Case B6F (Official Form09-31231 Doc 377-1 Filed 01/07/11 Entered 01/07/11 09:26:44 Desc Exhibit 6F) (12/07) Amended Schedule F Declaration Concerning Schedules and Declaration Re: Page 1 of 13 IN RE Berry, David W Sr. Case No. 09-31231 Debtor(s) (If known) AMENDED SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS State the name, mailing address, including zip code, and last four digits of any account number, of all entities holding unsecured claims without priority against the debtor or the property of the debtor, as of the date of filing of the petition. The complete account number of any account the debtor has with the creditor is useful to the trustee and the creditor and may be provided if the debtor chooses to do so. If a minor child is a creditor, state the child's initials and the name and address of the child's parent or guardian, such as "A.B., a minor child, by John Doe, guardian." Do not disclose the child's name. See, 11 U.S.C. §112 and Fed. R. Bankr. P. 1007(m). Do not include claims listed in Schedules D and E. If all creditors will not fit on this page, use the continuation sheet provided. If any entity other than a spouse in a joint case may be jointly liable on a claim, place an “X” in the column labeled “Codebtor,” include the entity on the appropriate schedule of creditors, and complete Schedule H - Codebtors. If a joint petition is filed, state whether the husband, wife, both of them, or the marital community may be liable on each claim by placing an “H,” “W,” “J,” or “C” in the column labeled “Husband, Wife, Joint, or Community.” If the claim is contingent, place an “X” in the column labeled “Contingent.” If the claim is unliquidated, place an “X” in the column labeled “Unliquidated.” If the claim is disputed, place an “X” in the column labeled “Disputed.” (You may need to place an “X” in more than one of these three columns.) Report the total of all claims listed on this schedule in the box labeled “Total” on the last sheet of the completed schedule. Report this total also on the Summary of Schedules and, if the debtor is an individual with primarily consumer debts, report this total also on the Statistical Summary of Certain Liabilities and Related Data. Check this box if debtor has no creditors holding unsecured nonpriority claims to report on this Schedule F. HUSBAND, WIFE, JOINT, CONTINGENT UNLIQUIDATED CODEBTOR DISPUTED CREDITOR'S NAME, MAILING ADDRESS DATE CLAIM WAS INCURRED AND AMOUNT INCLUDING ZIP CODE, AND ACCOUNT NUMBER. CONSIDERATION FOR CLAIM. IF CLAIM IS OF OR COMMUNITY (See Instructions Above.) SUBJECT TO SETOFF, SO STATE CLAIM © 1993-2010 EZ-Filing, Inc. [1-800-998-2424] - Forms Software Only ACCOUNT NO. berr Money Owed on Account 3SM Marble & Granite Co. 275 N. Elm Street Westfield, MA 01085 7,912.85 ACCOUNT NO. 0980 Money Owed on Insurance Premiums A.I.M. Mutual Insurance Company C/O Paul S. Kaufman 482 Broadway Somerville, MA 02145 10,414.00 ACCOUNT NO. 5000 Money owed on Account ADT Security Services C/O Valentine & Kebartas POB 325 Lawrence, MA 01842 5,818.79 ACCOUNT NO. Possible Claim Against Debtor Alliance Imaging C/O Posternak, Blankstein & Lund 800 Boylston Street Boston, MA 02199 unknown Subtotal 10 continuation sheets attached (Total of this page) $ 24,145.64 Total (Use only on last page of the completed Schedule F. Report also on the Summary of Schedules and, if applicable, on the Statistical Summary of Certain Liabilities and Related Data.) $ Case B6F (Official Form09-31231 6F) (12/07) - Cont.Doc 377-1 Filed 01/07/11 Entered 01/07/11 09:26:44 Desc Exhibit Amended Schedule F Declaration Concerning Schedules and Declaration Re: Page 2 of 13 IN RE Berry, David W Sr. Case No. 09-31231 Debtor(s) (If known) AMENDED SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS (Continuation Sheet) HUSBAND, WIFE, JOINT, CONTINGENT UNLIQUIDATED CODEBTOR DISPUTED CREDITOR'S NAME, MAILING ADDRESS DATE CLAIM WAS INCURRED AND AMOUNT INCLUDING ZIP CODE, AND ACCOUNT NUMBER. CONSIDERATION FOR CLAIM. IF CLAIM IS OF OR COMMUNITY (See Instructions Above.) SUBJECT TO SETOFF, SO STATE CLAIM ACCOUNT NO. Potential Claim Ambient Engineering 100 Main Street, Suite 330 Concord, MA 01742 unknown ACCOUNT NO. 4003 Credit card purchases American Express POB 1270 Newark, NJ 07101 © 1993-2010 EZ-Filing, Inc. [1-800-998-2424] - Forms Software Only 500.00 ACCOUNT NO. 4794 Credit Card Purchases American Express C/O Zwicker & Associates 80 Minuteman Road Andover, MA 01810 22,946.10 ACCOUNT NO. 1008 Credit Card Purchases American Express POB 1270 Newark, NJ 07101 unknown ACCOUNT NO. 1074 Money owed on Account Arrow Concrete Products, Inc. 560 Salmon Brook Street Granby, CT 06035 6,106.03 ACCOUNT NO. 7155 Credit card purchases Bank Of America POB 15726 Wilmington, DE 19886 16,215.73 ACCOUNT NO. 4070 Credit card purchases Bank Of America POB 15726 Wilmington, DE 19886 15,377.48 Sheet no. 1 of 10 continuation sheets attached to Subtotal Schedule of Creditors Holding Unsecured Nonpriority Claims (Total of this page) $ 61,145.34 Total (Use only on last page of the completed Schedule F. Report also on the Summary of Schedules, and if applicable, on the Statistical Summary of Certain Liabilities and Related Data.) $ Case B6F (Official Form09-31231 6F) (12/07) - Cont.Doc 377-1 Filed 01/07/11 Entered 01/07/11 09:26:44 Desc Exhibit Amended Schedule F Declaration Concerning Schedules and Declaration Re: Page 3 of 13 IN RE Berry, David W Sr. Case No. 09-31231 Debtor(s) (If known) AMENDED SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS (Continuation Sheet) HUSBAND, WIFE, JOINT, CONTINGENT UNLIQUIDATED CODEBTOR DISPUTED CREDITOR'S NAME, MAILING ADDRESS DATE CLAIM WAS INCURRED AND AMOUNT INCLUDING ZIP CODE, AND ACCOUNT NUMBER. CONSIDERATION FOR CLAIM. IF CLAIM IS OF OR COMMUNITY (See Instructions Above.) SUBJECT TO SETOFF, SO STATE CLAIM ACCOUNT NO. 0001 Legal Fees Bulkley, Richardson & Gelinas, LLP POB 15507 Springfield, MA 01115 4,725.89 ACCOUNT NO. 8234 Money Owed on Account Chartis 22427 Network Place Chicago, IL 60673 © 1993-2010 EZ-Filing, Inc. [1-800-998-2424] - Forms Software Only 6,155.00 ACCOUNT NO. 8695 Credit card purchases Chase Cardmember Service POB 15153 Wilmington, DE 19886 12,830.68 ACCOUNT NO. 4995 Mortgage 69 Will Palmer Road, Southwick, which