Case EPK Doc 1 Filed 12/23/09 Page 1 of 37. Health Care Business Single Asset Real Estate as defined

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Case 09-38395-EPK Doc 1 Filed 12/23/09 Page 1 of 37. Health Care Business Single Asset Real Estate as defined"

Transcription

1 }bk1{form 1. Voluntary Petition}bk{ B1 (fficial Form 1)(1/08) ame of ebtor (if individual, enter Last, First, Middle): FFS AA, nc. Case PK oc 1 Filed 12/23/09 Page 1 of 37 United States Bankruptcy Court Southern istrict of Florida ame of Joint ebtor (Spouse) (Last, First, Middle): Voluntary Petition All ther ames used by the ebtor in the last 8 years (include married, maiden, and trade names): AKA Foreclosure Freesearch, nc.; AKA Foreclosure.com; AKA Foreclosure Freesearch.com; AKA Foreclosure atabase.com; AKA Foreclosure Reporting Last four digits of Soc. Sec. or ndividual-axpayer.. () o./complete (if more than one, state all) Street Address of ebtor (o. and Street, City, and State): 1095 Broken Sound Parkway, Suite 200 Boca Raton, FL ZP Code County of Residence or of the Principal Place of Business: Palm Beach Mailing Address of ebtor (if different from street address): All ther ames used by the Joint ebtor in the last 8 years (include married, maiden, and trade names): Last four digits of Soc. Sec. or ndividual-axpayer.. () o./complete (if more than one, state all) Street Address of Joint ebtor (o. and Street, City, and State): County of Residence or of the Principal Place of Business: Mailing Address of Joint ebtor (if different from street address): ZP Code ZP Code ZP Code Location of Principal Assets of Business ebtor (if different from street address above): ype of ebtor (Form of rganization) (Check one box) ndividual (includes Joint ebtors) See xhibit on page 2 of this form. Corporation (includes LLC and LLP) Partnership ther (f debtor is not one of the above entities, check this box and state type of entity below.) Full Filing Fee attached Filing Fee (Check one box) ature of Business (Check one box) Health Care Business Single Asset Real state as defined in 11 U.S.C. 101 (51B) Railroad Stockbroker Commodity Broker Clearing Bank ther ax-xempt ntity (Check box, if applicable) ebtor is a tax-exempt organization under itle 26 of the United States Code (the nternal Revenue Code). Filing Fee to be paid in installments (applicable to individuals only). Must attach signed application for the court's consideration certifying that the debtor is unable to pay fee except in installments. Rule 1006(b). See fficial Form 3A. Filing Fee waiver requested (applicable to chapter 7 individuals only). Must attach signed application for the court's consideration. See fficial Form 3B. Statistical/Administrative nformation ebtor estimates that funds will be available for distribution to unsecured creditors. ebtor estimates that, after any exempt property is excluded and administrative expenses paid, there will be no funds available for distribution to unsecured creditors. stimated umber of Creditors Chapter 7 Chapter 9 Chapter 11 Chapter 12 Chapter ,000-5,001-10,001-25,001-50,001- VR ,000 10,000 25,000 50, , ,000 stimated Assets $0 to $50,001 to $100,001 to $500,001 $1,000,001 $10,000,001 $50,000,001 $100,000,001 $500,000,001 More than $50,000 $100,000 $500,000 to $1 to $10 to $50 to $100 to $500 to $1 billion $1 billion million million million million million stimated Liabilities $0 to $50,001 to $100,001 to $500,001 $1,000,001 $10,000,001 $50,000,001 $100,000,001 $500,000,001 More than $50,000 $100,000 $500,000 to $1 to $10 to $50 to $100 to $500 to $1 billion $1 billion million million million million million Chapter of Bankruptcy Code Under Which the Petition is Filed (Check one box) Chapter 15 Petition for Recognition of a Foreign Main Proceeding Chapter 15 Petition for Recognition of a Foreign onmain Proceeding ature of ebts (Check one box) ebts are primarily consumer debts, defined in 11 U.S.C. 101(8) as "incurred by an individual primarily for a personal, family, or household purpose." ebts are primarily business debts. Check one box: Chapter 11 ebtors ebtor is a small business debtor as defined in 11 U.S.C. 101(51). ebtor is not a small business debtor as defined in 11 U.S.C. 101(51). Check if: ebtor s aggregate noncontingent liquidated debts (excluding debts owed to insiders or affiliates) are less than $2,190,000. Check all applicable boxes: A plan is being filed with this petition. Acceptances of the plan were solicited prepetition from one or more classes of creditors, in accordance with 11 U.S.C. 1126(b). HS SPAC S FR CUR US LY

2 Case PK oc 1 Filed 12/23/09 Page 2 of 37 B1 (fficial Form 1)(1/08) Page 2 ame of ebtor(s): Voluntary Petition FFS AA, nc. (his page must be completed and filed in every case) All Prior Bankruptcy Cases Filed Within Last 8 Years (f more than two, attach additional sheet) Location Case umber: ate Filed: Where Filed: - - Location Case umber: ate Filed: Where Filed: Pending Bankruptcy Case Filed by any Spouse, Partner, or Affiliate of this ebtor (f more than one, attach additional sheet) ame of ebtor: Case umber: ate Filed: - - istrict: Relationship: Judge: xhibit A (o be completed if debtor is required to file periodic reports (e.g., forms 10K and 10Q) with the Securities and xchange Commission pursuant to Section 13 or 15(d) of the Securities xchange Act of 1934 and is requesting relief under chapter 11.) xhibit A is attached and made a part of this petition. xhibit B (o be completed if debtor is an individual whose debts are primarily consumer debts.), the attorney for the petitioner named in the foregoing petition, declare that have informed the petitioner that [he or she] may proceed under chapter 7, 11, 12, or 13 of title 11, United States Code, and have explained the relief available under each such chapter. further certify that delivered to the debtor the notice required by 11 U.S.C. 342(b). Signature of Attorney for ebtor(s) (ate) xhibit C oes the debtor own or have possession of any property that poses or is alleged to pose a threat of imminent and identifiable harm to public health or safety? Yes, and xhibit C is attached and made a part of this petition. o. xhibit (o be completed by every individual debtor. f a joint petition is filed, each spouse must complete and attach a separate xhibit.) xhibit completed and signed by the debtor is attached and made a part of this petition. f this is a joint petition: xhibit also completed and signed by the joint debtor is attached and made a part of this petition. nformation Regarding the ebtor - Venue (Check any applicable box) ebtor has been domiciled or has had a residence, principal place of business, or principal assets in this istrict for 180 days immediately preceding the date of this petition or for a longer part of such 180 days than in any other istrict. here is a bankruptcy case concerning debtor's affiliate, general partner, or partnership pending in this istrict. ebtor is a debtor in a foreign proceeding and has its principal place of business or principal assets in the United States in this istrict, or has no principal place of business or assets in the United States but is a defendant in an action or proceeding [in a federal or state court] in this istrict, or the interests of the parties will be served in regard to the relief sought in this istrict. Certification by a ebtor Who Resides as a enant of Residential Property (Check all applicable boxes) Landlord has a judgment against the debtor for possession of debtor's residence. (f box checked, complete the following.) (ame of landlord that obtained judgment) (Address of landlord) ebtor claims that under applicable nonbankruptcy law, there are circumstances under which the debtor would be permitted to cure the entire monetary default that gave rise to the judgment for possession, after the judgment for possession was entered, and ebtor has included in this petition the deposit with the court of any rent that would become due during the 30-day period after the filing of the petition. ebtor certifies that he/she has served the Landlord with this certification. (11 U.S.C. 362(l)).

