united states bankruptcy court voluntary petition … lists/ccrch11...eastern district of new york...

B1 (Official Form 1) (4/10)

CCR Sheet Metal, Inc.Name of Debtor (if individual, enter Last, First, Middle): Name of Joint Debtor (Spouse) (Last, First, Middle):

Voluntary Petition

Eastern District of New YorkUnited States Bankruptcy Court

All Other Names used by the Joint Debtor in the last 8 yearsAll Other Names used by the Debtor in the last 8 years(include married, maiden, and trade names): (include married, maiden, and trade names):

Last four digits of Soc. Sec. or Individual-Taxpayer I.D. (ITIN)/Complete EIN(if more than one, state all): 20-8022261

Last four digits of Soc. Sec. or Individual-Taxpayer I.D. (ITIN)/Complete EIN(if more than one, state all):

Street Address of Debtor (No. & Street, City, and State):513 Porter AvenueBrooklyn NY

Street Address of Joint Debtor (No. & Street, City, and State):

ZIP CODE ZIP CODE11237County of Residence or of the Principal Place of Business: County of Residence or of the Principal Place of Business:Kings

Mailing Address of Joint Debtor (if different from street address):Mailing Address of Debtor (if different from street address):

ZIP CODE ZIP CODE

Location of Principal Assets of Business Debtor (if different from street address above):

11237ZIP CODE513 Porter Avenue, Brooklyn, New York

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Chapter 13

Chapter 12

Chapter 9

Chapter 11

Chapter 7

Chapter 15 Petition for Recognition of a Foreign Nonmain Proceeding

Chapter 15 Petition forRecognition of a Foreign Main Proceeding

Chapter of Bankruptcy Code Under Whichthe Petition is Filed (Check one box)

Nature of Business(Check one box)

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Other

Health Care BusinessSingle Asset Real Estate as defined in 11 U.S.C. § 101(51B)

Clearing Bank

Commodity BrokerStockbrokerRailroad

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Type of Debtor

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See Exhibit D on page 2 of this form.

Other (If debtor is not one of the above entities, check this box and state type of entity below.) _____________________

PartnershipCorporation (includes LLC and LLP)

Individual (includes Joint Debtors)

(Check one box.)(Form of Organization)

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Nature of Debts(Check one box)

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Tax-Exempt Entity(Check box, if applicable)

Debts are primarily business debts.

�Debts are primarily consumerdebts, defined in 11 U.S.C.§ 101(8) as “incurred by anindividual primarily for apersonal, family, or house-hold purpose.”

Debtor is a tax-exempt organization under Title 26 of the United States Code (the Internal Revenue Code.)

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Filing Fee (Check one box)

Full Filing Fee attached

Filing Fee to be paid in installments (applicable to individuals only). Must attachsigned application for the court's consideration certifying that the debtor isunable to pay fee except in installments. Rule 1006(b) See Official Form 3A.

Debtor is a small business debtor as defined in 11 U.S.C. § 101(51D).

Debtor is not a small business debtor as defined in 11 U.S.C. § 101(51D).�

Check one box:

Check if:Debtor's aggregate noncontingent liquidated debts (excluding debts owed toinsiders or affiliates) are less than $2,343,300 (amount subject to adjustment on 4/01/13 and every three years thereafter).Filing Fee waiver requested (applicable to chapter 7 individuals only). Must

attach signed application for the court's consideration. See Official Form 3B.

Chapter 11 Debtors

Check all applicable boxesA plan is being filed with this petitionAcceptances of the plan were solicited prepetition from one or more classesof creditors, in accordance with 11 U.S.C. § 1126(b).

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Statistical/Administrative Information

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Debtor estimates that funds will be available for distribution to unsecured creditors.Debtor estimates that, after any exempt property is excluded and administrative

THIS SPACE IS FOR COURT USE ONLY

expenses paid, there will be no funds available for distribution to unsecured creditors.

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$50,001 to $100,000

$0 to$50,000

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$100,001 to $500,000

�$500,001 to$1million

��$1,000,001 to $10 million

� � � � �$10,000,001 to $50 million

$50,000,001 to $100 million

$100,000,001 to $500 million

$500,000,001 to $1 billion

More than $1 billion

Estimated Liabilities

�$50,001 to $100,000

$50,000,001 to $100 million

$100,000,001 to $500 million

$0 to$50,000

Estimated Assets� � � � � � � � � �

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Over100,000

50,001-100,000

25,001-50,000

10,001-25,000

5,001-10,000

1,000-5,000

200-999

100-199

50-99

1-49

$100,001 to $500,000

$1,000,001 to $10 million

$500,001 to$1million

$10,000,001 to $50 million

$500,000,001 to $1 billion

More than $1 billion

Estimated Number of Creditors

Case 1-12-41811-ess Doc 1 Filed 03/14/12 Entered 03/14/12 14:33:28

FORM B1, B1 (Official Form 1) (4/10)

Voluntary Petition Name of Debtor(s):(This page must be completed and filed in every case) CCR Sheet Metal, Inc.

NONE

All Prior Bankruptcy Cases Filed Within Last 8 Years (If more than two, attach additional sheet.)

Case Number: Date Filed:LocationWhere Filed:

LocationWhere Filed:

Case Number: Date Filed:

Pending Bankruptcy Case Filed by any Spouse, Partner or Affiliate of this Debtor (If more than one, attach additional sheet)

Judge:

Name of Debtor: Case Number: Date Filed:

Relationship:District:Craig

3/2/2012

EDNY-BK Officer

12-41556 (CH 7)Krzysztof Majchrzak

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Exhibit A

Exhibit A is attached and made a part of this petition.

(To be completed if debtor is required to file periodic reports (e.g., forms 10K and10Q) 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.)

Not Applicable

have informed the petitioner that [he or she] may proceed under chapter 7, 11,I, the attorney for the petitioner named in the foregoing petition, declare that I

whose debts are primarily consumer debts)(To be completed if debtor is an individual

Exhibit B

available under each such chapter. I further certify that I have delivered to the12, or 13 of title 11, United States Code, and have explained the relief

X

debtor the notice required by 11 U.S.C. § 342(b).

DateSignature of Attorney for Debtor(s)

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Yes, and Exhibit C is attached and made a part of this petition.

No�

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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 or safety?

Exhibit C

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 a part of this petition.

If this is a joint petition:

Exhibit D also completed and signed by the joint debtor is attached and made a part of this petition.

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Landlord has a judgment against the debtor for possession of debtor's residence. (If box checked, complete the following).

Certification by a Debtor Who Resides as a Tenant of Residential Property (Check all applicable boxes.)

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 no principal place of business or assets in the United States but is a defendant in an action or proceeding [in a federal or state court] in this District, or the interests of the parties will be served in regard to the relief sought in this District.

There is a bankruptcy case concerning debtor's affiliate. general partner, or partnership pending in this District.

Debtor has been domiciled or has had a residence, 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.

(Check any applicable box)Information Regarding the Debtor - Venue

(Name of landlord that obtained judgment)

Debtor has included in this petition the deposit with the court of any rent that would become due during the 30-day period after the filing of the petition.

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

(Address of landlord)

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Debtor certifies that he/she has served the Landlord with this certification. (11 U.S.C. § 362(l)). �


FORM B1, B1 (Official Form 1) (4/10)

Voluntary Petition Name of Debtor(s):

CCR Sheet Metal, Inc.(This page must be completed and filed in every case)

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X Not Applicable

Pursuant to 11 U.S.C. § 1511, I request relief in accordance with the Chapter of title 11 specified in the petition. A certified copy of the order granting recognition of the foreign main proceeding is attached.

(Check only one box.)

I request relief in accordance with chapter 15 of Title 11, United States Code.Certified Copies of the documents required by § 1515 of title 11 are attached.[If no attorney represents me and no bankruptcy petition preparer signs the petition] I

have obtained and read the notice required by 11 U.S.C. § 342(b).

Not ApplicableX

I request relief in accordance with the chapter of title 11, United States Code, specified in this petition.

[If petitioner is an individual whose debts are primarily consumer debts and haschosen to file under chapter 7] I am aware that I may proceed under chapter 7, 11, 12or 13 of title 11, United States Code, understand the relief available under each suchchapter, and choose to proceed under chapter 7.

I declare under penalty of perjury that the information provided in this petition is trueand correct.

Signature(s) of Debtor(s) (Individual/Joint)

SignaturesSignature of a Foreign Representative

I declare under penalty of perjury that the information provided in this petition is trueand correct, that I am the foreign representative of a debtor in a foreign proceeding, and that I am authorized to file this petition.

Not ApplicableX

Signature of Debtor (Signature of Foreign Representative)

Signature of Joint Debtor (Printed Name of Foreign Representative)

Telephone Number (If not represented by attorney)

Date

Date

Richard S. Feinsilver, Esq.

One Old Country Road Suite 125

Richard S. Feinsilver Bar No. rf5531

I declare under penalty of perjury that: (1) I am a bankruptcy petition preparer as defined in 11 U.S.C. § 110; (2) I prepared this document for compensation and have provided the debtor with a copy of this document 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 promulgated pursuant to 11 U.S.C. § 110(h) setting a maximum fee for services chargeable by bankruptcy petition preparers, I have given the debtor notice of the maximum amount before preparing any document for filing for a debtor or accepting any fee from the debtor, as required in that section. Official Form 19 is attached.

Signature of Non-Attorney Petition Preparer

Firm Name

Printed Name of Attorney for Debtor(s) / Bar No.

Signature of Attorney for Debtor(s)X

Signature of Attorney

s/Richard S. Feinsilver

516-873-6330

3/14/2012

Telephone Number

Carle Place NY 11514 Printed Name and title, if any, of Bankruptcy Petition PreparerAddress Not Applicable

Social-Security number (If the bankruptcy petition preparer is not an individual, 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.)

*In a case in which § 707(b)(4)(D) applies, this signature also constitutes a certification that the attorney has no knowledge after an inquiry that the information in the schedules is incorrect.

Date

Address

I declare under penalty of perjury that the information provided in this petition is trueand correct, and that I have been authorized to file this petition on behalf of thedebtor.

Signature of Debtor (Corporation/Partnership)Not ApplicableX

If more than one person prepared this document, attach to the appropriate official form for each person.

s/ Cezary Witek

The debtor requests the relief in accordance with the chapter of title 11, United StatesCode, specified in this petition.

XSignature of Authorized Individual

Printed Name of Authorized Individual

Title of Authorized Individual

Date

Names and Social-Security numbers of all other individuals who prepared or assisted in preparing this document unless the bankruptcy petition preparer is not an individual.

A bankruptcy petition preparer’s failure to comply with the provisions of title 11 and the Federal Rules of Bankruptcy Procedure may result in fines or imprisonment or both. 11 U.S.C. § 110; 18 U.S.C. § 156.

Date

Signature of bankruptcy petition preparer or officer, principal, responsible person, or partner whose Social-Security number is provided above.

3/14/2012

Cezary Witek

President


UNITED STATES BANKRUPTCY COURTEastern District of New York

In re: Case No.

Chapter 11

CCR Sheet Metal, Inc. ,

Debtor

Exhibit "A" to Voluntary Petition

c. Debt securities held by more than 500 holders.

Approximatenumber ofholders

$b. Total debts (including debts listed in 2.c., below)

$Total assetsa.

The following financial data is the latest available information and refers to debtor's condition on 3/14/2012.2.

number is .

If any of debtor's securities are registered under section 12 of the Securities and Exchange Act of 1934, the SEC file 1.

238,000.00

subordinatedunsecuredsecured

1,260,095.39

e. 33Number of shares of common stock

Comments, if any:

d. Number of shares of preferred stock

3. Brief description of debtor's business:

Metal Fabrication

List the name of any person who directly or indirectly owns, controls, or holds, with power to vote, 5% or more of thevoting securities of debtor:

4.

Cezary Witek, Krzysztof Majchrzak, Richard Kowalczyk

Exhibit A - Page 1


United States Bankruptcy Court

Eastern District of New York

In re: Case No.Chapter 11

CCR Sheet Metal, Inc.

STATEMENT REGARDING AUTHORITY TO SIGN AND FILE PETITION

I, Cezary Witek, declare under penalty of perjury that I am the President of CCR Sheet Metal, Inc., a New York Corporation and that on 03/14/2012 the following resolution was duly adopted by the Shareholders of this Corporation:

Bankruptcy Court pursuant to Chapter 11 of Title 11 of the United States Code; "Whereas, it is in the best interest of this Corporation to file a voluntary petition in the United States

Be It Therefore Resolved, that Cezary Witek, President of this Corporation, is authorized and directed to execute and deliver all documents necessary to perfect the filing of a Chapter 11 voluntary bankruptcy case on behalf of the Corporation; and

Be It Further Resolved, that Cezary Witek, President of this Corporation, is authorized and directed to appear in all bankruptcy proceedings on behalf of the Corporation, and to otherwise do and perform all acts and deeds and to execute and deliver all necessary documents on behalf of the Corporation in connection with such bankruptcy case; and

Be It Further Resolved, that Cezary Witek, President of this Corporation, is authorized and directed to employ Richard S. Feinsilver, attorney and the law firm of Richard S. Feinsilver, Esq. to represent the Corporation in such bankruptcy case."

Executed on: Signed:Cezary Witek

3/14/2012 s/ Cezary Witek


United States Bankruptcy CourtEastern District of New York

Case No.In re: CCR Sheet Metal, Inc.

List of Equity Security Holders

REGISTERED NAME OF HOLDER OF SECURITYLAST KNOWN ADDRESS OR PLACE OF BUSINESS

CLASS OFSECURITY

NUMBERREGISTERED

KIND OF INTERESTREGISTERED

Cezary Witek6 Walton AvenueLocust Valley NY 11560

Common 1

Krzysztof Majchrzak50-13 64th StreetWoodside NY 11377

Common 1

Richard G. Kowalczyk66-25 50th AvenueWoodside NY 11377

Common 1

DECLARATION UNDER PENALTY OF PERJURYON BEHALF OF A CORPORATION OR PARTNERSHIP

I, Cezary Witek, President of the Corporation named as the debtor in this case, declare under penalty of perjury that I have read the foregoing List of Equity Security Holders and that it is true and correct to the best of my information and belief.

Date:

Debtor

s/ Cezary Witek3/14/2012Cezary Witek, President, CCR Sheet Metal, Inc.

Penalty for making a false statement or concealing property. Fine of up to $500,000 or imprisonment for up to 5 years or both. 18 U.S.C §§ 152 and 3571.

List of Equity Security Holders - Page 1


Eastern District of New YorkUnited States Bankruptcy Court


Chapter

Case No.

Debtor.

In re

11

STATEMENT OF CORPORATE OWNERSHIP

Comes now CCR Sheet Metal, Inc. (the “Debtor”) and pursuant to Fed. R. Bankr. P. 1007(a) and7007.1 state as follows:

All corporations that directly or indirectly own 10% or more of any class of the corporation’s equity interests are listed below:

Owner % of Shares Owned

None

There are no entities to report.

OR,

X

Richard S. Feinsilvers/Richard S. FeinsilverBy:

Signature of Attorney

CCR Sheet Metal, Inc.Counsel for

Richard S. Feinsilver, Esq.One Old Country RoadSuite 125Carle Place NY 11514

rf5531Address.:

Bar no.:

516-873-6330

E-mail address: Fax No.:

Telephone No.:


B4 (Official Form 4) (12/07)

United States Bankruptcy CourtEastern District of New York

,CCR Sheet Metal, Inc. Case No.In re

11ChapterDebtor

LIST OF CREDITORS HOLDING 20 LARGEST UNSECURED CLAIMS

Amount of claim[if secured alsostate value ofsecurity]

Indicate if claimis contingent,unliquidated,disputed orsubject to setoff

Nature of claim(trade debt,bank loan, gov-ernment contract,etc.)

Name, telephone number andcomplete mailing address,including zip code, ofemployee, agent, or departmentof creditor familiar withclaim who may be contacted

Name of creditorand completemailing addressincluding zipcode

(1) (2) (3) (4) (5)

$32,000.00

NY WORKERS COMP BDCOMPLIANCE BUREAU20 PARK AVENUEALBANY NY 12207

$236,613.95

CAMBRIDGE SHEET METALSC/O SILVERMAN SCLAR381 PARK AVE SOUTH16TH FLOORNY NY 10016

$195,000.00

UNIMET METAL SUPPLYBOX 823200PHILA PA 19182

$118,000.00

ALUMET SUPPLY COMPANYBOX 823204PHILA PA 19182

$70,000.00

NYS DEPT OF TAXATIONBOX 5300ALBANY NY 12227


B4 (Official Form 4) (12/07)4 -Cont.