Chase Home Finance was transferred to David Berry, Jr. in 2007 POB 78420 Phoenix, AZ 85062 60,995.18 ACCOUNT NO. 3186 Money Owed on Account Chicopee Concrete Service 652 Prospect Street Chicopee, MA 01020 10,998.86 ACCOUNT NO. 2927 Money Owed on Account City Tire Co., Inc. POB 2469 Springfield, MA 01101 4,917.03 ACCOUNT NO. 2035 Money Owed on Account City Tire Co., Inc. POB 2469 Springfield, MA 01101 3,019.79 Sheet no. 2 of 10 continuation sheets attached to Subtotal Schedule of Creditors Holding Unsecured Nonpriority Claims (Total of this page) $ 103,642.43 Total (Use only on last page of the completed Schedule F. Report also on the Summary of Schedules, and if applicable, on the Statistical Summary of Certain Liabilities and Related Data.) $ Case B6F (Official Form09-31231 6F) (12/07) - Cont.Doc 377-1 Filed 01/07/11 Entered 01/07/11 09:26:44 Desc Exhibit Amended Schedule F Declaration Concerning Schedules and Declaration Re: Page 4 of 13 IN RE Berry, David W Sr. Case No. 09-31231 Debtor(s) (If known) AMENDED SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS (Continuation Sheet) HUSBAND, WIFE, JOINT, CONTINGENT UNLIQUIDATED CODEBTOR DISPUTED CREDITOR'S NAME, MAILING ADDRESS DATE CLAIM WAS INCURRED AND AMOUNT INCLUDING ZIP CODE, AND ACCOUNT NUMBER. CONSIDERATION FOR CLAIM. IF CLAIM IS OF OR COMMUNITY (See Instructions Above.) SUBJECT TO SETOFF, SO STATE CLAIM ACCOUNT NO. 6344 Money owed on Account Complete Disposal Co. POB 1418 Westfield, MA 01086 6,500.00 ACCOUNT NO. 9021 Money owed on Account Construction Data Co. 2001 9th Ave., Suite 209 Vero Beach, FL 32960 © 1993-2010 EZ-Filing, Inc. [1-800-998-2424] - Forms Software Only 1,363.89 ACCOUNT NO. 4269 Money owed on Account Cook Builders' Supply Company C/O Resnic, Beauregard, Waite & Driscoll 330 Whitney Avenue, Suite 400 Holyoke, MA 01040 3,305.13 ACCOUNT NO. Son Money Owed on Account CT Radio, Repeaters POB 487 Rocky Hill, CT 06067 1,320.06 ACCOUNT NO. berr Money Owed on Account David Sutton Heating 207 Mort Vining Road Southwick, MA 01077 2,000.00 ACCOUNT NO. 0080 Civil Lawsuit in U.S. District Court DTC Engineers Constructors, LLC C/O Pepe & Hazard LLP One Financial Center, 15th Floor Boston, MA 02111 unknown ACCOUNT NO. 3681 Money Owed on Account Everett J. Prescott, Inc. POB 600 Gardiner, ME 04345 10,570.83 Sheet no. 3 of 10 continuation sheets attached to Subtotal Schedule of Creditors Holding Unsecured Nonpriority Claims (Total of this page) $ 25,059.91 Total (Use only on last page of the completed Schedule F. Report also on the Summary of Schedules, and if applicable, on the Statistical Summary of Certain Liabilities and Related Data.) $ Case B6F (Official Form09-31231 6F) (12/07) - Cont.Doc 377-1 Filed 01/07/11 Entered 01/07/11 09:26:44 Desc Exhibit Amended Schedule F Declaration Concerning Schedules and Declaration Re: Page 5 of 13 IN RE Berry, David W Sr. Case No. 09-31231 Debtor(s) (If known) AMENDED SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS (Continuation Sheet) HUSBAND, WIFE, JOINT, CONTINGENT UNLIQUIDATED CODEBTOR DISPUTED CREDITOR'S NAME, MAILING ADDRESS DATE CLAIM WAS INCURRED AND AMOUNT INCLUDING ZIP