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List Of Equity Security Holders Form. This is a Colorado form and can be use in Bankruptcy Court Federal.
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Tags: List Of Equity Security Holders, LBF 1007-4.2, Colorado Federal, Bankruptcy Court
Local Bankruptcy Form 1007-4.2
United States Bankruptcy Court
_______________ District Of _______________
In re __________________________________________,
[Set forth here all names including married,
maiden, and trade names used by debtor within
last 8 years.]
Debtor
)
)
)
)
) Case No. ________________
)
Address ________________________________________ )
)
________________________________________ ) Chapter ___________
)
Last four digits of Social-Security or Individual TaxPayer-Identification (ITIN) No(s).,(if any): ___________ )
______________________________________________ )
Employer Tax-Identification (EIN) No(s).(if any): _____ )
_______________________________________________ )
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LIST OF EQUITY SECURITY HOLDERS
In a chapter 11 reorganization case, the following information is required pursuant
to FED. R. BANKR. P. 1007(a)(3) and L.B.R. 1007-4:
Check applicable box:
[ ]
There are no equity security holders or corporations that directly or indirectly own
10% or more of any class of the debtor’s equity interest.
[ ]
The following are the debtor’s equity security holders (list holders of each class,
showing the number and kind of interests registered in the name of each holder, and the
last known address or place of business of each holder):
1.
2.
3.
Dated: ______________________
By: _________________________________
Signature of debtor
Dated: _____________________
By: _________________________________
Counsel to ___________________________
Attorney registration number (if applicable)
Business address (or home address for pro se)
Telephone number
Facsimile number
E-mail address
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