Case 22-11066 Doc 1 Filed 11/11/22 Page 6 of 23 Fill in this information to identify the case and this filing: AlamedaResearchLLC Debtor Name __________________________________________________________________ Delaware United States Bankruptcy Court for the: ______________________District of __________ (State) Case number (If known): _________________________ Official F orm 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) ‰ AmendedSchedule ____ ‰ Chapter11 orChapter 9 Cases: List of Creditors Who Have the Largest Unsecured Claims and Are Not Insiders (Official Form 204) ✔ Corporate Ownership Statement ‰ Other document that requires a declaration__________________________________________________________________________________ I declare under penalty of perjury that the foregoing is true and correct. 11/11/2022 /s/ John J. Ray Executed on ______________ 8_________________________________________________________________________ MM / DD / YYYY Signature of individual signing on behalf of debtor John J. Ray III ________________________________________________________________________ Printed name Chief Executive Officer ______________________________________ Position or relationship to debtor Official Form 202 Declaration Under Penalty of Perjury for Non-Individual Debtors
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