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UNITED STATES BANKRUPTCY COURT 

NORTHERN DISTRICT OF CALIFORNIA 

SAN FRANCISCO DIVISION 

In re: 

PG&E CORPORATION, 

- and -

PACIFIC GAS AND ELECTRIC 

COMPANY, 

Debtors. 

Bankruptcy Case 

No. 19-30088 (DM) 

Chapter 11 

(Lead Case) 

(Jointly Administered) 

SUPPLEMENTAL CERTIFICATE OF SERVICE 

I, Alain B. Francoeur, do declare and state as follows: 

1. I am employed at Prime Clerk LLC (“Prime Clerk”), the claims and noticing agent

for the debtors (collectively, the “Debtors”) in the above-captioned chapter 11 cases.

2. Unless otherwise defined herein, capitalized terms are used as defined in the “Order

(I) Establishing Deadline for Filing Proofs of Claim, (II) Establishing the Form and Manner of

Notice Thereof, and (III) Approving Procedures for Providing Notice of Bar Date and Other

Information to All Creditors and Potential Creditors” [Docket No. 2806].

3. On August 5, 2019, at my direction and under my supervision, employees of Prime

Clerk caused the following documents to be served via First Class Mail on the Supplemental Bar 

Date Service List attached hereto as Exhibit A:

 Notice of Deadline for Filing Proofs of Claim in Chapter 11 Cases, a copy of which is

attached hereto as Exhibit B (the “Standard Bar Date Notice”)

 A blank Proof of Claim Form, a copy of which is attached hereto as Exhibit C (the

“Standard Proof of Claim Form”)

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SRF 34863 

4. I declare under penalty of perjury under the laws of the United States of America, that

the foregoing is true and correct and that if called upon as a witness, I could and would competently 

testify thereto. 

Executed this 8th day of August 2019, at New York, NY. 

Herb Baer

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Exhibit A 

 

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Exhibit A

Supplemental Bar Date Service List

Served via First Class Mail

MMLID NAME Address1 Address2 Address3 Addr

4915479 ADP INC GARNISHMENTS 1950 HASSELL RD 

4915510 ADVANCED MICROGRID SOLUTIONS INC 936 MISSION ST FL 4 

4915565 AFFORDABLE SELF STORAGE INC 750 AVENUE E TREASURE ISLAND 

4976592 Armendariz, Paul ADDRESS ON FILE

4912199 Asp, Kelsie Marie ADDRESS ON FILE

4916463 Auburn Service Center Pacific Gas & Electric Company 12840 Bill Clark Way 

5006335 AWE Trust Hartman, Jeff & Laurie 1355 WATERLOO DR 

4981660 Bell, Rose ADDRESS ON FILE

4917113 BRADFORD ANDERSON MD INC 5001 COMMERCE DR #100 

4936553 Budinko, Robert 915 Vista Grande 

6123347 Case, Christopher ADDRESS ON FILE

4912339 Chapman, Lisa J ADDRESS ON FILE

4932999 Chauvet, Eileen K. 1010 30th St Apt 2 

4918747 COMMERCIAL REPAYMENT CENTER NGHP PO BOX 269003 4987176 Dale, Edgar ADDRESS ON FILE

4913622 Dunbar, Charles ADDRESS ON FILE

4920088 Dutch Flats Power House Pacific Gas & Electric Company 12480 Bill Clark Way 

4913218 Dutta, Mansi ADDRESS ON FILE

4920109 DYNEGY POWER GENERATION INC PO BOX 690 

4920229 EDF INC 601 TRAVIS ST STE 1700 

4920231 EDF TRADING NORTH AMERICA LLC 601 TRAVIS ST STE 1700 

4920334 ELECTRIC CLOUD INC 125 S MARKET ST STE 400 

4942539 Enterprise Rent A Car ELCO Claims Services‐Pavone, David PO Box 130 

4982461 Erskine, Ronald ADDRESS ON FILE

6123415 Everett Waining, Jr. and Rosmarie Waining Prindle Goetz Barnes & Reinholtz, LLP 1340 Treat Blvd Ste 120 

4976591 Ewert, Eleanor ADDRESS ON FILE

4920772 EXABEAM INC 2 WATERS PARK DR STE 200 

4924698 FAGAN, MARIA ADDRESS ON FILE

4938464 Fells, Dana 1140 Monarch Ln Apt 202 

4920986 FIRST AMERICAN TITLE COMPANY 2800 W MARCH LN STE 210 

4914031 Harper, Matthew Aaron ADDRESS ON FILE

4922224 HEALTHIER KIDS FOUNDATION SANTA CLARA COUNTY 4040 MOORPARK AVE STE 100 

4922812 INTERNATIONAL LEGAL TECHNOLOGY 159 N SANGAMON ST #200 

4922882 ISABEL LION AND HER ATTORNEY OF RECORD KEITH C RICKELMAN 709 W ALAMOS AVE 

4923497 KATZAKIAN, JOSEPH BOZANT LAW OFFICES OF BO KATZAKIAN 3150 ALMADEN EXPY STE 147 

4911840 Kutsal, Mehmet D ADDRESS ON FILE

6124334 Levi, Simon ADDRESS ON FILE

4924317 LIFFEY THAMES GROUP LLC 250 MONTGOMERY ST STE 300 

4977216 Liston, Francis ADDRESS ON FILE

4983197 Lucas, Jack ADDRESS ON FILE

4913302 Meyer, Donna M ADDRESS ON FILE

4921212 MINOR MD, FRANK W PO BOX 1840 

4925649 MSLA A MEDICAL CORPORATION MED SUPPORT LOS ANGELES A MED CORP 5995 PLAZA DR # 514 

In re: PG&E Corporation, et al.

