Source: http://ke-ey.com/pdf-bankruptcy-forms-bankruptcom8e439ac4b6d967688473831d8f8399756897.html
Timestamp: 2019-02-23 04:55:04
Document Index: 499119067

Matched Legal Cases: ['§ 101', '§ 101', '§ 101', '§ 101', '§ 101', '§ 781', '§501', '§80', '§80', '§ 101', '§ 1116', '§ 1126', '§ 13', 'in fine', '§ 152', '§ 101', '§ 329']

Bankruptcy Forms - Bankrupt.com - PDF Free Download
Case:17-05577-EAG11 Doc#:1 Filed:08/08/17 Entered:08/08/17 16:52:47 Document Page 1 of 12
Desc: Main
Fill in this information to identify your case: United States Bankruptcy Court for the: DISTRICT OF PUERTO RICO Case number (if known)
11 Check if this an amended filing
Official Form 201
Voluntary Petition for Non-Individuals Filing for Bankruptcy
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 case number (if known). For more information, a separate document, Instructions for Bankruptcy Forms for Non-Individuals, is available.
Debtor's name
All other names debtor used in the last 8 years Include any assumed names, trade names and doing business as names
PR 1 INVESTMENT ROOMS CORP
DBA Motel Lisboa
Debtor's federal Employer Identification Number (EIN)
66-0754035
Debtor's address
Mailing address, if different from principal place of business
1 Rd., Km. 25.5 Int. Quebrada Arenas Ward San Juan, PR 00925
Box 565 Salinas, PR 00751
Number, Street, City, State & ZIP Code
P.O. Box, Number, Street, City, State & ZIP Code
Location of principal assets, if different from principal place of business
Debtor's website (URL)
Corporation (including Limited Liability Company (LLC) and Limited Liability Partnership (LLP)) Partnership (excluding LLP) Other. Specify:
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Case number (if known)
PR 1 INVESTMENT ROOMS CORP Name
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 B. 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)) C. NAICS (North American Industry Classification System) 4-digit code that best describes debtor. See http://www.uscourts.gov/four-digit-national-association-naics-codes.
7213 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 $2,566,050 (amount subject to adjustment on 4/01/19 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). 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. Chapter 12
Were prior bankruptcy cases filed by or against the debtor within the last 8 years?
If more than 2 cases, attach a separate list.
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
Debtor District
Relationship When
Case number, if known
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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?
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
Statistical and administrative information 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 to unsecured creditors.
14. Estimated number of creditors
1-49 50-99 100-199 200-999
1,000-5,000 5001-10,000 10,001-25,000
25,001-50,000 50,001-100,000 More than100,000
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
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Request for Relief, Declaration, and Signatures 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 trued and correct. I declare under penalty of perjury that the foregoing is true and correct. Executed on
August 8, 2017 MM / DD / YYYY
/s/ Luis J. Perez Delgado
Luis J. Perez Delgado
Signature of authorized representative of debtor
18. Signature of attorney
/s/ Gerardo L. Santiago Puig
Date August 8, 2017 MM / DD / YYYY
Signature of attorney for debtor
Gerardo L. Santiago Puig Printed name
GSP Law, P.S.C. Firm name
Doral Bank Plaza Suite 801 33 Resolución St. San Juan, PR 00920 Number, Street, City, State & ZIP Code Contact phone
787-777-8000
205402 Bar number and State
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FORM 201. VOLUNTARY PETITION Pending Bankruptcy Cases Attachment
Buena Vista Plantation Corp. When
Puerto Rio
Inversiones Araxi Group, Corp.
