Case 22-19361-MBK Doc 1 Filed 11/28/22 Entered 11/28/22 10:15:28 Desc Main
`Document Page 1 of 20
`
` Fill in this information to identify the case:
`
`United States Bankruptcy Court for the:
`
`New Jersey
`____________________ District of _________________
`(State)
`11
`Case number (If known): _________________________ Chapter _____
`
` Check if this is an
`amended filing
`
`Official Form 201
`Voluntary Petition for Non-Individuals Filing for Bankruptcy
`If more space is needed, attach a separate sheet to this form. On the top of any additional pages, write the debtor’s name and the case
`number (if known). For more information, a separate document, Instructions for Bankruptcy Forms for Non-Individuals, is available.
`
`06/22
`
`1. Debtor’s name
`
`BlockFi Inc.
`______________________________________________________________________________________________________
`
`2. All other names debtor used
`in the last 8 years
`Include any assumed names,
`trade names, and doing business
`as names
`
`N/A
`______________________________________________________________________________________________________
`______________________________________________________________________________________________________
`______________________________________________________________________________________________________
`______________________________________________________________________________________________________
`______________________________________________________________________________________________________
`
`3. Debtor’s federal Employer
`Identification Number (EIN)
`
` (cid:27) 2 2 3 (cid:28) 0 0 1 5
`___ ___ – ___ ___ ___ ___ ___ ___ ___
`
`4. Debtor’s address
`
`Principal place of business
`
`Mailing address, if different from principal place
`of business
`
`201 Montgomery Street, Suite 263
`______________________________________________
`Number
`Street
`
`_______________________________________________
`Number
`Street
`
`______________________________________________
`
`_______________________________________________
`P.O. Box
`
`Jersey City NJ 07302
`
`
`______________________________________________
`City
`State
`ZIP Code
`
`_______________________________________________
`City
`State
`ZIP Code
`
`Hudson
`______________________________________________
`County
`
`Location of principal assets, if different from
`principal place of business
`
`_______________________________________________
`Number
`Street
`
`_______________________________________________
`
`_______________________________________________
`City
`State
`ZIP Code
`
`5. Debtor’s website (URL)
`
`www.blockfi.com
`____________________________________________________________________________________________________
`
`Official Form 201
`
`Voluntary Petition for Non-Individuals Filing for Bankruptcy
`
`page 1
`
`