Case No. 19‐30088 Page 1 of 2

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Exhibit A

Supplemental Bar Date Service List

Served via First Class Mail

MMLID NAME Address1 Address2 Address3 Addr

4926090 NORTH BEACH CITIZENS 1034 KEARNY ST 4993642 Otten, Edward ADDRESS ON FILE

4912533 Pahulu, George ADDRESS ON FILE

4914300 Payne, Bruce E ADDRESS ON FILE

4984568 Perkins, Phyllis ADDRESS ON FILE

4927502 QUALCORR ENGINEERING CORPORATION 3159 COMMERCE CT 

4913393 Quezada, Eric ADDRESS ON FILE

4997729 Ramirez, Clara ADDRESS ON FILE

4913407 Randall, Katelyn Serra Jean ADDRESS ON FILE

4914013 Redmond, Jajuan R ADDRESS ON FILE

5006447 Reneau, Alif 6214 E Cortland Ave 

4928222 ROCCO J DERRICO JR LCSW 2600 WOODSTREAM LN 

4913383 Russo, Kyle Nicholas ADDRESS ON FILE

4986247 Schaubroeck, Patricia ADDRESS ON FILE

4912444 SCHMECK, CONNOR Wayne ADDRESS ON FILE

4929646 Spaulding Power House Pacific Gas & Electric Company 12840 Bill Clark Way 

4911838 Sweeney, Barbara L. ADDRESS ON FILE

4930278 TACTICAL TELESOLUTIONS INC 2121 N CALIFORNIA BLVD #260 

4930878 TODD OLIVAS & ASSOCIATES 29995 TECHNOLOGY DR STE 205 

4913678 Toney, Chanise Kytona ADDRESS ON FILE

4997354 Vosti, Eileen ADDRESS ON FILE

6117823 Walsh II, Robert Leo ADDRESS ON FILE

4919591 WATTENBURG, DEBBIE 69015 BARCLAY CT 

5807711 WESTERN POWER & STEAM 250 GREENWICH ST FL 29 

4932225 WISHON RADIOLOGICAL MEDICAL GRP INC 7473 N INGRAM AVE STE 111 

4911826 Yamaguchi, Lindy Allison ADDRESS ON FILE

4932391 YUBA INVESTMENTS NORTH MARKET LP 770 N WALTON AVE STE 100 

4914440 Zhang, Xiaoxue ADDRESS ON FILE

In re: PG&E Corporation, et al.

Case No. 19‐30088 Page 2 of 2

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Exhibit B 

 

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UNITED STATES BANKRUPTCY COURT 

NORTHERN DISTRICT OF CALIFORNIA 

SAN FRANCISCO DIVISION 

TO ALL PERSONS WITH CLAIMS AGAINST ANY DEBTOR SET FORTH BELOW: 

NAME OF DEBTOR AND LAST FOUR 

DIGITS OF FEDERAL TAX 

IDENTIFICATION NUMBER

CASE NUMBER 

PG&E Corporation (4914) (“PG&E Corp.”) 19-30088 (DM)

Pacific Gas and Electric Company (2640) (the “Utility”) 19-30089 (DM)

The United States Bankruptcy Court for the Northern District of California (the “Bankruptcy 

Court”) has entered an order (the “Bar Date Order1

”) establishing October 21, 2019 at 5:00 p.m. 

(Prevailing Pacific Time) (the “Bar Date”) as the last date and time for each (i) person, as defined in 

section 101(41) of title 11 of the United Sates Code (the “Bankruptcy Code”), including, without 

limitation, all Fire Claimants (as defined below), Wildfire Subrogation Claimants (as defined below), 

and Customers (as defined below), and (ii) governmental unit (as defined in section 101(27) of the 

Bankruptcy Code, collectively, the “Governmental Units”) to file a proof of claim (each a “Proof of 

1

 Capitalized terms used but not otherwise herein defined have the meanings ascribed to such terms 

in the Bar Date Order. 

In re:

PG&E CORPORATION, 

- and -

PACIFIC GAS AND ELECTRIC 

COMPANY, 

 Debtors.

Bankruptcy Case 

No. 19-30088 (DM) 

Chapter 11 

(Lead Case) 

(Jointly Administered) 

NOTICE OF DEADLINE FOR 

FILING PROOFS OF CLAIM 

IN CHAPTER 11 CASES

 Affects PG&E Corporation 

 Affects Pacific Gas and Electric Company 

 Affects both Debtors

* All papers shall be filed in the Lead Case,

No. 19-30088 (DM).

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Claim”) in respect of a prepetition claim (as defined in section 101(5) of the Bankruptcy Code), 

including, for the avoidance of doubt, all secured claims and priority claims against either of the abovelisted debtors (collectively, the “Debtors”). 

The Bar Date and the procedures set forth below for filing Proofs of Claim apply to all claims 

against the Debtors that arose before January 29, 2019 (the “Petition Date”), the date on which the 

Debtors commenced cases under chapter 11 of the Bankruptcy Code (the “Chapter 11 Cases”). 

1. WHO MUST FILE A PROOF OF CLAIM

You MUST file a Proof of Claim to vote on a chapter 11 plan filed by the Debtors or to share

in distributions from the Debtors’ bankruptcy estates if you have a claim that arose before the Petition 

Date, and it is not one of the types of claims described in Section 5 below. Claims based on acts or 

omissions of the Debtors that occurred before the Petition Date must be filed on or before the Bar 

Date, even if such claims are not now fixed, liquidated or certain or did not mature or become fixed, 

liquidated or certain before the Petition Date. 

