IN THE UNITED STATES BANKRUPTCY COURT

FOR THE NORTHERN DISTRICT OF TEXAS

DALLAS DIVISION

In re:

IMPEL PHARMACEUTICALS, INC., et al.1

Debtors.

Chapter 11

Case No. 23-80016 (SGJ)

(Jointly Administered)

GLOBAL NOTES AND STATEMENT OF LIMITATIONS, METHODOLOGY, 

AND DISCLAIMERS REGARDING THE DEBTORS’ AMENDED SCHEDULES 

OF ASSETS AND LIABILITIES AND STATEMENTS OF FINANCIAL AFFAIRS 

On December 19, 2023 (the “Petition Date”), Impel Pharmaceuticals, Inc. and its affiliated 

debtor in the above-captioned chapter 11 cases (each a “Debtor” and, collectively, the “Debtors”) 

commenced voluntary cases (the “Chapter 11 Cases”) under chapter 11 of title 11, United States 

Code, §§ 101 et seq. (the “Bankruptcy Code”) in the United States Bankruptcy Court for the 

Northern District of Texas (the “Court”).

The Debtors continue to operate their businesses and manage their properties as debtors 

and debtors in possession, pursuant to sections 1107(a) and 1108 of the Bankruptcy Code. The 

Chapter 11 Cases have been consolidated for procedural purposes only and are being jointly 

administered under case number 23-80016 (SGJ).

The Schedules of Assets and Liabilities (the “Schedules”) and Statements of Financial 

Affairs (the “Statements”) were prepared pursuant to section 521 of the Bankruptcy Code and Rule 

1007 of the Federal Rules of Bankruptcy Procedure (the “Bankruptcy Rules”) by management of 

the Debtors with unaudited information available as of the Petition Date.

These Global Notes and Statement of Limitations, Methodology, and Disclaimers 

Regarding the Debtors’ Schedules and Statements of Financial Affairs (the “Global Notes”) are 

incorporated by reference in, and comprise an integral part of, each Debtor’s respective Schedules 

and Statements, and should be referred to and considered in connection with any review of the 

Schedules and Statements.

In preparing the Schedules and Statements, the Debtors relied on financial data derived 

from their books and records that was available at the time of such preparation. The Debtors, and 

their agents, attorneys, and advisors do not guarantee or warrant the accuracy or completeness of 

the data that is provided herein, and shall not be liable for any loss or injury arising out of or caused 

1 The Debtors in this chapter 11 case, together with the last four digits of the Debtor’s federal tax identification number, 

are: Impel Pharmaceuticals Inc. (8238); and Impel NeuroPharma Australia Pty Ltd (N/A). The Debtors’ service 

address is 201 Elliot Avenue West, Suite 260, Seattle, WA 98119.

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in whole or in part by the acts, errors, or omissions, whether negligent or otherwise, in procuring, 

compiling, collecting, interpreting, reporting, communicating, or delivering the information 

contained herein. While reasonable efforts have been made to provide accurate and complete 

information herein, inadvertent errors or omissions may exist. The Debtors reserve their rights to 

amend and supplement the Schedules and Statements as may be necessary or appropriate. For the 

avoidance of doubt, the Debtors and their agents, attorneys, and advisors expressly do not 

undertake any obligation to update, modify, revise, or re-categorize the information provided 

herein, or to notify any third party should the information be updated, modified, revised, or 

re-categorized, except as required by applicable law. In no event shall the Debtors, or their agents, 

attorneys, and advisors, be liable to any third party for any direct, indirect, incidental, 

consequential, or special damages (including, but not limited to, damages arising from the 

disallowance of a potential claim against the Debtors or damages to business reputation, lost 

business, or lost profits), whether foreseeable or not and however caused, even if the Debtors or 

their agents, attorneys, or advisors are advised of the possibility of such damages.

Given, among other things, the uncertainty surrounding the valuation and nature of certain 

assets and liabilities, to the extent that a Debtor shows more assets than liabilities, this is not an 

admission that such Debtor was solvent on the Petition Date (as defined below) or at any time prior 

to the Petition Date. Likewise, to the extent that a Debtor shows more liabilities than assets, it is

not an admission that such Debtor was insolvent on the Petition Date or any time prior to the

Petition Date.

Brandon Smith has signed each set of the Schedules and Statements. Mr. Smith serves as 

the Chief Restructuring Officer (“CRO”) of the Debtors, and he is an authorized signatory for each 

of the Debtors in these chapter 11 cases. In reviewing and signing the Schedules and Statements, 

Mr. Smith has necessarily relied upon the efforts, statements, advice, and representations of the 

Debtors and their advisors. Mr. Smith has not (and could not have) personally verified the 

accuracy of each such statement and representation, including statements and representations 

concerning amounts owed to creditors, classification of such amounts, and creditor addresses. 

Global Notes and Overview of Methodology

1. Impel NeuroPharma Australia Pty Ltd. Impel NeuroPharma Australia Pty Ltd

(“Impel Australia”) is a wholly-owned subsidiary of Impel Pharmaceuticals Inc. (“Impel”). Impel 

Australia had no operations other than tax filings and bookkeeping related to its two bank accounts 

in the year prior to the Petition Date. Impel Australia has no sales receipts. All vendors supporting 

its bookkeeping and tax filings are paid by Impel. Accordingly, the Debtors have reported the 

only assets owned by Impel Australia, which include one IOLTA deposit and two bank accounts. 

The Debtors reserve all rights to amend and supplement the Schedules and Statements as may be 

necessary or appropriate.

2. Reservations and Limitations. Reasonable efforts have been made to prepare and

file complete and accurate Schedules and Statements; however, as noted above, inadvertent errors 

or omissions may exist. The Debtors reserve all rights to amend and supplement the Schedules 

and Statements as may be necessary or appropriate. Nothing contained in the Schedules and 

Statements constitutes a waiver of any of the Debtors’ rights or an admission of any kind with 

respect to these chapter 11 cases, including, but not limited to, any rights or claims of the Debtors 

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against any third party or issues involving substantive consolidation, equitable subordination, or 

defenses or causes of action arising under the provisions of chapter 5 of the Bankruptcy Code or 

any other relevant applicable bankruptcy or non-bankruptcy laws to recover assets or avoid 

transfers. Any specific reservation of rights contained elsewhere in the Global Notes does not 

limit in any respect the general reservation of rights contained in this paragraph.

(a) No Admission. Nothing contained in the Schedules and Statements is intended or 

should be construed as an admission or stipulation of the validity of any claim 

against the Debtors, any assertion made therein or herein, or a waiver of the 

Debtors’ rights to dispute any claim or assert any cause of action or defense against 

any party.

(b) Recharacterization. Notwithstanding that the Debtors have made reasonable

efforts to correctly characterize, classify, categorize, or designate certain claims, 

assets, executory contracts, unexpired leases, and other items reported in the 

Schedules and Statements, the Debtors nonetheless may have improperly 

characterized, classified, categorized, or designated certain items. The Debtors 

reserve all rights to recharacterize, reclassify, recategorize, or redesignate items 

reported in the Schedules and Statements at a later time as is necessary and 

appropriate, including, without limitation, whether contracts or leases listed herein 

were deemed executory or unexpired as of the Petition Date and remain executory 

and unexpired post-petition. Disclosure of information in one or more Schedules,

Statements, or one or more exhibits or attachments thereto, even if incorrectly 

placed, shall be deemed to be disclosed in the correct Schedules, Statements, 

exhibits, or attachments.

(c) Classifications. Listing (i) a claim on Schedule D as “secured,” (ii) a claim on 

Schedule E/F as “priority” or “unsecured,” or (iii) a contract on Schedule G as 

“executory” or “unexpired” does not constitute an admission by the Debtors of the 

legal rights of the claimant or contract counterparty, or a waiver of the Debtors’ 

rights to recharacterize or reclassify such claim or contract or to setoff such claim.

(d) Claims Description. Any failure to designate a claim on the Debtors’ Schedules 

and Statements as “disputed,” “contingent,” or “unliquidated” does not constitute 

an admission by the Debtors that such amount is not “disputed,” “contingent,” or 

“unliquidated.” Each Debtor reserves all rights to dispute, or assert offsets or 

defenses to, any claim reflected on its respective Schedules and Statements on any 

grounds, including, without limitation, liability, or classification, or to otherwise 

subsequently designate such claims as “disputed,” “contingent,” or “unliquidated” 

or object to the extent, validity, enforceability, or priority of any claim. Moreover, 

listing a claim does not constitute an admission of liability by the Debtors against 

which the claim is listed or by any of the Debtors. The Debtors reserve all rights 

to amend their Schedules and Statements as necessary and appropriate, including, 

but not limited to, with respect to claim description and designation. 

(e) Estimates and Assumptions. The preparation of the Schedules and Statements 

required the Debtors to make reasonable estimates and assumptions with respect to 

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the reported amounts of assets and liabilities, the amount of contingent assets and 

contingent liabilities on the Schedules and Statements, and the reported amounts of 

revenues and expenses during the applicable reporting periods. Actual results could 

differ from such estimates.

(f) Causes of Action. Despite reasonable efforts, the Debtors may not have identified 

all current and potential causes of action the Debtors may have against third parties 

in their respective Schedules and Statements, including, without limitation, 

avoidance actions arising under chapter 5 of the Bankruptcy Code and actions under 

other relevant bankruptcy and non-bankruptcy laws to recover assets. The Debtors 

reserve all rights with respect to any causes of action, and nothing in these Global 

Notes or the Schedules and Statements should be construed as a waiver of any such 

causes of action. 

(g) Intellectual Property Rights. Exclusion of certain intellectual property from the 

Schedules and Statements should not be construed as an admission that such 

intellectual property rights have been abandoned, have been terminated or 

otherwise expired by their terms, or have been assigned or otherwise transferred 

pursuant to a sale, acquisition, or other transaction. Conversely, inclusion of certain 

intellectual property rights in the Schedules and Statements should not be construed 

as an admission that such intellectual property rights have not been abandoned, 

have not been terminated or otherwise expired by their terms, or have not been 

assigned or otherwise transferred pursuant to a sale, acquisition, or other 

transaction.

(h) Executory Contracts and Unexpired Leases. Although the Debtors made 

diligent efforts to identify contracts and unexpired leases as executory within the 

scope of section 365 of the Bankruptcy Code and to attribute an executory contract 

to its rightful Debtors, in certain instances, the Debtors may have inadvertently 

failed to do so due to the complexity and size of the Debtors’ businesses. 

Accordingly, the Debtors reserve all of their rights with respect to the inclusion or 

exclusion of executory contracts and unexpired leases, as well as the named parties

to any and all executory contracts and unexpired leases, including the right to 

amend Schedule G at any time during the pendency of these chapter 11 cases.

(i) Insiders. In the circumstance where the Schedules and Statements require 

information regarding “insiders,” the Debtors have included information with 

respect to certain individuals who served as officers and directors, as the case may 

be, during the relevant time periods. Such individuals may no longer serve in such 

capacities. 

The listing or omission of a party as an insider for purposes of the Schedules and 

Statements is not intended to be, nor should it be, construed as an admission of any 

fact, right, claim, or defense and all such rights, claims, and defenses are hereby 

expressly reserved. Information regarding the individuals listed as insiders in the 

Schedules and Statements has been included for informational purposes only and 

such information may not be used for: (i) the purposes of determining (A) control 

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of the Debtors; (B) the extent to which any individual exercised management 

responsibilities or functions; (C) corporate decision-making authority over the 

Debtors; or (D) whether such individual could successfully argue that he or she is 

not an insider under applicable law, including the Bankruptcy Code and federal 

securities laws, or with respect to any theories of liability or (ii) any other purpose.

3. Description of Cases and “As Of” Information Date. On December 19, 2023 (the

“Petition Date”), each of the Debtors filed a voluntary petition for relief under chapter 11

of the Bankruptcy Code in the Court. The Debtors continue to operate their business. The

information provided herein, except as otherwise noted, is reported as of the Petition Date

of each respective Debtor, as appropriate.

4. Methodology.

(a) Basis of Presentation. The Schedules and Statements do not purport to represent

financial statements prepared in accordance with Generally Accepted Accounting

Principles in the United States (“GAAP”) nor are they intended to be fully

reconciled to the financial statements of each Debtor. The Schedules and

Statements contain unaudited information that is subject to further review and

potential adjustment. The Schedules and Statements reflect the Debtors’

reasonable efforts to report the assets and liabilities of each Debtor on an

unconsolidated basis.

(b) Duplication. Certain of the Debtors’ assets, liabilities, and prepetition payments

may properly be disclosed in multiple parts of the Statements and Schedules. To

the extent these disclosures would be duplicative, the Debtors have endeavored to

only list such assets, liabilities, and prepetition payments once.

(c) Net Book Value. In certain instances, current market valuations for individual

items of property and other assets are neither maintained by, nor readily available

to the Debtors. Accordingly, unless otherwise indicated, the Debtors’ Schedules

and Statements reflect net book values as of the Petition Date. Market values may

vary, in some instances, materially, from net book values. The Debtors believe that

it would be an inefficient use of estate assets for the Debtors to obtain the current

market values of their property. Accordingly, the Debtors have indicated in the

Schedules and Statements that the market values of certain assets and liabilities are

undetermined. Also, assets that have been fully depreciated or that were expensed

for accounting purposes either do not appear in these Schedules and Statements, or

are listed with a zero-dollar value, as such assets have no net book value. The

omission of an asset from the Schedules and Statements does not constitute a

representation regarding the ownership of such asset, and any such omission does

not constitute a waiver of any rights of the Debtors with respect to such asset.

(d) Undetermined Amounts. The description of an amount as “unknown,” “TBD,”

or “undetermined” is not intended to reflect upon the materiality of such amount.

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(e) Unliquidated Amounts. Amounts that could not be fairly quantified by the

Debtors are scheduled as “unliquidated.”

(f) Totals. All totals that are included in the Schedules and Statements represent totals

of all known amounts. To the extent there are unknown or undetermined amounts,

the actual total may be different from the listed total.

(g) Paid Claims. The Debtors have authority to pay certain outstanding prepetition

payables pursuant to various orders entered by the Court. The Debtors scheduled

such amounts as of the Petition Date and noted such amounts contingent. To the

extent the Debtors later pay any amount of the claims listed in the Schedules and

Statements pursuant to any orders entered by the Court, the Debtors reserve all

rights to amend or supplement the Schedules and Statements or to take other action,

such as filing claims objections, as is necessary and appropriate to avoid

overpayment or duplicate payments for liabilities. Nothing contained herein should

be deemed to alter the rights of any party in interest to contest a payment made

pursuant to an order of the Court where such order preserves the right to contest.

(h) Liens. The inventories, property, and equipment listed in the Schedules and

Statements are presented without consideration of any liens.

(i) Currency. Unless otherwise indicated, all amounts are reflected in U.S. dollars.

Some bank accounts in Impel NeuroPharma Australia Pty Ltd may be held in

Australian Dollar (“AUD”) but converted to the U.S. Dollar equivalent as of the

Petition Date.

(j) Liabilities. The Debtors have sought to allocate liabilities between the prepetition

and postpetition periods based on the information and research conducted in

connection with the preparation of the Schedules and Statements. As additional

information becomes available and further research is conducted, the allocation of

liabilities between the prepetition and postpetition periods may change. The

Debtors reserve the right to amend the Schedules and Statements as they deem

appropriate in this and all other regards.

(k) Excluded Assets and Liabilities. The Debtors have excluded certain categories of

assets and liabilities from the Schedules and Statements, including, but not limited

to: certain deferred charges, right-of-use asset and related liabilities, reserves

recorded only for purposes of complying with the requirements of GAAP, and

deferred tax assets, deferred tax liabilities, and intangible assets. In addition,

certain accrued tax benefits from net operating losses that could offset future

earnings have been recorded as undetermined. The Debtors have also excluded

rejection damage claims of counterparties to executory contracts and unexpired

leases that may or may not be rejected, to the extent such damage claims exist.

Other immaterial assets and liabilities may also have been excluded.

(l) Credits and Adjustments. The claims of individual creditors for, among other

things, goods, products, services, or taxes are listed as the amounts entered on the

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Debtors’ books and records and may either (i) not reflect credits, allowances, or 

other adjustments due from such creditors to the Debtors or (ii) be net of accrued 

credits, allowances, or other adjustments that are actually owed by a creditor to the 

Debtors on a postpetition basis on account of such credits, allowances, or other 

adjustments earned from prepetition payments and critical vendor payments, if 

applicable. The Debtors reserve all of their rights with regard to such credits, 

allowances, or other adjustments, including, but not limited to, the right to modify 

the Schedules, assert claims objections and/or setoffs with respect to the same, or 

apply such allowances in the ordinary course of business on a postpetition basis.

(m) Setoffs. The Debtors may periodically incur setoffs and net payments in the 

ordinary course of business. Such setoffs and nettings may occur due to a variety 

of transactions or disputes. Although such setoffs and other similar rights may have 

been accounted for when scheduling certain amounts, these ordinary course setoffs 

are not independently accounted for, and as such, are or may be excluded from the 

Debtors’ Schedules and Statements. The Debtors reserve all rights to challenge any 

setoff and/or recoupment rights that may be asserted.

5. Global Notes Control. These Global Notes pertain to and comprise an integral part of 

each of the Schedules and Statements and should be referenced in connection with any 

review thereof. In the event that the Schedules and Statements conflict with these Global 

Notes, these Global Notes shall control.

6. Specific Schedules Disclosures.

(a) Schedules Summary. Except as otherwise noted, the asset totals represent 

amounts as of the Petition Date and liability information provided herein represents 

the Debtors’ liabilities as of the Petition Date.

(b) Schedule A/B, Part 4 – Investments; Non-Publicly Traded Stock and Interests 

in Incorporated and Unincorporated Businesses, including any Interest in an 

LLC, Partnership, or Joint Venture. Ownership interests in subsidiaries have 

been listed in Schedule A/B, Part 4, as undetermined amounts on account of the 

fact that the fair market value of such ownership is dependent on numerous 

variables and factors, and may differ significantly from their net book value.

(c) Schedule A/B, Part 5 – Inventory. The Debtors’ product has a 12-month shelf 

life. As such the Debtors’ customers, specialty pharmacies among others, monitor 

the production dates of all inventory to be sold to patients. All inventory is held 

and managed by third parties. The work in progress inventory, listed as SPEC, DHE 

Mesylate Form, has a net book value of $0.00. The cost of this inventory was 

approximately $765,000 but it has expired and has been fully reserved for booking 

keeping purposes. As such, the Debtors will need to find a way to dispose of it.

(d) Schedule A/B, Part 7 – Office furniture, fixtures, and equipment; and 

collectibles. The Debtors have used book values as of November 30, 2023 for 

reporting office furniture, fixtures, and equipment. There have been no valuations

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on any of such assets. These amounts may include leasehold improvements. The 

Debtors reserve all of their rights to re-categorize and/or re-characterize such asset 

holdings to the extent the Debtors determine that such holdings were improperly 

listed.

(e) Schedule A/B, Part 8 – Machinery, equipment, and vehicles. The Debtors lease

certain vehicles for their sales team from a third party. The leases have various

expiration dates and monthly payment amounts, and are not owned by the Debtors.

Under the lease agreement, the Debtors may return vehicles prior to the expiration

date, which could result in a gain/loss depending on the final terms of the

agreement. The Debtors have not completed an analysis regarding the gain/loss on

the current vehicle fleet.

(f) Schedule A/B, Part 9 – Real Property. The Debtors lease all of their real

properties and, as such, the properties’ value have been marked as undetermined.

Furthermore, certain of the property leases reflected on Schedule A/B 55 may

contain renewal options, guarantees of payment, options to purchase, rights of first

refusal, rights to lease additional lands, and other miscellaneous rights. Such rights,

powers, duties, and obligations are not separately set forth on Schedule A/B 55.

The Debtors hereby expressly reserve the right to assert that any instrument listed

on Schedule A/B 55 is an executory contract or unexpired lease within the meaning

of section 365 of the Bankruptcy Code. The Debtors reserve all of their rights,

claims, and causes of action with respect to claims associated with any contracts

and agreements listed on Schedule A/B 55, including their right to dispute or

challenge the characterization or the structure of any transaction, document, or

instrument, including any intercompany agreement.

(g) Schedule A/B, Part 10 – Intangibles and Intellectual Property. The Company

may have certain social media accounts that they own but currently do not have

access due to reduction in their workforce. The social media accounts have not

been listed.

(h) Schedule A/B, Part 11 – All Other Assets. The Debtors have incurred significant

net operating losses (“NOLs” and R&D Credits (together, the “Tax Attributes”)

since their inception. As of December 31, 2022, the Debtors have generated federal

NOLs of $271.3 million. The Debtors also has $153.4 million of state NOLs and

$8.4 million of R&D Credits. Further, the Debtors estimate that they may generate

additional Tax Attributes in the 2023 tax year. Such Tax Attributes have not been

valued as of the Petition Date and may be restricted in their use.

(i) Schedule D – Creditors Who Have Claims Secured by Property. The Debtors

have made reasonable efforts to report all secured claims against the Debtors on

Schedule D based on the Debtors’ books and records as of the Petition Date.

However, the actual value of claims against the Debtors may vary significantly

from the represented liabilities. Parties in interest should not accept that the listed

liabilities necessarily reflect the correct amount of any secured creditor’s allowed

claims or the correct amount of all secured claims. Similarly, parties in interest

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should not anticipate that recoveries in these cases will reflect the relationship of 

the aggregate asset values and aggregate liabilities set forth in the Schedules. 

Parties in interest should consult their own professionals and advisors with respect 

to pursuing a claim. Although the Debtors and their professionals have generated 

financial information and data the Debtors believe to be reasonable, actual 

liabilities (and assets) may deviate significantly from the Schedules due to certain 

events that occur throughout these Chapter 11 Cases.

Except as specifically stated herein, lessors of real property and equipment, utility 

companies, and any other parties which may hold security deposits or other security 

interests, have not been listed on Schedule D. The Debtors have also not listed on 

Schedule D any parties whose claims may be secured through rights of setoff, 

deposits, or advance payments.

Although the Debtors may have scheduled claims of various creditors as secured 

claims, the Debtors reserve all rights to dispute or challenge the secured nature of 

any creditor’s claim or the characterization of the structure of any transaction or 

any document or instrument (including, without limitation, any intercompany 

agreement) related to such creditor’s claim (except as otherwise agreed to or stated 

pursuant to a stipulation, agreed order, or general order entered by the Bankruptcy 

Court that is or becomes final). The Debtors have not included on Schedule D the 

claims of any parties that may believe their claims are secured through setoff rights 

or inchoate statutory lien rights.

The descriptions provided on Schedule D are intended only as a summary. 

Reference to the applicable loan agreements and related documents is necessary for 

a complete description of the collateral and the nature, extent, and priority of any 

liens. Nothing in these Global Notes or in the Schedules and Statements shall be 

deemed a modification, interpretation, or an acknowledgment of the terms of such 

agreements or related documents.

(j) Schedule E/F – Creditors Who Have Unsecured Claims.

The Debtors have made reasonable efforts to report all priority and general 

unsecured claims against the Debtors on Schedule E/F based on the Debtors’ books 

and records as of the Petition Date. However, the actual value of claims against the 

Debtors may vary significantly from the represented liabilities. Certain claims on 

E/F may have been satisfied post-petition by the Debtors (including employee 

wages in the ordinary course) or third parties. Furthermore, accrued interest for 

some claims may not have been possible to determine. Parties in interest should 

not accept that the listed liabilities necessarily reflect the correct amount of any 

unsecured creditor’s allowed claims or the correct amount of all unsecured claims. 

Similarly, parties in interest should not anticipate that recoveries in these cases will 

reflect the relationship of the aggregate asset values and aggregate liabilities set 

forth in the Schedules. Parties in interest should consult their own professionals 

and advisors with respect to pursuing a claim. Although the Debtors and their 

professionals have generated financial information and data the Debtors believe to 

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be reasonable, actual liabilities (and assets) may deviate significantly from the 

Schedules due to certain events that occur throughout these Chapter 11 Cases.

The claims listed on Schedule E/F arose or were incurred on various dates. In 

certain instances, the date on which a claim arose may be unknown or subject to 

dispute. Although reasonable efforts have been made to determine the date upon 

which claims listed in Schedule E/F were incurred or arose, updating that date for 

each claim in Schedule E/F would be unduly burdensome and cost-prohibitive and, 

therefore, the Debtors have not listed a date for each claim listed on Schedule E/F.

In the ordinary course of business, the Debtors generally receive invoices for goods 

and services after the delivery of such goods or services. As of the filing of the 

Schedules and Statements, the Debtors may not have received all invoices for 

payables, expenses, or liabilities that may have accrued before the Petition Date. 

Furthermore, payments to vendors and lienholders made subsequent to the filing of 

these Schedules will not be reflected in these Schedules. The Debtors reserve the 

right, but are not required, to amend Schedules E/F if they receive such invoices 

and/or make such payments. The claims of individual creditors are generally listed 

at the amounts recorded on the Debtors’ books and records and may not reflect all 

credits or allowances due from the creditor. The Debtors reserve all of their rights 

concerning credits or allowances.

Part 1 - Creditors with Priority Unsecured Claims. The Debtors included certain 

claims owing to various taxing authorities to which the Debtors may be liable. 

Certain of the claims may be subject to ongoing audits and the Debtors may 

otherwise be unable to determine with certainty the amount of such claims. 

Therefore, for certain claims, the Debtors have listed such claims as disputed, 

contingent, and unliquidated, pending final resolution of ongoing audits and other 

outstanding issues. Moreover, the inclusion of any amounts owed to taxing 

authorities does not constitute an admission by the Debtors of such liability. The 

Debtors reserve the right to assert that any claim listed on Schedule E/F does not 

constitute a priority claim under the Bankruptcy Code.

Part 2 - Creditors with Nonpriority Unsecured Claims. The Debtors have used 

reasonable efforts to report all general unsecured claims against the Debtors in 

Schedule E/F, Part 2, based upon the Debtors’ books and records as of the Petition 

Date. The Debtors made a reasonable attempt to set forth their unsecured 

obligations, although the actual amount of claims against the Debtors may vary 

from those liabilities represented on Schedule E/F, Part 2. The listed liabilities, 

which have been listed on a gross accounts payable basis, may not reflect the correct 

amount of any unsecured creditor’s allowed claims or the correct amount of all 

unsecured claims. 

Schedule E/F, Part 2, reflects certain prepetition amounts owing to counterparties 

to executory contracts and unexpired leases. Such prepetition amounts, however, 

may be paid in connection with the assumption or assumption and assignment of 

an executory contract or unexpired lease. Prepetition amounts that may be paid in 

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accordance with court orders, are marked as contingent. In addition, Schedule E/F, 

Part 2, does not include claims that may arise in connection with the rejection of 

any executory contracts and unexpired leases, if any, that may be or have been 

rejected.

(k) Schedule G – Executory Contracts and Unexpired Leases. The Debtors hereby

reserve all rights to dispute the validity, status, or enforceability of any contracts,

agreements or leases set forth in Schedule G and to amend or supplement

Schedule G as necessary. Additionally, the placing of a contract or lease onto

Schedule G shall not be deemed an admission that such contract is an executory

contract or unexpired lease, or that it is necessarily a binding, valid, and enforceable

contract. Any and all of the Debtors’ rights, claims and causes of action with

respect to the contracts and agreements listed on Schedule G are hereby reserved

and preserved. In addition, the Debtors are continuing their review of all relevant

documents and expressly reserve their right to amend all Schedules at a later time

as necessary and/or to challenge the classification of any agreement as an executory

contract or unexpired lease in any appropriate filing.

The names of employees have been redacted for privacy purposes.

Certain information, such as the contact information of the counterparty, may not 

be included where such information could not be obtained using the Debtors’

reasonable efforts. Listing a contract or agreement on Schedule G does not 

constitute an admission that such contract or agreement is an executory contract or 

unexpired lease or that such contract or agreement was in effect on the Petition Date 

or is valid or enforceable. Expired contracts and leases may have also been 

inadvertently included. The Debtors hereby reserve all of their rights to dispute the 

validity, status, or enforceability of any contracts, agreements, or leases set forth in 

Schedule G and to amend or supplement such Schedule as necessary. 

Certain of the leases and contracts listed on Schedule G may contain renewal 

options, guarantees of payment, indemnifications, options to purchase, rights of 

first refusal and other miscellaneous rights. Such rights, powers, duties, and 

obligations are not set forth separately on Schedule G. In addition, the Debtors may 

have entered into various other types of agreements in the ordinary course of their 

business, such as supplemental agreements and letter agreements, which documents 

may not be set forth in Schedule G. The Debtors reserve the right to dispute the 

effectiveness of any such contract listed on Schedule G or to amend Schedule G at 

any time to remove any contract. 

The Debtors have reserved all rights to dispute or challenge the characterization of 

any transaction or any document or instrument related to a creditor’s claim.

Although the Debtors have made diligent attempts to attribute an executory contract 

to its rightful Debtor, in certain instances, the Debtors may have inadvertently failed 

to do so due to the complexity and size of the Debtors’ businesses. Accordingly, 

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12

the Debtors reserve all of its rights with respect to the named parties of any and all 

executory contracts, including the right to amend Schedule G.

Omission of a contract or agreement from Schedule G does not constitute an 

admission that such omitted contract or agreement is not an executory contract or 

unexpired lease. The Debtors’ rights under the Bankruptcy Code with respect to 

any such omitted contract or agreement is not impaired by the omission. Certain 

Debtors are guarantors and parties to guaranty agreements regarding the Debtors’ 

prepetition credit facility. The guaranty obligations arising under these agreements 

are reflected on Schedules D and F only.

7. Specific Statements Disclosures.

(a) Statements, Part 1, Question 1 – Gross Revenue from business. The Debtors

recognize GAAP revenue in accordance with ASC Topic 606, Revenue from

Contracts with Customers (“ASC 606”). Under ASC 606, an entity recognizes

revenue when its customer obtains control of promised goods or services in an

amount that reflects the consideration which the entity expects to receive in

exchange for those goods or services. The product is distributed through an

exclusive third-party logistics, or 3PL, distribution agent that does not take title to

the product. The 3PL distributes Trudhesa to the customers, specialty pharmacies

and specialty distributors (collectively referred to as “customers”), who then

distribute the product to healthcare providers and patients. Revenue from product

sales is recognized when the customer obtains control of the product, which occurs

upon transfer of title to the customer. Taxes collected from the customer relating

to product sales and remitted to governmental authorities are excluded from

revenue.

Revenues from product sales are recorded at the net sales price, or the transaction 

price, which includes estimates of variable consideration for which reserves are 

established and which result from discounts, returns, co-pay assistance, 

chargebacks, rebates, and other allowances that are offered within contracts 

between us and customers, healthcare providers and other indirect customers 

relating to the sale of Trudhesa. These reserves are based on the amounts earned 

or to be claimed on the related sales and are classified as reductions of accounts 

receivable or a current liability. Where appropriate, these estimates take into 

consideration a range of possible outcomes that are probability-weighted for 

relevant factors such as historical experience, current contractual and statutory 

requirements, specific known market events and trends, industry data and 

forecasted customer buying and payment patterns. Overall, these reserves reflect 

best estimates of the amount of consideration to which the Debtors are entitled 

based on the terms of the contract. 

The components of variable consideration related to product revenue were detailed 

in the Debtors’ Emergency Motion for Entry of Interim and Final Orders 

(I) Authorizing the Debtors to Honor and Continue Certain Customer Programs

and Customer Obligations in the Ordinary Course of Business, (II) Authorizing

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13

Banks to Honor and Process Check and Electronic Transfer Requests Related 

Thereto, and (III) Granting Related Relief [Docket No. 10] and are customary in 

the pharmaceutical industry. 

(b) Statements, Part 2, Question 4 – Payments and Transfers to Certain Insiders

within 1 year before the filing. The Debtors reported payments to non-officer

insiders within the year prior to the Petition Date. Please see response to Question

30 for officer payments and distributions within the year prior to the Petition Date.

The Debtors reserve all rights with respect to the determination or status of a person

as an “insider” as defined in section 101(13) of the Bankruptcy Code.

(c) Statements, Part 5, Question 10 – Losses from fire, theft, or other casualty. In

normal course, the Debtors’ sales team uses leased vehicles for their travel

requirements. On occasion, the vehicles may incur an accident. The Debtors

believe they have sufficient insurance to cover any obligation that may arise.

Furthermore, the Debtors are not aware of any material disagreements or demands

outstanding related to such claims.

(d) Statements, Part 6, Question 13 – Transfers not already listed. A former

employee was given an asset that was fully depreciated and deemed to be nonoperational for the Debtors. No value was associated with the transfer. The

Debtors believe that the asset disposal was worthwhile as to not incur costs to sell

and remove the asset from the property.

The Debtors have settled certain claims put forth by former employees. Settlements 

were covered by insurance. None of these payments were made within the 90 days 

prior to the Petition Date. None of these payments were made to insiders. The 

names of employees have been redacted for privacy purposes.

(e) Statements, Part 9, Question 16 – Collect and Retain personally identifiable

information of customers. The Debtors do not collect or retain personally

identifiable information of their customers or their customers' patients. Any

collection of data containing personally identifiable information is done by third

party vendors which remove any personally identifiable information before the data

is shared with the Debtors. The Debtors to not receive any personally identifiable

information.

(f) Statements, Part 9, Question 17– ERISA Plan as an Employee Benefit. The

Debtors sponsor a 401(k) plan for their employees.

(g) Statements, Part 10, Question 20 – Off-premises storage. The Debtors’ sales

force uses certain third parties for storage of product samples. In addition, there

are four sales team members that have samples at their houses. The Debtors’ track

all inventory including these samples to ensure accurate inventory records.

(h) Statements, Part 13, Question 25 – Businesses in Which the Debtors Have an

Interest. Impel Pharmaceuticals, Inc. has a 100% interest in Impel NeuroPharma

Australia Pty Ltd.

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14

(i) Statements, Part 13, Question 26 – Books, records, and financial statements.

