Form B1, Exh.A (9/97) UNITED STATES BANKRUPTCY COURT WESTERN DISTRICT OF NEW YORK WESTERN DIVISION In re / Debtor Case No. Chapter 11 Norse Energy Corp. USA, a Corporation Exhibit "A" to Voluntary Petition (If debtor is required to file periodic reports (e.g., forms 10K and 10Q) with the Securities and Exchange Commission pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 and is requesting relief under chapter 11 of the Bankruptcy Code, this Exhibit "A" shall be completed and attached to the petition.) c. Debt securities held by more than 500 holders. Debt Issue Type Outstanding Number of Holders Total $ Amount Approximate 1. If any of debtor's securities are registered under section 12 of the Securities and Exchange Act of 1934, the SEC file number is 2. The following financial data is the latest available information and refers to the debtor's condition on a. b. Total assets Total debts (including debts listed in 2.c., below) $ $ 0.00 32,631,715.65 . . $ $ $ $ $ e. d. Number of shares of common stock Number of shares of preferred stock Comments, if any: 3. Brief description of debtor's business: 4. List the name of any person who directly or indirectly owns, controls, or holds, with power to vote, 5% or more of the voting securities of the debtor: Case 1-12-13685-CLB Doc 1 Filed 12/06/12 Entered 12/06/12 15:53:36 Desc Main Document Page 1 of 36
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Form B1, Exh.A (9/97)
UNITED STATES BANKRUPTCY COURTWESTERN DISTRICT OF NEW YORK
WESTERN DIVISION
In re
/ Debtor
Case No.Chapter 11
Norse Energy Corp. USA, a Corporation
Exhibit "A" to Voluntary Petition(If debtor is required to file periodic reports (e.g., forms 10K and 10Q) with the Securities and Exchange Commission pursuant to Section 13or 15(d) of the Securities Exchange Act of 1934 and is requesting relief under chapter 11 of the Bankruptcy Code, this Exhibit "A" shall becompleted and attached to the petition.)
c. Debt securities held by more than 500 holders.
Debt Issue Type Outstanding Number of HoldersTotal $ Amount Approximate
1. If any of debtor's securities are registered under section 12 of the Securities and Exchange Act of 1934,the SEC file number is
2. The following financial data is the latest available information and refers to the debtor's condition on
a.b.
Total assetsTotal debts (including debts listed in 2.c., below)
$$
0.0032,631,715.65
.
.
$$$$$
e.d.
Number of shares of common stockNumber of shares of preferred stock
Comments, if any:
3. Brief description of debtor's business:
4. List the name of any person who directly or indirectly owns, controls, or holds, with power to vote, 5% or more of the voting securities ofthe debtor:
Case 1-12-13685-CLB Doc 1 Filed 12/06/12 Entered 12/06/12 15:53:36 Desc Main Document Page 1 of 36
B1 (Official Form 1) (12/11)
Voluntary PetitionUnited States Bankruptcy CourtDISTRICT OFWESTERN NEW YORK
Name of Debtor (if individual, enter Last, First, Middle):
Norse Energy Corp. USA,
All Other Names used by the Debtor in the last 8 years(include married, maiden, and trade names):NONE
Last four digits of Soc. Sec. or Indvidual-Taxpayer I.D. (ITIN) No./Complete EIN(if more than one, state all): 76-0408903Street Address of Debtor (No. & Street, City, and State):3556 Lakeshore RoadSuite 700Buffalo, NY
County of Residence or of thePrincipal Place of Business: ErieMailing Address of Debtor (if different from street address):
Location of Principal Assets of Business Debtor(if different from street address above):
Name of Joint Debtor (Spouse)(Last, First, Middle):
All Other Names used by the Joint Debtor in the last 8 years
Last four digits of Soc. Sec. or Indvidual-Taxpayer I.D. (ITIN) No./Complete EIN
Street Address of Joint Debtor
Mailing Address of Joint Debtor
(include married, maiden, and trade names):
(if more than one, state all):
(No. & Street, City, and State):
County of Residence or of thePrincipal Place of Business:
(if different from street address):
SAME
SAME
a Corporation
ZIPCODE
ZIPCODE
14219ZIPCODE
ZIPCODE
ZIPCODE
Railroad
Stockbroker
Commodity BrokerOther (if debtor is not one of the above
PartnershipChapter 13Chapter 12 Chapter 15 Petition for Recognition
Chapter 9Chapter 11
Chapter 7
Chapter of Bankruptcy Code Under Which the Petition is Filed(Check one box)
Nature of Debts
Filing Fee (Check one box)
(Check one box)
Full Filing Fee attachedFiling Fee to be paid in installments (applicable to individuals only). Mustattach signed application for the court’s consideration certifying that the debtoris unable to pay fee except in installments. Rule 1006(b). See Official Form 3A.