Under section 101(5) of the Bankruptcy Code and as used in this notice, the word “claim” 

means a right to (a) payment, whether such right is reduced to judgment, liquidated, unliquidated, 

fixed, contingent, matured, unmatured, disputed, undisputed, legal, equitable, secured, or unsecured; 

or (b) an equitable remedy for breach of performance if such breach gives rise to a right to payment, 

whether such right to an equitable remedy is reduced to judgment, fixed, contingent, matured, 

unmatured, disputed, undisputed, secured, or unsecured. 

2. WHAT TO FILE

A. Claimants other than Holders of Fire Claims

The Debtors are enclosing a Proof of Claim form for use by claimants in these Chapter 11

Cases other than Fire Claimants and Wildfire Subrogation Claimants (the “Standard Proof of Claim 

Form”). If your claim is listed on the schedules of assets and liabilities filed by the Debtors 

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(collectively, the “Schedules”), the Standard Proof of Claim form also sets forth the amount of your 

claim as listed on the Schedules, if applicable, the specific Debtor against which the claim is scheduled, 

and whether the claim is scheduled as “disputed,” “contingent,” or “unliquidated.” You will receive 

a different Standard Proof of Claim Form for each claim listed in your name on the Schedules. You 

may utilize the Standard Proof of Claim Form(s) provided by the Debtors to file your claim. 

Additional Standard Proof of Claim Forms and instructions may be obtained at (a) the website 

established by the Debtors’ Court-approved claims and noticing agent, Prime Clerk LLC (“Prime 

Clerk”), located at https://restructuring.primeclerk.com/pge (the “Case Website”) or (b) the 

Bankruptcy Court’s website located at www.uscourts.gov/forms/bankruptcy-forms. 

All Proof of Claim Forms must be signed by the claimant or an authorized agent of the 

claimant. It must be written in English and the amount, if known, must be denominated in United 

States currency (using the exchange rate, if applicable, as of the Petition Date). You also should attach 

to your completed Proof of Claim any documents on which the claim is based (if voluminous, attach 

a summary) or explanation as to why the documents are not available. 

Your Proof of Claim Form must not contain complete social security numbers or taxpayer 

identification numbers (include only the last four (4) digits), a complete birth date (include only the 

year), the name of a minor (include only the minor’s initials), or a financial account number (include 

only the last four (4) digits of such account number). 

IF YOU ARE ASSERTING A CLAIM AGAINST MORE THAN ONE DEBTOR, 

SEPARATE PROOFS OF CLAIM MUST BE FILED AGAINST EACH SUCH DEBTOR AND 

YOU MUST IDENTIFY ON YOUR PROOF OF CLAIM THE SPECIFIC DEBTOR AGAINST 

WHICH YOUR CLAIM IS ASSERTED AND THE CASE NUMBER OF THAT DEBTOR’S 

BANKRUPTCY CASE. A LIST OF THE NAMES OF THE DEBTORS AND THEIR CASE 

NUMBERS IS SET FORTH ABOVE. 

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B. Fire Claimants and Wildfire Subrogation Claimants 

Pursuant to the Bar Date Order, and all matters related thereto (a) any claim (as such term is 

defined in section 101(5) of the Bankruptcy Code) related to or in any way arising from the wildfires 

that occurred in Northern California prior to the Petition Date (January 29, 2019) (the “Northern 

California Fires2

”), including any claim held by a Wildfire Subrogation Claimant, is referred to herein 

as a “Fire Claim”; (b) any person or entity, including any Governmental Unit, holding a Fire Claim 

(other than a Wildfire Subrogation Claimant) is referred to herein as a “Fire Claimant”; and (c) any 

insurance carrier having made payments to their insureds for any damages arising out of or relating to 

a Fire Claim, or any other party who has acquired by assignment or otherwise obtained an interest in 

a claim arising out or related to such payments, is referred to herein as a “Wildfire Subrogation 

Claimant”.3

 

If you (or, in the case of a wrongful-death claim, the estate you represent) believe you have a 

claim against either of the Debtors for personal injury or wrongful death, property damage, or other 

loss or liability in any way relation to or resulting from the Northern California Fires, you or your 

authorized agent or attorney MUST file a Proof of Claim for your Fire Claim prior to the Bar Date in 

accordance with the instructions in this notice. Proof of Claim forms for Fire Claimants (a “Fire 

Claimant Proof of Claim Form”) and Wildfire Subrogation Claimants (a “Wildfire Subrogation 

2

 The Northern California Fires include, but are not limited to, the following fires: 37, Adobe, Atlas, 

Blue, Butte, Camp, Cascade, Cherokee, Ghost Ship, Honey, La Porte, Lobo, Maacama, McCourtney, 

Norrbom, Nuns, Partrick, Pocket, Point, Pressley, Pythian (a.k.a. Oakmont), Redwood, Sullivan, 

Sulphur, and Tubbs. 

3

 Notwithstanding anything herein to the contrary, for purposes of the Bar Date Order, (i) Fire 

Claims shall not include any claims of any Governmental Unit of the State of California (each a 

“California State Agency”) related to or in any way arising from the Northern California Fires, (ii) 

no California State Agency shall be included as a Fire Claimant, and (iii) the claims of any 

California State Agency may be submitted utilizing the Standard Proof of Claim Form in accordance 

with the procedures set forth herein and otherwise applicable law. 

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Claimant Proof of Claim Form” and, together with the Fire Claimant Proof of Claim Form, the “Fire 

Proof of Claim Forms”) are available at the Case Website. Substantially all of the information 

requested in the applicable Fire Proof of Claim Form must be provided. All timely filed Fire Proof of 

Claim Forms shall be deemed filed against both PG&E Corp. and the Utility. 