The Debtors’ common stock was publicly traded on the Nasdaq stock exchange. 

As of December 18, 2023, the Debtor’s common stock was suspended from trading.

Prior to the suspension of trading on the Nasdaq, the Debtors reported their 

financial results directly to the U.S. Securities and Exchange Commission for 

compliance with regulations. Additionally, a copy of financial results have been 

provided to Oaktree, the senior secured creditor of the Debtors.

(j) Statements, Part 13, Question 27 – Inventories – Supervisor and Dates of Last 

Two Inventories. The Debtors perform inventory counts of raw materials and 

finished goods inventories on an annual basis or as needed for operational reasons. 

The information included in response to Question 27 reflects the last two inventory 

dates. 

(k) Statements, Part 13, Question 28 and 29 – Current and Former Officer and 

Directors. While the Debtors have made reasonable best efforts to list all 

applicable officers and directors for each Debtor in response to Statement Questions 

28 and 29, some may have been omitted. Disclosures relate specifically to 

terminated job titles or positions and are not indicative of the individuals’ current 

employment status with the Debtors.

(l) Statements, Part 13, Question 30 – Payments, Distributions, or Withdrawals 

to Insiders. Refer to Statement Question 4 for this item.

* * * * *

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IN THE UNITED STATES BANKRUPTCY COURT

FOR THE NORTHERN DISTRICT OF TEXAS

DALLAS DIVISION

In re:

IMPEL PHARMACEUTICALS, INC., et al.1

Debtors.

Chapter 11

Case No. 23-80016 (SGJ)

(Jointly Administered)

AMENDED SCHEDULES OF ASSETS AND LIABILITIES OF 

DEBTOR IMPEL PHARMACEUTICALS, INC. (CASE NO. 23-80016) 

1 The Debtors in this chapter 11 case, together with the last four digits of the Debtor’s federal tax identification number, 

are: Impel Pharmaceuticals Inc. (8238); and Impel NeuroPharma Australia Pty Ltd (N/A). The Debtors’ service 

address is 201 Elliot Avenue West, Suite 260, Seattle, WA 98119.

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Real property:

Total personal property:

Schedule D: Creditors Who Have Claims Secured by Property

Copy the total dollar amount listed in Column A, 

Copy the total claims from Part 1 from the line 5a of 

Total claim amounts of priority unsecured claims:

Copy the total of the amount of claims from Part 2 from line 5b of

Lines 2 + 3a + 3b

1. Schedule A/B: Assets - Real and Personal Property

$0.00

$27,115,368.09

$127,026,463.65

$730,380.04

$3,330,098.25

Total amount of claims of nonpriority amount of unsecured claims:

Impel Pharmaceuticals Inc.

Case number (if known): 23-80016

Debtor Name

United States Bankruptcy Court for the Northern District of Texas

Summary of Assets and Liabilities for Non-Individuals

Official Form 206Sum

12/15

Check if this is an 

amended filing

X

Part 1: Summary of Assets

(Official Form 206A/B)

1b.

1a.

1c. Total of all property:

Part 2: Summary of Liabilities

2.

Amount of claim, from line 3 of Schedule D...........................

3. Schedule E/F: Creditors Who Have Unsecured Claims

3a.

3b.

Schedule E/F.............................................................

Schedule E/F.........................................

(Official Form 206D)

(Official Form 206E/F)

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

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

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

Copyline 92 from Schedule A/B.......................................................................................................................

$131,086,941.94

$27,115,368.09

+

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Part 1: Cash and cash equivalents

Schedule A/B: Assets - Real and Personal Property

Impel Pharmaceuticals Inc.

Case number (if known): 23-80016

Debtor Name

Official Form 206A/B

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

12/15

United States Bankruptcy Court for the Northern District of Texas

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

Be complete and accurate as possible. If more space is needed, attach a separate spreadsheet 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 approriate 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.

Check if this is an 

amended filing

X

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

Go to Part 2.

Fill in the information below.

No.

Yes.

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

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

3.1 JP Morgan Chase Checking *5227 $261,426.30 

3.2 JP Morgan Chase Checking *0303 $0.00 

3.3 JP Morgan Chase Money Market *3200 $488,135.37 

3.4 JP Morgan Chase Money Market *1616 $4,417,531.71 

3.5 JP Morgan Chase Money Market *2211 $0.00 

4. Other cash equivalents

5. Total of Part 1 $5,167,093.38

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

Official Form 206A/B Schedule A/B: Assets - Real and Personal Property Page 1

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Debtor Impel Pharmaceuticals Inc. Case Number (if known) 23-80016

Part 2: Deposits and prepayments

6. Does the debtor have any deposits or prepayments?

Go to Part 3.

Fill in the information below.

No.

Yes.

Current value of 

debtor's interest

7. Deposits, including security deposits and utility deposits

Description, including name of holder of deposit

7.1 Bridge Commercial Real Estate (Malvern, PA office) - BOF II $38,213.76 

PA Lindenwood LLC

7.2 BMR Security Deposit - BMR - $187,000.00 

201 Elliot Avenue LLC

7.3 Deposit Account for Rebate Processing - Integrichain $211,596.02 

7.4 Security Deposit for Storage Space - Cubework $5,814.60 

7.5 Deposit for Employee FSA/HAS - Navia Benefit Solutions $5,720.65 

7.6 Inventory Deposit - MiPharm (EUR) $111,661.48 

7.7 Deposit - PSKW, LLC (ConnectiveRX) $230,000.00 

7.8 Severance Funds - ADP $180,000.00 

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

Description, including name of holder of prepayment

8.1 See Attached Exhibit AB8 $3,244,504.43 

9. Total of Part 2 $4,214,510.94

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

Part 3: Accounts Receivable

10. Does the debtor have any accounts receivable?

Go to Part 4.

Fill in the information below.

No.

Yes.

Official Form 206A/B Schedule A/B: Assets - Real and Personal Property Page 2

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Debtor Impel Pharmaceuticals Inc. Case Number (if known) 23-80016

Current value of 

debtor's interest

11. Accounts receivable

$3,599,960.04 $3,599,960.04 - $0.00 =

face amount doubtful or uncollectible accounts

11a. 90 days old or less:

$9,630.25 - $0.00 = $9,630.25 

face amount doubtful or uncollectible accounts

11b. Over 90 days old:

12. Total of Part 3 $3,609,590.29

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

Part 4: Investments

13. Does the debtor own any investments?

Go to Part 5.

Fill in the information below.

No.

Yes.

Current value of 

debtor's interest

Valuation method 

used for current value

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

Name of fund or stock:

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 Impel Neuropharma Australia Pty Ltd 100% Net Book Value Undetermined

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

instruments not included in Part 1

Describe:

17. Total of Part 4

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

Part 5: Inventory, excluding agricultural assets

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

Official Form 206A/B Schedule A/B: Assets - Real and Personal Property Page 3

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Debtor Impel Pharmaceuticals Inc. Case Number (if known) 23-80016

Go to Part 6.

Fill in the information below.

No.

Yes.

General description Date of the last 

physical inventory

Current value of 

debtor's interest

Net book value of 

debtor's interest

Valuation method 

used for current value

19. Raw Materials

19.1 See Attached Exhibit AB19 12/19/2023 $4,896,593.64 Net Book Value $4,896,593.64 

20. Work in progress

20.1 SPEC, DHE Mesylate Form 12/19/2023 $0.00 Net Book Value $0.00 

20.2 Reservoir Device, 200, In Packaging 12/19/2023 $2,729,981.45 Net Book Value $2,729,981.45 

21. Finished goods, including goods held for resale

21.1 PC104-01 4-Pack 12/19/2023 $2,593,546.30 Net Book Value $2,593,546.30 

Finished goods have a 12 month shelf life

22. Other inventory or supplies

23. Total of Part 5 $10,220,121.39

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?

Official Form 206A/B Schedule A/B: Assets - Real and Personal Property Page 4

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Debtor Impel Pharmaceuticals Inc. Case Number (if known) 23-80016

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)?

Go to Part 7.

Fill in the information below.

No.

Yes.

General description Current value of 

debtor's interest

Net book value of 

debtor's interest 

Valution method used 

for current value

28. Crops - either planted of 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

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.

Official Form 206A/B Schedule A/B: Assets - Real and Personal Property Page 5

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Debtor Impel Pharmaceuticals Inc. Case Number (if known) 23-80016

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?

Go to Part 8.

Fill in the information below.

No.

Yes.

General description Current value of 

debtor's interest

Net book value of 

debtor's interest

Valuation method 

used for current value

39. Office furniture

39.1 Furniture & Fixtures, Net $91,815.06 Net Book Value $91,815.06 

40. Office fixtures

Official Form 206A/B Schedule A/B: Assets - Real and Personal Property Page 6

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Debtor Impel Pharmaceuticals Inc. Case Number (if known) 23-80016

40.1 Office Fixtures, Net $1,343,128.23 Net Book Value $1,343,128.23 

(Includes Construction in Progress)

41. Office equipment, including all computer equipment and communication systems equipment and software

41.1 Office Equipment $2,459,258.80 Net Book Value $2,459,258.80 

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

43. Total of Part 7. $3,894,202.09

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.

Part 8: Machinery, equipment, and vehicles

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

Go to Part 9.

Fill in the information below.

No.

Yes.

General description Current value of 

debtor's interest

Net book value of 

debtor's interest

Valuation method 

used for current value

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

Official Form 206A/B Schedule A/B: Assets - Real and Personal Property Page 7

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Debtor Impel Pharmaceuticals Inc. Case Number (if known) 23-80016

47.1 See Attached Exhibit AB47 N/A Undetermined

See Global Notes

Undetermined

48. Watercraft, trailers, motors, and related accessories

Examples: Boats, trailers, motors, floating homes, personal watercraft, fishing vessels

49. Aircraft and accessories

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.

Part 9: Real property

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

Go to Part 10.

Fill in the information below.

No.

Yes.

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

Official Form 206A/B Schedule A/B: Assets - Real and Personal Property Page 8

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Debtor Impel Pharmaceuticals Inc. Case Number (if known) 23-80016

Description and location of property Nature and extent of 

debtor's interest in 

property

Net book value of debtor's 

interest

Valuation method 

used for current value

Current value of 

debtor's interest

55.1 Office and Laboratory use Lease Undetermined N/A Undetermined

of 11,526 sqft; 

201 Elliott Ave W, Seattle, WA 98119

Description and location of property Nature and extent of 

debtor's interest in 

property

Net book value of debtor's 

interest

Valuation method 

used for current value

Current value of 

debtor's interest

55.2 Lease Agreement: Lease Undetermined N/A Undetermined

BOF II PA Lindewood LLC

101 Lindenwood Drive, Malvern, PA 19355

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?

Go to Part 11.

Fill in the information below.

No.

Yes.

General description Current value of 

debtor's interest

Net book value of 

debtor's interest

Valuation method 

used for current value

60. Patents, copyrights, trademarks, or trade secrets

60.1 Patents: See Attached Exhibit AB60 Undetermined N/A Undetermined

Official Form 206A/B Schedule A/B: Assets - Real and Personal Property Page 9

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Debtor Impel Pharmaceuticals Inc. Case Number (if known) 23-80016

60.2 Trademarks: See Attached Exhibit AB 60 Undetermined N/A Undetermined

61. Internet domain names and websites

61.1 Websites and Domain Name Undetermined N/A Undetermined

See attached Exhibit AB61

61.2 Social Media Accounts Undetermined N/A Undetermined

See Global Notes

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.

67. Do your lists or records include personally identifiable information of customers?

No.

Yes.

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

No.

Yes.

Official Form 206A/B Schedule A/B: Assets - Real and Personal Property Page 10

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Debtor Impel Pharmaceuticals Inc. Case Number (if known) 23-80016

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?

Go to Part 12.

Fill in the information below.

No.

Yes.

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)

72.1 See Global Notes Various Undetermined

73. Interests in insurance policies or annuities

73.1 See Attached Exhibit AB73 Undetermined

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

Official Form 206A/B Schedule A/B: Assets - Real and Personal Property Page 11

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Debtor Impel Pharmaceuticals Inc. Case Number (if known) 23-80016

76. Trusts, equitable or future interests in property

77. Other property of any kind not already listed

Examples: Season tickets, country club membership

77.1 Unused Amazon Gift Cards $9,850.00 

78. Total of Part 11. $9,850.00

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.

Official Form 206A/B Schedule A/B: Assets - Real and Personal Property Page 12

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Debtor Impel Pharmaceuticals Inc. Case Number (if known) 23-80016

Type of property

Part 12: Summary

Current value of 

personal property

Current value of 

real property

80. Cash, cash equivalents, and financial assets. Copy line 5, Part 1. $5,167,093.38

81. Deposits and prepayments. Copy line 9, Part 2. $4,214,510.94

82. Accounts receivable. Copy line 12, Part 3. $3,609,590.29

83. Investments. Copy line 17, Part 4.

84. Inventory. Copy line 23, Part 5. $10,220,121.39

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

Copy line 43, Part 7.

$3,894,202.09

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

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. $9,850.00

91. Total. Add lines 80 through 90 for each column. 91a. 91b. $27,115,368.09 $0.00 +

92. Total of all property on Schedule A/B. Lines 91a + 91b = 92.............................................................................................. $27,115,368.09

Official Form 206A/B Schedule A/B: Assets - Real and Personal Property Page 13

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SCHEDULES OF ASSETS AND LIABILITIES 

EXHIBIT FOR SCHEDULE AB 

PART 2, QUESTION 8 

PREPAYMENTS, INCLUDING PREPAYMENTS ON 

EXECUTORY CONTRACTS, LEASES, INSURANCE, TAXES, 

AND RENT 

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Impel Pharmaceuticals Inc.

Case No. 23-80016

Schedule AB 8. Prepayments, including prepayments on executory contracts, leases, insurance, taxes, and r

Description Name of holder of prepayment

Current value of 

debtor's interest

Office Rent BMR - RENT 201 Elliott $33,724.82

Office Lease Bridge RE - Malvern PA $7,396.21

Health Insurance AETNA employee health benefits $39,320.23

Dental Insurance Delta Dental $3,678.64

Vision Insurance VSP $348.08

Life and Other Insurance Lincoln National Life $1,323.15

Administrative Appliation Docusign $9,238.35

Administrative Appliation Docusign $2,265.73

Administrative Appliation Zoom $2,778.72

Regulation Compliance Mastercontrol $51,529.08

Oversight Managed Markets Insight & Technology (MMIT) $1,250.00

Oversight Managed Markets Insight & Technology (MMIT) $3,750.00

Oversight Managed Markets Insight & Technology (MMIT) $8,100.00

Administrative Appliation Veeva $209,680.20

Administrative Appliation Qpharma $7,500.00

Research Tool Donnelly $19,477.46

Regulation Compliance Food and Drug Admin $347,278.34

Research Tool Spherix $10,708.37

Research Tool Nasdaq $5,166.63

Clinical Development PPD $72,398.50

Lender Fees Oaktree $11,666.64

Legal Fees Sidley Austin $38,919.51

Administrative Appliation MedCompli $8,750.02

Fleet Management Emkay, Inc. $67,300.00

Management Liability

(Employment Practices 

Liability, Fiduciary 

Liability)

Endurance American Specialty 

Insurance Company $50,462.11

D&O Insurance Axis Insurance Company $220,850.83

D&O Insurance Hudson Insurance Company $131,250.00

D&O Insurance Endurance American Insurance Company $77,083.33

D&O Insurance Atlantic Specialty Insurance Company (Intact) $45,479.17

D&O Insurance ACE American Insurance Company (Chubb) $25,000.00

D&O Insurance Old Republic Insurance Company $18,750.00

D&O Insurance Axis Insurance Company $662,553.00

D&O Insurance Hudson Insurance Company $393,750.30

D&O Insurance Endurance American Insurance Company $231,250.17

D&O Insurance Atlantic Specialty Insurance Company (Intact) $136,437.60

D&O Insurance ACE American Insurance Company (Chubb) $75,000.00

D&O Insurance Old Republic Insurance Company $56,250.04

Pollution Liability Insurance Illinois Union Insurance Company $13,547.13

Cargo Insurance Beazley Insurance Company $25,833.33

Page 1 of 2

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

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Impel Pharmaceuticals Inc.

Case No. 23-80016

Schedule AB 8. Prepayments, including prepayments on executory contracts, leases, insurance, taxes, and r

Description Name of holder of prepayment

Current value of 

debtor's interest

DomesƟc Package (Property, General Liability) Phoenix Insurance Company $6,232.23

Commercial Automobile Travelers Indemnity Company of America $31,509.71

Umbrella Insurance Travelers Indemnity Company of America $7,409.52

Workers Compensation Travelers Indemnity Company of America $9,938.22

Product & Clinical Trial Liability Underwriters at Lloyd, London (Beazley) $40,984.46

Cyber Insurance Underwriters at Lloyd, London (Beazley) $5,769.35

Excess Liability Insurance Westfield Specialty Insurance Company $9,725.93

GST Refund Receivable - AUS Australian Taxation Office $5,889.30

Total $3,244,504.43

Page 2 of 2

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SCHEDULES OF ASSETS AND LIABILITIES

EXHIBIT FOR SCHEDULE AB

PART 5, QUESTION 19

RAW MATERIALS

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Impel Pharmaceuticals Inc.

Case No. 23‐80016

Schedule AB 19.  Raw Materials.

General description Location

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

Nozzle, Front Loaded  FMBP(Freudenberg Medical Baldwin Park) 12/19/2023 $ 94,716.71 Standard $ 94,716.71

Y‐Junction, 1/8 Stem  CUBEWORK(CUBEWORK) 12/19/2023 $ 22,601.60 Standard $ 22,601.60

Dose Chamber, 240 uL  FMBP(Freudenberg Medical Baldwin Park) 12/19/2023 $ 18,654.54 Standard $ 18,654.54

Diffuser, Annular, 2_5   FMBP(Freudenberg Medical Baldwin Park) 12/19/2023 $ 75,613.65 Standard $ 75,613.65

Finger Grip, Right, No Insert  CUBEWORK(CUBEWORK) 12/19/2023 $ 56,129.50 Standard $ 56,129.50

Finger Grip, Right, No Insert  FMBP(Freudenberg Medical Baldwin Park) 12/19/2023 $ 721.66 Standard $ 721.66

Clamshell, Right, GEN 1  CUBEWORK(CUBEWORK) 12/19/2023 $ 77,910.00 Standard $ 77,910.00

Clamshell, Right, GEN 1  FMBP(Freudenberg Medical Baldwin Park) 12/19/2023 $ 6,134.94 Standard $ 6,134.94

Clamshell, Left, GEN 1  CUBEWORK(CUBEWORK) 12/19/2023 $ 77,910.00 Standard $ 77,910.00

Clamshell, Left, GEN 1  FMBP(Freudenberg Medical Baldwin Park) 12/19/2023 $ 5,294.94 Standard $ 5,294.94

Finger Grip, Left, No Insert  CUBEWORK(CUBEWORK) 12/19/2023 $ 56,129.50 Standard $ 56,129.50

Finger Grip, Left, No Insert  FMBP(Freudenberg Medical Baldwin Park) 12/19/2023 $ 773.01 Standard $ 773.01

Adapter, Check Valve  FMBP(Freudenberg Medical Baldwin Park) 12/19/2023 $ 12,054.71 Standard $ 12,054.71

Valve, Duckbill, Flanged  FMBP(Freudenberg Medical Baldwin Park) 12/19/2023 $ 40,961.16 Standard $ 40,961.16

Spring, Extension, 0.5  FMBP(Freudenberg Medical Baldwin Park) 12/19/2023 $ 23,922.27 Standard $ 23,922.27

Propellant Canister, 10ML, 63 Ul  CUBEWORK(CUBEWORK) 12/19/2023 $ 2,336,876.36 Standard $ 2,336,876.36

Pump, SGD, 200UL  CUBEWORK(CUBEWORK) 12/19/2023 $ 148,027.40 Standard $ 148,027.40

Pump, SGD, 200UL  FMBP(Freudenberg Medical Baldwin Park) 12/19/2023 $ 213.91 Standard $ 213.91

PC104‐01, Packaging, As Molded  CUBEWORK(CUBEWORK) 12/19/2023 $ 88,441.92 Standard $ 88,441.92

PC104‐01, Packaging, As Molded  FMBP(Freudenberg Medical Baldwin Park) 12/19/2023 $ 8,245.86 Standard $ 8,245.86

DHE API Bulk  MIPHARM(Mipharm) 12/19/2023 $ 1,745,260.00 Standard $ 1,745,260.00

Total $ 4,896,593.64  $                  4,896,593.64

Page 1 of 1

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SCHEDULES OF ASSETS AND LIABILITIES

EXHIBIT FOR SCHEDULE AB

PART 8, QUESTION 47

AUTOMOBILES, VANS, TRUCKS, MOTORCYCLES, 

TRAILERS, OR TITLED FARM VEHICLES

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

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Impel Pharmaceuticals Inc.

Case No. 23‐80016

Schedule AB 47.  Automobiles, vans, trucks, motorcycles, trailers, or titled farm vehicles.

Vehicle_VIN Year Make Model

Net book value of 

debtor's interest

Valuation method used 

for current value

Current value of debtor's 

interest

YV4162UK7N2726120 2022 VOLVO XC40 Undetermined N/A Undetermined

YV4L12UE4P2962910 2023 VOLVO XC40 Undetermined N/A Undetermined

YV4162UK3N2746932 2022 VOLVO XC40 Undetermined N/A Undetermined

YV4162UK8N2746957 2022 VOLVO XC40 Undetermined N/A Undetermined

YV4162UK2N2747179 2022 VOLVO XC40 Undetermined N/A Undetermined

YV4162UK5N2725483 2022 VOLVO XC40 Undetermined N/A Undetermined

YV4162UK2N2725439 2022 VOLVO XC40 Undetermined N/A Undetermined

YV4162UK4N2729380 2022 VOLVO XC40 Undetermined N/A Undetermined

YV4162UK1N2726100 2022 VOLVO XC40 Undetermined N/A Undetermined

YV4162UKXN2725513 2022 VOLVO XC40 Undetermined N/A Undetermined

YV4162UK7N2725565 2022 VOLVO XC40 Undetermined N/A Undetermined

YV4L12RN2P1265069 2023 VOLVO XC60 Undetermined N/A Undetermined

YV4162UK3N2725711 2022 VOLVO XC40 Undetermined N/A Undetermined

YV4L12UE5P2962785 2023 VOLVO XC40 Undetermined N/A Undetermined

YV4162UK3N2726227 2022 VOLVO XC40 Undetermined N/A Undetermined

YV4L12UE0P2962743 2023 VOLVO XC40 Undetermined N/A Undetermined

YV4162UK9N2725843 2022 VOLVO XC40 Undetermined N/A Undetermined

YV4162UK7N2726408 2022 VOLVO XC40 Undetermined N/A Undetermined

YV4L12UE6P2047430 2023 VOLVO XC40 Undetermined N/A Undetermined

YV4162UK3N2725823 2022 VOLVO XC40 Undetermined N/A Undetermined

YV4L12UE6P2965436 2023 VOLVO XC40 Undetermined N/A Undetermined

YV4162UK9N2725776 2022 VOLVO XC40 Undetermined N/A Undetermined

YV4162UK7N2759487 2022 VOLVO XC40 Undetermined N/A Undetermined

YV4162UM8N2765221 2022 VOLVO XC40 Undetermined N/A Undetermined

YV4162UK2N2725862 2022 VOLVO XC40 Undetermined N/A Undetermined

YV4L12RN2P1257683 2023 VOLVO XC60 Undetermined N/A Undetermined

YV4L12UE2P2964719 2023 VOLVO XC40 Undetermined N/A Undetermined

YV4L12UE7P2962819 2023 VOLVO XC40 Undetermined N/A Undetermined

YV4L12RK4N1986724 2022 VOLVO XC60 Undetermined N/A Undetermined

YV4L12UE8P2047526 2023 VOLVO XC40 Undetermined N/A Undetermined

4T1R11AK0PU097368 2023 TOYOT CAMRY Undetermined N/A Undetermined

YV4162UK2N2761003 2022 VOLVO XC40 Undetermined N/A Undetermined

YV4L12RK8N1986760 2022 VOLVO XC60 Undetermined N/A Undetermined

YV4L12RK9N1986752 2022 VOLVO XC60 Undetermined N/A Undetermined

YV4L12UE6P2962861 2023 VOLVO XC40 Undetermined N/A Undetermined

YV4162UK6N2747038 2022 VOLVO XC40 Undetermined N/A Undetermined

YV4162UK2N2725599 2022 VOLVO XC40 Undetermined N/A Undetermined

YV4L12RK2N1035101 2022 VOLVO XC60 Undetermined N/A Undetermined

YV4L12UE6P2962780 2023 VOLVO XC40 Undetermined N/A Undetermined

YV4L12RK8N1982286 2022 VOLVO XC60 Undetermined N/A Undetermined

1FMSK7DH7NGB91034 2022 FORD EXPLR Undetermined N/A Undetermined

YV4L12RN1P1266438 2023 VOLVO XC60 Undetermined N/A Undetermined

YV4L12UE7P2047405 2023 VOLVO XC40 Undetermined N/A Undetermined

YV4162UK2N2759963 2022 VOLVO XC40 Undetermined N/A Undetermined

YV4L12UE4P2962888 2023 VOLVO XC40 Undetermined N/A Undetermined

YV4162UK5N2725872 2022 VOLVO XC40 Undetermined N/A Undetermined

YV4L12UEXP2965648 2023 VOLVO XC40 Undetermined N/A Undetermined

Page 1 of 2

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Impel Pharmaceuticals Inc.

Case No. 23‐80016

Schedule AB 47.  Automobiles, vans, trucks, motorcycles, trailers, or titled farm vehicles.

Vehicle_VIN Year Make Model

Net book value of 

debtor's interest

Valuation method used 

for current value

Current value of debtor's 

interest

YV4162UK4N2725524 2022 VOLVO XC40 Undetermined N/A Undetermined

YV4162UK5N2766504 2022 VOLVO XC40 Undetermined N/A Undetermined

YV4162UK8N2747249 2022 VOLVO XC40 Undetermined N/A Undetermined

YV4L12RK5N1087967 2022 VOLVO XC60 Undetermined N/A Undetermined

YV4A22PK0N1815878 2022 VOLVO XC90 Undetermined N/A Undetermined

YV4L12UE3P2975602 2023 VOLVO XC40 Undetermined N/A Undetermined

YV4L12RN1P1266472 2023 VOLVO XC60 Undetermined N/A Undetermined

YV4162UK4N2746907 2022 VOLVO XC40 Undetermined N/A Undetermined

1FMSK8DH2NGA12291 2022 FORD EXPLR Undetermined N/A Undetermined

YV4162UK1N2746993 2022 VOLVO XC40 Undetermined N/A Undetermined

YV4162UK5N2746978 2022 VOLVO XC40 Undetermined N/A Undetermined

YV4162UK0N2747228 2022 VOLVO XC40 Undetermined N/A Undetermined

YV4L12RK2N1986351 2022 VOLVO XC60 Undetermined N/A Undetermined

YV4L12UE5P2962866 2023 VOLVO XC40 Undetermined N/A Undetermined

YV4L12RK9N1986718 2022 VOLVO XC60 Undetermined N/A Undetermined

YV4162UK8N2726031 2022 VOLVO XC40 Undetermined N/A Undetermined

YV4162UK6N2747282 2022 VOLVO XC40 Undetermined N/A Undetermined

YV4L12UE7P2052314 2023 VOLVO XC40 Undetermined N/A Undetermined

YV4L12UE2P2962713 2023 VOLVO XC40 Undetermined N/A Undetermined

YV4162UK5N2706853 2022 VOLVO XC40 Undetermined N/A Undetermined

YV4L12UE2P2963084 2023 VOLVO XC40 Undetermined N/A Undetermined

YV4162UK9N2747048 2022 VOLVO XC40 Undetermined N/A Undetermined

Undetermined N/A Undetermined

Page 2 of 2

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SCHEDULES OF ASSETS AND LIABILITIES 

EXHIBIT FOR SCHEDULE AB 

PART 10, QUESTION 60 

PATENTS, COPYRIGHTS, TRADEMARKS, OR TRADE 

SECRETS 

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

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Schedule 3.12 

Intellectual Property 

(a) 

1. Reference is made to the Patent Assets.

2. Reference is made to the Trademark Assets.

(b)

1. Exclusive Patent License Agreement between Impel NeuroPharma, Inc. and the University

of Washington acting through UW TechTransfer, Technology Licensing dated May 26, 2009, as

amended on October 14, 2009 and July 22, 2013.

2. The Company enters into supply and service agreements with suppliers, vendors and other

service providers in the ordinary course of business which contain licenses to Business Intellectual

Property which are incidental to the supply or performance of services thereunder.

3. On April 27, 2021 the Company received correspondence from Resource Transition

Consultants LLC, general receiver for Kurve Technology, Inc. (“Kurvetech”), alleging

infringement of one or more patents owned by Kurvetech. In a series of correspondence, the

Company provided explanation and evidence to Kurvetech establishing that the Company’s

TrudhesaTM product is fundamentally different from the devices described and claimed in the

Kurvetech patents, and that the Company product therefore does not infringe the Kurvetech

patents. On August 9, 2021 Kurvetech served a subpoena on the Company in a civil case in the

Superior Court for the State of Washington in which Kurvetech is a defendant, seeking additional

information (the Company is not a party to that civil case, which appears to be a bankruptcy action

involving Kurvetech). On August 23, 2021 the Company timely objected to the subpoena

providing several bases for objection, including that adequate information had already been

provided. Since the serving of objections on August 23, 2021, there has been no correspondence

or communications of any kind with Kurvetech (collectively, the “Kurvetech Matter”).

(d) 

1. The Company intends to take no action with respect to the below actions.

Due Date Action Trademark/Matter Class Country App # Reg # Status 

5-Jan-2024 Declaration of 

Use Due 

TRUDHESA 5 Mexico 2329211 2152309 Registered

10-Jan-2024 Statement of 

Use 2nd 

Extension 

IMPEL DOTS Logo 

(in color) 

5, 10, 

35, 42, 

44 

United 

States 

97347411 Pending - 

Allowed - SOU 

Ext 1 

(e)

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 39 of 218
1. Reference is made to the Kurvetech Matter.

(f)

1. Between January and April of 2021, the Company filed oppositions against the UK and

EU trademark applications of Pods Group Limited (“Pods Group”) (UK App. Nos.

UK00003505978; UK00003505983; EU App Nos. IR 1563058; IR 1561785), for goods and

services in Class 5, 10 and 44, based on the Company’s rights in POD. In April of 2021 the

Company requested, through UK counsel, that Pods Group narrow the description of goods and

services in its applications, and sign undertakings restricting Pods Group’s use of POD to the goods

and services in the amended applications. Pods Group declined to comply with the Company’s

proposal and settlement discussions ultimately ceased. In May of 2023 the UK authority decided

the oppositions largely in the Company’s favor, as to the goods and services in the Pods Group’s

applications that were identical or similar to Company’s goods and services. The UK decision

caused the Pods Group’s applications in the EU and all other countries to be narrowed in the same

way. The POD (stylized) opposition in the EU was decided in the Company’s favor in full after

Pods Group defaulted.

2. On November 11, 2022 the Company sent a letter to Mr. Girishchandra, applicant of the

TRUDENSE (stylized) mark in India, for medicinal and pharmaceutical preparations in Class 5

(App. No. 5429303), objecting to Mr. Girishchandra’s use and registration of the mark, based on

the Company’s rights in TRUDHESA. On November 22, 2022 the Company filed an opposition

against Mr. Girishchandra’s application. On December 22, 2022 the parties reached an agreement

wherein the Company agreed to withdraw the opposition, provided Mr. Girishchandra amended

the description of goods in his application, and agreed not use or file for TRUDENSE (or similar)

for preparations related to neurological diseases. Both parties then submitted requests to the India

Trademark Office for same. As of May 2023, the Company was awaiting confirmation from the

Trademark Office that the requests were processed.

3. In May of 2023 the Company learned that Vivos Therapeutics, Inc. is using the mark THE

POD in connection with a device for the treatment and prevention of migraine headaches, and that

Vivos owns registrations in the US for the marks THE POD and . 

