgage

 Car

 Credit card

 Loan repayment

 Suppliers or vendors

 Other ____________

____________________________________ 

Creditor’s Name 

____________________________________ 

Number Street 

____________________________________ 

____________________________________ 

City State ZIP Code

_________ 

_________ 

_________ 

$_________________ $__________________  Mortgage

 Car

 Credit card

 Loan repayment

 Suppliers or vendors

 Other ____________

Alejandro Fabian Scolnik 19-16856-RAM

X

X

Case 19-16856-RAM Doc 144 Filed 11/25/19 Page 50 of 62
Debtor 1 _______________________________________________________ Case number (if known)_____________________________________

First Name Middle Name Last Name

Official Form 107 Statement of Financial Affairs for Individuals Filing for Bankruptcy page 4

7. Within 1 year before you filed for bankruptcy, did you make a payment on a debt you owed anyone who was an insider?

Insiders include your relatives; any general partners; relatives of any general partners; partnerships of which you are a general partner; 

corporations of which you are an officer, director, person in control, or owner of 20% or more of their voting securities; and any managing 

agent, including one for a business you operate as a sole proprietor. 11 U.S.C. § 101. Include payments for domestic support obligations, 

such as child support and alimony. 

 No 

 Yes. List all payments to an insider. 

____________________________________________

Insider’s Name

____________________________________________

Number Street

____________________________________________

____________________________________________

City State ZIP Code

Dates of 

payment

Total amount 

paid

Amount you still 

owe

Reason for this payment

_________

_________

_________

$____________ $____________

____________________________________________

Insider’s Name

____________________________________________

Number Street

____________________________________________

____________________________________________

City State ZIP Code

_________

_________

_________

$____________ $____________

8. Within 1 year before you filed for bankruptcy, did you make any payments or transfer any property on account of a debt that benefited 

an insider? 

Include payments on debts guaranteed or cosigned by an insider.

 No 

 Yes. List all payments that benefited an insider. 

____________________________________________

Insider’s Name

____________________________________________

Number Street

____________________________________________

____________________________________________

City State ZIP Code

Dates of 

payment

Total amount 

paid

Amount you still 

owe

Reason for this payment

Include creditor’s name

_________

_________

_________

$____________ $____________

____________________________________________

Insider’s Name

____________________________________________

Number Street

____________________________________________

____________________________________________

City State ZIP Code

_________

_________

_________

$____________ $____________

Alejandro Fabian Scolnik 19-16856-RAM

X

X

Case 19-16856-RAM Doc 144 Filed 11/25/19 Page 51 of 62
Debtor 1 _______________________________________________________ Case number (if known)_____________________________________

First Name Middle Name Last Name

Official Form 107 Statement of Financial Affairs for Individuals Filing for Bankruptcy page 5

Part 4: Identify Legal Actions, Repossessions, and Foreclosures

9. Within 1 year before you filed for bankruptcy, were you a party in any lawsuit, court action, or administrative proceeding? 

List all such matters, including personal injury cases, small claims actions, divorces, collection suits, paternity actions, support or custody modifications, 

and contract disputes. 

 No 

 Yes. Fill in the details.

Case title_____________________________

____________________________________

Case number ________________________

Nature of the case Court or agency Status of the case

________________________________________

Court Name

________________________________________

Number Street

________________________________________

City State ZIP Code

 Pending 

 On appeal 

 Concluded

Case title_____________________________

____________________________________

Case number ________________________

________________________________________

Court Name

________________________________________

Number Street

________________________________________

City State ZIP Code

 Pending 

 On appeal 

 Concluded

10. Within 1 year before you filed for bankruptcy, was any of your property repossessed, foreclosed, garnished, attached, seized, or levied? 

Check all that apply and fill in the details below.

 No. Go to line 11.

 Yes. Fill in the information below.

