Fortis Management Holdings, Inc. and Related Entities

Case No. 17-cv-5769

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Important Documents

Proof of Claim Form

DATE HIGHLIGHTS

July 12 2017
Commencement Date
October 16 2017 5:00 PM (CT)
Bar Date for Filing Claims

FILE A CLAIM VIA MAIL

IN THIS CASE, PROOFS OF CLAIM MUST BE FILED WITH THE MILWAUKEE COUNTY CIRCUIT COURT ON OR BEFORE OCTOBER 16, 2017. PROOFS OF CLAIM CANNOT BE FILED WITH AND WILL NOT BE ACCEPTED BY Prime Clerk LLC (now known as Kroll Restructuring Administration).

Bar Date for Filing Proofs of Claim

All creditors of Fortis are required by Order of the Circuit Court to file their verified claims with the Honorable Glenn H. Yamahiro, Milwaukee County Courthouse, 901 North Ninth Street, Milwaukee, Wisconsin 53233, on or before October 16, 2017. Those failing timely file their claim with the Court will be precluded from participating in any dividend in this matter.

Please click here to download the Proof of Claim form.

Completed proof of claim forms must be sent to the following address so that they are received on or before October 16, 2017:

Honorable Glenn H. Yamahiro
Milwaukee County Courthouse
901 North Ninth Street
Milwaukee, Wisconsin 53233

Please file proofs of claim, if any, via U.S. Mail or hand delivery with the Milwaukee County Circuit Court. Submission of claim forms to Prime Clerk LLC (now known as Kroll Restructuring Administration) or to the Milwaukee County Circuit Court via email and/or facsimile transmission is not permitted. You must file an originally executed proof of claim. If you would like a copy of your claim returned to you as proof of receipt, please enclose an additional copy and a self-addressed postage-paid envelope.

Privacy of Information Collected

The information requested on the proof of claim form is being collected for the purposes of facilitating a debtor’s voluntary petition for relief under the U.S. Bankruptcy Code and processing any claim you may have against the Debtors. Your proof of claim form must not contain medical records, complete social security numbers or tax identification numbers (only provide the last four digits), a complete birth date (only provide the year), the name of a minor (only provide the minor's initials) or a financial account number (only provide the last four digits of such financial account).

PLEASE REVIEW YOUR PROOF OF CLAIM AND SUPPORTING DOCUMENTS AND REDACT ACCORDINGLY PRIOR TO UPLOADING THEM. PROOFS OF CLAIM AND ATTACHMENTS ARE PUBLIC DOCUMENTS THAT WILL BE AVAILABLE FOR ANYONE TO VIEW ONLINE.

The information you provide on the proof of claim form will be retained by or on behalf of the Bankruptcy Court, the debtor and Kroll Restructuring Administration (formerly known as Prime Clerk) for as long as necessary for the purposes described above, as needed to resolve disputes or protect legal rights as they relate to such claim, or as otherwise required by law. Some or all of the information you provide on the proof of claim form will be displayed and/or accessible on the debtor’s case website hosted by Kroll Restructuring Administration pursuant to applicable law and/or court order. Additionally, such information may be shared with certain third parties affiliated with this matter in furtherance of the bankruptcy case and process. Although you may have certain rights relating to the information provided on the proof of claim form under certain laws, applicable law or court order may prohibit the amendment or erasure of such information once it is submitted, including information displayed and/or accessible at the case website.

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