Chapter 11 Debtors:Check one box:
Debtor is not a small business debtor as defined in 11 U.S.C. § 101(51D).Debtor is a small business as defined in 11 U.S.C. § 101(51D).
Debtor’s aggregate noncontingent liquidated debts (excluding debtsowed to insiders or affiliates) are less than $2,190,000 .
Clearing Bankentities, check this box and state type ofentity below
of a Foreign Nonmain Proceeding
Filing Fee waiver requested (applicable to chapter 7 individuals only). Mustattach signed application for the court's consideration. See Offi cial Form 3B.
Nature of Business(Check
Health Care Business
Single Asset Real Estate as definedin 11 U.S.C. § 101 (51B)
(Form of organization)
Corporation (includes LLC and LLP)
Individual (includes Joint Debtors)
Type of Debtor
(Check Chapter 15 Petition for Recognitionof a Foreign Main Proceeding
Check if:
one box.) one box.)
Check all applicable boxes:A plan is being filed with this petitionAcceptances of the plan were solicited prepetition from one or moreclasses of creditors, in accordance with 11 U.S.C. § 1126(b).
Debts are primarily consumer debts, definedin 11 U.S.C. § 101(8) as "incurred by anindividual primarily for a personal, family,
Chapter 15 DebtorsCountry of debtor's center of main interests:
Each country in which a foreign proceeding by, regarding, or against debtor is pending:
_____________________________________
_____________________________________
THIS SPACE IS FOR COURT USE ONLYStatistical/Administrative InformationDebtor estimates that funds will be available for distribution to unsecured creditors.
Debtor estimates that, after any exempt property is excluded and administrative expenses paid, there will be no funds available fordistribution to unsecured creditors.
Estimated Number of Creditors
Estimated Assets
Estimated Liabilities
100,000100-199
5,000200-999
100,00010,000 50,00025,0001-49 50-99 1,000- 5,001- 10,001- 25,001- 50,001- Over
$1,000,001to $10million
$500,001to $1million
$0 to$50,000
$50,001 to$100,000
$100,001 to$500,000
$10,000,001to $50million
$50,000,001to $100million
$100,000,001to $500million
$500,000,001to $1 billion
More than$1 billion
$0 to$50,000
$50,001 to$100,000
$100,001 to$500,000
$500,001to $1million
$1,000,001to $10million
$10,000,001to $50million
$50,000,001to $100million
$100,000,001to $500million
$500,000,001to $1 billion
More than$1 billion
Case 1-12-13685-CLB Doc 1 Filed 12/06/12 Entered 12/06/12 15:53:36 Desc Main Document Page 2 of 36
B1 (Official Form 1) (12/11) FORM B1, Page 2
Debtor has been domiciled or has had a residence, principal place of business, or principal assets in this District for 180 days immediatelypreceding the date of this petition or for a longer part of such 180 days than in any other District.
There is a bankruptcy case concerning debtor's affiliate, general partner, or partnership pending in this District.
Information Regarding the Debtor - Venue(Check any applicable box)
Name of Debtor:
District:
Case Number:
Relationship:
Date Filed:
Judge:NONE
Location Where Filed: Case Number: Date Filed:NONE
Voluntary Petition(This page must be completed and filed in every case)
Name of Debtor(s):Norse Energy Corp. USA, a Corporation
or safety?
Yes, and exhibit C is attached and made a part of this petition.No
X
Exhibit A(To be completed if debtor is required to file periodic reports(e.g., forms 10K and 10Q) with the Securities and ExchangeCommission pursuant to Section 13 or 15(d) of the SecuritiesExchange Act of 1934 and is requesting relief under Chapter 11)
Exhibit A is attached and made a part of this petition
Exhibit B(To be completed if debtor is an individual whose debts are primarily consumer debts)
I, the attorney for the petitioner named in the foregoing petition, declare that I
12/ 6/2012Signature of Attorney for Debtor(s) Date
Exhibit C
Does the debtor own or have possession of any property that poses or is alleged to pose a threat of imminent and identifiable harm to public health
All Prior Bankruptcy Cases Filed Within Last 8 Years (If more than two, attach additional sheet)
Pending Bankruptcy Case Filed by any Spouse, Partner or Affiliate of this Debtor (If more than one, attach additional sheet)
required by 11 U.S.C. §342(b).