_________________________________________

Creditor’s Name

_________________________________________

Number Street

_________________________________________

_________________________________________

City State ZIP Code

Describe the property Date Value of the property

__________ $______________

Explain what happened

 Property was repossessed. 

 Property was foreclosed.

 Property was garnished.

 Property was attached, seized, or levied.

_________________________________________

Creditor’s Name

_________________________________________

Number Street

_________________________________________

_________________________________________

City State ZIP Code

Describe the property Date Value of the property

__________ $______________

Explain what happened

 Property was repossessed. 

 Property was foreclosed.

 Property was garnished.

 Property was attached, seized, or levied.

Alejandro Fabian Scolnik 19-16856-RAM

X

contract debt

Bella L. Espinosa

United States District Court X

Southern District of Florida

See Attachment 1 Miami FL

Contractual debt

See Attachment 2 Dios Manda, LLC v X

Alejandro Scolnik, et al

2018-025731-CA-01 Miami FL

X

See Attachment 3

Case 19-16856-RAM Doc 144 Filed 11/25/19 Page 52 of 62
Debtor 1 _______________________________________________________ Case number (if known)_____________________________________

First Name Middle Name Last Name

Official Form 107 Statement of Financial Affairs for Individuals Filing for Bankruptcy page 6

11. Within 90 days before you filed for bankruptcy, did any creditor, including a bank or financial institution, set off any amounts from your 

accounts or refuse to make a payment because you owed a debt? 

 No 

 Yes. Fill in the details.

______________________________________

Creditor’s Name

______________________________________

Number Street

______________________________________

______________________________________

City State ZIP Code

Describe the action the creditor took Date action 

was taken

Amount

____________ $________________

Last 4 digits of account number: XXXX–___ ___ ___ ___

12. Within 1 year before you filed for bankruptcy, was any of your property in the possession of an assignee for the benefit of 

creditors, a court-appointed receiver, a custodian, or another official? 

 No 

 Yes

Part 5: List Certain Gifts and Contributions

13.Within 2 years before you filed for bankruptcy, did you give any gifts with a total value of more than $600 per person? 

 No 

 Yes. Fill in the details for each gift. 

Gifts with a total value of more than $600 

per person

Describe the gifts Dates you gave 

the gifts

Value 

______________________________________

Person to Whom You Gave the Gift 

______________________________________

______________________________________

______________________________________

City State ZIP Code

Person’s relationship to you ______________

_________

_________

$_____________

$_____________

Gifts with a total value of more than $600 

per person

Describe the gifts Dates you gave 

the gifts

Value 

______________________________________

Person to Whom You Gave the Gift 

______________________________________

______________________________________

______________________________________

City State ZIP Code

Person’s relationship to you ______________

_________

_________

$_____________

$_____________

Alejandro Fabian Scolnik 19-16856-RAM

X

X

X

Case 19-16856-RAM Doc 144 Filed 11/25/19 Page 53 of 62
Debtor 1 _______________________________________________________ Case number (if known)_____________________________________

First Name Middle Name Last Name

Official Form 107 Statement of Financial Affairs for Individuals Filing for Bankruptcy page 7

14.Within 2 years before you filed for bankruptcy, did you give any gifts or contributions with a total value of more than $600 to any charity? 

 No 

 Yes. Fill in the details for each gift or contribution.

Gifts or contributions to charities 

that total more than $600

Describe what you contributed Date you 

contributed

Value 

_____________________________________

Charity’s Name

_____________________________________

_____________________________________

_____________________________________

City State ZIP Code

_________

_________

$_____________

$_____________

Part 6: List Certain Losses

15. Within 1 year before you filed for bankruptcy or since you filed for bankruptcy, did you lose anything because of theft, fire, other disaster, 

or gambling? 

 No 

 Yes. Fill in the details.

Describe the property you lost and how 

the loss occurred

Describe any insurance coverage for the loss

Include the amount that insurance has paid. List pending insurance 

claims on line 33 of Schedule A/B: Property.

