May 7, 2025
In re Fusion Telecom, LLC, et al., Case No. 19-11824
Request for IRS Forms W-9 or IRS Form W-8
Dear Claimant:
On June 3, 2019, Fusion Connect, Inc. and certain of its affiliated debtors and debtors in possession (each, a “Debtor” and collectively, the “Debtors”) commenced cases under chapter 11 of title 11 of the United States Code in the United States Bankruptcy Court for the Southern District of New York (the “Chapter 11 Cases”).1 Further, On December 17, 2019, the Court entered the Order (I) Confirming Third Amended Joint Chapter 11 Plan of Fusion Connect, Inc. and Its Subsidiary Debtors and (II) Granting Related Relief (ECF No. 680) (the “Confirmation Order”) confirming the Third Amended Joint Chapter 11 Plan of Fusion Connect, Inc. and Its Subsidiary Debtors (the “Plan”), attached as Exhibit A to the Confirmation Order. The Plan went effective on January 14, 2020.
You are receiving this letter because you have been identified as a holder of an unsecured claim against a Debtor that may receive a distribution in the Chapter 11 Cases. Pursuant to Article 6.19 of the Plan, to receive your distribution, if eligible, please submit the appropriate tax identification form(s) based on your status as either a U.S. payee or foreign payee no later than November 3, 2025. The tax identification form is available at https://www.irs.gov/forms-instructions.2 If you are unsure of which form applies to you, please consult an attorney.
Completed tax form(s) should be uploaded to: https://forms.ra.kroll.com/efiling/fr/ra/fusiontin/new by no later than 11:59 p.m. (ET) on November 3, 2025. Upon accessing the portal, please enter your Unique ID, found below, to access your claim information. Once you have reviewed your information, you may proceed to fill out the required information and upload the appropriate tax form(s), to be eligible for a distribution.
Fusion Distribution Portal: https://forms.ra.kroll.com/efiling/fr/ra/fusiontin/new
If you have any questions about this letter, please call (844) 230-7218 (US toll free), +1 (347) 859-8784 (International), email FUSIONTIN@ra.kroll.com, or visit https://cases.ra.kroll.com/fusion/. Failure to timely provide the requested information may result in the forfeiture of any distribution to which you might otherwise be entitled.
1 The last four digits of the Reorganized Debtor’s federal tax identification number are (0894). The Reorganized Debtor’s corporate headquarters and service address is 210 Interstate North Parkway, Suite 200, Atlanta, Georgia 30339. The chapter 11 cases of the Reorganized Debtor and its following affiliates were closed effective as of June 25, 2021: Fusion Connect, Inc. (2021); Fusion BCHI Acquisition LLC (7402); Fusion NBS Acquisition Corp. (4332); Fusion LLC (0994); Fusion MPHC Holding Corporation (3066); Fusion MPHC Group, Inc. (1529); Fusion Cloud Company LLC (5568); Fusion Cloud Services, LLC (3012); Fusion CB Holdings, Inc. (6526); Fusion Communications, LLC (8337); Fusion Texas Holdings, Inc. (2636); Fusion Telecom of Kansas, LLC (0075); Fusion Telecom of Oklahoma, LLC (3260); Fusion Telecom of Missouri, LLC (5329); Fusion Telecom of Texas Ltd., L.L.P. (8531); Bircan Holdings, LLC (2819); and Fusion Management Services LLC (5597). The chapter 11 case of Fusion PM Holdings, Inc. was closed effective June 8, 2022, and the chapter 11 case of the Reorganized Debtor was reopened effective June 8, 2022. Commencing on June 8, 2022, all motions, notices, and other pleadings relating to any of the Reorganized Debtors shall be filed in Case No. 19-11824 (DSJ)
2 Form W-9 for U.S. payees, or an originally executed Form W-8 for foreign payees (one of Form W-8BEN, Form W-BEN-E, Form W- 8ECI, Form W-8EXP, or Form W-8IMY, as applicable).