`

`Case 22-19361-MBK Doc 1 Filed 11/28/22 Entered 11/28/22 10:15:28 Desc Main
`Document Page 2 of 20
`
`Debtor
`
`BlockFi Inc.
`_______________________________________________________
`Name
`
`Case number (if known)_____________________________________
`
`6. Type of debtor
`
`(cid:59)
` Corporation (including Limited Liability Company (LLC) and Limited Liability Partnership (LLP))
` Partnership (excluding LLP)
` Other. Specify: __________________________________________________________________
`
`7. Describe debtor’s business
`
`A. Check one:
` Health Care Business (as defined in 11 U.S.C. § 101(27A))
` Single Asset Real Estate (as defined in 11 U.S.C. § 101(51B))
` Railroad (as defined in 11 U.S.C. § 101(44))
` Stockbroker (as defined in 11 U.S.C. § 101(53A))
` Commodity Broker (as defined in 11 U.S.C. § 101(6))
` Clearing Bank (as defined in 11 U.S.C. § 781(3))
`(cid:59)
` None of the above
`
`8. Under which chapter of the
`Bankruptcy Code is the
`debtor filing?
`
`A debtor who is a “small business
`debtor” must check the first sub-
`box. A debtor as defined in
`§ 1182(1) who elects to proceed
`under subchapter V of chapter 11
`(whether or not the debtor is a
`“small business debtor”) must
`check the second sub-box.
`
`B. Check all that apply:
` Tax-exempt entity (as described in 26 U.S.C. § 501)
` Investment company, including hedge fund or pooled investment vehicle (as defined in 15 U.S.C.
`§ 80a-3)
` Investment advisor (as defined in 15 U.S.C. § 80b-2(a)(11))
`
`C. NAICS (North American Industry Classification System) 4-digit code that best describes debtor. See
`http://www.uscourts.gov/four-digit-national-association-naics-codes .
`5 2 3 (cid:28)
`___ ___ ___ ___
`
`Check one:
` Chapter 7
` Chapter 9
`(cid:59)
` Chapter 11. Check all that apply:
` The debtor is a small business debtor as defined in 11 U.S.C. § 101(51D), and its
`aggregate noncontingent liquidated debts (excluding debts owed to insiders or
`affiliates) are less than $3,024,725. If this sub-box is selected, attach the most
`recent balance sheet, statement of operations, cash-flow statement, and federal
`income tax return or if any of these documents do not exist, follow the procedure in
`11 U.S.C. § 1116(1)(B).
` The debtor is a debtor as defined in 11 U.S.C. § 1182(1), its aggregate
`noncontingent liquidated debts (excluding debts owed to insiders or affiliates) are
`less than $7,500,000, and it chooses to proceed under Subchapter V of
`Chapter 11. If this sub-box is selected, attach the most recent balance sheet,
`statement of operations, cash-flow statement, and federal income tax return, or if
`any of these documents do not exist, follow the procedure in 11 U.S.C.
`§ 1116(1)(B).
` A plan is being filed with this petition.
` Acceptances of the plan were solicited prepetition from one or more classes of
`creditors, in accordance with 11 U.S.C. § 1126(b).
` The debtor is required to file periodic reports (for example, 10K and 10Q) with the
`Securities and Exchange Commission according to § 13 or 15(d) of the Securities
`Exchange Act of 1934. File the Attachment to Voluntary Petition for Non-Individuals Filing
`for Bankruptcy under Chapter 11 (Official Form 201A) with this form.
` The debtor is a shell company as defined in the Securities Exchange Act of 1934 Rule
`12b-2.
`
` Chapter 12
`
` Official Form 201
`
`Voluntary Petition for Non-Individuals Filing for Bankruptcy
`
`page 2
`
`

`

`Case 22-19361-MBK Doc 1 Filed 11/28/22 Entered 11/28/22 10:15:28 Desc Main
`Document Page 3 of 20
`
`Debtor
`
`BlockFi Inc.
`_______________________________________________________
`Name
`
`Case number (if known)_____________________________________
`
`9. Were prior bankruptcy cases
`filed by or against the debtor
`within the last 8 years?
`If more than 2 cases, attach a
`separate list.
`
`10. Are any bankruptcy cases
`pending or being filed by a
`business partner or an
`affiliate of the debtor?
`List all cases. If more than 1,
`attach a separate list.
`
`11. Why is the case filed in this
`district?
`
`(cid:59)
` No
` Yes. District _______________________ When _______________ Case number _________________________
`MM / DD / YYYY
`
`District _______________________ When _______________ Case number _________________________
`MM / DD / YYYY
`
` No
`See (cid:68)tt(cid:68)c(cid:75)ed (cid:53)ider
`(cid:59)
`Affiliate
` Yes. Debtor _____________________________________________ Relationship _________________________
`New Jersey
`11/28/2022
`District _____________________________________________ When
`__________________
`MM
`/ DD
`/ YYYY
`
`Case number, if known ________________________________
`
`Check all that apply:
`(cid:59)
` Debtor has had its domicile, principal place of business, or principal assets in this district for 180 days
`immediately preceding the date of this petition or for a longer part of such 180 days than in any other
`district.
`
`A bankruptcy case concerning debtor’s affiliate, general partner, or partnership is pending in this district.
`
`(cid:59)
`
`12. Does the debtor own or have
`possession of any real
`property or personal property
`that needs immediate
`attention?
`
` No
` Yes. Answer below for each property that needs immediate attention. Attach additional sheets if needed.
`Why does the property need immediate attention? (Check all that apply.)
`
` It poses or is alleged to pose a threat of imminent and identifiable hazard to public health or safety.
`What is the hazard? _____________________________________________________________________
` It needs to be physically secured or protected from the weather.
` It includes perishable goods or assets that could quickly deteriorate or lose value without
`attention (for example, livestock, seasonal goods, meat, dairy, produce, or securities-related
`assets or other options).
`
` Other _______________________________________________________________________________
`
`Where is the property?_____________________________________________________________________
`Number
`Street
`
`____________________________________________________________________
`_______________________________________
`_______ ________________
`City
`
`State ZIP Code
`
`
`Is the property insured?
` No
` Yes. Insurance agency ____________________________________________________________________
`
`Contact name
`
`____________________________________________________________________
`
`Phone
`
`________________________________
`
`
`
`Statistical and administrative information
`
` Official Form 201
`
`Voluntary Petition for Non-Individuals Filing for Bankruptcy
`
`page 3
`
`