Debtor is a debtor in a foreign proceeding and has its principal place of business or principal assets in the United States in this District, or has noprincipal place of business or assets in the United States but is a defendant in an action proceeding [in a federal or state court] in this District, orthe interests of the parties will be served in regard to the relief sought in this District.
Exhibit D(To be completed by every individual debtor. If a joint petition is filed, each spouse must complete and attach a separate Exhibit D.)
Exhibit D, completed and signed by the debtor, is attached and made part of this petition.
Exhibit D also completed and signed by the joint debtor is attached and made a part of this petition.If this is a joint petition:
Location Where Filed: Case Number: Date Filed:
have informed the petitioner that [he or she] may proceed under chapter 7, 11, 12or 13 of title 11, United States Code, and have explained the relief available undereach such chapter. I further certify that I have delivered to the debtor the notice
Certification by a Debtor Who Resides as a Tenant of Residential Property(Check all applicable boxes.)
(Name of landlord that obtained judgment)
(Address of landlord)
Landlord has a judgment against the debtor for possession of debtor's residence. (If box checked, complete the following.)
Debtor claims that under applicable nonbankruptcy law, there are circumstances under which the debtor would be permitted to cure the entire monetary default that gave rise to the judgment for possession, after the judgment for possession was entered, and
Debtor has included with this petition the deposit with the court of any rent that would become due during the 30-dayperiod after the filing of the petition.
Debtor certifies that he/she has served the Landlord with this certification. (11 U.S.C. § 362(l)).
Case 1-12-13685-CLB Doc 1 Filed 12/06/12 Entered 12/06/12 15:53:36 Desc Main Document Page 3 of 36
B1 (Official Form 1) (12/11) FORM B1, Page 3
Norse Energy Corp. USA, a Corporation
Signature(s) of Debtor(s) (Individual/Joint)
Code, specified in this petition.I request relief in accordance with the chapter of title 11, United States
proceed under chapter 7.understand the relief available under each such chapter, and choose tounder chapter 7, 11, 12, or 13 of title 11, United States Code,and has chosen to file under chapter 7] I am aware that I may proceed[If petitioner is an individual whose debts are primarily consumer debtspetition is true and correct.I declare under penalty of perjury that the information provided in this
X
X
Date
Signature of Debtor
Signature of Joint Debtor
Telephone Number (if not represented by attorney)
Signatures
[If no attorney represents me and no bankruptcy petition preparer
11 U.S.C. §342(b)signs the petition] I have obtained and read the notice required by
X
(Date)
(Signature of Foreign Representative)
(Printed name of Foreign Representative)
I declare under penalty of perjury that the information provided in thispetition is true and correct, that I am the foreign representative of a debtorin a foreign proceeding, and that I am authorized to file this petition.
Signature of a Foreign Representative
Voluntary Petition(This page must be completed and filed in every case)
Name of Debtor(s):
I request relief in accordance with chapter 15 of title 11, United StatesCode. Certified copies of the documents required by 11 U.S.C. § 1515are attached.
Pursuant to 11 U.S.C. § 1511, I request relief in accordance with thechapter of title 11 specified in this petition. A certified copy of theorder granting recognition of the foreign main proceeding is attached.
(Check only one box.)
Signature of Attorney for Debtor(s)
Buffalo, NY 14203
716-854-4300
Gross, Shuman, Brizdle & Gilfillan, P.C.
Robert J. Feldman
Signature of Attorney*Signature of Non-Attorney Bankruptcy Petition Preparer
Telephone Number
Firm Name
Date
Address
Printed Name of Attorney for Debtor(s)
X I declare under penalty of perjury that: (1) I am a bankruptcy petitionpreparer as defined in 11 U.S.C. § 110; (2) I prepared this document forcompensation and have provided the debtor with a copy of this document
Social-Security number (If the bankruptcy petition preparer is not anindividual, state the Social-Security number of the officer, principal,responsible person or partner of the bankruptcy petition preparer.)(Required by 11 U.S.C. § 110.)
Address
Printed Name and title, if any, of Bankruptcy Petition Preparer
A bankruptcy petition preparer’s failure to comply with the provisions of title11 and the Federal Rules of Bankruptcy Procedure may result in fines orimprisonment or both. 11 U.S.C. § 110; 18 U.S.C. § 156.
If more than one person prepared this document, attach additionalsheets conforming to the appropriate official form for each person.
Names and Social-Security numbers of all other individuals who preparedor assisted in preparing this document unless the bankruptcy petitionpreparer is not an individual.X
12/ 6/2012
Suite 600
465 Main Street
/s/ Robert J. Feldman
Signature of Debtor (Corporation/Partnership)
I declare under penalty of perjury that the information providedin this petition is true and correct, and that I have beenauthorized to file this petition on behalf of the debtor.
bankruptcy petition preparers, I have given the debtor notice of themaximum amount before preparing any document for filing for a debtoror accepting any fee from the debtor, as required in that section. OfficialForm 19 is attached.
