epiq bankruptcy solutions, llc po box 4470 beaverton, or 97076 … · 2016. 7. 31. · inc. and lpi...

Epiq Bankruptcy Solutions, LLCPO Box 4470Beaverton, OR 97076-4470

Address Service Requested

LFP SOL 07-15-2016 (VOTE-MERGE2,TXNUM2) 900002810BAR(23) MAILID *** 000108605097 ***%"$!)'!#'"#&&!*""'#%)#'!))%%&&%&&""'!)-%&&&%&#&")-!'!)-!#"$%')!1JOHN DOE123 MAIN STREETFORT WORTH, TX 76132

Legal Documents Enclosed -Please direct to the attentionof the Addressee,Legal Department or President.

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BALLOT

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IN THE UNITED STATES BANKRUPTCY COURT FOR THE NORTHERN DISTRICT OF TEXAS

FORT WORTH DIVISION In re: LIFE PARTNERS HOLDINGS, INC., et al., Debtors.

Chapter 11 Case Nos. 15-40289-rfa-11 (Jointly Administered)

BALLOT FOR VOTING TO ACCEPT OR REJECT THIRD AMENDED JOINT PLAN OF

REORGANIZATION OF LIFE PARTNERS HOLDINGS, INC., ET AL.

PURSUANT TO CHAPTER 11 OF THE BANKRUPTCY CODE

CLASS B3A - IRA HOLDER (EXCLUDED FROM THE RESCISSION SETTLEMENT SUBCLASS) CLAIM AGAINST LPI

H. Thomas Moran II, as Chapter 11 Trustee of Life Partners Holdings, Inc., Life Partners,

Inc. and LPI Financial Services, Inc., and the Official Committee of Unsecured Creditors in the above-captioned Chapter 11 case are soliciting votes with respect to the Third Amended Joint Plan of Reorganization of Life Partners Holdings, Inc., et al., dated June 21, 2016 (including all exhibits and supplements, the “Plan”) through their Disclosure Statement for Third Amended Joint Plan of Reorganization (including all exhibits and supplements, the “Disclosure Statement”) and related approved documents. Epiq Bankruptcy Solutions, LLC is the balloting agent (the “Balloting Agent”) for purposes of the Plan solicitation. Capitalized terms used in this ballot (the “Ballot”) or the attached instructions that are not otherwise defined herein or therein have the meanings given to them in the Plan. The Plan contains all defined terms used in all Ballots, Election Forms and related instructions. PLEASE READ THE PLAN AND THE DISCLOSURE STATEMENT, AND THE VOTING INSTRUCTIONS ON PAGES 4 AND 5 BELOW, CAREFULLY BEFORE COMPLETING THIS BALLOT.

Your vote is important in determining whether to confirm the Plan. If the Plan is confirmed by the Bankruptcy Court, all Holders of Claims against and Interests in the Debtors (including those holders who abstain from voting or reject the Plan, and those holders who are not entitled to vote on the Plan) will be bound by the confirmed Plan, whether or not they vote and whether or not they accept the Plan. The Plan Proponents have requested the certification of a Class Action Settlement Class and the appointment of Class Representatives who will vote on behalf of all Class Action Settlement Class members who do not vote on their own behalf. If you do not vote your Class B3A Claim, the Class Representatives may be entitled to vote your Class B3A Claim on your behalf, pursuant to the terms of the Class Settlement Agreement.

This Ballot is to be used for voting only by Holders of Class B3 Claims, which consist of the Claims of IRA Holders who are not Rescission Settlement Subclass Members against Life Partners, Inc. (“LPI”). In order for your vote to be counted, this Ballot must be properly

Life Partners Holdings, Inc.Class B3A - IRA Holder (Excluded from the Rescission Settlement Subclass)

Claims Against Life Partners, Inc.

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completed, signed and returned to the Balloting Agent so that it is actually received by theBalloting Agent by no later than 5:00 p.m. (prevailing Central Time) on August 15, 2016(the “Voting Deadline”).