`

`Case 22-19361-MBK Doc 1 Filed 11/28/22 Entered 11/28/22 10:15:28 Desc Main
`Document Page 4 of 20
`
`Debtor
`
`BlockFi Inc.
`_______________________________________________________
`Name
`
`Case number (if known)_____________________________________
`
`13. Debtor’s estimation of
`available funds
`
`Check one:
` Funds will be available for distribution to unsecured creditors.
` After any administrative expenses are paid, no funds will be available for distribution to unsecured creditors.
`
`14. Estimated number of
`creditors
`consolidated
`
`15. Estimated assets
`consolidated
`
`16. Estimated liabilities
`consolidated
`
` 1-49
` 50-99
` 100-199
` 200-999
`
` $0-$50,000
` $50,001-$100,000
` $100,001-$500,000
` $500,001-$1 million
`
` $0-$50,000
` $50,001-$100,000
` $100,001-$500,000
` $500,001-$1 million
`
` 1,000-5,000
` 5,001-10,000
` 10,001-25,000
`
` 25,001-50,000
` 50,001-100,000
` More than 100,000
`
` $1,000,001-$10 million
` $10,000,001-$50 million
` $50,000,001-$100 million
` $100,000,001-$500 million
`
` $1,000,001-$10 million
` $10,000,001-$50 million
` $50,000,001-$100 million
` $100,000,001-$500 million
`
` $500,000,001-$1 billion
` $1,000,000,001-$10 billion
` $10,000,000,001-$50 billion
` More than $50 billion
`
` $500,000,001-$1 billion
` $1,000,000,001-$10 billion
` $10,000,000,001-$50 billion
` More than $50 billion
`
`Request for Relief, Declaration, and Signatures
`
`WARNING -- Bankruptcy fraud is a serious crime. Making a false statement 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.
`
`17. Declaration and signature of
`authorized representative of
`debtor
`
`
`
`
`
`
`
`The debtor requests relief in accordance with the chapter of title 11, United States Code, specified in this
`petition.
`
`I have been authorized to file this petition on behalf of the debtor.
`
`I have examined the information in this petition and have a reasonable belief that the information is true and
`correct.
`
`I declare under penalty of perjury that the foregoing is true and correct.
`11 / 28 / 2022
`Executed on _________________
`MM
`/ DD / YYYY
`_____________________________________________
`
`Signature of authorized representative of debtor
`C(cid:75)ief (cid:40)(cid:91)ecuti(cid:89)e (cid:50)fficer
`Title _________________________________________
`
`(cid:61)(cid:68)c(cid:75)(cid:68)ry (cid:51)rince
`_______________________________________________
`Printed name
`
` Official Form 201
`
`Voluntary Petition for Non-Individuals Filing for Bankruptcy
`
`page 4
`
`

