Case 18-18264-MAM Doc 3 Filed 07/09/18 Page 1 of 4

Case 18-18264-MAM Doc 3 Filed 07/09/18 Page 2 of 4

Fill in this information to identify the case:

Debtor name H2O Bagel Parkland, LLC
United States Bankruptcy Court for the: SOUTHERN DISTRICT OF Check if this is an
FLORIDA
Case number (if known): 18-18264 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
American Fence Instalation $3,500.00
Corp. exterior fence on
1440 Coral Ridge Dr. patios
Pompano Beach, FL
33071
Brem Parkland c/o 7679 N SR7, $3,200.00
CREC Parkland, FL
2121 Ponce De Leon
Blvd. S 1250
Coral Gables, FL
33134
Brem Parkland c/o Lease - 25 years $0.00
CREC ($3,200 per
2121 Ponce De Leon month)
Blvd. S 1250
Coral Gables, FL
33134
Brooklyn Water License $0.00
Enterprises
1450 SW 10th St.,
Bld. B52
Delray, FL
Cheney Brothers Food and paper $9,955.27
Inc. goods
One Cheney Way
Riviera, FL 33404
Coca-Cola soda $0.00
1 Cola Plaza NW
Atlanta, GA 30313
Comcast 3 year contract $7,920.00
141 NW 16th St. (phone and
Pompano Beach, FL internet)
33060 $264 for 30
months

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

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy
 Case 18-18264-MAM Doc 3 Filed 07/09/18 Page 3 of 4

Debtor H2O Bagel Parkland, LLC Case number (if known) 18-18264
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
First Data Merchant Merchant $800.69
Services Processing
1600 Terrell Mill Rd. Agreement
SE
Suite 400
Marietta, GA 30067
Florida Department For Information Unknown
of Revenue Purposes
P.O. Box 6668
Tallahassee, FL
32314-6668
FPL Electric $2,079.55
General Mail Facility
Miami, FL 33188
Great Patriot Contractor $54,193.55
Construction
Services
1000 Holland Dr.,
Suite 11
Boca Raton, FL
33487
Internal Revenue For Information Unknown
Service Purposes
Attn: Special
Procedures
P.O. Box 34045
Stop 572
Jacksonville, FL
32202
Internal Revenue For Information Unknown
Service Purposes
P.O. Box 7346
Philadelphia, PA
19114
Mirabito Natural Gas Gas provider $560.74
1801 S. Perimeter
Rd. S130
Fort Lauderdale, FL
33309
Oracle Service for point $2,050.48
500 Oracle Parkway of sales system
Redwood City, CA
94065
Paradise Bank Loan $4,800,000.00 $295,000.00 $4,505,000.00
2424 N. Federal
Highway
Boca Raton, FL
33431
Print Basics Printing, menu $1,000.00
1059 SW 30th St. boards and menu
Deerfield Beach, FL
33442

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

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy
 Case 18-18264-MAM Doc 3 Filed 07/09/18 Page 4 of 4

Debtor H2O Bagel Parkland, LLC Case number (if known) 18-18264
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
Project Classic, LLC Sub contractor of $850.00
7318 Texas Trail architect for
Boca Raton, FL structural design
33487 review
Ram Sheet Metal Stainless steel $3,500.00
837 SE 1st Way Fabrications
Deerfield Beach, FL
33441
SkipJack Finance Co. for $3,700.00
10150 York Rd., 5th General liability
Floor and property
Hunt Valley, MD
21030

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

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy