FORM NO. 19 (LF019) UNITED STATES BANKRUPTCY COURT WESTERN DISTRICT OF TENNESSEE _________________________________________________________________________________________________ In re Case No. Chapter 11 Debtor(s). _________________________________________________________________________________________________ PLAN PROPONENT'S PRE-CONFIRMATION HEARING TALLY OF BALLOTS PURSUANT TO LOCAL BANKRUPTCY RULE 3018-1 _________________________________________________________________________________________________ In accordance with L.B.R. 3018-1©, the plan proponent, the above-named debtor, submits this original and one copy of the tally of the ballots, at least seven days prior to the confirmation hearing as follows:1 Accepts Class I Class II Class III Class IV Class V Class VI Class VII Class VIII Class IX Class X ___________________________________________ Attorney for Plan Proponent ___________________________________________ Street Address ___________________________________________ City and State ___________________________________________ Telephone Number ___________________________________________ Bar Disciplinary No. Rejects $ Amount Accepted $ Amount Rejected 1 For tally of ballots of the Unsecured Class, please see Attached Sheet "A." American LegalNet, Inc. www.FormsWorkFlow.com FORM NO. 19 (LF019) Case No. ____________________ ATTACHED SHEET "A" RE PLAN PROPONENT'S PRE-CONFIRMATION HEARING TALLY OF BALLOTS PURSUANT TO L.B.R. 3018-1 Unsecured Class Name Accepts Rejects $ Amount Accepted $ Amount Rejected Total (Numerical Acceptances) (Numerical Rejects) $ $ American LegalNet, Inc. www.FormsWorkFlow.com