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Impel Issued and Pending Matters as of 2023-12-14 12/14/23 1 of 5 

APPLICATION TYPE TITLE APPLICATION NUMBER PATENT NUMBER COUNTRY COUNTRY WIPO ID FILE DATE ISSUE DATE PUBLICATION NUMBER PUBLICATION DATE LOCAL FILIN

Utility - NSPCT (001CA) Circumferential Aerosol Device 2,713,762 2713762 Canada CA Feb 6, 2009 Oct 18, 2016 Jul 29, Utility - EPPAT (001DE) Circumferential Aerosol Device 09707800.0 2247330 Germany DE Feb 6, 2009 Sep 20, 2017 2247330 Nov 10, 2010 Utility - NSPCT (001EP) Circumferential Aerosol Device 09707800.0 2247330 European Patent Office EP Feb 6, 2009 Sep 20, 2017 2247330 Nov 10, 2010 Jul 30, Utility - EPPAT (001ES) Circumferential Aerosol Device 09707800.0 2247330 Spain ES Feb 6, 2009 Sep 20, 2017 2247330 Nov 10, 2010 Utility - EPPAT (001FR) Circumferential Aerosol Device 09707800.0 2247330 France FR Feb 6, 2009 Sep 20, 2017 2247330 Nov 10, 2010 Utility - EPPAT (001GB) Circumferential Aerosol Device 09707800.0 2247330 United Kingdom GB Feb 6, 2009 Sep 20, 2017 2247330 Nov 10, 2010 Utility - EPPAT (001IT) Circumferential Aerosol Device 09707800.0 2247330 Italy IT Feb 6, 2009 Sep 20, 2017 2247330 Nov 10, 2010 Utility - NSPCT (001US) Circumferential Aerosol Device 12/866,448 8,757,146 United States of America US Feb 6, 2009 Jun 24, 2014 2011-0048414 Mar 3, 2011 Oct 22, 

Utility - DIV (001USD1) Circumferential Aerosol Device 14/292,481 10,016,582 United States of America US May 30, 2014 Jul 10, 2018 2014-0343494 Nov 20, 2014 

Utility - EPPAT (002DE) Circumferential Aerosol Device for Delivering Drugs to Olfactory Epithelium and Brain 11818832.5 2605816 Germany DE Aug 19, 2011 Jan 23, 2019 2605816 Utility - NSPCT (002EP) Circumferential Aerosol Device for Delivering Drugs to Olfactory Epithelium and Brain 11818832.5 2605816 European Patent Office EP Aug 19, 2011 Jan 23, 2019 2605816 Jun 26, 2013 Mar 14, Utility - EPPAT (002FR) Circumferential Aerosol Device for Delivering Drugs to Olfactory Epithelium and Brain 11818832.5 2605816 France FR Aug 19, 2011 Jan 23, 2019 2605816 Utility - EPPAT (002GB) Circumferential Aerosol Device for Delivering Drugs to Olfactory Epithelium and Brain 11818832.5 2605816 United Kingdom GB Aug 19, 2011 Jan 23, 2019 2605816 Utility - NSPCT (004AU) Nasal Drug Delivery Device 2012223160 2012223160 Australia AU Mar 5, 2012 Dec 1, 2016 Aug 21, 

Utility - DIV (004AUD1) Nasal Drug Delivery Device 2016256665 2016256665 Australia AU Mar 5, 2012 Feb 21, 2019 2016256665 Nov 7, 

Utility - NSPCT (004BR) Nasal Drug Delivery Device BR 11 2013 022249-2 BR 112013022249-2 Brazil BR Mar 5, 2012 Apr 12, 2022 11 2013 022249 2 Apr 28, 2020 Aug 30, 

Utility - DIV (004BR) Nasal Drug Delivery Device BR 12 2021 02471-5 BR122021002471-5 Brazil BR Mar 5, 2012 Jun 14, 2022 Feb 8, 2

Utility - NSPCT (004CA) Nasal Drug Delivery Device 2,828,884 2828884 Canada CA Mar 5, 2012 Apr 27, 2021 2,828,884 Sep 7, 2012 Aug 30, 

Utility - DIV (004CAD1) Nasal Drug Delivery Device 3,111,516 3,111,516 Canada CA Mar 5, 2012 May 23, 2023 Mar 5, 

Utility - EPPAT (004CH) Nasal Drug Delivery Device 12752463.5 2680913 Switzerland CH Mar 5, 2012 May 6, 2020 2680913 Utility - EPPAT (004CH) Nasal Drug Delivery Device 20158982.7 3679971 Switzerland CH Mar 5, 2012 Jul 27, 2022 3679971 Jul 15, 2020 Utility - NSPCT (004CN) Nasal Drug Delivery Device 201280021497.4 ZL 201280021497.4 China CN Mar 5, 2012 Feb 15, 2017 103917265 Nov 1, Utility - EPPAT (004DE) Nasal Drug Delivery Device 12752463.5 60 2012 069 911.6 Germany DE Mar 5, 2012 May 6, 2020 2680913 Utility - EPPAT (004DE) Nasal Drug Delivery Device 20158982.7 60 2012 078 550.0 Germany DE Mar 5, 2012 Jul 27, 2022 3679971 Jul 15, 2020 Utility - NSPCT (004EP) Nasal Drug Delivery Device 12752463.5 2680913 European Patent Office EP Mar 5, 2012 May 6, 2020 2680913 Jan 8, 2014 Sep 26, 

Utility - DIV (004EPD1) Nasal Drug Delivery Device 20158982.7 3679971 European Patent Office EP Mar 5, 2012 Jul 27, 2022 3679971 Jul 15, 2020 Feb 24, 

Utility - EPPAT (004FR) Nasal Drug Delivery Device 12752463.5 2680913 France FR Mar 5, 2012 May 6, 2020 2680913 Utility - EPPAT (004FR) Nasal Drug Delivery Device 20158982.7 3679971 France FR Mar 5, 2012 Jul 27, 2022 3679971 Jul 15, 2020 Utility - EPPAT (004GB) Nasal Drug Delivery Device 12752463.5 2680913 United Kingdom GB Mar 5, 2012 May 6, 2020 2680913 Utility - EPPAT (004GB) Nasal Drug Delivery Device 20158982.7 3679971 United Kingdom GB Mar 5, 2012 Jul 27, 2022 3679971 Jul 15, 2020 Utility - NSPCT (004IN) Nasal Drug Delivery Device 7465/DELNP/2013 409215 India IN Mar 5, 2012 Oct 18, 2022 Aug 23, Utility - NSPCT (004JP) Nasal Drug Delivery Device 2013-556677 6339371 Japan JP Mar 5, 2012 May 18, 2018 6339371 Sep 2, 2Utility - NSPCT (004RU) Nasal Drug Delivery Device 2013144395 2612506 Russian Federation RU Mar 5, 2012 Mar 9, 2017 Oct 2, 2

Utility - DIV (004RUD1) Nasal Drug Delivery Device 2017105845 2728583 Russian Federation RU Mar 5, 2012 Jul 30, 2020 2017105845 A Jan 21, 2019 Feb 22, 

Utility - CON (004US) Nasal Drug Delivery Device 14/017,048 9,550,036 United States of America US Sep 3, 2013 Jan 24, 2017 2014-0014104 Jan 16, 2014 Utility - CON (004USC1) Nasal Drug Delivery Device 15/338,097 10,507,295 United States of America US Oct 28, 2016 Dec 17, 2019 2017-0043109 Feb 16, 2017 Utility - CON (004USC2) Nasal Drug Delivery Device 16/664,588 11,730,903 United States of America US Oct 25, 2019 Aug 22, 2023 2020-0078544 Mar 12, 2020 Utility - CON (004USC3) Nasal Drug Delivery Device 18/346,244 United States of America US Jul 2, 2023 

Utility - NSPCT (005AU) Nozzles for Nasal Drug Delivery 2012253569 2012253569 Australia AU May 9, 2012 May 31, 2018 2012253569 Apr 11, 

Utility - DIV (005AUD1) Nozzles for Nasal Drug Delivery 2018200530 2018200530 Australia AU May 9, 2012 Nov 21, 2019 2018200530 Aug 8, 2019 Jan 23, 

Utility - NSPCT (005BR) Nozzles for Nasal Drug Delivery 11 2013 028572 9 BR 112013028572-9 Brazil BR May 9, 2012 Nov 3, 2021 11 2013 028572 9 Jan 17, 2017 Nov 16, Utility - NSPCT (005CA) Nozzles for Nasal Drug Delivery 2,835,208 2835208 Canada CA May 9, 2012 Aug 20, 2019 Nov 5, Utility - EPPAT (005CH) Nozzles for Nasal Drug Delivery 12781605.6 2707146 Switzerland CH May 9, 2012 Apr 28, 2021 2707146 Mar 19, 2014 Utility - NSPCT (005CN) Nozzles for Nasal Drug Delivery 201280029975.6 ZL201280029975.6 China CN May 9, 2012 Aug 8, 2017 103619485A Mar 5, 2014 

Utility - DIV (005CND1) Nozzles for Nasal Drug Delivery 201710572447.X ZL 201710572447.X China CN May 9, 2012 Jul 9, 2021 CN 107376071 B Nov 24, 2017 Jul 13, 

Utility - EPPAT (005DE) Nozzles for Nasal Drug Delivery 12781605.6 60 2012 075 398.6 Germany DE May 9, 2012 Apr 28, 2021 2707146 Mar 19, 2014 Utility - NSPCT (005EP) Nozzles for Nasal Drug Delivery 12781605.6 2707146 European Patent Office EP May 9, 2012 Apr 28, 2021 2707146 Mar 19, 2014 Dec 4, 2

Utility - DIV (005EPD1) Nozzles for Nasal Drug Delivery 21161728.7 European Patent Office EP May 9, 2012 3851142 Jul 21, 2021 Mar 8, 

Annex 2-1(h)-1 Patent Assets Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 De

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APPLICATION TYPE TITLE APPLICATION NUMBER PATENT NUMBER COUNTRY COUNTRY WIPO ID FILE DATE ISSUE DATE PUBLICATION NUMBER PUBLICATION DATE LOCAL FILIN

Utility - EPPAT (005FR) Nozzles for Nasal Drug Delivery 12781605.6 2707146 France FR May 9, 2012 Apr 28, 2021 2707146 Mar 19, 2014 Utility - EPPAT (005GB) Nozzles for Nasal Drug Delivery 12781605.6 2707146 United Kingdom GB May 9, 2012 Apr 28, 2021 2707146 Mar 19, 2014 Utility - NSPCT (005IN) Nozzles for Nasal Drug Delivery 9576/DELNP/2013 406303 India IN May 9, 2012 Sep 9, 2022 51/2014 Dec 19, 2014 Nov 6, Utility - NSPCT (005JP) Nozzles for Nasal Drug Delivery 2014-510444 6645735 Japan JP May 9, 2012 Jan 14, 2020 2014-518707 Aug 7, 2014 Nov 8, 

Utility - DIV (005JPD1) Nozzles for Nasal Drug Delivery 2017-145911 6959708 Japan JP May 9, 2012 Oct 12, 2021 6959708 Oct 19, 2017 Jul 27, 

Utility - NSPCT (005RU) Nozzles for Nasal Drug Delivery 2013154420 2618084 Russian Federation RU May 9, 2012 May 2, 2017 

Utility - DIV (005RUD1) Nozzles for Nasal Drug Delivery 2017113604 2741249 Russian Federation RU May 9, 2012 Jan 22, 2021 2017113604 Jan 28, 2019 Apr 20, 

Utility - CON (005US) Nozzles for Nasal Drug Delivery 14/075,126 9,919,117 United States of America US Nov 8, 2013 Mar 20, 2018 2014-0083424 Mar 27, 2014 Utility - CON (005USC1) Nozzles for Nasal Drug Delivery 15/890,266 10,940,278 United States of America US Feb 6, 2018 Mar 9, 2021 2018-0236190 Aug 23, 2018 Utility - CON (005USC2) Nozzles for Nasal Drug Delivery 17/164,371 United States of America US Feb 1, 2021 2021-0322689 Oct 21, 2021 

Utility - CON (005USC3) Nozzles for Nasal Drug Delivery 18/505,101 United States of America US Nov 11. 2023 

Utility - DIV (005USD1) Nozzles for Nasal Drug Delivery 15/844,474 11,007,332 United States of America US Dec 15, 2017 May 18, 2021 2018-0126101 May 10, 2018 

Utility - NSPCT (006CA) Medical Unit Dose Container 2,909,954 2909954 Canada CA Apr 28, 2014 Mar 23, 2021 2,909,954 Nov 6, 2014 Oct 20, Utility - EPPAT (006CH) Medical Unit Dose Container 14727320.5 2991713 Switzerland CH Apr 28, 2014 Jun 19, 2019 2991713 Utility - EPPAT (006DE) Medical Unit Dose Container 14727320.5 DE 60 2014 048 612.6 Germany DE Apr 28, 2014 Jun 19, 2019 2991713 Utility - NSPCT (006EP) Medical Unit Dose Container 14727320.5 2991713 European Patent Office EP Apr 28, 2014 Jun 19, 2019 2991713 Mar 9, 2016 Nov 4, Utility - EPPAT (006FR) Medical Unit Dose Container 14727320.5 2991713 France FR Apr 28, 2014 Jun 19, 2019 2991713 Utility - EPPAT (006GB) Medical Unit Dose Container 14727320.5 2991713 United Kingdom GB Apr 28, 2014 Jun 19, 2019 2991713 Utility - NSPCT (006US) Medical Unit Dose Container 14/787,455 10,537,692 United States of America US Apr 28, 2014 Jan 21, 2020 2016-0101245 Apr 14, 2016 Oct 27, 

Utility - CON (006USC1) Medical Unit Dose Container 16/695,147 11,191,910 United States of America US Nov 25, 2019 Dec 7, 2021 2020-0101243 Apr 2, 2020 

Utility - NSPCT (008AU) In-Line Nasal Delivery Device 2016321345 2016321345 Australia AU Sep 9, 2016 Mar 25, 2021 2016321345 Apr 19, 2018 Mar 28, Utility - NSPCT (008CA) In-Line Nasal Delivery Device 2,998,182 Canada CA Sep 9, 2016 Mar 8, Utility - EPPAT (008CH) In-Line Nasal Delivery Device 16845229.0 3341059 Switzerland CH Sep 9, 2016 Mar 2, 2022 3341059 Jul 4, 2018 Utility - NSPCT (008CN) In-Line Nasal Delivery Device 201680060459.8 ZL 201680060459.8 China CN Sep 9, 2016 Jul 9, 2021 CN 108601916 B Sep 28, 2018 Apr 16, Utility - EPPAT (008DE) In-Line Nasal Delivery Device 16845229.0 60 2016 069 688.6 Germany DE Sep 9, 2016 Mar 2, 2022 3341059 Jul 4, 2018 Utility - NSPCT (008EP) In-Line Nasal Delivery Device 16845229.0 3341059 European Patent Office EP Sep 9, 2016 Mar 2, 2022 3341059 Jul 4, 2018 Mar 29, Utility - EPPAT (008FR) In-Line Nasal Delivery Device 16845229.0 3341059 France FR Sep 9, 2016 Mar 2, 2022 3341059 Jul 4, 2018 Utility - EPPAT (008GB) In-Line Nasal Delivery Device 16845229.0 3341059 United Kingdom GB Sep 9, 2016 Mar 2, 2022 3341059 Jul 4, 2018 Utility - NSPCT (008IL) In-Line Nasal Delivery Device 257845 257845 Israel IL Sep 9, 2016 Oct 2, 2022 257845 Jul 2, 2022 Mar 4, Utility - NSPCT (008IN) In-Line Nasal Delivery Device 201847012776 India IN Sep 9, 2016 201847012776 A Apr 13, 2018 Apr 4, 2Utility - NSPCT (008JP) In-Line Nasal Delivery Device 2018-513344 6753927 Japan JP Sep 9, 2016 Aug 24, 2020 2018-527099 Sep 20, 2018 Mar 12, 

Utility - DIV (008JPD1) In-Line Nasal Delivery Device 2020-139519 7001777 Japan JP Sep 9, 2016 Dec 28, 2021 2020-185475 Nov 19, 2020 Aug 20, 

Utility - NSPCT (008KR) In-Line Nasal Delivery Device 10-2018-7009528 Republic of Korea KR Sep 9, 2016 10-2018-0052662 May 18, 2018 Apr 4, 2Utility - NSPCT (008MX) In-Line Nasal Delivery Device MX/a/2018/002895 397293 Mexico MX Sep 9, 2016 Nov 9, 2022 Mar 7, Utility - NSPCT (008NZ) In-Line Nasal Delivery Device 741171 741171 New Zealand NZ Sep 9, 2016 Apr 29, 2022 741171 Jan 28, 2022 Mar 28, Utility - NSPCT (008US) In-Line Nasal Delivery Device 15/759,447 11,266,799 United States of America US Sep 9, 2016 Mar 8, 2022 2018-0256836 Sep 13, 2018 Mar 12, 

Utility - CON (008USC3) In-Line Nasal Delivery Device 18/297,601 United States of America US Apr 8, 2023 2023-0241334 Aug 3, 2023 

Utility - CON (008USC4) In-Line Nasal Delivery Device 18/538,917 United States of America US Dec 13, 2023 

Utility - NSPCT (008ZA) In-Line Nasal Delivery Device 2018/01543 2018/01543 South Africa ZA Sep 9, 2016 Aug 31, 2022 Mar 6, Utility - NSPCT (009EP) Intranasal Device With Dip Tube 18881599.7 European Patent Office EP Nov 21, 2018 3713628 Sep 30, 2020 May 21, 

Utility - ORG (009HK) Intranasal Device With Dip Tube 62021025263.6 Hong Kong HK Nov 21, 2018 40036055 Feb 8, 2

Utility - NSPCT (009JP) Intranasal Device With Dip Tube 2020-528005 7191099 Japan JP Nov 21, 2018 Dec 8, 2022 2021-503989 Feb 15, 2021 May 20, 

Utility - NPREG (009US) Intranasal Device with Dip Tube 16/198,403 11,571,532 United States of America US Nov 21, 2018 Feb 7, 2023 2019-0151579 May 23, 2019 

Utility - NSPCT (010CA) Intranasal Device with Inlet Interface 3,081,680 Canada CA Nov 21, 2018 May 4, Utility - NSPCT (010CN) Intranasal Device with Inlet Interface 201880075221.1 ZL 201880075221.1 China CN Nov 21, 2018 Aug 16, 2022 CN 111372635 B Jul 3, 2020 May 21, 

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Utility - NSPCT (010EP) Intranasal Device with Inlet Interface 18880741.6 European Patent Office EP Nov 21, 2018 3713626 Sep 30, 2020 May 21, 

Utility - ORG (010HK) Intranasal Device with Inlet Interface 62021024307.2 Hong Kong HK Nov 21, 2018 40034724 Jan 26, 

Utility - NPREG (010US) Intranasal Device with Inlet Interface 16/198,312 11,395,887 United States of America US Nov 21, 2018 Jul 26, 2022 2019-0151576 May 23, 2019 

APPLICATION TYPE TITLE APPLICATION NUMBER PATENT NUMBER COUNTRY COUNTRY WIPO ID FILE DATE ISSUE DATE PUBLICATION NUMBER PUBLICATION DATE LOCAL FILIN

Utility - CON (010USC1) Intranasal Device with Inlet Interface 17/835,256 United States of America US Jun 8, 2022 2022-0323698 Oct 13, 2022 

Utility - NSPCT (011AU) Intranasal Delivery of Dihydroergotamine by Precision Olfactory Device 2019205318 2019205318 Australia AU Jan 4, 2019 Jun 9, 2022 2019205318 Jul 30, 2020 Jul 10, Utility - NSPCT (011BR) Intranasal Delivery of Dihydroergotamine by Precision Olfactory Device BR 11 2020 013744-8 Brazil BR Jan 4, 2019 Jul 3, 2Utility - NSPCT (011CA) Intranasal Delivery of Dihydroergotamine by Precision Olfactory Device 3,088,942 3088942 Canada CA Jan 4, 2019 Jan 3, 2023 Jul 2, 2Utility - EPPAT (011CH) Intranasal Delivery of Dihydroergotamine by Precision Olfactory Device 19735973.0 3735244 Switzerland CH Jan 4, 2019 Nov 23, 2022 3735244 Nov 11, 2020 Utility - NSPCT (011CN) Intranasal Delivery of Dihydroergotamine by Precision Olfactory Device 201980016882.1 China CN Jan 4, 2019 CN 111936140 A Nov 13, 2020 Sep 2, 2Utility - NSPCT (011EP) Intranasal Delivery of Dihydroergotamine by Precision Olfactory Device 19735973.0 3735244 European Patent Office EP Jan 4, 2019 Nov 23, 2022 3735244 Nov 11, 2020 Jul 21, Utility - EPPAT (011EPBE) Intranasal Delivery of Dihydroergotamine by Precision Olfactory Device 19735973.0 3735244 Belgium BE Jan 4, 2019 Nov 23, 2022 3735244 Nov 11, 2020 Utility - EPPAT (011EPDE) Intranasal Delivery of Dihydroergotamine by Precision Olfactory Device 19735973.0 60 2019 022 249.1 Germany DE Jan 4, 2019 Nov 23, 2022 3735244 Nov 11, 2020 Utility - EPPAT (011EPES) Intranasal Delivery of Dihydroergotamine by Precision Olfactory Device 19735973.0 3735244 Spain ES Jan 4, 2019 Nov 23, 2022 3735244 Nov 11, 2020 Utility - EPPAT (011EPFR) Intranasal Delivery of Dihydroergotamine by Precision Olfactory Device 19735973.0 3735244 France FR Jan 4, 2019 Nov 23, 2022 3735244 Nov 11, 2020 Utility - EPPAT (011EPIT) Intranasal Delivery of Dihydroergotamine by Precision Olfactory Device 19735973.0 502023000004236 Italy IT Jan 4, 2019 Nov 23, 2022 3735244 Nov 11, 2020 Utility - EPPAT (011EPNL) Intranasal Delivery of Dihydroergotamine by Precision Olfactory Device 19735973.0 3735244 Netherlands NL Jan 4, 2019 Nov 23, 2022 3735244 Nov 11, 2020 Utility - EPPAT (011GB) Intranasal Delivery of Dihydroergotamine by Precision Olfactory Device 19735973.0 3735244 United Kingdom GB Jan 4, 2019 Nov 23, 2022 3735244 Nov 11, 2020 

Utility - ORG (011HK) Intranasal Delivery of Dihydroergotamine by Precision Olfactory Device 62021029274.9 40039614 Hong Kong HK Jan 4, 2019 Apr 14, 2023 40039614 Apr 14, 

Utility - NSPCT (011IN) Intranasal Delivery of Dihydroergotamine by Precision Olfactory Device 202047033483 India IN Jan 4, 2019 202047033483 A Sep 18, 2020 Aug 5, Utility - NSPCT (011JP) Intranasal Delivery of Dihydroergotamine by Precision Olfactory Device 2020-537473 7317020 Japan JP Jan 4, 2019 Jul 20, 2023 2021-510155 Apr 15, 2021 Jul 6, 2Utility - NSPCT (011KR) Intranasal Delivery of Dihydroergotamine by Precision Olfactory Device 10-2020-7022585 Republic of Korea KR Jan 4, 2019 10-2020-0118032 Oct 14, 2020 Aug 4, Utility - EPPAT (011LU) Intranasal Delivery of Dihydroergotamine by Precision Olfactory Device 19735973.0 3735244 Luxembourg LU Jan 4, 2019 Nov 23, 2022 3735244 Nov 11, 2020 

Utility - CON (011USC1) Intranasal Delivery of Dihydroergotamine by Precision Olfactory Device 17/062,364 11,185,497 United States of America US Oct 2, 2020 Nov 30, 2021 2021-0022995 Jan 28, 2021 Utility - CON (011USC2) Intranasal Delivery of Dihydroergotamine by Precision Olfactory Device 17/492,136 United States of America US Oct 1, 2021 2022-0105030 Apr 7, 2022 

Utility - NSPCT (012CA) Intranasal Delivery of Levodopa Powder By Precision Olfactory Device 3,087,696 Canada CA Jan 4, 2019 Jul 3, 2Utility - NSPCT (012EP) Intranasal Delivery of Levodopa Powder By Precision Olfactory Device 19735763.5 European Patent Office EP Jan 4, 2019 3735298 Nov 11, 2020 Jul 21, 

Utility - CON (012USC1) Intranasal Delivery of Levodopa Powder by Precision Olfactory Device 17/498,381 United States of America US Oct 11, 2021 2022-0296504 Sep 22, 2022 

Utility - NSPCT (013AU) Intranasal Delivery of Olanzapine By Precision Olfactory Device 2019205329 2019205329 Australia AU Jan 4, 2019 Aug 3, 2023 2019205329 Jul 30, 2020 Jul 13, Utility - NSPCT (013BR) Intranasal Delivery of Olanzapine By Precision Olfactory Device BR 11 2020 013750-2 Brazil BR Jan 4, 2019 Jul 3, 2Utility - NSPCT (013CA) Intranasal Delivery of Olanzapine By Precision Olfactory Device 3,087,698 Canada CA Jan 4, 2019 Jul 3, 2Utility - NSPCT (013CN) Intranasal Delivery of Olanzapine By Precision Olfactory Device 201980016880.2 China CN Jan 4, 2019 CN 111836615 A Oct 27, 2020 Sep 2, 2Utility - NSPCT (013EP) Intranasal Delivery of Olanzapine By Precision Olfactory Device 19735694.2 European Patent Office EP Jan 4, 2019 3735223 Nov 11, 2020 Jul 21, 

Utility - ORG (013HK) Intranasal Delivery of Olanzapine By Precision Olfactory Device 62021029305.1 Hong Kong HK Jan 4, 2019 40039329 Apr 14, 

Utility - NSPCT (013IN) Intranasal Delivery of Olanzapine By Precision Olfactory Device 202047033486 India IN Jan 4, 2019 202047033486 A Sep 11, 2020 Aug 5, Utility - NSPCT (013JP) Intranasal Delivery of Olanzapine By Precision Olfactory Device 2020-537508 Japan JP Jan 4, 2019 2021-509677 Apr 1, 2021 Jul 6, 2Utility - NSPCT (013KR) Intranasal Delivery of Olanzapine By Precision Olfactory Device 10-2020-7022587 Republic of Korea KR Jan 4, 2019 10-2020-0118034 Oct 14, 2020 Aug 4, 

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Utility - NPREG (013US) Intranasal Delivery of Olanzapine by Precision Olfactory Device 16/240,653 11,278,492 United States of America US Jan 4, 2019 Mar 22, 2022 2019-0240150 Aug 8, 2019 

APPLICATION TYPE TITLE APPLICATION NUMBER PATENT NUMBER COUNTRY COUNTRY WIPO ID FILE DATE ISSUE DATE PUBLICATION NUMBER PUBLICATION DATE LOCAL FILIN

Utility - CON (013USC1) Intranasal Delivery of Olanzapine by Precision Olfactory Device 17/574,511 11,752,100 United States of America US Jan 12, 2022 Sep 12, 2023 2022-0183965 Jun 16, 2022 Utility - CON (013USC2) Intranasal Delivery of Olanzapine by Precision Olfactory Device 18/357,927 United States of America US Jul 24, 2023 

Utility - NSPCT (014CN) Respiratory Tract Delivery of Levodopa and Dopa Decarboxylase Inhibitor for Treatment of Parkinson's Disease 201980061336.X China CN Jul 19, 2019 CN 112955134 A Jun 11, 2021 Mar 18, Utility - NSPCT (014EP) Respiratory Tract Delivery of Levodopa and Dopa Decarboxylase Inhibitor for Treatment of Parkinson's Disease 19838654.2 European Patent Office EP Jul 19, 2019 3823607 May 26, 2021 Feb 1, 2Utility - NSPCT (014JP) Respiratory Tract Delivery of Levodopa and Dopa Decarboxylase Inhibitor for Treatment of Parkinson's Disease 2021-502918 Japan JP Jul 19, 2019 2021-532098 Nov 25, 2021 Jan 19, Utility - NSPCT (014KR) Respiratory Tract Delivery of Levodopa and Dopa Decarboxylase Inhibitor for Treatment of Parkinson's Disease 10-2021-7004903 Republic of Korea KR Jul 19, 2019 10-2021-0034047 Mar 29, 2021 Feb 18, 

Utility - NPREG (014US) Respiratory Tract Delivery of Levodopa and Dopa Decarboxylase Inhibitor for Treatment of Parkinson's Disease 16/517,423 11,517,548 United States of America US Jul 19, 2019 Dec 6, 2022 2020-0046667 Feb 13, 2020 

Utility - CON (014USC1) Respiratory Tract Delivery of Levodopa and Dopa Decarboxylase Inhibitor for Treatment of Parkinson's Disease 18/313,330 United States of America US May 6, 2023 

Utility - DIV (014USD1) Respiratory Tract Delivery of Levodopa and Dopa Decarboxylase Inhibitor for Treatment of Parkinson's Disease 17/682,033 11,690,819 United States of America US Feb 28, 2022 Jul 4, 2023 2022-0233486 Jul 28, 2022 

Utility - NSPCT (015AU) Nasal Drug Delivery Device 2019418744 2019418744 Australia AU Dec 17, 2019 Nov 16, 2023 2019418744 Jul 22, 2021 Jun 28, Utility - NSPCT (015BR) Nasal Drug Delivery Device BR 11 2021 013244-9 Brazil BR Dec 17, 2019 Jul 5, 2Utility - NSPCT (015CA) Nasal Drug Delivery Device 3,125,430 Canada CA Dec 17, 2019 Jun 29, Utility - NSPCT (015CN) Nasal Drug Delivery Device 201980092137.5 ZL 201980092137.5 China CN Dec 17, 2019 Sep 9, 2022 CN 113473967 A Oct 1, 2021 Aug 13, Utility - NSPCT (015EP) Nasal Drug Delivery Device 19907973.2 European Patent Office EP Dec 17, 2019 3906017 Nov 10, 2021 Jul 1, 2

Utility - ORG (015HK) Nasal Drug Delivery Device 62022053022.9 Hong Kong HK Dec 17, 2019 Jun 24, 

Utility - NSPCT (015IL) Nasal Drug Delivery Device 284362 284362 Israel IL Dec 17, 2019 May 2, 2023 284362 Feb 1, 2023 Jun 24, Utility - NSPCT (015IN) Nasal Drug Delivery Device 202147033648 India IN Dec 17, 2019 202147033648 Jul 30, 2021 Jul 27, Utility - NSPCT (015JP) Nasal Drug Delivery Device 2021-539346 7213991 Japan JP Dec 17, 2019 Jan 19, 2023 2022-517757 Mar 10, 2022 Jul 5, 2Utility - NSPCT (015KR) Nasal Drug Delivery Device 10-2021-7023935 Republic of Korea KR Dec 17, 2019 10-2021-0109007 Sep 3, 2021 Jul 27, Utility - NSPCT (015MX) Nasal Drug Delivery Device MX/a/2021/008082 Mexico MX Dec 17, 2019 MX/a/2021/008082 Sep 1, 2021 Jul 1, 2Utility - NSPCT (015NZ) Nasal Drug Delivery Device 777687 New Zealand NZ Dec 17, 2019 Jun 28, Utility - NSPCT (015SG) Nasal Drug Delivery Device 11202107019V Singapore SG Dec 17, 2019 Jun 26, Utility - NSPCT (015US) Nasal Drug Delivery Device 17/420,640 11,759,585 United States of America US Dec 17, 2019 Sep 19, 2023 2022-0088327 Mar 24, 2022 Jul 2, 2Utility - NSPCT (015ZA) Nasal Drug Delivery Device 2021/04682 2021/04682 South Africa ZA Dec 17, 2019 Nov 30, 2022 Jul 5, 2Utility - NSPCT (016AU) Single-Use Nasal Delivery Device 2020277313 Australia AU May 15, 2020 Dec 12, Utility - NSPCT (016BR) Single-Use Nasal Delivery Device BR 11 2021 023049-1 Brazil BR May 15, 2020 Nov 17, Utility - NSPCT (016CA) Single-Use Nasal Delivery Device 3,140,374 Canada CA May 15, 2020 Nov 12, Utility - NSPCT (016CN Single-Use Nasal Delivery Device 202080046714.X China CN May 15, 2020 CN 114025816 A Feb 8, 2022 Dec 24, Utility - NSPCT (016EP) Single-Use Nasal Delivery Device 20808724.7 European Patent Office EP May 15, 2020 3969085 Mar 23, 2022 Nov 19, 

Utility - ORG (016HK) Single-Use Nasal Delivery Device 62022054694.4 Hong Kong HK May 15, 2020 40066820 Aug 26, 

Utility - NSPCT (016IN) Single-Use Nasal Delivery Device 202147057493 India IN May 15, 2020 202147057493 Jan 28, 2022 Dec 10, Utility - NSPCT (016JP) Single-Use Nasal Delivery Device 2021-568728 Japan JP May 15, 2020 2022-532259 Jul 13, 2022 Nov 17, Utility - NSPCT (016KR) Single-Use Nasal Delivery Device 10-2021-7041344 Republic of Korea KR May 15, 2020 10-2022-0010011 Jan 25, 2022 Dec 16, 

Utility - NPREG (016US) Single-Use Nasal Delivery Device 16/875,906 United States of America US May 15, 2020 2020-0360627 Nov 19, 2020 

Utility - NSPCT (018AU) Repeated Administration of Dihydroergotamine for Treatment of Frequent Migraine Headaches 2021207626 Australia AU Jan 13, 2021 Aug 4, Utility - NSPCT (018BR) Repeated Administration of Dihydroergotamine for Treatment of Frequent Migraine Headaches BR 11 2022 013796-6 Brazil BR Jan 13, 2021 Jul 12, Utility - NSPCT (018CA) Repeated Administration of Dihydroergotamine for Treatment of Frequent Migraine Headaches 3,167,555 Canada CA Jan 13, 2021 Jul 11, Utility - NSPCT (018CN Repeated Administration of Dihydroergotamine for Treatment of Frequent Migraine Headaches 202180020957.0 China CN Jan 13, 2021 CN 115279371 A Nov 1, 2022 Sep 13, Utility - NSPCT (018EP) Repeated Administration of Dihydroergotamine for Treatment of Frequent Migraine Headaches 21741027.3 European Patent Office EP Jan 13, 2021 4090331 Nov 23, 2022 Jul 19, 

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Utility - ORG (018HK) Repeated Administration of Dihydroergotamine for Treatment of Frequent Migraine Headaches 62022064577.9 Hong Kong HK Jan 13, 2021 40075485 Nov 24, 

Utility - NSPCT (018JP) Repeated Administration of Dihydroergotamine for Treatment of Frequent Migraine Headaches 2022-543038 Japan JP Jan 13, 2021 2023-511547 Mar 20, 2023 Jul 14, 

APPLICATION TYPE TITLE APPLICATION NUMBER PATENT NUMBER COUNTRY COUNTRY WIPO ID FILE DATE ISSUE DATE PUBLICATION NUMBER PUBLICATION DATE LOCAL FILIN

Utility - NSPCT (018KR) Repeated Administration of Dihydroergotamine for Treatment of Frequent Migraine Headaches 10-2022-7028096 Republic of Korea KR Jan 13, 2021 10-2022-0129586 Sep 23, 2022 Aug 12, 

Utility - NPREG (018US) Repeated Administration of Dihydroergotamine for Treatment of Frequent Migraine Headaches 17/148,154 United States of America US Jan 13, 2021 2021-0236485 Aug 5, 2021 

Utility - NPREG (018US) Repeated Administration of Dihydroergotamine for Treatment of Frequent Migraine Headaches 18/482,856 United States of America US Oct 7, 2023 

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Page 1 of 8 Annex 2.1(h)-2 Trademark Assets Trademark TM Image Country Class App. Date App. No. Reg. Date Reg. No. 

