Case 8-19-73622-las Doc 3 Filed 05/17/19 Entered 05/17/19 21:58:12

Fill in this information to identify the case:

Debtor name Gramercy Group, Inc.

United States Bankruptcy Court for the: EASTERN DISTRICT OF NEW YORK

Case number (if known) 19-73622

Check if this is an
amended filing

Official Form 202

Declaration Under Penalty of Perjury for Non-Individual Debtors 12/15

An individual who is authorized to act on behalf of a non-individual debtor, such as a corporation or partnership, must sign and submit this
form for the schedules of assets and liabilities, any other document that requires a declaration that is not included in the document, and any
amendments of those documents. This form must state the individual’s position or relationship to the debtor, the identity of the document,
and the date. Bankruptcy Rules 1008 and 9011.

WARNING -- Bankruptcy fraud is a serious crime. Making a false statement, concealing property, or obtaining money or property by fraud in
connection with a bankruptcy case can result in fines up to $500,000 or imprisonment for up to 20 years, or both. 18 U.S.C. §§ 152, 1341,
1519, and 3571.

Declaration and signature

I am the president, another officer, or an authorized agent of the corporation; a member or an authorized agent of the partnership; or another
individual serving as a representative of the debtor in this case.

I have examined the information in the documents checked below and I have a reasonable belief that the information is true and correct:

Schedule A/B: Assets–Real and Personal Property (Official Form 206A/B)

Schedule D: Creditors Who Have Claims Secured by Property (Official Form 206D)
Schedule E/F: Creditors Who Have Unsecured Claims (Official Form 206E/F)
Schedule G: Executory Contracts and Unexpired Leases (Official Form 206G)
Schedule H: Codebtors (Official Form 206H)
Summary of Assets and Liabilities for Non-Individuals (Official Form 206Sum)
Amended Schedule
Chapter 11 or Chapter 9 Cases: List of Creditors Who Have the 20 Largest Unsecured Claims and Are Not Insiders (Official Form 204)
Other document that requires a declaration

I declare under penalty of perjury that the foregoing is true and correct.

Executed on May 17, 2019 X /s/ Vincent Parziale

Signature of individual signing on behalf of debtor

Vincent Parziale
Printed name

President
Position or relationship to debtor

Official Form 202 Declaration Under Penalty of Perjury for Non-Individual Debtors
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 Case 8-19-73622-las Doc 3 Filed 05/17/19 Entered 05/17/19 21:58:12

Fill in this information to identify the case:

Debtor name Gramercy Group, Inc.
United States Bankruptcy Court for the: EASTERN DISTRICT OF NEW Check if this is an
YORK
Case number (if known): 19-73622 amended filing

Official Form 204

Chapter 11 or Chapter 9 Cases: List of Creditors Who Have the 20 Largest Unsecured Claims and
Are Not Insiders 12/15

A list of creditors holding the 20 largest unsecured claims must be filed in a Chapter 11 or Chapter 9 case. Include claims which the
debtor disputes. Do not include claims by any person or entity who is an insider, as defined in 11 U.S.C. § 101(31). Also, do not
include claims by secured creditors, unless the unsecured claim resulting from inadequate collateral value places the creditor
among the holders of the 20 largest unsecured claims.

Name of creditor and Name, telephone number Nature of claim Indicate if claim Amount of claim
complete mailing address, and email address of (for example, trade is contingent, If the claim is fully unsecured, fill in only unsecured claim amount. If
including zip code creditor contact debts, bank loans, unliquidated, or claim is partially secured, fill in total claim amount and deduction for
professional services, disputed value of collateral or setoff to calculate unsecured claim.
and government Total claim, if Deduction for value Unsecured claim
contracts) partially secured of collateral or setoff
Affordable Fuels Trades Payable $10,141.07
2061 Bellmore Ave
Bellmore, NY 11710
Alliant Insurance Trades Payable $731,078.35 $0.00 $12,393.35
Svcs Inc fpagan@alliant.co
Po Box21730 m
New York, NY
10087-4730
Aramsco Corp Trades Payable $87,502.56 $0.00 $32,087.07
Lock Box 3956 LHunter@Aramsco
PO Box 8500 .com
Philadelphia, PA
19178-3956
AW Meyer Co Inc Trades Payable $19,203.47 $0.00 $9,749.10
PO Box 21216
New York, NY 10087
Bays Lung Rose & Legal Fees Disputed $375,727.35
Holma
Attorneys at Law
Topa Financial
Center
700 Bishop St Suite
900
Honolulu, HI 96813
Bronster Fujichaku Professional Fees $75,808.97
Robbins
Attorneys at Law
1003 Bishop Street
Suite 2300
Honolulu, HI 96813
Carter Milchman & Trades Payable $9,280.62
Frank Inc
28-10 37th Avenue
Long Island City, NY
11101