`

`Case 22-19361-MBK Doc 1 Filed 11/28/22 Entered 11/28/22 10:15:28 Desc Main
`Document Page 5 of 20
`
`Debtor
`
`BlockFi Inc.
`_______________________________________________________
`Name
`
`Case number (if known)_____________________________________
`
`18. Signature of attorney
`
`
`
`/s/ Michael D. Sirota /s/ Richard S. Kanowitz
`_____________________________________________
`Signature of attorney for debtor
`
`Date
`
`11/28/2022
`_________________
`MM
`/ DD / YYYY
`
`(cid:53)ic(cid:75)(cid:68)rd S. (cid:46)(cid:68)nowit(cid:93)
`Mic(cid:75)(cid:68)el (cid:39). Sirot(cid:68)
`__________________________________________________________________
`Printed name
`H(cid:68)ynes (cid:68)nd Boone, (cid:47)(cid:47)(cid:51)
`Cole Sc(cid:75)ot(cid:93) (cid:51).C.
`___________________________________________________________________
`Firm name
`10112
`30 (cid:53)ockefeller (cid:51)l(cid:68)(cid:93)(cid:68), 26t(cid:75) Floor, New (cid:60)ork, N(cid:60)
`25 M(cid:68)in Street
`_________________________________________________________________________________________________
`Number
`Street
`07601
`H(cid:68)ckens(cid:68)ck
`NJ
`____________________________________________________ ____________ ______________________________
`City
`State
`ZIP Code
`msirot(cid:68)(cid:35)colesc(cid:75)ot(cid:93).com
`ric(cid:75)(cid:68)rd.k(cid:68)nowit(cid:93)(cid:35)(cid:75)(cid:68)ynesboone.com
` __________________________________________
`Email address
`
`(cid:11)201(cid:12) (cid:23)(cid:27)(cid:28)(cid:16)3000
`____________________________________
`Contact phone
`
`01(cid:23)321(cid:28)(cid:27)6 (cid:11)Sirot(cid:68)(cid:12)(cid:30) 0(cid:23)7(cid:28)11(cid:28)(cid:28)2 (cid:11)(cid:46)(cid:68)nowit(cid:93)(cid:12)
`______________________________________ ____________
`Bar number
`
`New Jersey
`State
`
` Official Form 201
`
`Voluntary Petition for Non-Individuals Filing for Bankruptcy
`
`page 5
`
`

`

`Case 22-19361-MBK Doc 1 Filed 11/28/22 Entered 11/28/22 10:15:28 Desc Main
`Document Page 6 of 20
`
`RIDER 1
`
`Pending Bankruptcy Cases Filed by the Debtor and Affiliates of the Debtor
`
`On the date hereof, each of the entities listed below (collectively, the “Debtors”) filed a
`petition in the United States Bankruptcy Court for the District of New Jersey for relief under
`chapter 11 of title 11 of the United States Code. The Debtors have moved for joint administration
`of these cases under the case number assigned to the chapter 11 case of BlockFi Inc.
`
`BlockFi Inc.
`
`BlockFi Trading LLC
`
`BlockFi Lending LLC
`
`BlockFi Wallet LLC
`
`BlockFi Ventures LLC
`
`BlockFi International Ltd.
`
`BlockFi Investment Products LLC
`
`BlockFi Services, Inc.
`
`BlockFi Lending II LLC
`
`

`

`Case 22-19361-MBK Doc 1 Filed 11/28/22 Entered 11/28/22 10:15:28 Desc Main
`Document Page 7 of 20
` Fill in this information to identify the case and this filing:
`
`BlockFi Inc.
`Debtor Name __________________________________________________________________
`New Jersey
`United States Bankruptcy Court for the: ______________________ District of __________
`(State)
`22-
`Case number (If known): _________________________
`
`Official Form 202
`Declaration Under Penalty of Perjury for Non-Individual Debtors
`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.
`
`12/15
`
`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)
`List of Equity Security Holders and Statement of Corporate Ownership
`
` Other document that requires a declaration__________________________________________________________________________________
`
`I declare under penalty of perjury that the foregoing is true and correct.
`
`11/28/2022
`Executed on ______________
`MM / DD / YYYY
`
`_________________________________________________________________________
`
`Signature of individual signing on behalf of debtor
`
`Zachary Prince
`________________________________________________________________________
`Printed name
`Chief Executive Officer
`______________________________________
`Position or relationship to debtor
`
`Official Form 202
`
`Declaration Under Penalty of Perjury for Non-Individual Debtors
`
`

