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Bankruptcy Forms Case 12-21951-bam Doc 5 Entered 10/23/12 14:24:11 Page 1 of 77 10/23/12 1:59PM B4 (Official Form 4) (12/07) United States Bankruptcy Court District of Nevada In re Prestige Travel, Inc. Case No. 12-21951-BAM Debtor(s) Chapter 11 LIST OF CREDITORS HOLDING 20 LARGEST UNSECURED CLAIMS Following is the list of the debtor's creditors holding the 20 largest unsecured claims. The list is prepared in accordance with Fed. R. Bankr. P. 1007(d) for filing in this chapter 11 [or chapter 9] case. The list does not include (1) persons who come within the definition of "insider" set forth in 11 U.S.C. § 101, or (2) secured creditors unless the value of the collateral is such that the unsecured deficiency places the creditor among the holders of the 20 largest unsecured claims. If a minor child is one of the creditors holding the 20 largest unsecured claims, 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; Fed. R. Bankr. P. 1007(m). (1) (2) (3) (4) (5) Name of creditor and complete Name, telephone number and complete Nature of claim (trade Indicate if claim is Amount of claim mailing address including zip mailing address, including zip code, of debt, bank loan, contingent, [if secured, also code employee, agent, or department of creditor government contract, unliquidated, state value of familiar with claim who may be contacted etc.) disputed, or security] subject to setoff American Express American Express 1,300,000.00 PO Box 0001 PO Box 0001 Los Angeles, CA 90096-0001 Los Angeles, CA 90096-0001 Circus Circus Circus Circus 441,938.10 c/o MGM Mirage c/o MGM Mirage Attn: John McManus, Attn: John McManus, General General Counsel Counsel 3600 Las Vegas Blvd. South Las Vegas, NV 89109 Las Vegas, NV 89109 Cosmopolitan of Las Vegas Cosmopolitan of Las Vegas 251,625.61 c/o Nevada Property 1,LLC c/o Nevada Property 1,LLC Attn: CEO and General Attn: CEO and General Counsel Counsel Las Vegas, NV 89109 3708 Las Vegas Blvd., South Las Vegas, NV 89109 Excalibur Excalibur 453,671.02 c/o MGM Mirage c/o MGM Mirage Attn: John McManus, Attn: John McManus, General General Counsel Counsel 3600 Las Vegas Blvd. South Las Vegas, NV 89109 Las Vegas, NV 89109 Flamingo Las Vegas Flamingo Las Vegas 211,902.25 c/o Caesars Entertainment c/o Caesars Entertainment Attn: Susan Moore Attn: Susan Moore 3555 Las Vegas Blvd. South Las Vegas, NV 89109 Las Vegas, NV 89109 Golden Nugget Atlantic City Golden Nugget Atlantic City 291,000.00 Attn: General Counsel Attn: General Counsel 1510 West Loop South 1510 West Loop South Houston, TX 77027 Houston, TX 77027 Imperial Palace Imperial Palace 227,640.91 c/o Caesars Entertainment c/o Caesars Entertainment Attn: Susan Moore Attn: Susan Moore 3555 Las Vegas Blvd South Las Vegas, NV 89109 Las Vegas, NV 89109 Software Copyright (c) 1996-2012 CCH INCORPORATED - www.bestcase.com Best Case Bankruptcy Case 12-21951-bam Doc 5 Entered 10/23/12 14:24:11 Page 2 of 77 10/23/12 1:59PM B4 (Official Form 4) (12/07) - Cont. In re Prestige Travel, Inc. Case No. 12-21951-BAM Debtor(s) LIST OF CREDITORS HOLDING 20 LARGEST UNSECURED CLAIMS (Continuation Sheet) (1) (2) (3) (4) (5) Name of creditor and complete Name, telephone number and complete Nature of claim (trade Indicate if claim is Amount of claim mailing address including zip mailing address, including zip code, of debt, bank loan, contingent, [if secured, also code employee, agent, or department of creditor government contract, unliquidated, state value of familiar with claim who may be contacted etc.) disputed, or security] subject to setoff LOVE LOVE 329,698.57 c/o MGM Mirage c/o MGM Mirage Attn: John McManus Attn: John McManus 3600 Las Vegas Blvd., South Las Vegas, NV 89109 Las Vegas, NV 89109 LUXOR Hotel LUXOR Hotel 837,145.30 c/o MGM Mirage c/o MGM Mirage Attn: John McManus Attn: John McManus 3600 Las Vegas Blvd. South Las Vegas, NV 89109 Las Vegas, NV 89109 Mandalay Bay Mandalay Bay 222,079.93 c/o MGM Mirage c/o MGM Mirage Attn: John McManus Attn: John McManus 3600 Las Vegas Blvd. South Las Vegas, NV 89109 Las Vegas, NV 89109 MGM Grand Hotel MGM Grand Hotel 517,223.42 c/o MGM