FORM 67. (Subsection 102(1) of the Act> CREATIVE METAL INC. of the City of Brampton. in the Province of Ontario

Transcription

1 (Subsection 102(1) of the Act> Notice of Bankruptcy and First Meeting of Creditors FORM Mississauga Page 1 of 1 Phone: (416) Fax: (416) Torontä ON MX2Th Todd Howell CIRP Per: Sobemian Inc Trustee Dated at the City of Toronto in the Pr9vince of, this 13th day of June proceeds realized from the estate. more showing the amounts of their claims. 4. Enclosed with this notice is a proof of claim form, proxy form, and list of creditors with claims amounting to $25 or where necessary, a proxy. office of Soberman Inc., at 2 St. Clair Ave. E. 10th Floor, Toronto,. subject to affirmation by the creditors of the trustee s appointment or substitution of another trustee by the creditors. Take notice that: undersigned, Soberman Inc., was appointed as trustee of the estate of the bankrupt by the official receiver (or the Court), of the City of Brampton In the matter of the bankruptcy of in the Province of 1. filed (or was deemed to have filed) an assignment on the 10th day of June 2011, and the 2. The first meeting of creditors of the bankrupt will be held on the 29th day of June 2011, at 11:30 o clock AM, at the 3. To be entitled to vote at the meeting, a creditor must lodge with the trustee, before the meeting, a proof of claim and, 5. Creditors must prove their claims against the estate of the bankrupt in order to share in any distribution of the 2 St. Clair Ave East, i-ptô6e) 09 - District of:

2 District of: 09 - Toronto OriginaI IAmended Form 78 Statement of Affairs (Business Bankruptcy) made by an enitity (Subsection 49(2) and Paragraph 158(d) of the Act I Subsections 50(2) and 62(1) of the Act) In the matter of the bankruptcy of of the City of Brampton in the Province of To the bankrupt: You are required to carefully and accurately complete this form and the applicable attachments showing the state of your affairs on the date of the bankruptcy, on the 9th day of June When completed, this form and the applicable attachments will constitute the Statement of Affairs and must be verified by oath or solemn declaration. 1. Unsecured creditors as per list A LIABILITIES (as stated and estimated by the officer) Balance of secured claims as per list B Total unsecured creditors 2. Secured creditors as per list B 663,054, , Preferred creditors as per list Contingent, trust claims or other liabilities as per list D 0.00 estimated to be reclaimable for Total liabilities 663, Surplus NIL ASSETS (as stated and estimated by the officer) 1. Inventory Trade fixtures, etc Accounts receivable and other receivables, as per list E Good 0.00 Doubtful 0.00 Bad 0.00 Estimated to produce Bills of exchange, promissory note, etc., as per list P Deposits in financial institutions Cash Livestock Machinery, equipment and plant Real property or immovable as per list G Furniture 0.00 RRSPs, RRIFs, life insurance, etc Securities (shares, bonds, debentures, etc.) Interests under wills Vehicles Other property, as per list li 0.00 If bankrupt is a corporatioft add Amount of subscribed capital 0.00 Amount paki on capital 0.00 Balance subscribed and unpaid 0.00 Estimated to produce 0.00 it Total assets 0.00 Deficiency 663, I, RUDY ORLOFF, of the City of Mississauga in the Province of, do swear (or solemnly declare) that this statement and the attached lists are to the best of my knowledge, a full, true and complete statement of my affairs on the 9th day of June 2011 and fully disclose all property of every description that is in my possession or that may devolve on me in accordance with the Act. SWORN (or SOLEMNLY DECLARED) before me at the City of Tojonto in the Province op a?bnthis9th day of June2011 May. 4,2012 I ( J in icd &&& R DY RLOFF.orisna nc as Dana. a aft. or Oroano [rozaa Dflc Page 1

