Filers must leave out or redact information that is entitled to privacy on this form or on any attached documents.
Attach redacted copies of any documents that support the claim, such as promissory notes, purchase orders, invoices,
itemized statements of running accounts, contracts, judgments, mortgages, and security agreements.
If the documents are not available, explain in an attachment.
Part 1: Use of this form:
This Form replaces Official Form 410 and is for use only by:
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Investors (a person who made an investment in any of the following entities and received a member interest and/or manager interest) in any of the following entities:
Warrior ATV Golf, LLC – Case No. 19-50033 (DRJ)
Warrior Golf Development, LLC – Case No. 19-50029 (DRJ)
Warrior Golf Management, LLC – Case No. 19-50032 (DRJ)
Warrior Golf Assets, LLC – Case No. 19-50030 (DRJ)
Warrior Golf Venture, LLC – Case No. 19-50031 (DRJ)
Warrior Premium Properties, LLC – Case No. 19-50034 (DRJ)
Warrior Golf, LLC – Case No. 19-50035 (DRJ)
Warrior Golf Equities, LLC – Case No. 19-31953 (DRJ)
Warrior Golf Capital, LLC – Case No. 19-31954 (DRJ)
Warrior Golf Resources, LLC – Case No. 19-31955 (DRJ)
Warrior Golf Legends, LLC – Case No. 19-31957 (DRJ)
Warrior Golf Holdings, LLC – Case No. 19-31958 (DRJ)
Warrior Capital Management, LLC – Case No. 19-32951 (DRJ)
Warrior Golf Properties, LLC (Non-Debtor)1
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Holders of a Pro Rata Promissory Note executed by Warrior Golf, LLC; and
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Holders of Convertible Promissory Notes issued by Warrior Acquisitions,
LLC – Case No. 19-50028 (DRJ).
Parties-in-interest, other than those listed in (1), (2), and/or (3) above,
are to use the General Claim Form (or Official Form 410) for filing Proofs of Claim
against one or more of the Debtors. To the extent that a party-in-interest asserts
a claim in addition to those listed in (1), (2), and/or (3) above, they should submit
this form and the General Claim Form (or Official Form 410)
for their additional claim.
If you attach documents, please leave out or redact information you wish to keep confidential.
Do not send original documents; they may be destroyed after scanning.
If the documents supporting your claim or interest are not available,
explain why your claim or interest is different in an attachment.
A person who files a fraudulent claim could be fined up to $500,000,
imprisoned for up to 5 years, or both. 18 U.S.C. §§ 152, 157, and 3571.
1 As noted, Warrior Golf Properties, LLC is not a Debtor and
shall be treated as Ordered at Docket No. 333.
Part 2: The attachment to this form:
Attached to this form is a pre-completed schedule containing information that
the Debtors assert is correct as of the petition date for the respective Debtor, with regard to:
COLUMN 1: The original amount of your investment(s) in each of the debtor
Limited Liability Companies, listed in Part 1, above.
COLUMN 3: The face amount of each Pro Rata Promissory Note you received from Warrior Golf, LLC.
COLUMN 5: The face amount of the Convertible Promissory Note you received from Warrior Acquisitions, LLC.
If the figures provided in COLUMNS 1, 3, and 5 are accurate and conform to your records,
you do not need to add to or modify the attached Schedule and
you do not need to submit this form or provide any documentation,
including membership interest or notes.
The Debtors have already recorded your claim and/or interest
If the figures provided in COLUMNS 1, 3, and 5 are not accurate,
you must provide correct amounts for each entity in
COLUMNS 2, 4, and 6. Only provide figures for amounts that are incorrect.
Then submit this form as directed above.
Click below to attach documentation
(see instructions)
.
Part 3: Identify the Creditor / Investor:
Who is the current creditor/investor? Name and address of creditor / investor
(the person or entity to be paid or receive distributions for this claim/investment):
Part 4: Reservation of Rights:
The Debtors and each claimant submitting this form reserve all of their respective
rights to assert, challenge, dispute or otherwise take an alternative or otherwise
different position with respect to, inter alia, the characterization of the investments
made with any of the limited liability companies, the Pro Rata Promissory Notes,
and/or the Convertible Promissory Notes.
With respect to the Pro Rata Promissory Notes executed by Warrior Golf, LLC,
the Debtors and each claimant submitting this form reserve all of their
respective rights with respect to, inter alia, the legal identity of the maker
of the Pro Rata Promissory Notes.
With respect to the Convertible Promissory Notes executed by Warrior Acquisitions, LLC,
Debtors and each claimant submitting this form reserve all of their respective rights
with respect to, inter alia, the conversion provisions of the Convertible Promissory Notes.
Part 5: Sign Below: ONLY SIGN AND RETURN IF YOU HAVE CORRECTED COLUMNS 2, 4, and 6
OF THE ATTACHMENT
The person completing this proof of claim must sign and date it. FRBP 9011(b).
If you file this claim electronically, FRBP 5005(a)(2) authorizes courts to establish local rules specifying what a signature is.
A person who files a fraudulent claim could be fined up to $500,000, imprisoned for up to 5 years, or both. 18 U.S.C. §§ 152, 157, and 3571.
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Penalty for presenting fraudulent claim:
Fine of up to $500,000 or imprisonment for up to 5 years, or both.
18 U.S.C. §§ 152, 157, and 3571.