Official Form 201 Voluntary Petition for Non-Individuals Filing for Bankruptcy page 1 

Official Form 201

Voluntary Petition for Non-Individuals Filing for Bankruptcy 02/20

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

number (if known). For more information, a separate document, Instructions for Bankruptcy Forms for Non-Individuals, is available.

1. Debtor’s name ______________________________________________________________________________________________________

2. All other names debtor used

in the last 8 years

Include any assumed names,

trade names, and doing business

as names

______________________________________________________________________________________________________

______________________________________________________________________________________________________

______________________________________________________________________________________________________

______________________________________________________________________________________________________

______________________________________________________________________________________________________

3. Debtor’s federal Employer

Identification Number (EIN) ___ ___ – ___ ___ ___ ___ ___ ___ ___

4. Debtor’s address Principal place of business

______________________________________________

Number Street

______________________________________________

______________________________________________ 

City State ZIP Code 

______________________________________________

County 

Mailing address, if different from principal place 

of business

_______________________________________________

Number Street

_______________________________________________

P.O. Box

_______________________________________________ 

City State ZIP Code

Location of principal assets, if different from 

principal place of business

_______________________________________________

Number Street

_______________________________________________

_______________________________________________ 

City State ZIP Code

5. Debtor’s website (URL) ____________________________________________________________________________________________________

 Fill in this information to identify the case:

 Check if this is an

amended filing

United States Bankruptcy Court for the:

____________________ District of _________________

(State) 

Case number (If known): _________________________ Chapter _____

Southern Florida

11

Mary Brickell Village Hotel, LLC

2 7 3 4 5 7 7 0 1

1001 SW 2nd Ave.

Miami FL 33130

USA

Aloft Miami Brickell

Case 21-17103-RAM Doc 1 Filed 07/21/21 Page 1 of 38
Debtor _______________________________________________________ Case number (if known)_____________________________________ Name

 Official Form 201 Voluntary Petition for Non-Individuals Filing for Bankruptcy page 2

6. Type of debtor  Corporation (including Limited Liability Company (LLC) and Limited Liability Partnership (LLP)) 

 Partnership (excluding LLP)

 Other. Specify: __________________________________________________________________

7. Describe debtor’s business

A. Check one:

 Health Care Business (as defined in 11 U.S.C. § 101(27A))

 Single Asset Real Estate (as defined in 11 U.S.C. § 101(51B))

 Railroad (as defined in 11 U.S.C. § 101(44))

 Stockbroker (as defined in 11 U.S.C. § 101(53A))

 Commodity Broker (as defined in 11 U.S.C. § 101(6))

 Clearing Bank (as defined in 11 U.S.C. § 781(3))

 None of the above

B. Check all that apply: 

 Tax-exempt entity (as described in 26 U.S.C. § 501)

 Investment company, including hedge fund or pooled investment vehicle (as defined in 15 U.S.C. 

§ 80a-3)

 Investment advisor (as defined in 15 U.S.C. § 80b-2(a)(11))

C. NAICS (North American Industry Classification System) 4-digit code that best describes debtor. See 

http://www.uscourts.gov/four-digit-national-association-naics-codes . 

___ ___ ___ ___

8. Under which chapter of the 

Bankruptcy Code is the 

debtor filing? 

Check one:

 Chapter 7 

 Chapter 9

 Chapter 11. Check all that apply: 

 Debtor’s aggregate noncontingent liquidated debts (excluding debts owed to 

insiders or affiliates) are less than $2,725,625 (amount subject to adjustment on 

4/01/22 and every 3 years after that).

 The debtor is a small business debtor as defined in 11 U.S.C. § 101(51D). If the 

debtor is a small business debtor, attach the most recent balance sheet, statement 

of operations, cash-flow statement, and federal income tax return or if all of these 

documents do not exist, follow the procedure in 11 U.S.C. § 1116(1)(B).

The debtor is a small business debtor as defined in 11 U.S.C. § 101(51D), and it 

chooses to proceed under Subchapter V of Chapter 11.

 A plan is being filed with this petition. 

 Acceptances of the plan were solicited prepetition from one or more classes of 

creditors, in accordance with 11 U.S.C. § 1126(b).

 The debtor is required to file periodic reports (for example, 10K and 10Q) with the 

Securities and Exchange Commission according to § 13 or 15(d) of the Securities 

Exchange Act of 1934. File the Attachment to Voluntary Petition for Non-Individuals Filing 

for Bankruptcy under Chapter 11 (Official Form 201A) with this form. 

 The debtor is a shell company as defined in the Securities Exchange Act of 1934 Rule 

12b-2.

 Chapter 12

9. Were prior bankruptcy cases 

filed by or against the debtor 

within the last 8 years?

If more than 2 cases, attach a 

separate list. 

 No

 Yes. District _______________________ When _______________ Case number _________________________

 MM / DD / YYYY

District _______________________ When _______________ Case number _________________________

 MM / DD / YYYY

Mary Brickell Village Hotel, LLC

7211

Case 21-17103-RAM Doc 1 Filed 07/21/21 Page 2 of 38
Debtor _______________________________________________________ Case number (if known)_____________________________________ Name

 Official Form 201 Voluntary Petition for Non-Individuals Filing for Bankruptcy page 3

10. Are any bankruptcy cases

pending or being filed by a 

business partner or an 

affiliate of the debtor? 

List all cases. If more than 1, 

attach a separate list.

 No

 Yes. Debtor _____________________________________________ Relationship _________________________

District _____________________________________________ When __________________ 

 MM / DD / YYYY 

Case number, if known ________________________________

11. Why is the case filed in this 

district? 

Check all that apply:

 Debtor has had its domicile, principal place of business, or principal assets in this district for 180 days 

immediately preceding the date of this petition or for a longer part of such 180 days than in any other 

district.

 A bankruptcy case concerning debtor’s affiliate, general partner, or partnership is pending in this district.

12. Does the debtor own or have 

possession of any real 

property or personal property 

that needs immediate 

attention? 

 No

 Yes. Answer below for each property that needs immediate attention. Attach additional sheets if needed.

Why does the property need immediate attention? (Check all that apply.)

 It poses or is alleged to pose a threat of imminent and identifiable hazard to public health or safety.

What is the hazard? _____________________________________________________________________

 It needs to be physically secured or protected from the weather. 

 It includes perishable goods or assets that could quickly deteriorate or lose value without 

attention (for example, livestock, seasonal goods, meat, dairy, produce, or securities-related 

assets or other options). 

 Other _______________________________________________________________________________

Where is the property?_____________________________________________________________________

Number Street

____________________________________________________________________

_______________________________________ _______ ________________

City State ZIP Code 

Is the property insured?

 No

 Yes. Insurance agency ____________________________________________________________________

Contact name ____________________________________________________________________

Phone ________________________________ 

Statistical and administrative information

13. Debtor’s estimation of 

available funds

Check one:

 Funds will be available for distribution to unsecured creditors.

 After any administrative expenses are paid, no funds will be available for distribution to unsecured creditors. 

14. Estimated number of 

creditors

 1-49

 50-99

 100-199

 200-999

 1,000-5,000

 5,001-10,000

 10,001-25,000

 25,001-50,000

 50,001-100,000

 More than 100,000

Mary Brickell Village Hotel, LLC

Case 21-17103-RAM Doc 1 Filed 07/21/21 Page 3 of 38
Debtor _______________________________________________________ Case number (if known)_____________________________________ Name

 Official Form 201 Voluntary Petition for Non-Individuals Filing for Bankruptcy page 4

15. Estimated assets

 $0-$50,000

 $50,001-$100,000

 $100,001-$500,000

 $500,001-$1 million

 $1,000,001-$10 million

 $10,000,001-$50 million

 $50,000,001-$100 million

 $100,000,001-$500 million

 $500,000,001-$1 billion

 $1,000,000,001-$10 billion

 $10,000,000,001-$50 billion

 More than $50 billion

16. Estimated liabilities

 $0-$50,000

 $50,001-$100,000

 $100,001-$500,000

 $500,001-$1 million

 $1,000,001-$10 million

 $10,000,001-$50 million

 $50,000,001-$100 million

 $100,000,001-$500 million

 $500,000,001-$1 billion

 $1,000,000,001-$10 billion

 $10,000,000,001-$50 billion

 More than $50 billion

Request for Relief, Declaration, and Signatures

WARNING -- Bankruptcy fraud is a serious crime. Making a false statement in connection with a bankruptcy case can result in fines up to 

$500,000 or imprisonment for up to 20 years, or both. 18 U.S.C. §§ 152, 1341, 1519, and 3571.

17. Declaration and signature of

authorized representative of

debtor

The debtor requests relief in accordance with the chapter of title 11, United States Code, specified in this

petition.

I have been authorized to file this petition on behalf of the debtor.

I have examined the information in this petition and have a reasonable belief that the information is true and

correct.