Date of your loss Value of property 

lost

_________ $_____________

Part 7: List Certain Payments or Transfers

16. Within 1 year before you filed for bankruptcy, did you or anyone else acting on your behalf pay or transfer any property to anyone you 

consulted about seeking bankruptcy or preparing a bankruptcy petition?

Include any attorneys, bankruptcy petition preparers, or credit counseling agencies for services required in your bankruptcy.

 No 

 Yes. Fill in the details.

___________________________________

Person Who Was Paid 

___________________________________

Number Street

___________________________________

___________________________________

City State ZIP Code

____________________________________________

Email or website address

Description and value of any property transferred Date payment or 

transfer was made 

Amount of payment

_________

_________

$_____________

$_____________

___________________________________

Person Who Made the Payment, if Not You

Alejandro Fabian Scolnik 19-16856-RAM

X

X

X

Richard Siegmeister PA

3850 Bird Road, Floor 10

Miami FL 33146

Case 19-16856-RAM Doc 144 Filed 11/25/19 Page 54 of 62
Debtor 1 _______________________________________________________ Case number (if known)_____________________________________

First Name Middle Name Last Name

Official Form 107 Statement of Financial Affairs for Individuals Filing for Bankruptcy page 8

____________________________________

Person Who Was Paid 

____________________________________

Number Street

____________________________________

____________________________________

City State ZIP Code

________________________________________________

Email or website address

Description and value of any property transferred Date payment or 

transfer was made 

Amount of 

payment

_________

_________

$_____________

$_____________

___________________________________

Person Who Made the Payment, if Not You

17. Within 1 year before you filed for bankruptcy, did you or anyone else acting on your behalf pay or transfer any property to anyone who 

promised to help you deal with your creditors or to make payments to your creditors? 

Do not include any payment or transfer that you listed on line 16.

 No 

 Yes. Fill in the details.

____________________________________

Person Who Was Paid 

____________________________________

Number Street

____________________________________

____________________________________

City State ZIP Code 

Description and value of any property transferred Date payment or 

transfer was made

Amount of payment

_________

_________

$____________

$____________

18. Within 2 years before you filed for bankruptcy, did you sell, trade, or otherwise transfer any property to anyone, other than property 

transferred in the ordinary course of your business or financial affairs? 

Include both outright transfers and transfers made as security (such as the granting of a security interest or mortgage on your property).

Do not include gifts and transfers that you have already listed on this statement.

 No 

 Yes. Fill in the details.

___________________________________

Person Who Received Transfer 

___________________________________

Number Street

___________________________________

___________________________________

City State ZIP Code

Description and value of property 

transferred

Describe any property or payments received 

or debts paid in exchange

Date transfer 

was made

_________

Person’s relationship to you _____________

___________________________________

Person Who Received Transfer 

___________________________________

Number Street

___________________________________

___________________________________

City State ZIP Code

_________

Person’s relationship to you _____________

Alejandro Fabian Scolnik 19-16856-RAM

X

X

Case 19-16856-RAM Doc 144 Filed 11/25/19 Page 55 of 62
Debtor 1 _______________________________________________________ Case number (if known)_____________________________________

First Name Middle Name Last Name

Official Form 107 Statement of Financial Affairs for Individuals Filing for Bankruptcy page 9

19.Within 10 years before you filed for bankruptcy, did you transfer any property to a self-settled trust or similar device of which you 

are a beneficiary? (These are often called asset-protection devices.)

 No 

 Yes. Fill in the details.

Name of trust __________________________

______________________________________

Description and value of the property transferred Date transfer 

was made

_________

Part 8: List Certain Financial Accounts, Instruments, Safe Deposit Boxes, and Storage Units

20. Within 1 year before you filed for bankruptcy, were any financial accounts or instruments held in your name, or for your benefit, 

closed, sold, moved, or transferred? 

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

brokerage houses, pension funds, cooperatives, associations, and other financial institutions.

