Official Form 4 (12/07)
UNITED STATES BANKRUPTCY COURT – DISTRICT OF HAWAII
Debtor:
Case No.
:
(if known)
Chapter 11
LIST OF CREDITORS HOLDING 20 LARGEST UNSECURED CLAIMS
Following is the list of the debtor’s creditors holding the 20 largest unsecured claims. The list is prepared in
accordance with Fed. R. Bankr. P. 1007(d) for filing in this chapter 11 [or chapter 9] case. The list does not include
(1) persons who come within the definition of “insider” set forth in 11 U.S.C. § 101, or (2) secured creditors unless the
value of the collateral is such that the unsecured deficiency places the creditor among the holders of the 20 largest
unsecured claims. If a minor child is one of the creditors holding the 20 largest unsecured claims, state the child’s initials
and the name and address of the child’s parent or guardian, such as “A.B., a minor child, by John Doe, guardian.” Do not
disclose the child’s name. See 11 U.S.C. § 112 and Fed. R. Bankr. P. 1007(m).
(1)
(2)
(3)
(4)
(5)
Name of creditor and complete mailing address
Name, telephone number and
Nature of claim (trade
Indicate if claim is
Amount of claim [if
including zip code
complete mailing address, including
debt, bank loan,
contingent,
secured also state
zip code, of employee, agent, or
government contract,
unliquidated,
value of security]
department of creditor familiar with
etc.)
disputed or
claim who may be contacted
subject to setoff
1
2
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4
5
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7
8
9
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