 Check if this is an

amended filing

Official Form 201 

Voluntary Petition for Non-Individuals Filing for Bankruptcy 06/22 

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

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

1. Debtor’s name Eye Care Leaders Holdings, LLC

2. All other names debtor used

in the last 8 years

Include any assumed names,

trade names, and doing business

as names

3. Debtor’s federal Employer

Identification Number (EIN) 83-2561701

4. Debtor’s address Principal place of business Mailing address, if different from principal place 

of business 

555 S. Mangum Street, Suite 100 

Number Street Number Street

P.O. Box 

Durham, NC 27701 

City State ZIP Code City State ZIP Code 

Location of principal assets, if different from 

principal place of business 

Durham County 

County

Number Street 

City State ZIP Code 

5. Debtor’s website (URL) www.eyecareleaders.com

United States Bankruptcy Court for the: 

Northern District of Texas 

(State) 

Case number (If known): Chapter 11

Fill in this information to identify the case:

ECL Holdings, ECL

Case 24-30126-mvl11 Doc 1 Filed 01/16/24 Entered 01/16/24 18:13:21 Desc Main

Document Page 1 of 29
Official Form 201 Voluntary Petition for Non-Individuals Filing for Bankruptcy page 2 

 Debtor Eye Care Leaders Holdings, LLC Case Number (if known) ___________________________

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

☐ Partnership (excluding LLP)

☐ Other. Specify:

7. Describe debtor’s business

A. Check one:

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

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

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

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

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

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

☒ None of the above

A. Check all that apply:

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

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

§ 80a-3)

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

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

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

5182

8. Under which chapter of the

Bankruptcy Code is the

debtor filing?

Check one: 

☐ Chapter 7

☐ Chapter 9

☒ Chapter 11. Check all that apply:

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

insiders or affiliates) are less than $3,024,725 (amount subject to adjustment on

4/01/25 and every 3 years after that).

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

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

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

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

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

chooses to proceed under Subchapter V of Chapter 11.

☐ A plan is being filed with this petition.

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

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

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

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

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

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

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

12b-2.

9. Were prior bankruptcy cases

filed by or against the debtor

within the last 8 years?

If more than 2 cases, attach a

separate list.

☐ Chapter 12

☒ No

☐ Yes. District When Case number

MM / DD / YYYY 

District When Case number

MM / DD / YYYY 

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Document Page 2 of 29
Official Form 201 Voluntary Petition for Non-Individuals Filing for Bankruptcy page 3 

 Debtor Eye Care Leaders Holdings, LLC Case Number (if known) ___________________________

10. Are any bankruptcy cases

pending or being filed by a 

business partner or an 

affiliate of the debtor? 

List all cases. If more than 1, 

attach a separate list. 

☐ No

☒ Yes. Debtor See Schedule 1 Relationship

District When

MM / DD / YYYY 

Case number, if known 

11. Why is the case filed in this

district?

Check all that apply: 

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

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

district.

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

12. Does the debtor own or have

possession of any real

property or personal

property that needs

immediate attention?

☒ No

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

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

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

What is the hazard?

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

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

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

assets or other options).

☐ Other

Where is the property? 

Number Street

City State ZIP Code

Is the property insured? 

☐ No

☐ Yes. Insurance agency 

Contact name 

Phone

13. Debtor’s estimation of

available funds

Check one: 

☒ Funds will be available for distribution to unsecured creditors.

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

14. Estimated number of

creditors

☒ 1-49

☐ 50-99

☐ 100-199

☐ 200-999

☐ 1,000-5,000

☐ 5,001-10,000

☐ 10,001-25,000

☐ 25,001-50,000

☐ 50,001-100,000

☐ More than 100,000

Statistical and administrative information 

Case 24-30126-mvl11 Doc 1 Filed 01/16/24 Entered 01/16/24 18:13:21 Desc Main

Document Page 3 of 29
Official Form 201 Voluntary Petition for Non-Individuals Filing for Bankruptcy page 4 

 Debtor Eye Care Leaders Holdings, LLC Case Number (if known) ___________________________