11ChapterDebtor







(1) (2) (3) (4) (5)

$50,738.00

YARDE METALS45 NEWELL STREETSOUTHINGTON CT 06489

$50,000.00


$50,000.00

INTERNAL REVENUE SERVICE10 METROTECH - 625 FULTONBROOKLYN NY 11201

$32,753.00

MITCHEL T WOLFE

$28,981.00

SOPREMA USA310 QUADRAL DRIVEWADSWORTH OH 44281

$20,000.00





11ChapterDebtor







(1) (2) (3) (4) (5)

$17,642.71

513 PORTER AVE LLCC/O PROTECTIVE MANAGEMENTBOX 6455ASTORIA NY 11106

$15,548.00

R KLICH WINDOW AND DOOR235 NORMAN AVENUEBROOKLYN NY 11222

$12,188.83

S&S STEEL SERVICESBOX 129CHESTERFIELD NJ 46017

$11,356.00

NEW CASTLE BUILDING PRODS535 OLD TARRYTOWN RDWHITE PLAINS NY 10603

$10,825.00

CHARTIS22427 NETWORK PLACECHICAGO IL 60673

$10,000.00

SECURED VALUE:$60,000.00

ALUMET SUPPLYBOX 823204PHILA PA 19182

Security Agreement




11ChapterDebtor







(1) (2) (3) (4) (5)

$8,908.00

GENERAL GLASS INTL101 VENTURA WAYSECACUS NJ 07094

$7,200.00

SILVERSTONE RESTORATION7579 BROADWAYLEMON GROVE CA 91945

$6,869.25

PETERSON ALUMINUM9060 JUNCTION DRIVEANAPOLIS JUNCT MD 20701

$5,093.00

SUNNY LUMBER SUPPLY26 CHERRY STREETBROOKLYN NY 11222

I, Cezary Witek, President of the Corporation named as the debtor in this case, declare under penalty of perjury that I have read the foregoing list and that it is true and correct to the best of my information and belief.

Date: Signature: s/ Cezary Witek

DECLARATION UNDER PENALTY OF PERJURYON BEHALF OF A CORPORATION OR PARTNERSHIP

Cezary Witek ,President

3/14/2012

(Print Name and Title)

Penalty for making a false statement or concealing property. Fine of up to $500,000 or imprisonment for up to 5 years or both. 18 U.S.C §§ 152 and 3571.


B6D (Official Form 6D) (12/07)

CCR Sheet Metal, Inc. , Case No.In re

(If known)Debtor

SCHEDULE D - CREDITORS HOLDING SECURED CLAIMS

Check this box if debtor has no creditors holding secured claims to report on this Schedule D.�

CO

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ING

EN

T

DATE CLAIM WASINCURRED, NATURE

OF LIEN, ANDDESCRIPTION AND

VALUE OF PROPERTYSUBJECT TO LIEN

AMOUNT OF CLAIM WITHOUT

DEDUCTINGVALUE OF

COLLATERAL

UNSECUREDPORTION, IF

ANY

DIS

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AN

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IFE

, JO

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UN

ITY

CREDITOR'S NAME ANDMAILING ADDRESS

INCLUDING ZIP CODE ANDAN ACCOUNT NUMBER

(See Instructions, Above.)C

OD

EB

TO

R

ACCOUNT NO. 0001 01/01/2009 70,000.00Security AgreementBusiness Machinery and Equipment__________________________VALUE $60,000.00


ROBERT MARSHALL LLC155 WILLOWBROOK BLVDWAYNE NJ 07470

10,000.00

ACCOUNT NO. 0001 01/01/2009 150,000.00Security AgreementAccounts Receivable__________________________VALUE $150,000.00

UNIMET SUPPLYBOX 823204PHLIA PA 19182


0.00

NOTE: Alumet and Unimet are related companies that hold a security agreement encumbering all assets held by the debtor at the time of filing

0attachedcontinuation sheets

$$ 10,000.00(Total of this page)

�Subtotal 220,000.00

$$ 10,000.00(Use only on last page)

�Total 220,000.00

(If applicable, report also on Statistical Summary of Certain Liabilities and Related Data.)

(Report also on Summary of Schedules)


B6E (Official Form 6E) (4/10)

, Case No.In re

Debtor (If known)CCR Sheet Metal, Inc.

SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS

Check this box if debtor has no creditors holding unsecured priority claims to report on this Schedule E.�

TYPES OF PRIORITY CLAIMS (Check the appropriate box(es) below if claims in that category are listed on the attached sheets.)

Claims for domestic support that are owed to or recoverable by a spouse, former spouse, or child of the debtor, or the parent, legal guardian, orresponsible relative of such a child, or a governmental unit to whom such a domestic support claim has been assigned to the extent provided in11 U.S.C. § 507(a)(1).

Domestic Support Obligations �

Extensions of credit in an involuntary case

Claims arising in the ordinary course of the debtor's business or financial affairs after the commencement of the case but before the earlier of the appointment of a trustee or the order for relief. 11 U.S.C. § 507(a)(3).

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Wages, salaries, and commissions

Wages, salaries, and commissions, including vacation, severance, and sick leave pay owing to employees and commissions owing to qualifyingindependent sales representatives up to $11,725* per person earned within 180 days immediately preceding the filing of the original petition, or thecessation of business, whichever occurred first, to the extent provided in 11 U.S.C. § 507(a)(4).

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Money owed to employee benefit plans for services rendered within 180 days immediately preceding the filing of the original petition, or thecessation of business, whichever occurred first, to the extent provided in 11 U.S.C. § 507(a)(5).

Contributions to employee benefit plans

Certain farmers and fishermen

Claims of certain farmers and fishermen, up to $5,775* per farmer or fisherman, against the debtor, as provided in 11 U.S.C. § 507(a)(6).

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Claims of individuals up to $2,600* for deposits for the purchase, lease, or rental of property or services for personal, family, or household use,that were not delivered or provided. 11 U.S.C. § 507(a)(7).

Deposits by individuals

�� Taxes and Certain Other Debts Owed to Governmental Units

Taxes, customs duties, and penalties owing to federal, state, and local governmental units as set forth in 11 U.S.C. § 507(a)(8).

Claims based on commitments to the FDIC, RTC, Director of the Office of Thrift Supervision, Comptroller of the Currency, or Board ofGovernors of the Federal Reserve System, or their predecessors or successors, to maintain the capital of an insured depository institution. 11 U.S.C.§ 507 (a)(9).

Commitments to Maintain the Capital of an Insured Depository Institution�

� Claims for Death or Personal Injury While Debtor Was Intoxicated


2 continuation sheets attached

* Amounts are subject to adjustment on 4/01/13, and every three years thereafter with respect to cases commenced on or after the date of adjustment.