IMPEL Austria 10 6/22/2017 6/22/2017 

A0068020 IR 1361080 IMPEL Canada 10, 42, 44 6/23/2017 10/27/2020 1844268 TMA1086254 IMPEL China 10 6/22/2017 6/22/2017 A0068020 IR 1361080 IMPEL EUTM 10 6/22/2017 6/22/2017 A0068020 IR 1361080 IMPEL India 10 6/22/2017 6/22/2017 A0068020 IR 1361080 IMPEL Japan 10 6/22/2017 6/22/2017 A0068020 IR 1361080 IMPEL Mexico 10 6/22/2017 6/22/2017 1934521 / A0068020 IR 1361080 / 2477867 IMPEL South Korea 10 6/22/2017 6/22/2017 A0068020 IR 1361080 IMPEL United Kingdom 10 6/22/2017 6/22/2017 A0068020 IR 1361080 Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 De

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App. Date App. No. Reg. Date Trademark TM Image Country Class Reg. No. 

Page 2 of 8 IMPEL United Kingdom 10 6/22/2017 6/22/2017 

UK00801361080 UK00801361080 IMPEL United States 10, 42 12/23/2016 7/18/2017 87279985 5246085 IMPEL WIPO 10 6/22/2017 6/22/2017 A0068020 IR 1361080 IMPEL (and IMPEL Logo) Australia 10 9/13/2019 5/11/2020 

2037078 2037078 IMPEL (in simplified Chinese China 10 7/21/2017 7/21/2018 

characters) 25444110 25444110 IMPEL DOTS Logo (in color) Australia 5, 10, 35, 42, 44 10/4/2022 10/4/2022 

A0128057 / 2315410 IR 1696890 IMPEL DOTS Logo (in color) Canada 5, 10, 35, 42, 44 10/4/2022 A0128057 / 2222811 IR 1696890 IMPEL DOTS Logo (in color) China 10 10/4/2022 A0128057 IR 1696890 IMPEL DOTS Logo (in color) EUTM 5, 10, 35, 42, 44 10/4/2022 10/4/2022 A0128057 IR 1696890 Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 De

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App. Date App. No. Reg. Date Trademark TM Image Country Class Reg. No. 

Page 3 of 8 IMPEL DOTS Logo (in color) United Kingdom 5, 10, 35, 42, 44 10/4/2022 10/4/2022 

A0128057 IR 1696890 IMPEL DOTS Logo (in color) Mexico 10 10/4/2022 

A0128057 IR 1696890 IMPEL DOTS Logo (in color) Mexico 35 10/4/2022 A0128057 IR 1696890 IMPEL DOTS Logo (in color) Mexico 42 10/4/2022 A0128057 IR 1696890 IMPEL DOTS Logo (in color) Mexico 44 10/4/2022 A0128057 IR 1696890 IMPEL DOTS Logo (in color) Mexico 10/4/2022 A0128057 IR 1696890 IMPEL DOTS Logo (in color) South Korea 5, 10, 35, 42, 44 10/4/2022 A0128057 IR 1696890 Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 De

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App. Date Reg. Date Page 4 of 8 Trademark TM Image Country Class App. No. Reg. No. 

IMPEL DOTS Logo (in color) United States 5, 10, 35, 42, 44 4/5/2022 

97347411 IMPEL DOTS Logo (in color) WIPO 5, 10, 35, 42, 44 10/4/2022 10/4/2022 

A0128057 IR 1696890 IMPEL Logo Australia 10 6/23/2017 6/23/2017 

A0068043 IR 1362565 IMPEL Logo Canada 10, 42, 44 6/23/2017 2/18/2021 

1844270 TMA1093962 IMPEL Logo China 10 6/23/2017 6/23/2017 

A0068043 IR 1362565 IMPEL Logo EUTM 10 6/23/2017 6/23/2017 

A0068043 IR 1362565 IMPEL Logo India 10 6/23/2017 6/23/2017 

A0068043 IR 1362565 IMPEL Logo Japan 10 6/23/2017 6/23/2017 

A0068043 IR 1362565 Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 De

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App. Date Reg. Date Page 5 of 8 Trademark TM Image Country Class App. No. Reg. No. 

IMPEL Logo Mexico 10 6/23/2017 6/23/2017 

1941236 / A0068043 1976573 / IR 1362565 IMPEL Logo South Korea 10 6/23/2017 6/23/2017 A0068043 IR 1362565 IMPEL Logo United Kingdom 10 6/23/2017 6/23/2017 A0068043 IR 1362565 IMPEL Logo United Kingdom 10 6/23/2017 6/23/2017 UK00801362565 UK00801362565 IMPEL Logo WIPO 10 6/23/2017 6/23/2017 A0068043 IR 1362565 IMPELPOD Canada 10 7/2/2020 2037728 IMPELPOD China 10 8/14/2018 4/28/2019 32866749 32866749 IMPELPOD Japan 10 6/4/2018 5/10/2019 2018073552 6142856 IMPELPOD Mexico 10 9/13/2018 

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App. Date Reg. Date Page 6 of 8 Trademark TM Image Country Class App. No. Reg. No. 

IMPELPOD South Korea 10 5/15/2018 2/14/2019 

4020180065479 401447269 POD Australia 10 6/23/2017 6/23/2017 

A0068025 1868238 / IR 1361766 POD EUTM 10 6/23/2017 6/12/2017 A0068025 IR 1361766 POD India 10 6/23/2017 6/23/2017 A0068025 IR 1361766 POD United Kingdom 10 6/23/2017 6/23/2017 

A0068025 IR 1361766 POD United Kingdom 10 6/23/2017 6/12/2017 UK00801361766 UK00801361766 POD United States 10 1/3/2017 3/20/2018 

87288146 5425969 POD WIPO 10 6/23/2017 6/23/2017 

A0068025 IR 1361766 TRUDHESA Australia 5 2/12/2020 9/21/2020 

2068247 2068247 TRUDHESA Canada 5 2/12/2020 

2011118 Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 De

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App. Date Reg. Date Page 7 of 8 Trademark TM Image Country Class App. No. Reg. No. 

TRUDHESA China 5 2/13/2020 10/21/2020 

44059589 44059589 TRUDHESA EUTM 5 2/12/2020 6/13/2020 018194677 018194677 TRUDHESA India 5 2/14/2020 10/22/2020 4441189 4441189 TRUDHESA Japan 5 2/13/2020 10/6/2020 2020015209 6300807 TRUDHESA Mexico 5 2/12/2020 10/5/2020 2329211 2152309 TRUDHESA South Korea 5 2/12/2020 11/12/2020 4020200022924 401661992 TRUDHESA United Kingdom 5 2/12/2020 8/8/2020 3466091 3466091 TRUDHESA United Kingdom 5 2/12/2020 UK00918194677 6/13/2020 UK00918194677 

TRUDHESA United States 35, 44 8/16/2021 11/22/2022 

90885069 6908531 TRUDHESA United States 5 8/14/2019 3/1/2022 88578186 6660150 Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 De

Main Document Page 52 of 218
App. Date Reg. Date Page 8 of 8 Trademark TM Image Country Class App. No. Reg. No. 

TRUDHESA Logo United States 5 1/21/2020 4/5/2022 

88768014 6694745 

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 De

Main Document Page 53 of 218
SCHEDULES OF ASSETS AND LIABILITIES 

EXHIBIT FOR SCHEDULE AB 

PART 10, QUESTION 61 

INTERNET DOMAIN NAMES AND WEBSITES 

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 54 of 218
Impel Pharmaceuticals Inc.

Case No. 23‐80016

Schedule AB 61.  Internet domain names and websites.

Website and Domain Name

Ownership 

Date Expiration Date

Net Book Value of 

Debtor's Interest

Valuation method 

used for current 

value

Current value of 

debtor's interest

IMPELNEUROPHARMA.COM 8/11/2008 8/11/2024 Undetermined Net Book Value Undetermined

IMPELNP.COM 3/4/2014 3/4/2024 Undetermined Net Book Value Undetermined

IMPELRX.COM 4/23/2015 4/23/2025 Undetermined Net Book Value Undetermined

aboutdhephi.com 10/3/2018 10/3/2028 Undetermined Net Book Value Undetermined

dhephirx.com 10/3/2018 10/3/2028 Undetermined Net Book Value Undetermined

impelnp.info 2/3/2019 2/3/2024 Undetermined Net Book Value Undetermined

impelnp.net 2/3/2019 2/3/2024 Undetermined Net Book Value Undetermined

impelnp.biz 3/21/2019 3/21/2024 Undetermined Net Book Value Undetermined

impelnp.co 3/21/2019 3/21/2024 Undetermined Net Book Value Undetermined

impelnp.co.uk 3/21/2019 3/21/2024 Undetermined Net Book Value Undetermined

impelnp.io 3/21/2019 3/21/2024 Undetermined Net Book Value Undetermined

impelnp.online 3/21/2019 3/21/2024 Undetermined Net Book Value Undetermined

impelnp.us 3/21/2019 3/21/2024 Undetermined Net Book Value Undetermined

impelnponline.com 3/21/2019 3/21/2024 Undetermined Net Book Value Undetermined

myimpelnp.com 3/21/2019 3/21/2024 Undetermined Net Book Value Undetermined

aboutdhe.com 7/31/2019 7/31/2025 Undetermined Net Book Value Undetermined

aboutdhe.info 7/31/2019 7/31/2025 Undetermined Net Book Value Undetermined

aboutdhe.net 7/31/2019 7/31/2025 Undetermined Net Book Value Undetermined

aboutdhe.org 7/31/2019 7/31/2025 Undetermined Net Book Value Undetermined

trudhesa.com 7/31/2019 7/31/2025 Undetermined Net Book Value Undetermined

trudhesa.info 7/31/2019 7/31/2025 Undetermined Net Book Value Undetermined

trudhesa.net 7/31/2019 7/31/2025 Undetermined Net Book Value Undetermined

trudhesa.org 7/31/2019 7/31/2025 Undetermined Net Book Value Undetermined

trudhesahcp.com 7/31/2019 7/31/2025 Undetermined Net Book Value Undetermined

trudhesahcp.info 7/31/2019 7/31/2025 Undetermined Net Book Value Undetermined

trudhesahcp.net 7/31/2019 7/31/2025 Undetermined Net Book Value Undetermined

trudhesahcp.org 7/31/2019 7/31/2025 Undetermined Net Book Value Undetermined

tulifta.com 7/31/2019 7/31/2025 Undetermined Net Book Value Undetermined

tulifta.info 7/31/2019 7/31/2025 Undetermined Net Book Value Undetermined

tulifta.net 7/31/2019 7/31/2025 Undetermined Net Book Value Undetermined

tulifta.org 7/31/2019 7/31/2025 Undetermined Net Book Value Undetermined

tuliftahcp.com 7/31/2019 7/31/2025 Undetermined Net Book Value Undetermined

tuliftahcp.info 7/31/2019 7/31/2025 Undetermined Net Book Value Undetermined

tuliftahcp.net 7/31/2019 7/31/2025 Undetermined Net Book Value Undetermined

tuliftahcp.org 7/31/2019 7/31/2025 Undetermined Net Book Value Undetermined

reroutemigrainerelief.com 4/28/2022 12/17/2025 Undetermined Net Book Value Undetermined

impelvva.com 3/4/2021 3/4/2024 Undetermined Net Book Value Undetermined

reroutemigrainereliefhcp.com 4/28/2022 3/23/2026 Undetermined Net Book Value Undetermined

impelpharma.biz 12/1/2021 12/1/2026 Undetermined Net Book Value Undetermined

impelpharma.co.uk 12/1/2021 12/1/2026 Undetermined Net Book Value Undetermined

impelpharma.com 12/1/2021 12/1/2026 Undetermined Net Book Value Undetermined

impelpharma.info 12/1/2021 12/1/2026 Undetermined Net Book Value Undetermined

impelpharma.io 12/1/2021 12/1/2026 Undetermined Net Book Value Undetermined

impelpharma.mobi 12/1/2021 12/1/2026 Undetermined Net Book Value Undetermined

impelpharma.net 12/1/2021 12/1/2026 Undetermined Net Book Value Undetermined

impelpharma.org 12/1/2021 12/1/2026 Undetermined Net Book Value Undetermined

impelpharma.us 12/1/2021 12/1/2026 Undetermined Net Book Value Undetermined

impelpharmaceuticals.biz 12/1/2021 12/1/2026 Undetermined Net Book Value Undetermined

impelpharmaceuticals.co.uk 12/1/2021 12/1/2026 Undetermined Net Book Value Undetermined

impelpharmaceuticals.com 12/1/2021 12/1/2026 Undetermined Net Book Value Undetermined

impelpharmaceuticals.info 12/1/2021 12/1/2026 Undetermined Net Book Value Undetermined

Page 1 of 2

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 55 of 218
Impel Pharmaceuticals Inc.

Case No. 23‐80016

Schedule AB 61.  Internet domain names and websites.

Website and Domain Name

Ownership 

Date Expiration Date

Net Book Value of 

Debtor's Interest

Valuation method 

used for current 

value

Current value of 

debtor's interest

impelpharmaceuticals.io 12/1/2021 12/1/2026 Undetermined Net Book Value Undetermined

impelpharmaceuticals.mobi 12/1/2021 12/1/2026 Undetermined Net Book Value Undetermined

impelpharmaceuticals.net 12/1/2021 12/1/2026 Undetermined Net Book Value Undetermined

impelpharmaceuticals.org 12/1/2021 12/1/2026 Undetermined Net Book Value Undetermined

impelpharmaceuticals.us 12/1/2021 12/1/2026 Undetermined Net Book Value Undetermined

impelrx.biz 12/1/2021 12/1/2026 Undetermined Net Book Value Undetermined

impelrx.co.uk 12/1/2021 12/1/2026 Undetermined Net Book Value Undetermined

impelrx.info 12/1/2021 12/1/2026 Undetermined Net Book Value Undetermined

impelrx.io 12/1/2021 12/1/2026 Undetermined Net Book Value Undetermined

impelrx.mobi 12/1/2021 12/1/2026 Undetermined Net Book Value Undetermined

impelrx.net 12/1/2021 12/1/2026 Undetermined Net Book Value Undetermined

impelrx.org 12/1/2021 12/1/2026 Undetermined Net Book Value Undetermined

impelrx.us 12/1/2021 12/1/2026 Undetermined Net Book Value Undetermined

impelpharma.co 12/1/2021 12/2/2026 Undetermined Net Book Value Undetermined

impelpharma.online 12/1/2021 12/2/2026 Undetermined Net Book Value Undetermined

impelpharmaceuticals.co 12/1/2021 12/2/2026 Undetermined Net Book Value Undetermined

impelpharmaceuticals.online 12/1/2021 12/2/2026 Undetermined Net Book Value Undetermined

impelrx.co 12/1/2021 12/2/2026 Undetermined Net Book Value Undetermined

impelrx.online 12/1/2021 12/2/2026 Undetermined Net Book Value Undetermined

hightechdeliveryformigraine.com 3/30/2022 3/30/2027 Undetermined Net Book Value Undetermined

impelboothexperience.com 3/30/2022 3/30/2027 Undetermined Net Book Value Undetermined

impelboothonline.com 3/30/2022 3/30/2027 Undetermined Net Book Value Undetermined

impelmigrainebooth.com 3/30/2022 3/30/2027 Undetermined Net Book Value Undetermined

treatmigrainethroughthenose.com 3/30/2022 3/30/2027 Undetermined Net Book Value Undetermined

Undetermined Net Book Value Undetermined

Page 2 of 2

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 56 of 218
SCHEDULES OF ASSETS AND LIABILITIES

EXHIBIT FOR SCHEDULE AB

PART 11, QUESTION 73

INTERESTS IN INSURANCE POLICIES OR ANNUITIES

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 57 of 218
Impel Pharmaceuticals Inc.

Case No. 23‐80016Schedule AB 73.  Interests in insurance policies or annuities.

Company Account number / Policy number Description Beneficiary 

Phoenix Insurance Company H6309T03997APHX23 Domestic Package (Property, General Liability) Impel Pharmaceuticals ImpeTravelers Indemnity Company of America 8109T02656723I2G Commercial Automobile Impel Pharmaceuticals Impe

ACE American Insurance Company PHFD96470460001 Foreign Package Impel Pharmaceuticals ImpeTravelers Prop Casualty Company of America UB1W57252623I2G Workers Compensation Impel Pharmaceuticals Impe

Travelers Prop Casualty Company of America CUP0X68428223I2 Umbrella Impel Pharmaceuticals ImpeWestfield Specialty Insurance Company XSL00004J702 Excess Liability Impel Pharmaceuticals ImpeUnderwriters at Lloyd, London (Beazley) W1565A231001 Product & Clinical Trial Liability  Impel Pharmaceuticals Impe

Illinois Union Insurance Company PPLG4680272A004 Pollution Liability Impel Pharmaceuticals Impe

Beazley Insurance Company FALV14SIO23PNGF Cargo Impel Pharmaceuticals ImpeUnderwriters at Lloyd, London (Beazley) W23F7A230601 Cyber Impel Pharmaceuticals ImpeHiscox Insurance Company Inc. UKA301942222 Special Contingency Impel Pharmaceuticals ImpeEndurance American Specialty Insurance Company MAP30015689500 Management Liability (Employment PracƟces Liability, FiduciaryLiability) Impel Pharmaceuticals Impe

Travelers Casualty and Surety Companyof America 107431269 ERISA Bond Impel Pharmaceuticals ImpeAxis Insurance Company P‐001‐000836447‐02 Directors & Officers Liability ($5M Primary) Impel Pharmaceuticals Impe

Hudson Insurance Company HN‐0303‐7389‐042323 1st Excess Directors & Officers Liability $5M x $5M Impel Pharmaceuticals Impe

Endurance American Insurance DOX30018708701 2nd Excess Directors & Officers Liability $5M x $10M Impel Pharmaceuticals Impe

Atlantic Specialty Insurance MMX‐04436‐23 3rd Excess Directors & Officers Liability $5M x $15M Impel Pharmaceuticals Impe

ACE American Insurance DOX G71091405 002 4th Excess Side‐A and DIC Directors & Officers Liability $5M x $20M Impel Pharmaceuticals ImpeOld Republic Insurance Company ORPRO 12 103417 5th Excess Side‐A and DIC Directors & Officers Liability $5M x $25M Impel Pharmaceuticals Impe

Hiscox Insurance Company Inc. UC2481263023 Crime Impel Pharmaceuticals Impe

Total 

Page 1 of 1

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 De

Main Document Page 58 of 218
1. Do any creditors have claims secured by debtor's property?

Do not deduct the 

value of collateral

Value of collateral 

that supports this 

claim

Schedule D - Creditors Who Have Claims Secured by Property

Impel Pharmaceuticals Inc.

Case number (if known): 23-80016

Debtor Name

Official Form 206D

Be as complete and accurate as possible

12/15

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.

X Yes. Fill in all of the information below.

United States Bankruptcy Court for the Northern District of Texas

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.

Amount of Claim

Check if this is an 

amended filing

X

$127,026,463.65 UNKNOWN SECURED BY SUBSTANTIALLY ALL REAL, PERSONAL, 

AND MIXED

PROPERTY OF IMPEL, SUBJECT TO THE EXCLUSIONS 

SPECIFIED

IN THE UNDERLYING SECURITY DOCUMENTS

251 LITTLE FALLS DR

WILMINGTON, DE 19808

Last four digits of 

account number

Creditor's name

OAKTREE FUND ADMINISTRATION, LLC

2.1

Creditor's mailing address

Creditor's email address, if known

Date debt was incurred

Do multiple creditors have an interest in the same 

property?

Describe debtor's property that is subject to a lien

Describe the lien

Is the creditor an insider or related party?

Is anyone else liable on this claim?

As of the petition filing date, the claim is:

Senior Secured Loans

No

Yes

No

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

Contingent

Unliquidated

Disputed

No. Specify each creditor, including this creditor, 

and its relative priority.

Yes. The relative priority of creditors is specified on 

lines

No

Yes. Specify each creditor, including this 

creditor, and its relative priority.

Official Form 206D Schedule D: Creditors Who Have Claims Secured by Property 1 of 1

Total of the dollar amounts from Part 1, Column A, including the amounts from the $127,026,463.65

Additional Page, if any.

3.

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 59 of 218
1. Do any creditors have priority unsecured claims?

Schedule E/F - Creditors Who Have Claims Unsecured Claims

Impel Pharmaceuticals Inc.

Case number (if known): 23-80016

Debtor Name

Official Form 206E/F

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 

12/15

No. Go to Part 2.

X Yes. Go to line 2.

United States Bankruptcy Court for the Northern District of Texas

Part 1: List All Creditors with PRIORITY Unsecured Claims

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

(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.

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

Check if this is an 

amended filing

X

$874.00 $874.00

X

WAGE MOTION

COBRA

7500 SECURITY BLVD

MAIL STOP C1-22-06

BALTIMORE, MD 21244

2.1 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$10,617.00 $10,617.00

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.2 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$13,613.00 $13,613.00

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.3 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 1 of 108

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 60 of 218
$13,894.00 $13,894.00

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.4 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$3,187.00 $3,187.00

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.5 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$6,295.00 $6,295.00

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.6 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$12,215.00 $12,215.00

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.7 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 2 of 108

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 61 of 218
$15,150.00 $15,150.00

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.8 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$59,818.37 $15,150.00

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.9 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$28,397.36 $15,150.00

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.10 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$22,296.94 $15,150.00

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.11 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 3 of 108

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 62 of 218
$18,558.36 $15,150.00

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.12 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$20,466.30 $15,150.00

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.13 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$18,612.89 $15,150.00

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.14 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$19,293.72 $15,150.00

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.15 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 4 of 108

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 63 of 218
$16,911.33 $15,150.00

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.16 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$14,187.91 $14,187.91

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.17 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$14,175.10 $14,175.10

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.18 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$13,840.61 $13,840.61

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.19 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 5 of 108

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 64 of 218
$13,797.57 $13,797.57

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.20 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$17,246.32 $15,150.00

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.21 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$16,495.56 $15,150.00

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.22 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$14,748.38 $14,748.38

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.23 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 6 of 108

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 65 of 218
$10,380.00 $10,380.00

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.24 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$12,799.54 $12,799.54

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.25 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$3,036.70 $3,036.70

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.26 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$9,932.41 $9,932.41

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.27 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 7 of 108

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 66 of 218
$15,179.90 $15,150.00

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.28 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$3,259.11 $3,259.11

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.29 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$11,466.81 $11,466.81

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.30 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$8,970.30 $8,970.30

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.31 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 8 of 108

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Main Document Page 67 of 218
$8,523.91 $8,523.91

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.32 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$9,459.90 $9,459.90

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.33 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$9,245.94 $9,245.94

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.34 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$9,829.23 $9,829.23

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.35 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 9 of 108

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Main Document Page 68 of 218
$7,811.79 $7,811.79

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.36 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$7,418.60 $7,418.60

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.37 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$7,126.39 $7,126.39

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.38 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$8,008.13 $8,008.13

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.39 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 10 of 108

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Main Document Page 69 of 218
$6,833.08 $6,833.08

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.40 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$7,484.91 $7,484.91

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.41 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$7,274.77 $7,274.77

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.42 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$7,694.48 $7,694.48

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.43 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 11 of 108

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 70 of 218
$7,341.74 $7,341.74

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.44 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$8,812.57 $8,812.57

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.45 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$8,913.16 $8,913.16

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.46 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$6,139.28 $6,139.28

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.47 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 12 of 108

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Main Document Page 71 of 218
$7,631.55 $7,631.55

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.48 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$5,672.79 $5,672.79

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.49 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$9,224.94 $9,224.94

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.50 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$6,145.05 $6,145.05

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.51 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 13 of 108

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 72 of 218
$3,732.90 $3,732.90

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.52 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$8,297.45 $8,297.45

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.53 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$3,096.84 $3,096.84

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.54 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$5,335.07 $5,335.07

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.55 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 14 of 108

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Main Document Page 73 of 218
$4,698.96 $4,698.96

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.56 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$8,625.65 $8,625.65

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.57 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$4,695.02 $4,695.02

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.58 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$4,893.47 $4,893.47

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.59 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 15 of 108

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 74 of 218
$4,746.08 $4,746.08

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.60 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$4,720.70 $4,720.70

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.61 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$4,819.76 $4,819.76

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.62 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$3,182.76 $3,182.76

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.63 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 16 of 108

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Main Document Page 75 of 218
$4,800.70 $4,800.70

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.64 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$4,385.27 $4,385.27

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.65 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$4,937.68 $4,937.68

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.66 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$4,438.01 $4,438.01

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.67 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 17 of 108

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Main Document Page 76 of 218
$3,958.98 $3,958.98

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.68 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$4,397.76 $4,397.76

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.69 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$3,754.66 $3,754.66

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.70 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$4,078.75 $4,078.75

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.71 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 18 of 108

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Main Document Page 77 of 218
$3,695.56 $3,695.56

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.72 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$3,795.02 $3,795.02

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.73 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$3,551.60 $3,551.60

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.74 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$917.10 $917.10

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.75 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 19 of 108

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Main Document Page 78 of 218
$3,101.82 $3,101.82

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.76 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$3,196.46 $3,196.46

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.77 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$217.33 $217.33

X

WAGE MOTION

NAME REDACTED

ADDRESS REDACTED

2.78 Priority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account

number

Specify Code subsection of PRIORITY unsecured

claim: 11 U.S.C. § 507(a) ( 4 and 5 )

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 20 of 108

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Main Document Page 79 of 218
Part 2: List All Creditors with NONPRIORITY Unsecured Claims

Amount of claim

Debtor Name Impel Pharmaceuticals Inc. 23-80016 Case number (if known):

$0.00

X

POTENTIAL REBATE

STATE MDRP CONTACT

AGENCY FOR HEALTH CARE ADMINISTRATION

ATTN: ANA ARISTIZABAL

2727 MAHAN DR

TALLAHASSEE, FL 32308

3.1 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE REBATE CONTACT

AGENCY FOR HEALTH CARE ADMINISTRATION

ATTN: ANA ARISTIZABAL

2727 MAHAN DR

TALLAHASSEE, FL 32308

3.2 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE POLICY CONTACT

AGENCY FOR HEALTH CARE ADMINISTRATION

ATTN: JESSEKA FORBES

2727 MAHAN DR

TALLAHASSEE, FL 32308

3.3 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE DUR CONTACT

AGENCY FOR HEALTH CARE ADMINISTRATION

ATTN: JESSEKA FORBES

2727 MAHAN DR MS 20

TALLAHASSEE, FL 32308

3.4 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 21 of 108

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Main Document Page 80 of 218
$0.00

X

POTENTIAL REBATE

STATE TECHNICAL CONTACT

AGENCY FOR HEALTH CARE ADMINISTRATION

C/O GAINWELL

ATTN: JENNIFER BOYD

477 VIKING DR, STE 310

VIRGINIA BEACH, VA 23452

3.5 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE POLICY CONTACT

ALABAMA MEDICAID AGENCY

C/O HPE

ATTN: HEATHER VEGA

301 TECHNACENTER DR

MONTGOMERY, AL 36117

3.6 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE REBATE CONTACT

ALABAMA MEDICAID AGENCY

C/O HPE

ATTN: HEATHER VEGA

301 TECHNACENTER DR

MONTGOMERY, AL 36117

3.7 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE TECHNICAL CONTACT

ALABAMA MEDICAID AGENCY

C/O HPE

ATTN: HEATHER VEGA

301 TECHNACENTER DR

MONTGOMERY, AL 36117

3.8 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 22 of 108

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Main Document Page 81 of 218
$0.00

X

POTENTIAL REBATE

STATE DUR CONTACT

ALABAMA MEDICAID AGENCY

ATTN: KELLI LITTLEJOHN NEWMAN

501 DEXTER AVE

P.O. BOX 5623

MONTGOMERY, AL 36103

3.9 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE MDRP CONTACT

ALABAMA MEDICAID AGENCY

ATTN: HEATHER VEGA

301 TECHNACENTER DR

MONTGOMERY, AL 36117

3.10 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE MDRP CONTACT

ALASKA DIVISION OF HEALTH CARE SERVICES

ATTN: CHARLES SEMLING

4601 BUSINESS PARK BLVD, BLDG K

ANCHORAGE, AK 99503

3.11 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE POLICY CONTACT

ALASKA DIVISION OF HEALTH CARE SERVICES

ATTN: CHARLES SEMLING

4601 BUSINESS PARK BLVD, BLDG K

ANCHORAGE, AK 99503

3.12 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 23 of 108

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Main Document Page 82 of 218
$0.00

X

POTENTIAL REBATE

STATE DUR CONTACT

ALASKA DIVISION OF HEALTH CARE SERVICES

ATTN: MATTHEW PARROTT

4601 BUSINESS PARK BLVD BLDG K

ANCHORAGE, AK 99503

3.13 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE REBATE CONTACT

ALASKA DIVISION OF HEALTH CARE SERVICES

C/O MAGELLAN RX

ATTN: JENNIFER EGBERT

11013 BROAD ST

GLEN ALLEN, VA 23060

3.14 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE TECHNICAL CONTACT

ALASKA DIVISION OF HEALTH CARE SERVICES

C/O MAGELLAN RX

ATTN: MARTIN VINCENT

11013 W BROAD ST

GLEN ALLEN, VA 23116

3.15 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$3,175.58

TRADE PAYABLE

ALMAC CLINICAL SERVICES

25 FRETZ RD

SOUDERTON, PA 18964

3.16 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 24 of 108

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Main Document Page 83 of 218
$67,152.61

X

WAGE MOTION

AMEX

200 VESEY ST

NEW YORK, NY 10285

3.17 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$1,000.00

TRADE PAYABLE

ANDERSEN TAX

100 1ST ST

SAN FRANCISCO, CA 94105

3.18 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$25,000.00

TRADE PAYABLE

ANDERSONBRECON INC

DBA PCI PHARMA SVCS

C/O MILLER NASH LLP

ATTN: JOHN R KNAPP, JR

605 5TH AVE S, STE 900

SEATTLE, WA 98104

3.19 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE REBATE CONTACT

ARIZONA - AHCCCS

ATTN: JENNIFER MCCRAY

11013 W BROAD ST, STE 500

GLEN ALLEN, VA 23060

3.20 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 25 of 108

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Main Document Page 84 of 218
$0.00

X

POTENTIAL REBATE

STATE TECHNICAL CONTACT

ARIZONA - AHCCCS

ATTN: MARTIN VINCENT

11013 W BROAD ST, STE 500

GLEN ALLEN, VA 23060

3.21 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE POLICY CONTACT

ARIZONA - AHCCCS

ATTN: SUZANNE BERMAN

801 E JEFFERSON

PHOENIX, AZ 85052

3.22 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE MDRP CONTACT

ARIZONA - AHCCCS

C/O AZ HEALTH CARE COST CONTAINMENT SYSTEM

ATTN: MARK RUTTER

801 E JEFFERSON

MD4200

PHOENIX, AZ 85052

3.23 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE DUR CONTACT

ARIZONA - AHCCCS

3.24 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 26 of 108

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Main Document Page 85 of 218
$0.00

X

POTENTIAL REBATE

STATE REBATE CONTACT

ARKANSAS DMS PHARMACY PROGRAM

C/O MAGELLAN RX MANAGEMENT

ATTN: DAVID PINKSTON

11013 W BROAD ST, STE 500

GLEN ALLEN, VA 23060

3.25 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE POLICY CONTACT

ARKANSAS DMS PHARMACY PROGRAM

C/O ARKANSAS DEPT OF HUMAN SERVICES

ATTN: CYNTHIA NEUHOFEL

700 MAIN ST, SLOT S415

LITTLE ROCK, AR 72201

3.26 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE MDRP CONTACT

ARKANSAS DMS PHARMACY PROGRAM

C/O ARKANSAS DHS DMS

ATTN: CYNTHIA NEUHOFEL

700 MAIN ST, SLOT S415

LITTLE ROCK, AR 72201

3.27 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE TECHNICAL CONTACT

ARKANSAS DMS PHARMACY PROGRAM

C/O ARKANSAS DHS DMS

ATTN: CYNTHIA NEUHOFEL

700 MAIN ST, SLOT S415

LITTLE ROCK, AR 72201

3.28 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 27 of 108

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Main Document Page 86 of 218
$0.00

X

POTENTIAL REBATE

STATE DUR CONTACT

ARKANSAS DMS PHARMACY PROGRAM

ATTN: CINNAMON PEARSON

700 MAIN ST, SLOT S415

LITTLE ROCK, AR 72201

3.29 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$395,536.90

X

TRADE PAYABLE

ASCENT HEALTH SERVICES LLC

1 EXPRESS WAY

ST LOUIS, MO 63121

3.30 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$497,392.59

X

TRADE PAYABLE

ASPN PHARMACIES, LLC

200 PARK AVE, STE 300

FLORHAM PARK, NJ 07932

3.31 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$1,086.45

TRADE PAYABLE

BAKER TILLY US, LLP

8626 N HIMES AVE

TAMPA, FL 33614

3.32 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 28 of 108

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$8,400.00

TRADE PAYABLE

BEANWORKS SOLUTIONS

1159 HAMILTON ST

VANCOUVER, BC V6B 5P6

CANADA

3.33 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$5,542.42

TRADE PAYABLE

BMR-201 ELLIOTT AVENUE LLC

RE: BIOMED REALTY

17190 BERNARDO CENTER DR

SAN DIEGO, CA 92128

3.34 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE POLICY CONTACT

CA DEPT OF HEALTH SERVICES

ATTN: BASSANT KHALIL

1501 CAPITOL AVE

SACRAMENTO, CA 95814

3.35 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE DUR CONTACT

CA DEPT OF HEALTH SERVICES

ATTN: IVANA THOMPSON

1501 CAPITOL AVE, MS 4604

SACRAMENTO, CA 95814

3.36 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 29 of 108

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Main Document Page 88 of 218
$0.00