CODE, AND ACCOUNT NUMBER. CONSIDERATION FOR CLAIM. IF CLAIM IS OF OR COMMUNITY (See Instructions Above.) SUBJECT TO SETOFF, SO STATE CLAIM ACCOUNT NO. 4496 Money Owed on Account Fallon Community Health Plan POB 55472 Boston, MA 02205 13,057.75 ACCOUNT NO. 7961 Money Owed on Account Fallon Community Health Plan POB 55472 Boston, MA 02205 © 1993-2010 EZ-Filing, Inc. [1-800-998-2424] - Forms Software Only 1,312.57 ACCOUNT NO. berr Money owed on Account Frank L. Ferrara Spring Works 3 Amboy Court Springfield, MA 01105 6,077.75 ACCOUNT NO. V823 Money owed on judgment Fuel Services, Inc. C/O Thompson & Bell 358 Sewall Street Ludlow, MA 01056 4,933.00 ACCOUNT NO. Money owed on Account G & M Enterprises, Inc./Mr. Gutter 740 High Street, Suite 2 Holyoke, MA 01040 1,201.25 ACCOUNT NO. 1408 Money owed on Account Genalco, Inc. 333 Reservoir Street Needham Heights, MA 02494 971.30 ACCOUNT NO. 6160 Money Owed on Account Genuine Part Company C/O Law Offices Of Serota, Dorko & Assoc POB 1008 Arlington Heights, IL 60006 815.85 Sheet no. 4 of 10 continuation sheets attached to Subtotal Schedule of Creditors Holding Unsecured Nonpriority Claims (Total of this page) $ 28,369.47 Total (Use only on last page of the completed Schedule F. Report also on the Summary of Schedules, and if applicable, on the Statistical Summary of Certain Liabilities and Related Data.) $ Case B6F (Official Form09-31231 6F) (12/07) - Cont.Doc 377-1 Filed 01/07/11 Entered 01/07/11 09:26:44 Desc Exhibit Amended Schedule F Declaration Concerning Schedules and Declaration Re: Page 6 of 13 IN RE Berry, David W Sr. Case No. 09-31231 Debtor(s) (If known) AMENDED SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS (Continuation Sheet) HUSBAND, WIFE, JOINT, CONTINGENT UNLIQUIDATED CODEBTOR DISPUTED CREDITOR'S NAME, MAILING ADDRESS DATE CLAIM WAS INCURRED AND AMOUNT INCLUDING ZIP CODE, AND ACCOUNT NUMBER. CONSIDERATION FOR CLAIM. IF CLAIM IS OF OR COMMUNITY (See Instructions Above.) SUBJECT TO SETOFF, SO STATE CLAIM ACCOUNT NO. 0197 Money owed on Account Grand Lumber Company, Inc. C/O Bohnet & Romani, P.A. 16 King Street Palmer, MA 01069 21,449.81 ACCOUNT NO. berr Money Owed on Account Hang-Rite Gutter Installation Co. 37 South Meadow Road Westfield, MA 01085 © 1993-2010 EZ-Filing, Inc. [1-800-998-2424] - Forms Software Only 285.00 ACCOUNT NO. 6081 Money owed on Account Hanson Pipe POB 730498 Dallas, TX 75373 72,009.06 ACCOUNT NO. berr Money Owed on Account Heritage Surveys, Inc. POB 1 Southampton, MA 01073 11,030.46 ACCOUNT NO. Money owed on Account Holmberg & Howe, Inc. POB 945 Easthampton, MA 01027 2,038.02 ACCOUNT NO. 2850 Money owed on Account for Advertising Idearc Media LLC C/O American Recovery Services, Inc. 555 St. Charles Drive, Suite 100 Thousand Oaks, CA 91360 7,939.99 ACCOUNT NO. Assignee or other notification for: Idearc Media Corp. Idearc Media LLC Attn: Acct Receivable POB 619009 DFW Airport, TX 75261 Sheet no. 5 of 10 continuation sheets attached to Subtotal Schedule of Creditors Holding Unsecured Nonpriority Claims (Total of this page) $ 114,752.34 Total (Use only on last page of the completed Schedule F. Report also on the