17-05576
Relationship to you When
17-05575
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Fill in this information to identify the case: Debtor name PR 1 INVESTMENT ROOMS CORP United States Bankruptcy Court for the: DISTRICT OF PUERTO RICO
Check if this is an
Official Form 204 Chapter 11 or Chapter 9 Cases: List of Creditors Who Have the 20 Largest Unsecured Claims and Are Not Insiders 12/15 A list of creditors holding the 20 largest unsecured claims must be filed in a Chapter 11 or Chapter 9 case. Include claims which the debtor disputes. Do not include claims by any person or entity who is an insider, as defined in 11 U.S.C. § 101(31). Also, do not include claims by secured creditors, unless the unsecured claim resulting from inadequate collateral value places the creditor among the holders of the 20 largest unsecured claims. Name of creditor and Name, telephone number Nature of claim complete mailing address, and email address of (for example, trade including zip code creditor contact debts, bank loans, professional services, and government contracts)
AAA Box 70101 San Juan, PR 00936-8101 AEE Box 363508 San Juan, PR 00936-3508 Compañía de Turismo Box 9024000 San Juan, PR 00902-4000 CRIM - Caguas Box 4992 Caguas, PR 00726 Departamento de Hacienda Box 9024140 San Juan, PR 00902-4140 Departamento de Hacienda Box 9024140 San Juan, PR 00902-4140 Departamento de Hacienda Box 9024140 San Juan, PR 00902-4140 Departamento de Recursos Naturales Box 366147 San Juan, PR 00936-6147
Official form 204
Indicate if claim is contingent, unliquidated, or disputed
Amount of 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 value Unsecured claim partially secured of collateral or setoff
$2,402.73
$8,941.06
Rooms Taxes
Quebrada Arenas Ward, 1 Rd., Km. 25.5 Int., Rio Piedras
$188,482.71
$27,154.32
$21,154.32
$14,115.36
Chapter 11 or Chapter 9 Cases: List of Creditors Who Have the 20 Largest Unsecured claims
Software Copyright (c) 1996-2016 Best Case, LLC - www.bestcase.com
page 1 Best Case Bankruptcy
Case:17-05577-EAG11 Doc#:1 Filed:08/08/17 Entered:08/08/17 16:52:47 Document Page 8 of 12 Debtor
Name of creditor and Name, telephone number Nature of claim complete mailing address, and email address of (for example, trade including zip code creditor contact debts, bank loans, professional services, and government contracts)
Junta de Calidad Ambiental Box 11488 San Juan, PR 00910 LSREF2 Island Holdings LTD, Inc. 361 San Francisco St. San Juan, PR 00901
$3,798,892.47
page 2 Best Case Bankruptcy
Case:17-05577-EAG11 Doc#:1 Filed:08/08/17 Entered:08/08/17 16:52:47 Document Page 9 of 12
B2030 (Form 2030) (12/15)
United States Bankruptcy Court District of Puerto Rico PR 1 INVESTMENT ROOMS CORP
Case No. Chapter
DISCLOSURE OF COMPENSATION OF ATTORNEY FOR DEBTOR(S) 1.
Pursuant to 11 U .S.C. § 329(a) and Fed. Bankr. P. 2016(b), I certify that I am the attorney for the above named debtor(s) and that compensation paid to me within one year before the filing of the petition in bankruptcy, or agreed to be paid to me, for services rendered or to be rendered on behalf of the debtor(s) in contemplation of or in connection with the bankruptcy case is as follows: For legal services, I have agreed to accept
Prior to the filing of this statement I have received
The source of the compensation paid to me was: Debtor
The source of compensation to be paid to me is: Debtor
I have not agreed to share the above-disclosed compensation with any other person unless they are members and associates of my law firm. I have agreed to share the above-disclosed compensation with a person or persons who are not members or associates of my law firm. A copy of the agreement, together with a list of the names of the people sharing in the compensation is attached.
In return for the above-disclosed fee, I have agreed to render legal service for all aspects of the bankruptcy case, including: a. b. c. d.
Analysis of the debtor's financial situation, and rendering advice to the debtor in determining whether to file a petition in bankruptcy; Preparation and filing of any petition, schedules, statement of affairs and plan which may be required; Representation of the debtor at the meeting of creditors and confirmation hearing, and any adjourned hearings thereof; [Other provisions as needed] Negotiations with secured creditors to reduce to market value; exemption planning; preparation and filing of reaffirmation agreements and applications as needed; preparation and filing of motions pursuant to 11 USC 522(f)(2)(A) for avoidance of liens on household goods.