You or your authorized agent or attorney MUST file a Proof of Claim on account of your Fire 

Claim even if you may be included in, or represented by, a purported class action, class suit, class 

Proof of Claim, or similar representative action filed against the Debtors with respect to your Fire 

Claim. You may but are not required to attach supporting documentation to your Fire Proof of 

Claim Form. Please be advised, if supporting documentation is attached by any claimant to a 

Fire Proof of Claim Form, such supporting documentation will be publicly available as a part 

of such claimant’s Fire Proof of Claim Form; provided that, pursuant to the agreement between the 

Debtors and the Wildfire Subrogation Claimants, Attachment 1 to the Wildfire Subrogation Claimant 

Proof of Claim Form and any other individual claim information subsequently submitted by any 

Wildfire Subrogation Claimant to Prime Clerk will remain confidential and will not be made available 

to the general public, and copies of such subsequent information will only be provided on a 

confidential and professionals’ eyes only basis to the Debtors, the Committees, the U.S. Trustee, and 

any additional parties the Court directs but only after each such party agrees to keep the subsequent 

information confidential, subject to the right of the party submitting such information to be heard with 

respect to such disclosure. 

3. SPECIAL PROVISIONS FOR CUSTOMERS

If you are a residential or non-residential customer of the Debtors (each a “Customer”) and 

you believe you have a claim against the Debtors relating to the period prior to the Petition Date, you 

MUST file a Standard Proof of Claim Form by the Bar Date. Customers are not required to file 

proofs of claim for ordinary and customary refunds, overpayments, billing credits, deposits or 

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similar billing items.

4. WHEN AND WHERE TO FILE

All Proofs of Claim (including any proofs of claim of Fire Claimants, Wildfire Subrogation 

Claimants, Governmental Units, and Customers) must be filed so as to be received on or before

October 21, 2019 at 5:00 p.m. (Prevailing Pacific Time) as follows: 

If electronically: 

The Case Website established by Prime Clerk, using the interface available on such 

website under the link entitled “Submit a Claim” (the “Electronic Filing System”).

If by first class mail: 

PG&E Corporation Claims Processing Center 

c/o Prime Clerk LLC 

Grand Central Station, PO Box 4850 

New York, NY 10163-4850 

If by overnight courier: 

PG&E Corporation Claims Processing Center 

c/o Prime Clerk LLC 

850 Third Avenue, Suite 412 

Brooklyn, NY 11232 

If by hand delivery: 

PG&E Corporation Claims Processing Center 

c/o Prime Clerk LLC 

850 Third Avenue, Suite 412 

Brooklyn, NY 11232

-orAt one of the Debtors’ Claim Service Centers located at the following PG&E 

locations (beginning July 15, 2019 through the Bar Date (October 21, 2019) during 

the hours of 8:30 a.m. – 5:00 p.m. Prevailing Pacific Time): (i) 350 Salem Street, 

Chico, CA 95928; (ii) 231 “D” Street, Marysville, CA 95901; (iii) 1567 Huntoon 

Street, Oroville, CA 95965; (iv) 3600 Meadow View Road, Redding, CA 96002; (v) 

111 Stony Circle, Santa Rosa, CA 95401; or (vi) 1850 Soscol Ave. Ste 105, Napa, 

CA 94559. Photocopy machines will not be available at the Claim Service 

Centers; you must bring a photocopy of your claim if you wish to receive a datestamped copy.

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Proofs of Claim will be deemed filed only when actually received at the addresses listed above 

or via the Electronic Filing System on or before the Bar Date. If you submit a Proof of Claim via the 

Electronic Filing System, you will receive an email confirmation generated from the Electronic Filing 

System with an image of your filed Proof of Claim Form. Proofs of Claim may not be delivered by 

facsimile, telecopy, or electronic mail transmission (other than Proofs of Claim filed electronically 

through the Electronic Filing System). 

5. WHO NEED NOT FILE A PROOF OF CLAIM

You do not need to file a Proof of Claim on or before the Bar Date if you are: 

(a) any person or entity whose claim is listed on the Schedules; provided that (i)

the claim is not listed on the Schedules as “disputed,” “contingent,” or

“unliquidated,” (ii) the person or entity does not dispute the amount, nature,

and priority of the claim as set forth in the Schedules, and (iii) the person or

entity does not dispute that the claim is an obligation of the specific Debtor

against which the claim is listed in the Schedules;

(b) any person or entity whose claim has been paid in full;

(c) any holder of a claim allowable under section 503(b) and 507(a)(2) of the

Bankruptcy Code as an administrative expense (other than any party asserting

a claim pursuant to section 503(b)(9) of the Bankruptcy Code was required to

file such claim by April 22, 2019 as established in the Bankruptcy Court’s

Amended Order Pursuant to 11 U.S.C. §§ 503(b)(9) and 105(a) Establishing

Procedures for the Assertion, Resolution, and Satisfaction of Claims Asserted

Pursuant to 11 U.S.C. § 503(b)(9) [Docket No. 725]);

(d) any person or entity who holds a claim that heretofore has been allowed by

Order of the Bankruptcy Court entered on or before the Bar Date;

(e) any holder of a claim for which a separate deadline has been fixed by the

Bankruptcy Court;

(f) any person or entity who has already filed a Proof of Claim with Prime Clerk

against the Debtors with respect to the claim being asserted, utilizing a claim

form that substantially conforms to the Standard Proof of Claim Form or

Official Form No. 410;