The debtor requests the relief in accordance with the chapter oftitle 11, United States Code, specified in this petition.
and the notices and information required under 11 U.S.C. §§ 110(b), 110(h), and 342(b); and, (3) if rules or guidelines have been promulgatedpursuant to 11 U.S.C. § 110(h) setting a maximum fee for services
/s/ S. Dennis HolbrookSignature of Authorized Individual
S. Dennis HolbrookPrinted Name of Authorized Individual
Chief Legal OfficerTitle of Authorized Individual
12/ 6/2012Date
X
Signature of bankruptcy petition preparer or officer, principal,responsible person, or partner whose Social-Security number is provided
Date
*In a case in which § 707(b)(4)(D) applies, this signature alsoconstitutes a certification that the attorney has no knowledgeafter an inquiry that the information in the schedules is incorrect.
Case 1-12-13685-CLB Doc 1 Filed 12/06/12 Entered 12/06/12 15:53:36 Desc Main Document Page 4 of 36
B4 (Official Form 4) (12/07)
UNITED STATES BANKRUPTCY COURTWESTERN DISTRICT OF NEW YORK
WESTERN DIVISION
In re Norse Energy Corp. USAa Corporation
Case No.Chapter 11
Debtor(s),
LIST OF CREDITORS HOLDING 20 LARGEST UNSECURED CLAIMS
Following is the list of the debtor’s creditors holding the 20 largest unsecured claims. The list is prepared in accordancewith Fed. R. Bankr. P. 1007(d) for filing in this chapter 11 [or chapter 9] case. The list does not include (1) persons whocome within the definition of “insider” set forth in 11 U.S.C. § 101, or (2) secured creditors unless the value of thecollateral is such that the unsecured deficiency places the creditor among the holders of the 20 largest unsecuredclaims. If a minor child is one of the creditors holding the 20 largest unsecured claims, state the child's initials and thename and address of the child's parent or guardian, such as "A.B., a minor child, by John Doe, guardian." Do notdisclose the child's name. See, 11 U.S.C. §112 and Fed. R. Bankr. P. 1007(m).
Name of Creditor and CompleteMailing Address Including
Zip Code
Name, Telephone Number andComplete Mailing Address,
Including Zip Code, of Employee,Agent, or Department of Creditor
Familiar with Claim
Nature of Claim(Trade Debt,Bank Loan,
Indicate if Claimis Contingent,Unliquidated,Disputed, orSubject to
Setoff
Amount of Claim(If Secured AlsoState Value of
Security)Government
Who May Be ContactedContract, etc.)
1
Plymouth Resources, LLC
1025 W. Colonial Drive
Plymouth Resources, LLCAttn: Robert Strick1025 W. Colonial Drive
Phone: Lawsuit CUD
$ 19,000,000.00
Orlando FL 32804 Orlando FL 32804
2Bradford Drilling Assoc.688 Delaware AvenueBuffalo NY 14209
Bradford Drilling Assoc.688 Delaware AvenueBuffalo NY 14209
Phone: Contract work D $ 7,649,999.14
3Jordan Ashcraft and QuinnFitzpatrick358 Smith RoadEarlville NY 13332-0385
Jordan Ashcraft and QuinnFitzpatrick358 Smith RoadEarlville NY 13332-0385
Phone: Lawsuit C $ 2,500,000.00
4Styrker Energy, LLC6690 Beta Drive, Suite 214Cleveland OH 44143
Styrker Energy, LLC6690 Beta Drive, Suite 214Cleveland OH 44143
Phone: Lawsuit C $ 2,016,453.48
5Multi-Shot, LLC
P. O. Box 201567
Multi-Shot, LLCdba MS Energy Services
P. O. Box 201567
Phone: Trade Debt D $ 555,943.00
Dallas TX 75320-1567 Dallas TX 75320-1567
Page 1Case 1-12-13685-CLB Doc 1 Filed 12/06/12 Entered 12/06/12 15:53:36 Desc Main Document Page 5 of 36
B4 (Official Form 4) (12/07)
Debtor(s),
LIST OF CREDITORS HOLDING 20 LARGEST UNSECURED CLAIMS
Name of Creditor and CompleteMailing Address Including
Zip Code
Name, Telephone Number andComplete Mailing Address,
Including Zip Code, of Employee,Agent, or Department of Creditor
Familiar with Claim
Nature of Claim(Trade Debt,Bank Loan,
Indicate if Claimis Contingent,Unliquidated,Disputed, orSubject to
Setoff
Amount of Claim(If Secured AlsoState Value of
Security)Government
Who May Be ContactedContract, etc.)