I declare under penalty of perjury that the foregoing is true and correct. 

Executed on _________________

MM / DD / YYYY

_____________________________________________ _______________________________________________

Signature of authorized representative of debtor Printed name

Title _________________________________________ 

18. Signature of attorney _____________________________________________ Date _________________

Signature of attorney for debtor MM / DD / YYYY

_________________________________________________________________________________________________

Printed name

_________________________________________________________________________________________________

Firm name

_________________________________________________________________________________________________

Number Street

____________________________________________________ ____________ ______________________________

City State ZIP Code 

____________________________________ __________________________________________

Contact phone Email address

______________________________________________________ ____________

Bar number State

Mary Brickell Village Hotel, LLC

7 / 21 / 2021

President of Manager

Pedro Villar

Joseph A. Pack

Pack Law

51 NE 24th St., Suite 108

Miami FL 33137

joe@packlaw.com

117882 FL

(305) 916-4500

7 / 21 / 2021

/s/ Pedro F. Villar

/s/ Joseph A. Pack

Case 21-17103-RAM Doc 1 Filed 07/21/21 Page 4 of 38
Official Form 202 Declaration Under Penalty of Perjury for Non-Individual Debtors

Official Form 202 

Declaration Under Penalty of Perjury for Non-Individual Debtors 12/15

An individual who is authorized to act on behalf of a non-individual debtor, such as a corporation or partnership, must sign and submit 

this form for the schedules of assets and liabilities, any other document that requires a declaration that is not included in the document, 

and any amendments of those documents. This form must state the individual’s position or relationship to the debtor, the identity of the 

document, and the date. Bankruptcy Rules 1008 and 9011. 

WARNING -- Bankruptcy fraud is a serious crime. 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 $500,000 or imprisonment for up to 20 years, or both. 18 U.S.C. §§ 152, 1341, 

1519, and 3571. 

Declaration and signature

I am the president, another officer, or an authorized agent of the corporation; a member or an authorized agent of the partnership; or 

another individual serving as a representative of the debtor in this case.

I have examined the information in the documents checked below and I have a reasonable belief that the information is true and correct:

 Schedule A/B: Assets–Real and Personal Property (Official Form 206A/B)

 Schedule D: Creditors Who Have Claims Secured by Property (Official Form 206D)

 Schedule E/F: Creditors Who Have Unsecured Claims (Official Form 206E/F)

 Schedule G: Executory Contracts and Unexpired Leases (Official Form 206G)

 Schedule H: Codebtors (Official Form 206H)

 Summary of Assets and Liabilities for Non-Individuals (Official Form 206Sum)

 Amended Schedule ____

 Chapter 11 or Chapter 9 Cases: List of Creditors Who Have the 20 Largest Unsecured Claims and Are Not Insiders (Official Form 204)

 Other document that requires a declaration__________________________________________________________________________________

I declare under penalty of perjury that the foregoing is true and correct. 

Executed on ______________ _________________________________________________________________________

MM / DD / YYYY Signature of individual signing on behalf of debtor

________________________________________________________________________

Printed name

______________________________________ 

Position or relationship to debtor

Debtor Name __________________________________________________________________ 

United States Bankruptcy Court for the: ______________________ District of __________ 

(State) 

Case number (If known): _________________________ 

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

Mary Brickell Village Hotel, LLC

Southern Florida

7/21/2021

Pedro Villar

President of Manager

/s/ Pedro F. Villar

Case 21-17103-RAM Doc 1 Filed 07/21/21 Page 5 of 38
Official Form 204 Chapter 11 or Chapter 9 Cases: List of Creditors Who Have the 20 Largest Unsecured Claims page 1

Official Form 204 

Chapter 11 or Chapter 9 Cases: List of Creditors Who Have the 20 Largest 

Unsecured Claims and Are Not Insiders 12/15

A list of creditors holding the 20 largest unsecured claims must be filed in a Chapter 11 or Chapter 9 case. Include claims which the debtor 

disputes. Do not include claims by any person or entity who is an insider, as defined in 11 U.S.C. § 101(31). Also, do not include claims by 

secured creditors, unless the unsecured claim resulting from inadequate collateral value places the creditor among the holders of the 20 

largest unsecured claims. 

Name of creditor and complete 

mailing address, including zip code 

Name, telephone number, and 

email address of creditor 

contact 

Nature of the claim 

(for example, trade 

debts, bank loans, 

professional 

services, and 

government 

contracts)

Indicate if 

claim is 

contingent, 

unliquidated, 

or disputed 

Amount of unsecured claim 

If the claim is fully unsecured, fill in only unsecured 

claim amount. If claim is partially secured, fill in 

total claim amount and deduction for value of 

collateral or setoff to calculate unsecured claim. 

Total claim, if 

partially 

secured 

Deduction for 

value of 

collateral or 

setoff 

Unsecured 

claim 

1 

2 

3 

4 

5 

6 

7 

8 

 Check if this is an

amended filing

Debtor name __________________________________________________________________ 

United States Bankruptcy Court for the: ______________________ District of _________ 

(State)

Case number (If known): _________________________ 

 Fill in this information to identify the case: 

PO Box 105453

Atlanta, GA 30348

Mary Brickell Village Hotel, LLC

Southern Florida

Hotelier Linen Services

IPFS Corporation

Waste Management of 

Dade County

HD Supply Facilities 

Maintenance LTD

VIP Security Florida

Insight Direct USA

P.O. BOX 412086

Kansas City, MO 64141-2086

PO Box 27316 Dept N287 

Salt Lake City, UT 84127-0316

PO Box 509058 

San Digo, CA 92150-9058

2500 NW 79 Ave Suite #173 

Doral, FL 33122 

C/O Morgan Chase 

PO Box 731069 

Dallas, Tx 75373-1069

Florida Department 

of Revenue

Taxes $26,565.54 5050 West Tennessee St.

Tallahassee, FL 32399

Miami-Dade County

Tax Collector

200 NW 2nd Ave

Miami, FL 33128 Taxes $252,098.08

Insurance

Trade Disputed $17,138.33

$5,996.24

$4,438.89

$224,581.30

$3,182.00

$2,202.64

Trade

Trade

Trade

Trade

Case 21-17103-RAM Doc 1 Filed 07/21/21 Page 6 of 38
Debtor _______________________________________________________ Case number (if known)_____________________________________ Name

Official Form 204 Chapter 11 or Chapter 9 Cases: List of Creditors Who Have the 20 Largest Unsecured Claims page 2 

Name of creditor and complete 

mailing address, including zip code 

Name, telephone number, and 

email address of creditor 

contact 

Nature of the claim 

(for example, trade 

debts, bank loans, 

professional 

services, and 

government 

contracts)

Indicate if 

claim is 

contingent, 

unliquidated, 

or disputed 

Amount of unsecured claim 

If the claim is fully unsecured, fill in only unsecured 

claim amount. If claim is partially secured, fill in 

total claim amount and deduction for value of 

collateral or setoff to calculate unsecured claim. 

Total claim, if 

partially 

secured 

Deduction for 

value of 

collateral or 

setoff 

Unsecured 

claim 

9 

10 

11 

12 

13 

14 

15 

16 

17 

18 

19 

20 

PO Box 631025

Cincinnati, OH 45263-1025

2400 West 84th Street #9 

Hialeah, FL 333016

PO Box 25426

Miami, FL 33102-5426

Mary Brickell Village Hotel, LLC

1st SOS Staffing, Inc

Royal Cup, Inc

Pepsi Beverage Co

US Foods, Inc

Otis

De Lage Landen

Cintas Corporation

Engineering Systems 

Technology, Inc

FPL Energy Services

1040 Bayview Dr Ste # 603 

Ft. Lauderdale, FL 33304

PO Box 841000 

Dallas, TX 75284-1000

PO Box 75948 

Chicago, IL 6067559

PO Box 281838 

Atlanta, GA 30384-1838

PO Box 73579 

Chicago, IL 60673-7579

PO Box 41602 

Philadelphia, PA 19101

ScentAir Technologies, Inc PO Box 978754 

Dallas, TX 75397-8754

Services

Services

Utilities

Services

Utilities

PO Box 37601

Philadelphia, PA 19101-0601

AT&T

Comcast

PO Box 105262

Atlanta, GA 30348

Trade

Trade

Trade

Trade

Trade

Trade

Trade

$2,121.08

$2,073.16

$1,382.21

$1,093.07

$949.02

$827.69

$792.50

$455.58

$442.99

$374.50

$355.99

$208.65

Case 21-17103-RAM Doc 1 Filed 07/21/21 Page 7 of 38
 Official Form 206Sum Summary of Assets and Liabilities for Non-Individuals page 1

Official Form 206Sum

Summary of Assets and Liabilities for Non-Individuals 12/15

Part 1: Summary of Assets

1. Schedule A/B: Assets–Real and Personal Property (Official Form 206A/B)

1a. Real property: 

Copy line 88 from Schedule A/B..................................................................................................................................... $ ________________

1b. Total personal property: 

Copy line 91A from Schedule A/B................................................................................................................................... $ ________________

1c. Total of all property: 

Copy line 92 from Schedule A/B..................................................................................................................................... $ ________________

Part 2: Summary of Liabilities

2. Schedule D: Creditors Who Have Claims Secured by Property (Official Form 206D)

Copy the total dollar amount listed in Column A, Amount of claim, from line 3 of Schedule D.............................................. $ ________________

3. Schedule E/F: Creditors Who Have Unsecured Claims(Official Form 206E/F) 

3a. Total claim amounts of priority unsecured claims:

Copy the total claims from Part 1 from line 5a of Schedule E/F.................................................................................... $ ________________

3b. Total amount of claims of nonpriority amount of unsecured claims: 

Copy the total of the amount of claims from Part 2 from line 5b of Schedule E/F......................................................... + $ ________________

4. Total liabilities...................................................................................................................................................................

