TRANSFER OF CLAIM Check this box if there has been a transfer of any claim against the debtor by or to any petitioner. Attach all documents that evidence the transfer and any statements that are required under Bankruptcy Rule 1003(a). |
REQUEST FOR RELIEF Petitioner(s) request that an order for relief be entered against the debtor under the chapter of title 11, United States Code, specified in this petition. If any petitioner is a foreign representative appointed in a foreign proceeding, a certified copy of the order of the court granting recognition is attached. Petitioner(s) declare under penalty of perjury that the foregoing is true and correct according to the best of their knowledge, information, and belief. x /s/ Edwin G. Marshall Signature of Petitioner or Representative (State title) Edwin G. Marshall April 15, 2018 Name of Petitioner Date Signed Name & Mailing Edwin G. MarshallAddress of Individual c/o Meyers Law Group, P.C. Signing in Representative 44 Montgomery St., Ste. 1010 Capacity San Francisco, CA 94104 | x /s/ Merle C. Meyers 4-16-18 Signature of Attorney Date Merle C. Meyers, Esq. Name of Attorney Firm (If any) Meyers Law Group, P.C. 44 Montgomery St., Ste. 1010 San Francisco, CA 94104 Address Telephone No. (415) 362-7500 |
x /s/ Jill C. Marshall M.D Signature of Petitioner or Representative (State title) Dr. Jill C. Marshall April 15, 2018 Name of Petitioner Date Signed Name & Mailing Dr. Jill C. Marshall Address of Individual c/o Meyers Law Group, P.C. Signing in Representative 44 Montgomery St., Ste. 1010 Capacity San Francisco, CA 94104 | x /s/ Merle C. Meyers 4-16-18 Signature of Attorney Date Merle C. Meyers, Esq. Name of Attorney Firm (If any) Meyers Law Group, P.C. 44 Montgomery St., Ste. 1010 San Francisco, CA 94104 Address Telephone No. (415) 362-7500 |
x [illegible] VP Signature of Petitioner or Representative (State title) Ushio America, Inc. 4/12/2018 Name of Petitioner Date Signed Name & Mailing Ushio America, Inc.Address of Individual 5440 Cerritos Ave. Signing in Representative Cypress, CA 90630 Capacity | x______________________________________________________ Signature of Attorney Date Name of Attorney Firm (If any) _______________________________________________________ Address Telephone No. |
PETITIONING Name and Address of Petitioner Edwin G. Marshall c/o Meyers Law Group, P.C. Attn: Merle C. Meyers, Esq. 44 Montgomery St., Ste. 1010 San Francisco, CA 94104 | CREDITORS Nature of Claim Promissory Note | Amount of Claim 1,118,448.00 |
Name and Address of Petitioner Dr. Jill C. Marshall c/o Meyers Law Group, P.C. Attn: Merle C. Meyers, Esq. 44 Montgomery St., Ste. 1010 San Francisco, CA 94104 | Nature of Claim Promissory Note | Amount of Claim 466,812.00 |
Name and Address of Petitioner Ushio America, Inc. 5440 Cerritos Ave. Cypress, CA 90630 | Nature of Claim Trade Debt | Amount of Claim 6,750.00 |
Note: If there are more than three petitioners, attach additional sheets with the statement under penalty of perjury, each petitioner's signature under the statement and the name of attorney and petitioning creditor information in the format above. | Total Amount of Petitioners' Claims 1,620,915.42 |