Summary of Schedules, and if applicable, on the Statistical Summary of Certain Liabilities and Related Data.) $ Case B6F (Official Form09-31231 6F) (12/07) - Cont.Doc 377-1 Filed 01/07/11 Entered 01/07/11 09:26:44 Desc Exhibit Amended Schedule F Declaration Concerning Schedules and Declaration Re: Page 7 of 13 IN RE Berry, David W Sr. Case No. 09-31231 Debtor(s) (If known) AMENDED SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS (Continuation Sheet) HUSBAND, WIFE, JOINT, CONTINGENT UNLIQUIDATED CODEBTOR DISPUTED CREDITOR'S NAME, MAILING ADDRESS DATE CLAIM WAS INCURRED AND AMOUNT INCLUDING ZIP CODE, AND ACCOUNT NUMBER. CONSIDERATION FOR CLAIM. IF CLAIM IS OF OR COMMUNITY (See Instructions Above.) SUBJECT TO SETOFF, SO STATE CLAIM ACCOUNT NO. 0669 Money Owed on Account Insurance Partnership Employee Benefit Resources 2 Hampshire Street Foxboro, MA 02035 1,571.32 ACCOUNT NO. Internal Revenue Service Insolvency Group POB 9112 Boston, MA 02203 © 1993-2010 EZ-Filing, Inc. [1-800-998-2424] - Forms Software Only 38.06 ACCOUNT NO. 9235 Money owed on Account John S. Lane & Son, Inc. POB 125 Westfield, MA 01086 6,718.71 ACCOUNT NO. Money Owed on Settlement Keith Guilmette C/O Donohue, Hyland & Donohue, P.C. 1707 Northampton Street Holyoke, MA 01040 12,200.00 ACCOUNT NO. Money Owed Kelli Hubbard Lucia 81 Roosevelt Avenue Westfield, MA 01085 unknown ACCOUNT NO. V904 Money Owed on Judgment Kitchens Of Distinction C/O Law Offices Of Jennifer A Thorn 1391 Main Street, Suite 600 Springfield, MA 01103 5,586.79 ACCOUNT NO. 6011 Money Owed on Account Marlin Leasing POB 13604 Philadelphia, PA 1,686.91 Sheet no. 6 of 10 continuation sheets attached to Subtotal Schedule of Creditors Holding Unsecured Nonpriority Claims (Total of this page) $ 27,801.79 Total (Use only on last page of the completed Schedule F. Report also on the Summary of Schedules, and if applicable, on the Statistical Summary of Certain Liabilities and Related Data.) $ Case B6F (Official Form09-31231 6F) (12/07) - Cont.Doc 377-1 Filed 01/07/11 Entered 01/07/11 09:26:44 Desc Exhibit Amended Schedule F Declaration Concerning Schedules and Declaration Re: Page 8 of 13 IN RE Berry, David W Sr. Case No. 09-31231 Debtor(s) (If known) AMENDED SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS (Continuation Sheet) HUSBAND, WIFE, JOINT, CONTINGENT UNLIQUIDATED CODEBTOR DISPUTED CREDITOR'S NAME, MAILING ADDRESS DATE CLAIM WAS INCURRED AND AMOUNT INCLUDING ZIP CODE, AND ACCOUNT NUMBER. CONSIDERATION FOR CLAIM. IF CLAIM IS OF OR COMMUNITY (See Instructions Above.) SUBJECT TO SETOFF, SO STATE CLAIM ACCOUNT NO. Possible Third Party Claim MCMUSA Four A Street Burlington, MA 01803 unknown ACCOUNT NO. 5004 Money Owed on Account Mt. View Landscapes & Lawncare 67 Old James Street Chicopee, MA 01020 © 1993-2010 EZ-Filing, Inc. [1-800-998-2424] - Forms Software Only 21,958.00 ACCOUNT NO. Possible Claim Newbury Design Associates 205 Newbury Street Framingham, MA 01701 unknown ACCOUNT NO. 7313 Money owed on Account Northeast Fasteners Co. POB 5091 Granby, MA 01033 251.43 ACCOUNT NO. berr Money owed on Account O'reilly, Talbot & Okun, Assoc. 