Lines 2 + 3a + 3b $ ________________

Debtor name _________________________________________________________________ 

United States Bankruptcy Court f or the:_______________________ District of ________

(State) 

Case number (If known): _________________________ 

 Fill in this information to identify the case:

 Check if this is an 

amended filing

Mary Brickell Village Hotel, LLC

Southern Florida

32,000,000.00

17,844,560.00

1,965,508.93

33,965,508.93

289,015.20

268,803.09

18,402,378.29

Case 21-17103-RAM Doc 1 Filed 07/21/21 Page 8 of 38
 Official Form 206A/B Schedule A/B: Assets  Real and Personal Property page 1

Official Form 206A/B 

Schedule A/B: Assets — Real and Personal Property 12/15

Disclose all property, real and personal, which the debtor owns or in which the debtor has any other legal, equitable, or future interest. Include 

all property in which the debtor holds rights and powers exercisable for the debtor's own benefit. Also include assets and properties which have 

no book value, such as fully depreciated assets or assets that were not capitalized. In Schedule A/B, list any executory contracts or unexpired 

leases. Also list them on Schedule G: Executory Contracts and Unexpired Leases (Official Form 206G). 

Be as complete and accurate as possible. If more space is needed, attach a separate sheet to this form. At the top of any pages added, write 

the debtor’s name and case number (if known). Also identify the form and line number to which the additional information applies. If an 

additional sheet is attached, include the amounts from the attachment in the total for the pertinent part. 

For Part 1 through Part 11, list each asset under the appropriate category or attach separate supporting schedules, such as a fixed asset 

schedule or depreciation schedule, that gives the details for each asset in a particular category. List each asset only once. In valuing the 

debtor’s interest, do not deduct the value of secured claims. See the instructions to understand the terms used in this form.

Part 1: Cash and cash equivalents

1. Does the debtor have any cash or cash equivalents? 

 No. Go to Part 2.

 Yes. Fill in the information below.

All cash or cash equivalents owned or controlled by the debtor Current value of debtor’s 

interest 

2. Cash on hand $______________________

3. Checking, savings, money market, or financial brokerage accounts (Identify all)

Name of institution (bank or brokerage firm) Type of account Last 4 digits of account number 

3.1. _________________________________________________ ______________________ ____ ____ ____ ____ 

3.2. _________________________________________________ ______________________ ____ ____ ____ ____ 

$______________________ 

$______________________

4. Other cash equivalents (Identify all)

4.1. _____________________________________________________________________________________________________ $______________________

4.2. _____________________________________________________________________________________________________ $______________________

5. Total of Part 1 

Add lines 2 through 4 (including amounts on any additional sheets). Copy the total to line 80.

$______________________

Part 2: Deposits and prepayments

6. Does the debtor have any deposits or prepayments? 

 No. Go to Part 3.

 Yes. Fill in the information below.

 Current value of 

debtor’s interest 

7. Deposits, including security deposits and utility deposits

Description, including name of holder of deposit 

7.1. ________________________________________________________________________________________________________ 

7.2._________________________________________________________________________________________________________ 

$______________________ 

$_______________________

Debtor name __________________________________________________________________ 

United States Bankruptcy Court for the:_______________________ District of ________ (State) 

Case number (If known): _________________________ 

 Fill in this information to identify the case: 

 Check if this is an 

amended filing

Mary Brickell Village Hotel, LLC

Southern Florida

Ocean Bank

1First Bank

Checking

Checking 4446

3905 551,226.26

577,368.07

3,184.83

1,131,779.16

Reserves held by DF VII REIT Holdings, LLC Unknown

Case 21-17103-RAM Doc 1 Filed 07/21/21 Page 9 of 38
Debtor _______________________________________________________ Case number (if known)_____________________________________ Name

Official Form 206A/B Schedule A/B: Assets  Real and Personal Property page 2

8. Prepayments, including prepayments on executory contracts, leases, insurance, taxes, and rent

Description, including name of holder of prepayment 

8.1.___________________________________________________________________________________________________________ 

8.2.___________________________________________________________________________________________________________ 

$______________________ 

$_______________________

9. Total of Part 2. 

Add lines 7 through 8. Copy the total to line 81. $______________________

Part 3: Accounts receivable 

10. Does the debtor have any accounts receivable?

 No. Go to Part 4.

 Yes. Fill in the information below.

Current value of debtor’s 

interest 

11. Accounts receivable 

11a. 90 days old or less: ____________________________ – ___________________________ = ........ 

 face amount doubtful or uncollectible accounts 

$______________________

11b. Over 90 days old: ___________________________ – ___________________________ = ........ 

 face amount doubtful or uncollectible accounts 

$______________________

12. Total of Part 3 

Current value on lines 11a + 11b = line 12. Copy the total to line 82.

$______________________

Part 4: Investments 

13. Does the debtor own any investments?

 No. Go to Part 5.

 Yes. Fill in the information below.

Valuation method 

used for current value 

Current value of debtor’s 

interest 

14. Mutual funds or publicly traded stocks not included in Part 1

 Name of fund or stock: 

14.1. ________________________________________________________________________________ 

14.2. ________________________________________________________________________________ 

_____________________ 

_____________________

$________________________

$________________________

15. Non-publicly traded stock and interests in incorporated and unincorporated businesses, 

including any interest in an LLC, partnership, or joint venture 

Name of entity: % of ownership: 

15.1._______________________________________________________________ ________% 

15.2._______________________________________________________________ ________% 

_____________________ 

_____________________ 

$________________________

$________________________

16. Government bonds, corporate bonds, and other negotiable and non-negotiable 

instruments not included in Part 1

Describe: 

16.1.________________________________________________________________________________ 

16.2.________________________________________________________________________________ 

______________________ 

______________________ 

$_______________________ 

$_______________________

17. Total of Part 4 

Add lines 14 through 16. Copy the total to line 83.

$______________________

Mary Brickell Village Hotel, LLC

$5,309.49 $2,216.36 3,086.13

$86,475.18 $14,591.57 71,883.16

74,969.77

-

Case 21-17103-RAM Doc 1 Filed 07/21/21 Page 10 of 38
Debtor _______________________________________________________ Case number (if known)_____________________________________ Name

Official Form 206A/B Schedule A/B: Assets  Real and Personal Property page 3

Part 5: Inventory, excluding agriculture assets

18. Does the debtor own any inventory (excluding agriculture assets)?

 No. Go to Part 6.

 Yes. Fill in the information below.

General description Date of the last 

physical inventory

Net book value of 

debtor's interest 

(Where available) 

Valuation method used 

for current value 

Current value of 

debtor’s interest 

19. Raw materials

________________________________________ ______________

MM / DD / YYYY $__________________ ______________________ $______________________

20. Work in progress

________________________________________ ______________

MM / DD / YYYY $__________________ ______________________ $______________________

21. Finished goods, including goods held for resale

________________________________________ ______________

MM / DD / YYYY $__________________ ______________________ $______________________

22. Other inventory or supplies

________________________________________ ______________

MM / DD / YYYY $__________________ ______________________ $______________________

 

23. Total of Part 5

Add lines 19 through 22. Copy the total to line 84. 

$______________________

 

24. Is any of the property listed in Part 5 perishable?

 No

 Yes 

25. Has any of the property listed in Part 5 been purchased within 20 days before the bankruptcy was filed?

 No

 Yes. Book value _______________ Valuation method____________________ Current value______________

26. Has any of the property listed in Part 5 been appraised by a professional within the last year? 

 No

 Yes

Part 6: Farming and fishing-related assets (other than titled motor vehicles and land)

27. Does the debtor own or lease any farming and fishing-related assets (other than titled motor vehicles and land)?

 No. Go to Part 7.

 Yes. Fill in the information below.

General description Net book value of 

debtor's interest 

(Where available) 

Valuation method used 

for current value 

Current value of debtor’s 

interest 

28. Crops—either planted or harvested 

______________________________________________________________ $________________ ____________________ $______________________

29. Farm animals Examples: Livestock, poultry, farm-raised fish

______________________________________________________________ $________________ ____________________ $______________________

30. Farm machinery and equipment (Other than titled motor vehicles)

______________________________________________________________ $________________ ____________________ $______________________

31. Farm and fishing supplies, chemicals, and feed 

______________________________________________________________ $________________ ____________________ $______________________

32. Other farming and fishing-related property not already listed in Part 6

______________________________________________________________ $________________ ____________________ $______________________

Mary Brickell Village Hotel, LLC

Case 21-17103-RAM Doc 1 Filed 07/21/21 Page 11 of 38
Debtor _______________________________________________________ Case number (if known)_____________________________________ Name

Official Form 206A/B Schedule A/B: Assets  Real and Personal Property page 4

33. Total of Part 6. 

Add lines 28 through 32. Copy the total to line 85. 

$______________________

 

34. Is the debtor a member of an agricultural cooperative? 

 No

 Yes. Is any of the debtor’s property stored at the cooperative?

 No

 Yes

35. Has any of the property listed in Part 6 been purchased within 20 days before the bankruptcy was filed? 

 No

 Yes. Book value $_______________ Valuation method ____________________ Current value $________________

36. Is a depreciation schedule available for any of the property listed in Part 6? 

 No

 Yes

37. Has any of the property listed in Part 6 been appraised by a professional within the last year? 

 No

 Yes

Part 7: Office furniture, fixtures, and equipment; and collectibles 

38. Does the debtor own or lease any office furniture, fixtures, equipment, or collectibles?

 No. Go to Part 8.

 Yes. Fill in the information below.

General description Net book value of 

debtor's interest 

(Where available) 

Valuation method 

used for current value 

Current value of debtor’s 

interest 

39. Office furniture 

______________________________________________________________ $________________ ____________________ $______________________

40. Office fixtures 

______________________________________________________________ $________________ ____________________ $______________________

41. Office equipment, including all computer equipment and 

communication systems equipment and software 

______________________________________________________________ $________________ ____________________ $______________________

42. Collectibles Examples: Antiques and figurines; paintings, prints, or other 

artwork; books, pictures, or other art objects; china and crystal; stamp, coin, 

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

42.1___________________________________________________________ $________________ ____________________ $______________________

42.2___________________________________________________________ $________________ ____________________ $______________________

42.3___________________________________________________________ $________________ ____________________ $______________________

43. Total of Part 7. 

Add lines 39 through 42. Copy the total to line 86. $______________________

44. Is a depreciation schedule available for any of the property listed in Part 7? 

 No

 Yes

45. Has any of the property listed in Part 7 been appraised by a professional within the last year? 

 No

 Yes

office table, office chairs, etc. Fair Market Value 5,326

computer equipment, monitors, router, etc. Fair Market Value 7,252

Mary Brickell Village Hotel, LLC

12,578

Case 21-17103-RAM Doc 1 Filed 07/21/21 Page 12 of 38
Debtor _______________________________________________________ Case number (if known)_____________________________________ Name

Official Form 206A/B Schedule A/B: Assets  Real and Personal Property page 5

Part 8: Machinery, equipment, and vehicles

46. Does the debtor own or lease any machinery, equipment, or vehicles?

 No. Go to Part 9.

 Yes. Fill in the information below.

General description 

Include year, make, model, and identification numbers (i.e., VIN, 

HIN, or N-number) 

Net book value of 

debtor's interest 

(Where available) 

Valuation method used 

for current value 

Current value of 

debtor’s interest 

47. Automobiles, vans, trucks, motorcycles, trailers, and titled farm vehicles 

47.1___________________________________________________________ $________________ ____________________ $______________________

47.2___________________________________________________________ $________________ ____________________ $______________________

47.3___________________________________________________________ $________________ ____________________ $______________________

47.4___________________________________________________________ $________________ ____________________ $______________________

48. Watercraft, trailers, motors, and related accessories Examples: Boats, 

trailers, motors, floating homes, personal watercraft, and fishing vessels

48.1__________________________________________________________ $________________ ____________________ $______________________

48.2__________________________________________________________ $________________ ____________________ $______________________

49. Aircraft and accessories

49.1__________________________________________________________ $________________ ____________________ $______________________

49.2__________________________________________________________ $________________ ____________________ $______________________

50. Other machinery, fixtures, and equipment (excluding farm 

machinery and equipment) 

______________________________________________________________ $________________ ____________________ $______________________

 

51. Total of Part 8. 

Add lines 47 through 50. Copy the total to line 87. 

 $______________________

52. Is a depreciation schedule available for any of the property listed in Part 8? 

 No

 Yes

53. Has any of the property listed in Part 8 been appraised by a professional within the last year? 

 No

 Yes

 

Mary Brickell Village Hotel, LLC

Non-office furniture and equipment in hotel - refrigerators, 

stools, ice cube machines, shades, televisions, etc. 742,182

742,182

Fair Market Value

Case 21-17103-RAM Doc 1 Filed 07/21/21 Page 13 of 38
Debtor _______________________________________________________ Case number (if known)_____________________________________ Name

Official Form 206A/B Schedule A/B: Assets  Real and Personal Property page 6

Part 9: Real property 

54. Does the debtor own or lease any real property?

 No. Go to Part 10.

 Yes. Fill in the information below.

55. Any building, other improved real estate, or land which the debtor owns or in which the debtor has an interest 

Description and location of property 

Include street address or other description such as 

Assessor Parcel Number (APN), and type of property 

(for example, acreage, factory, warehouse, apartment 

or office building), if available.

Nature and extent 

of debtor’s interest 

in property

Net book value of 

debtor's interest 

(Where available) 

Valuation method used 

for current value

Current value of 

debtor’s interest 

55.1________________________________________ _________________ $_______________ ____________________ $_____________________

55.2________________________________________ _________________ $_______________ ____________________ $_____________________

55.3________________________________________ _________________ $_______________ ____________________ $_____________________

55.4________________________________________ _________________ $_______________ ____________________ $_____________________

55.5________________________________________ _________________ $_______________ ____________________ $_____________________

55.6________________________________________ _________________ $_______________ ____________________ $_____________________

56. Total of Part 9. 

Add the current value on lines 55.1 through 55.6 and entries from any additional sheets. Copy the total to line 88. 

$_____________________

57. Is a depreciation schedule available for any of the property listed in Part 9? 

 No

 Yes

58. Has any of the property listed in Part 9 been appraised by a professional within the last year? 

 No

 Yes

Part 10: Intangibles and intellectual property 

59. Does the debtor have any interests in intangibles or intellectual property?

 No. Go to Part 11.

 Yes. Fill in the information below.

General description Net book value of 

debtor's interest 

(Where available) 

Valuation method 

used for current value 

Current value of 

debtor’s interest 

60. Patents, copyrights, trademarks, and trade secrets 

______________________________________________________________ $_________________ ______________________ $____________________

61. Internet domain names and websites 

______________________________________________________________ $_________________ ______________________ $____________________

62. Licenses, franchises, and royalties 

______________________________________________________________ $_________________ ______________________ $____________________

63. Customer lists, mailing lists, or other compilations 

______________________________________________________________ $_________________ ______________________ $____________________

64. Other intangibles, or intellectual property

______________________________________________________________ $________________ _____________________ $____________________

65. Goodwill 

______________________________________________________________ $________________ _____________________ $____________________

66. Total of Part 10. 

Add lines 60 through 65. Copy the total to line 89. 

$____________________

Mary Brickell Village Hotel, LLC

Hotel - 1001 SW 2nd Avenue 

Miami, Miami-Dade County, Florida 33130 Fair Market Value 32,000,000.00

32,000,000.00

Fee

Indirect Interest in Marriott Flag

-

Case 21-17103-RAM Doc 1 Filed 07/21/21 Page 14 of 38
Debtor _______________________________________________________ Case number (if known)_____________________________________ Name

Official Form 206A/B Schedule A/B: Assets  Real and Personal Property page 7

67. Do your lists or records include personally identifiable information of customers (as defined in 11 U.S.C. §§ 101(41A) and 107)? 

 No

 Yes

68. Is there an amortization or other similar schedule available for any of the property listed in Part 10? 

 No

 Yes

69. Has any of the property listed in Part 10 been appraised by a professional within the last year? 

 No

 Yes

Part 11: All other assets 

70. Does the debtor own any other assets that have not yet been reported on this form? 

Include all interests in executory contracts and unexpired leases not previously reported on this form. 

 No. Go to Part 12.

 Yes. Fill in the information below.