(g) any person or entity that holds an equity security interest in the Debtors,

which interest is based exclusively upon the ownership of common or

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preferred stock, membership interests, partnership interests, or warrants, 

options, or rights to purchase, sell, or subscribe to such a security or interest; 

provided, however, that if any such holder asserts a claim (as opposed to an 

ownership interest) against the Debtors (including a claim relating to an equity 

interest or the purchase or sale of such equity interest), a Standard Proof of 

Claim must be filed on or before the Bar Date; 

(h) any person or entity whose claim is limited exclusively to the repayment of 

principal, interest, and other fees and expenses under any agreements (a “Debt 

Claim”) governing any prepetition, unsecured revolving credit loan, term 

loan, notes, bonds, debentures, or other debt securities, in each case, issued by 

or on behalf of any of the Debtors (collectively, the “Debt Instruments”); 

provided, however, that (i) the foregoing exclusion shall not apply to the 

indenture trustee, owner trustee, pass-through trustee, subordination agent, 

registrar, paying agent, administrative, loan or collateral agent, or any other 

entity serving in a similar capacity however designated (collectively, an 

“Indenture Trustee”) under the applicable Debt Instrument, (ii) each such 

Indenture Trustee shall be required to file a Standard Proof of Claim against 

the applicable Debtor, on or before the Bar Date, on account of all Debt 

Claims against such Debtor under the applicable Debt Instrument; provided, 

however, that an Indenture Trustee will be permitted, in lieu of attaching 

voluminous documentation, to file with its Proof of Claim a summary of the 

applicable Debt Instrument and other operative documents, on the condition 

that such documents will be made available by the Indenture Trustee within 

ten (10) business days after receipt of a written request from a party in 

interest, and (iii) any holder of a Debt Claim that has a claim arising out of or 

relating to a Debt Instrument other than a Debt Claim must file a Standard 

Proof of Claim with respect to such claim on or before the Bar Date, unless 

another exception identified herein applies; 

(i) any person or entity whose claim against the Utility arises solely from 

amounts due to the California Independent System Operator Corporation 

(“CAISO”), California Power Exchange Corporation (“PX”) and/or various 

market participants based on purchases or sales of electricity, capacity, or 

ancillary services by the Utility and other market participants in markets 

operated by the CAISO and the PX that are subject to determination by the 

Federal Energy Regulatory Commission (“FERC”) in refund proceedings 

bearing FERC Docket Nos. EL00-95-000 and EL00-98-000 and related subdockets, and any amounts due under any settlement agreements, allocation 

agreements, escrow agreements, letter agreements, other written agreements, 

or court orders (including orders entered in the chapter 11 case styled In re 

California Power Exchange Corporation, Case No. LA 01-16577 ES) that 

expressly relate thereto; 

(j) any Customer whose claims is limited exclusively to ordinary and customary 

refunds, overpayments, billing credits, deposits, or similar billing items; 

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(k) either Debtor having a claim against the other Debtor in these Chapter 11 

Cases; or 

(l) any person or entity who holds a claim solely to the extent that such claim 

arises from an event that occurred after January 29, 2019. 

Notwithstanding anything herein or in the Bar Date Order to the contrary, any claimant that 

timely files a Proof of Claim and makes a good faith effort to complete a Proof of Claim Form as set 

forth in the Bar Date Order, shall be permitted to revise, amend, and/or supplement their applicable 

Proof of Claim Form to the extent permitted by applicable law until such time as their claim is allowed 

or disallowed by order of the Bankruptcy Court. 

This notice may be sent to many persons that have had some relationship with or have done 

business with the Debtors but may not have an unpaid claim against the Debtors. The fact that you 

have received this notice does not mean that you have a claim or that the Debtors or the 

Bankruptcy Court believe that you have a claim against the Debtors.

6. EXECUTORY CONTRACTS AND UNEXPIRED LEASES

If you hold a claim arising out of or relating to the rejection of an executory contract or 

unexpired lease you must file a Standard Proof of Claim Form based on such rejection by the later of 

(i) the Bar Date, and (ii) the date that is thirty (30) days following the entry of the Bankruptcy Court’s 

order approving such rejection (which order may be the order confirming a chapter 11 plan for the 

Debtors), or be forever barred from doing so. Notwithstanding the foregoing, a party to an executory 

contract or unexpired lease that asserts a claim on account of unpaid amounts accrued and outstanding 

as of the Petition Date pursuant to such executory contract or unexpired lease (other than a claim for 

damages that arises from or relates to the rejection of the executory contract or unexpired lease) must 

file a Standard Proof of Claim Form for such amounts on or before the Bar Date unless an exception 

identified in Section 5 above applies. 

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7. CONSEQUENCES OF FAILURE TO FILE A PROOF OF CLAIM

BY THE BAR DATE

ANY HOLDER OF A CLAIM THAT IS NOT EXEMPTED FROM THE REQUIREMENTS 

OF THE BAR DATE ORDER, AS SET FORTH IN SECTION 5 ABOVE, AND THAT FAILS TO 

TIMELY FILE A PROOF OF CLAIM IN ACCORDANCE WITH THE BAR DATE ORDER 

SHALL NOT BE TREATED AS A CREDITOR WITH RESPECT TO SUCH CLAIM FOR THE 

PURPOSES OF VOTING ON ANY PLAN OF REORGANIZATION FILED OR CONFIRMED IN 

THESE CHAPTER 11 CASES AND PARTICIPATING IN ANY DISTRIBUTION IN THE 

DEBTORS’ CHAPTER 11 CASES ON ACCOUNT OF SUCH CLAIM. 