PLEASE COMPLETE THE FOLLOWING:

ITEM 1. Aggregate Amount of Claims for Voting. According to the Debtors’ recordsfor the bankruptcy cases, as of June 24, 2016, (the “Voting and Election Record Date”) theundersigned was the holder, or authorized signatory or agent of the holder, of one or more ClassB3A Claims against LPI in the following aggregate amount:

$

ITEM 2. Vote on the Plan. The undersigned Holder of the Class B3A IRA Holder Claimagainst LPI identified in Item 1 above hereby votes to:

Check one box: Accept the Plan

Reject the Plan

ITEM 3. Acknowledgements and Certification. By returning this Ballot theundersigned holder of the Claim(s) identified in Item 1 above (a) acknowledges that it has beenprovided with a copy of the Disclosure Statement and the Plan, including all exhibits thereto;(b) certifies that (i) it is the owner and holder of the Claim(s) identified in Item 1 above, and/or(ii) it has full power and authority to vote to accept or reject the Plan in the name of the ownerand holder of the Claim(s) identified in Item 1 above; and (c) further acknowledges that the PlanProponents’ solicitation of votes is subject to all terms and conditions set forth in the Plan andthe Disclosure Statement.

Print or Type Name of Claimant:

Signature:

Name of Signatory (if different than claimant):

If by Authorized Signatory or Agent, Title of Signatory or Agent:

Street Address:

City, State and Zip Code:

Daytime Telephone Number:

Date Completed:



$ 15,512.10

JOHN DOE123 MAIN STREETFORT WORTH, TX 76132

Voting Amount: $ 15,512.10

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VOTING INSTRUCTIONS FOR COMPLETING THE CLASS B3A - IRA HOLDER CLAIMS AGAINST LPI BALLOT

To properly complete the Ballot, you must follow the procedures described below:

1. Prior to casting your vote to accept or reject the Plan, please review the “SVBEProcedures” included with these materials.

2. Review the information contained in Item 1 of the Ballot.

(a) The amount included in Item 1 reflects the amount of your paid-in basis toacquire your Fractional Position, is for voting purposes only, and is subject in allrespects to the SVBE Procedures and the terms of the Plan, which will control in theevent of any conflict. This amount does NOT necessarily determine the Allowedamount of your corresponding Claim for purposes of distributions madepursuant to the Plan. Under the Plan, Holders of Allowed Class B3A may makeElections as to how they would like their Class B3A Claim(s) treated pursuant to thePlan, including Elections that provide for claim amount calculations that are basedupon the face amount of the underlying Fractional Position. Elections are madethrough the separate Election Form.

(b) The amount set forth is the aggregate amount of all Claims related to allFractional Positions registered in your name as of the Voting and Election RecordDate, subject to paragraphs 2(c) and 4 below.

(c) If you disagree with the Claim amount shown in item 1 for voting purposes,you must seek relief with the Bankruptcy Court seeking to allow your Claim in adifferent amount for voting purposes by no later than August 9, 2016.

3. If you have a Claim(s) in Class B3A, cast one vote to accept or reject the Plan bychecking the appropriate box in Item 2 of the Ballot.

4. If you are completing the Ballot on behalf of another entity, you should indicate yourrelationship with such entity and the capacity in which you are signing and, ifrequested, submit satisfactory evidence of your authority to so act (e.g., a power ofattorney or a certified copy of board resolutions authorizing you to so act).

5. Provide your name, mailing address, and a daytime telephone number on thesignature page.

6. Sign and date the Ballot.

[RETURN ADDRESS ON FOLLOWING PAGE]



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7. Return your Ballot using the enclosed pre-addressed return envelope or as follows:

If by First Class Mail to: Life Partners Ballot Processing c/o Epiq Bankruptcy Solutions, LLC P.O. Box 4422 Beaverton, OR 97076-4422

If by Overnight Courier or by Hand Delivery: Life Partners Ballot Processing c/o Epiq Bankruptcy Solutions, LLC 10300 SW Allen Blvd. Beaverton, OR 97005

YOUR SIGNED AND DATED BALLOT MUST BE

ACTUALLY RECEIVED BY THE VOTING DEADLINE, WHICH IS 5:00 P.M. (PREVAILING CENTRAL TIME) ON AUGUST 15, 2016.