X

POTENTIAL REBATE

STATE MDRP CONTACT

CA DEPT OF HEALTH SERVICES

C/O CA-MMIS

ATTN: SHELLEY SILVA

830 STILL WATER RD

MS 4712

W SACRAMENTO, CA 95605

3.37 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE TECHNICAL CONTACT

CA DEPT OF HEALTH SERVICES

ATTN: SHELLEY SILVA

830 STILL WATER RD

MS 4712

W SACRAMENTO, CA 95605

3.38 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE REBATE CONTACT

CA DEPT OF HEALTH SERVICES

ATTN: LINH LE

1501 CAPITOL AVE

MS 4604

SACRAMENTO, CA 95814

3.39 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$49,202.79

X

CUSTOMER PROGRAMS

CARDINAL HEALTH

7000 CARDINAL PL

DUBLIN, OH 43017

3.40 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 30 of 108

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Main Document Page 89 of 218
$4,692.62

X

TRADE PAYABLE

CAREMARK LLC

1 CVS DR

WOONSOCKET, RI 02895

3.41 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$45,043.05

X

TRADE PAYABLE

CAREPOINT HEALTHCARE LLC

9 COMMERCE DR

SCHAUMBURG, IL 60173

3.42 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$54,452.67

TRADE PAYABLE

CCG CORPORATE MAILINGS, INC

14 HENDERSON DR

W CALDWELL, NJ 07006

3.43 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$613.43

TRADE PAYABLE

CDW

200 N MILWAUKEE AVE

VERNON HILLS, IL 60061

3.44 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 31 of 108

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$0.00

X

CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS)

CENTER FOR MEDICARE

DIVISION OF PART D POLICY

MAILSTOP C1-26-16

7500 SECURITY BLVD

BALTIMORE, MD 21244-1850

3.45 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$31,290.56

TRADE PAYABLE

CFI WORKSPACE

7001 N PARK DR

PENNSAUKEN, NJ 08109

3.46 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$56,921.70

TRADE PAYABLE

CITELINE

CAERUS US 1 INC

1 PENN PLZ, STE 2505

NEW YORK, NY 10119

3.47 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$2,472.74

TRADE PAYABLE

CLEANEARTH

29338 NETWORK PL

CHICAGO, IL 60673

3.48 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 32 of 108

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 91 of 218
$26,675.36

TRADE PAYABLE

CLINIGEN CSM, INC

342 42ND ST

S FARGO, ND 58103

3.49 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$6,120.00

TRADE PAYABLE

CLOSE CONSULTING

9899 ZIG ZAG RD

CINCINNATI, OH 45242

3.50 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$3,677.42

TRADE PAYABLE

CMTJ & ASSOCIATES

ATTN: CLAUDIA MCGOLDRICK

117 SPUR LN

W CHESTER, PA 19382

3.51 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$13,894.25

TRADE PAYABLE

COBBLESTONE SYSTEMS CORP

428 S WHITE HORSE PIKE

LINDENWOOD, NJ 08021

3.52 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 33 of 108

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Main Document Page 92 of 218
$0.00

X

POTENTIAL REBATE

STATE DUR CONTACT

COLORADO HEALTH CARE POLICY & FINANCING

ATTN: JEFF TAYLOR

1570 GRANT ST

DENVER, CO 80203

3.53 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE MDRP CONTACT

COLORADO HEALTH CARE POLICY & FINANCING

ATTN: THOMAS LEAHEY

1570 GRANT ST

DENVER, CO 80203-1714

3.54 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE POLICY CONTACT

COLORADO HEALTH CARE POLICY & FINANCING

ATTN: TOM LEAHEY

1570 GRANT ST

DENVER, CO 80203-1714

3.55 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE REBATE CONTACT

COLORADO HEALTH CARE POLICY & FINANCING

C/O MAGELLAN HEALTH

ATTN: BOB ROCHO

11013 W BROAD ST

GLEN ALLEN, VA 23060

3.56 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 34 of 108

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Main Document Page 93 of 218
$0.00

X

POTENTIAL REBATE

STATE TECHNICAL CONTACT

COLORADO HEALTH CARE POLICY & FINANCING

C/O MAGELLANRX

ATTN: MARTIN VINCENT

11013 W BROAD ST

GLEN ALLEN, VA 23060

3.57 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE REBATE CONTACT

CONNECTICUT DEPT OF SOCIAL SERVICES

C/O GAINWELL TECHNOLOGIES

ATTN: PATRICIA BARTOLOTTA

55 HARTLAND ST

E HARTFORD, CT 06108

3.58 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE TECHNICAL CONTACT

CONNECTICUT DEPT OF SOCIAL SERVICES

C/O GAINWELL TECHNOLOGIES-C

ATTN: JOE MORASUTTI

55 HARTLAND ST

E HARTFORD, CT 06108

3.59 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE MDRP CONTACT

CONNECTICUT DEPT OF SOCIAL SERVICES

C/O CT DEPT OF SOCIAL SERVICES

ATTN: JASON GOTT

55 FARMINGTON AVE

HARTFORD, CT 06105

3.60 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 35 of 108

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Main Document Page 94 of 218
$0.00

X

POTENTIAL REBATE

STATE POLICY CONTACT

CONNECTICUT DEPT OF SOCIAL SERVICES

C/O CT DEPT OF SOCIAL SERVICES

ATTN: JASON GOTT

55 FARMINGTON AVE

HARTFORD, CT 06105

3.61 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE DUR CONTACT

CONNECTICUT DEPT OF SOCIAL SERVICES

ATTN: JASON GOTT

55 FARMINGTON AVE

HARTFORD, CT 06105

3.62 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$9,691.50

TRADE PAYABLE

CONNOR GROUP

60 E 42ND ST, STE 920

NEW YORK, NY 10165

3.63 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$22,411.74

TRADE PAYABLE

CPA GLOBAL

2318 MILL RD, 12TH FL

ALEXANDRIA, VA 22314

3.64 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 36 of 108

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 95 of 218
$4,913.00

TRADE PAYABLE

DEERFIELD AGENCY, LLC

555 E NORTH LN, BLDG D, STE 5020, W LOBBY

CONSHOHOCKEN, PA 19428

3.65 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE DUR CONTACT

DELAWARE DIV OF MEDICAID

C/O DELAWARE HEALTH & SOCIAL SERVICES

ATTN: BRIAN MABIE

P.O. BOX 906

NEW CASTLE, DE 19720

3.66 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE MDRP CONTACT

DELAWARE DIV OF MEDICAID

C/O DMMA

ATTN: BRIAN MABIE

1901 N DUPONT HWY, LEWIS BLDG

NEW CASTLE, DE 19720

3.67 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE POLICY CONTACT

DELAWARE DIV OF MEDICAID

C/O DMMA

ATTN: BRIAN MABIE

1901 N DUPONT HWY, LEWIS BLDG

NEW CASTLE, DE 19720

3.68 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 37 of 108

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Main Document Page 96 of 218
$0.00

X

POTENTIAL REBATE

STATE TECHNICAL CONTACT

DELAWARE DIV OF MEDICAID

C/O DMMA

ATTN: BRIAN MABIE

1901 N DUPONT HWY, LEWIS BLDG

NEW CASTLE, DE 19720

3.69 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE REBATE CONTACT

DELAWARE DIV OF MEDICAID

C/O DMMA

ATTN: UNKYONG GOLDIE

1901 N DUPONT HWY, LEWIS BLDG

NEW CASTLE, DE 19720

3.70 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$3,282.98

TRADE PAYABLE

DIGITAL MEDIA (INTRADO)

770 N HALSTED ST, STE 500

CHICAGO, IL 60642

3.71 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE DUR CONTACT

DISTRICT OF COLUMBIA

ATTN: CHARLENE FAIRFAX

441 4TH ST NW, STE 900 S

WASHINGTON, DC 20001

3.72 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 38 of 108

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Main Document Page 97 of 218
$0.00

X

POTENTIAL REBATE

STATE MDRP CONTACT

DISTRICT OF COLUMBIA

ATTN: CHARLENE FAIRFAX

441 4TH ST NW, STE 900 S

WASHINGTON, DC 20001

3.73 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE POLICY CONTACT

DISTRICT OF COLUMBIA

C/O CONDUENT

ATTN: ALICE WEISS JD

441-4TH ST NW 9TH FL

WASHINGTON, DC 20001

3.74 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE TECHNICAL CONTACT

DISTRICT OF COLUMBIA

C/O CONDUENT

ATTN: ANTOINE NELSON

12365 A RIATA TRACE PKWY, STE 100

AUSTIN, TX 78727

3.75 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE REBATE CONTACT

DISTRICT OF COLUMBIA

C/O CONDUENT

ATTN: DARRIN SHAFFER

441-4TH ST NW, STE 900 S

WASHINGTON, DC 20001

3.76 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 39 of 108

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Main Document Page 98 of 218
$3,472.53

X

TRADE PAYABLE

DIVIDEND GROUP LLC

330 N BRAND BLVD, STE 700

GLENDALE, CA 91203

3.77 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$40,650.88

TRADE PAYABLE

DONNELLEY FINANCIAL SOLUTIONS

35 W WACKER DR

CHICAGO, IL 60601

3.78 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$3,879.07

X

WAGE MOTION

EMERALD SEARCH PARTNERS

600 UNIVERSITY ST

SEATTLE, WA 98101

3.79 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$1,250.00

TRADE PAYABLE

EPL ARCHIVES

45610 TERMINAL DR

STERLING, VA 20166

3.80 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 40 of 108

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 99 of 218
$1,650.89

TRADE PAYABLE

EQUINITY TRUST CO

6201 15TH AVE

BROOKLYN, NY 11219

3.81 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$22,358.17

X

TRADE PAYABLE

EXPRESS SCRIPTS INC

1 EXPRESS WAY

ST LOUIS, MO 63121

3.82 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$4.97

TRADE PAYABLE

FEDEX

942 S SHADY GROVE RD

MEMPHIS, TN 38120

3.83 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$3,240.90

TRADE PAYABLE

FISHER & PHILLIPS LLP

2 LOGAN SQ

100 N 18TH ST, 12TH FL

PHILADELPHIA, PA 19103

3.84 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 41 of 108

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Main Document Page 100 of 218
$3,295.00

TRADE PAYABLE

FRONTIERS MEDIA SA

AVENUE DU TRIBUNAL-FEDERAL 34

LAUSANNE, 1005

SWITZERLAND

3.85 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$500.00

FUTURE MEDICINE

UNITEC HOUSE

2 ALBERT PL

LONDON, N3 1QB

UNITED KINGDOM

3.86 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE DUR CONTACT

GEORGIA DEPT OF COMMUNITY HEALTH

ATTN: GILLETTA GRAY

2 PEACHTREE ST

ATLANTA, GA 30303

3.87 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE REBATE CONTACT

GEORGIA DEPT OF COMMUNITY HEALTH

C/O MAGELLAN HEALTH

ATTN: JENNIFER MCCRAY

11013 W BROAD ST, STE 500

GLEN ALLEN, VA 23060

3.88 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 42 of 108

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Main Document Page 101 of 218
$0.00

X

POTENTIAL REBATE

STATE MDRP CONTACT

GEORGIA DEPT OF COMMUNITY HEALTH

ATTN: PETER D'ALBA

2 MARTIN LUTHER KING JR DR SE

E TOWER: 1952H

ATLANTA, GA 30304

3.89 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE POLICY CONTACT

GEORGIA DEPT OF COMMUNITY HEALTH

ATTN: PETER D'ALBA

2 MARTIN LUTHER KING JR DR SE

E TOWER: 1952H

ATLANTA, GA 30334

3.90 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE TECHNICAL CONTACT

GEORGIA DEPT OF COMMUNITY HEALTH

C/O MAGELLAN RX MANAGEMENT

ATTN: MARTIN VINCENT

11013 W BROAD ST, STE 500

GLEN ALLEN, VA 23060

3.91 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$292,661.03

TRADE PAYABLE

GOOD APPLE

P.O. BOX 1695

LAKEVILLE, CT 06039

3.92 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 43 of 108

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Main Document Page 102 of 218
$770.65

TRADE PAYABLE

GREATLAND

2480 WALKER AVE

GRAND RAPIDS, MI 49544

3.93 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$45,657.20

TRADE PAYABLE

HEALTHCARE ALLIANCE GROUP

101 LAUREL RD, STE 100

VOORHEES, NJ 08043

3.94 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE DUR CONTACT

IDAHO HEALTH & WELFARE

ATTN: TAMARA EIDE

3232 ELDER ST

BOISE, ID 83705

3.95 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE TECHNICAL CONTACT

IDAHO HEALTH & WELFARE

C/O MAGELLAN HEALTH

ATTN: JENNIFER MCCRAY

1103 W BROAD ST, STE 500

GLEN ALLEN, VA 23060

3.96 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 44 of 108

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 103 of 218
$0.00

X

POTENTIAL REBATE

STATE REBATE CONTACT

IDAHO HEALTH & WELFARE

C/O STATE OF IDAHO DEPT HEALTH & WEL

ATTN: TAMARA EIDE

450 W STATE ST

BOISE, ID 83704

3.97 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE POLICY CONTACT

IDAHO HEALTH & WELFARE

C/O STATE OF IDAHO DEPT HEALTH & WELFARE

ATTN: TAMARA EIDE

450 W STATE ST

BOISE, ID 83702

3.98 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE MDRP CONTACT

IDAHO HEALTH & WELFARE

C/O STATE OF IDAHO DEPT HEALTH & WELFARE

ATTN: TAMI EIDE

450 W STATE ST

BOISE, ID 83702

3.99 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE MDRP CONTACT

IL DEPT OF HEALTHCARE & FAMILY SERVICES

ATTN: TYLER WHITE

201 S GRAND AVE E, 2ND FL

SPRINGFIELD, IL 62763-0002

3.100 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 45 of 108

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Main Document Page 104 of 218
$0.00

X

POTENTIAL REBATE

STATE POLICY CONTACT

IL DEPT OF HEALTHCARE & FAMILY SERVICES

ATTN: TYLER WHITE

201 S GRAND AVE E, 2ND FL

SPRINGFIELD, IL 62763-0002

3.101 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE REBATE CONTACT

IL DEPT OF HEALTHCARE & FAMILY SERVICES

ATTN: TYLER WHITE

201 S GRAND AVE E, 2ND FL

SPRINGFIELD, IL 62763-0002

3.102 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE TECHNICAL CONTACT

IL DEPT OF HEALTHCARE & FAMILY SERVICES

ATTN: TYLER WHITE

201 S GRAND AVE E, 2ND FL

SPRINGFIELD, IL 62763-0002

3.103 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE DUR CONTACT

IL DEPT OF HEALTHCARE & FAMILY SERVICES

ATTN: CHRISTINA PETRYKIW

833 S WOOD ST

CHICAGO, IL 60612

3.104 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 46 of 108

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Main Document Page 105 of 218
$17,684.01

TRADE PAYABLE

IMPRINT SCIENCE

3 COLUMBUS CIR, 7TH FL

NEW YORK, NY 10019

3.105 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE MDRP CONTACT

INDIANA FAMILY & SOCIAL SERVICE ADMIN

ATTN: LESLIE LUGO

402 W WASHINGTON ST, RM W374

INDIANAPOLIS, IN 46204

3.106 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE DUR CONTACT

INDIANA FAMILY & SOCIAL SERVICE ADMIN

ATTN: MARC SHIRLEY

402 W WASHINGTON ST, RM W374

INDIANAPOLIS, IN 46204

3.107 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE POLICY CONTACT

INDIANA FAMILY & SOCIAL SERVICE ADMIN

C/O OPTUMRX

ATTN: LESLIE LUGO

402 W WASHINGTON ST, RM W374

INDIANAPOLIS, IN 46204

3.108 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 47 of 108

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Main Document Page 106 of 218
$0.00

X

POTENTIAL REBATE

STATE REBATE CONTACT

INDIANA FAMILY & SOCIAL SERVICE ADMIN

C/O OPTUMRX

ATTN: MARTHA BLAIR

150 W MARKET ST, STE 300

INDIANAPOLIS, IN 46204

3.109 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE TECHNICAL CONTACT

INDIANA FAMILY & SOCIAL SERVICE ADMIN

C/O OPTUMRX

ATTN: STEVE SMITH

1200 ALTMORE AVE

ALTMORE TWO, STE 600

SANDY SPRINGS, GA 30342

3.110 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$13,195.42

TRADE PAYABLE

INSIGHTSOFTWARE

8529 SIX FORKS RD, STE 300

RALEIGH, NC 27615

3.111 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$26,742.78

X

CUSTOMER PROGRAMS

INTEGRICHAIN

8 PENN CTR

1628 JFK BLVD, STE 300

PHILADELPHIA, PA 19103

3.112 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 48 of 108

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Main Document Page 107 of 218
$0.00

X

POTENTIAL REBATE

STATE DUR CONTACT

IOWA DEPARTMENT OF HUMAN SERVICES

ATTN: PAMELA SMITH

1305 E WALNUT ST

DES MOINES, IA 50319

3.113 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE MDRP CONTACT

IOWA DEPARTMENT OF HUMAN SERVICES

C/O IOWA MEDICAID

ATTN: ABBY CATE

1305 E WALNUT ST

DES MOINES, IA 50319

3.114 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE POLICY CONTACT

IOWA DEPARTMENT OF HUMAN SERVICES

C/O IOWA MEDICAID

ATTN: ABBY CATE

1305 E WALNUT ST

DES MOINES, IA 50319

3.115 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE TECHNICAL CONTACT

IOWA DEPARTMENT OF HUMAN SERVICES

C/O CHANGE HEALTHCARE

ATTN: SHERRI COKE

6906 IRIS CT

BAYTOWN, TX 77521

3.116 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 49 of 108

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Main Document Page 108 of 218
$0.00

X

POTENTIAL REBATE

STATE REBATE CONTACT

IOWA DEPARTMENT OF HUMAN SERVICES

C/O CHANGE HEALTHCARE

ATTN: SHARI MARTIN

45 COMMERCE DR, STE 5

AUGUSTA, ME 04332

3.117 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$780.00

TRADE PAYABLE

JENNASON LLC

18450 RUTLEDGE RD

WAYZATA, MN 55391

3.118 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$26,000.00

TRADE PAYABLE

JUICE PHARMA WORLDWIDE

132 W 31ST ST

NEW YORK, NY 10001

3.119 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$134.00

TRADE PAYABLE

KBF CPAS LLP

400 SPECTRUM CENTER DR

IRVINE, CA 92618

3.120 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 50 of 108

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Main Document Page 109 of 218
$0.00

X

POTENTIAL REBATE

STATE DUR CONTACT

KENTUCKY DEPT FOR MEDICAID SERVICES

ATTN: FATIMA ALI

275 E MAIN ST

FRANKFORT, KY 40601

3.121 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE MDRP CONTACT

KENTUCKY DEPT FOR MEDICAID SERVICES

ATTN: FATIMA ALI

275 E MAIN ST

FRANKFORT, KY 40601

3.122 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE POLICY CONTACT

KENTUCKY DEPT FOR MEDICAID SERVICES

ATTN: FATIMA ALI

275 E MAIN ST

FRANKFORT, KY 40601

3.123 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE TECHNICAL CONTACT

KENTUCKY DEPT FOR MEDICAID SERVICES

C/O MAGELLAN HEALTH

ATTN: SUSAN IRBY

11013 W BROAD ST

GLEN ALLEN, VA 23116

3.124 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 51 of 108

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Main Document Page 110 of 218
$0.00

X

POTENTIAL REBATE

STATE REBATE CONTACT

KENTUCKY DEPT FOR MEDICAID SERVICES

C/O MAGELLAN HEALTH

ATTN: TAMMY A SLINKER

11013 W BROAD ST

GLEN ALLEN, VA 23060

3.125 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE REBATE CONTACT

KS DEPT OF HEALTH & ENVIRO, DHCF

C/O GAINWELL TECHNOLOGIES

ATTN: CINDY HEMMINGER

6511 SE FORBES AVE

TOPEKA, KS 66619

3.126 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE TECHNICAL CONTACT

KS DEPT OF HEALTH & ENVIRO, DHCF

C/O GAINWELL TECHNOLOGIES

ATTN: CINDY HEMMINGER

6511 SE FORBES AVE

TOPEKA, KS 66619

3.127 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE DUR CONTACT

KS DEPT OF HEALTH & ENVIRO, DHCF

ATTN: VICTOR NGUYEN

900 SW JACKSON ST, STE 900-N

TOPEKA, KS 66612

3.128 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 52 of 108

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Main Document Page 111 of 218
$0.00

X

POTENTIAL REBATE

STATE MDRP CONTACT

KS DEPT OF HEALTH & ENVIRO, DHCF

ATTN: VICTOR NGUYEN

900 SW JACKSON ST, STE 900-N

TOPEKA, KS 66612

3.129 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE POLICY CONTACT

KS DEPT OF HEALTH & ENVIRO, DHCF

ATTN: VICTOR NGUYEN

900 SW JACKSON ST, STE 900-N

TOPEKA, KS 66612

3.130 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$395.00

TRADE PAYABLE

LIFE SCIENCE LEGAL LLC

750 17TH ST NW

WASHINGTON, DC 20006

3.131 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$3,222.71

TRADE PAYABLE

LIFE STORAGE LP

6467 MAIN ST

WILLIAMSVILLE, NY 14221

3.132 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 53 of 108

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Main Document Page 112 of 218
$0.00

X

POTENTIAL REBATE

STATE DUR CONTACT

LOUISIANA DEPARTMENT OF HEALTH

ATTN: SUE FONTENOT

628 N 4TH ST

BATON ROUGE, LA 70821-9030

3.133 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE MDRP CONTACT

LOUISIANA DEPARTMENT OF HEALTH

ATTN: RACHEL BROUSSARD

628 NORTH 4TH ST

BATON ROUGE, LA 70802

3.134 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE POLICY CONTACT

LOUISIANA DEPARTMENT OF HEALTH

ATTN: MELWYN WENDT

628 NORTH 4TH ST

BATON ROUGE, LA 70802

3.135 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE TECHNICAL CONTACT

LOUISIANA DEPARTMENT OF HEALTH

C/O GAINWELL TECHNOLOGIES

ATTN: JONETTE VALEGA

8591 UNITED PLAZA BLVD

BATON ROUGE, LA 70809

3.136 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 54 of 108

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Main Document Page 113 of 218
$0.00

X

POTENTIAL REBATE

STATE REBATE CONTACT

LOUISIANA DEPARTMENT OF HEALTH

C/O MAGELLANRX

ATTN: JENNIFER EGBERT

11013 W BROAD ST

GLEN ALLEN, VA 23060

3.137 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$545.35

TRADE PAYABLE

LUMEN

100 CENTURYLINK DR

MONROE, LA 71203

3.138 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE REBATE CONTACT

MAINE DHHS

ATTN: JAN WRIGHT

STATE HOUSE STATION, STE 11

109 CAPITOL ST

AUGUSTA, ME 04333-0011

3.139 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE DUR CONTACT

MAINE DHHS

ATTN: ANNE-MARIE TODERICO

109 CAPITOL ST

STATE HOUSE STATION 11

AUGUSTA, ME 04333-0011

3.140 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 55 of 108

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Main Document Page 114 of 218
$0.00

X

POTENTIAL REBATE

STATE POLICY CONTACT

MAINE DHHS

C/O DHHS OFFICE OF MAINECARE SERVICES

ATTN: ANNE-MARIE TODERICO, PHARMD

STATE HOUSE STATION, STE 11

109 CAPITOL ST

AUGUSTA, ME 04333-0011

3.141 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE MDRP CONTACT

MAINE DHHS

C/O DHHS OFFICE OF MAINECARE SERVICES

ATTN: JAN WRIGHT

STATE HOUSE STATION, STE 11

109 CAPITOL ST

AUGUSTA, ME 04333-0011

3.142 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE TECHNICAL CONTACT

MAINE DHHS

C/O DHHS OFFICE OF MAINECARE SERVICES

ATTN: JAN WRIGHT

STATE HOUSE STATION, STE 11

109 CAPITOL ST

AUGUSTA, ME 04333-0011

3.143 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$14,357.00

TRADE PAYABLE

MAINEHEALTH

1 DANA CT

WESTBOOK, ME 04092

3.144 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 56 of 108

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Main Document Page 115 of 218
$10,074.81

TRADE PAYABLE

MARKETO

901 MARINERS ISLAND BLVD, STE 500

SAN MATEO, CA 94404

3.145 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE POLICY CONTACT

MARYLAND DEPARTMENT OF HEALTH (MDH)

ATTN: ATHOS ALEXANDROU

300 W PRESTON ST, 4TH FL

BALTIMORE, MD 21201

3.146 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE MDRP CONTACT

MARYLAND DEPARTMENT OF HEALTH (MDH)

ATTN: DORINE RASCOE

201 W PRESTON ST, 2ND FL

BALTIMORE, MD 21201

3.147 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE REBATE CONTACT

MARYLAND DEPARTMENT OF HEALTH (MDH)

ATTN: DORINE RASCOE

201 W PRESTON ST, 2ND FL

BALTIMORE, MD 21201

3.148 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 57 of 108

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 116 of 218
$0.00

X

POTENTIAL REBATE

STATE TECHNICAL CONTACT

MARYLAND DEPARTMENT OF HEALTH (MDH)

ATTN: DORINE RASCOE

201 W PRESTON ST, 2ND FL

BALTIMORE, MD 21201

3.149 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE DUR CONTACT

MARYLAND DEPARTMENT OF HEALTH (MDH)

ATTN: MANGESH Y JOGLEKAR

300 W PRESTON ST

BALTIMORE, MD 21201

3.150 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE DUR CONTACT

MASSHEALTH

ATTN: KIMBERLY LENZ

100 HANCOCK ST, 7TH FL

QUINCY, MA 02171

3.151 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE POLICY CONTACT

MASSHEALTH

ATTN: RYAN BETTENCOURT

100 HANCOCK ST

QUINCY, MA 02171

3.152 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 58 of 108

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Main Document Page 117 of 218
$0.00

X

POTENTIAL REBATE

STATE REBATE CONTACT

MASSHEALTH

ATTN: RYAN BETTENCOURT

100 HANCOCK ST

QUINCY, MA 02171

3.153 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE MDRP CONTACT

MASSHEALTH

ATTN: RYAN BETTENCOURT

100 HANCOCK ST, 6TH FL

QUINCY, MA 02171

3.154 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE TECHNICAL CONTACT

MASSHEALTH

C/O CONDUENT

ATTN: JOSEL FERNANDES

111 DEVONSHIRE ST, 8TH FL

BOSTON, MA 02109

3.155 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$53,276.00

TRADE PAYABLE

MED COMMUNICATIONS, INC

5100 POPLAR AVE, STE 450

MEMPHIS, YN 38137

3.156 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 59 of 108

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 118 of 218
$0.00

X

POTENTIAL REBATE

STATE DUR CONTACT

MICHIGAN DHHS

ATTN: TRISH BOUCK-PHARMACY MANAGMENT

ATTN: TRISH BOUCK

400 S PINE ST

CAPITOL COMMONS CENTER

LANSING, MI 48933

3.157 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE POLICY CONTACT

MICHIGAN DHHS

ATTN: TRISH BOUCK-PHARMACY MANAGMENT

ATTN: TRISH BOUCK

400 S PINE ST

LANSING, MI 48933

3.158 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE MDRP CONTACT

MICHIGAN DHHS

ATTN: MICHAEL MELVIN - PHARMACY SERVICES

ATTN: MICHAEL MELVIN

400 S PINE ST

LANSING, MI 48933

3.159 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE REBATE CONTACT

MICHIGAN DHHS

ATTN: MICHAEL MELVIN - PHARMACY SERVICES

ATTN: MICHAEL MELVIN

400 S PINE ST

LANSING, MI 48933

3.160 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 60 of 108

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 119 of 218
$0.00

X

POTENTIAL REBATE

STATE TECHNICAL CONTACT

MICHIGAN DHHS

ATTN: MICHAEL MELVIN - PHARMACY SERVICES

ATTN: MICHAEL MELVIN

400 S PINE ST

LANSING, MI 48933

3.161 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE DUR CONTACT

MINNESOTA DEPARTMENT OF HUMAN SERVICES

ATTN: MARY BETH REINKE

540 CEDAR ST

ST PAUL, MN 55101

3.162 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE MDRP CONTACT

MINNESOTA DEPARTMENT OF HUMAN SERVICES

ATTN: SHARON FEINSTEIN-ROSENBLUM

540 CEDAR ST

ST PAUL, MN 55155

3.163 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE POLICY CONTACT

MINNESOTA DEPARTMENT OF HUMAN SERVICES

ATTN: SHARON FEINSTEIN-ROSENBLUM

540 CEDAR ST

ST PAUL, MN 55155

3.164 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 61 of 108

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 120 of 218
$0.00

X

POTENTIAL REBATE

STATE REBATE CONTACT

MINNESOTA DEPARTMENT OF HUMAN SERVICES

ATTN: SHARON FEINSTEIN-ROSENBLUM

540 CEDAR ST

ST PAUL, MN 55155

3.165 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE TECHNICAL CONTACT

MINNESOTA DEPARTMENT OF HUMAN SERVICES

ATTN: SHARON FEINSTEIN-ROSENBLUM

540 CEDAR ST

ST PAUL, MN 55155

3.166 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE TECHNICAL CONTACT

MISSISSIPPI DIVISION OF MEDICAID

C/O GAINWELL TECHNOLOGIES

ATTN: NICOLETTE DIONE

381 HIGHLAND COLONY PKWY, STE 100

RIDGELAND, MS 39157

3.167 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE DUR CONTACT

MISSISSIPPI DIVISION OF MEDICAID

ATTN: DENNIS SMITH

550 HIGH ST

JACKSON, MS 39201

3.168 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 62 of 108

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Main Document Page 121 of 218
$0.00

X

POTENTIAL REBATE

STATE MDRP CONTACT

MISSISSIPPI DIVISION OF MEDICAID

C/O OFFICE OF INFORMATION TECHNOLOGY

ATTN: DIERDRE DAVIS

550 HIGH ST, STE 1000

JACKSON, MS 39201

3.169 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE POLICY CONTACT

MISSISSIPPI DIVISION OF MEDICAID

C/O OFFICE OF PHARMACY

ATTN: TERRI KIRBY

550 HIGH ST, STE 1000

JACKSON, MS 39201

3.170 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE REBATE CONTACT

MISSISSIPPI DIVISION OF MEDICAID

C/O OFFICE OF PHARMACY

ATTN: TERRI KIRBY

550 HIGH ST, STE 1000

JACKSON, MS 39201

3.171 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE DUR CONTACT

MISSOURI DEPARTMENT OF SOCIAL SERVICES

ATTN: JOSHUA MOORE

615 HOWERTON CT

JEFFERSON CITY, MO 65109

3.172 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 63 of 108

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 122 of 218
$0.00

X

POTENTIAL REBATE

STATE MDRP CONTACT

MISSOURI DEPARTMENT OF SOCIAL SERVICES

ATTN: KERI BALLEW

615 HOWERTON CT

JEFFERSON CITY, MO 65109

3.173 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE POLICY CONTACT

MISSOURI DEPARTMENT OF SOCIAL SERVICES

ATTN: KERI BALLEW

615 HOWERTON CT

JEFFERSON CITY, MO 65109

3.174 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE REBATE CONTACT

MISSOURI DEPARTMENT OF SOCIAL SERVICES

ATTN: KERI BALLEW

615 HOWERTON CT

JEFFERSON CITY, MO 65109

3.175 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE TECHNICAL CONTACT

MISSOURI DEPARTMENT OF SOCIAL SERVICES

ATTN: KERI BALLEW

615 HOWERTON CT

JEFFERSON CITY, MO 65109

3.176 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 64 of 108

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 123 of 218
$0.00

X

POTENTIAL REBATE

STATE DUR CONTACT

MT DEPT OF HEALTH & HUMAN SERVICES

ATTN: SHANNON SEXAUER

1400 BROADWAY, RM A206

P.O. BOX 202951

HELENA, MT 59620

3.177 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE MDRP CONTACT

MT DEPT OF HEALTH & HUMAN SERVICES

ATTN: AMBERLINE PIERCE

1400 BROADWAY, RM A104

HELENA, MT 59620

3.178 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE REBATE CONTACT

MT DEPT OF HEALTH & HUMAN SERVICES

C/O MT DEPARTMENT OF HEALTH & HUMAN SERVICES

ATTN: AMBERLINE PIERCE

1400 BROADWAY, RM A104

HELENA, MT 59620

3.179 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE TECHNICAL CONTACT

MT DEPT OF HEALTH & HUMAN SERVICES

C/O MT DEPARTMENT OF HEALTH & HUMAN SERVICES

ATTN: AMBERLINE PIERCE

1400 BROADWAY, RM A104

HELENA, MT 59620

3.180 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 65 of 108

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 124 of 218
$0.00

X

POTENTIAL REBATE

STATE POLICY CONTACT

MT DEPT OF HEALTH & HUMAN SERVICES

C/O MT DEPARTMENT OF HEALTH & HUMAN SERVICES

ATTN: DANI FEIST

1400 BROADWAY, RM A206

HELENA, MT 59620

3.181 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$1,500.00

TRADE PAYABLE

NAME REDACTED

ADDRESS REDACTED

3.182 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$4,496.94

TRADE PAYABLE

NAME REDACTED

ADDRESS REDACTED

3.183 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$61.29

X

TRADE PAYABLE

NAVIA BENEFIT SOLUTIONS

600 NACHES AVE SW

RENTON, WA 98057

3.184 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 66 of 108

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 125 of 218
$0.00

X

POTENTIAL REBATE

STATE MDRP CONTACT

NC DIVISION OF HEALTH BENEFITS

ATTN: ANGELA SMITH

2501 MAIL SERVICE CENTER

RALEIGH, NC 27699-2501

3.185 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE TECHNICAL CONTACT

NC DIVISION OF HEALTH BENEFITS

C/O GDIT

ATTN: RICK PADERICK

2610 WYCLIFF RD, STE 100

RALEIGH, NC 27607-3073

3.186 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE REBATE CONTACT

NC DIVISION OF HEALTH BENEFITS

C/O MAGELLAN HEALTH

ATTN: CHENISE STEPHENS

11013 W BROAD ST

GLEN ALLEN, VA 23060

3.187 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE DUR CONTACT

NC DIVISION OF HEALTH BENEFITS

ATTN: KRISTA KNESS

1950 MAIL SERVICE CENTER

RALEIGH, NC 27699-1950

3.188 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 67 of 108

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 126 of 218
$0.00

X

POTENTIAL REBATE

STATE POLICY CONTACT

NC DIVISION OF HEALTH BENEFITS

C/O NC DHHS

ATTN: ANGELA SMITH

2501 MAIL SERVICE CENTER

RALEIGH, NC 27699-2501

3.189 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE DUR CONTACT

NEBRASKA DEPT OF HEALTH & HUMAN SVCS

C/O NEBRASKA DHHS

ATTN: CARISA SCHWEITZER MASEK

301 CENTENNIAL MALL S, 5TH FL

P.O. BOX 925026

LINCOLN, NE 68509-5026

3.190 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE POLICY CONTACT

NEBRASKA DEPT OF HEALTH & HUMAN SVCS

ATTN: LEAH SPENCER

301 CENTENNIAL MALL S, 5TH FL

P.O. BOX 95026

LINCOLN, NE 68509-5026

3.191 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE TECHNICAL CONTACT

NEBRASKA DEPT OF HEALTH & HUMAN SVCS

ATTN: JEFF ROZENDAL

301 CENTENNIAL MALL S, 5TH FL

P.O. BOX 95026

LINCOLN, NE 68509-5026

3.192 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 68 of 108

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 127 of 218
$0.00

X

POTENTIAL REBATE

STATE MDRP CONTACT

NEBRASKA DEPT OF HEALTH & HUMAN SVCS

ATTN: AUDRA BULLOCK

301 CENTENNIAL MALL S, 5TH FL

P.O. BOX 95026

LINCOLN, NE 68509-5026

3.193 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE REBATE CONTACT

NEBRASKA DEPT OF HEALTH & HUMAN SVCS

ATTN: AUDRA BULLOCK

301 CENTENNIAL MALL S, 5TH FL

P.O. BOX 95026

LINCOLN, NE 68509-5026

3.194 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE MDRP CONTACT

NEW HAMPSHIRE MEDICAID

ATTN: LISE FARRAND

129 PLEASANT ST

CONCORD, NH 03301-3857

3.195 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE DUR CONTACT

NEW HAMPSHIRE MEDICAID

ATTN: MARGARET CLIFFORD

129 PLEASANT ST

CONCORD, NH 03301-3852

3.196 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 69 of 108

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 128 of 218
$0.00

X

POTENTIAL REBATE

STATE REBATE CONTACT

NEW HAMPSHIRE MEDICAID

C/O MAGELLAN HEALTH

ATTN: JENNIFER MCCRAY

11013 W BROAD ST, STE 500

GLEN ALLEN, VA 23060

3.197 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE TECHNICAL CONTACT

NEW HAMPSHIRE MEDICAID

C/O MAGELLAN HEALTH

ATTN: JOHN COX

11013 W BROAD ST, STE 500

GLEN ALLEN, VA 23060

3.198 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE POLICY CONTACT

NEW HAMPSHIRE MEDICAID

C/O OFFICE OF MEDICAID SERVICES

ATTN: LISE FARRAND

129 PLEASANT ST

CONCORD, NH 03301-3857

3.199 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE REBATE CONTACT

NEW MEXICO HUMAN SERVICES DEPARTMENT

C/O CONDUENT

ATTN: KOREN BILLIE

1720 A RANDOLPH RD SE

ALBUQUERQUE, NM 87106

3.200 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 70 of 108

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Main Document Page 129 of 218
$0.00

