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Proof of Claim 04/19 Case 20-34682 Claim 31 Filed 01/20/21 Desc Main Document Page 1 of 16 Debtor 1 Bouchard Transportation Co. Inc. Debtor 2 (Spouse, if filing) United States Bankruptcy Court for the: Southern District of Texas Case number 20-34682 Official Form 410 Proof of Claim 04/19 Read the instructions before filling out this form. This form is for making a claim for payment in a bankruptcy case. Do not use this form to make a request for payment of an administrative expense. Make such a request according to 11 U.S.C. § 503. 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. Do not send original documents; they may be destroyed after scanning. If the documents are not available, explain 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. Fill in all the information about the claim as of the date the case was filed. That date is on the notice of bankruptcy (Form 309) that you received. Identify the Claim 1. Who is the current Delaware City Refining Company LLC creditor? Name of the current creditor (the person or entity to be paid for this claim) Other names the creditor used with the debtor Subsidiary of PBF Holding Company, LLC 2. Has this claim been ~( No acquired from someone else? ~ Yes. From whom? 3. Where should notices Where should notices to the creditor be sent? Where should payments to the credi#or be sent? (if and payments to the different) creditor be sent? PBF Holding Company, LLC Attn: Trecia Canty Federal Rule of Name Name Bankruptcy Procedure (FRBP) 2002(g) 1 Sylvan Way 2nd Floor Number Street Number Street Parsippany NJ 07054 City State ZIP Code City State ZIP Code Contact phone X973) 455 7500 Contact phone concaocema~i [email protected] Contactemail Uniform claim identifier for electronic payments in chapter 13 (if you use one): — — — — — — — — — — — — — — — — — — — — — — — — 4. Does this claim amend ❑ No filed? one already ~ Yes. Claim number on court claims registry (if known) ~ 3 Filed on 11/10/2020 MM / DD / YYYY 5. Do you know if anyone ~( No else has filed a proof ❑Yes. Who made the earlier filing? of claim for this claim? Official Form 410 1058601202130000000004Proof of Claim page 1 Case 20-34682 Claim 31 Filed 01/20/21 Desc Main Document Page 2 of 16 Give information About the Claim as of the Date the Case Was Filed 6. Do you have any number ❑ No you use to identify the ~ Yes. Last 4 digits of the debtor's account or any number you use to identify the debtor: 0 1 3 2 debtor? 7. How much is the claim? $ 9996.38 . Does this amount include interest or other charges? No ❑ Yes. Attach statement itemizing interest, fees, expenses, or other charges required by Bankruptcy Rule 3001(c)(2)(A). 8. What is the basis of the Examples: Goods sold, money loaned, lease, services performed, personal injury or wrongful death, or credit card. claim? Attach redacted copies of any documents supporting the claim required by Bankruptcy Rule 3001(c). Limit disclosing information that is entitled to privacy, such as health care information. Line handling and spill services to vessel-Maritime Lien claim 46 US~i 3 l1 ~f 9. Is all or part of the claim ❑ No secured? ~ Yes. The claim is secured by a lien on property. Nature of property: ❑ Real estate. If the claim is secured by the debtor's principal residence, file a Mortgage Proof of Claim Attachment (Official Form 410-A) with this Proof of Claim. ❑ Motor vehicle f~ other. Describe: Maritime Lien on Vessel -Barge B-235 under 46 USC 31342 Basis for per~ection: See attached Invoices # 115715 & 115770 Attach redacted copies of documents, if any, that show evidence of perfection of a security interest (for example, a mortgage, lien, certificate of title, financing statement, or other document that shows the lien has been filed or recorded.) Value of properly: $ Amount of the claim that is secured: $ 9,996.38 Amount of the claim that is unsecured: $ (The sum of the secured and unsecured amounts should match the amount in line 7.) Amount necessary to cure any default as of the date of the petition: $ Annual Interest Rate (when case was filed) 0.12 0~0 ❑ Fixed ❑ Variable 10. Is this claim based on a ~f No lease? ❑ Yes. Amount necessary to cure any default as of the date of the petition. $ 11. Is this claim subject to a ~ No right