  Current value of 

debtor’s interest 

71. Notes receivable 

Description (include name of obligor) 

______________________________________________________ _______________ – __________________________ = 

Total face amount doubtful or uncollectible amount

$_____________________

72. Tax refunds and unused net operating losses (NOLs)

Description (for example, federal, state, local) 

_________________________________________________________________________________

_________________________________________________________________________________ 

_________________________________________________________________________________

Tax year ___________ 

Tax year ___________ 

Tax year ___________ 

$_____________________ 

$_____________________ 

$_____________________ 

73. Interests in insurance policies or annuities

______________________________________________________________ $_______________________

74. Causes of action against third parties (whether or not a lawsuit 

has been filed) 

______________________________________________________________ $_______________________

Nature of claim ___________________________________ 

Amount requested $________________ 

75. Other contingent and unliquidated claims or causes of action of 

every nature, including counterclaims of the debtor and rights to 

set off claims 

______________________________________________________________ $_______________________

Nature of claim ___________________________________ 

Amount requested $________________

76. Trusts, equitable or future interests in property 

______________________________________________________________ $_____________________

77. Other property of any kind not already listed Examples: Season tickets, 

country club membership

____________________________________________________________

____________________________________________________________

$_____________________

$_____________________

78. Total of Part 11. 

Add lines 71 through 77. Copy the total to line 90. $_____________________

79. Has any of the property listed in Part 11 been appraised by a professional within the last year? 

 No

 Yes

Mary Brickell Village Hotel, LLC

Case 21-17103-RAM Doc 1 Filed 07/21/21 Page 15 of 38
Debtor _______________________________________________________ Case number (if known)_____________________________________ Name

Official Form 206A/B Schedule A/B: Assets  Real and Personal Property page 8

Part 12: Summary 

In Part 12 copy all of the totals from the earlier parts of the form. 

Type of property Current value of 

personal property 

Current value 

of real property 

80. Cash, cash equivalents, and financial assets. Copy line 5, Part 1. $_______________ 

81. Deposits and prepayments. Copy line 9, Part 2. $_______________ 

82. Accounts receivable. Copy line 12, Part 3. $_______________ 

83. Investments. Copy line 17, Part 4. $_______________ 

84. Inventory. Copy line 23, Part 5. $_______________ 

85. Farming and fishing-related assets. Copy line 33, Part 6. $_______________ 

86. Office furniture, fixtures, and equipment; and collectibles. 

Copy line 43, Part 7.

$_______________ 

87. Machinery, equipment, and vehicles. Copy line 51, Part 8. $_______________ 

88. Real property. Copy line 56, Part 9. . .....................................................................................  $________________

89. Intangibles and intellectual property. Copy line 66, Part 10. $_______________ 

90. All other assets. Copy line 78, Part 11. + $_______________ 

91. Total. Add lines 80 through 90 for each column. ............................ 91a. $_______________ + 91b. $________________

92. Total of all property on Schedule A/B. Lines 91a + 91b = 92. .............................................................................................. $__________________

Mary Brickell Village Hotel, LLC

12,578.00

742,182.00

32,000,000.00

74,969.77

1,131,779.16

1,965,508.93 32,000,000.00

33,965,508.93

Case 21-17103-RAM Doc 1 Filed 07/21/21 Page 16 of 38
 Official Form 206D Schedule D: Creditors Who Have Claims Secured by Property page 1 of ___ 

Official Form 206D 

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

Be as complete and accurate as possible. 

1. Do any creditors have claims secured by debtor’s property? 

 No. Check this box and submit page 1 of this form to the court with debtor’s other schedules. Debtor has nothing else to report on this form. 

 Yes. Fill in all of the information below. 

Part 1: List Creditors Who Have Secured Claims 

2. List in alphabetical order all creditors who have secured claims. If a creditor has more than one 

secured claim, list the creditor separately for each claim. 

Column A 

Amount of claim 

Do not deduct the value 

of collateral.

Column B 

Value of collateral 

that supports this 

claim

2.1 Creditor’s name Describe debtor’s property that is subject to a lien 

$__________________ $_________________ __________________________________________ ___________________________________________________

Creditor’s mailing address ___________________________________________________

________________________________________________________ 

________________________________________________________

___________________________________________________ 

Describe the lien

__________________________________________________ 

Creditor’s email address, if known 

_________________________________________ 

Is the creditor an insider or related party? 

 No 

 Yes

 

Date debt was incurred __________________

Last 4 digits of account 

number ___ ___ ___ ___

Is anyone else liable on this claim? 

 No 

 Yes. Fill out Schedule H: Codebtors (Official Form 206H).

Do multiple creditors have an interest in the 

same property?

 No 

 Yes. Specify each creditor, including this creditor, 

and its relative priority.

As of the petition filing date, the claim is: 

 Check all that apply. 

 Contingent 

 Unliquidated 

 Disputed

___________________________________ 

___________________________________

2.2 Creditor’s name Describe debtor’s property that is subject to a lien 

$__________________ $_________________ __________________________________________ ___________________________________________________

Creditor’s mailing address ___________________________________________________

________________________________________________________ 

________________________________________________________

___________________________________________________

 

Describe the lien

__________________________________________________

Creditor’s email address, if known 

_________________________________________ 

Is the creditor an insider or related party? 

 No 

 Yes

Date debt was incurred __________________

Last 4 digits of account 

number ___ ___ ___ ___

Is anyone else liable on this claim? 

 No 

 Yes. Fill out Schedule H: Codebtors (Official Form 206H).

Do multiple creditors have an interest in the 

same property?

 No 

 Yes. Have you already specified the relative 

priority?

As of the petition filing date, the claim is: 

 Check all that apply. 

 Contingent 

 Unliquidated 

 Disputed

 No. Specify each creditor, including this 

creditor, and its relative priority. 

 _________________________________ 

_________________________________

 Yes. The relative priority of creditors is 

specified on lines _____

3. Total of the dollar amounts from Part 1, Column A, including the amounts from the Additional 

Page, if any.

$________________ 

Debtor name __________________________________________________________________ 

United States Bankruptcy Court for the: ______________________ District of _________ (State) 

Case number (If known): _________________________ 

 Fill in this information to identify the case: 

 Check if this is an 

amended filing

Mary Brickell Village Hotel, LLC

Southern Florida

1

DF VII REIT HOLDINGS, LLC

Miami, Florida 33136-41 18

mgross@carltonfields.com

Real property mortgage and associated personalty security interest

Real property hotel, personalty located thereon, 

accounts receiveable related thereto, certain rents and

2 MiamiCentral, 700 NW 1st Avenue, Suite 1200

17,844,560.00 32,742,182.00

Greater than

17,844,560.00

January 2012

leases, etc. (as determined by applicable law)

Case 21-17103-RAM Doc 1 Filed 07/21/21 Page 17 of 38
Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 1 of ___ 

Official Form 206E/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 unsecured claims and Part 2 for creditors with NONPRIORITY 

unsecured 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: Assets - Real and Personal Property (Official Form 206A/B) and on Schedule G: Executory Contracts and Unexpired Leases

(Official Form 206G). Number the entries in Parts 1 and 2 in the boxes on the left. If more space is needed for Part 1 or Part 2, fill out and attach 

the Additional Page of that Part included in this form. 

Part 1: List All Creditors with PRIORITY Unsecured Claims 

1. Do any creditors have priority unsecured claims? (See 11 U.S.C. § 507).

 No. Go to Part 2. 

 Yes. Go to line 2.

2. List in alphabetical order all creditors who have unsecured claims that are entitled to priority in whole or in part. If the debtor has more than 

3 creditors with priority unsecured claims, fill out and attach the Additional Page of Part 1. 

Total claim Priority amount

2.1 Priority creditor’s name and mailing address As of the petition filing date, the claim is:

Check all that apply. 

 Contingent

 Unliquidated

 Disputed

$______________________ $_________________ __________________________________________________________________ 

___________________________________________ 

___________________________________________

 

Date or dates debt was incurred 

_________________________________ 

Basis for the claim:

__________________________________

Last 4 digits of account 

number ___ ___ ___ ___ 

Is the claim subject to offset? 

 No

 Yes Specify Code subsection of PRIORITY unsecured 

claim: 11 U.S.C. § 507(a) (_____)

2.2 Priority creditor’s name and mailing address As of the petition filing date, the claim is:

Check all that apply. 

 Contingent

 Unliquidated

 Disputed

$______________________ $_________________ __________________________________________________________________ 

___________________________________________ 

___________________________________________

 

Date or dates debt was incurred 

_________________________________ 

Basis for the claim:

__________________________________

Last 4 digits of account 

number ___ ___ ___ ___ 

Is the claim subject to offset? 

 No

 Yes Specify Code subsection of PRIORITY unsecured 

claim: 11 U.S.C. § 507(a) (_____)

2.3 Priority creditor’s name and mailing address As of the petition filing date, the claim is:

Check all that apply. 