X

POTENTIAL REBATE

STATE TECHNICAL CONTACT

NEW MEXICO HUMAN SERVICES DEPARTMENT

C/O CONDUENT

ATTN: ANTOINE NELSON

1720A RANDOLPH RD SE

ALBUQUERQUE, NM 87106

3.201 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE POLICY CONTACT

NEW MEXICO HUMAN SERVICES DEPARTMENT

ATTN: NICOLE COMEAUX

1720 A RANDOLPH SE

ALBUQUERQUE, NM 87106

3.202 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE MDRP CONTACT

NEW MEXICO HUMAN SERVICES DEPARTMENT

ATTN: DIANA MOYA

1720 A RANDOLPH SE

ALBUQUERQUE, NM 87106

3.203 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE DUR CONTACT

NEW MEXICO HUMAN SERVICES DEPARTMENT

ATTN: JANET REESE

1 PLAZA LA PRENSA

SANTA FE, NM 87504-2348

3.204 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 71 of 108

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 130 of 218
$0.00

X

POTENTIAL REBATE

STATE MDRP CONTACT

NJ DEPARTMENT OF HUMAN SERVICES

ATTN: DAVID WILLIAMS

P.O. BOX 712

MAIL CODE 54

TENTON, NJ 08625

3.205 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE DUR CONTACT

NJ DEPARTMENT OF HUMAN SERVICES

ATTN: ZANKHANA DESAI

P.O. BOX 712

TRENTON, NJ 08625-0712

3.206 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE REBATE CONTACT

NJ DEPARTMENT OF HUMAN SERVICES

C/O STATE OF NEW JERSEY DHS DMAHS

ATTN: DAVID WILLIAMS

P.O. BOX 712

MAIL CODE 54

TENTON, NJ 08625

3.207 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE TECHNICAL CONTACT

NJ DEPARTMENT OF HUMAN SERVICES

C/O STATE OF NEW JERSEY DHS DMAHS

ATTN: DAVID WILLIAMS

P.O. BOX 712

MAIL CODE 54

TENTON, NJ 08625

3.208 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 72 of 108

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Main Document Page 131 of 218
$0.00

X

POTENTIAL REBATE

STATE POLICY CONTACT

NJ DEPARTMENT OF HUMAN SERVICES

C/O STATE OF NEW JERSEY DHS DMAHS

ATTN: KAREN HAMMITT

P.O. BOX 712

MAIL CODE 54

TENTON, NJ 08625

3.209 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE REBATE CONTACT

NORTH DAKOTA DEPT OF HUMAN SERVICES

C/O DEPT OF HUMAN SERVICES

ATTN: TERI MERCK

FISCAL ADMIN

600 E BOULEVARD AVE

BISMARCK, ND 58505-0261

3.210 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE MDRP CONTACT

NORTH DAKOTA DEPT OF HUMAN SERVICES

ATTN: BRENDAN JOYCE

600 E BLVD, DEPT 325

BISMARCK, ND 58505-0250

3.211 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE POLICY CONTACT

NORTH DAKOTA DEPT OF HUMAN SERVICES

ATTN: BRENDAN JOYCE

600 E BLVD, DEPT 325

BISMARCK, ND 58505-0250

3.212 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 73 of 108

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Main Document Page 132 of 218
$0.00

X

POTENTIAL REBATE

STATE TECHNICAL CONTACT

NORTH DAKOTA DEPT OF HUMAN SERVICES

ATTN: BRENDAN JOYCE

600 E BLVD, DEPT 325

BISMARCK, ND 58505-0250

3.213 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE DUR CONTACT

NORTH DAKOTA DEPT OF HUMAN SERVICES

ATTN: BRENDAN JOYCE

600 E BOULEVARD AVE, DEPT 325

BISMARCK, ND 58505-0250

3.214 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE DUR CONTACT

NYS DEPARTMENT OF HEALTH, OHIP

ATTN: BRIAN TOUHEY

1 COMMERCE PLZ

1 COMMERCE PLZ

ALBANY, NY 12210

3.215 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE MDRP CONTACT

NYS DEPARTMENT OF HEALTH, OHIP

ATTN: CHRISTOPHER DESORBO

99 WASHINGTON AVE

ALBANY, NY 12210

3.216 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 74 of 108

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Main Document Page 133 of 218
$0.00

X

POTENTIAL REBATE

STATE POLICY CONTACT

NYS DEPARTMENT OF HEALTH, OHIP

C/O COMPUTER SCIENCE CORPORATION

ATTN: BONNY DECASTRO

99 WASHINGTON AVE

1 COMMERCE PLZ

ALBANY, NY 12210

3.217 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE REBATE CONTACT

NYS DEPARTMENT OF HEALTH, OHIP

C/O MAGELLAN RX MANAGEMENT

ATTN: COURTNEY SUTTLES

15 CORNELL RD, STE 2201

LATHAM, NY 12110

3.218 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE TECHNICAL CONTACT

NYS DEPARTMENT OF HEALTH, OHIP

C/O MAGELLAN RX MANAGEMENT

ATTN: JENNIFER EGBERT

15 CORNELL RD

LATHAM, NY 12110

3.219 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE DUR CONTACT

OFFICE OF VERMONT HEALTH ACCESS

C/O DEPARTMENT OF VERMONT HEALTH ACCESS

ATTN: LISA BROUILLETTE HURTEAU

280 STATE DR, NOB 1 SOUTH

WATERBURY, VT 05671-1010

3.220 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 75 of 108

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Main Document Page 134 of 218
$0.00

X

POTENTIAL REBATE

STATE MDRP CONTACT

OFFICE OF VERMONT HEALTH ACCESS

C/O DEPARTMENT OF VERMONT HEALTH ACCESS

ATTN: LISA BROUILLETTE HURTEAU

280 STATE DR, NOB 1 SOUTH

WATERBURY, VT 05671-1010

3.221 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE POLICY CONTACT

OFFICE OF VERMONT HEALTH ACCESS

C/O DEPARTMENT OF VERMONT HEALTH ACCESS

ATTN: LISA BROUILLETTE HURTEAU

280 STATE DR, NOB 1 SOUTH

WATERBURY, VT 05671-1010

3.222 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE TECHNICAL CONTACT

OFFICE OF VERMONT HEALTH ACCESS

C/O CHANGE HEALTHCARE

ATTN: SHARI MARTIN

45 COMMERCE DR, STE 5

AUGUSTA, ME 04332

3.223 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE REBATE CONTACT

OFFICE OF VERMONT HEALTH ACCESS

C/O CHANGE HEALTHCARE

ATTN: KRISTEN CARLSON

45 COMMERCE DR, STE 5

AUGUSTA, ME 04332

3.224 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 76 of 108

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Main Document Page 135 of 218
$0.00

X

POTENTIAL REBATE

STATE TECHNICAL CONTACT

OHIO DEPARTMENT OF MEDICAID

C/O CHANGE HEALTHCARE

ATTN: IVONA COOKSON

45 COMMERCE DR, STE 5

AUGUSTA, ME 04332

3.225 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE REBATE CONTACT

OHIO DEPARTMENT OF MEDICAID

C/O CHANGE HEALTHCARE

ATTN: SHARI MARTIN

45 COMMERCE DR, STE 5

AUGUSTA, ME 04332

3.226 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE MDRP CONTACT

OHIO DEPARTMENT OF MEDICAID

ATTN: SEAN ECKARD

50 W TOWN ST, STE 400

COLUMBUS, OH 43215

3.227 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE POLICY CONTACT

OHIO DEPARTMENT OF MEDICAID

ATTN: SEAN ECKARD

50 W TOWN ST, STE 400

COLUMBUS, OH 43215

3.228 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 77 of 108

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Main Document Page 136 of 218
$0.00

X

POTENTIAL REBATE

STATE DUR CONTACT

OHIO DEPARTMENT OF MEDICAID

ATTN: YANA DOUGHTY

50 W TOWN ST, STE 400

COLUMBUS, OH 43215

3.229 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE DUR CONTACT

OKLAHOMA HEALTH CARE AUTHORITY

ATTN: MICHELLE TAHAH

4345 N LINCOLN

OKLAHOMA CITY, OK 73105

3.230 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE TECHNICAL CONTACT

OKLAHOMA HEALTH CARE AUTHORITY

ATTN: ANDY CHASE

4345 N LINCOLN BLVD

OKLAHOMA CITY, OK 73105

3.231 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE MDRP CONTACT

OKLAHOMA HEALTH CARE AUTHORITY

ATTN: BRYON PERDUE

4345 N LINCOLN BLVD

OKLAHOMA CITY, OK 73105

3.232 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 78 of 108

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 137 of 218
$0.00

X

POTENTIAL REBATE

STATE POLICY CONTACT

OKLAHOMA HEALTH CARE AUTHORITY

ATTN: BRYON PERDUE

4345 N LINCOLN BLVD

OKLAHOMA CITY, OK 73105

3.233 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE REBATE CONTACT

OKLAHOMA HEALTH CARE AUTHORITY

ATTN: BRYON PERDUE

4345 N LINCOLN BLVD

OKLAHOMA CITY, OK 73105

3.234 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE MDRP CONTACT

OREGON MEDICAL ASSISTANCE PROGRAMS

ATTN: DEBORAH WESTON

500 SUMMER ST NE

SALEM, OR 97301

3.235 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE DUR CONTACT

OREGON MEDICAL ASSISTANCE PROGRAMS

ATTN: DEE WESTON

500 SUMMER ST NE

SALEM, OR 97301

3.236 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 79 of 108

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 138 of 218
$0.00

X

POTENTIAL REBATE

STATE REBATE CONTACT

OREGON MEDICAL ASSISTANCE PROGRAMS

C/O DXC TECHNOLOGY

ATTN: ASIA REED

248 CHAPMAN RD, STE 100

NEWARK, DE 19702

3.237 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE POLICY CONTACT

OREGON MEDICAL ASSISTANCE PROGRAMS

C/O STATE OF OREGON - OR HEALTH AUTHORITY

ATTN: DEBORAH WESTON

500 SUMMER ST NE

SALEM, OR 97301

3.238 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE TECHNICAL CONTACT

OREGON MEDICAL ASSISTANCE PROGRAMS

C/O STATE OF OREGON - OR HEALTH AUTHORITY

ATTN: KIRSTEN KESLING

4070 27TH CT, SE STE 100

SALEM, OR 97302

3.239 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE MDRP CONTACT

PA DEPT OF HUMAN SERVICES

C/O OFFICE OF MEDICAL ASSISTANCE PROGRAMS

ATTN: CORRYN GUTSHALL

303 WALNUT ST

COMMONWEALTH TOWER, 9TH FL

HARRISBURG, PA 17101

3.240 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 80 of 108

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 139 of 218
$0.00

X

POTENTIAL REBATE

STATE TECHNICAL CONTACT

PA DEPT OF HUMAN SERVICES

C/O CHANGE HEALTHCARE

ATTN: DANI SAWYER

45 COMMERCE DR, STE 5

AUGUSTA, ME 04332

3.241 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE DUR CONTACT

PA DEPT OF HUMAN SERVICES

ATTN: TERRI CATHERS

303 WALNUT ST

COMMONWEALTH TOWER, 9TH FL

HARRISBURG, PA 17101

3.242 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE POLICY CONTACT

PA DEPT OF HUMAN SERVICES

ATTN: TERRI CATHERS

303 WALNUT ST

COMMONWEALTH TOWER, 9TH FL

HARRISBURG, PA 17101

3.243 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE REBATE CONTACT

PA DEPT OF HUMAN SERVICES

ATTN: BRITTANY STARR

303 WALNUT ST

COMMONWEALTH TOWER, 9TH FL

HARRISBURG, PA 17101

3.244 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 81 of 108

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Main Document Page 140 of 218
$6,381.25

TRADE PAYABLE

PACIFIC NW STATISTICAL CONSULTING

18133 154TH AVE NE

WOODINVILLE, WA 98072

3.245 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$1,102.81

TRADE PAYABLE

PACIFIC OFFICE AUTOMATION

14747 NW GREENBRIER PKWY

BEAVERTON, OR 97006

3.246 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$201,500.00

TRADE PAYABLE

PHARMACEUTICAL DATA SERVICES (PDS)

3000 WHITNEY AVE

BOX 138

HAMDEN, CT 06518

3.247 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X PHARMACEUTICAL PACKAGING PROFESSIONALS PTY LTD

A PCI PHARMA SERVICES CO

C/O MILLER NASH LLP

ATTN: JOHN R KNAPP, JR

605 5TH AVE S, STE 900

SEATTLE, WA 98104

3.248 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 82 of 108

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Main Document Page 141 of 218
$53,327.54

X

TRADE PAYABLE

PHIL, INC

2443 FILLMORE ST, STE 380-1423

SAN FRANCISCO, CA 94115

3.249 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$78,770.80

X

CUSTOMER PROGRAMS

PPD DEVELOPMENT

8551 RESEARCH WAY

MIDDLETON, WI 53562

3.250 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$850.00

TRADE PAYABLE

PREMIER RESEARCH CONSULTING

111 FOUNDERS PLZ, 6TH FL

E HARTFORD, CT 06108

3.251 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$478.26

TRADE PAYABLE

PRIME ACCOUNTING & BUSINESS ADVISORY PTY LTD

LEVEL 17, HWT TOWER

40 CITY RD

SOUTHBANK, VIC 3006

AUSTRALIA

3.252 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 83 of 108

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Main Document Page 142 of 218
$262,766.22

X

TRADE PAYABLE

PSKW, LLC (CONNECTIVERX)

200 JEFFERSON PARK

WHIPPANY, NJ 07981

3.253 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE DUR CONTACT

PUERTO RICO MEDICAID PROGRAM

C/O ASES

ATTN: ROXANNA ROSARIO

URB CARIBE

1549 CALLE ALDA

SAN JUAN, PR 00919

3.254 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE POLICY CONTACT

PUERTO RICO MEDICAID PROGRAM

C/O ASES

ATTN: ROXANNA ROSARIO SERRANO

CALLE ALDA

1549 SECTOR EL CINCO

SAN JUAN, PR 00919

3.255 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE TECHNICAL CONTACT

PUERTO RICO MEDICAID PROGRAM

C/O PR HEALTH INSURER ADMINISTRATION (PRHIA)

ATTN: ADDIE MERCADO

CALLE ALDA

1549 SECTOR EL CINCO

SAN JUAN, PR 00919

3.256 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 84 of 108

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 143 of 218
$0.00

X

POTENTIAL REBATE

STATE REBATE CONTACT

PUERTO RICO MEDICAID PROGRAM

C/O PR HEALTH INSURER ADMINISTRATION (PRHIA)

ATTN: CARMEN RODRIGUEZ

CALLE ALDA

1549 SECTOR EL CINCO

SAN JUAN, PR 00919

3.257 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE MDRP CONTACT

PUERTO RICO MEDICAID PROGRAM

C/O PR HEALTH INSURER ADMINISTRATION (PRHIA)

ATTN: MILAGROS SOTO MEJIA

CALLE ALDA

1549 SECTOR EL CINCO

SAN JUAN, PR 00919

3.258 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$32,488.86

TRADE PAYABLE

QPHARMA

22 SOUTH ST

MORRISTOWN, NJ 07960

3.259 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE REBATE CONTACT

RHODE ISLAND EOHHS

C/O GAINWELL TECHNOLOGIES

ATTN: DAWN ROUSSEAU

301 METRO CENTER BLVD, STE 300, 3RD FL

WARWICK, RI 02886

3.260 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 85 of 108

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 144 of 218
$0.00

X

POTENTIAL REBATE

STATE TECHNICAL CONTACT

RHODE ISLAND EOHHS

C/O GAINWELL TECHNOLOGIES

ATTN: DAWN ROUSSEAU

301 METRO CENTER BLVD, STE 300, 3RD FL

WARWICK, RI 02886

3.261 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE DUR CONTACT

RHODE ISLAND EOHHS

ATTN: NICOLE NELSON

3 WEST RD

VIRKS BLDG

CRANSTON, RI 02920

3.262 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE MDRP CONTACT

RHODE ISLAND EOHHS

ATTN: NICOLE NELSON

3 WEST RD, STE 338

VIRKS BLDG

CRANSTON, RI 02920

3.263 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE POLICY CONTACT

RHODE ISLAND EOHHS

ATTN: NICOLE NELSON

301 METRO CENTER BLVD, STE 300, 3RD FL

WARWICK, RI 02886

3.264 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 86 of 108

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Main Document Page 145 of 218
$3,015.30

X

WAGE MOTION

ROBERT HALF

2884 SAND HILL RD, STE 200

MENLO PARK, CA 94025

3.265 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$2,729.11

TRADE PAYABLE

RSM

4650 E 53RD ST

DAVENPORT, IA 52807

3.266 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE DUR CONTACT

SCDHHS

ATTN: KIMBERLY BRISTOW

1801 MAIN ST

COLUMBIA, SC 29201

3.267 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE REBATE CONTACT

SCDHHS

C/O MAGELLAN HEALTH

ATTN: DAVID PINKSTON

11013 W BROAD ST, STE 500

GLEN ALLEN, VA 23060

3.268 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 87 of 108

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 146 of 218
$0.00

X

POTENTIAL REBATE

STATE MDRP CONTACT

SCDHHS

C/O SCDHHS/PHARMACY SERVICES

ATTN: BRANDIE CRIDER

1801 MAIN ST

COLUMBIA, SC 29201

3.269 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE TECHNICAL CONTACT

SCDHHS

C/O SCDHHS/PHARMACY SERVICES

ATTN: BRANDIE CRIDER

1801 MAIN ST

COLUMBIA, SC 29201

3.270 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE POLICY CONTACT

SCDHHS

C/O SCDHHS/PHARMACY SERVICES

ATTN: CHERYL ANDERSON

1801 MAIN ST

COLUMBIA, SC 29201

3.271 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

SECRETARY OF HEALTH & HUMAN SERVICES

CENTER FOR MEDICARE

DIVISION OF PART D POLICY

MAILSTOP C1-26-16

7500 SECURITY BLVD

BALTIMORE, MD 21244-1850

3.272 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 88 of 108

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 147 of 218
$0.00

X

SECRETARY OF HEALTH & HUMAN SERVICES

CENTERS FOR MEDICAID & CHIP SVCS

DISABLED & ELDERLY HEALTH PROGRAMS GROUP

DIVISION OF PHARMACY, MAIL STOP S2-14-26

7500 SECURITY BLVD

BALTIMORE, MD 21244

3.273 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$300.00

TRADE PAYABLE

SENECA CONSTRUCTION MGMT

3512 HORTON RD

NEWTOWN SQUARE, PA 19073

3.274 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$42,000.00

TRADE PAYABLE

SHOP-PR LLC TWELVENOTE

140 BROADWAY, 28TH FL

NEW YORK, NY 10005

3.275 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE MDRP CONTACT

SOUTH DAKOTA DEPT OF SOCIAL SERVICES

ATTN: JOSEPH WIESELER

700 GOVERNORS DR

PIERRE, SD 57501

3.276 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 89 of 108

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 148 of 218
$0.00

X

POTENTIAL REBATE

STATE DUR CONTACT

SOUTH DAKOTA DEPT OF SOCIAL SERVICES

ATTN: MIKE JOCKHECK

700 GOVERNORS DR

PIERRE, SD 57501

3.277 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE POLICY CONTACT

SOUTH DAKOTA DEPT OF SOCIAL SERVICES

C/O SOUTH DAKOTA DEPT SOCIAL SERVICES

ATTN: BILL REGYNSKI

700 GOVERNORS DR

PIERRE, SD 57501

3.278 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE REBATE CONTACT

SOUTH DAKOTA DEPT OF SOCIAL SERVICES

C/O SOUTH DAKOTA DEPT SOCIAL SERVICES

ATTN: JOSEPH WIESELER

700 GOVERNORS DR

PIERRE, SD 57501

3.279 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE TECHNICAL CONTACT

SOUTH DAKOTA DEPT OF SOCIAL SERVICES

C/O SOUTH DAKOTA DEPT SOCIAL SERVICES

ATTN: JOSEPH WIESELER

700 GOVERNORS DR

PIERRE, SD 57501

3.280 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 90 of 108

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 149 of 218
$4,265.00

TRADE PAYABLE

SPRINGER NATURE GROUP

1 NEW YORK PLZ, STE 4600

NEW YORK, NY 10004

3.281 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE DUR CONTACT

STATE OF HAWAII - MED QUEST DIVISION

ATTN: KATHLEEN KANG-KAULUPALI

601 KAMOKILA BLVD, STE 506B

KAPOLEI, HI 96707

3.282 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE MDRP CONTACT

STATE OF HAWAII - MED QUEST DIVISION

C/O HAWAII MED-QUEST

ATTN: ERIC NOUCHI

1001 KAMOKILA BLVD, STE 317

KAPOLEI, HI 96707

3.283 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE POLICY CONTACT

STATE OF HAWAII - MED QUEST DIVISION

C/O HAWAII MED-QUEST

ATTN: MARCY ANN HEALEY

601 KAMOKILA BLVD, RM 506B

KAPOLEI, HI 96707

3.284 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 91 of 108

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 150 of 218
$0.00

X

POTENTIAL REBATE

STATE REBATE CONTACT

STATE OF HAWAII - MED QUEST DIVISION

C/O CONDUENT

ATTN: GARY PETON

1003 BISHOP ST, STE 1600 PAUAHI TOWER

HONOLULU, HI 96813

3.285 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE TECHNICAL CONTACT

STATE OF HAWAII - MED QUEST DIVISION

C/O CONDUENT

ATTN: GARY PETON

1003 BISHOP ST, STE 1600 PAUAHI TOWER

HONOLULU, HI 96813

3.286 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE MDRP CONTACT

STATE OF NEVADA DHCFP

C/O DHCFP

ATTN: KEIKO DUNCAN

1100 E WILLIAM ST, STE 101

CARSON CITY, NV 89701

3.287 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE POLICY CONTACT

STATE OF NEVADA DHCFP

C/O DHCFP

ATTN: KEIKO DUNCAN

1100 E WILLIAM ST, STE 101

CARSON CITY, NV 89701

3.288 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 92 of 108

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 151 of 218
$0.00

X

POTENTIAL REBATE

STATE REBATE CONTACT

STATE OF NEVADA DHCFP

C/O MAGELLAN HEALTH

ATTN: JEFF FANALE

11013 W BROAD ST

GLEN ALLEN, VA 23060

3.289 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE TECHNICAL CONTACT

STATE OF NEVADA DHCFP

C/O MAGELLAN HEALTH

ATTN: MARTIN VINCENT

11013 W BROAD ST

GLEN ALLEN, VA 23060

3.290 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE DUR CONTACT

STATE OF NEVADA DHCFP

C/O NEVADA DIVISION OF HEALTH CARE FINANCING

ATTN: KEIKO DUNCAN

1100 E WILLIAM ST, STE 101

CARSON CITY, NV 89701

3.291 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE REBATE CONTACT

STATE OF TENNESSEE - TENNCARE

C/O STATE OF TENNESSEE - TENN CARE

ATTN: TONI CHAVIS

310 GREAT CIRCLE RD

NASHVILLE, TN 37228

3.292 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 93 of 108

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Main Document Page 152 of 218
$0.00

X

POTENTIAL REBATE

STATE DUR CONTACT

STATE OF TENNESSEE - TENNCARE

ATTN: LORA UNDERWOOD

310 GREAT CIRCLE RD

NASHVILLE, TN 37243

3.293 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE TECHNICAL CONTACT

STATE OF TENNESSEE - TENNCARE

ATTN: KEN BARKER

310 GREAT CIRCLE RD

NASHVILLE, TN 37228-1752

3.294 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE MDRP CONTACT

STATE OF TENNESSEE - TENNCARE

ATTN: RENEE WILLIAMS-CLARK

4050 BRYCE RD

NASHVILLE, TN 37211

3.295 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE POLICY CONTACT

STATE OF TENNESSEE - TENNCARE

ATTN: AARON BUTLER

310 GREAT CIRCLE RD

NASHVILLE, TN 37228

3.296 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 94 of 108

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Main Document Page 153 of 218
$158.29

STERICYCLE/SHREDIT

2355 WAUKEGAN RD

BANNOCKBURN, IL 60015

3.297 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$482,358.75

TRADE PAYABLE

SYMPHONY HEALTH

4130 PARK LAKE AVE, STE 400

RALEIGH, NC 27612

3.298 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE MDRP CONTACT

TEXAS HEALTH & HUMAN SERVICES COMMISSION

ATTN: LINDA BRUMBLE

4900 N LAMAR BLVD

MAIL CODE 2250

AUSTIN, TX 78751

3.299 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE DUR CONTACT

TEXAS HEALTH & HUMAN SERVICES COMMISSION

ATTN: NAHID ASSADI

4900 N LAMAR BLVD

MC 2250

AUSTIN, TX 78751

3.300 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 95 of 108

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Main Document Page 154 of 218
$0.00

X

POTENTIAL REBATE

STATE POLICY CONTACT

TEXAS HEALTH & HUMAN SERVICES COMMISSION

C/O TEXAS HHSC

ATTN: JOSHUA DOMINGUEZ

VENDOR DRUG PROGRAM

P.O. BOX 85200 MC-2250

AUSTIN, TX 78708-5200

3.301 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE TECHNICAL CONTACT

TEXAS HEALTH & HUMAN SERVICES COMMISSION

C/O TEXAS HHSC

ATTN: LINDA BRUMBLE

4900 N LAMAR BLVD

MAIL CODE 2250

AUSTIN, TX 78751

3.302 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE REBATE CONTACT

TEXAS HEALTH & HUMAN SERVICES COMMISSION

C/O TX HEALTH & HUMAN SERVICES COMMISSION

ATTN: LINDA BRUMBLE

4900 N LAMAR

P.O. BOX 8520; MAIL CODE 2250

AUSTIN, TX 78708-5200

3.303 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$50,009.72

TRADE PAYABLE

TRNDIGITAL, LLC

200 PORTLAND ST, 5TH FL

BOSTON, MA 02114

3.304 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 96 of 108

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Main Document Page 155 of 218
$30,926.00

TRADE PAYABLE

TWO LABS HOLDINGS LLC

110 RIVERBEND AVE, STE 100

POWELL, OH 43065

3.305 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$2,646.00

TRADE PAYABLE

UL VERIFICATION SERVICES, INC

333 PFINGSTEN RD

NORTHBROOK, IL 60062

3.306 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$39.52

TRADE PAYABLE

UPS

55 GLENLAKE PKWY NE

ATLANTA, GA 30328

3.307 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE MDRP CONTACT

UTAH DEPT OF HEALTH

ATTN: JENNIFER STROHECKER

288 N 1460 W

SALT LAKE CITY, UT 84114

3.308 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 97 of 108

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Main Document Page 156 of 218
$0.00

X

POTENTIAL REBATE

STATE POLICY CONTACT

UTAH DEPT OF HEALTH

ATTN: JENNIFER STROHECKER

288 N 1460 W

SALT LAKE CITY, UT 84114

3.309 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE TECHNICAL CONTACT

UTAH DEPT OF HEALTH

ATTN: JENNIFER STROHECKER

288 N 1460 W

SALT LAKE CITY, UT 84114

3.310 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE DUR CONTACT

UTAH DEPT OF HEALTH

ATTN: JENNIFER STROHECKER

288 NORTH 1460 W

SALT LAKE CITY, UT 84114

3.311 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE REBATE CONTACT

UTAH DEPT OF HEALTH

C/O CHANGE HEALTHCARE

ATTN: LISA BRANDON

45 COMMERCE DR, STE 5

AUGUSTA, ME 04332

3.312 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 98 of 108

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Main Document Page 157 of 218
$10,000.00

TRADE PAYABLE

UW CENTER FOR COMOTION

4311 11TH AVE NE, STE 500

SEATTLE, WA 98105-4608

3.313 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE REBATE CONTACT

VA DEPT OF MEDICAL ASSISTANCE SERVICES

C/O MAGELLAN HEALTH

ATTN: MARCIE MORRISON

11013 W BROAD ST, STE 500

GLEN ALLEN, VA 23060

3.314 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE MDRP CONTACT

VA DEPT OF MEDICAL ASSISTANCE SERVICES

ATTN: MARYANN MCNEIL

600 E BROAD ST

RICHMOND, VA 23219

3.315 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE POLICY CONTACT

VA DEPT OF MEDICAL ASSISTANCE SERVICES

ATTN: KIARA JASPER

600 E BROAD ST

RICHMOND, VA 23219

3.316 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 99 of 108

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Main Document Page 158 of 218
$0.00

X

POTENTIAL REBATE

STATE DUR CONTACT

VA DEPT OF MEDICAL ASSISTANCE SERVICES

ATTN: RACHEL CAIN

600 E BROAD ST

RICHMOND, VA 23219

3.317 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE TECHNICAL CONTACT

VA DEPT OF MEDICAL ASSISTANCE SERVICES

C/O MAGELLAN RX

ATTN: MARTIN VINCENT

11013 W BROAD ST, STE 500

GLEN ALLEN, VA 23060

3.318 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$12,933.87

TRADE PAYABLE

VEEVA

4280 HACIENDA DR

PLEASANTON, CA 94588

3.319 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE MDRP CONTACT

WA HEALTH CARE AUTHORITY

ATTN: JOHNNA ZIEGLER

626 8TH AVE SE

P.O. BOX 45510

OLYMPIA, WA 98501

3.320 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 100 of 108

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Main Document Page 159 of 218
$0.00

X

POTENTIAL REBATE

STATE POLICY CONTACT

WA HEALTH CARE AUTHORITY

ATTN: JOHNNA ZIEGLER

626 8TH AVE SE

P.O. BOX 45510

OLYMPIA, WA 98501

3.321 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE REBATE CONTACT

WA HEALTH CARE AUTHORITY

ATTN: JOHNNA ZIEGLER

626 8TH AVE SE

P.O. BOX 45510

OLYMPIA, WA 98501

3.322 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE TECHNICAL CONTACT

WA HEALTH CARE AUTHORITY

ATTN: JOHNNA ZIEGLER

626 8TH AVE SE

P.O. BOX 45510

OLYMPIA, WA 98501

3.323 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE DUR CONTACT

WA HEALTH CARE AUTHORITY

ATTN: DONNA SULLIVAN

626 8TH AVE, SE

P.O. BOX 45502

OLYMPIA, WA 98504-5502

3.324 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 101 of 108

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Main Document Page 160 of 218
$208.37

TRADE PAYABLE

WESTERN EXTERMINATOR CO

305 N CRESCENT WAY

ANAHEIM, CA 92801

3.325 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE MDRP CONTACT

WI DIVISION OF HEALTHCARE ACCESS

ATTN: EMILY ASCHENBRENER

1 W WILSON ST

P.O. BOX 309

MADISON, WI 53701-0309

3.326 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE POLICY CONTACT

WI DIVISION OF HEALTHCARE ACCESS

ATTN: EMILY ASCHENBRENER

1 W WILSON ST

MADISON, WI 53701-0309

3.327 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE DUR CONTACT

WI DIVISION OF HEALTHCARE ACCESS

ATTN: LYNN RADMER

1 W WILSON ST, RM 330

MADISON, WI 53701-0309

3.328 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 102 of 108

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Main Document Page 161 of 218
$0.00

X

POTENTIAL REBATE

STATE REBATE CONTACT

WI DIVISION OF HEALTHCARE ACCESS

C/O GAINWELL TECHNOLOGY

ATTN: JEN KNETTER

313 BLETTNER BLVD

MADISON, WI 53784

3.329 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE TECHNICAL CONTACT

WI DIVISION OF HEALTHCARE ACCESS

C/O GAINWELL TECHNOLOGY

ATTN: LAURENT FERRARI

313 BLETTNER BLVD

MADISON, WI 53784

3.330 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE TECHNICAL CONTACT

WV DEPARTMENT HEALTH & HUMAN RESOURCES

C/O GAINWELL TECHNOLOGIES

ATTN: SARAH SALDANHA

1600 PENNSYLVANIA AVE

CHARLESTON, WV 25302

3.331 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE POLICY CONTACT

WV DEPARTMENT HEALTH & HUMAN RESOURCES

C/O BUREAU FOR MEDICAL SERVICES

ATTN: GAIL GOODNIGHT

350 CAPITOL ST, RM 251

CHARLESTON, WV 25301-3707

3.332 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 103 of 108

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Main Document Page 162 of 218
$0.00

X

POTENTIAL REBATE

STATE REBATE CONTACT

WV DEPARTMENT HEALTH & HUMAN RESOURCES

C/O BUREAU FOR MEDICAL SERVICES

ATTN: GAIL GOODNIGHT

350 CAPITOL ST, RM 251

CHARLESTON, WV 25301-3707

3.333 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE DUR CONTACT

WV DEPARTMENT HEALTH & HUMAN RESOURCES

ATTN: PRIYA SHAH

350 CAPITOL ST, RM 251

CHARLESTON, WV 25301

3.334 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE MDRP CONTACT

WV DEPARTMENT HEALTH & HUMAN RESOURCES

ATTN: GAIL GOODNIGHT

350 CAPITOL ST, RM 251

CHARLESTON, WV 25301-3707

3.335 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE DUR CONTACT

WY DEPT OF HEALTH

ATTN: CORI COOPER

6101 YELLOWSTONE RD, STE 210

CHEYENNE, WY 82002

3.336 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 104 of 108

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Main Document Page 163 of 218
$0.00

X

POTENTIAL REBATE

STATE REBATE CONTACT

WY DEPT OF HEALTH

C/O CHANGE HEALTHCARE PHARMACY SOLUTIONS

ATTN: BRITTANY CLEMENT

45 COMMERCE DR, STE 5

AUGUSTA, ME 04332

3.337 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE TECHNICAL CONTACT

WY DEPT OF HEALTH

C/O CHANGE HEALTHCARE PHARMACY SOLUTIONS

ATTN: BRITTANY CLEMENT

45 COMMERCE DR, STE 5

AUGUSTA, ME 04332

3.338 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE MDRP CONTACT

WY DEPT OF HEALTH

C/O WDH, DIVISION OF HEALTHCARE FINANCING

ATTN: CORI COOPER

122 W 25TH ST, STE 4 W

CHEYENNE, WY 82002

3.339 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

$0.00

X

POTENTIAL REBATE

STATE POLICY CONTACT

WY DEPT OF HEALTH

C/O WDH, DIVISION OF HEALTHCARE FINANCING

ATTN: CORI COOPER

122 W 25TH ST, STE 4 W

CHEYENNE, WY 82002

3.340 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 105 of 108

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Main Document Page 164 of 218
$119,343.62

X

TRADE PAYABLE

ZINC HEALTH SERVICES

1 CVS DR

MAIL CODE 1160

WOONSOCKET, RI 02895

3.341 Nonpriority creditor's name and mailing address

Date or dates debt was incurred

Last 4 digits of account number

As of the petition filing date, the claim is:

Contingent

Unliquidated

Disputed

Basis for the claim:

Is the claim subject to offset?