15. Estimated assets ☐ $0-$50,000

☐ $50,001-$100,000

☐ $100,001-$500,000

☐ $500,001-$1 million

☐ $1,000,001-$10 million

☐ $10,000,001-$50 million

☐ $50,000,001-$100 million

☒ $100,000,001-$500 million

☐ $500,000,001-$1 billion

☐ $1,000,000,001-$10 billion

☐ $10,000,000,001-$50 billion

☐ More than $50 billion

16. Estimated liabilities

☐ $0-$50,000

☐ $50,001-$100,000

☐ $100,001-$500,000

☐ $500,001-$1 million

☐ $1,000,001-$10 million

☐ $10,000,001-$50 million

☐ $50,000,001-$100 million

☐ $100,000,001-$500 million

☒ $500,000,001-$1 billion

☐ $1,000,000,001-$10 billion

☐ $10,000,000,001-$50 billion

☐ More than $50 billion

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

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

17. Declaration and signature of

authorized representative of

debtor

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

petition. 

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

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

correct. 

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

Executed on 01 / 16 / 2024 

MM / DD / YYYY 

/s/ Sophie Turrell Sophie Turrell

Signature of authorized representative of debtor Printed name 

Title CEO/Portfolio Manager

18. Signature of attorney  /s/ Jason S. Brookner Date 01 / 16 / 2024 

Signature of attorney for debtor MM / DD / YYYY 

Jason S. Brookner

Printed name 

Gray Reed 

Firm name 

1601 Elm Street, Suite 4600 

Number Street 

Dallas, TX 75201

City State ZIP Code 

(214) 954-4135 jbrookner@grayreed.com 

Contact phone Email address 

Texas Bar No. 24033684 Texas 

Bar number State 

Request for Relief, Declaration, and Signatures 

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Document Page 4 of 29
Official Form 201 Voluntary Petition for Non-Individuals Filing for Bankruptcy page 5 

 Debtor Eye Care Leaders Holdings, LLC Case Number (if known) ___________________________

 Check if this is an

amended filing

Schedule 1 

Pending Bankruptcy Cases Filed by the Debtor and Affiliates of the Debtor 

On the date hereof, each of the entities listed below (collectively, the “Debtors”) filed a petition in the United 

Bankruptcy Court for the Northern District of Texas for relief under chapter 11 of title 11 of the United States Code. 

The Debtors have moved for joint administration of these cases under the case number assigned to the chapter 11 case 

of Eye Care Leaders Portfolio Holdings, LLC. 

Alta Billing Holdings, LLC 

Alta Billing, LLC 

Canta Health, LLC 

DJRTC, LLC 

ECL Group, LLC 

ECL Holdings, LLC 

ECL PH Services Group LLC 

Eye Care Leaders Holdings, LLC 

Eye Care Leaders Portfolio Holdings, LLC 

iMedicWare, Inc. 

IMW EMR, LLC 

IMW Holdings, LLC 

Insight Software, LLC 

Integrity EMR Holdings, LLC 

Integrity EMR, LLC 

IO PracticeWare, Inc. 

IOPW Holdings, LLC 

IOPW, LLC 

KeyMed Holdings, LLC 

KeyMed, LLC 

MD Office, LLC 

MDO Group Holdings, LLC 

MDX, LLC 

Medflow Holdings, LLC 

Medflow, Inc. 

MNI Holdings, LLC 

MRX Holdings, LLC 

My Vision Express, Inc. 

Penn Medical Informatics Systems, LLC 

United States Bankruptcy Court for the: 

Northern District of Texas 

(State) 

Case number (If known): Chapter 11

Fill in this information to identify the case:

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Document Page 5 of 29
Official Form 201 Voluntary Petition for Non-Individuals Filing for Bankruptcy page 6 

 Debtor Eye Care Leaders Holdings, LLC Case Number (if known) ___________________________

PI Software Holdings, LLC 

PI Software, LLC

PMX, LLC 

Revenue Health Solutions, LLC 

RHS Holdings, LLC 

The Hoehne Group – Software Division, Inc.

