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District of: Alberta 01 - Edmonton Division No.
District of: Division No. Court No. Estate No. Alberta 01 - Edmonton 24-1994226 24-1994226 _FORM 68_ Notice of Bankruptcy, First Meeting of Creditors (Subsection 102(1) of the Act) X Original Amended In the matter of the Bankruptcy of Cobalt Energy Sevices Ltd of the Town of Drayton Valley, in the Province of Alberta Take notice that: 1. Cobalt Energy Sevices Ltd filed (or was deemed to have filed) an assignment on the 14th day of May 2015, and the undersigned, PricewaterhouseCoopers Inc., was appointed as trustee of the estate of the bankrupt by the official receiver (or the Court), subject to affirmation by the creditors of the trustee's appointment or substitution of another trustee by the creditors. 2. The first meeting of creditors of the bankrupt will be held on the 3rd day of June 2015, at 11:00 AM, at the office of Best Western Hotel, at 225250 Street, Drayton Valley, AB, T7A 1S1. 3. To be entitled to vote at the meeting, a creditor must lodge with the trustee, before the meeting, a proof of claim and, where necessary, a proxy. 4. Enclosed with this notice is a proof of claim form, proxy form, and list of creditors with claims amounting to $25 or more showing the amounts of their claims. 5. Creditors must prove their claims against the estate of the bankrupt in order to share in any distribution of the proceeds realized from the estate. Dated at the City of Edmonton in the Province of Alberta, this 19th day of May 2015. PricewaterhouseCoopers Inc. - Trustee Per: David J. Bryan Suite 1501, 10088 - 102 Avenue Edmonton AB T5J 3N5 Page 1 of 1 PricewaterhouseCoopers Inc. Suite 1501, 10088 - 102 Avenue Edmonton AB T5J 3N5 District of: Division No. Court No. Estate No. Alberta 01 - Edmonton 24-1994226 24-1994226 FORM 31 Proof of Claim (Sections 50.1, 81.5, 81.6, Subsections 65.2(4), 81.2(1), 81.3(8), 81.4(8), 102(2), 124(2), 128(1), and Paragraphs 51(1)(e) and 66.14(b) of the Act) In the matter of the Bankruptcy of Cobalt Energy Sevices Ltd of the Town of Drayton Valley, in the Province of Alberta All notices or correspondence regarding this claim must be forwarded to the following address: _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ In the matter of the bankruptcy of Cobalt Energy Sevices Ltd of the Town of Drayton Valley in the Province of Alberta and the claim of ______________________________, creditor. I, _______________________________ (name of creditor or representative of the creditor), of the city of _______________ in the province of ______________, do hereby certify: 1. That I am a creditor of the above named debtor (or I am ________________________ (position/title) of _________________________, creditor). 2. That I have knowledge of all the circumstances connected with the claim referred to below. 3. That the debtor was, at the date of bankruptcy, namely the 14th day of May 2015, and still is, indebted to the creditor in the sum of $________________________, as specified in the statement of account (or affidavit) attached and marked Schedule "A", after deducting any counterclaims to which the debtor is entitled. (The attached statement of account or affidavit must specify the vouchers or other evidence in support of the claim.) 4. (Check and complete appropriate category.) A. UNSECURED CLAIM OF $________________________ (other than as a customer contemplated by Section 262 of the Act) That in respect of this debt, I do not hold any assets of the debtor as security and (Check appropriate description.) Regarding the amount of $ ________________________, I claim a right to a priority under section 136 of the Act. Regarding the amount of $________________________, I do not claim a right to a priority. (Set out on an attached sheet details to support priority claim.) B. CLAIM OF LESSOR FOR DISCLAIMER OF A LEASE $________________________ That I hereby make a claim