No

Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 106 of 108

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 165 of 218
List Others to Be Notified About Unsecured Claims

Debtor Name Impel Pharmaceuticals Inc. 23-80016 Case number (if known):

Part 3:

4. List in alphabetical order any others who must be notified for claims listed in Parts 1 and 2. Examples of entities that may be listed are 

collection agencies, assignees of claims listed above, and attorneys for unsecured creditors

If no others need to be notified for the debts listed in Parts 1 and 2, do not fill out or submit this page. If additional pages are needed, copy the next page.

On which line in Part1 or Part 2 is the 

Name and mailing address related creditor (if any) listed?

Last 4 digits of

account number, 

if any

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 107 of 108

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 166 of 218
$730,380.04

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

Debtor Name Impel Pharmaceuticals Inc. 23-80016 Case number (if known):

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

5a. Total claims from Part 1

5b. Total claims from Part 2 $3,330,098.25

5c. Total claims of Parts 1 and 2

 Lines 5a + 5b = 5c $4,060,478.29

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims 108 of 108

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 167 of 218
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.

Schedule G: Executory Contracts and Unexpired Leases

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

Impel Pharmaceuticals Inc.

Case number (if known): 23-80016

Debtor Name

United States Bankruptcy Court for the Northern District of Texas

Official Form 206G

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?

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)

X

Check if this is an 

amended filing

X

ACCUMOLD

18 POWELLS VALLEY RD

HALIFAX, PA 17032

State what the contract or QUALITY ASSURANCE AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.1

ACE AMERICAN INSURANCE CO

436 WALNUT ST

PHILADELPHIA, PA 19106

State what the contract or FOREIGN PACKAGE 

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

5/01/2024 

2.2

ACE AMERICAN INSURANCE CO (CHUBB)

436 WALNUT ST

PHILADELPHIA, PA 19106

State what the contract or 4TH EXCESS DIRECTORS & OFFICERS LIABILITY 

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

4/23/2024 

2.3

ADKINS BLACK LLP

1100 BELLEVUE WAY NE, STE 8A-914

BELLEVUE, WA 98004

State what the contract or ENGAGEMENT LETTER

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

AFFIRMA CONSULTING, LLC

3380 146TH PL SE, STE 100

BELLEVUE, WA 98007

State what the contract or MASTER SERVICES AGREEMENT

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

Official Form 206G Schedule G: Executory Contracts and Unexpired Leases Page 1 of 49

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 168 of 218
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

Debtor Name Impel Pharmaceuticals Inc. 23-80016 Case number (if known):

Additional Page(s) if Debtor has More Executory Contracts or Unexpired Leases

Copy this page only if more space is needed. Continue numbering the lines sequentially from the previous page.

AIT BIOSCIENCE, LLC

7840 INNOVATION BLVD

INDIANAPOLIS, IN 46278

State what the contract or MASTER SERVICES AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.6

ALMAC CLINICAL SERVICES LTD

25 FRETZ RD

SOUDERTON, PA18964

State what the contract or GLOBAL TECHNICAL AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.7

ALTASCIENCES PRECLINICAL SEATTLE, LLC

6605 MERRILL CREEK PKWY

EVERETT, WA 98203

State what the contract or GLOBAL MASTER SERVICES AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.8

ALTURAS ANALYTICS, INC

1324 ALTURAS DR

MOSCOW, ID 83843

State what the contract or MASTER RESEARCH SERVICES AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.9

AMAZON

410 TERRY AVE N

SEATTLE, WA 98109

State what the contract or ANNUAL SUBSCRIPTION

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.10

AMERICAN EXPRESS

200 VESEY ST

NEW YORK, NY 10285

CORPORATE SERVICES COMMERCIAL ACCOUNT 

AGREEMENT

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

2.11

Official Form 206G Schedule G: Executory Contracts and Unexpired Leases Page 2 of 49

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 169 of 218
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

Debtor Name Impel Pharmaceuticals Inc. 23-80016 Case number (if known):

Additional Page(s) if Debtor has More Executory Contracts or Unexpired Leases

Copy this page only if more space is needed. Continue numbering the lines sequentially from the previous page.

AMERICAN STOCK TRANSFER & TRUST CO

AKA AMERICAN STOCK TRANSFER & TRUST COMPANY, LLC

LEGAL DEPARTMENT

48 WALL ST, 22ND FL

NEW YORK, NY 10005

TRANSFER AGENCY AND REGISTRAR SERVICES 

AGREEMENT

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

2.12

ANDERSEN TAX LLC

1200 5TH AVE, STE 1600

SEATTLE, WA 98101

VALUATION ANALYSIS RELATED TO WARRANTS OF 

IMPEL NEUROPHARMA, INC.

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

2.13

ANDERSONBRECON, INC

DBA PCI PHARMA SERVICES

C/O MILLER NASH LLP

605 5TH AVE S, STE 900

SEATTLE, WA 98104

State what the contract or COMMERCIAL PACKAGING AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.14

ANGIE OHNMEIS, LLC

5034 GOAL POST LN ·

CINCINNATI, OH 45244

State what the contract or CONSULTING AGREEMENT & SOW #1

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

12/31/2026

2.15

AON PLC

25 W 45TH ST, 15TH FL

NEW YORK, NY 10036

State what the contract or SERVICE AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

3/10/2024

2.16

AQUINAS LEADERSHIP GROUP

120 IOWA LN, STE 204

CARY, NC 27511

State what the contract or MASTER SERVICES AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2/16/2024

2.17

Official Form 206G Schedule G: Executory Contracts and Unexpired Leases Page 3 of 49

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 170 of 218
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

Debtor Name Impel Pharmaceuticals Inc. 23-80016 Case number (if known):

Additional Page(s) if Debtor has More Executory Contracts or Unexpired Leases

Copy this page only if more space is needed. Continue numbering the lines sequentially from the previous page.

ASCENT HEALTH SERVICES LLC

1 EXPRESS WAY

ST LOUIS, MO 63121

State what the contract or REBATE PROGRAM AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.18

ASP CARES HOUSTON

2429 BISSONNET ST, STE 612

HOUSTON, TX 77005

State what the contract or PRODUCT PURCHASE AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.19

ASPN PHARMACIES, LLC

200 PARK AVE, STE 300

FLORHAM PARK, NJ 07932

State what the contract or MASTER SERVICE AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.20

ATLANTIC SPECIALTY INSURANCE CO (INTACT)

605 HIGHWAY 169 N, STE 800

PLYMOUTH, MN 55441

State what the contract or 3RD EXCESS DIRECTORS & OFFICERS LIABILITY 

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

4/23/2024 

2.21

AVANTOR FUNDING, INC

3477 CORPORATE PKWY, STE 200

CENTER VALLEY, PA 18034

State what the contract or MASTER SERVICES AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

12/11/2024

2.22

AXIS INSURANCE CO

10000 AVALON BLVD, STE 200

ALPHARETTA, GA 30009

State what the contract or DIRECTORS & OFFICERS LIABILITY – PRIMARY 

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

4/23/2024 

2.23

Official Form 206G Schedule G: Executory Contracts and Unexpired Leases Page 4 of 49

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 171 of 218
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

Debtor Name Impel Pharmaceuticals Inc. 23-80016 Case number (if known):

Additional Page(s) if Debtor has More Executory Contracts or Unexpired Leases

Copy this page only if more space is needed. Continue numbering the lines sequentially from the previous page.

AXTRIA, INC

300 CONNELL DR, 5TH FL

BERKELEY HEIGHTS, NJ 07922

State what the contract or MASTER SERVICES AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

12/31/2023

2.24

BAKER TILLY US, LLP

8626 N HIMES AVE

TAMPA, FL 33614

State what the contract or STATEMENT OF WORK #6

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

3/31/2024

2.25

BARRINGTON JAMES LLC

1001 6TH AVE

NEW YORK, NY 10018

State what the contract or CLIENT SERVICES AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.26

BEANWORKS SOLUTIONS, INC

1159 HAMILTON ST

VANCOUVER, BC V6B 5P6

CANADA

State what the contract or SERVICE AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.27

BIOBRIDGES LLC

2701 AERIAL CENTER PKWY, STE 120

MORRISVILLE, NC 27709

State what the contract or SERVICE ORDER

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

12/31/2024

2.28

BIORIDGE PHARMA, LLC

325 COLUMBIA TPKE, STE 111

FLORHAM PARK, NJ 07932

PHARMACEUTICAL DISTRIBUTION SERVICES 

AGREEMENT

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

2.29

Official Form 206G Schedule G: Executory Contracts and Unexpired Leases Page 5 of 49

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 172 of 218
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

Debtor Name Impel Pharmaceuticals Inc. 23-80016 Case number (if known):

Additional Page(s) if Debtor has More Executory Contracts or Unexpired Leases

Copy this page only if more space is needed. Continue numbering the lines sequentially from the previous page.

BMR-201 ELLIOTT AVENUE LLC

201 ELLIOTT AVE W

SEATTLE, WA 98119

State what the contract or LEASE

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.30

BOF II PA LINDENWOOD LLC

101 LINDENWOOD DR

MALVERN, PA 19355

State what the contract or OFFICE LEASE

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

4/27/2032

2.31

CALVERT LABORATORIES, INC

130 DISCOVERY DR SCOTT TECHNOLOGY PARK

CLARKS SUMMIT, PA 18447

State what the contract or STATEMENT OF WORK

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.32

CAPSUGEL US, LLC

412 MT KEMBLE AVE

MORRISTOWN, NJ 07960

State what the contract or CAPSULE CONTINUING GUARANTEE

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

5/23/2026

2.33

CARDINAL HEALTH

7000 CARDINAL PL

DUBLIN, OH 43017

State what the contract or QUALITY AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.34

CARDINAL HEALTH 105, INC

7000 CARDINAL PL

DUBLIN, OH 43017

State what the contract or EXCLUSIVE DISTRIBUTION AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.35

Official Form 206G Schedule G: Executory Contracts and Unexpired Leases Page 6 of 49

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 173 of 218
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

Debtor Name Impel Pharmaceuticals Inc. 23-80016 Case number (if known):

Additional Page(s) if Debtor has More Executory Contracts or Unexpired Leases

Copy this page only if more space is needed. Continue numbering the lines sequentially from the previous page.

CAREMARKPCS HEALTH, LLC

1 CVS DR

LEGAL DEPARTMENT

WOONSOCKET, RI 02895

State what the contract or MEDICARE PART D PROGRAM REBATE AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

12/31/2025

2.36

CAREMARKSPCS HEALTH, LLC

1 CVS DR

LEGAL DEPARTMENT

WOONSOCKET, RI 02895

State what the contract or REBATE AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.37

CAREPOINT HEALTHCARE LLC

9 COMMERCE DR

SCHAUMBURG, IL 60173

State what the contract or PHARMACY DISTRIBUTION AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.38

CCG CORPORATE MAILINGS, INC

14 HENDERSON DR

W CALDWELL, NJ 07006

State what the contract or INTERCOMPANY QUALITY ASSURANCE AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.39

CCG MARKETING SOLUTIONS

14 HENDERSON DR W

CALDWELL, NJ 07006

State what the contract or QUALITY AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.40

CDM CONSULTING LLC

25 VIA MARCONI

SORBOLO, EMILIA-ROMAGNA 43058

ITALY

State what the contract or CONSULTING AGREEMENT & SOW #1

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

5/27/2024

2.41

Official Form 206G Schedule G: Executory Contracts and Unexpired Leases Page 7 of 49

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 174 of 218
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

Debtor Name Impel Pharmaceuticals Inc. 23-80016 Case number (if known):

Additional Page(s) if Debtor has More Executory Contracts or Unexpired Leases

Copy this page only if more space is needed. Continue numbering the lines sequentially from the previous page.

CDW DIRECT

200 N MILWAUKEE AVE

VERNON HILLS, IL 60061

State what the contract or INVOICE ONLY

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.42

CENTERS FOR MEDICARE & MEDICAID SERVICES

AKA CMS

C/O CENTER FOR MEDICARE DIVISION OF PART D POLICY

MAILSTOP C1-26-16

7500 SECURITY BLVD

BALTIMORE, MD 21244-1850

MEDICARE COVERAGE GAP DISCOUNT PROGRAM 

DATA AGREEMENT (2021 TPA AGREEMENT FOR 

P1710)

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 P1710

2.43

CERTARA USA, INC

100 OVERLOOK CTR, STE 101

PRINCETON, NJ 08540

State what the contract or CERTARA USA, INC MASTER SERVICES AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.44

CFI WORKSPACE

7001 N PARK DR

PENNSAUKEN TOWNSHIP, NJ 08109

State what the contract or INVOICE ONLY

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.45

CH ROBINSON WORLDWIDE, INC

14701 CHARLSON RD

EDEN PRAIRIE, MN 55347

CUSTOMS CERTIFICATIONS, INDEMNITY 

AGREEMENT AND COLLATERAL POLICY

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

2.46

CHARLES RIVER LABORATORIES, INC

251 BALLARDVALE ST

WILMINGTON, MA 01887

State what the contract or MASTER SERVICES AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.47

Official Form 206G Schedule G: Executory Contracts and Unexpired Leases Page 8 of 49

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 175 of 218
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

Debtor Name Impel Pharmaceuticals Inc. 23-80016 Case number (if known):

Additional Page(s) if Debtor has More Executory Contracts or Unexpired Leases

Copy this page only if more space is needed. Continue numbering the lines sequentially from the previous page.

CHILDREN'S HOSPITAL OF PHILADELPHIA (CHOP)

3401 CIVIC CENTER BLVD

PHILADELPHIA, PA 19104

State what the contract or CONSULTING AGREEMENT & SOW #1

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

7/24/2026

2.48

CITELINE

52 VANDERBILT AVE

NEW YORK, NY 10017

State what the contract or LICENSE AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.49

CLARK NUBER PS

10900 NE 4TH ST, STE 1400

BELLEVUE, WA 98004

State what the contract or MASTER SERVICE AGREEMENT & SOW #1

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.50

CLEAN EARTH INC

933 1ST AVE, STE 200

KING OF PRUSSIA, PA 19406

State what the contract or MUTUAL CONFIDENTIALITY AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.51

CLINIGEN CSM, INC

300 TECHNOLOGY DR

MALVERN, PA 19355

State what the contract or LAST STATEMENT OF WORK AS OF 7/22/22

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.52

CLOSE CONSULTING LLC

9899 ZIG ZAG RD

CINCINNATI, OH 45242

State what the contract or CONSULTING AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.53

Official Form 206G Schedule G: Executory Contracts and Unexpired Leases Page 9 of 49

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 176 of 218
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

Debtor Name Impel Pharmaceuticals Inc. 23-80016 Case number (if known):

Additional Page(s) if Debtor has More Executory Contracts or Unexpired Leases

Copy this page only if more space is needed. Continue numbering the lines sequentially from the previous page.

CMTJ & ASSOCIATES LLC

117 SPUR LN

W CHESTER, PA 19382

State what the contract or CONSULTING AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.54

COBBLESTONE SYSTEMS CORP

428 S WHITE HORSE PIKE

LINDENWOLD, NJ 08021

COBBLESTONE SOFTWARE HOSTED SOFTWARE 

LICENSE AGREEMENT

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

2.55

COMCAST CABLE COMMUNICATIONS MANAGEMENT, LLC

1701 JFK BLVD

PHILADELPHIA, PA 19103

State what the contract or COMCAST BUSINESS SERVICE ORDER

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.56

CONNOR GROUP GLOBAL SERVICES, LLC

60 E 42ND ST, STE 920

NEW YORK, NY 10165

State what the contract or CONNOR GROUP GLOBAL SERVICES, LLC

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

12/31/2023

2.57

COOK SPRING CO

233 SARASOTA CENTER BLVD

SARASOTA, FL 34240

State what the contract or QUALITY AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.58

COPYRIGHT CLEARANCE CENTER, INC

222 ROSEWOOD DR

DANVERS, MA 01923

State what the contract or ANNUAL COPYRIGHT LICENSE AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

4/28/2024

2.59

Official Form 206G Schedule G: Executory Contracts and Unexpired Leases Page 10 of 49

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 177 of 218
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

Debtor Name Impel Pharmaceuticals Inc. 23-80016 Case number (if known):

Additional Page(s) if Debtor has More Executory Contracts or Unexpired Leases

Copy this page only if more space is needed. Continue numbering the lines sequentially from the previous page.

CPA GLOBAL LTD

2318 MILL RD, 12TH FL

ALEXANDRIA, VA 22314

State what the contract or RENEWAL SERVICES AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.60

CRISP THINKING (UK) LTD

CENTRAL SQUARE

29 WELLINGTON ST, STE 1

LEEDS, W YORKSHIRE LS1 4DL

UNITED KINGDOM

State what the contract or MASTER SERVICES AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.61

CT CORP SYSTEM

28 LIBERTY ST

NEW YORK, NY 10005

State what the contract or CT ASSURANCE AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2/28/2025

2.62

CUBEWORKS

900 TURNBULL CANYON RD

CITY OF INDUSTRY, CA 91745

State what the contract or OCCUPANCY LICENSE AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.63

CULT HEALTH LLC

261 5TH AVE, STE 1002

NEW YORK, NY 10016

State what the contract or MASTER SERVICES AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

4/7/2024

2.64

CURIA ITALY SRL

VIA VOLTURNO, 41/43

20089, ROZZANO

ITALY

State what the contract or COMMERCIAL AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.65

Official Form 206G Schedule G: Executory Contracts and Unexpired Leases Page 11 of 49

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 178 of 218
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

Debtor Name Impel Pharmaceuticals Inc. 23-80016 Case number (if known):

Additional Page(s) if Debtor has More Executory Contracts or Unexpired Leases

Copy this page only if more space is needed. Continue numbering the lines sequentially from the previous page.

CVS CAREMARK PART D SERVICES, LLC

1 CVS DR

LEGAL DEPARTMENT

WOONSOCKET, RI 02895

State what the contract or REBATE AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.66

D2 GROUPS, LLC

2540 RENAISSANCE BLVD

KING OF PRUSSIA, PA 19406

INTERIOR DESIGN SERVICES PROPOSAL FOR IMPEL 

NEUROPHARMA

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

2.67

DE NOTARISTEFANI

33 DEVONSHIRE LN

MENDHAM, NJ 07945

State what the contract or CONSULTING AGREEMENT & SOW #1

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

6/7/2026

2.68

DEERFIELD AGENCY, LLC

555 E NORTH LN, BLDG D, STE 5020

W LOBBY CONSHOHOCKEN, PA 19428

TWO STATEMENTS OF WORK AS OF 3/14/23 AND 

9/11/23

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

12/31/2023

2.69

DIGITAL MEDIA (INTRADO)

770 N HALSTED ST, STE 6S

CHICAGO, IL 60642

State what the contract or INVOICE ONLY

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.70

DIVIDEND GROUP, LLC

330 N BRAND BLVD, STE 700

GLENDALE, CA 91203

State what the contract or REBATE AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.71

Official Form 206G Schedule G: Executory Contracts and Unexpired Leases Page 12 of 49

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 179 of 218
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

Debtor Name Impel Pharmaceuticals Inc. 23-80016 Case number (if known):

Additional Page(s) if Debtor has More Executory Contracts or Unexpired Leases

Copy this page only if more space is needed. Continue numbering the lines sequentially from the previous page.

DONNELLEY FINANCIAL SOLUTIONS

35 W WACKER DR

CHICAGO, IL 60601

State what the contract or SUBSCRIPTION ORDER FORM

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.72

DRAGONFLY AGENCY CORP

623 RIVER RD

FAIR HAVEN, NJ 07704

State what the contract or MASTER SERVICES AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.73

DRURY DESIGN DYNAMICS, INC

275 7TH AVE

NEW YORK, NY 10011

State what the contract or MASTER SERVICE AGREEMENT & SOW #1

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.74

EGENCIA LLC

1111 EXPEDIA GROUP WY W

SEATTLE, WA 98119

State what the contract or US CORPORATE TRAVEL SERVICES AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.75

ELIXIR HEALTH PUBLIC RELATIONS INC

379 W BROADWAY

NEW YORK, NY 10012

2023 PUBLIC RELATIONS SCOPE OF WORK & 

ESTIMATED BUDGET

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

12/31/2023

2.76

ELLIOTT SEATTLE REAL ESTATE HOLDING INC

200 W MERCER ST, STE 106

SEATTLE, WA 98119

State what the contract or LANDLORD CONSENT TO SUBLEASE

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.77

Official Form 206G Schedule G: Executory Contracts and Unexpired Leases Page 13 of 49

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 180 of 218
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

Debtor Name Impel Pharmaceuticals Inc. 23-80016 Case number (if known):

Additional Page(s) if Debtor has More Executory Contracts or Unexpired Leases

Copy this page only if more space is needed. Continue numbering the lines sequentially from the previous page.

EMERALD SEARCH PARTNERS LLC

600 UNIVERSITY ST, STE 1625

SEATTLE, WA 98101

State what the contract or GENERAL CONDITIONS OF ASSIGNMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.78

EMKAY, INC

805 W THORNDALE AVE

ITASCA, IL 60143-7400

State what the contract or VEHICLE LEASE AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.79

ENDURANCE AMERICAN INSURANCE CO

FOUR MANHATTANVILLE RD, 3RD FL

PURCHASE, NY 10577

State what the contract or 2ND EXCESS DIRECTORS & OFFICERS LIABILITY 

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

4/23/2024 

2.80

ENDURANCE AMERICAN SPECIALTY INSURANCE CO

FOUR MANHATTANVILLE RD, 3RD FL

PURCHASE, NY 10577

State what the contract or MANAGEMENT LIABILITY 

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

11/01/2024 

2.81

EPL PATHOLOGY ARCHIVES, LLC

435 TOLBERT LN SE

LEESBURG, VA 20175

State what the contract or MASTER SERVICES AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.82

EQUINITI TRUST CO, LLC

6201 15TH AVE

BROOKLYN, NY 11219

TRANSFER AGENCY AND REGISTRAR SERVICES 

AGREEMENT

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

2.83

Official Form 206G Schedule G: Executory Contracts and Unexpired Leases Page 14 of 49

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 181 of 218
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

Debtor Name Impel Pharmaceuticals Inc. 23-80016 Case number (if known):

Additional Page(s) if Debtor has More Executory Contracts or Unexpired Leases

Copy this page only if more space is needed. Continue numbering the lines sequentially from the previous page.

EUROFINS PANLABS, INC

6 RESEARCH PARK DR

ST CHARLES, MO 63304

State what the contract or MASTER SERVICES AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

6/11/2025

2.84

EXPERIC, LLC

2 CLARKE DR

CRANBURY, NJ 08512

State what the contract or MASTER SERVICES AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.85

EXPRESS SCRIPTS SENIOR CARE HOLDINGS, INC

1 EXPRESS WAY

ST LOUIS, MO 63121

State what the contract or MEDICARE PART D INFLATION AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.86

EXPRESS SCRIPTS, INC

1 EXPRESS WAY

ST LOUIS, MO 63121

State what the contract or INFLATION AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.87

FARMACIENCIA SA

40 LAKE DR

E WINDSOR, NJ 08520

State what the contract or QUALITY AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.88

FISHER & PHILLIPS LLP

1230 PEACHTREE ST, STE 3300 NE

ATLANTA, GA 30309

State what the contract or INVOICE ONLY

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.89

Official Form 206G Schedule G: Executory Contracts and Unexpired Leases Page 15 of 49

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 182 of 218
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

Debtor Name Impel Pharmaceuticals Inc. 23-80016 Case number (if known):

Additional Page(s) if Debtor has More Executory Contracts or Unexpired Leases

Copy this page only if more space is needed. Continue numbering the lines sequentially from the previous page.

FREUDENBERG MEDICAL LLC

40 SAM FONZO DR

BEVERLY, MA 01915

State what the contract or MANUFACTURING SERVICES AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.90

FRONTIERS MEDIA SA

AVE DU TRIBUNAL FÉDÉRAL 34

1005 LAUSANNE

SWITZERLAND

State what the contract or INVOICE ONLY

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.91

FUTURE MEDICINE

54 CHANGUP-RO SUJEONG-GU

SEONGNAM-SI, GYEONGGI-DO

S KOREA

State what the contract or INVOICE ONLY

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.92

GOOD APPLE

5-9 UNION SQ W, 4TH FL

NEW YORK, NY 10003

State what the contract or LAST STATEMENT OF WORK AS OF 9/21/23

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.93

GREATLAND

2480 WALKER AVE NW

GRAND RAPIDS, MI 49544

State what the contract or YEARLY SUBSCRIPTION

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.94

GS1 US

300 CHARLES EWING BLVD

EWING TOWNSHIP, NJ 08628

State what the contract or LICENSE AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.95

Official Form 206G Schedule G: Executory Contracts and Unexpired Leases Page 16 of 49

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 183 of 218
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

Debtor Name Impel Pharmaceuticals Inc. 23-80016 Case number (if known):

Additional Page(s) if Debtor has More Executory Contracts or Unexpired Leases

Copy this page only if more space is needed. Continue numbering the lines sequentially from the previous page.

HEALTHCARE ALLIANCE GROUP

101 LAUREL RD, STE 100

VOORHEES, NJ 08043

State what the contract or MASTER SERVICE AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.96

HEALTHCARE ALLIANCE GROUP, LLC

101 LAUREL RD, STE 100

VOORHEES, NJ 08043

State what the contract or STATEMENT OF WORK #13

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

12/31/2023

2.97

HISCOX INSURANCE CO INC

104 S MICHIGAN AVE, STE 600

CHICAGO, IL 60603

State what the contract or SPECIAL CONTINGENCY 

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

11/01/2024 

2.98

HISCOX INSURANCE CO INC

104 S MICHIGAN AVE, STE 600

CHICAGO, IL 60603

State what the contract or CRIME 

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

6/01/2024 

2.99

HOVIONE LTD

40 LAKE DR

E WINDSOR, NJ 08520

State what the contract or WORK ORDER #13

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

12/31/2023

2.100

HUDSON INSURANCE CO

100 WILLIAM ST, 5TH FL

NEW YORK, NY 10038

State what the contract or 1ST EXCESS DIRECTORS & OFFICERS LIABILITY 

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

4/23/2024 

2.101

Official Form 206G Schedule G: Executory Contracts and Unexpired Leases Page 17 of 49

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 184 of 218
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

Debtor Name Impel Pharmaceuticals Inc. 23-80016 Case number (if known):

Additional Page(s) if Debtor has More Executory Contracts or Unexpired Leases

Copy this page only if more space is needed. Continue numbering the lines sequentially from the previous page.

ILLINOIS UNION INSURANCE CO

436 WALNUT ST

PHILADELPHIA, PA 19106

State what the contract or POLLUTION LIABILITY 

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

11/01/2025 

2.102

IMPRINT PUBLICATION SCIENCE

3 COLUMBUS CIR, 8TH FL

NEW YORK CITY, NY 10019

State what the contract or STATEMENT OF WORK

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.103

INSIGHTSOFTWARE

8529 SIX FORKS RD

RALEIGH, NC 27615

State what the contract or KEAP BUSINESS ASSOCIATE AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.104

INTEGRICHAIN, INC

8 PENN CENTER 1628 JFK BLVD, STE 300

PHILADELPHIA, PA 19103

State what the contract or MASTER SERVICES AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.105

INTERACTIVE FORUMS, INC

375 E ELM ST, STE 200

CONSHOHOCKEN, PA 19428

State what the contract or MASTER SERVICES AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

4/8/2024

2.106

INTERFACE ANALYSIS ASSOCIATES

1821 SARATOGA AVE, STE 200

SARATOGA, CA 95070

PROJECT PROPOSAL INP105 DPI DRUG DELIVERY 

DEVICE OLANZAPINE - POD FOR ACUTE AGITATION 

HUMAN FACTORS PROGRAM

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

2.107

Official Form 206G Schedule G: Executory Contracts and Unexpired Leases Page 18 of 49

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 185 of 218
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

Debtor Name Impel Pharmaceuticals Inc. 23-80016 Case number (if known):

Additional Page(s) if Debtor has More Executory Contracts or Unexpired Leases

Copy this page only if more space is needed. Continue numbering the lines sequentially from the previous page.

IPG HEALTH MEDICAL COMMUNICATIONS INC

100 W 33RD ST

NEW YORK, NY 10001

State what the contract or CONSULTING AGREEMENT & SOW #1

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

10/26/2025

2.108

IQVIA, INC

2400 ELLIS RD

DURHAM, NC 27703

USER-CUSTOMER AGREEMENT FOR AMA 

PHYSICIAN PROFESSIONAL DATA

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

2.109

JENNASON LLC

18450 RUTLEDGE RD

WAYZATA, MN 55391

State what the contract or STATEMENT OF WORK

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.110

JUICE PHARMA WORLDWIDE, LLC

132 W 31ST ST

NEW YORK, NY 10001

State what the contract or MASTER SERVICE AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

12/31/2023

2.111

KAISER PERMANENTE

1 KAISER PLZ

OAKLAND, CA 94612

State what the contract or SERVICE AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.112

KBF CPAS LLP

601 UNION ST

SEATTLE, WA 98101

State what the contract or INVOICE ONLY

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.113

Official Form 206G Schedule G: Executory Contracts and Unexpired Leases Page 19 of 49

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 186 of 218
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

Debtor Name Impel Pharmaceuticals Inc. 23-80016 Case number (if known):

Additional Page(s) if Debtor has More Executory Contracts or Unexpired Leases

Copy this page only if more space is needed. Continue numbering the lines sequentially from the previous page.