Claims for death or personal injury resulting from the operation of a motor vehicle or vessel while the debtor was intoxicated from using alcohol, a drug, or another substance. 11 U.S.C. § 507(a)(10).


B6E (Official Form 6E) (4/10) – Cont.

,In re Case No.

(If known)Debtor


SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS(Continuation Sheet)

Type of Priority: Taxes and Certain Other Debts Owed to Governmental Units

CO

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AN

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WIF

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JOIN

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AMOUNT OF CLAIM

AMOUNTENTITLED TO

PRIORITY

CREDITOR'S NAME,MAILING ADDRESS

INCLUDING ZIP CODE,AND ACCOUNT NUMBER(See instructions above.)

DATE CLAIM WAS INCURRED AND

CONSIDERATION FOR CLAIM

AMOUNTNOT

ENTITLED TOPRIORITY, IF

ANY

Payroll Taxes1/1/2009

50,000.0050,000.00 2261ACCOUNT NO.


$0.00

IRS11601 ROOSEVELT BLVDBOX 21126PHILA PA 19114

Sales Taxes1/1/2009

70,000.0070,000.00 2261ACCOUNT NO.


$0.00

NYS DEPT OF TAXATIONBANKRUPTCY UNIT - TCDBLDG 8 RM 455WA HARRIMAN CAMPUSALBANY NY 12227

$Sheet no. 2 of 2 continuation sheets attached to Schedule of Creditors Holding Priority Claims

Subtotals(Totals of this page)

� 120,000.00120,000.00 0.00$ $

Total(Use only on last page of the completed Schedule E. Report also on the Summary of Schedules.)

�

120,000.00

120,000.00

Total(Use only on last page of the completed Schedule E. If applicable, report also on the Statistical Summary of Certain Liabilities and Related Data. )

�

0.00

$

$$


,

B6F (Official Form 6F) (12/07)

In re Case No.(If known)

CCR Sheet Metal, Inc.Debtor

SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS

Check this box if debtor has no creditors holding unsecured claims to report on this Schedule F.�


CONSIDERATION FOR CLAIM.

IF CLAIM IS SUBJECT TOSETOFF, SO STATE



AMOUNT OF CLAIM

CO

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SB

AN

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IFE

, JO

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UN

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CO

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17,642.710001ACCOUNT NO. 1/1/2011


Services

5,080.000001ACCOUNT NO. 1/1/2010

ACCURATE GEN CONSTRUCTION513 PORTER AVENUEBROOKLYN NY 11222

Services

2,452.000001ACCOUNT NO. 1/1/2011

AERO PRODUCTS COMPANY19-21 NORTH 8TH STREETBELLVILLE NJ 07109

Goods

118,000.000001ACCOUNT NO. 1/1/2010

ALUMET SUPLLY COMPANY557 MAIN STREETORANGE NJ 07050


Goods

Continuation sheets attached15

� 143,174.71Subtotal $

Total �

$

(Use only on last page of the completed Schedule F.)(Report also on Summary of Schedules and, if applicable on the Statistical

Summary of Certain Liabilities and Related Data.)


B6F (Official Form 6F) (12/07) - Cont.

,In re Case No.(If known)


SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS(Continuation Sheet)






AMOUNT OF CLAIM

CO

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SB

AN

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IFE

, JO

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UN

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CO

NT

ING

EN

T

UN

LIQ

UID

AT

ED

DIS

PU

TE

D

3,050.000001ACCOUNT NO. 1/1/2010

AVANT GUARDS COATING232 VARET STREETBROOKLYN NY 11206

Services

1,806.308145ACCOUNT NO. 1/1/2010

BANK DIRECT CAPITALBOX 660448DALLAS TX 75266

Line of Credit

96.000001ACCOUNT NO. 1/1/2011

C&E SUPPLIESBOX 242TEANECK NJ 07666

Goods

427.650001ACCOUNT NO. 1/1/2010

C&J SHEET METAL157-22 POWELLS COVE BLVDBEECHURST NY 11357

Services

236,613.950001ACCOUNT NO. 1/1/2009


Goods

� 241,993.90SubtotalSheet no. 1 of 15 continuation sheets attached to Schedule of Creditors Holding UnsecuredNonpriority Claims

$

Total �

$













AMOUNT OF CLAIM

CO

DE

BT

OR

HU

SB

AN

D,

WIF

E,

JOIN

TO

R C

OM

MU

NIT

Y

CO

NT

ING

EN

T

UN

LIQ

UID

AT

ED

DIS

PU

TE

D

873.270858ACCOUNT NO. 1/1/2010

CANON BUSINESS SOLUTIONSBOX 33191NEWARK NJ 07188

Services

107.700001ACCOUNT NO. 1/1/2011

CENTRAL TIME CLOCK5-25 50TH AVENUELIC NY 11101

Services

10,825.002267ACCOUNT NO. 1/1/2011


Services

525.000068ACCOUNT NO. 1/1/2011

DEER PARK WATERBOX 856192LOUISVILLE KY 40285

Goods

273.000001ACCOUNT NO. 1/1/2010

DELLBOX 6403CAROL STREAM IL 60197

Line of Credit


$

Total �

$













AMOUNT OF CLAIM

CO

DE

BT

OR

HU

SB

AN

D,

WIF

E,

JOIN

TO

R C

OM

MU

NIT

Y

CO

NT

ING

EN

T

UN

LIQ

UID

AT

ED

DIS

PU

TE

D

194.000001ACCOUNT NO. 1/1/2010

DISH NETWORKBOX 4034WOBURN MA 01888

DISH NETWORKDEPT 0063PALATINE IL 60055

Services

158.000001ACCOUNT NO. 1/1/2011

EDWARD DARBY AND SONS2200 NORTH 8TH STREETBOX 50049PHILA PA 19133

Services

181.000001ACCOUNT NO. 1/1/2009

ELIAS SCHWARTZ ESQ343 GREAT NECK ROADGREAT NECK NY 11021

Services

97.000001ACCOUNT NO. 1/1/2011

FIRESTONE METAL PRODUCTS1001 LUND BLVDANOKA MN 55303

Goods

� 630.00SubtotalSheet no. 3 of 15 continuation sheets attached to Schedule of Creditors Holding UnsecuredNonpriority Claims