under subsection 65.2(4) of the Act, particulars of which are as follows: (Give full particulars of the claim, including the calculations upon which the claim is based.) C. SECURED CLAIM OF $________________________ That in respect of this debt, I hold assets of the debtor valued at $__________________ as security, particulars of which are as follows: (Give full particulars of the security, including the date on which the security was given and the value at which you assess the security, and attach a copy of the security documents.) D. CLAIM BY FARMER, FISHERMAN OR AQUACULTURIST OF $________________________ That I hereby make a claim under subsection 81.2(1) of the Act for the unpaid amount of $________________ (Attach a copy of sales agreement and delivery receipts.) E. CLAIM BY WAGE EARNER OF $________________________ That I hereby make a claim under subsection 81.3(8) of the Act in the amount of $__________, That I hereby make a claim under subsection 81.4(8) of the Act in the amount of $__________, Page 1 of 2 FORM 31 --- Concluded F. CLAIM BY EMPLOYEE FOR UNPAID AMOUNT REGARDING PENSION PLAN OF $________________________ That I hereby make a claim under subsection 81.5 of the Act in the amount of $__________, That I hereby make a claim under subsection 81.6 of the Act in the amount of $__________, G. CLAIM AGAINST DIRECTOR $__________ (To be completed when a proposal provides for the compromise of claims against directors.) That I hereby make a claim under subsection 50(13) of the Act, particulars of which are as follows: (Give full particulars of the claim, including the calculations upon which the claim is based.) H. CLAIM OF A CUSTOMER OF A BANKRUPT SECURITIES FIRM $__________ That I hereby make a claim as a customer for net equity as contemplated by section 262 of the Act, particulars of which are as follows: (Give full particulars of the claim, including the calculations upon which the claim is based.) 5. That, to the best of my knowledge, I ___________(am/am not) (or the above-named creditor ___________(is/is not)) related to the debtor within the meaning of section 4 of the Act, and ________(have/has/have not/has not) dealt with the debtor in a non-arm's-length manner. 6. That the following are the payments that I have received from, and the credits that I have allowed to, and the transfers at undervalue within the meaning of subsection 2(1) of the Act that I have been privy to or a party to with the debtor within the three months (or, if the creditor and the debtor are related within the meaning of section 4 of the Act or were not dealing with each other at arm's length, within the 12 months) immediately before the date of the initial bankruptcy event within the meaning of Section 2 of the Act: (Provide details of payments, credits and transfers at undervalue.) 7. (Applicable only in the case of the bankruptcy of an individual.) Whenever the trustee reviews the financial situation of a bankrupt to redetermine whether or not the bankrupt is required to make payments under section 68 of the Act, I request to be informed, pursuant to paragraph 68(4) of the Act, of the new fixed amount or of the fact that there is no longer surplus income. I request that a copy of the report filed by the trustee regarding the bankrupt’s application for discharge pursuant to subsection 170(1) of the Act be sent to the above address. Dated at ________________________________________, this ___________________ day of _________________________, ___________. _________________________________ _________________________________ Witness Phone Number: Fax Number : E-mail Address : Creditor ______________________________ ______________________________ ______________________________ NOTE: If an affidavit is attached, it must have been made before a person qualified to take affidavits. WARNINGS: A trustee may, pursuant to subsection 128(3) of the Act, redeem a security on payment to the secured creditor of the