3 B1 (fficial Form 1)(1/08) Page 3 ame of ebtor(s): Voluntary Petition FFS AA, nc. (his page must be completed and filed in every case) Signatures Signature(s) of ebtor(s) (ndividual/joint) Signature of a Foreign Representative declare under penalty of perjury that the information provided in this petition is true and correct. [f petitioner is an individual whose debts are primarily consumer debts and has chosen to file under chapter 7] am aware that may proceed under chapter 7, 11, 12, or 13 of title 11, United States Code, understand the relief available under each such chapter, and choose to proceed under chapter 7. [f no attorney represents me and no bankruptcy petition preparer signs the petition] have obtained and read the notice required by 11 U.S.C. 342(b). request relief in accordance with the chapter of title 11, United States Code, specified in this petition. Signature of ebtor Signature of Joint ebtor elephone umber (f not represented by attorney) Case PK oc 1 Filed 12/23/09 Page 3 of 37 declare under penalty of perjury that the information provided in this petition is true and correct, that am the foreign representative of a debtor in a foreign proceeding, and that am authorized to file this petition. (Check only one box.) request relief in accordance with chapter 15 of title 11. United States Code. Certified copies of the documents required by 11 U.S.C are attached. Pursuant to 11 U.S.C. 1511, request relief in accordance with the chapter of title 11 specified in this petition. A certified copy of the order granting recognition of the foreign main proceeding is attached. Signature of Foreign Representative Printed ame of Foreign Representative ate Signature of on-attorney Bankruptcy Petition Preparer ate Signature of Attorney* /s/ Bradley S. Shraiberg Signature of Attorney for ebtor(s) Bradley S. Shraiberg Printed ame of Attorney for ebtor(s) Shraiberg, Ferrara, & Landau P.A. Firm ame 2385 W xecutive Center r Suite 300 Boca Raton, FL Address mail: Fax: elephone umber ecember 23, 2009 ate *n a case in which 707(b)(4)() applies, this signature also constitutes a certification that the attorney has no knowledge after an inquiry that the information in the schedules is incorrect. Signature of ebtor (Corporation/Partnership) declare under penalty of perjury that the information provided in this petition is true and correct, and that have been authorized to file this petition on behalf of the debtor. he debtor requests relief in accordance with the chapter of title 11, United States Code, specified in this petition. /s/ Bradford R. Geisen Signature of Authorized ndividual Bradford R. Geisen Printed ame of Authorized ndividual President itle of Authorized ndividual ecember 23, 2009 ate declare under penalty of perjury that: (1) am a bankruptcy petition preparer as defined in 11 U.S.C. 110; (2) prepared this document for compensation and have provided the debtor with a copy of this document and the notices and information required under 11 U.S.C. 110(b), 110(h), and 342(b); and, (3) if rules or guidelines have been promulgated pursuant to 11 U.S.C. 110(h) setting a maximum fee for services chargeable by bankruptcy petition preparers, have given the debtor notice of the maximum amount before preparing any document for filing for a debtor or accepting any fee from the debtor, as required in that section. fficial Form 19 is attached. Printed ame and title, if any, of Bankruptcy Petition Preparer Social-Security number (f the bankrutpcy petition preparer is not an individual, state the Social Security number of the officer, principal, responsible person or partner of the bankruptcy petition preparer.)(required by 11 U.S.C. 110.) Address ate Signature of Bankruptcy Petition Preparer or officer, principal, responsible person,or partner whose Social Security number is provided above. ames and Social-Security numbers of all other individuals who prepared or assisted in preparing this document unless the bankruptcy petition preparer is not an individual: f more than one person prepared this document, attach additional sheets conforming to the appropriate official form for each person. A bankruptcy petition preparer s failure to comply with the provisions of title 11 and the Federal Rules of Bankruptcy Procedure may result in fines or imprisonment or both 11 U.S.C. 110; 18 U.S.C. 156.

4 Case PK oc 1 Filed 12/23/09 Page 4 of 37 B4 (fficial Form 4) (12/07) United States Bankruptcy Court Southern istrict of Florida n re FFS AA, nc. Case o. ebtor(s) Chapter 11 LS F CRRS HLG 20 LARGS USCUR CLAMS Following is the list of the debtor's creditors holding the 20 largest unsecured claims. he list is prepared in accordance with Fed. R. Bankr. P. 1007(d) for filing in this chapter 11 [or chapter 9] case. he list does not include (1) persons who come within the definition of "insider" set forth in 11 U.S.C. 101, or (2) secured creditors unless the value of the collateral is such that the unsecured deficiency places the creditor among the holders of the 20 largest unsecured claims. f a minor child is one of the creditors holding the 20 largest unsecured claims, state the child's initials and the name and address of the child's parent or guardian, such as "A.B., a minor child, by John oe, guardian." o not disclose the child's name. See 11 U.S.C. 112; Fed. R. Bankr. P. 1007(m). (1) (2) (3) (4) (5) ame of creditor and complete mailing address including zip code 2201 Corporate Realty Associates, LLC 2201 W Corporate Blvd., Suite 200 Boca Raton, FL Active ata Group, nc Broken Sound Parkway Suite 200 Boca Raton, FL Active ata echnologies, nc W Broken Sound Parkway, Suite 200 Boca Raton, FL Bank of America Business Card P.. Box Wilmington, Bradford Geisen 953 Banyan rive elray Beach, FL Bradford Geisen 953 Banyan rive elray Beach, FL Burman, Critton, Luttier & Coleman, LLP 303 Banyan Boulevard Suite 400 West Palm Beach, FL ominic Muttillo c/o Barry A. Postman, sq Palm Beach Lakes Blvd. 2nd Floor West Palm Beach, FL ame, telephone number and complete mailing address, including zip code, of employee, agent, or department of creditor familiar with claim who may be contacted 2201 Corporate Realty Associates, LLC 2201 W Corporate Blvd., Suite 200 Boca Raton, FL Active ata Group, nc Broken Sound Parkway Suite 200 Boca Raton, FL Active ata echnologies, nc W Broken Sound Parkway, Suite 200 Boca Raton, FL Bank of America Business Card P.. Box Wilmington, Bradford Geisen 953 Banyan rive elray Beach, FL Bradford Geisen 953 Banyan rive elray Beach, FL Burman, Critton, Luttier & Coleman, LLP 303 Banyan Boulevard Suite 400 West Palm Beach, FL ominic Muttillo c/o Barry A. Postman, sq Palm Beach Lakes Blvd. West Palm Beach, FL ature of claim (trade debt, bank loan, government contract, etc.) Leased Premises of 7,750 Square Feet Consulting and echnology Services ndicate if claim is contingent, unliquidated, disputed, or subject to setoff Amount of claim [if secured, also state value of security] Contingent 232, , , Credit Card 73, Accrued Compensation 217, , Legal Services 64, Counterclaim filed on ovember 14, 2008 in the Circuit Court for Flroida, Case o.: CA Contingent Unliquidated isputed Unknown Software Copyright (c) Best Case Solutions - vanston, L - (800)

5 Case PK oc 1 Filed 12/23/09 Page 5 of 37 B4 (fficial Form 4) (12/07) - Cont. n re FFS AA, nc. Case o. ebtor(s) LS F CRRS HLG 20 LARGS USCUR CLAMS (Continuation Sheet) (1) (2) (3) (4) (5) ame of creditor and complete mailing address including zip code Fifth hird Bank P.. Box Cincinnati, H First American Corelogic, nc. c/o d Sybesma, sq. 611 Anton Boulevard, 14th Floor Costa Mesa, CA Florida epartment of Revenue Florida ept. of Revenue 5050 W. ennessee St. allahassee, FL Gregory Sullivan c/o Barry Postman, sq Palm Beach Lakes Blvd. 2nd Floor West Palm Beach, FL nternal Revenue Service P.. Box Philadelphia, PA JCJ nterprises 1815 W 10th Street elray Beach, FL Legacy Bank of Florida 2300 Glades Road, Suite 140W Boca Raton, FL Legacy Credit Card P.. Box allas, Microsoft Advertising P.. Box allas, Palm Beach County ax Collector P.. Box 3353 West Palm Beach, FL Siena Realty Associates, LLC 60 Pompton Avenue Verona, J ame, telephone number and complete mailing address, including zip code, of employee, agent, or department of creditor familiar with claim who may be contacted Fifth hird Bank P.. Box Cincinnati, H First American Corelogic, nc. c/o d Sybesma, sq. 611 Anton Boulevard, 14th Floor Costa Mesa, CA Florida epartment of Revenue Florida ept. of Revenue 5050 W. ennessee St. allahassee, FL Gregory Sullivan c/o Barry Postman, sq Palm Beach Lakes Blvd. West Palm Beach, FL nternal Revenue Service P.. Box Philadelphia, PA JCJ nterprises 1815 W 10th Street elray Beach, FL Legacy Bank of Florida 2300 Glades Road, Suite 140W Boca Raton, FL Legacy Credit Card P.. Box allas, Microsoft Advertising P.. Box allas, Palm Beach County ax Collector P.. Box 3353 West Palm Beach, FL Siena Realty Associates, LLC 60 Pompton Avenue Verona, J ature of claim (trade debt, bank loan, government contract, etc.) ndicate if claim is contingent, unliquidated, disputed, or subject to setoff Amount of claim [if secured, also state value of security] Guaranty Contingent 17,018, Complaint filed on March 19, 2009 in the Superior Court of the State of California, Case o Counterclaim filed on ovember 14, 2008 in the Circuit Court for Flroida, Case o.: CA Accrued Compensation Contingent Unliquidated isputed Contingent Unliquidated isputed Unknown Unknown Unknown Unknown 25, Guaranty of former insider company, 2201 Corporate Realty Associates, LLC, loan Contingent 4,021, Credit Card 35, , , Leased Premises Contingent 3,132, Software Copyright (c) Best Case Solutions - vanston, L - (800)

6 Case PK oc 1 Filed 12/23/09 Page 6 of 37 B4 (fficial Form 4) (12/07) - Cont. n re FFS AA, nc. Case o. ebtor(s) LS F CRRS HLG 20 LARGS USCUR CLAMS (Continuation Sheet) (1) (2) (3) (4) (5) ame of creditor and complete mailing address including zip code Visual Graphics 2095 Park Court Boca Raton, FL ame, telephone number and complete mailing address, including zip code, of employee, agent, or department of creditor familiar with claim who may be contacted Visual Graphics 2095 Park Court Boca Raton, FL ature of claim (trade debt, bank loan, government contract, etc.) Accrued Compensation ndicate if claim is contingent, unliquidated, disputed, or subject to setoff CLARA UR PALY F PRJURY BHALF F A CRPRA R PARRSHP Amount of claim [if secured, also state value of security] 125,000.00, the President of the corporation named as the debtor in this case, declare under penalty of perjury that have read the foregoing list and that it is true and correct to the best of my information and belief. ate ecember 23, 2009 Signature /s/ Bradford R. Geisen Bradford R. Geisen President Penalty for making a false statement or concealing property: Fine of up to $500,000 or imprisonment for up to 5 years or both. 18 U.S.C. 152 and Software Copyright (c) Best Case Solutions - vanston, L - (800)

7 }bk1{form 6. Sumary of Schedules}bk{ B6 Summary (fficial Form 6 - Summary) (12/07) Case PK oc 1 Filed 12/23/09 Page 7 of 37 United States Bankruptcy Court Southern istrict of Florida n re FFS AA, nc. ebtor, Case o. Chapter 11 SUMMARY F SCHULS ndicate as to each schedule whether that schedule is attached and state the number of pages in each. Report the totals from Schedules A, B,,, F,, and J in the boxes provided. Add the amounts from Schedules A and B to determine the total amount of the debtor s assets. Add the amounts of all claims from Schedules,, and F to determine the total amount of the debtor s liabilities. ndividual debtors must also complete the "Statistical Summary of Certain Liabilities and Related ata" if they file a case under chapter 7, 11, or 13. AM F SCHUL AACH. F ASSS LABLS HR (YS/) SHS A - Real Property Yes B - Personal Property Yes 4 9,075, C - Property Claimed as xempt o 0 - Creditors Holding Secured Claims Yes 1 1,750, Creditors Holding Unsecured Priority Claims (otal of Claims on Schedule ) Yes 3 818, F - Creditors Holding Unsecured onpriority Claims Yes 3 24,937, G - xecutory Contracts and Unexpired Leases Yes 1 H - Codebtors Yes 1 - Current ncome of ndividual ebtor(s) J - Current xpenditures of ndividual ebtor(s) otal umber of Sheets of ALL Schedules o o 0 /A 0 /A 14 otal Assets 9,075, otal Liabilities 27,505, Copyright (c) Best Case Solutions - vanston, L - (800)

8 }bk1{form 6. Statistical Sumary of Certain Liabilities and Related ata}bk{ Case PK oc 1 Filed 12/23/09 Page 8 of 37 Form 6 - Statistical Summary (12/07) United States Bankruptcy Court Southern istrict of Florida n re FFS AA, nc. ebtor, Case o. Chapter 11 SASCAL SUMMARY F CRA LABLS A RLA AA (28 U.S.C. 159) f you are an individual debtor whose debts are primarily consumer debts, as defined in 101(8) of the Bankruptcy Code (11 U.S.C. 101(8)), filing a case under chapter 7, 11 or 13, you must report all information requested below. Check this box if you are an individual debtor whose debts are primarily consumer debts. You are not required to report any information here. his information is for statistical purposes only under 28 U.S.C Summarize the following types of liabilities, as reported in the Schedules, and total them. ype of Liability Amount omestic Support bligations (from Schedule ) axes and Certain ther ebts wed to Governmental Units (from Schedule ) Claims for eath or Personal njury While ebtor Was ntoxicated (from Schedule ) (whether disputed or undisputed) Student Loan bligations (from Schedule F) omestic Support, Separation Agreement, and ivorce ecree bligations ot Reported on Schedule bligations to Pension or Profit-Sharing, and ther Similar bligations (from Schedule F) AL State the following: Average ncome (from Schedule, Line 16) Average xpenses (from Schedule J, Line 18) Current Monthly ncome (from Form 22A Line 12; R, Form 22B Line 11; R, Form 22C Line 20 ) State the following: 1. otal from Schedule, "USCUR PR, F AY" column 2. otal from Schedule, "AMU L PRRY" column 3. otal from Schedule, "AMU L PRRY, F AY" column 4. otal from Schedule F 5. otal of non-priority unsecured debt (sum of 1, 3, and 4) Copyright (c) Best Case Solutions - vanston, L - (800)

9 }bk1{schedule A - Real Property}bk{ Case PK oc 1 Filed 12/23/09 Page 9 of 37 B6A (fficial Form 6A) (12/07) n re FFS AA, nc. ebtor, Case o. SCHUL A - RAL PRPRY xcept as directed below, list all real property in which the debtor has any legal, equitable, or future interest, including all property owned as a cotenant, community property, or in which the debtor has a life estate. nclude any property in which the debtor holds rights and powers exercisable for the debtor's own benefit. f the debtor is married, state whether husband, wife, both, or the marital community own the property by placing an "H," "W," "J," or "C" in the column labeled "Husband, Wife, Joint, or Community." f the debtor holds no interest in real property, write "" under "escription and Location of Property." o not include interests in executory contracts and unexpired leases on this schedule. List them in Schedule G - xecutory Contracts and Unexpired Leases. f an entity claims to have a lien or hold a secured interest in any property, state the amount of the secured claim. See Schedule. f no entity claims to hold a secured interest in the property, write "" in the column labeled "Amount of Secured Claim." f the debtor is an individual or if a joint petition is filed, state the amount of any exemption claimed in the property only in Schedule C - Property Claimed as xempt. escription and Location of Property ature of ebtor's nterest in Property Husband, Wife, Joint, or Community Current Value of ebtor's nterest in Property, without educting any Secured Claim or xemption Amount of Secured Claim Sub-otal > 0.00 (otal of this page) 0 continuation sheets attached to the Schedule of Real Property otal > 0.00 (Report also on Summary of Schedules) Copyright (c) Best Case Solutions - vanston, L - (800)

10 }bk1{schedule B - Personal Property}bk{ Case PK oc 1 Filed 12/23/09 Page 10 of 37 B6B (fficial Form 6B) (12/07) n re FFS AA, nc. ebtor, Case o. xcept as directed below, list all personal property of the debtor of whatever kind. f the debtor has no property in one or more of the categories, place an "x" in the appropriate position in the column labeled "." f additional space is needed in any category, attach a separate sheet properly identified with the case name, case number, and the number of the category. f the debtor is married, state whether husband, wife, both, or the marital community own the property by placing an "H," "W," "J," or "C" in the column labeled "Husband, Wife, Joint, or Community." f the debtor is an individual or a joint petition is filed, state the amount of any exemptions claimed only in Schedule C - Property Claimed as xempt. o not list interests in executory contracts and unexpired leases on this schedule. List them in Schedule G - xecutory Contracts and Unexpired Leases. f the property is being held for the debtor by someone else, state that person's name and address under "escription and Location of Property." f the property is being held for a minor child, simply state the child's initials and the name and address of the child's parent or guardian, such as "A.B., a minor child, by John oe, guardian." o not disclose the child's name. See, 11 U.S.C. 112 and Fed. R. Bankr. P. 1007(m). ype of Property SCHUL B - PRSAL PRPRY escription and Location of Property Husband, Wife, Joint, or Community Current Value of ebtor's nterest in Property, without educting any Secured Claim or xemption 1. Cash on hand Cash Checking, savings or other financial accounts, certificates of deposit, or shares in banks, savings and loan, thrift, building and loan, and homestead associations, or credit unions, brokerage houses, or cooperatives. 3. Security deposits with public utilities, telephone companies, landlords, and others. Fifth hird Bank Federal Highway Boca Raton, FL Legacy Bank of Florida Glades win Plaza 2300 Glades Road Suite 140 West Branch Suite 120 West xecutive ffice Boca Raton, FL Fifth hird Bank - Maxsaver Federal Highway Boca Raton, FL Paypal Account 2211 orth First Street San Jose, CA Paypal Account # orth First Street San Jose, CA Florida Power and Light General Mail Facility Miami, FL , , , Household goods and furnishings, including audio, video, and computer equipment. 5. Books, pictures and other art objects, antiques, stamp, coin, record, tape, compact disc, and other collections or collectibles. 6. Wearing apparel. Sub-otal > (otal of this page) 30, continuation sheets attached to the Schedule of Personal Property Copyright (c) Best Case Solutions - vanston, L - (800)