BALLOTS RECEIVED VIA EMAIL OR FACSIMILE WILL NOT BE COUNTED.

If you have any questions regarding this Ballot or these instructions, or if you did not receive a copy of the Disclosure Statement or the Plan, or if you need additional copies of the enclosed materials, please contact the Balloting Agent by phone at (866) 841-7869 (toll free) or (503) 597-5539 or via email to [email protected] and include “Life Partners” in the subject line.



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ELECTION FORM

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IN THE UNITED STATES BANKRUPTCY COURT FOR THE NORTHERN DISTRICT OF TEXAS

FORT WORTH DIVISION

IN RE: LIFE PARTNERS HOLDINGS, INC., et. al. Debtors.

§ § § § § §

CASE NO. 15-40289-RFN-11 JOINTLY ADMINISTERED (Chapter 11)

ELECTION FORM FOR CLASS B3A CLAIMS OF IRA HOLDERS (EXCLUDED FROM RESCISSION SETTLEMENT SUBCLASS) AGAINST LPI

This Election Form is being sent to you in connection with the Third Amended Joint Plan of

Reorganization of Life Partners Holdings, Inc. et al., dated June 21, 2016 (the “Plan”) and the accompanying disclosure statement (the “Disclosure Statement”).1 Before completing this Election Form, you should read the Instructions for Election Forms and Reconciliation Payments (the “Investor Election Instructions”) sent to you along with this Election Form.

ELECTIONS: The Debtors’ records indicate that as of June 24, 2016, the Voting and Election Record Date, you hold one or more Class B3A Claim(s) as an IRA Holder (Excluded from the Rescission Settlement Subclass) against LPI (“Class B3A IRA Holder Claims”) listed in Section 2 below, and as such you are entitled to select one of three (3) options (“Elections”) for treatment of any Allowed Claim related to each of your Class B3A IRA Holder Claim(s) as provided in the Plan and summarized in the enclosed Instructions, unless: (a) a Pre-Petition Default Amount is outstanding as to the position, in which case you will not be entitled to make an Election as to that position (and this Election Form so indicates for that position),2 or (b) a Catch-Up Payment is outstanding as to the position, in which case you must pay the Catch-Up Payment by the Catch-Up Cutoff Date or any Option 1 Election for the related Fractional Position will not be effective, and you will instead be deemed to have Elected Option 2 as to that position. Please see the Investor Election Instructions and the enclosed Reconciliation Payment Invoice for a detailed description of Pre-Petition Default Amounts and Catch-Up Payments.

If you also directly hold one or more Class B2A Claims as a Fractional Interest Holder, you will also receive a separate Election Form for your Class B2A Claims.

Please carefully review the Plan and Instructions with regard to the Election Options. You can make the same choice for all Class B3A IRA Holder Claims, or for all held through the same type of IRA account, or make a separate choice for each one of your Class B3A IRA Holder Claims.

1 Capitalized terms not defined in this Election Form are used with the meanings given to them in the Plan and Disclosure Statement. 2 In order to receive Election rights where a Pre-Petition Default Amount is owed, you must pay the full amount due and owing by no later than thirty (30) days after the Confirmation Date (the “Pre-Petition Default Payment Deadline”), and then you will receive, and must complete and return, a separate Election Form for the position.

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You may Elect the same Option for all of your IRA positions, or for all positions held through the same type of IRA account, by completing Section 1 below,

OR You may Elect different Options for each one of your positions, by completing Section 2

below.

If you complete both Section 1 and Section 2, then you will be deemed to have Elected theOption you marked in Section 1 for all of your positions.

IF YOU DO NOT MAKE AN ELECTION: If you do not timely submit this Election

Form, or if your Election Form does not bear a valid signature, you shall be deemed to haveElected Option 2 (Position Holder Trust Election) as to all of your Class B3A IRA HolderClaims, all of which will be treated in accordance with the provisions of the Plan for Option 2Elections.**

If you do not mark any selection (one of the three (3) Election Options for treatment) for any

one or more of your Fractional Positions, or if your Elections are unclear with respect to any of yourFractional Positions as determined by the Debtors or the Balloting Agent (e.g., you mark more thanone selection for any position), you shall be deemed to have Elected Option 2 (Position HolderTrust Election) for such Fractional Position(s), and will be treated in accordance with the provisionsof the Plan for Option 2 Elections.