Case 24-30126-mvl11 Doc 1 Filed 01/16/24 Entered 01/16/24 18:13:21 Desc Main

Document Page 6 of 29
1

2

1

 Eye Care Leaders Portfolio Holdings, LLC; Eye Care Leaders Holdings, LLC; MDX, LLC; Medflow Holdings, 

LLC; DJRTC, LLC; Medflow, Inc.; Keymed Holdings, LLC; Keymed, LLC; Alta Billing Holdings, LLC; Alta Billing, 

LLC; MDO Group Holdings, LLC; MD Office, LLC; PMX, LLC; Penn Medical Informatics Systems, LLC; IOPW 

Holdings, LLC; IOPW, LLC; IO Practiceware, Inc.; Integrity EMR Holdings, LLC; Integrity EMR, LLC; IMW 

Holdings, LLC; IMW EMR, LLC; iMedicWare, Inc.; Canta Health, LLC; ECL Holdings, LLC; ECL Group, LLC; 

RHS Holdings, LLC; Revenue Health Solution, LLC; MNI Holdings, LLC; Insight Software, LLC; My Vision 

Express, Inc; MRX Holdings, LLC; The Hoehne Group Software Division, Inc.; PI Software Holdings, LLC; and 

PI Software, LLC. 

2 Majority Managing Member

Case 24-30126-mvl11 Doc 1 Filed 01/16/24 Entered 01/16/24 18:13:21 Desc Main

Document Page 7 of 29
Eye Care Leaders Portfolio Holdings, LLC and affiliates 

Certificate of Resolutions January 15, 2024 

2 

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Document Page 8 of 29
Eye Care Leaders Portfolio Holdings, LLC and affiliates 

Certificate of Resolutions January 15, 2024 

3 

The undersigned agree that this Written Consent may be executed by email or other 

electronic means, and such execution shall be considered valid, binding and effective for 

all purposes and that this Written Consent may be executed in any number of counterparts, 

all of which taken together, shall constitute one and the same instrument. 

Case 24-30126-mvl11 Doc 1 Filed 01/16/24 Entered 01/16/24 18:13:21 Desc Main

Document Page 9 of 29
Eye Care Leaders Portfolio Holdings, LLC and affiliates 

Certificate of Resolutions January 15, 2024 

4 

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Document Page 10 of 29
Eye Care Leaders Portfolio Holdings, LLC and affiliates 

Certificate of Resolutions January 15, 2024 

5 

 

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Document Page 11 of 29
Eye Care Leaders Portfolio Holdings, LLC and affiliates 

Certificate of Resolutions January 15, 2024 

6 

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Document Page 12 of 29
Eye Care Leaders Portfolio Holdings, LLC and affiliates 

Certificate of Resolutions January 15, 2024 

7 

 

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Document Page 13 of 29
Eye Care Leaders Portfolio Holdings, LLC and affiliates 

Certificate of Resolutions January 15, 2024 

8 

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Document Page 14 of 29
Eye Care Leaders Portfolio Holdings, LLC and affiliates 

Certificate of Resolutions January 15, 2024 

9 

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Document Page 15 of 29
Eye Care Leaders Portfolio Holdings, LLC and affiliates 

Certificate of Resolutions January 15, 2024 

10 

 

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Document Page 16 of 29
Eye Care Leaders Portfolio Holdings, LLC and affiliates 

Certificate of Resolutions January 15, 2024 

11 

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Document Page 17 of 29
Eye Care Leaders Portfolio Holdings, LLC and affiliates 

Certificate of Resolutions January 15, 2024 

12 

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Document Page 18 of 29
Eye Care Leaders Portfolio Holdings, LLC and affiliates 

Certificate of Resolutions January 15, 2024 

13 

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Document Page 19 of 29
Eye Care Leaders Portfolio Holdings, LLC and affiliates 

Certificate of Resolutions January 15, 2024 

14 

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Document Page 20 of 29
Eye Care Leaders Portfolio Holdings, LLC and affiliates 

Certificate of Resolutions January 15, 2024 

15 

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Document Page 21 of 29
Eye Care Leaders Portfolio Holdings, LLC and affiliates 

Certificate of Resolutions January 15, 2024 

16 

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Eye Care Leaders Portfolio Holdings, LLC and affiliates 

Certificate of Resolutions January 15, 2024 

17 

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Document Page 23 of 29
Jason S. Brookner (TX Bar o. 24033684) 

Amber M. Carson (TX Bar No. 24075610) 