of setoff? ❑ Yes. Identify the property: Official Form 410 Proof of Claim page 2 Case 20-34682 Claim 31 Filed 01/20/21 Desc Main Document Page 3 of 16 2. Is all or paint of the claim I~' No entitled to priority under ~ 11 U.S.C. § 507(a)? Yss. Check one: Amount entitled to priority A claim may be partly ❑Domestic support obligations (including alimony and child support) under priority and partly 11 U.S.C. § 507(a)(1)(A) or (a)(1)(Bj. ~ nonpriority. For example, in some categories, the ❑ Up to $3,025" of deposits toward purchase, lease, or rental of property or services for law limits the amount personal, family, or household use. 11 U.S.C. § 507(a)(7). $, entitled to priority. ❑ Wages, salaries, or commissions (up to $13,650") earned within 180 days before the bankruptcy petition is filed or the debtors business ends, whichever is earlier. S 17 U.S.C. § 507(a)(4). ❑ Taxes or penalties owed to governmental units. 11 U.S.C. § 507(a)(8). ❑ Contributions to an employee benefit plan. 11 U.S.C. § 507(a)(5). $ ❑ Other. Specify subsection of 11 U.S.C. § 507(a}(_) that applies. $ * Amounts era subject to adjustrnent on 4/01/22 and every 3 years after that for cases begun on or after the date of adjustment. Slgn Below The person completing Check the appropriate box: this proof of claim must sign and date it. Ig I am the creditor. FRBP 9011(b). ❑ I am the creditor's attorney or authorized agent. If you file this claim ❑ I am the trustee, or the debtor, or their authorized agent. Bankruptcy Rule 3004. electronically, FRBP ❑ I am a guarantor, surety, endorser, or other codebtor. Bankruptcy Rule 3005. b005(a)(2) authorizes courts to establish local rules speciying what a signature that an authorized signature on this Proof of Claim serves as an acknowledgment that calculating the is. understand when amount of the claim, the creditor gave the debtor credit for any payments received toward the debt. A pereon who files a fraudulent claim could be have examined the information in this Proof of Claim and have a reasonable belief that the information is true fined up to;500,000, and correct. imprisoned for up to 5 years, or both. declare under penalty of perjury that the foregoing is true and correct. 18 U.S.C. §§ 152, 157, and 3571. Executed on date Gl /~~ l 2d z ~ MM / DD / YYYY s Sign re Print the name of the person who is completing and signing this claim: Name Joseph Marino First name Middle name Last name Title Treasurer Company PBF Holding Company, LLC, parent of Delaware City Refining Company LLC Identify the corporate servlcer as the wmpeny if the aulhorized agent is a servicer. Address 7 Sylvan Way 2nd Floor Number Street Parsippany NJ 07054 City Stets ZIP Code Contact phone (973) 455 7518 Erne;i [email protected] Official Form 410 Proof of Claim page 3 Case 20-34682 Claim 31 Filed 01/20/21 Desc Main Document Page 4 of 16 U~~a~nrare ~i~y R~lSn~ng com#~anv 455n Wrangle Hili Road, Defaw~r~ City, D~ ~~7U6 ak4c ~r~k I~ Y ~~~rG Invoice Number: 11~i71~ tnvuica Rafe: ~4103f'ES Terms; Nef 45 bays Bill ea: 8oucharr# Transpr~rtatian Cv. 58 Sou#h Service Rd, Suite 950 Me#vi1le, NY 1174 5'16-681-49t3Q Affn; Accounts payable B#fling Period; Vessel D+~eicing Fees for March 2019 Arrival Dale Vessel PraducE Reference A aun 3128119 8-23~ #6 Fus! Oil ~Jt395 $ 2,20Q.a0 Totat Amount Due: ~2,2QU.Oa Rafiinery Carrtacts: Dpnna Lang 3Q2-833-603$ dunna.lan~Ca7~b#ener~y.com Rem1E to: Fed. Tax !D # : 27-2198373 Wires: Wells Varga Bank AAA Account Swift 97QQ i.incoln, 61h door 12"t ODt} 2A8' _472 481 8422 WF81U56S Denver, CC} 80203 Nfai~ 1 Checks: Delaware City ~iefirting Company, LLC P. D. Box $23666 F'hitadelphfa, PA 99'!82-3fi~6 Oyernipht Mail: ~eiaware City Refining Company I.LC Rafe 3$ &East Gate Drive Mootestowtl, New Jet&ey 08057 Reference: ~oakbax# 823656 ** ~tVD OF I~l1It7IC~ ** Case 20-34682 Claim 31 Filed 01/20/21 Desc Main Document Page 5 of 16 f t ' D~LAV~~i~2.E CI"CY it1+rFINING COMP~.N'~' ! Vesse! tit ~3~Yth Fee Noii~e~tivtt f r -- J„ ._._. Frocti~cf: ,fir`` C.~:+ ~flf..•'r'. ::i~~, f ~y R,C~G`}'Cl1CC/7~TIk)NtI.~ .a~~y '~,~ `i"~,~'.• i Agccit l B;~rge Co.: T ode h~ rd "f'"^r--~ ~~r-`7~x r~risri ~ l3~t~ cif ~,rri~~i~~ ,~ l ~":~%~ i i Y'L;~:S: [.i~tg TI~rrtic3ling Sei'Y14C F3ar~a-c 51,{1QO b~iExel a,t~~~~aity:.
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