Official Form 401 Chapter 15 Petition for Recognition of a Foreign Proceeding page 1 

Official Form 401 

Chapter 15 Petition for Recognition of a Foreign Proceeding 12/15

If more space is needed, attach a separate sheet to this form. On the top of any additional pages, write debtor’s name and case number (if known). 

1. Debtor’s name _____________________________________________________________________________________________ 

2. Debtor’s unique identifier 

 

For non-individual debtors: 

 Federal Employer Identification Number (EIN) ___ ___ – ___ ___ ___ ___ ___ ___ ___ 

 Other ___________________________. Describe identifier _____________________________. 

For individual debtors: 

 Social Security number: xxx – xx– ____ ____ ____ ____ 

 Individual Taxpayer Identification number (ITIN): 9 xx – xx – ____ ____ ____ ____ 

 Other ___________________________. Describe identifier ______________________________. 

3. Name of foreign 

representative(s) ____________________________________________________________________________________________ 

4. Foreign proceeding in which 

appointment of the foreign 

representative(s) occurred 

____________________________________________________________________________________________ 

5. Nature of the foreign 

proceeding Check one: 

 Foreign main proceeding 

 Foreign nonmain proceeding

 Foreign main proceeding, or in the alternative foreign nonmain proceeding

6. Evidence of the foreign 

proceeding 

 A certified copy, translated into English, of the decision commencing the foreign proceeding and 

appointing the foreign representative is attached. 

 A certificate, translated into English, from the foreign court, affirming the existence of the foreign 

proceeding and of the appointment of the foreign representative, is attached. 

 Other evidence of the existence of the foreign proceeding and of the appointment of the foreign 

representative is described below, and relevant documentation, translated into English, is attached. 

 _______________________________________________________________________________________ 

 _______________________________________________________________________________________ 

7. Is this the only foreign 

proceeding with respect to 

the debtor known to the 

foreign representative(s)? 

 No. (Attach a statement identifying each country in which a foreign proceeding by, regarding, or against the 

debtor is pending.) 

 Yes

United States Bankruptcy Court for the: 

__________ District of __________ 

Case number (If known): _________________________ Chapter 15 

Fill in this information to identify the case: 

 Check if this is an 

amended filing

Southern District of Florida

Leonardo Rozenblum Trosman and Fabian Elias Rozenblum Gorel

✔ See Exhibit 1

AUPE - Asociacion Uruguaya de Peritos

ROZENBLUM LEONARDO Y OTRO – CONCURSO CIVIL I.U.E. 2-44087/2018

✔

✔

✔

Case 21-18199-RAM Doc 1 Filed 08/24/21 Page 1 of 4
Debtor _______________________________________________________ Case number (if known)_____________________________________ Name

 Official Form 401 Chapter 15 Petition for Recognition of a Foreign Proceeding page 2 

8. Others entitled to notice Attach a list containing the names and addresses of: 

(i) all persons or bodies authorized to administer foreign proceedings of the debtor, 

(ii) all parties to litigation pending in the United States in which the debtor is a party at the time of filing of this 

petition, and 

(iii) all entities against whom provisional relief is being sought under § 1519 of the Bankruptcy Code.

9. Addresses Country where the debtor has the center of its 

main interests: 

______________________________________________ 

Debtor’s registered office: 

______________________________________________

Number Street 

_______________________________________________ 

P.O. Box 

_______________________________________________ 

City State/Province/Region ZIP/Postal Code 

_______________________________________________

Country 

Individual debtor’s habitual residence: 

_______________________________________________ 

Number Street 

_______________________________________________ 

P.O. Box 

_______________________________________________ 

City State/Province/Region ZIP/Postal Code 

_______________________________________________ 

Country

Address of foreign representative(s):

_______________________________________________ 

Number Street 

_______________________________________________ 

P.O. Box 

_______________________________________________ 

City State/Province/Region ZIP/Postal Code 

_______________________________________________ 

Country

10. Debtor’s website (URL) ____________________________________________________________________________________________________ 

11. Type of debtor Check one: 

 Non-individual (check one): 

 Corporation. Attach a corporate ownership statement containing the information 

described in Fed. R. Bankr. P. 7007.1. 

 Partnership

 Other. Specify: ________________________________________________ 

 Individual

Leonardo Rozenblum Trosman and Fabian Elias

Uruguay

See Exhibit 1 Avenida 18 de Julio 1268 Esc. 609

Montevideo

Uruguay

✔

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Case 21-18199-RAM Doc 1 Filed 08/24/21 Page 3 of 4
UNITED STATES BANKRUPTCY COURT 

SOUTHERN DISTRICT OF FLORIDA 

MIAMI DIVISION 

www.flsb.uscourts.gov 

In re: 

LEONARDO ROZENBLUM TROSMAN Chapter 15 

and FABIAN ELIAS ROZENBLUM GOREL 

Debtors in a Foreign Proceeding. Case No.: 

_________________________________/ 

EXHIBIT 1 TO OFFICIAL FORM 401 

CHAPTER 15 PETITION FOR RECOGNITION OF A FOREIGN PROCEEDING 

Section 2. Debtor’s unique identifier 

x Leonardo Rozenblum Trosman – 1.637.932-0 (Uruguay Identity Card Number) 

x Fabian Elias Rozenblum Gorel – 835.299-4 (Uruguay Identity Card Number)

Section 9. Addresses 

 Individual debtors’ habitual residence 

x Leonardo Rozenblum Trosman – Rambla República del Perú 1503, Montevideo, Uruguay 

x Fabian Elias Rozenblum Gorel – Rambla Armenia 3801, Apt. 601, Montevideo, Uruguay

Case 21-18199-RAM Doc 1 Filed 08/24/21 Page 4 of 4