Emily F. Shanks (TX Bar No. 24110350) 

GRAY REED 

1601 Elm Street, Suite 4600 

Dallas, Texas 75201 

Telephone: (214) 954-4135 

Facsimile: (214) 953-1332 

Email: jbrookner@grayreed.com 

 acarson@grayreed.com 

 eshanks@grayreed.com 

 

Counsel to the Debtors 

and Debtors in Possession 

IN THE UNITED STATES BANKRUPTCY COURT 

FOR THE NORTHERN DISTRICT OF TEXAS 

DALLAS DIVISION 

 § 

In re: § Chapter 11 

 § 

EYE CARE LEADERS HOLDINGS, LLC1 § 

§ 

Case No. 24-[●] (MVL) 

 § 

Debtors. § (Joint Administration Requested) 

 § 

 

LIST OF EQUITY SECURITY HOLDERS2

Pursuant to rule 1007(a)(3) of the Federal Rules of Bankruptcy Procedure, the following is 

a list of holders of equity securities of the above-captioned debtor. 

Equity Holder Address of Equity Holder Percentage of Equity Held 

Eye Care Leaders Portfolio 

Holdings, LLC 

555 S. Mangum Street, Suite 

100, Durham, NC, 27701 

100% 

1 The Debtors in these chapter 11 cases and the last four digits of each Debtors’ federal tax identification number are 

as follows: ECL PH Services Group LLC (6746); Eye Care Leaders Portfolio Holdings, LLC (0576); Alta Billing 

Holdings, LLC (4944); Alta Billing, LLC (4823); Canta Health, LLC (7791); DJRTC, LLC (N/A); ECL Group, LLC 

(9195); ECL Holdings, LLC (8888); Eye Care Leaders Holdings, LLC (1701); iMedicWare, Inc. (6251); IMW EMR, 

LLC (6421); IMW Holdings, LLC (3980); Insight Software, LLC (“MVE”) (8321); Integrity EMR Holdings, LLC 

(3877); Integrity EMR, LLC (3716); IO Practiceware, Inc. (4507); IOPW Holdings, LLC (0461); IOPW, LLC (N/A); 

Keymed Holdings, LLC (0301); Keymed, LLC (9379); MD Office, LLC (9075); MDO Group Holdings, LLC (0435); 

MDX, LLC (5074); Medflow Holdings, LLC (7716); Medflow, Inc. (N/A); MNI Holdings, LLC (7633); MRX 

Holdings, LLC (N/A); My Vision Express, Inc. (N/A); Penn Medical Informatics Systems, LLC (4584); PI Software 

Holdings, LLC (N/A); PI Software, LLC (N/A); PMX, LLC (N/A); Revenue Health Solutions, LLC (7025); RHS 

Holdings, LLC (N/A); The Hoehne Group – Software Division, Inc. (7788). The Debtors’ principal offices are located 

at 555 S. Mangum Street, Suite 100, Durham, NC 27701. 

2

 This list serves as the disclosure required to be made by the debtor pursuant to Rule 1007 of the Federal Rules of 

Bankruptcy Procedure. All equity positions listed indicate the record holder of such equity as of the date of 

commencement of the chapter 11 case. 

Case 24-30126-mvl11 Doc 1 Filed 01/16/24 Entered 01/16/24 18:13:21 Desc Main

Document Page 24 of 29
Jason S. Brookner (TX Bar o. 24033684) 

Amber M. Carson (TX Bar No. 24075610) 

Emily F. Shanks (TX Bar No. 24110350) 

GRAY REED 

1601 Elm Street, Suite 4600 

Dallas, Texas 75201 

Telephone: (214) 954-4135 

Facsimile: (214) 953-1332 

Email: jbrookner@grayreed.com 

 acarson@grayreed.com 

 eshanks@grayreed.com 

 

Counsel to the Debtors 

and Debtors in Possession 

 

 

IN THE UNITED STATES BANKRUPTCY COURT 

FOR THE NORTHERN DISTRICT OF TEXAS 

DALLAS DIVISION 

CORPORATE OWNERSHIP STATEMENT 

Pursuant to rules 1007(a)(1) and 7007.1 of the Federal Rules of Bankruptcy Procedure, the 

following are corporations, other than a government unit, that directly or indirectly own 10% or 

more of any class of the debtor’s equity interest. 