`

`Case 22-19361-MBK Doc 1 Filed 11/28/22 Entered 11/28/22 10:15:28 Desc Main
`Document Page 8 of 20
`
`Fill in this information to identify the case:
`Debtor name: BlockFi Inc., et al.
`United States Bankruptcy Court for the:  District of New Jersey
`Case number (if known):  ________________
`
`Official Form 204
`
`□ Check if this is an amended filing
`
`Chapter 11 or Chapter 9:  List of Creditors Who Have the 50 Largest Unsecured Claims and Are Not Insiders
`
`12/15
`
`A list of creditors holding the 50 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 50 largest unsecured claims.
`
`Name of creditor and complete mailing 
`address, including zip code
`
`Name, telephone number, and email 
`address of creditor contact
`
`Nature of the claim
`(for example, trade debts, 
`bank loans, professional 
`services, and government 
`contracts)
`
`Indicate if 
`claim is 
`contingent, 
`unliquidated, 
`or disputed 1
`
`Amount of unsecured claim
`If the claim is fully unsecured, fill in only unsecured claim 
`amount. If claim is partially secured, fill in total claim 
`amount and deduction for value of collateral or setoff to 
`calculate unsecured claim.
`
`Total claim, if 
`partially secured
`
`Deduction for value 
`of collateral or 
`setoff
`
`Unsecured Claim
`
`1
`
`2
`
`Ankura Trust Company, LLC, as Trustee for the 
`Indenture dated as of February 28, 2022
`James J. McGinley
`140 Sherman Street, 4th Floor
`Fairfield, CT 06824
`
`Ankura Trust Company, LLC, as Trustee for 
`the Indenture dated as of February 28, 2022
`James J. McGinley
`PHONE: 203‐319‐6900
`EMAIL: james.mcginley@ankura.com
`
`Indenture 
`
`West Realm Shires Inc. (FTX US)
`John J. Ray III
`3500 South Dupont Highway
`Dover, DE 19901
`
`West Realm Shires Inc. (FTX US)
`John J. Ray III
`
`Loan
`
`Client
`
`3
`
`Name and Address on File
`
`Information on File
`
`4
`
`Securities & Exchange Commission
`Hane Kim
`Brookfield Place
`200 Vesey Street, Suite 400
`New York, NY 10281‐1022
`
`Securities & Exchange Commission
`Hane Kim
`PHONE: 212‐336‐1088
`EMAIL: kimha@SEC.GOV
`
`Settlement
`
`5
`
`Name and Address on File
`
`Information on File
`
`6
`
`Name and Address on File
`
`Information on File
`
`7
`
`Name and Address on File
`
`Information on File
`
`8
`
`Name and Address on File
`
`Information on File
`
`9
`
`Name and Address on File
`
`Information on File
`
`10 Name and Address on File
`
`Information on File
`
`Client
`
`Client
`
`Client
`
`Client
`
`Client
`
`Client
`
`1 As of the Petition Date, an analysis of whether the foregoing claims are contingent, unliquidated or disputed has not been completed
`
`$729,036,246.00
`
`$275,000,000.00
`
`$48,561,400.00
`
`$30,000,000.00
`
`$27,930,663.00
`
`$25,531,937.00
`
`$16,450,930.00
`
`$10,092,477.00
`
`$9,130,266.00
`
`$6,500,000.00
`
`