11 B6B (fficial Form 6B) (12/07) - Cont. Case PK oc 1 Filed 12/23/09 Page 11 of 37 n re FFS AA, nc. ebtor, Case o. SCHUL B - PRSAL PRPRY (Continuation Sheet) ype of Property escription and Location of Property Husband, Wife, Joint, or Community Current Value of ebtor's nterest in Property, without educting any Secured Claim or xemption 7. Furs and jewelry. 8. Firearms and sports, photographic, and other hobby equipment. 9. nterests in insurance policies. ame insurance company of each policy and itemize surrender or refund value of each. Policy umber General (general aggregate of $2,000,000), automobile (combined single $1,000,000), and excess/umbrella liability (aggregate $2,000,000) Policy umber 917BR Property (personal property $150,000, computers $50,000, and improvements $1,250,000) Annuities. temize and name each issuer. 11. nterests in an education RA as defined in 26 U.S.C. 530(b)(1) or under a qualified State tuition plan as defined in 26 U.S.C. 529(b)(1). Give particulars. (File separately the record(s) of any such interest(s). 11 U.S.C. 521(c).) 12. nterests in RA, RSA, Keogh, or other pension or profit sharing plans. Give particulars. 13. Stock and interests in incorporated and unincorporated businesses. temize. 14. nterests in partnerships or joint ventures. temize. 15. Government and corporate bonds and other negotiable and nonnegotiable instruments. 16. Accounts receivable. Subscription Services (customer list is proprietary) - estimated amount to be reconciled provided Live ata Group, nc W Corporate Boulevard Suite 200 Boca Raton, Florida , ,941, Sub-otal > (otal of this page) 5,041, Sheet 1 of 3 continuation sheets attached to the Schedule of Personal Property Copyright (c) Best Case Solutions - vanston, L - (800)

12 B6B (fficial Form 6B) (12/07) - Cont. Case PK oc 1 Filed 12/23/09 Page 12 of 37 n re FFS AA, nc. ebtor, Case o. SCHUL B - PRSAL PRPRY (Continuation Sheet) ype of Property escription and Location of Property Husband, Wife, Joint, or Community Current Value of ebtor's nterest in Property, without educting any Secured Claim or xemption 17. Alimony, maintenance, support, and property settlements to which the debtor is or may be entitled. Give particulars. 18. ther liquidated debts owed to debtor including tax refunds. Give particulars. Loan to mployee - Stephen Chip - 24, Promissory note from previous shareholder, Jeff Johnson - 47, Promissory note from previous shareholder, James Houston Loan of $220, to Ronald Gendreau for the purchase of 310 Melody Court, Fort Meyers, Florida Ronald Gendreau is deceased , quitable or future interests, life estates, and rights or powers exercisable for the benefit of the debtor other than those listed in Schedule A - Real Property. 20. Contingent and noncontingent interests in estate of a decedent, death benefit plan, life insurance policy, or trust. 21. ther contingent and unliquidated claims of every nature, including tax refunds, counterclaims of the debtor, and rights to setoff claims. Give estimated value of each. Prepaid Microsoft Map Point Paid for service in advance for three years starting January 1, 2009 (non-transferable) Patents, copyrights, and other intellectual property. Give particulars. 23. Licenses, franchises, and other general intangibles. Give particulars. ata license agreement with Active ata echnologies, nc. for proprietary licenses. Website operations software license agreement with Active ata echnologies, nc. for proprietary licenses. - 1,200, , Various URLs - See Attached - 1,800, Sub-otal > (otal of this page) 3,791, Sheet 2 of 3 continuation sheets attached to the Schedule of Personal Property Copyright (c) Best Case Solutions - vanston, L - (800)

13 B6B (fficial Form 6B) (12/07) - Cont. Case PK oc 1 Filed 12/23/09 Page 13 of 37 n re FFS AA, nc. ebtor, Case o. SCHUL B - PRSAL PRPRY (Continuation Sheet) ype of Property escription and Location of Property Husband, Wife, Joint, or Community Current Value of ebtor's nterest in Property, without educting any Secured Claim or xemption 24. Customer lists or other compilations containing personally identifiable information (as defined in 11 U.S.C. 101(41A)) provided to the debtor by individuals in connection with obtaining a product or service from the debtor primarily for personal, family, or household purposes. 25. Automobiles, trucks, trailers, and other vehicles and accessories. 26. Boats, motors, and accessories. 27. Aircraft and accessories. 28. ffice equipment, furnishings, and supplies. Furniture and Fixtures See Attached Various personal computer licenses, e.g., windows, quickbooks, etc. See Attached quipment and Computers See Attached - 50, , , Machinery, fixtures, equipment, and supplies used in business. 30. nventory. 31. Animals. 32. Crops - growing or harvested. Give particulars. 33. Farming equipment and implements. 34. Farm supplies, chemicals, and feed. 35. ther personal property of any kind not already listed. temize. Sheet 3 of 3 continuation sheets attached to the Schedule of Personal Property Copyright (c) Best Case Solutions - vanston, L - (800) Sub-otal > 212, (otal of this page) otal > 9,075, (Report also on Summary of Schedules)

14 }bk1{schedule - Creditors Holding Secured Claims}bk{ Case PK oc 1 Filed 12/23/09 Page 14 of 37 B6 (fficial Form 6) (12/07) n re FFS AA, nc. ebtor, Case o. SCHUL - CRRS HLG SCUR CLAMS State the name, mailing address, including zip code, and last four digits of any account number of all entities holding claims secured by property of the debtor as of the date of filing of the petition. he complete account number of any account the debtor has with the creditor is useful to the trustee and the creditor and may be provided if the debtor chooses to do so. List creditors holding all types of secured interests such as judgment liens, garnishments, statutory liens, mortgages, deeds of trust, and other security interests. List creditors in alphabetical order to the extent practicable. f a minor child is a creditor, the child's initials and the name and address of the child's parent or guardian, such as "A.B., a minor child, by John oe, guardian." o not disclose the child's name. See, 11 U.S.C. 112 and Fed. R. Bankr. P. 1007(m). f all secured creditors will not fit on this page, use the continuation sheet provided. f any entity other than a spouse in a joint case may be jointly liable on a claim, place an "" in the column labeled "Codebtor",include the entity on the appropriate schedule of creditors, and complete Schedule H - Codebtors. f a joint petition is filed, state whether the husband, wife, both of them, or the marital community may be liable on each claim by placing an "H", "W", "J", or "C" in the column labeled "Husband, Wife, Joint, or Community". f the claim is contingent, place an "" in the column labeled "Contingent". f the claim is unliquidated, place an "" in the column labeled "Unliquidated". f the claim is disputed, place an "" in the column labeled "isputed". (You may need to place an "" in more than one of these three columns.) otal the columns labeled "Amount of Claim Without educting Value of Collateral" and "Unsecured Portion, if Any" in the boxes labeled "otal(s)" on the last sheet of the completed schedule. Report the total from the column labeled "Amount of Claim" also on the Summary of Schedules and, if the debtor is an individual with primarily consumer debts, report the total from the column labeled "Unsecured Portion" on the Statistical Summary of Certain Liabilities and Related ata. Check this box if debtor has no creditors holding secured claims to report on this Schedule. Account o. CRR'S AM A MALG ARSS CLUG ZP C, A ACCU UMBR (See instructions above.) C B R Husband, Wife, Joint, or Community H W J C A CLAM WAS CURR, AUR F L, A SCRP A VALU F PRPRY SUBJC L Bank Loan C G U L Q U A S P U AMU F CLAM WHU UCG VALU F CLLARAL USCUR PR, F AY Fifth hird Bank 1560 Sawgrass Corporate Parkway Suite 220 Sunrise, FL Account o. Value $ ,750, Value $ Account o. Value $ Account o. Value $ 0 continuation sheets attached Subtotal (otal of this page) 1,750, otal (Report on Summary of Schedules) 1,750, Copyright (c) Best Case Solutions - vanston, L - (800)

15 }bk1{schedule - Creditors Holding Unsecured Priority Claims}bk{ Case PK oc 1 Filed 12/23/09 Page 15 of 37 B6 (fficial Form 6) (12/07) n re FFS AA, nc. ebtor, Case o. SCHUL - CRRS HLG USCUR PRRY CLAMS A complete list of claims entitled to priority, listed separately by type of priority, is to be set forth on the sheets provided. nly holders of unsecured claims entitled to priority should be listed in this schedule. n the boxes provided on the attached sheets, state the name, mailing address, including zip code, and last four digits of the account number, if any, of all entities holding priority claims against the debtor or the property of the debtor, as of the date of the filing of the petition. Use a separate continuation sheet for each type of priority and label each with the type of priority. he complete account number of any account the debtor has with the creditor is useful to the trustee and the creditor and may be provided if the debtor chooses to do so. f a minor child is a creditor, state the child's initials and the name and address of the child's parent or guardian, such as "A.B., a minor child, by John oe, guardian." o not disclose the child's name. See, 11 U.S.C. 112 and Fed. R. Bankr. P. 1007(m). f any entity other than a spouse in a joint case may be jointly liable on a claim, place an "" in the column labeled "Codebtor," include the entity on the appropriate schedule of creditors, and complete Schedule H-Codebtors. f a joint petition is filed, state whether the husband, wife, both of them, or the marital community may be liable on each claim by placing an "H," "W," "J," or "C" in the column labeled "Husband, Wife, Joint, or Community." f the claim is contingent, place an "" in the column labeled "Contingent." f the claim is unliquidated, place an "" in the column labeled "Unliquidated." f the claim is disputed, place an "" in the column labeled "isputed." (You may need to place an "" in more than one of these three columns.) Report the total of claims listed on each sheet in the box labeled "Subtotals" on each sheet. Report the total of all claims listed on this Schedule in the box labeled "otal" on the last sheet of the completed schedule. Report this total also on the Summary of Schedules. Report the total of amounts entitled to priority listed on each sheet in the box labeled "Subtotals" on each sheet. Report the total of all amounts entitled to priority listed on this Schedule in the box labeled "otals" on the last sheet of the completed schedule. ndividual debtors with primarily consumer debts report this total also on the Statistical Summary of Certain Liabilities and Related ata. Report the total of amounts not entitled to priority listed on each sheet in the box labeled "Subtotals" on each sheet. Report the total of all amounts not entitled to priority listed on this Schedule in the box labeled "otals" on the last sheet of the completed schedule. ndividual debtors with primarily consumer debts report this total also on the Statistical Summary of Certain Liabilities and Related ata. Check this box if debtor has no creditors holding unsecured priority claims to report on this Schedule. YPS F PRRY CLAMS (Check the appropriate box(es) below if claims in that category are listed on the attached sheets) omestic support obligations Claims for domestic support that are owed to or recoverable by a spouse, former spouse, or child of the debtor, or the parent, legal guardian, or responsible relative of such a child, or a governmental unit to whom such a domestic support claim has been assigned to the extent provided in 11 U.S.C. 507(a)(1). xtensions of credit in an involuntary case Claims arising in the ordinary course of the debtor's business or financial affairs after the commencement of the case but before the earlier of the appointment of a trustee or the order for relief. 11 U.S.C. 507(a)(3). Wages, salaries, and commissions Wages, salaries, and commissions, including vacation, severance, and sick leave pay owing to employees and commissions owing to qualifying independent sales representatives up to $10,950* per person earned within 180 days immediately preceding the filing of the original petition, or the cessation of business, whichever occurred first, to the extent provided in 11 U.S.C. 507(a)(4). Contributions to employee benefit plans Money owed to employee benefit plans for services rendered within 180 days immediately preceding the filing of the original petition, or the cessation of business, whichever occurred first, to the extent provided in 11 U.S.C. 507(a)(5). Certain farmers and fishermen Claims of certain farmers and fishermen, up to $5,400* per farmer or fisherman, against the debtor, as provided in 11 U.S.C. 507(a)(6). eposits by individuals Claims of individuals up to $2,425* for deposits for the purchase, lease, or rental of property or services for personal, family, or household use, that were not delivered or provided. 11 U.S.C. 507(a)(7). axes and certain other debts owed to governmental units axes, customs duties, and penalties owing to federal, state, and local governmental units as set forth in 11 U.S.C. 507(a)(8). Commitments to maintain the capital of an insured depository institution Claims based on commitments to the FC, RC, irector of the ffice of hrift Supervision, Comptroller of the Currency, or Board of Governors of the Federal Reserve System, or their predecessors or successors, to maintain the capital of an insured depository institution. 11 U.S.C. 507 (a)(9). Claims for death or personal injury while debtor was intoxicated Claims for death or personal injury resulting from the operation of a motor vehicle or vessel while the debtor was intoxicated from using alcohol, a drug, or another substance. 11 U.S.C. 507(a)(10). * Amounts are subject to adjustment on April 1, 2010, and every three years thereafter with respect to cases commenced on or after the date of adjustment. 2 continuation sheets attached Copyright (c) Best Case Solutions - vanston, L - (800)

16 B6 (fficial Form 6) (12/07) - Cont. Case PK oc 1 Filed 12/23/09 Page 16 of 37 n re FFS AA, nc. ebtor, Case o. SCHUL - CRRS HLG USCUR PRRY CLAMS (Continuation Sheet) Wages, salaries, and commissions YP F PRRY Account o. CRR'S AM, A MALG ARSS CLUG ZP C, A ACCU UMBR (See instructions.) C B R Husband, Wife, Joint, or Community H W J C A CLAM WAS CURR A CSRA FR CLAM Consulting and echnology Services C G U L Q U A S P U AMU F CLAM AMU L PRRY, F AY AMU L PRRY Active ata Group, nc Broken Sound Parkway Suite 200 Boca Raton, FL , Account o. Accrued Compensation 149, Bradford Geisen 953 Banyan rive elray Beach, FL , Account o. Accrued Compensation 511, , JCJ nterprises 1815 W 10th Street elray Beach, FL , Account o. Accrued Compensation 25, , Visual Graphics 2095 Park Court Boca Raton, FL , Account o. 125, , Sheet 1 of 2 continuation sheets attached to Schedule of Creditors Holding Unsecured Priority Claims Subtotal (otal of this page) 777, , , Copyright (c) Best Case Solutions - vanston, L - (800)

17 B6 (fficial Form 6) (12/07) - Cont. Case PK oc 1 Filed 12/23/09 Page 17 of 37 n re FFS AA, nc. ebtor, Case o. SCHUL - CRRS HLG USCUR PRRY CLAMS (Continuation Sheet) axes and Certain ther ebts wed to Governmental Units YP F PRRY Account o. CRR'S AM, A MALG ARSS CLUG ZP C, A ACCU UMBR (See instructions.) C B R Husband, Wife, Joint, or Community H W J C A CLAM WAS CURR A CSRA FR CLAM C G U L Q U A S P U AMU F CLAM AMU L PRRY, F AY AMU L PRRY Florida epartment of Revenue Florida ept. of Revenue 5050 W. ennessee St. allahassee, FL Unknown Account o. nternal Revenue Service P.. Box Philadelphia, PA Unknown 0.00 Unknown Account o. nternal Revenue Service Attn: Special Procedures P.. Box Stop 572 Jacksonville, FL Account o. nternal Revenue Service P.. Box Atlanta, GA Unknown 0.00 Unknown Unknown 0.00 Unknown Account o. Palm Beach County ax Collector P.. Box 3353 West Palm Beach, FL Unknown Sheet 2 of 2 continuation sheets attached to Schedule of Creditors Holding Unsecured Priority Claims Subtotal (otal of this page) otal (Report on Summary of Schedules) 8, , , , , , , Copyright (c) Best Case Solutions - vanston, L - (800)

18 }bk1{schedule F - Creditors Holding Unsecured onpriority Claims}bk{ Case PK oc 1 Filed 12/23/09 Page 18 of 37 B6F (fficial Form 6F) (12/07) n re FFS AA, nc. ebtor, Case o. SCHUL F - CRRS HLG USCUR PRRY CLAMS State the name, mailing address, including zip code, and last four digits of any account number, of all entities holding unsecured claims without priority against the debtor or the property of the debtor, as of the date of filing of the petition. he complete account number of any account the debtor has with the creditor is useful to the trustee and the creditor and may be provided if the debtor chooses to do so. f a minor child is a creditor, state the child's initials and the name and address of the child's parent or guardian, such as "A.B., a minor child, by John oe, guardian." o not disclose the child's name. See, 11 U.S.C. 112 and Fed. R. Bankr. P. 1007(m). o not include claims listed in Schedules and. f all creditors will not fit on this page, use the continuation sheet provided. f any entity other than a spouse in a joint case may be jointly liable on a claim, place an "" in the column labeled "Codebtor," include the entity on the appropriate schedule of creditors, and complete Schedule H - Codebtors. f a joint petition is filed, state whether the husband, wife, both of them, or the marital community may be liable on each claim by placing an "H," "W," "J," or "C" in the column labeled "Husband, Wife, Joint, or Community." f the claim is contingent, place an "" in the column labeled "Contingent." f the claim is unliquidated, place an "" in the column labeled "Unliquidated." f the claim is disputed, place an "" in the column labeled "isputed." (You may need to place an "" in more than one of these three columns.) Report the total of all claims listed on this schedule in the box labeled "otal" on the last sheet of the completed schedule. Report this total also on the Summary of Schedules and, if the debtor is an individual with primarily consumer debts, report this total also on the Statistical Summary of Certain Liabilities and Related ata. Check this box if debtor has no creditors holding unsecured claims to report on this Schedule F. Account o. Account o. CRR'S AM, MALG ARSS CLUG ZP C, A ACCU UMBR (See instructions above.) 2201 Corporate Realty Associates, LLC 2201 W Corporate Blvd., Suite 200 Boca Raton, FL C B R Husband, Wife, Joint, or Community H W J C A CLAM WAS CURR A CSRA FR CLAM. F CLAM S SUBJC SFF, S SA. Leased Premises of 7,750 Square Feet - C G U L Q U A S P U AMU F CLAM 232, Active ata echnologies, nc W Broken Sound Parkway, Suite 200 Boca Raton, FL Account o. - Credit Card 123, Bank of America Business Card P.. Box Wilmington, Account o. - 73, Bradford Geisen 953 Banyan rive elray Beach, FL continuation sheets attached Subtotal (otal of this page) 217, , Copyright (c) Best Case Solutions - vanston, L - (800) S/:

19 B6F (fficial Form 6F) (12/07) - Cont. Case PK oc 1 Filed 12/23/09 Page 19 of 37 n re FFS AA, nc. ebtor, Case o. SCHUL F - CRRS HLG USCUR PRRY CLAMS (Continuation Sheet) Account o. CRR'S AM, MALG ARSS CLUG ZP C, A ACCU UMBR (See instructions above.) C B R Husband, Wife, Joint, or Community H W J C A CLAM WAS CURR A CSRA FR CLAM. F CLAM S SUBJC SFF, S SA. Legal Services C G U L Q U A S P U AMU F CLAM Burman, Critton, Luttier & Coleman, LLP 303 Banyan Boulevard Suite 400 West Palm Beach, FL , Account o. ominic Muttillo c/o Barry A. Postman, sq Palm Beach Lakes Blvd. 2nd Floor West Palm Beach, FL Account o. Fifth hird Bank P.. Box Cincinnati, H Counterclaim filed on ovember 14, 2008 in the Circuit Court for Flroida, Case o.: CA Guaranty - Unknown Account o. First American Corelogic, nc. c/o d Sybesma, sq. 611 Anton Boulevard, 14th Floor Costa Mesa, CA Account o. Gregory Sullivan c/o Barry Postman, sq Palm Beach Lakes Blvd. 2nd Floor West Palm Beach, FL Sheet no. 1 of 2 sheets attached to Schedule of Creditors Holding Unsecured onpriority Claims Complaint filed on March 19, 2009 in the Superior Court of the State of California, Case o Counterclaim filed on ovember 14, 2008 in the Circuit Court for Flroida, Case o.: CA Subtotal (otal of this page) 17,018, Unknown Unknown 17,082, Copyright (c) Best Case Solutions - vanston, L - (800)

20 Case PK oc 1 Filed 12/23/09 Page 20 of 37 B6F (fficial Form 6F) (12/07) - Cont. n re FFS AA, nc. ebtor, Case o. SCHUL F - CRRS HLG USCUR PRRY CLAMS (Continuation Sheet) Account o. CRR'S AM, MALG ARSS CLUG ZP C, A ACCU UMBR (See instructions above.) Legacy Bank of Florida 2300 Glades Road, Suite 140W Boca Raton, FL C B R Husband, Wife, Joint, or Community H W J C A CLAM WAS CURR A CSRA FR CLAM. F CLAM S SUBJC SFF, S SA. Guaranty of former insider company, 2201 Corporate Realty Associates, LLC, loan - C G U L Q U A S P U AMU F CLAM Account o. Credit Card 4,021, Legacy Credit Card P.. Box allas, Account o. 35, Microsoft Advertising P.. Box allas, Account o. Leased Premises 18, Siena Realty Associates, LLC 60 Pompton Avenue Verona, J Account o. 3,132, Sheet no. 2 of 2 sheets attached to Schedule of Creditors Holding Unsecured onpriority Claims Subtotal (otal of this page) otal (Report on Summary of Schedules) 7,208, ,937, Copyright (c) Best Case Solutions - vanston, L - (800)

SCHEDULE B - PERSONAL PROPERTY

SCHEDULE B - PERSONAL PROPERTY }bk1{schedule B - Personal Property}bk{ B6B (fficial Form 6B) (12/07) Case o. xcept as directed below list all personal property of the debtor of whatever kind. If the debtor has no property in one or

More information

United States Bankruptcy Court District of Arizona. Voluntary Petition

United States Bankruptcy Court District of Arizona. Voluntary Petition }bk1{form 1. Voluntary Petition}bk{ B1 (Official Form 1)(04/13) Name of Debtor (if individual, enter Last, First, Middle): United States Bankruptcy Court District of Arizona Name of Joint Debtor (Spouse)

More information

Health Care Business Single Asset Real Estate as defined

Health Care Business Single Asset Real Estate as defined }bk1{form 1. Voluntary Petition}bk{ B1 (Official Form 1)(1/08) Name of Debtor (if individual, enter Last, First, Middle): 2358-2372 South Yakima Avenue LLC United States Bankruptcy Court Western District

More information

United States Bankruptcy Court Northern District of Texas Dallas Division SUMMARY OF SCHEDULES - AMENDED & RESTATED

United States Bankruptcy Court Northern District of Texas Dallas Division SUMMARY OF SCHEDULES - AMENDED & RESTATED }bk1{form6.sumaryofschedules}bk{ Form 6-Summary (10/06) United States Bankruptcy Court orthern istrict of exas allas ivision Senior Management Services of America orth exas nc. Case o. Chapter 07-30264-hdh-11

More information

SCHEDULE A - REAL PROPERTY

SCHEDULE A - REAL PROPERTY }bk1{schedule A - Real Property}bk{ B6A (fficial Form 6A) (12/07) Case o. 08-10928 SCHUL A - RAL PRPRY xcept as directed below list all real property in which the debtor has any legal equitable or future

More information

Case 14-30778 Doc 1 Filed 04/23/14 Entered 04/23/14 15:34:02 Desc Main Document Page 1 of 8

Case 14-30778 Doc 1 Filed 04/23/14 Entered 04/23/14 15:34:02 Desc Main Document Page 1 of 8 }bk1{form 1. Voluntary Petition}bk{ B1 (Official Form 1)(04/13) Case 14-30778 Doc 1 Filed 04/23/14 Entered 04/23/14 15:34:02 Desc Main Document Page 1 of 8 Name of Debtor (if individual, enter Last, First,

More information

Case 10-31407-AJC Doc 1 Filed 07/26/10 Page 1 of 8. Health Care Business Single Asset Real Estate as defined

Case 10-31407-AJC Doc 1 Filed 07/26/10 Page 1 of 8. Health Care Business Single Asset Real Estate as defined }bk1{form 1. Voluntary Petition}bk{ B1 (Official Form 1)(4/10) Name of Debtor (if individual, enter Last, First, Middle): Artecity Holding LTD Case 10-31407-AJC Doc 1 Filed 07/26/10 Page 1 of 8 United

More information

Case 3:13-bk-02630-JAF Doc 1 Filed 04/29/13 Page 1 of 10. 700-702 Beville Road Daytona Beach, FL 32114

Case 3:13-bk-02630-JAF Doc 1 Filed 04/29/13 Page 1 of 10. 700-702 Beville Road Daytona Beach, FL 32114 }bk1{form 1. Voluntary Petition}bk{ B1 (Official Form 1)(04/13) Name of Debtor (if individual, enter Last, First, Middle): Auspicious, Inc. Case 3:13-bk-02630-JAF Doc 1 Filed 04/29/13 Page 1 of 10 Name

More information

than one, state all): Nature of Business (Check one box.) Health Care Business

than one, state all): Nature of Business (Check one box.) Health Care Business B1 (Official Form 1) (12/11) Name of Debtor (if individual, enter Last, First, Middle): United States Bankruptcy Court WESTERN DISTRICT OF TEAS SAN ANTONIO DIVISION Name of Joint Debtor (Spouse) (Last,

More information

Health Care Business Single Asset Real Estate as defined

Health Care Business Single Asset Real Estate as defined }bk1{form 1. Voluntary Petition}bk{ B1 (fficial Form 1)(4/10) ame of ebtor (if individual, enter Last, First, Middle): Lochrann's rish Pub and atery, Ltd. United States Bankruptcy Court astern istrict

More information

Health Care Business Single Asset Real Estate as defined

Health Care Business Single Asset Real Estate as defined }bk1{form 1. Voluntary Petition}bk{ B1 (Official Form 1)(4/10) Name of Debtor (if individual, enter Last, First, Middle): DESERT BEST ENTERPRISES, LLC United States Bankruptcy Court District of Arizona