Shareholder Approximate Percentage of Shares Held 

Eye Care Leaders Portfolio Holdings, LLC 100% 

1 The Debtors in these chapter 11 cases and the last four digits of each Debtors’ federal tax identification number are 

as follows: ECL PH Services Group LLC (6746); Eye Care Leaders Portfolio Holdings, LLC (0576); Alta Billing 

Holdings, LLC (4944); Alta Billing, LLC (4823); Canta Health, LLC (7791); DJRTC, LLC (N/A); ECL Group, LLC 

(9195); ECL Holdings, LLC (8888); Eye Care Leaders Holdings, LLC (1701); iMedicWare, Inc. (6251); IMW EMR, 

LLC (6421); IMW Holdings, LLC (3980); Insight Software, LLC (“MVE”) (8321); Integrity EMR Holdings, LLC 

(3877); Integrity EMR, LLC (3716); IO Practiceware, Inc. (4507); IOPW Holdings, LLC (0461); IOPW, LLC (N/A); 

Keymed Holdings, LLC (0301); Keymed, LLC (9379); MD Office, LLC (9075); MDO Group Holdings, LLC (0435); 

MDX, LLC (5074); Medflow Holdings, LLC (7716); Medflow, Inc. (N/A); MNI Holdings, LLC (7633); MRX 

Holdings, LLC (N/A); My Vision Express, Inc. (N/A); Penn Medical Informatics Systems, LLC (4584); PI Software 

Holdings, LLC (N/A); PI Software, LLC (N/A); PMX, LLC (N/A); Revenue Health Solutions, LLC (7025); RHS 

Holdings, LLC (N/A); The Hoehne Group – Software Division, Inc. (7788). The Debtors’ principal offices are located 

at 555 S. Mangum Street, Suite 100, Durham, NC 27701. 

 § 

In re: § Chapter 11 

 § 

EYE CARE LEADERS HOLDINGS, LLC1 § 

§ 

Case No. 24-[●] (MVL) 

 § 

Debtors. § (Joint Administration Requested) 

 § 

Case 24-30126-mvl11 Doc 1 Filed 01/16/24 Entered 01/16/24 18:13:21 Desc Main

Document Page 25 of 29
Official Form 204 Chapter 11 or Chapter 9 Cases: List of Creditors Who Have the 30 Largest Unsecured Claims page 1 

Fill in this information to identify the case:

Debtor name 

United States Bankruptcy Court for the: District of 

(State) 

Case number (If known): 

 Eye Care Leaders Portfolio Holdings, LLC

 Northern Texas

 

 Check if this is an 

amended filing 

Official Form 204 

Chapter 11 or Chapter 9 Cases: List of Creditors Who Have the 30 Largest 

Unsecured Claims and Are Not Insiders 12/15 

A list of creditors holding the 30 largest unsecured claims must be filed in a Chapter 11 or Chapter 9 case. Include claims which the debtor 

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

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

largest unsecured claims. 

Name of creditor and complete 

mailing address, including zip code 

Name, telephone number, and 

email address of creditor 

contact 

Nature of the claim 

(for example, trade 

debts, bank loans, 

professional 

services, and 

government 

contracts) 

Indicate if 

claim is 

contingent, 

unliquidated, 

or disputed 

Amount of unsecured claim 

If the claim is fully unsecured, fill in only unsecured 

claim amount. If claim is partially secured, fill in 

total claim amount and deduction for value of 

collateral or setoff to calculate unsecured claim. 

