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Claim Documents","","Certificate of Service in the United States Bankruptcy Court for the District of Delaware for the Chapter 11 case In re Extraction Oil & Gas, Inc. et al. It records the declarant’s statement that, under supervision, KCC served claim-related documents by electronic mail to the service list attached as Exhibit A. Exhibit B contains the General Unsecured Claim Registration Form, requiring brokerage or registration details and an IRS W-9 for allocation of New Common Shares, with multiple distribution and return deadlines.",{"@graph":63,"@context":117},[64,80,100],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":41,"@type":70,"position":76},"https://docshare.wps.com/template/letters/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/certificate-of-service-chapter-11-extraxtion-oil-gas-inc-claim-documents/301276/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":94,"encodingFormat":93,"isAccessibleForFree":95,"interactionStatistic":96},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/certificate-of-service-chapter-11-extraxtion-oil-gas-inc-claim-documents/301276.png","ImageObject",442,249,{"name":88,"@type":89},"Genevieve","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-09-19",true,{"@type":97,"interactionType":98,"userInteractionCount":73},"InteractionCounter",{"@type":99},"ViewAction",{"@type":101,"mainEntity":102},"FAQPage",[103,109,113],{"name":104,"@type":105,"acceptedAnswer":106},"Who provided the Certificate of Service, and for which role?","Question",{"text":107,"@type":108},"Stanley Y. 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Martinez, depose and say that I am employed by Kurtzman Carson Consultants LLC (KCC), the claims and noticing agent for the Reorganized Debtor in the above-captioned case.  \nOn January 14, 2021, at my direction and under my supervision, employees ofKCC caused to be served the following documents via Electronic Mail upon the service list attached hereto as Exhibit A:  \n􀁸 General Unsecured Claim Registration Form [attached hereto as Exhibit B]  \n􀁸 Form W-9, Request for Taxpayer Identification Number and Certification [attached hereto as Exhibit C]  \nDated: January 27, 2022  \n/s/ Stanley Y. Martinez   \nStanley Y. Martinez  \nKCC  \n222 N Pacific Coast Highway, Suite 300 El Segundo, CA 90245  \nTel. 310.823.9000  \n1 The Reorganized Debtors in these chapter 11 cases, along with the last four digits of each Debtor’s federal tax identification number, are: Extraction Oil & Gas, Inc. (3923); 7N, LLC (4912); 8 North, LLC (0904); Axis Exploration, LLC (8170); Extraction Finance Corp. (7117); Mountaintop Minerals, LLC (7256); Northwest Corridor Holdings, LLC (9353); Table Mountain Resources, LLC (5070); XOG Services, LLC (6915); and XTR Midstream, LLC (5624). The location of the Reorganized Debtors’ principal place of business is 370 17th Street, Suite 5300, Denver, Colorado 80202.  \n¨2¤!/P6!; !`«  \n2011548220127000000000001  \nCase 20-11548-CSS Doc 2075 Filed 01/27/22 Page 2 of 13  \nExhibit A  \nCase 20-11548-CSS Doc 2075 Filed 01/27/22 Page 3 of 13  \nExhibit A  \nAllowed General Unsecured Claimants  \nServed via Electronic Mail  \n\n| \u003Cbr>CreditorName CreditorNoticeName Email\u003Cbr>Beach Point Capital Management\u003Cbr>LP Operations [operations@beachpointcapital.com](operations@beachpointcapital.com) |  |  |\n| --- | --- | --- |\n| Blackrock Advisors LLC | Melanie Groves and Adam Cox | [Melanie.groves@blackrock.com](Melanie.groves@blackrock.com) ; [adam.cox@blackrock.com](adam.cox@blackrock.com) |\n| Brigade Capital Management LP | Colin Wheeler | [operations@brigadecapital.com](operations@brigadecapital.com) ; [cwheeler@brigadecapital.com](cwheeler@brigadecapital.com) |\n| Capital Research and Management Company | Core Ops Corporate Actions | [Core.ops.corporate.actions@capgroup.com](Core.ops.corporate.actions@capgroup.com) |\n| DCP OPERATING COMPANY, LP | John Cochran and Kelly Buechler | [JRCochran@dcpmidstream.com](JRCochran@dcpmidstream.com) ;\u003Cbr>[AEBarry@dcpmidstream.com](AEBarry@dcpmidstream.com) ;\u003Cbr>[kbuechler@dcpmidstream.com](kbuechler@dcpmidstream.com) |\n| DJ SOUTH GATHERING, LLC | Ryan Newburn c/o ARB Midstream, LLC | [Ryan.Newburn@ARBMidstream.com](Ryan.Newburn@ARBMidstream.com) ; [cmiller@mnat.com](cmiller@mnat.com) ;\u003Cbr>[MJOchs@hollandhart.com](MJOchs@hollandhart.com) |\n| Kimmeridge Energy Management |  | [Denis.laloy@kimmeridge.com](Denis.laloy@kimmeridge.com) ; |\n| Company LLC | Denis Laloy | [Andrew.freilich@kimmeridge.com](Andrew.freilich@kimmeridge.com) |\n| MCS Capital II, LLC | c/o STC | [Mattb@ArgoPartners.net](Mattb@ArgoPartners.net) ;\u003Cbr>[singer@ArgoPartners.net](singer@ArgoPartners.net) |\n| PLATTE RIVER MIDSTREAM, LLC | Ryan Newburn, c/o ARB Midstream, LLC | [cmiller@mnat.com](cmiller@mnat.com) ;\u003Cbr>[MJOchs@hollandhart.com](MJOchs@hollandhart.com) ;\u003Cbr>[ryan.newburn@arbmidstream.com](ryan.newburn@arbmidstream.com) |\n| UNITED POWER, INC. |  | [nglaser@UnitedPower.com](nglaser@UnitedPower.com) |\n| Whitebox Advisors LLC | Scott Specken | [sspecken@whiteboxadvisors.com](sspecken@whiteboxadvisors.com) |\n\nIn re Extraction Oil & Gas, Inc. , et al. ,  \nCase No. 20-11548 (CSS) Page 1 of 1  \nCase 20-11548-CSS Doc 2075 Filed 01/27/22 Page 4 of 13  \nExhibit B  \nCase 20-11548-CSS Doc 2075 Filed 01/27/22 Page 5 of 13  \nGENERAL UNSECURED CLAIM  \nREGISTRATION FORM  \nREQUIRED REGISTRATION IN","cbCaiq4MfeyX04VT","https://ap.wps.com/l/cbCaiq4MfeyX04VT","pdf",1055630,13,"English","# Certificate of Service\n# Exhibit A: Allowed General Unsecured Claimants Served via Electronic Mail\n# Exhibit B: General Unsecured Claim Registration Form","[{\"question\":\"Who provided the Certificate of Service, and for which role?\",\"answer\":\"Stanley Y. Martinez, employed by Kurtzman Carson Consultants LLC (KCC), the claims and noticing agent for the reorganized debtor, provided the certificate.\"},{\"question\":\"How were the claim documents served to the creditors?\",\"answer\":\"The documents were served via Electronic Mail to the service list attached as Exhibit A.\"},{\"question\":\"What information is required in the General Unsecured Claim Registration Form?\",\"answer\":\"Claimants must provide brokerage account information or preferred registration name/address and include a copy of the IRS W-9 tax form to receive New Common Shares.\"}]","Certificate of Service - Chapter 11 - Extraxtion Oil & Gas, Inc. Claim Documents | PDF"]