Official Form 202

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

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

Debtor Name United States Bankruptcy Court for the: Case number

(if known)

SQRL Service Stations LLC

NORTHERN DISTRICT OF TEXAS

24-32457-sgj

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

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

in the document, and any amendments of those documents. This form must state the individual's position or relationship to

the debtor, the identity of the document, and the date. Bankruptcy Rules 1008 and 9011. WARNING -- Bankruptcy fraud is a serious crime. Making a false statement, concealing property, or obtaining money or property by fraud in connection with a bankruptcy case can result in fines up to $500,000 or imprisonment for up to 20 years, or both. 18 U.S.C. §§ 152, 1341, 1519, and 3571. Declaration and signature

X /s/ Jamal Hizam

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

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

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

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

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

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

Schedule H: Codebtors (Official Form 206H)

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

Amended Schedule

Other document that requires a declaration

Printed name

Position or relationship to debtor

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

(Official Form 204)

Jamal Hizam

Managing Member

08/20/2024

I am the president, another officer, or an authorized agent of the corporation; a member or an authorized agent of the partnership; or another individual serving as a representative of the debtor in this case.

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

correct:

Official Form 202 Declaration Under Penalty of Perjury for Non-Individual Debtors

Case 24-32457-mvl11 Doc 9 Filed 08/20/24 Entered 08/20/24 19:05:19 Desc Main

Document Page 1 of 4
Official Form 204

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

Claims and Are Not Insiders 12/15

Check if this is an

amended filing

Nature of the claim Amount of unsecured claim

Fill in this information to identify the case:

Debtor name United States Bankruptcy Court for the: Case number

(if known)

SQRL Service Stations LLC

NORTHERN DISTRICT OF TEXAS

24-32457-sgj

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

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

not include claims by secured creditors, unless the unsecured claims 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

(for example, trade

debts, bank loans, professional services, and

government contracts)

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.

Indicate if claim is

contingent, unliquidated, or disputed

Total claim, if

partially

secured

Deduction

for value of collateral or setoff

Unsecured

claim

1 BLUE OWL REAL 1200000000.00

ESTATE CAPITAL LLC

C/O KENT J. HAYDEN

KIRKLAND & ELLIS LLP

333 W. WOLF POINT

PLAZA

Business Debt

2 KP JACKSONVILLE, LLC $7,167,323.13

4655 SALISBURY ROAD, SUITE 200

JACKSONVILLE FL

32256-0957

Business Debt

3 GAS HUB INVESTMENTS $3,073,763.57

LLC

647 HIGHLAND OAKS

DRIVE

BATON ROUGE, LA

70810

Business Debt

4 LOOMIS ARMORED US, $2,854,470.89

LLC

2500 CITYWEST BLVD., SUITE 900

HOUSTON, TX 77042

Business Debt

5 Capital Assist, LLC $515,701.00

1545 Route 202, Suite

101

Pomona, NY 10970-2951

Business Debt

Official Form 204 Chapter 11 or Chapter 9 Cases: List of Creditors Who Have the 20 Largest Unsecured Claims page 1

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Document Page 2 of 4
Debtor Case number (if known)

Name

Nature of the claim Amount of unsecured claim

SQRL Service Stations LLC 24-32457-sgj

Name of creditor and

complete mailing

address, including zip

code

Name, telephone number, and email address of creditor contact

(for example, trade

debts, bank loans, professional services, and

government contracts)

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.

Indicate if claim is

contingent, unliquidated, or disputed

Total claim, if

partially

secured

Deduction

for value of collateral or setoff

Unsecured

claim

6 PEPSI MADISON $2,915.14

6176 PEPSI WAY

WINDSOR, WI 53598- 9649

Business Debt

7 CITY OF LITTLE ROCK $2,700.60

500 WEST MARKHAM ST

LITTLE ROCK, AR 72201- 1415

Business Debt

8 Blacktree, Inc. Business Debt $0.00

9 BILLS LOCK & SAFE $0.00

1001 PIKE AVE

N. LITTLE ROCK, AR

72114-4071

Business Debt

10 BADGER LIQUOR $0.00

850 S MORRIS ST

FOND DU LAC, WI

54935-5649

Business Debt

11 ARKANSAS PETROLEUM $0.00

SOLUTIONS LLC

1815 S. AMITY ROAD

CONWAY, AR 72032- 8703

Business Debt

12 ARKANSAS $0.00

ANALYTICAL INC

8100 NATIONAL DR

LITTLE ROCK, AR 72209- 4839

Business Debt

13 Ariel Bouskila $0.00

1545 Route 202, Suite

101

Pomona, NY 10970-2951

Business Debt

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

Case 24-32457-mvl11 Doc 9 Filed 08/20/24 Entered 08/20/24 19:05:19 Desc Main

Document Page 3 of 4
Debtor Case number (if known)

Name

Nature of the claim Amount of unsecured claim

SQRL Service Stations LLC 24-32457-sgj

Name of creditor and

complete mailing

address, including zip

code

Name, telephone number, and email address of creditor contact

(for example, trade

debts, bank loans, professional services, and

government contracts)

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.

Indicate if claim is

contingent, unliquidated, or disputed

Total claim, if

partially

secured

Deduction

for value of collateral or setoff

Unsecured

claim

14 ARAMARK $0.00

2680 PALUMBO DR

LEXINGTON, KY 40509- 1234

Business Debt

15 AMERICAN PIZZA $0.00

PO BOX 604

ADAMSVILLE, TN 38310- 0604

Business Debt

16 ALPHAMAP $0.00

1509 N GAUTAMI DR

AUSTIN, TX 78753-7338

Business Debt

17 ALMA TELEPHONE $0.00

COMPANY

102 3RD STREET

ALMA, MO 64001-6929

Business Debt

18 Alma Communications $0.00

Company

PO Box 127

Alma, MO 64001-0127

Business Debt

19 ALERT 360 $0.00

3803 W CHESTER PIKE

NEWTOWN SQUARE, PA

19073-2333

Business Debt

20 ALABAMA DEPT OF $0.00

AGRICULTURE

1445 FEDERAL DRIVE

MONTGOMERY, AL

36107-1123

Business Debt

Official Form 204 Chapter 11 or Chapter 9 Cases: List of Creditors Who Have the 20 Largest Unsecured Claims page 3

Case 24-32457-mvl11 Doc 9 Filed 08/20/24 Entered 08/20/24 19:05:19 Desc Main

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