LACHMAN INSTITUTE FOR PHARMACEUTICAL ANALYSIS AT LONG 

ISLAND UNIVERSITY

1 UNIVERSITY PLZ

BROOKLYN, NY 11201

State what the contract or ANALYTICAL RESEARCH AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

12/31/2023

2.114

LIFE SCIENCE LEGAL LLC

750 17TH ST NW

WASHINGTON, DC 20006

State what the contract or TERMS OF ENGAGEMENT FOR LEGAL SERVICES

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.115

LIFE STORAGE LP

6467 MAIN ST

WILLIAMSVILLE, NY 14221

State what the contract or CORE PLUS MASTER RENTAL AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.116

LIPPE TAYLOR, LLC

140 BROADWAY, 28TH FL

NEW YORK, NY 10005

State what the contract or STATEMENT OF WORK #1

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

12/31/2023

2.117

LMK CLINICAL RESEARCH CONSULTING, LLC

1743 CONNECTICUT AVE NW, STE 200

WASHINGTON, DC 20009

State what the contract or STATEMENT OF WORK #1 CO #2

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

12/31/2023

2.118

MAINEHEALTH

1 DANA CT

WESTBROOK, ME 04092

State what the contract or RESEARCH SERVICE AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.119

Official Form 206G Schedule G: Executory Contracts and Unexpired Leases Page 20 of 49

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 187 of 218
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

Debtor Name Impel Pharmaceuticals Inc. 23-80016 Case number (if known):

Additional Page(s) if Debtor has More Executory Contracts or Unexpired Leases

Copy this page only if more space is needed. Continue numbering the lines sequentially from the previous page.

MANAGED MARKETS INSIGHT & TECHNOLOGY, LLC

290 W MT PLEASANT AVE, STE 2210

LIVINGSTON, NJ 07039

State what the contract or MASTER AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

1/13/2024

2.120

MARKETING AUTOMATION CANADA

2333 DUNDAS ST W, STE 403

TORONTO, ON M6R 3A6

CANADA

State what the contract or MASTER SERVICES AGREEMENT & SOW #1

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

1/25/2025

2.121

MARKETO, INC

901 MARINERS ISLAND BLVD, STE 200

SAN MATEO, CA 94404

State what the contract or BUSINESS ASSOCIATE ADDENDUM

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.122

MASTERCONTROL, INC

6350 S 3000 E

SALT LAKE CITY, UT 84121

State what the contract or MASTERCONTROL SAAS SERVICE LEVEL TERMS

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.123

MCCANN SYSTEMS

68 S TURNPIKE RD

WALLINGFORD, CT 06492

State what the contract or STATEMENT OF WORK #2

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.124

MED COMMUNICATIONS, INC

5100 POPLAR AVE, STE 450

MEMPHIS, TN 38137

State what the contract or MASTER SERVICES AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.125

Official Form 206G Schedule G: Executory Contracts and Unexpired Leases Page 21 of 49

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 188 of 218
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

Debtor Name Impel Pharmaceuticals Inc. 23-80016 Case number (if known):

Additional Page(s) if Debtor has More Executory Contracts or Unexpired Leases

Copy this page only if more space is needed. Continue numbering the lines sequentially from the previous page.

MEDICAL MARKETING ECONOMICS, LLC

1200 JEFFERSION AVE, STE 200

OXFORD, MS 38655

State what the contract or MASTER SERVICES AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.126

MEDISTRY, LLC

3029 PROSPECT AVE

CLEVELAND, OH 44115

State what the contract or SERVICES AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.127

METROPOLITAN BUILDING MAINTENANCE

3829 AURORA AVE N

SEATTLE, WA 98103-8702

State what the contract or INVOICE ONLY

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.128

MINIVALVE INTERNATION BV

21 LUCBECKSTRAAT

OLDENZAAL 7575EE

THE NETHERLANDS

State what the contract or QUALITY AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.129

MIPHARM SPA

VIA B QUARANTA

12 - 20141 MILANO

ITALY

QUALITY AGREEMENT FOR MANUFACTURING AND 

CONTROL OF MEDICINAL PRODUCTS

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

2.130

MIPHARM SPA

VIA BERNARDO QUARANTA

12, 20139 MILANO MI

ITALY

#5 DAYS SUPPORT TO TRIAL ACTIVITIES + #3 TECH 

BATCHES DEC 20199 OFFER N 1830 REV 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

2.131

Official Form 206G Schedule G: Executory Contracts and Unexpired Leases Page 22 of 49

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 189 of 218
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

Debtor Name Impel Pharmaceuticals Inc. 23-80016 Case number (if known):

Additional Page(s) if Debtor has More Executory Contracts or Unexpired Leases

Copy this page only if more space is needed. Continue numbering the lines sequentially from the previous page.

MONTRIUM HOSTED SOLUTIONS, INC

507 PL D'ARMES, STE 1500

MONTREAL, QC H2Y 2W8

CANADA

State what the contract or SERVICE AGREEMENT SA-IPL-2017-01

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.132

MTD MICRO MOLDING

15 TROLLEY CROSSING RD

CHARLTON, MA 01507

State what the contract or QUALITY AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.133

NAME REDACTED

ADDRESS REDACTED

CONSULTING AGREEMENT & SOW #1

INDIVIDUAL

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

12/31/2023

2.134

NAME REDACTED

ADDRESS REDACTED

STATEMENT OF WORK #2

INDIVIDUAL

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

12/31/2023

2.135

NAME REDACTED

ADDRESS REDACTED

CONSULTING AGREEMENT & SOW #1

INDIVIDUAL

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

1/17/2028

2.136

NAME REDACTED

ADDRESS REDACTED

CONSULTING/SCIENTIFIC ADVISORY BOARD 

AGREEMENT

INDIVIDUAL

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

2/28/2026

2.137

Official Form 206G Schedule G: Executory Contracts and Unexpired Leases Page 23 of 49

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 190 of 218
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

Debtor Name Impel Pharmaceuticals Inc. 23-80016 Case number (if known):

Additional Page(s) if Debtor has More Executory Contracts or Unexpired Leases

Copy this page only if more space is needed. Continue numbering the lines sequentially from the previous page.

NAME REDACTED

ADDRESS REDACTED

MASTER CONSULTING AGREEMENT

INDIVIDUAL

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

9/4/2025

2.138

NAME REDACTED

ADDRESS REDACTED

ARNP

INDIVIDUAL

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

6/22/2024

2.139

NAME REDACTED

ADDRESS REDACTED

CONSULTING AGREEMENT & SOW #1

INDIVIDUAL

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

6/23/2024

2.140

NAME REDACTED

ADDRESS REDACTED

CONSULTING AGREEMENT FOR SPEAKER 

PROGRAM SERVICES

INDIVIDUAL

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

4/23/2024

2.141

NAME REDACTED

ADDRESS REDACTED

CONSULTING AGREEMENT & SOW #1

INDIVIDUAL

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

4/18/2024

2.142

NAME REDACTED

ADDRESS REDACTED

CONSULTING AGREEMENT & SOW #1

INDIVIDUAL

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

5/25/2024

2.143

Official Form 206G Schedule G: Executory Contracts and Unexpired Leases Page 24 of 49

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 191 of 218
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

Debtor Name Impel Pharmaceuticals Inc. 23-80016 Case number (if known):

Additional Page(s) if Debtor has More Executory Contracts or Unexpired Leases

Copy this page only if more space is needed. Continue numbering the lines sequentially from the previous page.

NAME REDACTED

ADDRESS REDACTED

CONSULTING AGREEMENT & SOW #1

INDIVIDUAL

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

12/31/2023

2.144

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.145

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.146

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.147

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.148

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.149

Official Form 206G Schedule G: Executory Contracts and Unexpired Leases Page 25 of 49

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 192 of 218
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

Debtor Name Impel Pharmaceuticals Inc. 23-80016 Case number (if known):

Additional Page(s) if Debtor has More Executory Contracts or Unexpired Leases

Copy this page only if more space is needed. Continue numbering the lines sequentially from the previous page.

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.150

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.151

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.152

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.153

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.154

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.155

Official Form 206G Schedule G: Executory Contracts and Unexpired Leases Page 26 of 49

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 193 of 218
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

Debtor Name Impel Pharmaceuticals Inc. 23-80016 Case number (if known):

Additional Page(s) if Debtor has More Executory Contracts or Unexpired Leases

Copy this page only if more space is needed. Continue numbering the lines sequentially from the previous page.

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.156

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.157

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.158

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.159

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.160

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.161

Official Form 206G Schedule G: Executory Contracts and Unexpired Leases Page 27 of 49

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 194 of 218
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

Debtor Name Impel Pharmaceuticals Inc. 23-80016 Case number (if known):

Additional Page(s) if Debtor has More Executory Contracts or Unexpired Leases

Copy this page only if more space is needed. Continue numbering the lines sequentially from the previous page.

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.162

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.163

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.164

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.165

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.166

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.167

Official Form 206G Schedule G: Executory Contracts and Unexpired Leases Page 28 of 49

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 195 of 218
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

Debtor Name Impel Pharmaceuticals Inc. 23-80016 Case number (if known):

Additional Page(s) if Debtor has More Executory Contracts or Unexpired Leases

Copy this page only if more space is needed. Continue numbering the lines sequentially from the previous page.

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.168

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.169

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.170

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.171

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.172

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.173

Official Form 206G Schedule G: Executory Contracts and Unexpired Leases Page 29 of 49

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 196 of 218
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

Debtor Name Impel Pharmaceuticals Inc. 23-80016 Case number (if known):

Additional Page(s) if Debtor has More Executory Contracts or Unexpired Leases

Copy this page only if more space is needed. Continue numbering the lines sequentially from the previous page.

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.174

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.175

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.176

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.177

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.178

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.179

Official Form 206G Schedule G: Executory Contracts and Unexpired Leases Page 30 of 49

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 197 of 218
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

Debtor Name Impel Pharmaceuticals Inc. 23-80016 Case number (if known):

Additional Page(s) if Debtor has More Executory Contracts or Unexpired Leases

Copy this page only if more space is needed. Continue numbering the lines sequentially from the previous page.

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.180

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.181

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.182

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.183

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.184

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.185

Official Form 206G Schedule G: Executory Contracts and Unexpired Leases Page 31 of 49

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 198 of 218
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

Debtor Name Impel Pharmaceuticals Inc. 23-80016 Case number (if known):

Additional Page(s) if Debtor has More Executory Contracts or Unexpired Leases

Copy this page only if more space is needed. Continue numbering the lines sequentially from the previous page.

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.186

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.187

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.188

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.189

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.190

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.191

Official Form 206G Schedule G: Executory Contracts and Unexpired Leases Page 32 of 49

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 199 of 218
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

Debtor Name Impel Pharmaceuticals Inc. 23-80016 Case number (if known):

Additional Page(s) if Debtor has More Executory Contracts or Unexpired Leases

Copy this page only if more space is needed. Continue numbering the lines sequentially from the previous page.

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.192

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.193

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.194

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.195

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.196

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.197

Official Form 206G Schedule G: Executory Contracts and Unexpired Leases Page 33 of 49

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 200 of 218
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

Debtor Name Impel Pharmaceuticals Inc. 23-80016 Case number (if known):

Additional Page(s) if Debtor has More Executory Contracts or Unexpired Leases

Copy this page only if more space is needed. Continue numbering the lines sequentially from the previous page.

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.198

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.199

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.200

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.201

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.202

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.203

Official Form 206G Schedule G: Executory Contracts and Unexpired Leases Page 34 of 49

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 201 of 218
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

Debtor Name Impel Pharmaceuticals Inc. 23-80016 Case number (if known):

Additional Page(s) if Debtor has More Executory Contracts or Unexpired Leases

Copy this page only if more space is needed. Continue numbering the lines sequentially from the previous page.

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.204

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.205

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.206

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.207

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.208

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.209

Official Form 206G Schedule G: Executory Contracts and Unexpired Leases Page 35 of 49

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 202 of 218
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

Debtor Name Impel Pharmaceuticals Inc. 23-80016 Case number (if known):

Additional Page(s) if Debtor has More Executory Contracts or Unexpired Leases

Copy this page only if more space is needed. Continue numbering the lines sequentially from the previous page.

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.210

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.211

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.212

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.213

NAME REDACTED

ADDRESS REDACTED

INTERNAL EMPLOYEE

INDIVIDUAL

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

2.214

NAME REDACTED

ADDRESS REDACTED

INVOICE ONLY

INDIVIDUAL

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

2.215

Official Form 206G Schedule G: Executory Contracts and Unexpired Leases Page 36 of 49

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 203 of 218
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

Debtor Name Impel Pharmaceuticals Inc. 23-80016 Case number (if known):

Additional Page(s) if Debtor has More Executory Contracts or Unexpired Leases

Copy this page only if more space is needed. Continue numbering the lines sequentially from the previous page.

NAME REDACTED

ADDRESS REDACTED

CONSULTING AGREEMENT & SOW #1

INDIVIDUAL

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

12/31/2026

2.216

NAVEX GLOBAL, INC

5500 MEADOWS RD, STE 500

LAKE OSWEGO, OR 97035

GLOBAL MASTER SERVICES AGREEMENT & ORDER 

FORM

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

8/27/2024

2.217

NAVIA BENEFIT SOLUTIONS

600 NACHES AVE SW

RENTON, WA 98057

NAVIA BENEFIT SOLUTIONS ADMINISTRATIVE 

SERVICES AGREEMENT (V. 2020)

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

2.218

NELSON LABS INC

6280 S REDWOOD RD

SALT LAKE CITY, UT 84123

State what the contract or TEST PROCEDURE RELEASE AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.219

NEMERA CORP

20 AV DE LA GARE

38290 LA VERPILLIÈRE

FRANCE

State what the contract or QUALITY AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.220

NEMERA LA VERPILLIERE SAS

20 AV DE LA GARE

38290 LA VERPILLIÈRE

FRANCE

State what the contract or SERVICES AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.221

Official Form 206G Schedule G: Executory Contracts and Unexpired Leases Page 37 of 49

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 204 of 218
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

Debtor Name Impel Pharmaceuticals Inc. 23-80016 Case number (if known):

Additional Page(s) if Debtor has More Executory Contracts or Unexpired Leases

Copy this page only if more space is needed. Continue numbering the lines sequentially from the previous page.

NOVEAYR RESPIRATORY

9 ARKWRIGHT RD

RUNCORN, WA7 1NU

UNITED KINGDOM

State what the contract or LETTER AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.222

NUWEST GROUP HOLDINGS LLC

325 118TH AVE SE, STE 300

BELLEVUE, WA 98005

State what the contract or CLIENT AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

8/25/2024

2.223

OLD REPUBLIC INSURANCE CO

631 EXCEL DR, STE 200

MOUNT PLEASANT, PA 15666

State what the contract or 5TH EXCESS DIRECTORS & OFFICERS LIABILITY 

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

4/23/2024 

2.224

OPTEL GROUP USA, INC

55 MADISON AVE, STE 400

MORRISTOWN, NJ 07960

State what the contract or MASTER SOFTWARE

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.225

PACIFIC NORTHWEST STATISTICAL CONSULTING, INC

18133 154TH AVE NE

WOODINVILLE, WA 98072

State what the contract or CONSULTING AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.226

PACIFIC OFFICE AUTOMATION

14747 NW GREENBRIER PKWY

BEAVERTON, OR 97006

State what the contract or MASTER AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.227

Official Form 206G Schedule G: Executory Contracts and Unexpired Leases Page 38 of 49

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 205 of 218
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

Debtor Name Impel Pharmaceuticals Inc. 23-80016 Case number (if known):

Additional Page(s) if Debtor has More Executory Contracts or Unexpired Leases

Copy this page only if more space is needed. Continue numbering the lines sequentially from the previous page.

PHARMA MANUFACTURING & SUPPLY CHAIN CONSULTING, LLC

4585 CAMINITO SAN SEBASTIAN

DEL APR, CA 92014

State what the contract or CONSULTING AGREEMENT & SOW #1

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

6/1/2026

2.228

PHARMACEUTICAL DATA SERVICES

3000 WHITNEY AVE, BOX 138

HAMDEN, CT 06518

State what the contract or MASTER SERVICES AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.229

PHARMACEUTICAL PACKAGING PROFESSIONALS PTY LTD

AKA A PCI PHARMA SERVICES CO

C/O MILLER NASH LLP

ATTN: JOHN R KNAPP, JR

605 5TH AVE S, STE 900

SEATTLE, WA 98104

MASTER SERVICES AGREEMENT DTD 6/15 2017; 

STATEMENT OF WORK DTD 7/7/2017; STATEMENT 

OF WORK NUMBER 2 DTD 9/25/2017; STATEMENT OF 

WORK NUMBER 3 DTD 9/25/2017; GMP AGREEMENT 

DTD 4/27/2016, & 5/10/2016; LETTER OF INTENT, DTD 

4/18/2017

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

2.230

PHARMASERVE NORTH WEST LTD

AYRTON HOUSE

PARLIAMENT BUSINESS PARK

COMMERCE WAY

LIVERPOOL, LS 7BA

UNITED KINGDOM

CONTRACT MANUFACTURING AGREEMENT - 

MARKETING AUTHORISATION HELD BY CUSTOMER

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

2.231

PHARMASERVE NORTH WEST, LTD

AYRTON HOUSE

PARLIAMENT BUSINESS PARK

COMMERCE WAY

LIVERPOOL, LS 7BA

UNITED KINGDOM

QUALITY AGREEMENT FOR PROPELLANT CANISTER 

HFA 134A

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

2.232

PHARMGIRL HELP LLC

1749 OTTAWA BEACH RD, UNIT 6

HOLLAND, MI 49424

State what the contract or CONSULTING AGREEMENT & SOW #1

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

1/31/2024

2.233

Official Form 206G Schedule G: Executory Contracts and Unexpired Leases Page 39 of 49

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 206 of 218
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

Debtor Name Impel Pharmaceuticals Inc. 23-80016 Case number (if known):

Additional Page(s) if Debtor has More Executory Contracts or Unexpired Leases

Copy this page only if more space is needed. Continue numbering the lines sequentially from the previous page.

PHIL, INC

2443 FILLMORE ST, STE 380-1423

SAN FRANCISCO, CA 94115

State what the contract or PHARMACY DISTRIBUTION AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.234

PHOENIX INSURANCE CO

ONE TOWER SQUARE

HARTFORD, CT 06183

DOMESTIC, GENERAL LIABILITY, AND EMPLOYEE 

BENEFITS 

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

5/01/2024 

2.235

POREX CORP

500 BOHANNON RD

FAIRBURN, GA 30213

State what the contract or POREX FAIRBURN STANDARD QUALITY AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.236

PPD DEVELOPMENT, LP

8551 RESEARCH WAY, STE 90

MIDDLETON, WI 53562

State what the contract or MASTER CONSIGNMENT AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.237

PPD INVESTIGATOR SERVICES, LLC

929 N FRONT ST, 6TH FL

WILMINGTON, NC 28401

State what the contract or LETTER OF AUTHORIZATION

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.238

PRECISIONHEOR, LLC

11100 SANTA MONICA BLVD, STE 500

LOS ANGELES, CA 90025

State what the contract or MASTER SERVICES AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

12/8/2024

2.239

Official Form 206G Schedule G: Executory Contracts and Unexpired Leases Page 40 of 49

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 207 of 218
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

Debtor Name Impel Pharmaceuticals Inc. 23-80016 Case number (if known):

Additional Page(s) if Debtor has More Executory Contracts or Unexpired Leases

Copy this page only if more space is needed. Continue numbering the lines sequentially from the previous page.

PREMIER RESEARCH CONSULTING, LLC

111 FOUNDERS PLZ, 6TH FL

E HARTFORD, CT 06108

State what the contract or MASTER SERVICE AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

10/28/2024

2.240

PRIME ACCOUNTING & BUSINESS ADVISORY PTY LTD

HWT TOWER, LEVEL 17

40 CITY RD, SOUTHBANK

VICTORIA, 3006

AUSTRALIA

State what the contract or ACCOUNTING AND TAXATION SERVICES

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.241

PSKW, LLC

200 JEFFERSON PARK

WHIPPANY, NJ 07981

State what the contract or MASTER SERVICES AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.242

PYXANT LABS INC

4720 FORGE RD, STE 108

COLORADO SPRING, CO 80907

State what the contract or MASTER SERVICE AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

6/30/2027

2.243

QPHARMA, INC

22 SOUTH ST

MORRISTOWN, NJ 07960

State what the contract or MASTER SERVICES AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

10/31/2024

2.244

RESOURCES CONNECTION, LLC

17101 ARMSTRONG AVE, STE 100

IRVINE, CA 92614

STATEMENT OF WORK FOR LEASE ACCOUNTING 

SERVICES

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

12/31/2023

2.245

Official Form 206G Schedule G: Executory Contracts and Unexpired Leases Page 41 of 49

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 208 of 218
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

Debtor Name Impel Pharmaceuticals Inc. 23-80016 Case number (if known):

Additional Page(s) if Debtor has More Executory Contracts or Unexpired Leases

Copy this page only if more space is needed. Continue numbering the lines sequentially from the previous page.

RJ KESSLER CONSULTING LLC

1991 CROCKER RD, STE 600A

WESTLAKE, OH 44145

State what the contract or CONSULTING AGREEMENT & SOW #1

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

12/31/2023

2.246

ROBERT HALF INTERNATIONAL INC

2884 SAND HILL RD, STE 200

MENLO PARK, CA 94025

LETTER OF ASSIGNMENT AND GENERAL 

CONDITIONS AGREEMENT

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

2.247

RSM US LLP

1 S WACKER DR, STE 800

CHICAGO, IL 60606

MASTER SERVICES AGREEMENT AND MICROSOFT 

PRODUCT RIDER

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

2.248

SACKS & CO, INC

119 W 57TH ST PENTHOUSE N

NEW YORK, NY 10019

State what the contract or MASTER SERVICES AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

5/1/2024

2.249

SCOUTLOGIC SCREENING, INC

111 BARCLAY BLVD, STE 212

LINCOLNSHIRE, IL 60069

State what the contract or BACKGROUND CHECK SERVICES AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

6/30/2024

2.250

SEATTLE CHILDREN'S HOSPITAL

4800 SAND POINT WAY NE

SEATTLE, WA 98105

State what the contract or CONSULTING AGREEMENT & SOW #1

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

8/30/2024

2.251

Official Form 206G Schedule G: Executory Contracts and Unexpired Leases Page 42 of 49

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 209 of 218
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

Debtor Name Impel Pharmaceuticals Inc. 23-80016 Case number (if known):

Additional Page(s) if Debtor has More Executory Contracts or Unexpired Leases

Copy this page only if more space is needed. Continue numbering the lines sequentially from the previous page.

SECRETARY OF HEALTH AND HUMAN SERVICES

C/O CENTER FOR MEDICARE DIVISION OF PART D POLICY

MAILSTOP C1-26-16

7500 SECURITY BLVD

BALTIMORE, MD 21244-1850

MEDICARE COVERAGE GAP DISCOUNT PROGRAM 

AGREEMENT (2021 CGDP AGREEMENT P1710)

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 P1710

2.252

SECRETARY OF HEALTH AND HUMAN SERVICES

C/O CENTERS FOR MEDICAID AND CHIP SERVICES DISABLED

C/O ELDERLY HEALTH PROGRAMS GROUP DIV OF PHARMACY

MAIL STOP S2-14-26

7500 SECURITY BLVD

BALTIMORE, MD 21244

State what the contract or NATIONAL DRUG REBATE AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract 77530

2.253

SECUREDOCS, INC

6500 HOLLISTER AVE, STE 110

GOLETA, CA 93117

SECUREDOCS ORDER FORM AND TERMS AND 

CONDITIONS

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

2.254

SEDULO GROUP, LLC

1902 CAMPUS PL, STE 9A

LOUISVILLE, KY 40299

State what the contract or SEDULO - 2023 MONTHLY MONITORING SOW

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

12/31/2023

2.255

SENECA CONSTRUCTION MANAGEMENT CORP

12587 RTE 438

IRVING, NY 14081

State what the contract or INVOICE ONLY

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.256

SHOP-PR LLC

140 BROADWAY, 28TH FL

NEW YORK, NY 10005

State what the contract or MASTER SERVICES AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.257

Official Form 206G Schedule G: Executory Contracts and Unexpired Leases Page 43 of 49

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 210 of 218
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

Debtor Name Impel Pharmaceuticals Inc. 23-80016 Case number (if known):

Additional Page(s) if Debtor has More Executory Contracts or Unexpired Leases

Copy this page only if more space is needed. Continue numbering the lines sequentially from the previous page.

SOURCE HEALTHCARE ANALYTICS LLC

731 ARBOR WAY, STE 100

BLUE BELL, PA 19422-1987

USER AGREEMENT FOR THE USE OF THE AMERICAN 

ACADEMY OF PHYSICIAN ASSISTANTS DATA FILE 

ROYALTY AGREEMENT

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

12/31/2023

2.258

SPHERIX GLOBAL INSIGHTS US, INC

760 CONSTITUTION DR

EXTON, PA 19341

State what the contract or STATEMENT OF WORK #4

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

12/31/2023

2.259

SPRINGER NATURE GROUP

1 NEW YORK PLZ, STE 4600

NEW YORK, NY 10004

State what the contract or INVOICE ONLY

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.260

STATISTICS & DATA CORP (SDC)

63 S ROCKFORD DR, STE 240

TEMPE, AZ 85288

State what the contract or SDC CHANGE ORDER #2_ 22-5284

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

12/31/2023

2.261

STERICYCLE ENVIORNMENTAL SOLUTIONS, INC

2355 WAUKEGAN RD

BANNOCKBURN, IL 60015

SERVICE AGREEMENT FOR WASHINGTON STATE 

CUSTOMERS ONLY

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

2.262

SUDLER & HENNESSEY, LLC

230 PARK AVE S, STE 8

NEW YORK, NY 10003

State what the contract or STATEMENT OF WORK #34

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

12/31/2023

2.263

Official Form 206G Schedule G: Executory Contracts and Unexpired Leases Page 44 of 49

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 211 of 218
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

Debtor Name Impel Pharmaceuticals Inc. 23-80016 Case number (if known):

Additional Page(s) if Debtor has More Executory Contracts or Unexpired Leases

Copy this page only if more space is needed. Continue numbering the lines sequentially from the previous page.

SYFT INC

5701 E HILLSBOROUGH AVE, STE 2327

TAMPA, FL 33610

State what the contract or MASTER SERVICES AGREEMENT 2023 & SOW #1

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

1/6/2026

2.264

SYMPHONY HEALTH SOLUTIONS CORP

4130 PARKLAKE AVE, STE 400

RALEIGH, NC 27612

State what the contract or MASTER SERVICES AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

12/31/2023

2.265

THIES LOMBARD PHARMACY, INC

805 S MAIN ST, STE C

LOMBARD, IL 60148-3300

State what the contract or PRODUCT PURCHASE AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.266

TRACELINK, INC

200 BALLARDVALE ST, BLDG 1, STE 100

WILMINGTON, MA 01887

State what the contract or ENTERPRISE AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

3/25/2024

2.267

TRAVELERS CASUALTY AND SURETY CO OF AMERICA

ONE TOWER SQUARE

HARTFORD, CT 06183

State what the contract or ERISA BOND 

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

4/30/2024 

2.268

TRAVELERS INDEMNITY CO OF AMERICA

ONE TOWER SQUARE

HARTFORD, CT 06183

State what the contract or COMMERCIAL AUTOMOBILE 

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

5/01/2024 

2.269

Official Form 206G Schedule G: Executory Contracts and Unexpired Leases Page 45 of 49

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 212 of 218
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

Debtor Name Impel Pharmaceuticals Inc. 23-80016 Case number (if known):

Additional Page(s) if Debtor has More Executory Contracts or Unexpired Leases

Copy this page only if more space is needed. Continue numbering the lines sequentially from the previous page.

TRAVELERS PROP CASUALTY CO OF AMERICA

ONE TOWER SQUARE

HARTFORD, CT 06183

State what the contract or WORKERS COMPENSATION 

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

5/01/2024 

2.270

TRAVELERS PROP CASUALTY CO OF AMERICA

ONE TOWER SQUARE

HARTFORD, CT 06183

State what the contract or UMBRELLA 

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

5/01/2024 

2.271

TRNDIGITAL, LLC

200 PORTLAND ST, 5TH FL

BOSTON, MA 02114

State what the contract or MASTER SERVICES AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2/28/2024

2.272

TWO LABS HOLDINGS LLC

110 RIVERBEND AVE, STE 100

POWELL, OH 43065

State what the contract or MASTER SERVICES AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.273

UL VERIFICATION SERVICES, INC

333 PFINGSTEN RD

NORTHBROOK, IL 60062

State what the contract or MASTER LICENSE AND SERVICE AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

5/18/2024

2.274

UNDERWRITERS AT LLOYD, LONDON (BEAZLEY)

22 BISHOPSGATE

LONDON EC2N 4BQ

UNITED KINGDOM

State what the contract or PRODUCT & CLINICAL TRIAL LIABILITY 

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

5/01/2024 

2.275

Official Form 206G Schedule G: Executory Contracts and Unexpired Leases Page 46 of 49

Case 23-80016-sgj11 Doc 265 Filed 02/29/24 Entered 02/29/24 17:42:57 Desc

Main Document Page 213 of 218
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

Debtor Name Impel Pharmaceuticals Inc. 23-80016 Case number (if known):

Additional Page(s) if Debtor has More Executory Contracts or Unexpired Leases

Copy this page only if more space is needed. Continue numbering the lines sequentially from the previous page.

UNDERWRITERS AT LLOYD, LONDON (FALVEY)

22 BISHOPSGATE

LONDON EC2N 4BQ

UNITED KINGDOM

State what the contract or CARGO 

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

5/01/2024 

2.276

UNDERWRITERS AT LLOYD, LONDON (FALVEY)

22 BISHOPSGATE

LONDON EC2N 4BQ

UNITED KINGDOM

State what the contract or CYBER 

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

5/01/2024 

2.277

UNIVERSITY OF WASHINGTON

4311 ELEVENTH AVENUE NE, STE 500

SEATTLE, WA 98105-4608

State what the contract or UNIFORM MATERIAL TRANSFER AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.278

UNIVERSITY OF WASHINGTON

4311 11TH AVE NE, STE 500

SEATTLE, WA 98105-4608

EXCLUSIVE PATENT LICENSE AGREEMENT AND 

AMENDMENT

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

2.279

UNIVERSITY OF WASHINGTON

4311 11TH AVE NE, STE 500

SEATTLE, WA 98105-4608

State what the contract or MEMORANDUM OF UNDERSTANDING

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.280

UNIVERSITY OF WASHINGTON

4333 BROOKLYN AVE NE

SEATTLE, WA 98195

State what the contract or CLINICAL MATERIAL USE AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.281

Official Form 206G Schedule G: Executory Contracts and Unexpired Leases Page 47 of 49

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Main Document Page 214 of 218
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

Debtor Name Impel Pharmaceuticals Inc. 23-80016 Case number (if known):

Additional Page(s) if Debtor has More Executory Contracts or Unexpired Leases

Copy this page only if more space is needed. Continue numbering the lines sequentially from the previous page.

UP TO DATE INC

230 CITYPOINT

230 3RD AVE

WALTHAM, MA 02451

State what the contract or CONTENT LICENSE AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.282

UPPSALA MONITORING CENTRE

BREDGRÄND 7

753 20 UPPSALA

SWEDEN

State what the contract or LICENSE AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

9/19/2024

2.283

VEEVA SYSTEMS INC

4280 HACIENDA DR

PLEASANTON, CA 94588

State what the contract or VEEVA MASTER SUBSCRIPTION AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.284

VEEVA SYSTEMS, INC

1375 BROADWAY, 3RD FL

NEW YORK, NY 10018

State what the contract or STATEMENT OF WORK #5

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

1/31/2024

2.285

VELOCITA CONSULTING, LLC

55 W 39TH ST, STE 14N

NEW YORK, NY 10018

State what the contract or CONSULTING AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.286

WESTERN EXTERMINATOR CO

305 N CRESCENT WAY

ANAHEIM, CA 92801

State what the contract or INVOICE ONLY

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.287

Official Form 206G Schedule G: Executory Contracts and Unexpired Leases Page 48 of 49

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Main Document Page 215 of 218
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

Debtor Name Impel Pharmaceuticals Inc. 23-80016 Case number (if known):

Additional Page(s) if Debtor has More Executory Contracts or Unexpired Leases

Copy this page only if more space is needed. Continue numbering the lines sequentially from the previous page.

WESTERN WELLNESS SOLUTIONS, LLC

1555 DOOLITTLE DR, STE 170

SAN LEANDRO, CA 94577-2239

State what the contract or DISTRIBUTION AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.288

WESTFIELD SPECIALTY INSURANCE CO

ONE PARK CIR

WESTFIELD CENTER, OH 44251

State what the contract or EXCESS LIABILITY 

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

5/01/2024 

2.289

WIRB - COPERNICUS GROUP, INC (WCG)

212 CARNEGIE CENTER DR, STE 301

PRINCETON, NJ 08540

State what the contract or MASTER SERVICES AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.290

XENOTECH, LLC

1101 W CAMBRIDGE CIRCLE DR

KANSAS CITY, KS 66103

State what the contract or MASTER SERVICES AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.291

ZINC HEALTH SERVICES, LLC

1 CVS DR MC 1160

WOONSOCKET, RI 02895

State what the contract or COMMERCIAL REBATE AGREEMENT

lease is for and the nature 

of the debtor's interest

State the term remaining

List the contract number of 

any government contract

2.292

Official Form 206G Schedule G: Executory Contracts and Unexpired Leases Page 49 of 49

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Main Document Page 216 of 218
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. X

Schedule H: Codebtors

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

Column 2: Creditor

Impel Pharmaceuticals Inc.

Case number (if known): 23-80016

Debtor Name

United States Bankruptcy Court for the Northern District of Texas

Official Form 206H

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 codebtors?

Yes. 

Check if this is an 

amended filing

X

Column 1: Codebtor

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.

Name Mailing Address Name Check all schedules 

that apply

NONE

Official Form 206H Schedule H: Codebtors Page 1 of 1

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