Debtor
_______________________________________________________
Case number
_____________________________________
(if known)
Name
Others entitled to notice
Attach a list containing the names and addresses of:
8.
(i)
all persons or bodies authorized to administer foreign proceedings of the debtor,
(ii)
all parties to litigation pending in the United States in which the debtor is a party at the time of filing of this
petition, and
(iii) all entities against whom provisional relief is being sought under § 1519 of the Bankruptcy Code.
Addresses
Country where the debtor has the center of its
Debtor’s registered office:
9.
main interests:
______________________________________________
______________________________________________
Number
Street
_______________________________________________
P.O. Box
_______________________________________________
City
State/Province/Region
ZIP/Postal Code
_______________________________________________
Country
Individual debtor’s habitual residence:
Address of foreign representative(s):
_______________________________________________
_______________________________________________
Number
Street
Number
Street
_______________________________________________
_______________________________________________
P.O. Box
P.O. Box
_______________________________________________
_______________________________________________
City
State/Province/Region
ZIP/Postal Code
City
State/Province/Region
ZIP/Postal Code
_______________________________________________
_______________________________________________
Country
Country
Debtor’s website (URL)
10.
____________________________________________________________________________________________________
Type of debtor
Check one:
11.
Non-individual (check one):
Corporation. Attach a corporate ownership statement containing the information
described in Fed. R. Bankr. P. 7007.1.
Partnership
________________________________________________
Other. Specify:
Individual
Official Form 401
Chapter 15 Petition for Recognition of a Foreign Proceeding
page 2