Filer's Name, Address, Phone, Fax, Email: UNITED STATES BANKRUPTCY COURT DISTRICT OF HAWAII 1132 Bishop Street, Suite 250 Honolulu, Hawaii 96813 hib_2016-1a (12/09) Debtor: Joint Debtor: (if any) Case No.: Chapter: COMPENSATION SUMMARY SHEET Applicant: Capacity: Date of order authorizing employment: Period for this request (e.g. 1/1/09 -12/31/09): Amount rec'd prepetition: Interim Final ________ (1 , 2 , etc.) st nd Related Docket No.: (if application filed separately) $ Client trust acct balance: Fees: $ Fees: $ Fees: $ $ Expenses: $ Expenses: $ Expenses: $ Yes Hours No Fees Previous amounts awarded by court: Previous amounts received: Amount of this request (inclusive of any excise taxes): Availability of funds � Applicant believes that there are sufficient funds to pay this request and all other accrued and anticipated administrative expenses: Name of Professional Position Hourly rate [Attach additional sheets as needed.] Dated: ___________________________ /s/ ______________________________________________ Applicant Print name if original signature American LegalNet, Inc. www.FormsWorkFlow.com