debt or the value of the security as assessed, in a proof of security, by the secured creditor. Subsection 201(1) of the Act provides severe penalties for making any false claim, proof, declaration or statement of account. Page 2 of 2 District of: Division No. Court No. Estate No. Alberta 01- Edmonton 24-1994226 24-1994226 FORM 36 Proxy (Subsection 102(2) and paragraphs 51(1)(e) and 66.15(3)(b) of the Act) In the matter of the Bankruptcy of Cobalt Energy Sevices Ltd of the Town of Drayton Valley, in the Province of Alberta I, ______________________________, of __________________, a creditor in the above matter, hereby appoint __________________________________, of _____________________________________, to be my proxyholder in the above matter, except as to the receipt of dividends,____________(with or without) power to appoint another proxyholder in his or her place. Dated at ___________________________________, this ________ day of ________________, ________. ____________________________ Witness _____________________________________ Individual Creditor ____________________________ Witness _____________________________________ Name of Corporate Creditor Per _____________________________________ Name and Title of Signing Officer Return To: PricewaterhouseCoopers Inc. - Trustee Suite 1501, 10088 - 102 Avenue Edmonton AB T5J 3N5 Page 1 of 1 District of: Division No. Court No. Estate No. Alberta 01 - Edmonton 24-1994226 24-1994226 X Original Amended _Form 78_ Statement of Affairs (Business Bankruptcy) made by an entity (Subsection 49(2) and Paragraph 158(d) of the Act / Subsections 50(2) and 62(1) of the Act) In the matter of the Bankruptcy of Cobalt Energy Sevices Ltd of the Town of Drayton Valley, in the Province of Alberta To the bankrupt: You are required to carefully and accurately complete this form and the applicable attachments showing the state of your affairs on the date of the bankruptcy, on the 14th day of May 2015. When completed, this form and the applicable attachments will constitute the Statement of Affairs and must be verified by oath or solemn declaration. LIABILITIES (as stated and estimated by the officer) 1. Unsecured creditors as per list "A" . . . . . . . . . . . . . . . . . . ASSETS (as stated and estimated by the officer) 2,160,909.12 Balance of secured claims as per list "B" . . . . . . . . . . . . . 3,047,141.11 Total unsecured creditors . . . . . . . . . . . . . . . . . . . . . 5,208,050.23 2. Secured creditors as per list "B" . . . . . . . . . . . . . . . . . . . . 2,750,000.00 3. Preferred creditors as per list "C" . . . . . . . . . . . . . . . . . . . 6,575.80 4. Contingent, trust claims or other liabilities as per list "D" estimated to be reclaimable for . . . . . . . . . . . . . . . . . . . 0.00 Total liabilities. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7,964,626.03 Surplus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NIL 1. Inventory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. Trade fixtures, etc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. Accounts receivable and other receivables, as per list "E" 2,000,000.00 Good . . . . . . . . . . . . . . . . . . . . 700,000.00 Doubtful . . . . . . . . . . . . . . . . . . 206,957.00 Bad . . . . . . . . . . . . . . . . . . . . . 500,000.00 0.00 2,000,000.00 Estimated to produce. . . . . . . . . . . . . . . . . . . . . . . . . . . 0.00 4. Bills of exchange, promissory note, etc., as per list "F" . . . 0.00 5. Deposits in financial institutions . . . . . . . . . . . . . . . . . . . . . 0.00 6. Cash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0.00 7. Livestock. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 200,000.00 8. Machinery, equipment and plant. . . . . . . . . . . . . . . . . . . . . 0.00 9. Real property or immovable as per list "G" . . . . . . . . . . . . . 0.00 10. Furniture . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0.00 11. RRSPs, RRIFs, life insurance, etc. . . . . . . . . . . . . . . . . . . 