Total claim, if Deduction for Unsecured 

partially value of claim 

secured collateral or 

setoff

1 Amazon Web Services, Inc. 

PO Box 84023 

Seattle, WA 98124-8423 

 Trade debt $3,621,269.68 

2 Waystar Inc. 

1311 Solutions Center 

Chicago, IL 60677-1311 

 Trade debt $701,008.69 

3 DrFirst 

PO Box 791487 

Baltimore, MD 21279-1487 

Trade debt $623,610.00 

4 New Jersey Division of Taxation 

Freehold Regional Office - 2 Paragon 

Way, Suite 1100 

Freehold, NJ 7728 

 Sales & Use Tax $468,706.00 

5 New York Department of Taxation 

and Finance 

WA Harriman Campus 

Albany, NY 12227-1099 

Sales & Use Tax $373,027.00 

6 Academy Association, Inc. 

3406 Stagecoach Rd. 

Durham, NC 27713 

Greg E. Lindberg Term loan $339,000.00 

7 Darena Solutions LLC 

100 Chesterfield Business ParkwaySuite 200 

St. Louis, MO 63005 

Trade debt $338,110.00 

8 Salesforce.com Inc 

P.O. Box 203141 

Dallas, TX 75320-3141 

 Trade debt $304,758.54 

Case 24-30126-mvl11 Doc 1 Filed 01/16/24 Entered 01/16/24 18:13:21 Desc Main

Document Page 26 of 29
Official Form 204 Chapter 11 or Chapter 9 Cases: List of Creditors Who Have the 30 Largest Unsecured Claims page 2 

 Debtor Name Eye Care Leaders Portfolio Holdings, LLC Case Number 

Name of creditor and complete 

mailing address, including zip code 

Name, telephone number, and 

email address of creditor 

contact 

Nature of the claim 

(for example, trade 

debts, bank loans, 

professional 

services, and 

government 

contracts) 

Indicate if 

claim is 

contingent, 

unliquidated, 

or disputed 

Amount of unsecured claim 

If the claim is fully unsecured, fill in only unsecured 

claim amount. If claim is partially secured, fill in 

total claim amount and deduction for value of 

collateral or setoff to calculate unsecured claim. 

Total claim, if 

partially 

secured 

Deduction for 

value of 

collateral or 

setoff 

Unsecured 

claim 

9 Texas Comptroller of Public 

Accounts 

P.O. Box 149348 

Austin, TX 78714-9348 

 Sales & Use Tax $302,329.00 

10 MedNetwoRx Cloud Service 

12700 Park Central Drive,-Suite 800 

Dallas, Texas 75251

 Trade debt D $163,257.11 

11 RELAY HEALTH 

P.O. BOX 98347 

CHICAGO, IL 60693-8347

Trade debt $160,882.62 

12 CONDON TOBIN SLADEK 

THORNTON 

8080 Park Lane-Suite 700 

Dallas, TX 75231 

: Legal services $142,349.00 

13 Commonwealth of Massachusetts 

PO Box 419257 

Boston, MA 02241-9257 

 Sales & Use Tax $151,213.00 

14 BERKELEY RESEARCH GROUP 

LLC 

PO BOX: 676158 

DALLAS, TX 75267-6158 

Professional 

services $120,991.74 

15 Emdeon- Change Healthcare 

3055 Lebanon Pike 

Nashville, TN 37214 

 Trade debt $98,262.25 

16 NAVICURE INC 

1311 Solutions Centre 

Chicago, IL 60677-1311 

 Trade debt $62,202.37 

17 MARC ELLMAN, M.D., P.A. 

12247 Eagle Heart 

El Paso, TX 79936 

 Litigation CUD $60,000.00 

18 AdvancedMD 

PO Box 413120 

Salt Lake City, UT 84141-3120 

 Trade debt $59,746.66 

19 Microsoft 

PO Box 842103 

Dallas,, TX 75284-2103 

 Trade debt $55,851.32 

20 Data Media Associates, LLC 

P. O. Box 96514 

Charlotte, NC 28296-0514 

 Trade debt $51,625.27 

 

Case 24-30126-mvl11 Doc 1 Filed 01/16/24 Entered 01/16/24 18:13:21 Desc Main

Document Page 27 of 29
Official Form 204 Chapter 11 or Chapter 9 Cases: List of Creditors Who Have the 30 Largest Unsecured Claims page 3 

 Debtor Name Eye Care Leaders Portfolio Holdings, LLC Case Number 

Name of creditor and complete 

mailing address, including zip code 

Name, telephone number, and 

email address of creditor 

contact 

Nature of the claim 

(for example, trade 

debts, bank loans, 

professional 

services, and 

government 

contracts) 

Indicate if 

claim is 

contingent, 

unliquidated, 

or disputed 

Amount of unsecured claim 

If the claim is fully unsecured, fill in only unsecured 

claim amount. If claim is partially secured, fill in 

total claim amount and deduction for value of 

collateral or setoff to calculate unsecured claim. 