More information

11-15059-mg Doc 729 Filed 06/15/12 Entered 06/15/12 19:40:05 Main Document Pg 1 of 7 AMENDED SUMMARY OF SCHEDULES

11-15059-mg Doc 729 Filed 06/15/12 Entered 06/15/12 19:40:05 Main Document Pg 1 of 7 AMENDED SUMMARY OF SCHEDULES Pg 1 of 7 B6 Summary (Form 6 - Summary) (12/07) United States Bankruptcy Court Southern District of ew York Case o. (s) Chapter 11 AMDD SUMMARY F SCHDULS Indicate as to each schedule whether that schedule

More information

Case 8:14-bk-09906 Doc 1 Filed 08/26/14 Page 1 of 22. Nature of Business (Check one box)

Case 8:14-bk-09906 Doc 1 Filed 08/26/14 Page 1 of 22. Nature of Business (Check one box) }bk1{form1.voluntarypetition}bk{ B1 (fficial Form 1)(04/13) ame of ebtor (if individual enter Last First Middle): Case 8:14-bk-09906 oc 1 Filed 08/26/14 Page 1 of 22 United States Bankruptcy Court Middle

More information

Case Doc 1 Filed 10/10/11 Entered 10/10/11 17:32:29 Desc Main Document Page 1 of 6

Case Doc 1 Filed 10/10/11 Entered 10/10/11 17:32:29 Desc Main Document Page 1 of 6 }bk1{form 1. Voluntary Petition}bk{ B1 (Official Form 1)(4/10) Case 11-41181 Doc 1 Filed 10/10/11 Entered 10/10/11 17:32:29 Desc Main Document Page 1 of 6 Name of Debtor (if individual, enter Last, First,

More information

Case 14-36770-rld11 Doc 1 Filed 12/11/14. 500 NE Captain Michael Smith Way

Case 14-36770-rld11 Doc 1 Filed 12/11/14. 500 NE Captain Michael Smith Way }bk1{form 1. Voluntary Petition}bk{ B1 (Official Form 1)(04/13) Name of Debtor (if individual, enter Last, First, Middle): Case 14-36770-rld11 Doc 1 Filed 12/11/14 United States Bankruptcy Court District

More information

Case 3:08-cv-03251-WHA Document 69 Filed 05/26/2009 Page 1 of 5 SAN FRANCISCO DIVISION

Case 3:08-cv-03251-WHA Document 69 Filed 05/26/2009 Page 1 of 5 SAN FRANCISCO DIVISION Case 3:08-cv-03251-WHA Document 69 Filed 05/26/2009 Page 1 of 5 1 2 3 4 5 6 7 8 9 10 11 ROBERT J. YORIO (SBN 93178) yorio@carrferrell.com COLBY B. SPRINGER (SBN 214868) cspringer@carrferrell.com CHRISTINE

More information

Case 13-30891-hdh11 Doc 179 Filed 11/04/13 Entered 11/04/13 15:44:41 Page 1 of 7

Case 13-30891-hdh11 Doc 179 Filed 11/04/13 Entered 11/04/13 15:44:41 Page 1 of 7 Case -hdh11 Doc 179 Filed 11/04/13 Entered 11/04/13 15:44:41 Page 1 of 7 B6B (Official Form 6B) (12/07) Case. ne 1. Cash on hand. X 2. Checking, savings or other finan- JP Morgan Chase, N.A. $0.00 cial

More information

Case 15-06443-JMC-11 Doc 1 Filed 07/29/15 EOD 07/29/15 13:52:47 Pg 1 of 9

Case 15-06443-JMC-11 Doc 1 Filed 07/29/15 EOD 07/29/15 13:52:47 Pg 1 of 9 }bk1{form 1. Voluntary Petition}bk{ Case 15-06443-JMC-11 Doc 1 Filed 07/29/15 EOD 07/29/15 13:52:47 Pg 1 of 9 B1 (Official Form 1)(04/13) Name of Debtor (if individual, enter Last, First, Middle): Name

More information

Health Care Business Single Asset Real Estate as defined

Health Care Business Single Asset Real Estate as defined }bk1{form 1. Voluntary Petition}bk{ Official Form 1 (4/07) Name of Debtor (if individual, enter Last, First, Middle): EF Logistics Corp United States Bankruptcy Court Eastern District of New York Name

More information

United States Bankruptcy Court Eastern District of Wisconsin. Voluntary Petition. Case 13-35691-pp Doc 1 Filed 12/06/13 Page 1 of 54

United States Bankruptcy Court Eastern District of Wisconsin. Voluntary Petition. Case 13-35691-pp Doc 1 Filed 12/06/13 Page 1 of 54 }bk1{form 1. Voluntary Petition}bk{ B1 (fficial Form 1)(04/13) ame of ebtor (if individual, enter Last, First, Middle): Johnson, La onya Ann United States Bankruptcy Court astern istrict of Wisconsin ame

More information

Case 15-21233 Doc 1 Filed 07/13/15 Entered 07/13/15 09:39:38 Desc Main Document Page 1 of 5

Case 15-21233 Doc 1 Filed 07/13/15 Entered 07/13/15 09:39:38 Desc Main Document Page 1 of 5 }bk1{form 1. }bk{ B1 (Official Form 1)(04/13) Case 15-21233 Doc 1 Filed 07/13/15 Entered 07/13/15 09:39:38 Desc Main Document Page 1 of 5 Name of Debtor (if individual, enter Last, First, Middle): United

More information

UNITED STATES BANKRUPTCY COURT

UNITED STATES BANKRUPTCY COURT B 201 (12/08) UNITED STATES BANKRUPTCY COURT NOTICE TO CONSUMER DEBTOR(S) UNDER 342(b) OF THE BANKRUPTCY CODE In accordance with 342(b) of the Bankruptcy Code, this notice to individuals with primarily

More information

B1 (Official Form 1)(1/08) Page 2 Name of Debtor(s):

B1 (Official Form 1)(1/08) Page 2 Name of Debtor(s): }bk1{form 1. Voluntary Petition}bk{ B1 (Official Form 1)(1/08) ame of ebtor (if individual, enter Last, First, Middle): Akl, Hor. United States Bankruptcy Court orthern istrict of Ohio FL 2008 Aug 28 PM

More information

Case 8:15-bk-00990 Doc 1 Filed 01/31/15 Page 1 of 8 33883-2725

Case 8:15-bk-00990 Doc 1 Filed 01/31/15 Page 1 of 8 33883-2725 }bk1{form 1. Voluntary Petition}bk{ B1 (Official Form 1)(04/13) Name of Debtor (if individual, enter Last, First, Middle): Perfect Temp of Florida, LLC Case 8:15-bk-00990 Doc 1 Filed 01/31/15 Page 1 of

More information

09-53308-rbk Doc#1 Filed 08/28/09 Entered 08/28/09 16:21:04 Main Document Pg 1 of 8

09-53308-rbk Doc#1 Filed 08/28/09 Entered 08/28/09 16:21:04 Main Document Pg 1 of 8 09-53308-rbk Doc#1 Filed 08/28/09 Entered 08/28/09 16:21:04 Main Document Pg 1 of 8 B1 (Official Form 1) (1/08) Name of Debtor (if individual, enter Last, First, Middle): UNITED STATES BANKRUPTCY COURT

More information

United States Bankruptcy Court District of Delaware

United States Bankruptcy Court District of Delaware B1 (Official Form 1) (04/13) United States Bankruptcy Court District of Delaware Name of Debtor (if individual, enter Last, First, Middle): Pennysaver USA, LLC All Other Names used by the Debtor in the

More information

Case 09-22171 Doc 1 Filed 05/26/09 Entered 05/26/09 16:20:31 Desc Main Document Page 1 of 9. Health Care Business Single Asset Real Estate as defined

Case 09-22171 Doc 1 Filed 05/26/09 Entered 05/26/09 16:20:31 Desc Main Document Page 1 of 9. Health Care Business Single Asset Real Estate as defined }bk1{form 1. Voluntary Petition}bk{ B1 (Official Form 1)(1/08) Case 09-22171 Doc 1 Filed 05/26/09 Entered 05/26/09 16:20:31 Desc Main Document Page 1 of 9 Name of Debtor (if individual, enter Last, First,

More information

Case 13-72236 Doc 1 Filed 10/09/13 Entered 10/09/13 16:20:22 Desc Main Document Page 1 of 10

Case 13-72236 Doc 1 Filed 10/09/13 Entered 10/09/13 16:20:22 Desc Main Document Page 1 of 10 }bk1{form 1. Voluntary Petition}bk{ B1 (Official Form 1)(04/13) Case 13-72236 Doc 1 Filed 10/09/13 Entered 10/09/13 16:20:22 Desc Main Document Page 1 of 10 Name of Debtor (if individual, enter Last, First,