0.00 12. Securities (shares, bonds, debentures, etc.) . . . . . . . . . . 0.00 13. Interests under wills . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50,000.00 14. Vehicles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0.00 15. Other property, as per list "H" . . . . . . . . . . . . . . . . . . . . . . If bankrupt is a corporation, add: 0.00 Amount of subscribed capital . . . . . . . 0.00 Amount paid on capital . . . . . . . . . . . . 0.00 Balance subscribed and unpaid. . . . . . . . . . . . . . . . . . 0.00 Estimated to produce . . . . . . . . . . . . . . . . . . . . . . . . . Total assets . . . . . . . . . . . . . . . . . . . . Deficiency . . . . . . . . . . . . . . . . . . . . . 2,750,000.00 5,214,626.03 I, Lenny Towler, of the Town of Drayton Valley in the Province of Alberta, do swear (or solemnly declare) that this statement and the attached lists are to the best of my knowledge, a full, true and complete statement of my affairs on the 13th day of May 2015 and fully disclose all property of every description that is in my possession or that may devolve on me in accordance with the Act. SWORN (or SOLEMNLY DECLARED) before me at the City of Edmonton in the Province of Alberta, on this 13th day of May 2015. Lenny Towler Page 1 District of: Division No. Court No. Estate No. Alberta 01- Edmonton 24-1994226 24-1994226 FORM 78 -- Continued List "A" Unsecured Creditors Cobalt Energy Sevices Ltd No. Name of creditor Address 1 1375703 Alberta Ltd. Site 12, Box 4, RR#3 Rocky Mountain House AB T4T 2A3 2 Aardvark Stamp & Seal Inc. Bay 5, 4940-54 Avenue Red Deer AB T4N 5K8 3 AB Safety Training Ltd. Box 6058 Drayton Valley AB T7A 1R6 4 Acklands Grainger Unsecured claim Balance of claim Total claim 39.69 0.00 39.69 1,211.97 0.00 1,211.97 157.50 0.00 157.50 PO Box 2970 Winnipeg MB R3C 4B5 3,457.82 0.00 3,457.82 5 Adam Gingras 262 Viscount Drive Red Deer AB T4R 0M7 95.17 0.00 95.17 6 Advanced Fire & Safety Systems Inc. PO Box 28058, Highland Green RPO Red Deer AB T4N 7C2 52.34 0.00 52.34 7 Air Liquide Canada 10020-56 Avenue Edmonton AB T6E 5Z2 11.43 0.00 11.43 8 Alida Svedberg 19420 TWP 530A Yellowhead County AB T7E 3A5 375.00 0.00 375.00 9 All Choice Rentals Ltd. PO Box 6607 Drayton Valley AB T7A 1S1 7,793.73 0.00 7,793.73 423.70 0.00 423.70 10 Apex Distribution Inc. #550, 407-2nd Street SW Calgary AB T2P 2Y3 11 Apex Monarch Inc. 5504-58 Avenue Drayton Valley AB T7A 0B1 5,061.09 0.00 5,061.09 12 Argus Machine Co. Ltd. 5820-97 Street Edmonton AB T6E 3J1 1,699.32 0.00 1,699.32 13 B&R Eckel's PO Box 6249 Bonnyville AB T9N 2G8 480.31 0.00 480.31 14 Baich & Sons Home Hardward Building Centre 5101-49 Avenue, PO Box 220 Rocky Mountain House AB T4T 1A2 320.97 0.00 320.97 15 Battery World 6508-75 Street Edmonton AB T6E 6E4 6,972.00 0.00 6,972.00 16 BHD Calibration Ltd. 8505 Argyll Road NW Edmonton AB T6C 4B2 987.00 0.00 987.00 17 Biz Line Visa - 5813 PO Box 4595 Stn A Toronto ON M5W 4X9 17,684.15 0.00 17,684.15 18 Bob Dale Oilfield Services Ltd. Box 7648 Drayton Valley AB T7A 1S7 17,036.37 0.00 17,036.37 19 Brews Supply 12203-40 Street SE Calgary AB T2Z 4E6 13,449.11 0.00 13,449.11 20 Brian's Automotive Specialists Box 6397 Drayton Valley AB T7A 1R8 450.52 0.00 450.52 21 Bruin Instruments Corp. 9001-20 Street Edmonton AB T6P 1K8 466.21 0.00 466.21 22 BurCom Consulting Ltd. 201, 2508 Ellwood Drive SW Edmonton AB T6X 0A9 10,000.00 0.00 10,000.00 23 Cameron Canada Corporation c/ C15874C, PO Box 1587, Station M Calgary AB T2P 3B9 1,071.63 0.00 1,071.63 24 Canadian Engravers Supply Ltd. 4730-14 Street NE Calgary AB T2E 6L7 293.49 0.00 293.49 19-May-2015 Date Lenny Towler Page 2 of 15 District of: Division No. Court No. Estate No. Alberta 01- Edmonton 24-1994226 24-1994226 FORM 78 -- Continued List "A" Unsecured Creditors Cobalt Energy Sevices Ltd No. Name of creditor Address 25 Canwest Propane 1700, 440-2nd Avenue SW Calgary AB T2P 5E9 26 