 No 

 Yes. Fill in the details.

____________________________________

Name of Financial Institution 

____________________________________

Number Street

____________________________________

____________________________________

City State ZIP Code 

Last 4 digits of account number Type of account or 

instrument

Date account was 

closed, sold, moved, 

or transferred

Last balance before 

closing or transfer

XXXX–___ ___ ___ ___ Checking

 Savings

 Money market

 Brokerage 

 Other__________

_________ $___________

____________________________________

Name of Financial Institution 

____________________________________

Number Street

____________________________________

____________________________________

City State ZIP Code

XXXX–___ ___ ___ ___ Checking

 Savings

 Money market

 Brokerage 

 Other__________

_________ $___________

21. Do you now have, or did you have within 1 year before you filed for bankruptcy, any safe deposit box or other depository for 

securities, cash, or other valuables?

 No 

 Yes. Fill in the details.

____________________________________

Name of Financial Institution 

____________________________________

Number Street

____________________________________

____________________________________

City State ZIP Code

Who else had access to it? Describe the contents Do you still 

have it?

_______________________________________

Name 

_______________________________________

Number Street

_______________________________________

City State ZIP Code

 No 

 Yes



Alejandro Fabian Scolnik 19-16856-RAM

X

X

X

X

Case 19-16856-RAM Doc 144 Filed 11/25/19 Page 56 of 62
Debtor 1 _______________________________________________________ Case number (if known)_____________________________________

First Name Middle Name Last Name

Official Form 107 Statement of Financial Affairs for Individuals Filing for Bankruptcy page 10

22. Have you stored property in a storage unit or place other than your home within 1 year before you filed for bankruptcy? 

 No 

 Yes. Fill in the details.

___________________________________

Name of Storage Facility

___________________________________

Number Street

___________________________________

___________________________________

City State ZIP Code

Who else has or had access to it? Describe the contents Do you still 

have it?

_______________________________________

Name 

_______________________________________

Number Street

_______________________________________

CityState ZIP Code

 No 

 Yes



Part 9: Identify Property You Hold or Control for Someone Else

23. Do you hold or control any property that someone else owns? Include any property you borrowed from, are storing for, 

or hold in trust for someone.

 No 

 Yes. Fill in the details.

___________________________________

Owner’s Name

___________________________________

Number Street

___________________________________

___________________________________

City State ZIP Code

Where is the property? Describe the property Value

_________________________________________

Number Street

_________________________________________

_________________________________________

City State ZIP Code

$__________

Part 10: Give Details About Environmental Information

For the purpose of Part 10, the following definitions apply:

 Environmental law means any federal, state, or local statute or regulation concerning pollution, contamination, releases of 

hazardous or toxic substances, wastes, or material into the air, land, soil, surface water, groundwater, or other medium, 

including statutes or regulations controlling the cleanup of these substances, wastes, or material.

 Site means any location, facility, or property as defined under any environmental law, whether you now own, operate, or utilize 

it or used to own, operate, or utilize it, including disposal sites. 

 Hazardous material means anything an environmental law defines as a hazardous waste, hazardous substance, toxic 

substance, hazardous material, pollutant, contaminant, or similar term.

Report all notices, releases, and proceedings that you know about, regardless of when they occurred.

24. Has any governmental unit notified you that you may be liable or potentially liable under or in violation of an environmental law? 

 No 

 Yes. Fill in the details.

____________________________________

Name of site

____________________________________

Number Street

____________________________________

____________________________________

City State ZIP Code

Governmental unit Environmental law, if you know it Date of notice

_______________________________

Governmental unit

_______________________________

Number Street

_______________________________

City State ZIP Code

_________

Alejandro Fabian Scolnik 19-16856-RAM

X

X

X

Case 19-16856-RAM Doc 144 Filed 11/25/19 Page 57 of 62
Debtor 1 _______________________________________________________ Case number (if known)_____________________________________

First Name Middle Name Last Name

Official Form 107 Statement of Financial Affairs for Individuals Filing for Bankruptcy page 11

25. Have you notified any governmental unit of any release of hazardous material? 

 No 

 Yes. Fill in the details.