 Contingent

 Unliquidated

 Disputed

$______________________ $_________________ __________________________________________________________________ 

___________________________________________ 

___________________________________________

 

Date or dates debt was incurred 

_________________________________ 

Basis for the claim:

__________________________________

Last 4 digits of account 

number ___ ___ ___ ___ 

Is the claim subject to offset? 

 No

 Yes Specify Code subsection of PRIORITY unsecured 

claim: 11 U.S.C. § 507(a) (_____)

Debtor __________________________________________________________________ 

United States Bankruptcy Court for the: ______________________ District of __________ (State) 

Case number ___________________________________________ 

 (If known) 

 Fill in this information to identify the case: 

 Check if this is an 

amended filing

Mary Brickell Village Hotel, LLC

Southern Florida

See Annex Attached

3

Case 21-17103-RAM Doc 1 Filed 07/21/21 Page 18 of 38
Debtor _______________________________________________________ Case number (if known)_____________________________________ Name 

 Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page __ of ___ 

Part 2: List All Creditors with NONPRIORITY Unsecured Claims 

3. List in alphabetical order all of the creditors with nonpriority unsecured claims. If the debtor has more than 6 creditors with nonpriority 

unsecured claims, fill out and attach the Additional Page of Part 2. 

Amount of claim

3.1 Nonpriority creditor’s name and mailing address As of the petition filing date, the claim is:

Check all that apply. 

 Contingent

 Unliquidated

 Disputed

$________________________________ 

____________________________________________________________

____________________________________________________________

____________________________________________________________ Basis for the claim: ________________________

Date or dates debt was incurred ___________________

Last 4 digits of account number ___ ___ ___ ___

Is the claim subject to offset? 

 No 

 Yes

3.2 Nonpriority creditor’s name and mailing address As of the petition filing date, the claim is:

Check all that apply. 

 Contingent

 Unliquidated

 Disputed

$________________________________ 

____________________________________________________________

____________________________________________________________

____________________________________________________________ Basis for the claim: ________________________

Date or dates debt was incurred ___________________

Last 4 digits of account number ___ ___ ___ ___

Is the claim subject to offset? 

 No 

 Yes

3.3 Nonpriority creditor’s name and mailing address As of the petition filing date, the claim is:

Check all that apply. 

 Contingent

 Unliquidated

 Disputed

$________________________________ 

____________________________________________________________

____________________________________________________________

____________________________________________________________ Basis for the claim: ________________________

Date or dates debt was incurred ___________________

Last 4 digits of account number ___ ___ ___ ___

Is the claim subject to offset? 

 No 

 Yes

3.4 Nonpriority creditor’s name and mailing address As of the petition filing date, the claim is:

Check all that apply. 

 Contingent

 Unliquidated

 Disputed

$________________________________ 

____________________________________________________________

____________________________________________________________

____________________________________________________________

Basis for the claim: ________________________

Date or dates debt was incurred ___________________

Last 4 digits of account number ___ ___ ___ ___

Is the claim subject to offset? 

 No 

 Yes

3.5 Nonpriority creditor’s name and mailing address As of the petition filing date, the claim is:

Check all that apply. 

 Contingent

 Unliquidated

 Disputed

$________________________________ 

____________________________________________________________

____________________________________________________________

____________________________________________________________

Basis for the claim: ________________________

Date or dates debt was incurred ___________________

Last 4 digits of account number ___ ___ ___ ___

Is the claim subject to offset? 

 No 

 Yes

3.6 Nonpriority creditor’s name and mailing address As of the petition filing date, the claim is:

Check all that apply. 

 Contingent

 Unliquidated

 Disputed

$________________________________ 

____________________________________________________________

____________________________________________________________

____________________________________________________________

Basis for the claim: ________________________

Date or dates debt was incurred ___________________

Last 4 digits of account number ___ ___ ___ ___

Is the claim subject to offset? 

 No 

 Yes

See Annex Attached.

2 3

Mary Brickell Village Hotel, LLC Case 21-17103-RAM Doc 1 Filed 07/21/21 Page 19 of 38
Debtor _______________________________________________________ Case number (if known)_____________________________________ Name 

 Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page __ of ___ 

Part 4: Total Amounts of the Priority and Nonpriority Unsecured Claims

5. Add the amounts of priority and nonpriority unsecured claims. 

Total of claim amounts

5a. Total claims from Part 1 5a. $_____________________________

5b. Total claims from Part 2 

 

5b. + $_____________________________

5c. Total of Parts 1 and 2 

Lines 5a + 5b = 5c. 

5c. $_____________________________

 

3 3

289,015.20

Mary Brickell Village Hotel, LLC

268,803.09

557,818.29

Case 21-17103-RAM Doc 1 Filed 07/21/21 Page 20 of 38
UNITED STATES BANKRUPTCY COURT

SOUTHERN DISTRICT OF FLORIDA 

MIAMI DIVISION

_____________________________________

)

In re: )

) Chapter 11 

Mary Brickell Village Hotel, LLC, )

) Case No. 21-_______________ 

)

 Debtor.1)

_____________________________________ )

ANNEX TO SCHEDULE E/F

ANNEX TO PART 1 – PRIORITY UNSECURED CLAIMS 

The Debtor owes on account of two types of priority unsecured claims: (i) prepetition 

employee wages and (ii) prepetition taxes. Contemporaneously herewith, the Debtor has filed the 

Debtor’s Motion for Entry of Interim and Final Orders (I) Authorizing the Payment of Certain 

Prepetition Taxes and Fees and (II) Granting Related Relief (the “Taxes Motion”) and the Debtor’s 

Motion For Entry of an Order (A) Authorizing the Debtor to (I) Pay Prepetition Employee Wages, 

Salaries and Other Compensation, and (II) Continue Employee Benefits Programs, and (B) 

Granting Related Relief (the “Wages Motion”), each of which is incorporated herein by reference. 

In each of the Taxes Motion and the Wages motion, the Debtor provides details of its prepetition 

tax obligations (all of which are priority unsecured claims) and its prepetition wage obligations 

(all of which are priority unsecure claims under the statutory priority amount). The Debtor 

anticipates that it will receive relief on each of the Taxes Motion and Wages Motion on an 

expedited basis, allowing it to pay all priority unsecured claims in full. The total amount of priority 

tax claims is $278,663.62. The total amount of priority wage claims is estimated to be $10,351.58.

1

 The last four digits of the Debtor’s tax identification number are 7701. The Debtor’s principal address is 1001 

SW 2nd Ave., Miami, FL 33130. 

Case 21-17103-RAM Doc 1 Filed 07/21/21 Page 21 of 38
ANNEX TO PART 2 – NONPRIORITY UNSECURED CLAIMS

 

 Name of creditor 

Contact & Mailing 

Address Nature Unsecured Claim 

 Contingent, 

Unliquidated, 

Disputed? 

3. 1 1st SOS Staffing, Inc 

1040 Bayview Dr Ste # 603 

Ft. Lauderdale, FL 33304 Services $ 1,382.21 

3. 2 Amin Lakhani 

9700 South Dixie Highway, 

PH 1100 

Miami, Florida 33156 Litigation Unknown 

 Contingent, 

Unliquidated, 

Disputed 

3. 3 AT&T 

PO Box 105262 

Atlanta, GA 30348 Services $ 2,121.08 

3. 4 Cintas Corporation 

PO Box 631025 

Cincinnati, OH 45263-

1025 Trade $ 442.99 

3. 5 Comcast 

PO Box 37601 

Philadelphia, PA 19101-

0601 Utilities $ 2,073.16 

3. 6 De Lage Landen 

PO Box 41602 

Philadelphia, PA 19101-

1602 Services $ 455.58 

3. 7 

Engineering Systems 

Technology, Inc 

2400 West 84th Street #9 

Hialeah, FL 333016 Trade $ 374.50 

3. 8 FPL Energy Services 

PO Box 25426 

Miami, FL 33102-5426 Utilities $ 355.99 

3. 9 

HD Supply Facilities 

Maintenance LTD 

PO Box 509058 

San Digo, CA 92150-9058 Trade $ 4,438.89 

3. 10

Hotelier Linen 

Services 

PO Box 27316 Dept N287 

Salt Lake City, UT 84127-

0316 Trade $ 17,138.33 Disputed 

3. 11 Insight Direct USA 

C/O Morgan Chase 

PO Box 731069 Dallas, Tx 

75373-1069 Trade $ 2,202.64 

3. 12 IPFS Corporation 

P.O. BOX 412086

Kansas City, MO 64141-

2086 Insurance $ 224,581.30 

3. 13 Otis 

PO Box 73579 

Chicago, IL 60673-7579 Trade $ 792.50 

3. 14 Pepsi Beverage Co 

PO Box 75948 

Chicago, IL 6067559 Trade $ 949.02 

3. 15 Royal Cup, Inc 

PO Box 841000 

Dallas, TX 75284-1000 Trade $ 1,093.07 

3. 16 Santiano Brothers Inc

59565 TG Lee Blvd Suite 

260 Orlando, FL 32822 Trade $ 187.25 

3. 17

ScentAir 

Technologies, Inc 

PO Box 978754 Dallas, TX 

75397-8754 Trade $ 208.65 

Case 21-17103-RAM Doc 1 Filed 07/21/21 Page 22 of 38
3. 18 Sonny Innocent 

1 NE 2nd Avenue Suite 

200 

Miami, Florida 33132 Litigation Unknown 

Contingent, 

Unliquidated, 

Disputed 

3. 19 US Foods, Inc 

PO Box 281838 

Atlanta, GA 30384-1838 Trade $ 827.69 

3. 20 VIP Security Florida 

2500 NW 79 Ave Suite 

#173 Doral, FL 33122 Trade $ 3,182.00 

3. 21

Waste Management 

of Dade County 

PO Box 105453 

Atlanta, GA 30348 Trade $ 5,996.24 

Case 21-17103-RAM Doc 1 Filed 07/21/21 Page 23 of 38
Official Form 206G Schedule G: Executory Contracts and Unexpired Leases page 1 of ___ 

Official Form 206G 

Schedule G: Executory Contracts and Unexpired Leases 12/15

Be as complete and accurate as possible. If more space is needed, copy and attach the additional page, numbering the entries consecutively. 