3 Express District of: Estate No. Ontao 09- Toronto FORM 78 Continued List A Unsecured Creditors No. Name of creditor Address Unsecured claim Balance of claim Total claim ETR - Toll Route Bankruptcy Department Attrt Marion Richardson 6300 Steeles Ave West Vaughan ON L4H 1J ONTARIO LTD 11 Bloomingdale Drive Attrt Paul Gorse Brampton ON L6W 3Z6 10, Acier Airport Steel Ltd e Avenue Lachine QC H8T 3J , , ADT Security Services th Street SE Calgary AB T2E 6J AdvanceShipping Supplies l06lorimardrive Mississauga ON L5S 1 R8 6 AirportSteel&Tubing Ltd l55hedgedalerd Brampton ON L6T 5P Albion Autoparts Inc Britannia Road East Mississauga ON L4W 1C BankofNovaScotia clobankruptcyhighway Box , , Toronto ON M8Y 3Y2 9 Bank of Nova Scotia do Bankruptcyl-Iighway Box , , Toronto ON M8Y 3Y2 10 BankofNovaScotia dobankniptcyhighway Box , , Toronto ON M8Y 3Y2 11 Bank of Nova Scotia - VISA do BankruptcyHighway ,990, Box Toronto ON M8Y 3Y2 12 Bell Canada Residential Bankruptcy Group Jean Talon, Ste Montréal QC l-qr 3A9 13 Bothwell Steel P0 Box Groh Avenue Cambridge ON N3C 4B1 4, , Canada Post Mississauga ON L4W 1S Canada Revenue Agency Insolvency Processing 6,000, , Attrx RICI 45lTalbotSt, 3rd Floor RT0001 London ON A4R3 16 CCF Stainless Inc 1840 Burlington St. E. 1, , Hamilton ON L8H 3L4 17 FCI Mold Products Inc. 550 Applewood Crest Concord ON L4K 4B4 18 Internet Access Solutions 1 Greensboro Dr Suite Toronto ON M9W 1C8 19 Khalid Naeem 7581 Jane St Suite 201 1, , Concord ON L41( 1X3 20 MetalCoaters 7666BBathRoad Mississauga ON L4T 1L2 18, , Petro Canada do Citicards Canada Hurontario Street 2, , Mississauga ON M3C 3N7 09-Jun-2011 Date (RUD V ORLOFF Page 2 of 10

4 22 Revin Baliffs Inc. 134 Nortinch Drive Unit 3 1, Toronto ON M 2Z2 No. Name of creditor Address Unsecured claim Balance of claim Total claim Unsecured Creditors List A FORM 78 Continued Page 3 of 10 Date RUDY ORLOFF 09Jun2011 6th3 (?& /j;j TotaL 663, , Toronto ON M1P 5H9 23 Rudy Orloff 951 SOUTHFORK DRIVE , Staples Business Depot do Citicommerce Solutions ,55 25 SVREmploymentServices 29OlJaneStUnit7 213, , Wells Fargo Retail Services Box 6200, Don Mills Sm 55, , Toronto ON M3C 3R4 27 zz...supplementary CREDITORS MAILING LIST zz..airport Steel & Tubing Ltd C/O Coface Collections Canada Consumers Road Suite 910 Toronto ON M3N 2J8 Toronto ON Toronto ON M2J 4R3 Mississauga ON L5V 2K Box 1953, Stn D 09-Toronto District of:

5 District of: Ontaño 09- Toronto FORM 78 Connued List B Secured Creditors No. Nameofcreditor Address I Amountof I I Estimated I Estimated I Balance of I valueof (surplus from claim ciaim Particularsofsecurity Whengiven security security unsecured I I Tota 0.0( I O9un2O11 Date 1e//it;e tjdyorloff Page 4 of 10

6 [,. Preferred Creditors for Wages, Rent, etc. Name of creditor Address and occupation Nature of claim claim eriodduringwtiichl Amountof Amount rankingfor I accrued claim payable in full dividend Difference I List Court No, 09- Toronto District of: Page 5 of 10 Date /RUDYORLOFF O9un2011 <ai Total: FORM 78 Continued

7 Contingent or Other Liabilities List D 09- Toronto District of: Date 09-Jun Page 6 of 10 FORM Continued RUDY ORLOFF

8 (good, doubttu other book where bad) particulars to be found debt conaed produce securities held for No. Name of debtor Nature of debt ddress and occupatioj imount of debt Folio of ledgers or I Particulars of any When Estimated to Debts Due to the Bankrupt List E FORM 78 Continued District of: Page7oflO Date fru&[off 09un2011 &df 7Oei1 Tota Toronto

9 No. FORM 78 * List F Bills of Promissory Notes, Lien Exciange, Notes, Chattel Mortgages, etc., Available as Assets Continued O9-Jun2O11 Date mortgagors, and guarantors acceptors, endorsers, 09- Toronto District of: Page 8 of 10 / RUDY ORLOFF Totak Address Occupation or note, etc. Date wtien due pruce payment of bill or note, etc. Name of all promissory, mount of bill Particulars of any property Estimated to held as security for

10 does title stand Nature of I Particulars of mortgages, (name, address, amount) Description of property bankrupt interest Total value hypothecs, or other encumbrances Equity or surplus List G Real Property or Immovables Owned by Bankrupt In whose name Districtof: 09- Toronto Page 9 of 10 Totat FORM 78 Continued 09-Jun Date / DYORLOFF /4//i(49