____________________________________

Name of site

____________________________________

Number Street

____________________________________

____________________________________

City State ZIP Code

Governmental unit Environmental law, if you know it Date of notice

_______________________________

Governmental unit

_______________________________

Number Street

_______________________________

City State ZIP Code

_________

26. Have you been a party in any judicial or administrative proceeding under any environmental law? Include settlements and orders.

 No 

 Yes. Fill in the details.

Case title______________________________

______________________________________

______________________________________

Case number

Court or agency Nature of the case Status of the 

case

________________________________

Court Name

________________________________

Number Street

________________________________

City State ZIP Code

 Pending 

 On appeal 

Concluded



Part 11: Give Details About Your Business or Connections to Any Business

27. Within 4 years before you filed for bankruptcy, did you own a business or have any of the following connections to any business? 

 A sole proprietor or self-employed in a trade, profession, or other activity, either full-time or part-time

 A member of a limited liability company (LLC) or limited liability partnership (LLP)

 A partner in a partnership 

 An officer, director, or managing executive of a corporation

 An owner of at least 5% of the voting or equity securities of a corporation

 No. None of the above applies. Go to Part 12.

 Yes. Check all that apply above and fill in the details below for each business.

____________________________________

Business Name

____________________________________

Number Street

____________________________________

____________________________________

City State ZIP Code

Describe the nature of the business Employer Identification number 

Do not include Social Security number or ITIN.

EIN: ___ ___ – ___ ___ ___ ___ ___ ___ ___

Name of accountant or bookkeeper Dates business existed

From _______ To _______

____________________________________

Business Name

____________________________________

Number Street

____________________________________

____________________________________

City State ZIP Code

Describe the nature of the business Employer Identification number 

Do not include Social Security number or ITIN.

EIN: ___ ___ – ___ ___ ___ ___ ___ ___ ___

Name of accountant or bookkeeper Dates business existed

From _______ To _______

Alejandro Fabian Scolnik 19-16856-RAM

X

X

X

X

X

Brickell S.F. Corp.

restaurant

8 1 3 0 6 4 6 2 7

9700 Collins Avenue, Suite 243

6/21/2016 8/8/2018 Bal Harbor FL 33154

C. Gables Restaurant, Corp.

9700 Collins Avenue, Apt 243 4 6 4 0 0 4 9 6 7

6/12/2013 9/23/2016 Bal Harbor FL 33154

Case 19-16856-RAM Doc 144 Filed 11/25/19 Page 58 of 62
Debtor 1 _______________________________________________________ Case number (if known)_____________________________________

First Name Middle Name Last Name

Official Form 107 Statement of Financial Affairs for Individuals Filing for Bankruptcy page 12

____________________________________

Business Name

____________________________________

Number Street

____________________________________

____________________________________

City State ZIP Code

Describe the nature of the business Employer Identification number 

Do not include Social Security number or ITIN.

EIN: ___ ___ – ___ ___ ___ ___ ___ ___ ___

Name of accountant or bookkeeper Dates business existed

From _______ To _______

28. Within 2 years before you filed for bankruptcy, did you give a financial statement to anyone about your business? Include all financial 

institutions, creditors, or other parties. 

 No 

 Yes. Fill in the details below.

____________________________________

Name

____________________________________

Number Street

____________________________________

____________________________________

City State ZIP Code

Date issued

____________ 

MM / DD / YYYY

Part 12: Sign Below

I have read the answers on this Statement of Financial Affairs and any attachments, and I declare under penalty of perjury that the 

answers are true and correct. I understand that making a false statement, concealing property, or obtaining money or property by fraud 

in connection with a bankruptcy case can result in fines up to $250,000, or imprisonment for up to 20 years, or both. 