1. Does the debtor have any executory contracts or unexpired leases? 

 No. Check this box and file this form with the court with the debtor’s other schedules. There is 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: Assets - Real and Personal Property (Official 

Form 206A/B). 

2. List all contracts and unexpired leases State the name and mailing address for all other parties with 

whom the debtor has an executory contract or unexpired lease

2.1

State what the contract or 

lease is for and the nature 

of the debtor’s interest 

____________________________________ 

____________________________________

_________________________________________________________ 

_________________________________________________________ 

_________________________________________________________ 

_________________________________________________________ 

_________________________________________________________

State the term remaining ____________________________________ 

List the contract number of 

any government contract ____________________________________ 

2.2

State what the contract or 

lease is for and the nature 

of the debtor’s interest 

____________________________________ 

____________________________________

_________________________________________________________ 

_________________________________________________________ 

_________________________________________________________ 

_________________________________________________________ 

_________________________________________________________

State the term remaining ____________________________________ 

List the contract number of 

any government contract ____________________________________ 

2.3

State what the contract or 

lease is for and the nature 

of the debtor’s interest 

____________________________________ 

____________________________________

_________________________________________________________ 

_________________________________________________________ 

_________________________________________________________ 

_________________________________________________________ 

_________________________________________________________

State the term remaining ____________________________________ 

List the contract number of 

any government contract ____________________________________ 

2.4 State what the contract or 

lease is for and the nature 

of the debtor’s interest 

____________________________________ 

____________________________________

_________________________________________________________ 

_________________________________________________________ 

_________________________________________________________ 

_________________________________________________________ 

_________________________________________________________

State the term remaining ____________________________________ 

List the contract number of 

any government contract ____________________________________ 

2.5

State what the contract or 

lease is for and the nature 

of the debtor’s interest 

____________________________________ 

____________________________________

_________________________________________________________ 

_________________________________________________________ 

_________________________________________________________ 

_________________________________________________________ 

_________________________________________________________

State the term remaining ____________________________________ 

List the contract number of 

any government contract ____________________________________ 

Debtor name __________________________________________________________________ 

United States Bankruptcy Court for the:______________________ District of _______ (State) 

Case number (If known): _________________________ Chapter _____ 

 Fill in this information to identify the case: 

 Check if this is an 

amended filing

Mary Brickell Village Hotel, LLC

Southern Florida

11

Insurance

Until 1/31/2022

IPFS Corporation

P.O. BOX 412086

Kansas City, MO 64141-2086

1

Case 21-17103-RAM Doc 1 Filed 07/21/21 Page 24 of 38
Official Form 206H Schedule H: Codebtors page 1 of ___ 

Official Form 206H 

Schedule H: Codebtors 12/15

Be as complete and accurate as possible. If more space is needed, copy the Additional Page, numbering the entries consecutively. Attach 

the Additional Page to this page. 

1. Does the debtor have any codebtors? 

 No. Check this box and submit this form to the court with the debtor's other schedules. Nothing else needs to be reported on this form. 

 Yes 

2. In Column 1, list as codebtors all of the people or entities who are also liable for any debts listed by the debtor in the schedules of 

creditors, Schedules D-G. Include all guarantors and co-obligors. In Column 2, identify the creditor to whom the debt is owed and each 

schedule on which the creditor is listed. If the codebtor is liable on a debt to more than one creditor, list each creditor separately in Column 2. 

Column 1: Codebtor Column 2: Creditor 

Name Mailing address Name Check all schedules 

that apply: 

2.1 _____________________ ________________________________________________________ 

Street 

________________________________________________________ 

________________________________________________________ 

City State ZIP Code 

_____________________  D 

E/F 

 G 

2.2 _____________________ ________________________________________________________ 

Street 

________________________________________________________ 

________________________________________________________ 

City State ZIP Code 

_____________________  D 

E/F 

 G 

2.3 _____________________ ________________________________________________________ 

Street 

________________________________________________________ 

________________________________________________________ 

City State ZIP Code 

_____________________  D 

E/F 

 G 

2.4 _____________________ ________________________________________________________ 

Street 

________________________________________________________ 

________________________________________________________ 

City State ZIP Code 

_____________________  D 

E/F 

 G 

2.5 _____________________ ________________________________________________________ 

Street 

________________________________________________________ 

________________________________________________________ 

City State ZIP Code 

_____________________  D 

E/F 

 G 

2.6 _____________________ ________________________________________________________ 

Street 

________________________________________________________ 

________________________________________________________ 

City State ZIP Code 

_____________________  D 

E/F 

 G 

Debtor name __________________________________________________________________ 

United States Bankruptcy Court for the:_______________________ District of ________ (State) 

Case number (If known): _________________________ 

 Fill in this information to identify the case: 

 Check if this is an 

amended filing

Mary Brickell Village Hotel, LLC

Southern Florida

1

Pedro Villar

DF VII REIT HOLDINGS, LLC

DF VII REIT HOLDINGS, LLC

Francisco Arocha

Miami FL 33130

1001 SW 2nd Ave.

1001 SW 2nd Ave.

Miami FL 33130

Case 21-17103-RAM Doc 1 Filed 07/21/21 Page 25 of 38
1

WRITTEN CONSENT OF THE MEMBERS, MANAGER

AND INDEPENDENT MANAGER

OF MARY BRICKELL VILLAGE HOTEL, LLC

July 21, 2021

The undersigned, being all of the members (the “Members”) and the manager (the “Manager”)

and the independent manager (the “Independent Manager”) of Mary Brickell Village Hotel, LLC, a 

Florida limited liability company (the “Company”), hereby adopts the following resolutions, by written

consent, effective as of the date hereof:

WHEREAS, the Company is governed by that certain Fourth Amended and Restated Operating

Agreement, dated July 17, 2018, entered into by the Members (the “Operating Agreement”); and

WHEREAS, the Manager, the Independent Manager and the Members have reviewed the 

materials presented by management, advisors and legal counsel of the Company regarding the liabilities

and liquidity situation of the Company, the strategic alternatives available to the Company, and the 

impact of the foregoing on the Company’s business; and

WHEREAS, the Manager, the Independent Manager and the Members have reviewed and 

considered the financial and operational condition of the Company, including its existing assets and 

current and long-term liabilities; and

WHEREAS, the Manager, the Independent Manager and the Members have received, reviewed 

and considered the recommendations of the senior management of the Company and the Company’s 

legal, financial and other advisors as to the relative risks and benefits of pursuing a bankruptcy 

proceeding under Chapter 11 of Title 11 of the United States Code, 11 U.S.C. §§ 101 et seq. (the 

“Bankruptcy Code”); and

WHEREAS, the Manager, the Independent Manager and the Members have authority to 

authorize a bankruptcy filing pursuant to the terms of the Operating Agreement.