Official form 204 Chapter 11 or Chapter 9 Cases: List of Creditors Who Have the 20 Largest Unsecured claims page 1

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 Case 8-19-73622-las Doc 3 Filed 05/17/19 Entered 05/17/19 21:58:12

Debtor Gramercy Group, Inc. Case number (if known) 19-73622

Name

Name of creditor and Name, telephone number Nature of claim Indicate if claim Amount of claim
complete mailing address, and email address of (for example, trade is contingent, If the claim is fully unsecured, fill in only unsecured claim amount. If
including zip code creditor contact debts, bank loans, unliquidated, or claim is partially secured, fill in total claim amount and deduction for
professional services, disputed value of collateral or setoff to calculate unsecured claim.
and government Total claim, if Deduction for value Unsecured claim
contracts) partially secured of collateral or setoff
Chiesa Shahinian & Trades Payable $22,875.85
Giantomasi PC
11 Times Square
31st Floor
New York, NY 10036
Commonwealth Professional Fees $16,000.00
Resources Inc
262 Washington St
Suite 8
Boston, MA 02108
Construction Info $10,444.51
Systems
170 Kinnelon Rd
Kinnelon, NJ 07405
D.A. Builders, LLC Judgement Disputed $6,700,000.00
P.O. Box 2027
Ewa Beach, HI
96706
Edward Ehrbar Inc Trades Payable $7,662.68
32970 Collection Ctr hlevine@ehrbar.co
Dr m
Chicago, IL
60693-0329
Equipment Watch Trades Payable $7,839.00
dba Penton Media
24653 Network
Place
Chicago, IL
60673-1246
Hilti Inc Trades Payable $60,520.90
PO Box 382002
Pittsburgh, PA
15250-8002
Jackson Lewis PC Legal Fees $27,564.32
PO Box 416019
Boston, MA
02241-6019
Jesco Inc Trades Payable $8,855.77
118 St. Nicholas Ave
South Plainfield, NJ
07080
Officeworx Source Trades Payable $11,913.93
Inc
687 Old Willets Path
hauppauge, NY
11788
Raken Inc $10,696.00
5600 Avenida
Encinas
Carlsbad, CA 92008

Official form 204 Chapter 11 or Chapter 9 Cases: List of Creditors Who Have the 20 Largest Unsecured claims page 2

Software Copyright (c) 1996-2017 Best Case, LLC - www.bestcase.com Best Case Bankruptcy
 Case 8-19-73622-las Doc 3 Filed 05/17/19 Entered 05/17/19 21:58:12

Debtor Gramercy Group, Inc. Case number (if known) 19-73622

Name

Name of creditor and Name, telephone number Nature of claim Indicate if claim Amount of claim
complete mailing address, and email address of (for example, trade is contingent, If the claim is fully unsecured, fill in only unsecured claim amount. If
including zip code creditor contact debts, bank loans, unliquidated, or claim is partially secured, fill in total claim amount and deduction for
professional services, disputed value of collateral or setoff to calculate unsecured claim.
and government Total claim, if Deduction for value Unsecured claim
contracts) partially secured of collateral or setoff
Riverso Associates Professional Fees $12,389.82
Inc
1088 Central Avenue
2nd Floor
Scarsdale, NY 10583
Zurich American Ins Insurance $94,682.74
Co
8734 Paysphere
Circle
Chicago, IL 60674

Official form 204 Chapter 11 or Chapter 9 Cases: List of Creditors Who Have the 20 Largest Unsecured claims page 3

Software Copyright (c) 1996-2017 Best Case, LLC - www.bestcase.com Best Case Bankruptcy