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

______________________________________________ _____________________________

Signature of Debtor 1 Signature of Debtor 2

Date ________________ Date _________________

Did you attach additional pages to Your Statement of Financial Affairs for Individuals Filing for Bankruptcy (Official Form 107)?

 No

 Yes

Did you pay or agree to pay someone who is not an attorney to help you fill out bankruptcy forms?

 No

 Yes. Name of person_____________________________________________________________. Attach the Bankruptcy Petition Preparer’s Notice, 

Declaration, and Signature (Official Form 119).

Alejandro Fabian Scolnik 19-16856-RAM

Franchise USA Corp

4 7 1 4 2 6 0 1 3

9700 Collins Avenue, Apt 243

Bal Harbor FL 33154 7/27/2014 8/8/2018

X

s/Alejandro Fabian Scolnik

11/25/2019

X

X

See Attachment 4

Case 19-16856-RAM Doc 144 Filed 11/25/19 Page 59 of 62
Attachment (1/3)

Debtor: Alejandro Fabian Scolnik Case No: 19-16856-RAM

Attachment 1

18-cv-24081-Martinez/Otazo-Reyes

Attachment 2

Circuit Court of the Eleventh Judicial Circuit For Miami-Dade County

Attachment 3 Additional Lawsuits, Court Actions, or Administrative Proceedings

Case Title: American Express v Alex Scolnik

Case Number: 2018-040743 CA-01

Nature of Case: Credit

Court or Agency’s Name: Circuit Court In and For Miami Dade Conunty

Court or Agency’s Address: Miami, Florida

Status of Case: Pending

Case Title: 17190 Collins Ave v Latte SI Corp, Alejandro Scolnik

Case Number: 2018-031433-CA-01

Nature of Case: Contractual

Court or Agency’s Name: in The Circuit Court In and for Miami-Dade County

Court or Agency’s Address: Miami, Florida

Status of Case: Pending

Case Title: Crestview Financial v placere new&Cafe, Alejandro Scolnik

Case Number: 18 814614

Nature of Case: Contractual debt

Court or Agency’s Name: Supreme Court of State of New York County of Erie

Court or Agency’s Address: New York, New York

Status of Case: Concluded

Case Title: Yellowstone Capital v Sunny isles, Godiva,Placere, AScolnik

Case Number: 18 813434

Nature of Case: Contractual debt

Court or Agency’s Name: Supreme Court of the State of New York County of Erie

Court or Agency’s Address: New York, New York

Status of Case: Concluded

Case Title: Fivetower LLc v Placere, Brickell Sunny isle, AScolnik

Case Number: 18-25417

Nature of Case: Contractual Debt

Court or Agency’s Name: In the Circuit Court of the Eleventh Judicial Circuit In and For Miami-Dade

Court or Agency’s Address: Miami, Florida

Status of Case: Pending

Case Title: Sysco South Florida vs. Godiva Ameican, DBASanta Fe News, and Alejandro Scolni

Case Number: 19-6384

Nature of Case: Goods sold, insufficent funds

Court or Agency’s Name: Circuit Court Miami-Dade County Florida

Court or Agency’s Address: 73 W flagler Street, Miami, Florida

Status of Case: Pending

Case Title: Sysco South Florida vs. Godiva American DBAPiacere News & Cafe, Alejandro Scolnik

Case Number: 19-6393

Nature of Case: Goods sold, insuficient funds

Court or Agency’s Name: Circuit Court Miami-Dade Court, Florida

Court or Agency’s Address: 73 W Flagler Street, Miami, Florida

Case 19-16856-RAM Doc 144 Filed 11/25/19 Page 60 of 62
Attachment (2/3)

Debtor: Alejandro Fabian Scolnik Case No: 19-16856-RAM

Status of Case: Pending

Case Title: Sysco South Florida vs. Brickell Restaurante, Alex Scolnik, Godiva American Corp dba Santa Fe news

Case Number: 19-6962

Nature of Case: Goods sold - insufficient funds

Court or Agency’s Name: Circuit Court Miami-Dade County, Florida

Court or Agency’s Address: 73 West Flagler Street, Miami, Florida

Status of Case: Pending

Case Title: Rutilus Clean & Clear Croup, Inc.