Capital Industrial Sales & Service Unsecured claim Balance of claim Total claim 3,040.64 0.00 3,040.64 #1, 6540-71Street Red Deer AB T4P 3Y7 278.25 0.00 278.25 27 Carline Muffler Box 7170, 5308-56 Avenue Drayton Valley AB T7A 1S4 198.49 0.00 198.49 28 Castle Rental & Welding 248-58 Street Edson AB T7E 1R8 51.64 0.00 51.64 29 CCI Thermal Technologies Inc. 5918 Roper Road Edmonton AB T6B 3E1 19,179.73 0.00 19,179.73 30 CJK Welding 1 Edith Avenue Lacombe AB T4L 0H3 1,433.25 0.00 1,433.25 31 Clearwater Locksmith 4204-52 Avenue Rocky Mountain House AB T4T 1V4 252.00 0.00 252.00 32 Collicutt Energy Services Corp. 8133 Edgar Industrial Close Red Deer AB T4P 3R4 43,812.50 0.00 43,812.50 33 Commercial Lighting 1535 Cliveden Avenue Delta BC V3M 6P7 1,213.00 0.00 1,213.00 34 Concept Controls Inc. Bay 1, 2315-30 Avenue NW Calgary AB T2E 7C7 639.45 0.00 639.45 35 Continental Decon Inc. 35 Devon Road Brampton ON L6T 5B6 808.86 0.00 808.86 36 Corporate Express c/o C25043C, Box 2524,Stn M Calgary AB T2P 1B1 5,240.02 0.00 5,240.02 37 Culligan Water 6521-67 Street Red Deer AB T4P 1A3 348.53 0.00 348.53 38 Custom Industrial Cleaners Box 7768 Drayton Valley AB T7A 1S8 220.50 0.00 220.50 39 CVS Controls Ltd. 3900-101Street Edmonton AB T6E 0A5 8,021.19 0.00 8,021.19 40 CWB Group 206-19 Avenue, Nisku Industrial Park Nisku AB T9E 0W8 189.00 0.00 189.00 41 D&M Box 5029 Lacombe AB T4L 1W7 2,992.50 0.00 2,992.50 42 D.V. Rentals Inc. Box 6875, 5513-50 Avenue Drayton Valley AB T7A 1S2 4,704.12 0.00 4,704.12 43 DDR Steam & Presure Washing RR #2, Box 1, Site 22 Rocky Mountain House AB T4T 2A2 924.00 0.00 924.00 44 Derrick Dodge (1980) Ltd. 6211-104 Street Edmonton AB T6H 2K8 1,017,959.00 0.00 1,017,959.00 45 Digitex Inc. #130, Leva Ave. Red Deer County AB T4E 1B9 1,339.85 0.00 1,339.85 46 Direct Controls PO Box 6446, Station M Calgary AB T2P 2E1 9,665.87 0.00 9,665.87 47 Direct Energy Regulated Services PO Box 2427 Edmonton AB T5J 2R4 226.61 0.00 226.61 48 Dk Lok Canada #6, 7421Edgar Industrial Drive Red Deer AB T4P 3R2 5,150.20 0.00 5,150.20 19-May-2015 Date Lenny Towler Page 3 of 15 District of: Division No. Court No. Estate No. Alberta 01- Edmonton 24-1994226 24-1994226 FORM 78 -- Continued List "A" Unsecured Creditors Cobalt Energy Sevices Ltd No. Name of creditor Address 49 DNOW Canada ULC PO Box 664, Stn M. Calgary AB T2P 2J3 50 Drayton Valley Ford Sales Ltd. PO Box 6389, 5214 Power Centre Blvd. Drayton Valley AB T7A 1R8 51 Drayton Valley Home Hardware Box 6749, 4221-50 Street Drayton Valley AB T7A 1S1 52 Drayton Valve & Fitting Inc. PO Box 7897, 5614-55 Street Drayton Valley AB T7A 1S9 53 Drayton's Pride Unsecured claim Balance of claim Total claim 130.29 0.00 130.29 70.27 0.00 70.27 316.18 0.00 316.18 6,193.06 0.00 6,193.06 Box 7737 Drayton Valley AB T7A 1S8 734.41 0.00 734.41 54 Dunn-Right Communications Inc. Box 7057 Drayton Valley AB T7A 1S4 1,411.36 0.00 1,411.36 55 Duravent Quality Extruded Aluminum Louvers 4280-93 Street Edmonton AB T6E 5P5 543.48 0.00 543.48 56 Edson Truck Logistics Po Box 7676 Edson AB T7E 1V8 64.29 0.00 64.29 57 Eecol Electric Corp (RD) 4747-61Street Red Deer AB T4N 7C9 11,036.94 0.00 11,036.94 58 Eecol Electric Corp. 7603 McIntyre Road Edmonton AB T6E 6K9 114,375.29 0.00 114,375.29 59 Enmax PO BOx 2900 Stn M Calgary AB T2P 3A7 209.96 0.00 209.96 60 Epcor Box 500 Edmonton AB T5J 3Y3 1,452.19 0.00 1,452.19 61 Everything H2O Box 547, 4523-47 Avenue Rocky Mountain House AB T4T 1A4 65.00 0.00 65.00 62 Fast Fred's Hotshot Service Ltd. PO Box 725 Red Deer AB T4N 5H2 2,015.64 0.00 2,015.64 63 Fineline Stationery Ltd. Box 6326 Edson AB T7E 1T8 357.30 0.00 357.30 64 For-Tec Inc. Box 7331, 6434-50 Avenue Drayton Valley AB T7A 1S5 1,967.28 0.00 1,967.28 65 Fusion Production Systems Inc. 48 Belich Cres. Red Deer County AB T4S 2K5 3,543.75 0.00 3,543.75 66 Gauss Holdings Ltd. 4706-9 Avenue Edson AB T7E 1E2 100.00 0.00 100.00 67 Gescan V7176C, PO Box 7100 Stn. TRML Vancouver BC V6B 4E2 20,116.38 