For more information regarding the Election Options, including the different types of IRA

accounts, you should read the Investor Election Instructions. You may also visit the UnsecuredCreditors’ Committee website at http://lifepartnerscommittee.com. You should carefully review thePlan and Disclosure Statement, including the section on “Certain Risk Factors,” and consult withyour own legal, tax, financial and investment advisors, before completing your Election Form(s), orif you need further assistance in completing your Election Form(s).

ELECTION DEADLINE: In addition to making Elections in Sections 1 or 2, you MUST

properly complete Section 3 (Acknowledgements and Certification) and then sign, date and returnthis Election Form to the address specified on the signature page to be received by no later than5:00 p.m. (prevailing Central Time) on August 15, 2016, which is the deadline for your ElectionForm to be received (the “Election Deadline”).

**RECONCILIATION PAYMENTS: If any Pre-Petition Default Amount or Catch-Up

Payment (each a “Reconciliation Payment”) is owing with respect to any of the IRA Notesregistered through an individual retirement account, it is reflected on the enclosed ReconciliationPayment Invoice for ease of reference and convenience. Unless you make timely payment of atleast the Premium Advance included in any Pre-Petition Default Amount, the IRA Note towhich the Premium Advance relates will be forfeited and abandoned under the Plan. Thedeadline to pay any Pre-Petition Default Amounts is the Pre-Petition Default Payment Deadline (30days after the Confirmation Date3 of the Plan, and the deadline to pay any Catch-Up Payments isthe Catch-Up Cutoff Date (90 days after the Effective Date4 of the Plan).

3 The Confirmation Date has not yet been established, and a separate notice of the Confirmation Date will be sent. 4 The Effective Date has not yet been established, and a separate notice of the Effective Date will be sent.

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Any Reconciliation Payments that are not timely paid will, unless the failure to make timelypayment results in forfeiture and abandonment of the related position, result in a right of offset todeduct the unpaid amount from any Distributions payable to the Investor with respect to thePosition Holder Trust Interest Distributed to the Investor under the Plan.

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ELECTIONS

SECTION 1. Complete this section to Elect the SAME Option for ALL OF YOUR POSITIONS.

If you choose to Elect the same Option for all of your Class B3A IRA Holder Claims, please check one box below: I Elect Option 1 (Continuing Holder Election) for all of my Class B3A IRA Holder

Claims

I Elect Option 2 (Position Holder Trust Election) for all of my Class B3A IRA Holder Claims

I Elect Option 4 (Conversion) for all of my Class B3A IRA Holder Claims

If you choose to Elect the same Option or for all of your Class B3A IRA Holder Claims held through the same type of IRA account, please check one box below, and be sure to fill in the blank for the Election Option (1, 2, or 4) you choose for those Claims: I Elect Option __ for all of my Class B3A IRA Holder Claims held through my

traditional IRA account(s)

I Elect Option __ for all of my Class B3A IRA Holder Claims held through my Roth IRA account(s)

OR (see following page)

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Funding ID Policy ID

Option 2(Position Holder Trust

Election)Option 4

(Conversion)

ElectionCheck one box for each row

Description of Class B3A IRA Holder Claim(s)

Option 1(Continuing

Holder Election)IRA Type

46028 319491 Election not available at this time.IRA - TRADITIONAL

47505 326422 IRA - TRADITIONAL

SECTION 2. Complete this section to Elect DIFFERENT Options for EACH OF YOUR POSITIONS.

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SECTION 3. ACKNOWLEDGEMENTS AND CERTIFICATION. By returning this Election Form the Holder of the Claim(s) identified by Funding ID and Policy ID in Section 2 above (a) acknowledges that it has been provided with a copy of the Disclosure Statement and the Plan, including all exhibits thereto; (b) certifies that (i) it is the holder of the Claims identified in Section 2 above and/or (ii) it has full power and authority to make the Elections made hereby; and (c) further acknowledges that the Elections, and all Distributions resulting from the Elections, are subject to the terms and conditions set forth in the Plan.