$

Total �

$













AMOUNT OF CLAIM

CO

DE

BT

OR

HU

SB

AN

D,

WIF

E,

JOIN

TO

R C

OM

MU

NIT

Y

CO

NT

ING

EN

T

UN

LIQ

UID

AT

ED

DIS

PU

TE

D

350.000000ACCOUNT NO. 1/1/2011

FIVE STAR GATES78-01 34TH AVENUEJACKSON HTS NY 11372

Services

8,908.000001ACCOUNT NO. 1/1/2011


Goods/Services

4,085.510001ACCOUNT NO. 1/1/2010

GERARD DANIEL WORLDWIDEBOX 828914PHILA PA 19182

Goods

2,626.000001ACCOUNT NO. 1/1/2011

GT RENTALS310 NASSAU AVENUEBROOKLYN NY 11222

Services


$

Total �

$













AMOUNT OF CLAIM

CO

DE

BT

OR

HU

SB

AN

D,

WIF

E,

JOIN

TO

R C

OM

MU

NIT

Y

CO

NT

ING

EN

T

UN

LIQ

UID

AT

ED

DIS

PU

TE

D

2,100.000001ACCOUNT NO. 1/1/2011

HORIZON.COM55 NORTHERN BLVDGREENVALE NY 11548

HORIZON.COM43-32 22ND STREETSUITE 104LIC NY 11101

Services

3,057.21ccrACCOUNT NO. 1/1/2010

INDUSTRIAL CARTING65 EMERSON PLACEBROOKLYN NY 11205

Services

778.420001ACCOUNT NO. 1/1/2011

INTECH DISTRIBUTION6520 PLATT AVENUEWEST HILLS CA 91307

Goods

20,000.002261ACCOUNT NO. 1/1/2009



Penalties - Payroll Taxes


$

Total �

$













AMOUNT OF CLAIM

CO

DE

BT

OR

HU

SB

AN

D,

WIF

E,

JOIN

TO

R C

OM

MU

NIT

Y

CO

NT

ING

EN

T

UN

LIQ

UID

AT

ED

DIS

PU

TE

D

1,135.000001ACCOUNT NO. 1/1/2010

ITCS SYSTEMSBOX 780145MASPETH NY 11378

Services

241.90001ACCOUNT NO. 1/1/2010

J&S SUPPLY CORP53-02 37TH AVENUELIC NY 11101

Goods

353.820001ACCOUNT NO. 1/1/2010

MCMASTER CARR SUPPLYBOX 7690CHICAGO IL 60680

Goods/Services

1,838.470001ACCOUNT NO. 1/1/2010

MECHANICAL METALS INC82 WALKER LANENEWTOWN PA 18940

Goods

398.610001ACCOUNT NO. 1/1/2010

METALFORMING INC1427 BEDFORD COURTALLENTOWN PA 18104

Services


$

Total �

$













AMOUNT OF CLAIM

CO

DE

BT

OR

HU

SB

AN

D,

WIF

E,

JOIN

TO

R C

OM

MU

NIT

Y

CO

NT

ING

EN

T

UN

LIQ

UID

AT

ED

DIS

PU

TE

D

32,753.000001ACCOUNT NO. 1/1/2009

MITCHEL T WOLFE Goods/Services

11,356.000001ACCOUNT NO. 1/1/2010


Goods

961.000001ACCOUNT NO. 1/1/2010

NOVA FASTENERS7500 NEW HORIZONS BLVDAMITYVILLE NY 11701

Goods

32,000.001326ACCOUNT NO. 1/1/2011


Penalties

210.000101ACCOUNT NO. 1/1/2011

NYC FIRE DEPTBOX 840NY NY 10008

Services


$

Total �

$













AMOUNT OF CLAIM

CO

DE

BT

OR

HU

SB

AN

D,

WIF

E,

JOIN

TO

R C

OM

MU

NIT

Y

CO

NT

ING

EN

T

UN

LIQ

UID

AT

ED

DIS

PU

TE

D

50,000.002261ACCOUNT NO. 1/1/2009



Penalties - Sales Tax

6,869.250001ACCOUNT NO. 1/1/2010


Goods

2,931.720001ACCOUNT NO. 1/1/2011

PRINCIPAL LIFE INS6900 JERICHO TPKESUITE 208WSYOSSET NY 11791

Services

236.000001ACCOUNT NO. 1/1/2011

QUILLBOX 37600PHILA PA 19101

Goods


$

Total �

$













AMOUNT OF CLAIM

CO

DE

BT

OR

HU

SB

AN

D,

WIF

E,

JOIN

TO

R C

OM

MU

NIT

Y

CO

NT

ING

EN

T

UN

LIQ

UID

AT

ED

DIS

PU

TE

D

15,548.000000ACCOUNT NO. 1/1/2011


Goods

2,829.000001ACCOUNT NO. 1/1/2011

REISS WHSLE HARDWARE975 GEORGIA AVENUEBROOKLYN NY 11207

Goods

2,500.000001ACCOUNT NO. 1/1/2011

RESTORATION SPECAILTY SER505 EIGHTH AVENUENY NY 10018

Services

12,188.830001ACCOUNT NO. 1/1/2010


Goods/Services

3,550.000001ACCOUNT NO. 1/1/2011

SCOTT HENSON ARCHETECT11 WEST 20TH STREET3RD FLOORNY NY 10011

Services


$

Total �

$













AMOUNT OF CLAIM

CO

DE

BT

OR

HU

SB

AN

D,

WIF

E,

JOIN

TO

R C

OM

MU

NIT

Y

CO

NT

ING

EN

T

UN

LIQ

UID

AT

ED

DIS

PU

TE

D

4,512.500001ACCOUNT NO. 1/1/2010

SHAFER STEEL CORPBOX 13360 BALDWIN ROADPARSIPPANY NJ 07054

Goods

7,200.000001ACCOUNT NO. 1/1/2010


Services

28,981.000001ACCOUNT NO. 1/1/2010


Services