`

`Name of creditor and complete mailing 
`address, including zip code
`
`Case 22-19361-MBK Doc 1 Filed 11/28/22 Entered 11/28/22 10:15:28 Desc Main
`Debtor: BlockFi Inc., et al.
`Case number (if known) __________
`Document Page 9 of 20
`Name, telephone number, and email 
`Nature of the claim
`Indicate if 
`address of creditor contact
`(for example, trade debts, 
`claim is 
`bank loans, professional 
`contingent, 
`services, and government 
`unliquidated, 
`contracts)
`or disputed 1
`
`Amount of unsecured claim
`If the claim is fully unsecured, fill in only unsecured claim 
`amount. If claim is partially secured, fill in total claim 
`amount and deduction for value of collateral or setoff to 
`calculate unsecured claim.
`
`11 Name and Address on File
`
`Information on File
`
`12 Name and Address on File
`
`Information on File
`
`13 Name and Address on File
`
`Information on File
`
`14 Name and Address on File
`
`Information on File
`
`15 Name and Address on File
`
`Information on File
`
`16 Name and Address on File
`
`Information on File
`
`17 Name and Address on File
`
`Information on File
`
`18 Name and Address on File
`
`Information on File
`
`19 Name and Address on File
`
`Information on File
`
`20 Name and Address on File
`
`Information on File
`
`21 Name and Address on File
`
`Information on File
`
`22 Name and Address on File
`
`Information on File
`
`23 Name and Address on File
`
`Information on File
`
`Client
`
`Client
`
`Client
`
`Client
`
`Client
`
`Client
`
`Client
`
`Client
`
`Client
`
`Client
`
`Client
`
`Client
`
`Client
`
`Total claim, if 
`partially secured
`
`Deduction for value 
`of collateral or 
`setoff
`
`Unsecured Claim
`
`$6,416,732.00
`
`$6,264,675.00
`
`$6,042,827.00
`
`$5,713,322.00
`
`$5,500,232.00
`
`$5,482,181.00
`
`$5,000,000.00
`
`$4,670,469.00
`
`$3,995,213.00
`
`$3,290,438.00
`
`$3,290,186.00
`
`$3,092,832.00
`
`$3,084,390.00
`
`Official Form 204
`
`Chapter 11 or Chapter 9 Cases:  List of Creditors Who Have the 50 Largest Unsecured Claims
`
`Page 2
`
`

`

`Name of creditor and complete mailing 
`address, including zip code
`
`Case 22-19361-MBK Doc 1 Filed 11/28/22 Entered 11/28/22 10:15:28 Desc Main
`Debtor: BlockFi Inc., et al.
`Case number (if known) __________
`Document Page 10 of 20
`Name, telephone number, and email 
`Nature of the claim
`Indicate if 
`address of creditor contact
`(for example, trade debts, 
`claim is 
`bank loans, professional 
`contingent, 
`services, and government 
`unliquidated, 
`contracts)
`or disputed 1
`
`Amount of unsecured claim
`If the claim is fully unsecured, fill in only unsecured claim 
`amount. If claim is partially secured, fill in total claim 
`amount and deduction for value of collateral or setoff to 
`calculate unsecured claim.
`
`24 Name and Address on File
`
`Information on File
`
`25 Name and Address on File
`
`Information on File
`
`26 Name and Address on File
`
`Information on File
`
`27 Name and Address on File
`
`Information on File
`
`28 Name and Address on File
`
`Information on File
`
`Client
`
`Client
`
`Client
`
`Client
`
`Client
`
`Total claim, if 
`partially secured
`
`Deduction for value 
`of collateral or 
`setoff
`
`Unsecured Claim
`
`$2,733,625.00
`
`$2,618,909.00
`
`$2,600,000.00
`
`$2,527,023.00
`
`$2,385,343.00
`
`29 Name and Address on File
`
`Information on File
`
`Institutional Loans
`
`$21,670,000.00
`
`$19,405,815.00
`
`$2,264,185.00
`
`30 Name and Address on File
`
`Information on File
`
`31 Name and Address on File
`
`Information on File
`
`Client
`
`Client
`
`32 Name and Address on File
`
`Information on File
`
`Client
`
`33 Name and Address on File
`
`Information on File
`
`Client
`
`34 Name and Address on File
`
`Information on File
`
`Client
`
`35 Name and Address on File
`
`Information on File
`
`36 Name and Address on File
`
`Information on File
`
`Client
`
`Client
`
`$2,195,060.00
`
`$2,028,277.00
`
`$1,799,293.00
`
`$1,769,481.00
`
`$1,693,730.00
`
`$1,680,488.00
`
`$1,647,320.00
`
`Official Form 204
`
`Chapter 11 or Chapter 9 Cases:  List of Creditors Who Have the 50 Largest Unsecured Claims
`
`Page 3
`
`