11 Nature of property Location Details of property Original cost Estimated to produce FULL STATEMENT OF PROPERTY Ust H Property 09- Toronto District of: PagelOoflO Date RUDY ORLOFF 7/Z((.ijj 7(2 Total OOO sharehokter (1) Machinery, equipment and plant (i) Securities (j) wills, Interests under etc (k) Vehicles (I) Taxes (e) Livestock (d) Cash on hand (h) Life insurance policies, RRSPs, etc (c) Cash in financial institutions (m) Other Cause of action against one of the (b) Trade fixtures, etc (g) Furniture (a) Stock-in-trade 0, FORM 78 Concluded

12 I FORM Mississauga District of: Fax: (416) Toronto ON M4T 2T5 Page 1 of 2 That I hereby make a claim under subsection 65.2(4) of the Act, particulars of which are as follows: That in respect of this debt, I hold assets of the debtor valued at $ That I hereby make a claim under subsection 81.2(1) of the Act for the unpaid amount of $ (Attach a copy of sales agreement and delivery receipts.) D A. UNSECURED CLAIM OF $ D Regarding the amount of $ D Regarding the amount of $, D B. CLAIM OF LESSOR FOR DISCLAIMER OF A LEASE $ D C. SECURED CLAIM OF $ D D. CLAIM BY FARMER, FISHERMAN OR AQUACULTURIST OF $ and attach a copy of the security documents.) (Give full particulars of the security, including the dale on which the security was given and the value at which you assess the security, That in respect of this debt, I do not hold any assets of the debtor as security and (Check appropriate description.) as security, particulars of which are as follows: (Give full particulars of the claim, including the calculations upon which the claim is based.) (Set out on an attached sheet details to support priority claim.) (other than as a customer contemplated by Section 262 of the Act) 4 (Check and complete appropriate category.) counterclaims to which the debtor is entitled. (The attached statement of account or affidavit must specify the vouchers or other evidence in support of the claim.) S as specified in the statement of account (or affidavit) attached and marked Schedule after deducting any 3 That the debtor was, at the date of bankruptcy, namely the 10th day of June 2011, and still is, indebted to the creditor in the sum of 2 Tnat I have knowledge of all the circumstances connected with the claim referred to below. creditor. 1 That I am a creditor of the above named debtor (or I am I claim a right to a priority under section 136 of the Act. do not claim a right to a priority. (position/title) of province of, do hereby certify: (name of creditor or representative of the creditor), of the city of,,_,.,_. in the creditor. In the matter of the bankruptcy of of the City of Brampton in the Province of and the claim of All notices or correspondence regarding this claim must be forwarded to the following address: in the Province of of the City of Brampton In the matter of the bankruptcy of (Sections 50,1, 81,5, 81.6, Subsections 65.2(4), 81.2(1), 81.3(8), 81.4(8), 102(2), 124(2), 128(1), Proof of Claim and Paragraphs 51(1)(e) and 66.14(b) of the Act) 2 St. Clair Ave East, 10th Floor Soberman Inc.

13 (Subsection 102(2) and paragraphs 51(1)(e) and 66.15(3)(b) of the Act> Proxy FORM ,, Page 1 of 1 Phone: (416) Fax: (416) Toronto ON M4T 2T5 2 St. Clair Ave East, 10th Floor Soberman Inc. - Trustee Return To: Name and Title of Signing Officer Per Name of Corporate Creditor Wness Witness Individual Creditor Dated at this day of receipt of dividends, (with or without) power to appoint another proxyholder in his or her place. to be my proxyholder in the above matter, except as to the appoint the trustee identified below or of of a creditor in the above matter, hereby in the Province of of the City of Brampton In the matter of the bankruptcy of District of: 09 - Mississauga