NOW, THEREFORE, BE IT:

RESOLVED, that after consideration of the alternatives and the advice of the Company’s 

professionals and advisors, the Members and the Manager have determined in its business judgement 

that it is in the best interest of the Company, its creditors and other interest and the Independent Manager 

having been asked to consent to a Material Action pursuant to Section 7.8(b) of the Operating Agreement, 

and considering her fiduciary duties, if any, as provided under the Operating Agreement that the 

Company shall commence a Chapter 11 Case under the Bankruptcy Code in the United States 

Bankruptcy Court for the Southern District of Florida;

RESOLVED, FURTHER, that the Manager of the Company, or any duly appointed officer of 

the Company (collectively, the “Authorized Representatives”) acting alone or with one or more other 

Authorized Representatives be, and each of them hereby is, authorized, empowered, and directed to 

execute and file on behalf of the Company all petitions schedules, lists, and other motions, pleadings, 

papers, or documents (including the filing of financing statements), and to take any and all action that 

they deem necessary, appropriate, or desirable to obtain such relief, including, without limitation, any 

action necessary, appropriate, or desirable to maintain the ordinary course operation of the Company’s 

Case 21-17103-RAM Doc 1 Filed 07/21/21 Page 26 of 38
2

business;

RESOLVED, FURTHER, that each of the Authorized Representatives be, and hereby is, 

authorized, empowered and directed to employ the law firm of Pack Law, P.A. (“Pack Law”) to represent 

the Company, as general bankruptcy counsel to represent and assist the Company in carrying out its 

duties in under the Bankruptcy Code, and to (a) execute, acknowledge, deliver and verify the petition

(the “Petition”) and all other ancillary documents, and to cause the Petition to be filed with the 

Bankruptcy Court and make or cause to be made, prior to execution thereof any modifications to the

Petition or any ancillary document as the Company deems necessary, desirable, or appropriate to cany

out the intent and accomplish the purpose of these resolutions (b) execute, acknowledge, deliver, verify, 

and file or cause to be filed all petitions, schedules, statements, lists, motions, applications, and other

papers or documents necessary or proper in connection with the foregoing and (c) execute, acknowledge, 

deliver, and verify any and all other documents necessary or proper in connection therewith and to 

administer the Company’s Chapter 11 Case in form or forms as the Company may deem necessary or 

proper and in order to effectuate the purpose of the intent of the foregoing resolutions;

RESOLVED, FURTHER, that each of the Authorized Representatives be, and hereby is, 

authorized and empowered to employ the law firm of Zarco Einhorn Salkowki & Brito P.A. (“Zarco 

Einhorn”) to represent the Company, as special litigation counsel to represent and assist the Company,

and to take any and all actions to advance the Company’s rights and obligations, including filing any 

pleadings; and in connection therewith, each of the Authorized Representatives, acting alone or with one 

or more other Authorized Representatives, be, and hereby is, authorized and directed to execute 

appropriate retention agreements, pay appropriate retainers prior to and immediately upon filing of the 

chapter 11 case, and to cause to be filed an appropriate application for authority to retain the services of 

Zarco Einhorn, if necessary;

RESOLVED, FURTHER, that each of the Authorized Representatives be, and hereby is, 

authorized and directed to employ any other professionals to assist the Company in carrying out its duties 

under the Bankruptcy Code and related matters; and in connection therewith, each of the Authorized 

Representatives be, and hereby is, authorized and directed to execute appropriate retention agreements, 

pay appropriate retainers prior to and immediately upon filing of the case under chapter 11 of the 

Bankruptcy Code, and cause to be filed an appropriate application for authority to retain the services of 

any professionals as necessary;

RESOLVED, FURTHER, that each of the Authorized Representatives be, and hereby is, 

authorized and directed to in the name and on behalf of the Company, to executed all petitions, schedules, 

motions, lists, applications, pleadings, and other papers or documents, and to take any and all such other 

and further actions which such Authorized Representatives or the Company’s legal counsel may deem 

necessary, proper, or desirable in connection with the Company’s duties under chapter 11 of the 

Bankruptcy Code and any other matter connected therewith, with a view to the successful prosecution of 

such case;

RESOLVED, FURTHER, that each of the Authorized Representatives be, and hereby is, 

authorized and directed, in the name and on behalf of the Company, to take such actions and to make, 

sign, execute, acknowledge, and deliver any and all such additional documents, agreements, affidavits, 

applications for approvals or rulings of governmental or regulatory authorities, motions, orders, 

directions, certificates, requests, receipts, financing statements, or other instruments as may be 

reasonably required to give effect to the foregoing resolutions and to consummate the transactions 

contemplated by the foregoing resolutions, to execute and deliver such instruments, and to fully perform 

Case 21-17103-RAM Doc 1 Filed 07/21/21 Page 27 of 38
3

the terms and provisions thereof; 

RESOLVED, FURTHER, that any and all actions, whether previously or subsequently taken 

by the Authorized Representatives, that are consistent with the intent and purpose of the foregoing 

resolutions or in connection with any matters referred to herein, shall be, and the same hereby are, in all 

respects, ratified, approved, and confirmed.

RESOLVED FURTHER, that these resolutions may be executed in one or more counterparts, 

each of which shall be deemed an original, but all of which taken together shall constitute one and the 

same instrument, and confirmation of execution by electronic transmission of a facsimile signature page 

shall be binding on a party so confirming.

[Signatures in Following Pages]

Case 21-17103-RAM Doc 1 Filed 07/21/21 Page 28 of 38
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Case 21-17103-RAM Doc 1 Filed 07/21/21 Page 33 of 38
MEMBER AND MANAGER: 

ARVI MANAGEMENT CORPORATION, 

a Florida corporation 

By:_________________________________ 

 Pedro F. Villar, President 

INDEPENDENT MANAGER: 

_________________________________ 

Jessica L.M. Woodward 

Independent Manager 

Case 21-17103-RAM Doc 1 Filed 07/21/21 Page 34 of 38
UNITED STATES BANKRUPTCY COURT

SOUTHERN DISTRICT OF FLORIDA 

MIAMI DIVISION

_____________________________________

)

In re: )

) Chapter 11 

Mary Brickell Village Hotel, LLC, )

) Case No. 21-_______________ 

)

Debtor.1)

_____________________________________ )

VERIFICATION OF CREDITOR MATRIX

I, Pedro F. Villar on behalf of Mary Brickell Village Hotel, LLC, the named debtor and 

debtor in possession in the above-captioned chapter 11 case, hereby verify that the attached list 

of creditors is true and correct to the best of my knowledge. 

Dated: July 21, 2021 

Miami, Florida 

Respectfully submitted,

By: /s/ Pedro F. Villar

 Pedro F. Villar 

1

 The last four digits of the Debtor’s tax identification number are 7701. The Debtor’s principal address is 1001 

SW 2nd Ave., Miami, FL 33130. 

Case 21-17103-RAM Doc 1 Filed 07/21/21 Page 35 of 38
1st SOS Staffing, Inc 

1040 Bayview Dr Ste # 603 

Ft. Lauderdale, FL 33304 

Amin Lakhani 

9700 South Dixie Highway, PH 1100 

Miami, Florida 33156 

AT&T 

PO Box 105262 

Atlanta, GA 30348 

Cintas Corporation 

PO Box 631025 

Cincinnati, OH 45263-1025 

Comcast 

PO Box 37601 

Philadelphia, PA 19101-0601 

De Lage Landen 

PO Box 41602 

Philadelphia, PA 19101-1602 

DF VII REIT Holdings, LLC 

C/O Carlton Fields, P.A. 

Attn: Merrick L. Gross 

2 MiamiCentral 

700 NW 1st Avenue, Ste. 1200 

Miami, Florida 33136-4118 

Engineering Systems Technology, Inc 

2400 West 84th Street #9 

Hialeah, FL 333016 

Florida Department of Revenue 

5050 West Tennessee St. 

Tallahassee, FL 32399 

Case 21-17103-RAM Doc 1 Filed 07/21/21 Page 36 of 38
FPL Energy Services 

PO Box 25426 

Miami, FL 33102-5426 

HD Supply Facilities Maintenance LTD 

PO Box 509058 

San Diego, CA 92150-9058 

Hotelier Linen Services 

PO Box 27316 Dept N287 

Salt Lake City, UT 84127-0316 

Insight Direct USA 

C/O Morgan Chase 

PO Box 731069 

Dallas, TX 75373-1069 

IPFS Corporation 

P.O. BOX 412086 

Kansas City, MO 64141-2086 

Miami-Dade Tax Collector 

200 NW 2nd Ave 

Miami, FL 33128 

Otis 

PO Box 73579 

Chicago, IL 60673-7579 

Pepsi Beverage Co 

PO Box 75948 

Chicago, IL 60675 

Royal Cup, Inc 

PO Box 841000 

Dallas, TX 75284-1000 

Case 21-17103-RAM Doc 1 Filed 07/21/21 Page 37 of 38
Santiano Brothers Inc 

59565 TG Lee Blvd Suite 260 

Orlando, FL 32822 

ScentAir Technologies, Inc 

PO Box 978754 

Dallas, TX 75397-8754 

Sonny Innocent 

1 NE 2nd Avenue Suite 200 

Miami, Florida 33132 

The Sheraton LLC 

13682 Collections Center Drive 

Chicago, Il 60693 

US Foods, Inc 

PO Box 281838 

Atlanta, GA 30384-1838 

VIP Security Florid 

2500 NW 79 Ave Suite #173 

Doral, FL 33122 

Waste Management of Dade County 

PO Box 105453 

Atlanta, GA 30348 

Case 21-17103-RAM Doc 1 Filed 07/21/21 Page 38 of 38