By agreement with the debtor(s), the above-disclosed fee does not include the following service: Representation of the debtors in any dischargeability actions, judicial lien avoidances, relief from stay actions or any other adversary proceeding. CERTIFICATION
I certify that the foregoing is a complete statement of any agreement or arrangement for payment to me for representation of the debtor(s) in this bankruptcy proceeding. August 8, 2017 Date
/s/ Gerardo L. Santiago Puig Gerardo L. Santiago Puig 205402 Signature of Attorney GSP Law, P.S.C. Doral Bank Plaza Suite 801 33 Resolución St. San Juan, PR 00920 787-777-8000 Fax: 787-767-7107 gsant[email protected] Name of law firm
Best Case Bankruptcy
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United States Bankruptcy Court District of Puerto Rico In re
PR 1 INVESTMENT ROOMS CORP Debtor(s)
I, the President of the corporation named as the debtor in this case, hereby verify that the attached list of creditors is true and correct to the best of my knowledge.
/s/ Luis J. Perez Delgado Luis J. Perez Delgado/President
Signer/Title
Case:17-05577-EAG11 Doc#:1 Filed:08/08/17 Entered:08/08/17 16:52:47 Document Page 11 of 12
} b k 1 { C r e d i t o A s M a x
PR 1 INVESTMENT ROOMS CORP BOX 565 SALINAS, PR 00751
DEPARTAMENTO DE HACIENDA BOX 9024140 SAN JUAN, PR 00902-4140
MUNICIPIO DE SAN JUAN BOX 70179 SAN JUAN, PR 00936
GERARDO L. SANTIAGO PUIG GSP LAW, P.S.C. DORAL BANK PLAZA SUITE 801 33 RESOLUCIóN ST. SAN JUAN, PR 00920
DEPARTAMENTO DE RECURSOS NATURALES BOX 366147 SAN JUAN, PR 00936-6147
AAA BOX 70101 SAN JUAN, PR 00936-8101
DEPARTAMENTO DEL TRABAJO BOX 191020 SAN JUAN, PR 00919
AEE BOX 363508 SAN JUAN, PR 00936-3508
FERRAIUOLI LLC BOX 195168 SAN JUAN, PR 00919-5168
BUENA VISTA PLANTATION CORP. BOX 565 SALINAS, PR 00751
INVERSIONES ARAXI GROUP CORP. BOX 565 SALINAS, PR 00751
CFSE - CAGUAS BOX 425 SAN JUAN, PR 00936-5028
IRS BOX 7346 PHILADELPHIA, PA 19101
CFSE - SAN JUAN BOX 365028 SAN JUAN, PR 00936-5028
JUNTA DE CALIDAD AMBIENTAL BOX 11488 SAN JUAN, PR 00910
COMPAñíA DE TURISMO BOX 9024000 SAN JUAN, PR 00902-4000
LSREF2 ISLAND HOLDINGS LTD, INC. 361 SAN FRANCISCO ST. SAN JUAN, PR 00901
CRIM - CAGUAS BOX 4992 CAGUAS, PR 00726
LUIS J. PéREZ DELGADO BOX 565 SALINAS, PR 00751
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CORPORATE OWNERSHIP STATEMENT (RULE 7007.1) Pursuant to Federal Rule of Bankruptcy Procedure 7007.1 and to enable the Judges to evaluate possible disqualification or recusal, the undersigned counsel for PR 1 INVESTMENT ROOMS CORP in the above captioned action, certifies that the following is a (are) corporation(s), other than the debtor or a governmental unit, that directly or indirectly own(s) 10% or more of any class of the corporation's(s') equity interests, or states that there are no entities to report under FRBP 7007.1:
None [Check if applicable]
/s/ Gerardo L. Santiago Puig Gerardo L. Santiago Puig 205402
Signature of Attorney or Litigant Counsel for PR 1 INVESTMENT ROOMS CORP GSP Law, P.S.C. Doral Bank Plaza Suite 801 33 Resolución St. San Juan, PR 00920 787-777-8000 Fax:787-767-7107 [email protected]
Case:17-05577-EAG11 Doc#:1 Filed:08/08/17 Entered:08/08/17 16:52:47 Document Page 1 of 12 Desc: Main Fill in this information to identify your case:...
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Client Questionnaire. Section 1 - Basic Information. Part A. Name and Address. Name: Have you used any other names in th