Print or Type Name of Claimant:

_________________________________________________________

Signature: ________________________________________________

Name of Signatory (if different than claimant): ___________________________________

If by Authorized Agent, Title of Agent: _____________________________________________

Street Address: _____________________________________________

City, State and Zip Code: ____________________________________

Telephone Number: _________________________________________

Date Completed: ________________________________________

IN ORDER FOR YOUR ELECTIONS TO BE VALID (SUBJECT TO THE TERMS OF THE PLAN), THIS FORM MUST BE PROPERLY COMPLETED, SIGNED AND RETURNED TO THE BALLOTING AGENT SO THAT IT IS RECEIVED BY 5:00 P.M. ON AUGUST 15, 2016, (PREVAILING CENTRAL TIME), THE ELECTION DEADLINE.

[SEE NEXT PAGE FOR RETURN ADDRESS]

ALL HOLDERS OF CLASS B3A IRA HOLDER CLAIMS AGAINST LPI, REGARDLESS OF WHETHER THEY HAVE VOTED TO ACCEPT OR REJECT THE PLAN, ARE ELIGIBLE AND ENCOURAGED TO EXECUTE AND DELIVER THIS ELECTION FORM TO THE BALLOTING AGENT SO THAT IT IS RECEIVED BY THE ELECTION DEADLINE. RETURNING THIS FORM DOES NOT AFFECT YOUR VOTE.

JOHN DOE123 MAIN STREETFORT WORTH, TX 76132

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PLEASE RETURN YOUR ELECTION FORM IN THE PRE-ADDRESSED, POSTAGE PAID ENVELOPE PROVIDED, OR AS FOLLOWS:

If by First-Class Mail:

Life Partners Election Processing Center c/o Epiq Bankruptcy Solutions, LLC P.O. Box 4422 Beaverton, OR 97076-4422

If by Hand-Delivery or Overnight Mail:

Life Partners Election Processing Center c/o Epiq Bankruptcy Solutions, LLC 10300 SW Allen Blvd Beaverton, OR 97005

IN ADDITION TO THE REQUIREMENT THAT YOU RETURN A PROPERLY COMPLETED AND SIGNED ELECTION FORM BY THE ELECTION DEADLINE, IN ORDER TO MAKE AN EFFECTIVE ELECTION, YOU MUST PAY ANY CATCH-UP PAYMENT OR PRE-PETITION DEFAULT AMOUNT REFLECTED ON THE ENCLOSED RECONCILIATION PAYMENT INVOICE BY THE DEADLINE SET FORTH IN THE PLAN, OR THE TERMS OF THE PLAN WILL SUPERSEDE YOUR ELECTION, AND IN CERTAIN CIRCUMSTANCES, YOUR FRACTIONAL POSITION COULD BE FORFEITED AND ABANDONED TO THE DEBTORS.

If you believe you have received this Election Form, or the attached Reconciliation Payment

Invoice, in error, or if you believe some of the information on this Election Form, or the attached Reconciliation Payment Invoice, is incomplete or otherwise is not accurate please contact Epiq Bankruptcy Solutions, LLC by phone at (866) 841-7869 (toll free) or (503) 597-5539 or by email at [email protected] and include “Life Partners” in the subject line.

[SEE NEXT PAGE FOR ANY RECONCILIATION PAYMENT INVOICE]

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RECONCILIATION PAYMENT INVOICE

Following is an invoice showing any past due premium amounts or servicing fees asreflected on the Debtors’ records as of June 24, 2016, with respect to the Fractional Position(s)registered to this account and identified in the attached Election Form. These amounts are calledReconciliation Payments (Pre-Petition Default Amounts and Catch-Up Payments).5

If any Pre-Petition Premium Advance amount included in your ReconciliationPayments is not paid by the applicable deadline set forth below, the related FractionalPosition(s) will be forfeited and abandoned under the Plan, and if any other amount includedin your Reconciliation Payments is not paid by the applicable deadline, any Option 1 Electionyou make for the related position(s) will not be effective and you will instead be deemed tohave made an Option 2 Election with respect to the related position(s).