Mirage c/o MGM Mirage Attn: John McManus Attn: John McManus 3600 Las Vegas Blvd. South Las Vegas, NV 89109 Las Vegas, NV 89109 Monte Carlo Monte Carlo 304,140.97 c/o MGM Mirage c/o MGM Mirage Attn: John McManus Attn: John McManus 3600 Las Vegas Blvd. South Las Vegas, NV 89109 Las Vegas, NV 89109 Mystere Mystere 287,854.45 c/o Treasure Island c/o Treasure Island Attn: Don Voss Attn: Don Voss 3300 South Las Vegas Blvd. Las Vegas, NV 89109 Las Vegas, NV 89109 New York New York New York New York 186,392.45 c/o MGM Mirage c/o MGM Mirage Attn: John McManus Attn: John McManus 3600 Las Vegas Blvd. South Las Vegas, NV 89109 Las Vegas, NV 89109 O O 336,716.95 c/o MGM Mirage c/o MGM Mirage Attn: John McManus Attn: John McManus 3600 Las Vegas Blvd. South Las Vegas, NV 89109 Las Vegas, NV 89109 Palazzo at the Venetian Palazzo at the Venetian 181,988.67 Attn: VP & General Counsel Attn: VP & General Counsel 3355 Las Vegas Blvd. 3355 Las Vegas Blvd. Las Vegas, NV 89109 Las Vegas, NV 89109 River Palms Resort River Palms Resort 200,084.52 Attn: Phil Musa Attn: Phil Musa 2121 South Casino Drive 2121 South Casino Drive Laughlin, NV 89029 Laughlin, NV 89029 Software Copyright (c) 1996-2012 CCH INCORPORATED - www.bestcase.com Best Case Bankruptcy Case 12-21951-bam Doc 5 Entered 10/23/12 14:24:11 Page 3 of 77 10/23/12 1:59PM B4 (Official Form 4) (12/07) - Cont. In re Prestige Travel, Inc. Case No. 12-21951-BAM Debtor(s) LIST OF CREDITORS HOLDING 20 LARGEST UNSECURED CLAIMS (Continuation Sheet) (1) (2) (3) (4) (5) Name of creditor and complete Name, telephone number and complete Nature of claim (trade Indicate if claim is Amount of claim mailing address including zip mailing address, including zip code, of debt, bank loan, contingent, [if secured, also code employee, agent, or department of creditor government contract, unliquidated, state value of familiar with claim who may be contacted etc.) disputed, or security] subject to setoff Treasure Island Treasure Island 223,074.53 Attn: Don Voss Attn: Don Voss 3300 South Las Vegas Blvd. 3300 South Las Vegas Blvd. Las Vegas, NV 89109 Las Vegas, NV 89109 Wynn Las Vegas Wynn Las Vegas 176,751.00 3131 Las Vegas Blvd. South 3131 Las Vegas Blvd. South Las Vegas, NV 89109 Las Vegas, NV 89109 Zumanity Zumanity 179,502.23 c/o MGM Mirage c/o MGM Mirage Attn: John McManus Attn: John McManus 3600 Las Vegas Blvd. South Las Vegas, NV 89109 Las Vegas, NV 89109 DECLARATION UNDER PENALTY OF PERJURY ON BEHALF OF A CORPORATION OR PARTNERSHIP I, the Vice 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 October 23, 2012 Signature /s/ Leo Falkensammer Leo Falkensammer Vice President 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. Software Copyright (c) 1996-2012 CCH INCORPORATED - www.bestcase.com Best Case Bankruptcy Case 12-21951-bam Doc 5 Entered 10/23/12 14:24:11 Page 4 of 77 10/23/12 1:59PM }bk1{List ofEquitySecurityHolders}bk{ United States Bankruptcy Court District of Nevada In re Prestige Travel, Inc. Case No. 12-21951-BAM , Debtor Chapter 11 LIST OF EQUITY SECURITY HOLDERS Following is the list of the Debtor's equity security holders which is prepared in accordance with Rule 1007(a)(3) for filing in this chapter 11 case. Name and last known address Security Number Kind of or place of business of holder Class of Securities Interest Ellen Falkensammer 18.69% 1608 Shadow Rock Drive Las Vegas, NV 89117 Leo and Kathleen Falkensammer 62.62% 2224 Glen Brook Way Las Vegas, NV 89117 Leopold H. Falkensammer 18.69% 2674 Vikings Cove Lane Las Vegas, NV 89117 DECLARATION UNDER PENALTY OF PERJURY ON BEHALF OF CORPORATION OR PARTNERSHIP I, the Vice 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 October 23, 2012 Signature /s/ Leo Falkensammer Leo Falkensammer Vice President 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. 0 continuation sheets attached to List of Equity Security Holders Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com Best Case Bankruptcy Case 12-21951-bam Doc 5 Entered 10/23/12 14:24:11 Page 5 of 77 10/23/12 1:59PM United States Bankruptcy Court District of Nevada In re Prestige Travel, Inc.
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