Ballot And Deadline For Filing Ballot Accepting Or Rejecting Plan {LF-33}

UNITED STATES BANKRUPTCY COURT FOR THE SOUTHERN DISTRICT OF FLORIDA www.flsb.uscourts.gov In re: Case No. Chapter 11 Debtor / BALLOT AND DEADLINE FOR FILING BALLOT ACCEPTING OR REJECTING PLAN TO HAVE YOUR VOTE COUNT YOU MUST COMPLETE AND RETURN THIS BALLOT BY THE DEADLINE INDICATED BELOW [AS SET PURSUANT TO LOCAL RULE 3018-1(B)] on can be confirmed The plan filed by by the court and thereby made binding on you if it is accepted by the holders of two-thirds in amount and more than one-half in number of claims in each class and the holders of two-thirds in amount of equity security interests in each class voting on the plan. In the event the requisite acceptances are not obtained, the court may nevertheless confirm the plan if the court finds that the plan accords fair and equitable treatment to the class rejecting it. This ballot is for creditor (insert name) for the following type of claim placed in the indicated class in the indicated amount: TYPE OF CLAIM G General Secured G General Unsecured G Bond Holder G Equity Security Holder CLASS IN PLAN $ $ Amount of Bond/debenture $ Number of Shares of Stock AMOUNT OF CLAIM The undersigned [Check One Box] G Accepts G Rejects the plan for reorganization of the above-named debtor. Signed: Print Name: Address: Phone: Date: ÚÚÚFILE THIS BALLOT ON OR BEFORE with: Clerk of Bankruptcy Court G 301 N. Miami Ave., Room 150, Miami, FL 33128 G 299 E. Broward Blvd., Room 112, Ft. Lauderdale, FL 33301 G 1515 North Flagler Drive, Room 801, West Palm Beach, FL 33401 If you have more than one type of claim against this debtor, separate ballots must be filed and you should receive a ballot for each type of claim eligible to vote. Contact the plan proponent regarding incorrect or insufficient ballot(s). American LegalNet, Inc. www.FormsWorkFlow.com ÚÚÚ LF-33 (rev. 10/10/14)