0.00 20,116.38 68 Giant Truck & Car Wash Box 279, 4310-52 Avenue Rocky Mountain House AB T4T 1A2 57.70 0.00 57.70 69 Greg Hayes 21, 3710 Allan Dr. Sw Edmonton AB T6W 2C4 1,785.95 0.00 1,785.95 70 Gregg Distributors Ltd. 16215-118 Avenue Edmonton AB T5V 1C7 6,238.32 0.00 6,238.32 71 H2 Solutions 53249 Range Road 223 Sherwood Park AB T8E 2K1 117.60 0.00 117.60 72 Hayduk Picker Services Ltd. Box 79185 Drayton Valley AB T7A 1S9 14,366.63 0.00 14,366.63 19-May-2015 Date Lenny Towler Page 4 of 15 District of: Division No. Court No. Estate No. Alberta 01- Edmonton 24-1994226 24-1994226 FORM 78 -- Continued List "A" Unsecured Creditors Cobalt Energy Sevices Ltd No. Name of creditor Address 73 HES PV 320 Mary St. Victoria BC V9A 3V9 74 High Speed Printing Unsecured claim Balance of claim Total claim 7,980.49 0.00 7,980.49 5531-99 Street NW Edmonton AB T6E 3N8 126.00 0.00 126.00 75 Hi-Way 9 Express Ltd. PO Box 2020 Drumheller AB T0J 0Y0 79.43 0.00 79.43 76 Horizon Technique Drug 4624-47 Street Rocky Mountain House AB T4T 1C8 535.50 0.00 535.50 77 Hughes Auto Repair 4606-3 Avenue Edson AB T7E 1C3 1,298.16 0.00 1,298.16 78 Hy-Tek Computers Box 2409, 4920-51Avenue Rocky Mountain House AB T4T 1J6 441.00 0.00 441.00 79 Integ Controls and Instrumentation Inc. Unit 4, 3620-29 Street NE Calgary AB T1Y 5Z8 1,656.57 0.00 1,656.57 80 Integra Tire PO Bocx 6245, 209-59 Street Edson AB T7E 1T7 79.84 0.00 79.84 81 Jasper Express Box 1067 Wabamum AB T0E 2K0 278.95 0.00 278.95 82 Jaysa Plumbing & Heating Ltd. 12-53106 Rge Rd. 195 Yellowhead County AB T7E 3A2 1,491.00 0.00 1,491.00 83 Jeff Coffin 15 Nyman Cres. Red Deer AB T4P 1Z5 27.21 0.00 27.21 84 Jennifer Shrive 210 Terrance Park Red Deer AB T4N 1V8 26.44 0.00 26.44 85 Jesse Towne Box 117 Rocky Rapids AB T0E 1Z0 197.32 0.00 197.32 86 Jiffy Lube #1021 5111-22 Street Red Deer AB T4R 2K1 719.53 0.00 719.53 87 Jiffy Lube #1049 #14, 5207-48 Street Rocky Mountain House AB T4T 0B1 1,363.09 0.00 1,363.09 88 Jiffy Lube #31 5220-4 Avenue Edson AB T7E 1L4 2,167.45 0.00 2,167.45 89 Kal Tire Mountain Tire 5959-3rd Avenue Edson AB T7E 1R8 231.32 0.00 231.32 90 KOLO Safety Inc. Box 145, 5011-50th Avenue Lindale AB T0C 1W0 507.51 0.00 507.51 91 Loomis Express, a div of TFI Transport 22 L.P. 200 Westcreek Blvd. Brampton ON L6T 5T6 795.50 0.00 795.50 92 Lubers Expres Oil Change Ltd. Box 5428 Drayton Valley AB T7A 1R5 2,212.82 0.00 2,212.82 93 MasterCard - 0275 (Servus) PO Box 4637 Toronto ON M5W 5C6 36,941.35 0.00 36,941.35 94 Maximum Controls Inc. Box 103 Tees AB T0C 1N0 9,213.75 0.00 9,213.75 95 Melissa Hendricken 4117-46 Avenue Drayton Valley AB T7A 1E8 55.00 0.00 55.00 96 Modern Electric (Rocky) Inc. Po Box 1510 Rocky Mountain House AB T4T 1B2 475.91 0.00 475.91 19-May-2015 Date Lenny Towler Page 5 of 15 District of: Division No. Court No. Estate No. Alberta 01- Edmonton 24-1994226 24-1994226 FORM 78 -- Continued List "A" Unsecured Creditors Cobalt Energy Sevices Ltd No. Name of creditor Address 97 Morad Communications Ltd. Box 7484, 5108-2 Avenue Edson AB T7E 1V6 98 Mountaineer Publishing Co. Ltd. 99 Mountainside Sales & Rentals Ltd. Unsecured claim Balance of claim Total claim 4,188.69 0.00 4,188.69 4814-49 Street Rocky Mountain House AB T4T 1S8 657.09 0.00 657.09 5707-2nd Avenue Edson AB T7E 1L8 451.50 0.00 451.50 1,535.93 0.00 1,535.93 57.92 0.00 57.92 100 MRC Canada ULC c/o LB 310130,PO Box 578 Stn M. Calgary AB T2P 2L2 101 NAPA Traction Edson PO Box 6329, 4833-2 Avenue Edson AB T7E 1T8 102 Nedco 3915-97 Street Edmonton AB T6E 6P6 44,904.91 0.00 44,904.91 103 Nick Rooyakkers 44 Cornett Drive Red Deer AB T4P 2G7 33.60 0.00 33.60 104 Noramco 70 Glacier Street Coquitlam BC V3K 5Y9 58,731.60 0.00 58,731.60 105 Northern Metalic Sales 5540-3 Avenue Edson AB T7E 1L6 1,627.90 0.00 1,627.90 106 Northern Metalic Sales (RM) Ltd. Box 27, 4412-42 Avenue Rocky Mountain House AB T4T 1A1 545.61 0.00 545.61 107 Ogilvie LLP 10303 Jasper Avenue 1400 Canadian Western Bank Place Edmonton