1,300.004117ACCOUNT NO. 1/1/2011

SPRINTBOX 105243ATLANTA GA 30348

SPRINTBOX 62012BALTIMORE MD 21264-2012

Services


$

Total �

$













AMOUNT OF CLAIM

CO

DE

BT

OR

HU

SB

AN

D,

WIF

E,

JOIN

TO

R C

OM

MU

NIT

Y

CO

NT

ING

EN

T

UN

LIQ

UID

AT

ED

DIS

PU

TE

D

577.000001ACCOUNT NO. 1/1/2011

ROTHBARD ROTHBARD50 PARK PLACESUITE 1228NEWARK NJ 07102

STAINLESS EMPORIUMONE PURCELL COURTMOONACHIE NJ 07074

Services

586.000001ACCOUNT NO. 1/1/2011

STANDARD TINSMITH SUPPLY335 IRVING AVEBROOKLYN NY 11237

Services

18.000001ACCOUNT NO. 1/1/2011

STANLEY SUPPLY AND TOOL55 SHEER PLACEPLAINVIEW NY 11803

Goods

297.007189ACCOUNT NO. 1/1/2011

STAPLESBOX 9029DES MOINES IA 50368

Line of Credit


$

Total �

$













AMOUNT OF CLAIM

CO

DE

BT

OR

HU

SB

AN

D,

WIF

E,

JOIN

TO

R C

OM

MU

NIT

Y

CO

NT

ING

EN

T

UN

LIQ

UID

AT

ED

DIS

PU

TE

D

unknown0001ACCOUNT NO. 1/1/2011

STRATEGIC FUNDING1501 BROADWAYSUITE 360NY NY 10036

Services

1,350.000001ACCOUNT NO. 1/1/2010

STRUCTURAL DESIGN165-14 CHAPIN PKWYJAMAICA NY 11435

Services

5,093.000001ACCOUNT NO. 1/1/2011


Goods

1,247.000001ACCOUNT NO. 1/1/2010

TW SMITH CORP885 MEEKER AVEBROOKLYN NY 11222

Goods

293.000001ACCOUNT NO. 1/1/2011

ULINE2200 S LAKESIDE DRIVEWAUKEGAN IL 60085

Goods


$

Total �

$













AMOUNT OF CLAIM

CO

DE

BT

OR

HU

SB

AN

D,

WIF

E,

JOIN

TO

R C

OM

MU

NIT

Y

CO

NT

ING

EN

T

UN

LIQ

UID

AT

ED

DIS

PU

TE

D

3,303.570001ACCOUNT NO. 1/1/2011

UNICORE BLDG PRODUCTS3120 HIGHWOODS BLVDRALEIGH NC

Goods

195,000.000001ACCOUNT NO. 1/1/2010

UNIMET METAL SUPPLY557 MAIN STREETORANGE NJ 07050


Goods

109.000001ACCOUNT NO. 1/1/2011

UPSBOX 7247-0244PHILA PA 19170

Services

357.000001ACCOUNT NO. 1/1/2010

VELUX AMERICABOX 75435CHARLOTTE NC 28275

Goods


$

Total �

$













AMOUNT OF CLAIM

CO

DE

BT

OR

HU

SB

AN

D,

WIF

E,

JOIN

TO

R C

OM

MU

NIT

Y

CO

NT

ING

EN

T

UN

LIQ

UID

AT

ED

DIS

PU

TE

D

165.000001ACCOUNT NO. 1/1/2010

WARREN FASTENERSBOX 574PLAINVIEW NY 11803

Goods

422.000001ACCOUNT NO. 1/1/2010

WF NORMANBOX 323CEDAR NEVADA MO 64772

Goods

50.000001ACCOUNT NO. 1/1/2010

WHITEHEAD COMPANY169 LOMBARDY STREETBROOKLYN NY 11222

Poss Cont Liability - Lease

288.000001ACCOUNT NO. 1/1/2011

WYGI CORP190 MCGUINESS BLVDBROOKLYN NY 11222

Goods

� 925.00SubtotalSheet no. 14 of 15 continuation sheets attached to Schedule of Creditors Holding UnsecuredNonpriority Claims

$

Total �

$













AMOUNT OF CLAIM

CO

DE

BT

OR

HU

SB

AN

D,

WIF

E,

JOIN

TO

R C

OM

MU

NIT

Y

CO

NT

ING

EN

T

UN

LIQ

UID

AT

ED

DIS

PU

TE

D

50,738.000001ACCOUNT NO. 1/1/2008

RHETT FRIMET ESQ10 EAST 40TH STREETNY NY 10016


Goods

unknown0001ACCOUNT NO. 1/1/2011

YELLOWSTONE CAPITAL160 PEARL STREETNY NY 10005

Services


$

Total920,095.39

�

$




UNITED STATES BANKRUPTCY COURTEASTERN DISTRICT OF NEW YORK

STATEMENT PURSUANT TO LOCAL BANKRUPTCY RULE 1073-2(b)

DEBTOR: CCR SHEET METAL, INC.

Pursuant to Local Bankruptcy Rule 1073-2(b), the debtor hereby makes the followingdisclosure concerning Related cases, to the petitioner’s best knowledge, information and belief:

X No related case is pending or has been pending at any time.

_____________________________________________________________________________

X I am admitted to practice in the Eastern District of New York (Y/N): Y

CERTIFICATION:

I certify under penalty of perjury that the within bankruptcy case is not related to any case nowpending or pending at any time, except as indicated elsewhere on this form.