8. THE DEBTORS’ SCHEDULES AND ACCESS THERETO

You may be listed as a holder of a claim against one or more of the Debtors in the Debtors’ 

Schedules. To determine if and how you are listed on the Schedules, please refer to the descriptions 

set forth on the enclosed Standard Proof of Claim Form(s) regarding the nature, amount, and status of 

your claim(s). If you received postpetition payments from the Debtors (as authorized by the 

Bankruptcy Court) on account of your claim(s), the enclosed Standard Proof of Claim Form should 

reflect the net amount of your claim(s). Other than with respect to Fire Claims, if the Debtors believe 

that you hold claims against more than one Debtor, you will receive multiple Proof of Claim Forms, 

each of which will reflect the nature and amount of your claim against one Debtor, as listed in the 

Schedules. 

If you rely on the Debtors’ Schedules or the enclosed Standard Proof of Claim Form(s), it is 

your responsibility to determine that the claim accurately is listed on the Schedules. However, you 

may rely on the enclosed form, which lists the amount of your claim as scheduled, identifies the Debtor 

against which it is scheduled, and specifies whether the claim is disputed, contingent, or unliquidated. 

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As set forth above, if you agree with the nature, amount, and status of your claim as listed in 

the Debtors’ Schedules, and if you do not dispute that your claim only is against the Debtor specified 

by the Debtors, and if your claim is not described as “disputed,” “contingent,” or “unliquidated,” you 

need not file a Proof of Claim. Otherwise, or if you decide to file a Proof of Claim, you must do 

so before the Bar Date, in accordance with the procedures set forth in this notice. For the 

avoidance of doubt, if you have a Fire Claim and it is listed as “disputed,” “contingent,” or 

“unliquidated” you must file a Fire Proof of Claim Form. 

Copies of the Debtors’ Schedules are available for inspection on the Bankruptcy Court’s 

electronic docket for the Debtors’ Chapter 11 Cases, which is posted on (a) the Case Website and (b) 

on the Bankruptcy Court’s website at http://www.canb.uscourts.gov. A login and password to the 

Bankruptcy Court’s Public Access to Electronic Records (“PACER”) are required to access this 

information on the Bankruptcy Court’s website and can be obtained through the PACER Service 

Center at http://www.pacer.gov. Copies of the Schedules also may be examined between the hours of 

9:00 a.m. and 4:30 p.m. (Prevailing Pacific Time), Monday through Friday at the Office of the Clerk 

of the Bankruptcy Court, located at 450 Golden Gate Avenue, San Francisco, CA 94102. Copies of 

the Debtors’ Schedules also may be obtained by request to Prime Clerk: 

PG&E Corporation 

c/o Prime Clerk LLC 

850 Third Avenue, Suite 412 

Brooklyn, NY 11232 

Toll Free: (844) 339-4217 

Email: pgeinfo@primeclerk.com 

Please note that Prime Clerk cannot provide legal advice, nor can it advise you as to whether you 

should file a Proof of Claim. A holder of a potential claim against the Debtors should consult an 

attorney regarding any matters not covered by this notice, such as whether the holder should file 

a Proof of Claim. 

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Dated: July 1, 2019 

WEIL, GOTSHAL & MANGES LLP 

KELLER & BENVENUTTI LLP

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Exhibit C 

 

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 Official Form 410 Proof of Claim page 1

Part 1:

United States Bankruptcy Court, Northern District of California

Fill in this information to identify the case (Select only one Debtor per claim form): 

 PG&E Corporation (19-30088) 

 Pacific Gas and Electric Company (19-30089)

Official Form 410 

Proof of Claim 04/16

Read the instructions before filling out this form. This form is for making a claim for payment in a bankruptcy case. Do not use this form to make a 

request for payment of an administrative expense. Make such a request according to 11 U.S.C. § 503.

Filers must leave out or redact information that is entitled to privacy on this form or on any attached documents. Attach redacted copies of any documents 

that support the claim, such as promissory notes, purchase orders, invoices, itemized statements of running accounts, contracts, judgments, mortgages, and 

security agreements. Do not send original documents; they may be destroyed after scanning. If the documents are not available, explain in an attachment. 

A person who files a fraudulent claim could be fined up to $500,000, imprisoned for up to 5 years, or both. 18 U.S.C. §§ 152, 157, and 3571. 

Fill in all the information about the claim as of the date the case was filed. That date is on the notice of bankruptcy (Form 309) that you received. 

Unless an exception in the Bar Date Order applies to you, you should not use this form to submit a claim that arises out of or relates to the fires 

that occurred in Northern California prior to January 29, 2019.

Identify the Claim 

1. Who is the current

creditor?

Name of the current creditor (the person or entity to be paid for this claim) 

Other names the creditor used with the debtor 

2. Has this claim been

acquired from

someone else?

 No 

 Yes. From whom? 

3. Where should notices

and payments to the

Where should notices to the creditor be sent? Where should payments to the creditor be sent? (if

different)

creditor be sent?

Federal Rule of

Bankruptcy Procedure

(FRBP) 2002(g) 

Contact phone 

Contact email 

Contact phone 

Contact email 

4. Does this claim amend

one already filed?

 No 

 Yes. Claim number on court claims registry (if known) Filed on 

MM / DD / YYYY 

5. Do you know if anyone

else has filed a proof

of claim for this claim?

 No 

 Yes. Who made the earlier filing? 

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 Official Form 410 Proof of Claim page 2

Part 2: Give Information About the Claim as of the Date the Case Was Filed 

6. Do you have any number

you use to identify the

debtor?