293 Bridge Street Springfield, MA 01103 17,925.61 ACCOUNT NO. 1717 Money owed on Account OneBeacon Insurance C/O RMS POB 5471 Mount Laurel, NJ 08054 818.00 ACCOUNT NO. 2122 Money Owed on Account Plymouth Rock Assurance Co. C/O CCS POB 55126 Boston, MA 02205 57.77 Sheet no. 7 of 10 continuation sheets attached to Subtotal Schedule of Creditors Holding Unsecured Nonpriority Claims (Total of this page) $ 41,010.81 Total (Use only on last page of the completed Schedule F. Report also on the Summary of Schedules, and if applicable, on the Statistical Summary of Certain Liabilities and Related Data.) $ Case B6F (Official Form09-31231 6F) (12/07) - Cont.Doc 377-1 Filed 01/07/11 Entered 01/07/11 09:26:44 Desc Exhibit Amended Schedule F Declaration Concerning Schedules and Declaration Re: Page 9 of 13 IN RE Berry, David W Sr. Case No. 09-31231 Debtor(s) (If known) AMENDED SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS (Continuation Sheet) HUSBAND, WIFE, JOINT, CONTINGENT UNLIQUIDATED CODEBTOR DISPUTED CREDITOR'S NAME, MAILING ADDRESS DATE CLAIM WAS INCURRED AND AMOUNT INCLUDING ZIP CODE, AND ACCOUNT NUMBER. CONSIDERATION FOR CLAIM. IF CLAIM IS OF OR COMMUNITY (See Instructions Above.) SUBJECT TO SETOFF, SO STATE CLAIM ACCOUNT NO. Money owed on Account Quality Fence & Tree Service POB 3158 Springfield, MA 01101 6,982.35 ACCOUNT NO. 1120 Money owed on Account Rebath Of Western Massachusetts 730 Tyler Street Pittsfield, MA 01201 © 1993-2010 EZ-Filing, Inc. [1-800-998-2424] - Forms Software Only 500.00 ACCOUNT NO. Possible Claim for Damages Riverbend Medical Group 444 Montgomery Street Chicopee, MA 01020 unknown ACCOUNT NO. Money Owed on Account Salt City, Inc. POB 697 Southwick, MA 01077 6,050.05 ACCOUNT NO. RRDA Money Owed on Account Sanford & Hawley POB 545 Unionville, CT 06085 8,351.10 ACCOUNT NO. 0102 Money Owed on Judgment Southwick Electric C/O Bacon & Wilson 33 State Street Springfield, MA 01103 13,200.00 ACCOUNT NO. 1827 Telephone Bill Sprint POB 8077 London, KY 40742 2,320.86 Sheet no. 8 of 10 continuation sheets attached to Subtotal Schedule of Creditors Holding Unsecured Nonpriority Claims (Total of this page) $ 37,404.36 Total (Use only on last page of the completed Schedule F. Report also on the Summary of Schedules, and if applicable, on the Statistical Summary of Certain Liabilities and Related Data.) $ Case B6F (Official Form09-31231 6F) (12/07) - Cont.Doc 377-1 Filed 01/07/11 Entered 01/07/11 09:26:44 Desc Exhibit Amended Schedule F Declaration Concerning Schedules and Declaration Re: Page 10 of 13 IN RE Berry, David W Sr. Case No. 09-31231 Debtor(s) (If known) AMENDED SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS (Continuation Sheet) HUSBAND, WIFE, JOINT, CONTINGENT UNLIQUIDATED CODEBTOR DISPUTED CREDITOR'S NAME, MAILING ADDRESS DATE CLAIM WAS INCURRED AND AMOUNT INCLUDING ZIP CODE, AND ACCOUNT NUMBER. CONSIDERATION FOR CLAIM. IF CLAIM IS OF OR COMMUNITY (See Instructions Above.) SUBJECT TO SETOFF, SO STATE CLAIM ACCOUNT NO. 9258 Money Owed on Account The Blue Book POB 500 Jefferson Valley, NY 10535 568.40 ACCOUNT NO. Money Owed On Account The Lane Construction Corporation 90 