Total claim, if 

partially 

secured 

Deduction for 

value of 

collateral or 

setoff 

Unsecured 

claim 

21 Kate Stevens Ltd 

The Generator 

The Gallery Kings Wharf, 

The Quay Exeter EX2 4AN 

 Trade debt $50,924.00 

22 Drummond Group, LLC 

13359 North Hwy 183-Suite B 406-

238 

Austin, TX 78750

 Trade debt $33,880.00 

23 Peak 10 Inc 

PO Box 530619 

Atlanta,, GA 30353-0619

 Trade debt $32,384.77 

24 NW Brixham Green Two LP 

110 WEST 13775 SOUTH SUITE 3 

DRAPER, UT 84020 

 Trade debt $32,313.87 

25 FIVE9, INC. 

FILE 2361-1801 W OLYMPIC BLVD 

PASADENA, CA 91199-2361 

 Trade debt $31,421.99 

26 UPDOX,LLC 

PO BOX 772112 

DETRIOT, MI 48277 

 Trade debt $30,722.40 

27 DOCUSIGN INC. 

DEPT 3428-PO BOX 123428 

DALLAS, TX 75312-3428 

 Trade debt $30,032.60 

28 SECURE EXCHANGE 

SOLUTIONS,INC 

9600 BLACKWELL ROAD, SUITE 250 

ROCKVILLE, MD 20850 

 Trade debt $29,826.23 

29 Universal Life Insurance Co. and 

TMI Trust Co., in its capacity as 

trustee of Certain Reinsurance 

Trusts 

5901 Peachtree Dunwoody Road, 

Suite C495 

Atlanta, GA 30328 

Christopher G. Browning, Jr. 

305 Church at North Hills Drive, 

Suite 1200 

Raleigh, NC 27609 

Chris.browning@troutman.com 

Litigation CUD Unknown 

30 John Johnston, as Joint 

Provisional Liquidator on behalf of 

PB Life and Annuity Co., Ltd., et al. 

Corner House 

20 Parliament Street 

Hamilton, HM 12 Bermuda 

Nicholas F. Kajon 

nicholas.kajon@stevenslee.com Litigation CUD Unknown 

Case 24-30126-mvl11 Doc 1 Filed 01/16/24 Entered 01/16/24 18:13:21 Desc Main

Document Page 28 of 29
Fill in this information to identify the case:

Debtor name: Eye Care Leaders Holdings, LLC

United States Bankruptcy Court for the: Northern District of Texas

Case number: 24-XXXXX

Check if this is an

amended fili

Official Form 

Declaration Under Penalty of Perjury for Non-Individual Debtors

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

assets and liabilities, any other document that requires a declaration that is not included in the document, and any amendments of those documents. This form must

state the individual’s position or relationship to the debtor, the identity of the document, and the date. Bankruptcy Rules 1008 and 9011.

WARNING -- Bankruptcy fraud is a serious crime. Making a false statement, concealing property, or obtaining money or property by fraud in connection with a

bankruptcy case can result in fines up to $500,000 or imprisonment for up to 20 years, or both. 18 U.S.C. §§ 152, 1341, 1519, and 357

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

representative of the debtor in this case.

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

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

Schedule D: Creditors Who Have Claims Secured by Property (Official Form 20

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

Schedule G: Executory Contracts and Unexpired Leases (Official Form 20

Schedule H: Codebtors (Official Form 20

Summary of Assets and Liabilities for Non-Individuals (Official Form 206S

Chapter 11 or Chapter 9 Cases: List of Creditors Who Have the 20 Largest Unsecured Claims and Are Not Insiders (Official Form 2

Amended Schedule

Other document that requires a

declaration

List of Equity Security Holders and Corporate

Ownership Statement

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

1/16/2024

Executed on Signature of individual signing on behalf of debtor

Printed name

Position or relationship to debtor

Case 24-30126-mvl11 Doc 1 Filed 01/16/24 Entered 01/16/24 18:13:21 Desc Main

Document Page 29 of 29