6Braden Drilling LLCP. O. Box 547Buckhannon WV 26201
Braden Drilling LLCP. O. Box 547Buckhannon WV 26201
Phone: Trade Debt D $ 362,000.00
7Sandy Bonnell Pierce andDrew F. Piaschyk213-220 Pierce RoadPlymouth NY 13832
Sandy Bonnell Pierce andDrew F. Piaschyk213-220 Pierce RoadPlymouth NY 13832
Phone: Lawsuit C $ 250,000.00
8Stuart Loewenstein
158 Windermere Blvd.
Stuart LoewensteinLoewenstein Land & Cattle LLC
158 Windermere Blvd.
Phone: Lawsuit C $ 200,371.58
Buffalo NY 14226 Buffalo NY 14226
9
B. P. Oliverio, Esq.1300 Main Place TowerBuffalo NY 14202
B. P. Oliverio, Esq.1300 Main Place TowerBuffalo NY 14202
Phone: Trade Debt $ 24,176.25
10
Hiscock & Barclay, LLP50 Beaver StreetAlbany NY 12207
Hiscock & Barclay, LLP50 Beaver StreetAlbany NY 12207
Phone: Trade Debt $ 19,849.48
11
Digital Land ManagementCompany, LLC3216 Cumberland DriveEdmond OK 73034
Digital Land ManagementCompany, LLC3216 Cumberland DriveEdmond OK 73034
Phone: Lawsuit C $ 12,000.00
12
Reed Smith LLPP. O. Box 360074MPittsburgh PA 15251-6074
Reed Smith LLPP. O. Box 360074MPittsburgh PA 15251-6074
Phone: Trade Debt $ 8,754.50
13
Seneca Resources Corp.300 Essjay Road, Suite 150Buffalo NY 14221
Seneca Resources Corp.300 Essjay Road, Suite 150Buffalo NY 14221
Phone: Contract work S $ 7,706.30
Page 2Case 1-12-13685-CLB Doc 1 Filed 12/06/12 Entered 12/06/12 15:53:36 Desc Main Document Page 6 of 36
B4 (Official Form 4) (12/07)
Debtor(s),
LIST OF CREDITORS HOLDING 20 LARGEST UNSECURED CLAIMS
Name of Creditor and CompleteMailing Address Including
Zip Code
Name, Telephone Number andComplete Mailing Address,
Including Zip Code, of Employee,Agent, or Department of Creditor
Familiar with Claim
Nature of Claim(Trade Debt,Bank Loan,
Indicate if Claimis Contingent,Unliquidated,Disputed, orSubject to
Setoff
Amount of Claim(If Secured AlsoState Value of
Security)Government
Who May Be ContactedContract, etc.)