Fieldstone Court Cheshire, CT 06410 © 1993-2010 EZ-Filing, Inc. [1-800-998-2424] - Forms Software Only 50,181.60 ACCOUNT NO. 1593 Money owed for Advertising The Republican C/O Joseph, Mann & Creed POB 22253 Beachwood, OH 44122 1,213.26 ACCOUNT NO. 6464 Money Owed on Account Travelers Insurance Company C/O CCS POB 55126 Boston, MA 02205 212.00 ACCOUNT NO. 5201 Money owed on Account United Rentals C/O CCC Of NY POB 288 Tonawanda, NY 14150 947.10 ACCOUNT NO. 7599 Money owed on Account Vellano Bros., Inc. 7 Hemlock Street Latham, NY 12110 36,628.63 ACCOUNT NO. 454Y Telephone Bill Verizon POB 28003 Lehigh Valley, PA 18002 36.96 Sheet no. 9 of 10 continuation sheets attached to Subtotal Schedule of Creditors Holding Unsecured Nonpriority Claims (Total of this page) $ 89,787.95 Total (Use only on last page of the completed Schedule F. Report also on the Summary of Schedules, and if applicable, on the Statistical Summary of Certain Liabilities and Related Data.) $ Case B6F (Official Form09-31231 6F) (12/07) - Cont.Doc 377-1 Filed 01/07/11 Entered 01/07/11 09:26:44 Desc Exhibit Amended Schedule F Declaration Concerning Schedules and Declaration Re: Page 11 of 13 IN RE Berry, David W Sr. Case No. 09-31231 Debtor(s) (If known) AMENDED SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS (Continuation Sheet) HUSBAND, WIFE, JOINT, CONTINGENT UNLIQUIDATED CODEBTOR DISPUTED CREDITOR'S NAME, MAILING ADDRESS DATE CLAIM WAS INCURRED AND AMOUNT INCLUDING ZIP CODE, AND ACCOUNT NUMBER. CONSIDERATION FOR CLAIM. IF CLAIM IS OF OR COMMUNITY (See Instructions Above.) SUBJECT TO SETOFF, SO STATE CLAIM ACCOUNT NO. 0091 Telephone Bill Verizon POB 1100 Albany, NY 12250 1,150.07 ACCOUNT NO. Line of Credit Wells Fargo POB 660217 Dallas, TX 75266 © 1993-2010 EZ-Filing, Inc. [1-800-998-2424] - Forms Software Only 31,520.09 ACCOUNT NO. Possible Claim for Damages Western Mass Magnetic Resonance Services 600 Federal Street Andover, MA 01810 unknown ACCOUNT NO. 5092 Utility Bill Western Massachusetts Electric Credit And Collections Center POB 150494 Hartford, CT 06115 532.83 ACCOUNT NO. 3186 Money Owed on Account Westfield Ready Mix, Inc. 652 Prospect Street Chicopee, MA 01020 1,764.00 ACCOUNT NO. 1122 Money Owed on Account Westfield Transit Mix C/O DPC Enterprises, Inc. POB 344 Farmington, CT 06034 2,418.68 ACCOUNT NO. 0304 Money Owed on Account William F. Sullivan Company C/O Smith, Levenson, Cullen & Aylward 5 Essex Green Drive Peabody, MA 01960 2,422.23 Sheet no. 10 of 10 continuation sheets attached to Subtotal Schedule of Creditors Holding Unsecured Nonpriority Claims (Total of this page) $ 39,807.90 Total (Use only on last page of the completed Schedule F. Report also on the Summary of Schedules, and if applicable, on the Statistical Summary of Certain Liabilities and Related Data.) $ 592,927.94 Case 09-31231 Doc 377-1 Filed 01/07/11 Entered 01/07/11 09:26:44 Desc Exhibit Amended Schedule F Declaration Concerning Schedules and Declaration Re: Page 12 of 13 Case 09-31231 Doc 377-1 Filed 01/07/11 Entered 01/07/11 09:26:44 Desc Exhibit Amended Schedule F Declaration Concerning Schedules and Declaration Re: Page 13 of 13