Form 425A Worksheet - Plan of Reorganization for Small Business Under Chapter 11

Worksheet only. Not the official form. Transfer to Official Form 425A. Use for small business debtors (non-Subchapter V) proposing a plan.

United States Bankruptcy Court
District of [District]

In re: [Debtor Name]
Case No.: [ ]
Chapter 11 (Small Business Debtor)

Article 1: Summary

• Briefly describe what the plan does (treatment of creditors, equity, operations): [ ]

Article 2: Classification of Claims and Interests

• List classes and state whether impaired/unimpaired.
• Class 1 (e.g., priority tax): [ ] — [ ] Impaired [ ] Unimpaired
• Class 2 (e.g., secured lender): [ ] — [ ] Impaired [ ] Unimpaired
• Class 3 (e.g., general unsecured): [ ] — [ ] Impaired [ ] Unimpaired
• Class 4 (equity): [ ] — [ ] Impaired [ ] Unimpaired
• Add additional classes as needed.
• Administrative and priority claims treatment (if not classified): [ ]

Article 3: Treatment of Claims and Interests

For each class, state the treatment (payment amount/timing, interest rate, collateral, cramdown terms, cure amounts).

• Class 1 treatment: [ ]
• Class 2 treatment: [ ]
• Class 3 treatment: [ ]
• Class 4 treatment: [ ]

Article 4: Means for Implementation of the Plan

• How payments will be funded (cash on hand, new value, sale, refinancing, operations): [ ]
• Executory contracts/leases to be assumed or rejected: [ ]
• Management/ownership changes: [ ]
• Vesting of property of the estate: [ ]
• Avoidance actions/claims to be retained: [ ]

Article 5: Distributions and Procedures

• Distribution dates/frequency: [ ]
• Claim objection deadline and reserve process: [ ]
• Treatment of unclaimed distributions: [ ]

Article 6: Modification of the Plan

• Procedure for plan modifications before/after confirmation: [ ]

Article 7: Discharge

• Describe discharge and injunction provisions consistent with chapter 11 small business rules: [ ]

Article 8: Other Provisions

• Tax treatment, releases (if any), exculpation (if any), and any local-form required provisions: [ ]

Article 9: Effective Date

• Define effective date and conditions precedent: [ ]

Article 10: Attachments and Exhibits

• Liquidation analysis (if required): [ ]
• Financial projections (if required): [ ]
• Plan supplement documents: [ ]

Signature

Debtor/Plan Proponent: [ ]
Signature: __________________________ Date: __________
Printed Name/Title: [ ]
Attorney for Debtor (if any): [ ] Signature: __________________________ Date: __________