14Commonwealth of PAUnemploymentCompensation FundAltoona PA 16602
Commonwealth of PAUnemploymentCompensation FundAltoona PA 16602
Phone: Lawsuit C $ 5,680.33
15Penncomp, LLCP. O. Box 10570Houston TX 77206
Penncomp, LLCP. O. Box 10570Houston TX 77206
Phone: Trade Debt $ 3,411.14
16Commissioner of Tax &Finance
W. A. Harriman Campus, Rm.
Commissioner of Tax &FinanceNYS Department of Taxation
W. A. Harriman Campus, Rm.
Phone: Trade Debt $ 3,000.00
Albany NY 12227 Albany NY 12227
17
ERM Consulting &EngineeringP. O. Box 8500
ERM Consulting &EngineeringERM NE Lockbox 2691P. O. Box 8500
Phone: Trade Debt $ 2,861.81
Philadelphia PA 19178-2691 Philadelphia PA 19178-2691
18Somerset Production Co.,LLC338 Harris Hill Road, Ste.102Buffalo NY 14221
Somerset Production Co.,LLC338 Harris Hill Road, Ste.102Buffalo NY 14221
Phone: Contract work S $ 2,728.89
19Emkey Resources, LLC2501 Palermo Drive, Ste. BErie PA 16506
Emkey Resources, LLC2501 Palermo Drive, Ste. BErie PA 16506
Phone: Trade Debt $ 1,828.66
20Environmental SystemsFile 54630Los Angeles CA 90074-4630
Environmental SystemsFile 54630Los Angeles CA 90074-4630
Phone: Trade Debt $ 1,305.00
Page 3Case 1-12-13685-CLB Doc 1 Filed 12/06/12 Entered 12/06/12 15:53:36 Desc Main Document Page 7 of 36
B4 (Official Form 4) (12/07)
Debtor(s),
LIST OF CREDITORS HOLDING 20 LARGEST UNSECURED CLAIMS
DECLARATION UNDER PENALTY OF PERJURY ON BEHALF OF A CORPORATION
Date: 12/6/2012 SignatureS. Dennis Holbrook
Title: Chief Legal Officer
I, , S. Dennis Holbrook
they are true and correct to the best of my knowledge, information and belief.as debtor in this case, declare under penalty of perjury that I have read the foregoing List of Creditors Holding Twenty Largest Unsecured Claims and that
of theChief Legal Officer Corporation
Name:
named
/s/ S. Dennis Holbrook
Page 4Case 1-12-13685-CLB Doc 1 Filed 12/06/12 Entered 12/06/12 15:53:36 Desc Main Document Page 8 of 36
UNITED STATES BANKRUPTCY COURT
WESTERN DIVISIONWESTERN DISTRICT OF NEW YORK
In re Norse Energy Corp. USA, a CorporationChapter 11Case No.
Attorney for Debtor: Robert J. Feldman/ Debtor
VERIFICATION OF CREDITOR MATRIX
The above named Debtor(s) hereby verify that the attached list of creditors is true and correct to the
best of our knowledge.
Date:Debtor
12/ 6/2012 /s/ S. Dennis Holbrook
Case 1-12-13685-CLB Doc 1 Filed 12/06/12 Entered 12/06/12 15:53:36 Desc Main Document Page 9 of 36
Jeffrey Barrows1177 Hoben RoadOxford, NY 13830
Steve Bronder981 Wilamit DriveBethel Park, PA 15102
Richard Caporal631 Sagewood DriveVenetia, PA 15367
Adrian Carless753 Lafayette AvenueBuffalo, NY 14222
Cheri Cruz3556 Lake Shore Road, Suite 70Buffalo, NY 14219
S. Dennis Holbrook77 Walnut StreetEast Aurora, NY 14052
Ryan Holbrook77 Walnut StreetEast Aurora, NY 14052
Daniel Mandel1105 Island Woods DriveIndianapolis, IN 46220-1129
Paula Testrake7070 Webster RoadWestfield, NY 14787
A & P Water TestingP. O. Box 925Morrisville, NY 13408
Adler Tank RentalsP. O. Box 45081San Francisco, CA 94104
ADP, Inc.P. O. Box 7247-0372Philadelphia, PA 19170-0372
ADP, Inc.P. O. Box 842875Boston, MA 02284-2875
Adsit Septic & Grading7796 State Hwy. 12Sherburne, NY 13460
Case 1-12-13685-CLB Doc 1 Filed 12/06/12 Entered 12/06/12 15:53:36 Desc Main Document Page 10 of 36
ADT Security Services, Inc.P. O. Box 371967Pittsburgh, PA 15250-7967
Afton Central Schoolc/o NBT Bank N.A.P. O. Box 27, 182 Main St.Afton, NY 13730
AGCS Marine Insurance CompanyP. O. Box 0522Carol Stream, IL 60132-0522
Airgas East Inc.P. O. Box 827049Philadelphia, PA 19182-7049
Albrecht & Associates Inc.711 Louisiana, Suite 1600Pennzoil Place - South TowerHouston, TX 77002
Al-Kleen LLCP. O. Box 38540 South Main StreetEarlville, NY 13332-0385
Amegy Bank of TexasP. O. Box 27459Houston, TX 77227-9863
Amegy Bank of Texas4400 Post Oak ParkwaySuite 404Houston, TX 77027
American ExpressP. O. Box 1270Newark, NJ 07101-1270
Amy Jo Klein4066 Fuess Rd.Madison, NY 13402
Anchor Drilling Fluids2431 E. 61st Street, Ste. 710Tulsa, OK 74136
AP ProfessionalsP. O. Box 200820Pittsburgh, PA 15251-0820
Apache CorporationP. O. Box 840094Dallas, TX 75284-0094