`

`Name of creditor and complete mailing 
`address, including zip code
`
`Case 22-19361-MBK Doc 1 Filed 11/28/22 Entered 11/28/22 10:15:28 Desc Main
`Debtor: BlockFi Inc., et al.
`Case number (if known) __________
`Document Page 11 of 20
`Name, telephone number, and email 
`Nature of the claim
`Indicate if 
`address of creditor contact
`(for example, trade debts, 
`claim is 
`bank loans, professional 
`contingent, 
`services, and government 
`unliquidated, 
`contracts)
`or disputed 1
`
`Amount of unsecured claim
`If the claim is fully unsecured, fill in only unsecured claim 
`amount. If claim is partially secured, fill in total claim 
`amount and deduction for value of collateral or setoff to 
`calculate unsecured claim.
`
`37 Name and Address on File
`
`Information on File
`
`38 Name and Address on File
`
`Information on File
`
`39 Name and Address on File
`
`Information on File
`
`40 Name and Address on File
`
`Information on File
`
`41 Name and Address on File
`
`Information on File
`
`42 Name and Address on File
`
`Information on File
`
`Client
`
`Client
`
`Client
`
`Client
`
`Client
`
`Client
`
`43 Name and Address on File
`
`Information on File
`
`Client
`
`44 Name and Address on File
`
`Information on File
`
`45 Name and Address on File
`
`Information on File
`
`46 Name and Address on File
`
`Information on File
`
`47 Name and Address on File
`
`Information on File
`
`48 Name and Address on File
`
`Information on File
`
`49 Name and Address on File
`
`Information on File
`
`Client
`
`Client
`
`Client
`
`Client
`
`Client
`
`Client
`
`Total claim, if 
`partially secured
`
`Deduction for value 
`of collateral or 
`setoff
`
`Unsecured Claim
`
`$1,646,355.00
`
`$1,630,590.00
`
`$1,535,700.00
`
`$1,471,911.00
`
`$1,454,081.00
`
`$1,398,077.00
`
`$1,354,519.00
`
`$1,253,815.00
`
`$1,201,448.00
`
`$1,100,609.00
`
`$1,046,888.00
`
`$1,042,364.00
`
`$1,000,189.00
`
`Official Form 204
`
`Chapter 11 or Chapter 9 Cases:  List of Creditors Who Have the 50 Largest Unsecured Claims
`
`Page 4
`
`

`

`Name of creditor and complete mailing 
`address, including zip code
`
`Case 22-19361-MBK Doc 1 Filed 11/28/22 Entered 11/28/22 10:15:28 Desc Main
`Debtor: BlockFi Inc., et al.
`Case number (if known) __________
`Document Page 12 of 20
`Name, telephone number, and email 
`Nature of the claim
`Indicate if 
`address of creditor contact
`(for example, trade debts, 
`claim is 
`bank loans, professional 
`contingent, 
`services, and government 
`unliquidated, 
`contracts)
`or disputed 1
`
`Amount of unsecured claim
`If the claim is fully unsecured, fill in only unsecured claim 
`amount. If claim is partially secured, fill in total claim 
`amount and deduction for value of collateral or setoff to 
`calculate unsecured claim.
`
`50 Name and Address on File
`
`Information on File
`
`Client
`
`$999,650.00
`
`Total claim, if 
`partially secured
`
`Deduction for value 
`of collateral or 
`setoff
`
`Unsecured Claim
`
`Official Form 204
`
`Chapter 11 or Chapter 9 Cases:  List of Creditors Who Have the 50 Largest Unsecured Claims
`
`Page 5
`
`