You MUST check the box next to each amount you are paying when you submit your

payment, or your payment will be applied as set forth in the Instructions. The deadlines for making Reconciliation Payments are as follows: (a) The Pre-Petition Default Payment Deadline. All “Pre-Petition Premium

Advances” and “Pre-Petition Platform Service Fees” must be paid no later than 30 days after theConfirmation Date of the Plan. You will receive one reminder notice not less than 14 days priorto the Pre-Petition Default Payment Deadline, notifying you of the deadline for payment of anyPre-Petition Default Amount still due and owing. Even if you dispute the Pre-PetitionDefault Amount owed, if you fail to pay any estimated Pre-Petition Premium Advancereflected on the Reconciliation Payment Invoice by the 30th day following theConfirmation Date (the Pre-Petition Default Payment Deadline), the related position(s)will be forfeited and abandoned.

(a) The Catch-Up Cutoff Date. All “Catch-Up Payments” must be paid no later than

90 days after the Effective Date of the Plan. You will receive one reminder notice within 10days of the Effective Date, notifying you of the Effective Date and the deadline for payment ofany Catch-Up Payment still due and owing.

If you disagree with any amount(s) set forth below, or have any questions regarding anysuch amount, you should review the information included in Section 6.12 of the DisclosureStatement under the caption “Post Effective Date Catch-Up Reconciliation”.

If you are an IRA Holder, you should consult with the custodian of your IRA account

for each position and your personal tax advisor with regard to the procedures that should befollowed in making any payments.

5 In general, a Catch-Up Payment is an amount billed to an Investor for premiums or other amounts that were not firstpayable by the Investor until after May 19, 2015, and a Pre-Petition Default Amount is such an amount that becamepayable prior to May 19, 2015. For more detail on Catch-Up Payments and Pre-Petition Default amounts, see therelated definitions in the Glossary in the Plan, the Plan at Section 4.13 and the Disclosure Statement at Section 6.12.

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Payment Instructions:

Payment instructions for Catch-Up Payments and Pre-Petition Default Amounts (i.e., Reconciliation Payments) are as follows:

1. Payment should be made by check. Bank cashier’s or certified checks are accepted but

not required. Checks must be made payable to Life Partners, Inc. 2. Please write “LPI Reconciliation Payment” in the memo line of your check, and please

remember to sign and date your check. 3. Payments by credit card cannot be accepted. 4. You should include a copy of the Reconciliation Payment Invoice(s) reflecting the

Reconciliation Payment(s) you are paying with your check. Please be sure to check the box next to each Reconciliation Payment you are paying. If you do not include a copy of the Reconciliation Payment Invoice, or you do not check the boxes next to the amounts you are paying, the payment will be applied as follows: a. First, to pay any Catch-Up Payments owing. b. Second, to pay any Pre-Petition Default Amounts.

5. Your payment check and the copy of the Reconciliation Payment Invoice should be delivered to the following address:

PLEASE RETURN YOUR PAYMENT AND A COPY OF THE RECONCILIATION PAYMENT INVOICE(S) REFLECTING THE RECONCILIATION PAYMENT(S) YOU ARE PAYING IN THE PRE-ADDRESSED, POSTAGE PAID ENVELOPE PROVIDED, OR AS FOLLOWS:

If by First-Class Mail:

Life Partners Election Processing Center c/o Epiq Bankruptcy Solutions, LLC P.O. Box 4422 Beaverton, OR 97076-4422

If by Hand-Delivery or Overnight Mail:

Life Partners Election Processing Center c/o Epiq Bankruptcy Solutions, LLC 10300 SW Allen Blvd Beaverton, OR 97005

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Reconciliation Payment Invoice Amount

Description of Fractional Interest Holder Claim(s)

Payment

Funding ID Policy ID IRA TypePre-Petition

PremiumAdvance

Pre-PetitionPlatform

Service FeeCatch-upPayment

Check Box if PaymentEnclosed

46028 319491 $61.50IRA - TRADITIONAL

$61.50Totals:

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