Dated: March 14, 2012 s/Richard S. Feinsilver \_____________________________Richard S. Feinsilver, Esq. (rf5531)

Case 1-12-41811-ess Doc 1-1 Filed 03/14/12 Entered 03/14/12 14:33:28


ACCURATE GEN CONSTRUCTION513 PORTER AVENUEBROOKLYN NY 11222

AERO PRODUCTS COMPANY19-21 NORTH 8TH STREETBELLVILLE NJ 07109

ALUMET SUPLLY COMPANY557 MAIN STREETORANGE NJ 07050



AVANT GUARDS COATING232 VARET STREETBROOKLYN NY 11206

BANK DIRECT CAPITALBOX 660448DALLAS TX 75266

C&E SUPPLIESBOX 242TEANECK NJ 07666


C&J SHEET METAL157-22 POWELLS COVE BLVDBEECHURST NY 11357


CANON BUSINESS SOLUTIONSBOX 33191NEWARK NJ 07188

CENTRAL TIME CLOCK5-25 50TH AVENUELIC NY 11101


DEER PARK WATERBOX 856192LOUISVILLE KY 40285

DELLBOX 6403CAROL STREAM IL 60197

DISH NETWORKBOX 4034WOBURN MA 01888

DISH NETWORKDEPT 0063PALATINE IL 60055


EDWARD DARBY AND SONS2200 NORTH 8TH STREETBOX 50049PHILA PA 19133

ELIAS SCHWARTZ ESQ343 GREAT NECK ROADGREAT NECK NY 11021

FIRESTONE METAL PRODUCTS1001 LUND BLVDANOKA MN 55303

FIVE STAR GATES78-01 34TH AVENUEJACKSON HTS NY 11372


GERARD DANIEL WORLDWIDEBOX 828914PHILA PA 19182

GT RENTALS310 NASSAU AVENUEBROOKLYN NY 11222

HORIZON.COM55 NORTHERN BLVDGREENVALE NY 11548

HORIZON.COM43-32 22ND STREETSUITE 104LIC NY 11101


INDUSTRIAL CARTING65 EMERSON PLACEBROOKLYN NY 11205

INTECH DISTRIBUTION6520 PLATT AVENUEWEST HILLS CA 91307



ITCS SYSTEMSBOX 780145MASPETH NY 11378

J&S SUPPLY CORP53-02 37TH AVENUELIC NY 11101

MCMASTER CARR SUPPLYBOX 7690CHICAGO IL 60680

MECHANICAL METALS INC82 WALKER LANENEWTOWN PA 18940

METALFORMING INC1427 BEDFORD COURTALLENTOWN PA 18104


MITCHEL T WOLFE


NOVA FASTENERS7500 NEW HORIZONS BLVDAMITYVILLE NY 11701


NYC FIRE DEPTBOX 840NY NY 10008




PRINCIPAL LIFE INS6900 JERICHO TPKESUITE 208WSYOSSET NY 11791


QUILLBOX 37600PHILA PA 19101


REISS WHSLE HARDWARE975 GEORGIA AVENUEBROOKLYN NY 11207

RESTORATION SPECAILTY SER505 EIGHTH AVENUENY NY 10018

RHETT FRIMET ESQ10 EAST 40TH STREETNY NY 10016


ROTHBARD ROTHBARD50 PARK PLACESUITE 1228NEWARK NJ 07102


SCOTT HENSON ARCHETECT11 WEST 20TH STREET3RD FLOORNY NY 10011


SHAFER STEEL CORPBOX 13360 BALDWIN ROADPARSIPPANY NJ 07054



SPRINTBOX 62012BALTIMORE MD 21264-2012

SPRINTBOX 105243ATLANTA GA 30348

STAINLESS EMPORIUMONE PURCELL COURTMOONACHIE NJ 07074

STANDARD TINSMITH SUPPLY335 IRVING AVEBROOKLYN NY 11237

STANLEY SUPPLY AND TOOL55 SHEER PLACEPLAINVIEW NY 11803

STAPLESBOX 9029DES MOINES IA 50368


STRATEGIC FUNDING1501 BROADWAYSUITE 360NY NY 10036

STRUCTURAL DESIGN165-14 CHAPIN PKWYJAMAICA NY 11435


TW SMITH CORP885 MEEKER AVEBROOKLYN NY 11222

ULINE2200 S LAKESIDE DRIVEWAUKEGAN IL 60085

UNICORE BLDG PRODUCTS3120 HIGHWOODS BLVDRALEIGH NC

UNIMET METAL SUPPLY557 MAIN STREETORANGE NJ 07050


UNIMET SUPPLYBOX 823204PHLIA PA 19182


UPSBOX 7247-0244PHILA PA 19170

VELUX AMERICABOX 75435CHARLOTTE NC 28275

WARREN FASTENERSBOX 574PLAINVIEW NY 11803

WF NORMANBOX 323CEDAR NEVADA MO 64772

WHITEHEAD COMPANY169 LOMBARDY STREETBROOKLYN NY 11222

WYGI CORP190 MCGUINESS BLVDBROOKLYN NY 11222


YELLOWSTONE CAPITAL160 PEARL STREETNY NY 10005


UNITED STATES BANKRUPTCY COURTEASTERN DISTRICT OF NEW YORK

x

In Re:

Case No.

Debtor(s)

Chapter 11

x


VERIFICATION OF CREDITOR MATRIX/LIST OF CREDITORS

The undersigned debtor(s) or attorney for the debtor(s) hereby verifies that the creditor matrix/list of creditors submitted herein is true and correct to the best of his or her knowledge.

Dated: 3/14/2012

Debtor

s/ Cezary Witek

Cezary Witek

s/Richard S. Feinsilver

Attorney for Debtor Richard S. Feinsilver

USBC-44 Rev. 3/17/05


united states bankruptcy court voluntary petition … lists/ccrch11...eastern district of new york...

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