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:_______________________________ 

Case number (If known): _________________________ 

 Fill in this information to identify the case:

True Enterprise, LLC

Suppliers or Vendors

Suppliers or Vendors

Suppliers or Vendors

Debt Counseling /

Attorneys

Taxes & Other

Government Units

44,381.32

14,407.50

4,650.00

4,380.00

0.00

0.00

Southern District of Florida

Internal Revenue Service

POB 7346

Philadelphia, PA, 19101

Daleth, Inc.

c/o Weires, Murdock, PLLC

14 S.E. 4TH ST

Boca Raton, FL, 33432

Kalis Kleinman & Wolfe

7320 Griffin Rd

Suite 109

Fort Lauderdale, FL, 33314

Earth Tech Drilling

19263 Redberry Court

Boca Raton, FL, 33498

SCS Engineers

3900 Kilroy Airport Way

Suite 100

Long Beach, CA, 90806-6816

North American Transaction Services

PO Box 7247-6171

Philadelphia, PA, 19170

Case 21-19977-SMG Doc 2 Filed 10/18/21 Page 1 of 2
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

True Enterprise, LLC

Case 21-19977-SMG Doc 2 Filed 10/18/21 Page 2 of 2