AB T5J 3N6 3,117.82 0.00 3,117.82 108 Oras Communications Ltd. PO Box 1348, 4120-45 A Street Rocky Mountain House AB T4T 1A9 914.55 0.00 914.55 109 Paint Druid Box 5461 Drayton Valley AB T7A 1R5 2,154.60 0.00 2,154.60 110 Panelflex Bay 9, 7408-40 Street SE Calgary AB T2C 1L6 60,523.45 0.00 60,523.45 111 Panic Printing Solutions Box 2107, 5222-44 Street Rocky Mountain House AB T4T 1B6 233.37 0.00 233.37 112 Pembina Controls Inc. 235038 Wrangler Road SE MD of Rockyview AB T1X 0K3 6,069.22 0.00 6,069.22 113 Peterson Instruments Services Ltd. #123, 5655-10 Street NE Calgary AB T2E 8W7 975.14 0.00 975.14 114 Pinnacle Stainless Steel Inc. 5303-42 Street NW Edmonton AB T6B 3P2 2,515.80 0.00 2,515.80 115 Pitney Bowes PO Box 278 Orangeville ON L9W 2Z7 69.64 0.00 69.64 116 Pitney Works Box 280 Orangeville ON L9W 2Z7 495.02 0.00 495.02 117 PKE Water Store and More Suite B, 4622-4 Avenue Edson AB T7E 1C7 12.00 0.00 12.00 118 Poplar Ridge Home Building Centre Box 7260 Drayton Valley AB T7A 1S5 595.59 0.00 595.59 119 Price Steel 13500-156 Street Edmonton AB T5V 1L3 4,676.07 0.00 4,676.07 120 Procon Systems Inc. 6025-99 Street Edmonton AB T6E 3P1 13,741.75 0.00 13,741.75 19-May-2015 Date Lenny Towler Page 6 of 15 District of: Division No. Court No. Estate No. Alberta 01- Edmonton 24-1994226 24-1994226 FORM 78 -- Continued List "A" Unsecured Creditors Cobalt Energy Sevices Ltd No. Name of creditor Address Unsecured claim Balance of claim Total claim 121 QPS Machine Shop Ltd. 1-7719 Edgar Industrial Dr. Red Deer AB T4P 3R2 1,942.50 0.00 1,942.50 122 Red Deer Valve & Fitting Unit 4, 4910-78 Street Red Deer AB T4P 3W9 7,246.58 0.00 7,246.58 123 Reliance Industrial Parts 606-19 Avenue Nisku AB T9E 7W1 2,092.15 0.00 2,092.15 124 Rocket Express Box 5033, 6518-50 Avenue Drayton Valley AB T7A 1R3 4,582.62 0.00 4,582.62 125 Rocky Gs Co-op Ltd. PO Box 697 Rocky Mountain House AB T4T 1A5 94.96 0.00 94.96 126 Rogers PO Box 8878, Stn Terminal Vancouver BC V6B 0H6 174.78 0.00 174.78 127 Russel Metals Inc. 2471-76 Avenue NW Edmonton AB T6P 1P6 4,586.30 0.00 4,586.30 128 Saskatchewan Workers' Compensation Board Box 4556 Regina SK S4P 3Y3 6.20 0.00 6.20 129 Servus Credit Union Ltd. 151Karl Clark Road NW Edmonton AB T6N 1H5 0.00 3,047,141.11 3,047,141.11 130 Shelley Graham 4409 MacKenzie Ave. Drayton Valley AB T7A 1A6 720.00 0.00 720.00 131 Stephan Humphreys RR2 Bluffton AB T0C 0M0 360.09 0.00 360.09 132 Stephen Quinn 3557-54 Avenue Innisfil AB T4G 1S3 179.41 0.00 179.41 133 Stony Inspection Services Ltd. 21-52211Range Rd. 275 Spruce Grove AB T7X 3V1 510.93 0.00 510.93 134 Summit Safety Inc. Box 7140 Drayton Valley AB T7A 1S4 1,675.80 0.00 1,675.80 135 Sun Media Corporation PO Box 7400 London ON N2Y 4X3 396.19 0.00 396.19 136 Tank Gauging Systems Corp. 12532-124 Street Edmonton AB T5L 0N5 1,290.24 0.00 1,290.24 137 Ted Beath Welding Ltd. Box 6628 Drayton Valley AB T7A 1S1 1,379.69 0.00 1,379.69 138 Telus Communications PO Box 7575 Vancouver BC V6B 8N9 4,289.33 0.00 4,289.33 139 Texcan PO Box 7100 Vancouver BC V6B 4E2 240,725.04 0.00 240,725.04 140 The City of Red Deer PO Box 5008 Red Deer AB T4N 3T4 174.92 0.00 174.92 141 The Great-West Life Assurance Co. Suite 302, 10110-104 Street Edmonton AB T5J 4R5 11,626.09 0.00 11,626.09 142 The Safety Depot Box 819, 4716-49 Street Rocky Mountain House AB T4T 1A6 298.74 0.00 298.74 143 The Safety Store 5923-4 Avenue Edson AB T7E 1L9 610.58 0.00 610.58 144 Three Penguins Signs Box 7918 Edson AB T7E 1V9 157.50 0.00 157.50 19-May-2015 Date Lenny Towler Page 7 of 15 District of: Division No. Court No. Estate No. Alberta 01- Edmonton 24-1994226 24-1994226 FORM 78 -- Continued List "A" Unsecured Creditors Cobalt Energy Sevices Ltd No. Name of creditor Address 145 TimberJack Home Hardward Box 687 Edson AB T7E 1T6 146 Town of Drayton Valley Unsecured claim Balance of claim Total claim 106.50 0.00 106.50 Box 6837 Drayton Valley AB T7A 1A1 61.57 0.00 61.57 147 Town of Edson 605-50 Street, PO