Case 1-12-13685-CLB Doc 1 Filed 12/06/12 Entered 12/06/12 15:53:36 Desc Main Document Page 11 of 36
Apex Chemical Inc.P. O. Box 1626Kennedale, TX 76060
Appalachian ProductionServices Inc.P. O. Box 2406Abingdon, VA 24212
Ardent Resources, Inc.61 McMurray Road, Ste. 204Brookside Office Park TwoPittsburgh, PA 15241
AT&T MobilityP. O. Box 6463Carol Stream, IL 60197-6463
Avaya Financial ServicesP. O. Box 89Falconer, NY 14733
B & B Oilfield EquipmentP. O. Box 492Mount Pleasant, MI 48804-0492
B. P. Oliverio, Esq.1300 Main Place TowerBuffalo, NY 14202
Bankcard CenterP. O. Box 30833Salt Lake City, UT 84130-0833
Barbara E. Annesi157 County Rd. 32-ANorwich Town HallNorwich, NY 13815
Barrows Well Drilling & Pump ServiceP. O. Box 292Oxford, NY 13830
Blue Dot Energy ServicesL-3337Columbus, OH 43260
BOGO Energy Corporation13933 Quail Pointe Dr.Oklahoma City, OK 73134
BP America Production Company509 South BostonTulsa, OK 74103
Braden Drilling LLCP. O. Box 547Buckhannon, WV 26201
Case 1-12-13685-CLB Doc 1 Filed 12/06/12 Entered 12/06/12 15:53:36 Desc Main Document Page 12 of 36
Bradford Drilling Assoc. 688 Delaware AvenueBuffalo, NY 14209
Broome County Clerk44 Hawley Street, 3rd FloorBinghamton, NY 13901
Bucci, Bailey & Javins, L.C.Attn: Timothy C. Bailey, Esq.P. O. Box 3712Charleston, WV 25337
Buffalo Association of Prof. GeologistsP. O. Box 179Bowmansville, NY 14026-0179
Burke Pest Control Inc.P. O. Box 2014Binghamton, NY 13902
Todd Campbell679 County Road 21Smyrna, NY 13464
Carthage Software, Inc.202 Meadow Ridge CourtMcKees Rocks, PA 15136
Casella Waste Systems, Inc.P. O. Box 1372Williston, VT 05495-1372
Cattaraugus County Clerk303 Court StreetLittle Valley, NY 14755
Central Copier ServiceCentral Business285 Kenmore AvenueBuffalo, NY 14223
Central Plumbing & HeatingP. O. Box 719Oxford, NY 13830
Charles E. Bevins, Jr.Administrator of EstateRoute 4, Box 484-2Buckhannon, WV 26201
Chautauqua Abstract Co.P. O. Box AMayville, NY 14757
Chautauqua County Department3 North Erie StreetMayville, NY 14757-1007
Case 1-12-13685-CLB Doc 1 Filed 12/06/12 Entered 12/06/12 15:53:36 Desc Main Document Page 13 of 36
Chenango County Chamber of Commerce19 Eaton AvenueNorwich, NY 13815
Chenango County Clerk5 Court StreetNorwich, NY 13815
Chenango County Sheriffs DeputiesLaw EnforcementP. O. Box 422Norwich, NY 13815
Chenango County TreasurerReal Property5 Court StreetNorwich, NY 13815
Chenango Welding Supply, LLC5368 State Hwy. 12Norwich, NY 13815
Chesapeake Operating Inc.P. O. Box 18496Oklahoma City, OK 73154
Christman Motor Sales Inc.159-163 S. Broad StreetNorwich, NY 13815
Cimarex Energy Company, Inc.4031 Solutions CenterChicago, IL 60677-4000
Cintas CorporationP. O. Box 630910Cincinnati, OH 45263
City of Jamestown - Tax TreasurerP. O. Box 150Jamestown, NY 14702-0150
Clover Global Solutions16225 Parkten PlaceSuite 420Houston, TX 77084
Commissioner of Motor VehiclesREG Renewal Center207 Genesee StreetUtica, NY 13501-5899
Commissioner of Tax & FinanceNYS Department of TaxationW. A. Harriman Campus, Rm. 234Albany, NY 12227
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Commonwealth of PA UnemploymentCompensation Fund3303 Pleasant Valley BoulevardAltoona, PA 16602
Commonwealth of Pennsylvania400 Waterfront DrivePittsburgh, PA 15222-4745
Computer Solutions2005 West 8th StreetErie, PA 16505
Corporate InvestigationsCll Building #5002275 Swallow Hill Rd.Pittsburgh, PA 15220
Cortland County Clerk's Office46 Greenbush Street, Suite 105Cortland, NY 13045-3702
Crowe & Dunlevy P.C.20 North Broadway, Ste. 1800Oklahoma City, OK 73102-8273
Crystal Rock LLCP. O. Box 10028Waterbury, CT 06725-0028
CT CorporationP. O. Box 4349Carol Stream, IL 60197-4349
Curtis Lumber Company Inc.1056 County Road 23Sherburne, NY 13460
D & D ElectricP. O. Box 580Morrisville, NY 13408
D C Rauscher Inc.1622 NYS Rt. 414Waterloo, NY 13165
Dallas-Morris Drilling29 Morris LaneBradford, PA 16701
Damon Morey LLPAvant Building, Suite 1200200 Delaware AvenueBuffalo, NY 14202
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DCP Midstream, LP6120 S. YaleSuite 100Tulsa, OK 74136