Case Number: 17-024474

Nature of Case: Breach of contract

Court or Agency’s Name: Eleventh Judicial Circuit Court

Court or Agency’s Address: 73 W Flagler Street, Miami, Florida

Status of Case: Pending

Case Title: Blue Brodge Financial vs Godiva American et al

Case Number: 19-23739

Nature of Case: Commerical Lease - Breach

Court or Agency’s Name: elevnth Circuit Miami-Dade County Florida

Court or Agency’s Address: 73 W Flagler Street, Miami, Fl

Status of Case:

Case Title: Ruben Porta vs Godiva et al

Case Number: 19-cv-22572

Nature of Case: Wage and hour

Court or Agency’s Name: United States District Court

Court or Agency’s Address: 400 N. Miami Avenue, 12th Floor, Miami, Florida

Status of Case: Pending

Case Title: City National Bank of Florida

Case Number: 19-14021-CC-05

Nature of Case: contract

Court or Agency’s Name: County Court, Miami-Cade County, Florida

Court or Agency’s Address: 73 West Flagler Street, Miami, Florida

Status of Case: Pending

Case Title: FoxII Funding Inc., vs. Brickell Restaurante LLC et al

Case Number: 61485/20

Nature of Case: contract

Court or Agency’s Name: Supreme Court of the State of new York - Suffold County

Court or Agency’s Address: Patchogue, New York

Status of Case: Pending

Case Title: PNC v Brickell Restaurante et al

Case Number: 19-cv-23806

Nature of Case: contract

Court or Agency’s Name: District Court Southern District of Florida

Court or Agency’s Address: Miami, Florida

Status of Case: Concluded

Case Title: Wells Fargo vs. Godiva American Corp., et al

Case 19-16856-RAM Doc 144 Filed 11/25/19 Page 61 of 62
Attachment (3/3)

Debtor: Alejandro Fabian Scolnik Case No: 19-16856-RAM

Case Number: 19-15325

Nature of Case: Money Loaned

Court or Agency’s Name: Circuit Court in and for Miami-Dade County Florida

Court or Agency’s Address: 73 W Flagler Street, Miami, Florida

Status of Case: Pending

Case Title: Allen Norton & Blue PAvs. Godiva American Corp et al

Case Number: 19-8533

Nature of Case: Suit to collect for legal seeerices

Court or Agency’s Name: Circuit Court in and for Miami-Dade County, Florida

Court or Agency’s Address: 73 West Flagler Street, Miami, Florida

Status of Case: Pending

Attachment 4

Additional Businesses Debtor Has or Had an Interest In:

Business Name: Godiva American Corp

Address: 9700 Collins Avenue, Ste 243, Bal Harbor, Florida 33154

Nature of Business: Restaurant

Accountant or Bookkeeper:

EIN: 64-0476533

Business Existed From: 9/27/1993 to present

Business Name: Latte S.I. Corporation

Address: 9700 Collins Avenue, suite 243, Bal Harbor, Florida 33154

Nature of Business:

Accountant or Bookkeeper:

EIN: __-_______

Business Existed From: 3/16/2018 to 8/7/2018

Business Name: Piacere News & Cafe

Address: 9700 Collins Avenue, Ste 243, Bal Harbor, Florida 33154

Nature of Business: Restaurant

Accountant or Bookkeeper:

EIN: 39-2080226

Business Existed From: 1/14/2013 to Present

Case 19-16856-RAM Doc 144 Filed 11/25/19 Page 62 of 62