Box 6300 Edson AB T7E 1T7 39.16 0.00 39.16 148 Tri-Electric Ltd. Box 7168, 4901-57 Street Drayton Valley AB T7A 1S4 107.10 0.00 107.10 149 UFA Co-operative Limited PO Box 2790, Station M Calgary AB T2P 2M7 18,964.88 0.00 18,964.88 150 U-Line Box 3500, RPO Streetsville Mississauga ON L5M 0S8 985.67 0.00 985.67 151 Unified Alloys 8835-50 Avenue Edmonton AB T6E 5H4 375.90 0.00 375.90 152 Unified Valve Ltd. #4, 12181-44 Street SE Calgary AB T2Z 4H3 120.75 0.00 120.75 153 Unitray Systems Inc. 5304-36 Street Edmonton AB T6B 3P3 41,790.73 0.00 41,790.73 154 Universal Rewind (1975) Ltd. 11635-180 Street Edmonton AB T5S 2H8 2,793.97 0.00 2,793.97 155 UPS Canada PO Box 4900, Station A Toronto ON M5W 0A7 258.15 0.00 258.15 156 Uptown Laundry & Tanning PO Box 6697 Drayton Valley AB T7A 1S1 5,533.50 0.00 5,533.50 157 Valley Fleet and Automotive Services Box 7542, 4916-56 Street Drayton Valley AB T7A 1S6 1,182.33 0.00 1,182.33 158 Vital Safety Training Box 6278, 5048-50 Avenue Drayton Valley AB T7A 1R6 42.00 0.00 42.00 159 Waste Management of Canada Corporation PO Box 15259, Station A Toronto ON M5W 1C1 623.51 0.00 623.51 160 Waster RR1 Eckville AB T0M 0X0 304.50 0.00 304.50 161 Wesco Distribution Canada 6000 Lougheed Highway Burnaby BC V5B 4V6 117,364.07 0.00 117,364.07 162 Western Resource Connections 10307-139 Street Edmonton AB T5N 2K3 582.12 0.00 582.12 163 Westwind Glass 4531-47 Avenue Rocky Mountain House AB T4T 1C5 882.00 0.00 882.00 164 Workers' Compensation Board 9912 - 107 Street Edmonton AB T5J 2S5 1.00 0.00 1.00 165 Your Choice Embroidery & Promotions Box 5376, 5101-51Avenue Drayton Valley AB T7A 1R5 972.30 0.00 972.30 166 Zacharias Mills 59 Herder Drive Sylvan Lake AB T4S 1X8 217.87 0.00 217.87 2,160,909.12 3,047,141.11 5,208,050.23 Total: 19-May-2015 Date Lenny Towler Page 8 of 15 District of: Division No. Court No. Estate No. Alberta 01- Edmonton 24-1994226 24-1994226 FORM 78 -- Continued List "B" Secured Creditors Cobalt Energy Sevices Ltd No. Name of creditor 1 Canada Revenue Agency Amount of claim Address Prairies Regional Collections / Compliance Centre 9700 Jasper Avenue Edmonton AB T5J 4C8 2 Ignite Rental Solutions Ltd. #3, 285130 Wrangler Way SE Calgary AB T1X 0K3 3 Servus Credit Union Ltd. 151Karl Clark Road NW Edmonton AB T6N 1H5 Estimated value of security Particulars of security When given 424,638.00 Business Assets - Stock In Trade - Stock In Trade 02-Feb-2005 424,638.00 Business Assets - Machinery - Equipment 02-Feb-2005 0.00 Debts Due - Business Accounts Receivable 02-Feb-2005 0.00 Motor Vehicles - Other 2000 - Various - Various 02-Feb-2005 0.00 143,832.69 Debts Due - Business Accounts Receivable 02-Feb-2005 143,832.69 4,376,394.00 Business Assets - Stock In Trade - Stock In Trade 02-Feb-2005 75,362.00 Business Assets - Machinery - Equipment 02-Feb-2005 200,000.00 Debts Due - Business Accounts Receivable 02-Feb-2005 1,003,890.89 4 Studon Electric & Controls Inc. 102, 8024 Edgar Industrial Crescent Red Deer AB T4P 3R3 227,111.42 Debts Due - Business Accounts Receivable 02-Feb-2005 227,111.42 5 Tribal Energy Services 105 Cranleigh Terrance SE Calgary AB T3N 0C4 625,165.00 Debts Due - Business Accounts Receivable 02-Feb-2005 625,165.00 Total: 5,797,141.11 2,700,000.00 Estimated surplus from security 50,000.00 3,097,141.11 50,000.00 19-May-2015 Date Lenny Towler Page 9 of 15 Balance of claim 3,097,141.11 District of: Division No. Court No. Estate No. Alberta 01- Edmonton 24-1994226 24-1994226 FORM 78 -- Continued List "C" Preferred Creditors for Wages, Rent, etc. Cobalt Energy Sevices Ltd No. Name of creditor Address and occupation Period during which claim accrued Nature of claim Amount of claim Amount payable in full Difference ranking for dividend 1 915426 Alberta Ltd. 4757-60 Street Red Deer AB T4N 2N8 - 5,767.30 0.00 5,767.30 2 Mid-West Glass PO Box 6217 Edson AB T7E 1T7 - 808.50 0.00 808.50 6,575.80 0.00 6,575.80 Total: 19-May-2015 Date Lenny Towler Page 10 of 15