Deborah L. Thomas Tax Collector51 Genesee StreetP. O. Box 129Greene, NY 13778-0432
Debra Fulcher1327 Ella PlaceHouston, TX 77008
Devon Energy Production Co. LP20 North BroadwayOklahoma City, OK 73102-8260
DFT CommunicationsP. O. Box 500Fredonia, NY 14063-0500
Dig Safely New York, Inc.P. O. Box 204Boston, NY 14025
Digital Land Management Company, LLC3216 Cumberland DriveEdmond, OK 73034
DISHDept. 0063Palatine, IL 60055-0063
Dominion Transmission, Inc.445 West Main StreetClarksburg, WV 26301
Dominion Transmission, Inc.P. O. Box 27403Richmond, VA 23261
Eastern States Sentinel Alarm Services I5647 Seneca StreetBuffalo, NY 14224
Eaton Office Supply180 John Glen DriveBuffalo, NY 14228
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Equity Holders
Norse Energy Corp. USA, a Corporation Case No.Chapter
WESTERN DIVISIONWESTERN DISTRICT OF NEW YORK
UNITED STATES BANKRUPTCY COURT
11In re
/ Debtor
Attorney for Debtor: Robert J. Feldman
LIST OF EQUITY SECURITY HOLDERS
Number Registered Name of Holder of Security Number ofShares
Class of Shares, Kind of Interest
Norse Energy Holdings, Inc.1 100% ownership of common shares
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LIST OF EQUITY SECURITY HOLDERS
DECLARATION UNDER PENALTY OF PERJURY ON BEHALF OF A CORPORATION
I,S. Dennis Holbrook Chief Legal Officer of the corporation
debtor in this case, declare under penalty of perjury that I have read the foregoing List of Equity Security Holders and that they are true and correct to thebest of my knowledge, information and belief.
Date: 12/ 6/2012 Signature:
S. Dennis HolbrookChief Legal Officer
Name:Title:
named as,
/s/ S. Dennis Holbrook
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Pursuant to Federal Rules of Bankruptcy Procedures 1007(a)(1) and 7007.1, the
undersigned corporation NORSE ENERGY CORP. USA certifies that:
The following is a complete and accurate list of corporation(s) that directly or indirectly
own(s) 10% or more of any class of its equity interests:
Norse Energy Holdings, Inc. 100%
Norse Energy Corp. ASA parent – owns 100% of Norse Energy
Holdings, Inc.
The undersigned corporation further acknowledges its duty to file a supplemental
statement promptly upon any change in circumstances that renders this Corporate Ownership
Statement inaccurate.
Dated: December 6, 2012 /s/ S. Dennis Holbrook
Norse Energy Corp. USA
By: S. Dennis Holbrook
Title: Chief Legal Officer
Doc # 379075.1
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UNITED STATES BANKRUPTCY COURTFOR THE DISTRICT OF
Case No.Chapter
In re
/ Debtor
STATEMENT REGARDING CORPORATE RESOLUTION
The undersigned is of , a corporation. On the following resolution was duly adopted by the of this corporation.
"WHEREAS, it is in the best interests of this corporation to file a voluntary petition in the United StatesBankruptcy Court pursuant to Chapter of Title 11 of the United States Code:
"NOW, THEREFORE, BE IT RESOLVED, that , of this corporation, be and hereby is, authorized and directed to execute and deliver all documents necessary to perfect the filing of a Chapter voluntary bankruptcycase in the United States Bankruptcy Court on behalf of the corporation; and
"BE IT FURTHER RESOLVED, that , of this corporation, be and hereby is, authorized and directed to appear in all such bankruptcy proceedings on behalf of the corporation, and to otherwise do and perform any and allacts and deeds and to execute and deliver all necessary documents on behalf of the corporation in connection withsaid bankruptcy proceedings; and
"BE IT FURTHER RESOLVED, that , of this corporation, be and hereby is, authorized and directed toemploy , Attorney and the law firm of , to represent the corporation in said bankruptcyproceedings."
DECLARATION UNDER PENALTY OF PERJURY ON BEHALF OF A CORPORATION
Date Signature
I, , of the corporation named as debtor in this case, declare under penalty of perjury that I have read theforegoing resolution and it is true and correct to the best of my knowledge, information, and belief.
11
11
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