14 0 G. CLAIM AGAINST DIRECTOR $ D E. CLAIM BY WAGE EARNER OF $ O That I hereby make a claim under subsection 81.3(8) of the Act in the amount of $ O That I hereby make a claim under subsection 81,5 of the Act in the amount of $ O That I hereby make a claim under subsection 81.6 of the Act in the amount of $ 0 That I hereby make a claim under subsection 81.4(8) of the Act in the amount of $ 0 F. CLAIM BY EMPLOYEE FOR UNPAID AMOUNT REGARDING PENSION PLAN OF $, (have/has/have (am/am (is/is Page 2of2.hnecfiorr 251 t toe Act proodes seaere penatties or maclog any atse bairn, proof, declaration or statement cf accouot.varntngs A to 128(3) of Act, a to of faa or foe trustee of rnal he pursuant subsection fl a of the security, redeem by secunfy an payment the secured creditor debt ralue secunty as assessed, proot the secured creditor u,oa c,s atacted, t must bae been made before a person quahhed to take affidaaits Address: Fax Number: Phone Number: Creditor Witness Dated at this day of 170(1) of the Act be sent to the above address. 0 I request to be informed, pursuant to subparagraph 68(4)(a)(i) of the Act, of the amount fixed under subparagraph 68(4)(a)(i), which 0 If the trustee determines that there is no surplus income, I request to be informed of that determination in accordance with 0 I request that a copy of the report filed by the trustee regarding the bankrupt s application for discharge pursuant to subsection paragraph 68(4)(b) of the Act. is the amount of surplus income that the bankrupt is required to pay to the estate of the bankrupt. 7 (Applicable only in the case of the bankruptcy of an individual.) transfers at undervalue.) immediately before the date of the initial bankruptcy event within the meaning of Section 2 of the Act: (Provide details of payments, credits and and the debtor are related within the meaning of section 4 of the Actor were not dealing with each other at arm s length, within the 12 months) within the meaning of subsection 2(1) of the Act that I have been privy to or a party to with the debtor within the three months (or, if the creditor 6. That the following are the payments that I have received from, and the credits that I have allowed to, and the transfers at undervalue iebtor within the meaning of section 4 of the Act, and not/has not) dealt with the debtor in a non-arm s-length manner. 5. That, to the best of my knowledge, I not) (or the above-named creditor not)) related to the (Give full particulars of the claim, including the calculations upon which the claim is based.) That I hereby make a claim as a customer for net equity as contemplated by section 262 of the Act, particulars of which are as follows: O H. CLAIM OF A CUSTOMER OF A BANKRUPT SECURITIES FIRM $ (Give full particulars of the claim, including the calculations upon which the claim is based.) That I hereby make a claim under subsection 50(13) of the Act, particulars of which are as follows: (To be completed when a proposal provides for the compromise of claims against directors.) FORM Concluded

15 - IThe - n - \ - A (;ENERAL This checklist is provided to assist you in preparing the accompanying proof of claim for and, where required. proxy ftirm in a complete and accurate maimer, Please specifically check each requirement. Every creditor who does not prove his claim is not entitled to share in any distribution. executed proxy. The name of the creditor must appear in the proxy. order (or a duly authorized person to have a right to vote, he must himself be a creditor or be a holder of a properly \ creditor may vote either in person or by proxy. \ debtor may not he appointed a proxy to me at any meeting of his creditors. corporation may vote by an authorized agent at a meeting of creuitors. ii trustee may he appointed as a proxy for any creditor. ENERAL his does not alve such a person power to vote at the lirst meeting of the creditors orto act as the proxy of the creditors. NOTE: [he Bankruptcy and Insolvency Act permits a proof of claim to he made by a duly authorized agent of a creditor hu PROXY (a) Within th three (3) months nrecedin the bankruptcy or the proposal, in the case where the claimant and the (b) Within the twelve (12) months preceding the bankruptcy or the proposal, in the cisc where the claimant and the debtor are not related, debtor are related. All claimants must attach a detailed list of all navments or credits received or granted. as follows: PARAGRAPH (6) All claimants must indicate if he or she is related or not to the debtor, as defined in Section 4 of the Bankruptcy Act, by triking out 1 am or am not, as applicable. P RAGRAPH (1 Claim by Farmer, Fisherman or Aquaculturist must attach a cony of the sale aereement and delivery documents. particulars of the security, including the date on which the security was gtven and the value at which the creditor secured creditor must provide a certified true cony of the security instrument as registered. and must give full Section 44A) priority claims are typically wages, alimony or support and some landlord rent claims. assesses the security and attach a copy of the security documents. PARAGRAPH (4) tatcment of account is not complete if it begins with an amount brought forward. amount of all the invoices or charges, together with the date, the number and the amount of all credits or payments. A A of ace ott must be attached to the proof of claim and must show the date, the number and the statement of account must he complete. P RAGRAPH (3) If the individual completing the proof of claim is not the creditor himself, he must state his position or title. Creditor must state till and complete legal name of company or firm. PARAGRAPH (I) [he amount of the statement of account must correspond to the amount of the proof of claim. Givjh ç pje adclrs where any notice or correspondence is to be forwarded. This document must be siened nersonally by the individual completing this declaration. [he sienature of a witness is required. CLAIIIS NOT COMPLETED CORRECTLY IN EVERY RESPECT WILL BE RETIJRNED. I)IRECTJONS AS TO COMPLETING PROOF OF CLAIM FORM