`

`Case 22-19361-MBK Doc 1 Filed 11/28/22 Entered 11/28/22 10:15:28 Desc Main
`Document Page 13 of 20
`
`B2030 (Form 2030) (12/15)
`
`
`
`
`
`
`In re
`
`
`BlockFi Inc.
`
`Debtor
`
`
`
`United States Bankruptcy Court
`
`New Jersey
`_______________ District Of _______________
`
`22-
`Case No. ___________________
`
`11
`Chapter ____________________
`
`DISCLOSURE OF COMPENSATION OF ATTORNEY FOR DEBTOR
`
`
`
`
`
`
`
`
`
`
`
`
`1. Pursuant to 11 U .S.C. § 329(a) and Fed. Bankr. P. 2016(b), I certify that I am the attorney for the above
`named debtor(s) and that compensation paid to me within one year before the filing of the petition in
`bankruptcy, or agreed to be paid to me, for services rendered or to be rendered on behalf of the debtor(s) in
`contemplation of or in connection with the bankruptcy case is as follows:
`
`100,000 (retainer)
`For legal services, I have agreed to accept . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $______________
`
`Prior to the filing of this statement I have received . . . . . . . . . . . . . . . . . . . . . . . . $______________
`85,852.50*
`
`
`
`
`
`
`
`
`2. The source of the compensation paid to me was:
`
`
`0.00
`Balance Due . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $______________
`* In addition to the above-referenced $85,852.50
`in compensation for services rendered prior to
`the Petition Date, Cole Schotz has received
`$1,738 in chapter 11 filing fees for this debtor,
`and $1,738 in chapter 11 filing fees for each of
`this debtor's affiliated debtors and debtors in
`possession.
`
` Debtor
`
`
`
` Other (specify)
`
` X
`
`3. The source of compensation to be paid to me is:
`
`
`X
`
` Debtor
`
`
`
` Other (specify)
`
`X
` I have not agreed to share the above-disclosed compensation with any other person unless they are
`members and associates of my law firm.
`
`
`4.
`
`
`
`
`
`
`
`
`
` I have agreed to share the above-disclosed compensation with a other person or persons who are not
`members or associates of my law firm. A copy of the agreement, together with a list of the names of the
`people sharing in the compensation, is attached.
`
`
`5. In return for the above-disclosed fee, I have agreed to render legal service for all aspects of the bankruptcy
`case, including:
`
`a. Analysis of the debtor' s financial situation, and rendering advice to the debtor in determining whether to
`file a petition in bankruptcy;
`
`b. Preparation and filing of any petition, schedules, statements of affairs and plan which may be required;
`
`c. Representation of the debtor at the meeting of creditors and confirmation hearing, and any adjourned
`hearings thereof;
`
`

`

`Case 22-19361-MBK Doc 1 Filed 11/28/22 Entered 11/28/22 10:15:28 Desc Main
`Document Page 14 of 20
`
`
`B2030 (Form 2030) (12/15)
`
`
`
`d. Representation of the debtor in adversary proceedings and other contested bankruptcy matters;
`
`
`
`e.
`
`[Other provisions as needed]
`See retention papers.
`
`None.
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`6. By agreement with the debtor(s), the above-disclosed fee does not include the following services:
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`CERTIFICATION
`
` I certify that the foregoing is a complete statement of any agreement or arrangement for payment to
`me for representation of the debtor(s) in this bankruptcy proceeding.
`
`11/28/2022
`
`
`/s/ Michael D. Sirota
`______________________
`Date Signature of Attorney
`
`
`
`
`
`Cole Schotz P.C.
`
` Name of law firm
`
`
`
`
`

`

`Case 22-19361-MBK Doc 1 Filed 11/28/22 Entered 11/28/22 10:15:28 Desc Main
`Document Page 15 of 20
`
`B2030 (Form 2030) (12/15)
`
`United States Bankruptcy Court
`New Jersey
`_______________ District Of _______________
`
`In re
`
`BlockFi Inc.
`Debtor
`
`
`22-
`Case No. ___________________
`11
`Chapter ____________________
`
`DISCLOSURE OF COMPENSATION OF ATTORNEY FOR DEBTOR
`
`1. Pursuant to 11 U .S.C. § 329(a) and Fed. Bankr. P. 2016(b), I certify that I am the attorney for the above
`named debtor(s) and that compensation paid to me within one year before the filing of the petition in
`bankruptcy, or agreed to be paid to me, for services rendered or to be rendered on behalf of the debtor(s) in
`contemplation of or in connection with the bankruptcy case is as follows:
`
`For legal services, I have agreed to accept . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $______________
`750,000 (retainer)
`
`(cid:15)(cid:28)(cid:19)(cid:23)(cid:15)(cid:24)(cid:21)(cid:28)(cid:17)(cid:19)(cid:22)
`Prior to the filing of this statement I have received . . . . . . . . . . . . . . . . . . . . . . . . $______________
`
`Balance Due . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $______________
`
`0(cid:20)
`
`2. The source of the compensation paid to me was:
`
` Debtor
`
` Other (specify)
`
`3. The source of compensation to be