 No 

 Yes. Last 4 digits of the debtor’s account or any number you use to identify the debtor: _____ _____ _____ _____ 

7. How much is the claim? $ . Does this amount include interest or other charges?

 No 

 Yes. Attach statement itemizing interest, fees, expenses, or other

charges required by Bankruptcy Rule 3001(c)(2)(A). 

8. What is the basis of the

claim?

Examples: Goods sold, money loaned, lease, services performed, personal injury or wrongful death, or credit card.

Attach redacted copies of any documents supporting the claim required by Bankruptcy Rule 3001(c). 

Limit disclosing information that is entitled to privacy, such as health care information. 

9. Is all or part of the claim

secured?

 No 

 Yes. The claim is secured by a lien on property. 

Nature of property:

 Real estate. If the claim is secured by the debtor’s principal residence, file a Mortgage Proof of Claim

Attachment (Official Form 410-A) with this Proof of Claim.

 Motor vehicle 

 Other. Describe: 

Basis for perfection: 

Attach redacted copies of documents, if any, that show evidence of perfection of a security interest (for

example, a mortgage, lien, certificate of title, financing statement, or other document that shows the lien has

been filed or recorded.) 

Value of property: $ 

Amount of the claim that is secured: $ 

Amount of the claim that is unsecured: $ (The sum of the secured and unsecured 

amounts should match the amount in line 7.) 

Amount necessary to cure any default as of the date of the petition: $ 

Annual Interest Rate (when case was filed) % 

 Fixed 

 Variable 

10. Is this claim based on a

lease?

 No 

 Yes. Amount necessary to cure any default as of the date of the petition. $ 

11. Is this claim subject to a

right of setoff?

 No 

 Yes. Identify the property: 

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 Official Form 410 Proof of Claim page 3

12. Is all or part of the claim

entitled to priority under

11 U.S.C. § 507(a)?

A claim may be partly

priority and partly

nonpriority. For example,

in some categories, the

law limits the amount

entitled to priority. 

 No 

 Yes. Check one: Amount entitled to priority

 Domestic support obligations (including alimony and child support) under

11 U.S.C. § 507(a)(1)(A) or (a)(1)(B). $ 

 Up to $2,850 of deposits toward purchase, lease, or rental of property or services for

personal, family, or household use. 11 U.S.C. § 507(a)(7). $ 

     Wages, salaries, or commissions (up to $12,850) earned within 180 days before the

bankruptcy petition is filed or the debtor’s business ends, whichever is earlier. 

11 U.S.C. § 507(a)(4). 

$ 

     Taxes or penalties owed to governmental units. 11 U.S.C. § 507(a)(8). $ 

     Contributions to an employee benefit plan. 11 U.S.C. § 507(a)(5). $ 

     Other. Specify subsection of 11 U.S.C. § 507(a)( ) that applies. $ 

    * Amounts are subject to adjustment on 4/01/19 and every 3 years after that for cases begun on or after the date of adjustment.

Part 3: Sign Below    

The person completing

this proof of claim must

sign and date it.

FRBP 9011(b).

If you file this claim

electronically, FRBP

5005(a)(2) authorizes courts

to establish local rules

specifying what a signature

is. 

A person who files a

fraudulent claim could be

fined up to $500,000,

imprisoned for up to 5

years, or both.

18 U.S.C. §§ 152, 157, and

3571.

Check the appropriate box:

 I am the creditor. 

 I am the creditor’s attorney or authorized agent. 

 I am the trustee, or the debtor, or their authorized agent. Bankruptcy Rule 3004. 

 I am a guarantor, surety, endorser, or other codebtor. Bankruptcy Rule 3005. 

I understand that an authorized signature on this Proof of Claim serves as an acknowledgment that when calculating the

amount of the claim, the creditor gave the debtor credit for any payments received toward the debt. 

I have examined the information in this Proof of Claim 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 date (mm/dd/yyyy) 

 

Signature 

Print the name of the person who is completing and signing this claim:

Name 

First name Middle name Last name 

Title 

Company 

Identify the corporate servicer as the company if the authorized agent is a servicer. 

Address 

Number Street 

City State ZIP Code 

Contact phone Email 

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Instructions for Proof of Claim 

United States Bankruptcy Court 12/15 

These instructions and definitions generally explain the law. In certain circumstances, such as bankruptcy cases that debtors do 

not file voluntarily, exceptions to these general rules may apply. You should consider obtaining the advice of an attorney, 

especially if you are unfamiliar with the bankruptcy process and privacy regulations.

How to fill out this form

 Fill in all of the information about the claim as of 

January 29, 2019.

 Fill in the caption at the top of the form.

 If the claim has been acquired from someone else, 

then state the identity of the last party who owned the

claim or was the holder of the claim and who transferred it 

to you before the initial claim was filed. 

 Attach any supporting documents to this form.

Attach redacted copies of any documents that show that the

debt exists, a lien secures the debt, or both. (See the

definition of redaction on the next page.) 

Also attach redacted copies of any documents that show

perfection of any security interest or any assignments or

transfers of the debt. In addition to the documents, a

summary may be added. Federal Rule of Bankruptcy

Procedure (called “Bankruptcy Rule”) 3001(c) and (d). 

 Do not attach original documents because 

attachments may be destroyed after scanning.

 If the claim is based on delivering health care goods 

or services, do not disclose confidential health care 

information. Leave out or redact confidential 

information both in the claim and in the attached 

documents.

 A Proof of Claim form and any attached documents 

must show only the last 4 digits of any social security 

number, individual’s tax identification number, or 

financial account number, and only the year of any 

person’s date of birth. See Bankruptcy Rule 9037. 

 For a minor child, fill in only the child’s initials and 

the full name of the child’s parent or guardian. For 

example, write A.B., a minor child (John Doe, parent). 

See Bankruptcy Rule 9037. 

Confirmation that the claim has been filed

To receive confirmation that the claim has been filed, either 

enclose a stamped self-addressed envelope and a copy of this 

form. You may view a list of filed claims in this case by 

visiting the Claims and Noticing Agent's website at

https://restructuring.primeclerk.com/pge. 

Understand the terms used in this form

Administrative expense: Generally, an expense that arises

after a bankruptcy case is filed in connection with operating,

liquidating, or distributing the bankruptcy estate. 

11 U.S.C. § 503. 

Claim: A creditor’s right to receive payment for a debt that the 

debtor owed on the date the debtor filed for bankruptcy. 11 

U.S.C. §101 (5). A claim may be secured or unsecured. 

Creditor: A person, corporation, or other entity to whom a

debtor owes a debt that was incurred on or before the date the

debtor filed for bankruptcy. 11 U.S.C. § 101 (10). 

Debtor: A person, corporation, or other entity who is in

bankruptcy. Use the debtor’s name and case number as shown in 

the bankruptcy notice you received. 11 U.S.C. § 101 (13). 

Evidence of perfection: Evidence of perfection of a security

interest may include documents showing that a security interest 

has been filed or recorded, such as a mortgage, lien, certificate of 

title, or financing statement. 

Information that is entitled to privacy: A Proof of Claim form 

and any attached documents must show only the last 4 digits of 

any social security number, an individual’s tax identification 

number, or a financial account number, only the initials of a 

minor’s name, and only the year of any person’s date of birth. If 

a claim is based on delivering health care goods or services, limit 

the disclosure of the goods or services to avoid embarrassment 

or disclosure of confidential health care information. You may 

later be required to give more information if the trustee or 

someone else in interest objects to the claim.

A person who files a fraudulent claim could be fined up 

to $500,000, imprisoned for up to 5 years, or both.

18 U.S.C. §§ 152, 157 and 3571. 

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Priority claim: A claim within a category of unsecured claims 

that is entitled to priority under 11 U.S.C. § 507(a). These 

claims are paid from the available money or property in a 

bankruptcy case before other unsecured claims are paid. 

Common priority unsecured claims include alimony, child 

support, taxes, and certain unpaid wages.

Proof of claim: A form that shows the amount of debt the

debtor owed to a creditor on the date of the bankruptcy filing.

The form must be filed in the district where the case is pending. 

Redaction of information: Masking, editing out, or deleting

certain information to protect privacy. Filers must redact or

leave out information entitled to privacy on the Proof of

Claim form and any attached documents. 

Secured claim under 11 U.S.C. § 506(a): A claim backed by

a lien on particular property of the debtor. A claim is secured

to the extent that a creditor has the right to be paid from the

property before other creditors are paid. The amount of a

secured claim usually cannot be more than the value of the

particular property on which the creditor has a lien. Any

amount owed to a creditor that is more than the value of the

property normally may be an unsecured claim. But exceptions

exist; for example, see 11 U.S.C. § 1322(b) and the final

sentence of § 1325(a). 

Examples of liens on property include a mortgage on real

estate or a security interest in a car. A lien may be voluntarily

granted by a debtor or may be obtained through a court

proceeding. In some states, a court judgment may be a lien. 

Setoff: Occurs when a creditor pays itself with money

belonging to the debtor that it is holding, or by canceling a debt 

it owes to the debtor.

Unsecured claim: A claim that does not meet the

requirements of a secured claim. A claim may be unsecured in

part to the extent that the amount of the claim is more than the

value of the property on which a creditor has a lien. 

Offers to purchase a claim

Certain entities purchase claims for an amount that is less than

the face value of the claims. These entities may contact

creditors offering to purchase their claims. Some written

communications from these entities may easily be confused

with official court documentation or communications from the

debtor. These entities do not represent the bankruptcy court,

the bankruptcy trustee, or the debtor. A creditor has no

obligation to sell its claim. However, if a creditor decides to

sell its claim, any transfer of that claim is subject to

Bankruptcy Rule 3001(e), any provisions of the Bankruptcy

Code (11 U.S.C. § 101 et seq.) that apply, and any orders of

the bankruptcy court that apply. 

Please send completed Proof(s) of Claim to:

If by first class mail:

PG&E Corporation Claims Processing Center 

c/o Prime Clerk LLC 

Grand Central Station, PO Box 4850 

New York, NY 10163-4850 

If by overnight courier or hand delivery: 

PG&E Corporation Claims Processing Center 

c/o Prime Clerk LLC 

850 Third Avenue, Suite 412 

Brooklyn, NY 11232 

You may also hand deliver your completed Proof(s) of 

Claim to any of the following service center offices 

(beginning July 15, 2019 through the Bar Date (October 21, 

2019) during the hours of 8:30 a.m. – 5:00 p.m. Prevailing 

Pacific Time): 

Chico Service Center 

350 Salem Street 

Chico, CA 95928 

Marysville Service Center 

231 “D” Street 

Marysville, CA 95901 

Napa Service Center 

1850 Soscol Ave. Ste 105 

Napa, CA 94559 

Oroville Service Center 

1567 Huntoon Street 

Oroville, CA 95965 

Redding Service Center 

3600 Meadow View Road 

Redding, CA 96002 

Santa Rosa Service Center 

111 Stony Circle 

Santa Rosa, CA 95401 

Photocopy machines will not be available at the Claim 

Service Centers; you must bring a photocopy of your claim 

if you wish to receive a date-stamped copy. 

Do not file these instructions with your form

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