More information

Official Form 1 (4/07) FORM B1, Page 2 Name of Debtor(s):

Official Form 1 (4/07) FORM B1, Page 2 Name of Debtor(s): }bk1{form 1. Voluntary Petition}bk{ Official Form 1 (4/07) Name of Debtor (if individual, enter Last, First, Middle): King, John A. United States Bankruptcy Court Northern District of Alabama Name of Joint

More information

Case 10-46904-LMI Doc 1 Filed 12/01/10 Page 1 of 9. Health Care Business Single Asset Real Estate as defined

Case 10-46904-LMI Doc 1 Filed 12/01/10 Page 1 of 9. Health Care Business Single Asset Real Estate as defined }bk1{form 1. Voluntary Petition}bk{ B1 (Official Form 1)(4/10) Name of Debtor (if individual, enter Last, First, Middle): Quality Breeze Air Conditioning, Inc. Case 10-46904-LMI Doc 1 Filed 12/01/10 Page

More information

Case 14-50217 Doc 1 Filed 02/13/14 Entered 02/13/14 15:40:25 Desc Main Document Page 1 of 9

Case 14-50217 Doc 1 Filed 02/13/14 Entered 02/13/14 15:40:25 Desc Main Document Page 1 of 9 }bk1{form 1. Voluntary Petition}bk{ B1 (Official Form 1)(04/13) Case 14-50217 Doc 1 Filed 02/13/14 Entered 02/13/14 15:40:25 Desc Main Document Page 1 of 9 Name of Debtor (if individual, enter Last, First,

More information

Case 14-25709-PGH Doc 1 Filed 07/10/14 Page 1 of 34

Case 14-25709-PGH Doc 1 Filed 07/10/14 Page 1 of 34 }bk1{form 1. Voluntary Petition}bk{ B1 (Official Form 1)(04/13) ame of ebtor (if individual, enter Last, First, Middle): Case 14-25709-PGH oc 1 Filed 07/10/14 Page 1 of 34 United States Bankruptcy Court

More information

Case 13-29815 Doc 1 Filed 09/13/13 Entered 09/13/13 09:27:12 Desc Main Document Page 1 of 10

Case 13-29815 Doc 1 Filed 09/13/13 Entered 09/13/13 09:27:12 Desc Main Document Page 1 of 10 Document Page 1 of 10 B1 (Official Form 1) (04/13) United States Bankruptcy Court Western District of Tennessee Voluntary Petition Name of Debtor (if individual, enter Last, First, Middle): Chapple Companies,

More information

Case 15-90412 Doc 1 Filed 04/24/15 Entered 04/24/15 14:51:24 Desc Main Document Page 1 of 8 LIST OF CREDITORS HOLDING 20 LARGEST UNSECURED CLAIMS

Case 15-90412 Doc 1 Filed 04/24/15 Entered 04/24/15 14:51:24 Desc Main Document Page 1 of 8 LIST OF CREDITORS HOLDING 20 LARGEST UNSECURED CLAIMS Document Page 1 of 8 B4 (Official Form 4) (12/07) United States Bankruptcy Court In re Case No. Debtor(s) Chapter 11 LIST OF CREDITORS HOLDING 20 LARGEST UNSECURED CLAIMS Following is the list of the debtor's

More information

Case KRH Doc 1 Filed 09/08/13 Entered 09/08/13 13:28:40 Desc Main Document Page 1 of 8

Case KRH Doc 1 Filed 09/08/13 Entered 09/08/13 13:28:40 Desc Main Document Page 1 of 8 }bk1{form 1. Voluntary Petition}bk{ Case 13-34848-KRH Doc 1 Filed 09/08/13 Entered 09/08/13 13:28:40 Desc Main Document Page 1 of 8 B1 (Official Form 1)(04/13) Name of Debtor (if individual, enter Last,

More information

Case 15-20831 Doc 1 Filed 02/04/15 Entered 02/04/15 13:01:57 Desc Main. Document Page 1 of 6

Case 15-20831 Doc 1 Filed 02/04/15 Entered 02/04/15 13:01:57 Desc Main. Document Page 1 of 6 B1 (Official Form 1) (04/13) Document Page 1 of 6 Name of Debtor (if individual, enter Last, First, Middle): Cocharan, Kirby David All Other Names used by the Debtor in the last 8 years (include married,

More information

Case 14-36493-EPK Doc 1 Filed 12/03/14 Page 1 of 47

Case 14-36493-EPK Doc 1 Filed 12/03/14 Page 1 of 47 }bk1{form 1. Voluntary Petition}bk{ B1 (Official Form 1)(04/13) ame of ebtor (if individual, enter Last, First, Middle): Abreu, Manuel Case 14-36493-PK oc 1 Filed 12/03/14 Page 1 of 47 United States Bankruptcy

More information

Case 12-24664 Doc 1 Filed 05/04/12 Entered 05/04/12 10:08:54 Desc Main Document Page 1 of 10

Case 12-24664 Doc 1 Filed 05/04/12 Entered 05/04/12 10:08:54 Desc Main Document Page 1 of 10 }bk1{form 1. Voluntary Petition}bk{ B1 (fficial Form 1)(12/11) ase 1224664 oc 1 Filed 05/04/12 ntered 05/04/12 10:08:54 esc Main ocument Page 1 of 10 ame of ebtor (if individual, enter Last, First, Middle):

More information

Case 13-35422-KRH Doc 1 Filed 10/07/13 Entered 10/07/13 14:53:01 Desc Main 10/07/13 2:52PM Document Page 1 of 58

Case 13-35422-KRH Doc 1 Filed 10/07/13 Entered 10/07/13 14:53:01 Desc Main 10/07/13 2:52PM Document Page 1 of 58 }bk1{form 1. Voluntary Petition}bk{ Case 13-35422-KRH Doc 1 Filed 10/07/13 Entered 10/07/13 14:53:01 Desc Main 10/07/13 2:52PM Document Page 1 of 58 B1 (Official Form 1)(04/13) Name of Debtor (if individual,

More information

United States Bankruptcy Court Central District of California. Voluntary Petition. B1 (Official Form 1) (1/08)

United States Bankruptcy Court Central District of California. Voluntary Petition. B1 (Official Form 1) (1/08) B1 (Official Form 1) (1/08) Name of Debtor (if individual, enter Last, First, Middle): Diamond Executive Office Suites & Virtual Offices, LLC All Other Names used by the Debtor in the last 8 years (include

More information

Case 14-12674-JKO Doc 1 Filed 02/04/14 Page 1 of 9

Case 14-12674-JKO Doc 1 Filed 02/04/14 Page 1 of 9 }bk1{form 1. Voluntary Petition}bk{ B1 (Official Form 1)(04/13) Name of Debtor (if individual, enter Last, First, Middle): United Electronics, Corporation Case 14-12674-JKO Doc 1 Filed 02/04/14 Page 1

More information

Health Care Business Single Asset Real Estate as defined

Health Care Business Single Asset Real Estate as defined }bk1{form 1. Voluntary Petition}bk{ B1 (Official Form 1)(1/08) ame of ebtor (if individual, enter Last, First, Middle): United States Bankruptcy Court istrict of ew Jersey ame of Joint ebtor (Spouse) (Last,

More information

Case 15-07401-JJG-11 Doc 1 Filed 08/31/15 EOD 08/31/15 16:28:40 Pg 1 of 10

Case 15-07401-JJG-11 Doc 1 Filed 08/31/15 EOD 08/31/15 16:28:40 Pg 1 of 10 }bk1{form 1. Voluntary Petition}bk{ Case 15-07401-JJG-11 Doc 1 Filed 08/31/15 EOD 08/31/15 16:28:40 Pg 1 of 10 B1 (Official Form 1)(04/13) Name of Debtor (if individual, enter Last, First, Middle): S&S

More information

Health Care Business Single Asset Real Estate as defined

Health Care Business Single Asset Real Estate as defined }bk1{form 1. Voluntary Petition}bk{ B1 (Official Form 1)(4/10) Name of Debtor (if individual, enter Last, First, Middle): United States Bankruptcy Court Eastern District of Virginia Name of Joint Debtor

More information

Honolulu, Hawaii 96813-5010 (808) 593-2199

Honolulu, Hawaii 96813-5010 (808) 593-2199 Honolulu, Hawaii 96813-5010 (808) 593-2199 BUSINESS BANKRUPTCY -- CLIENT INFORMATION WORKSHEETS DEBTOR JOINT DEBTOR FULL NAME: STREET ADDRESS: MAILING ADDRESS: COUNTY: HOME PHONE: WORK PHONE: FAX (if available)

More information

Case: 09-14938 Doc: 1 Filed: 09/04/09 Page: 1 of 8 75370-2508. Health Care Business Single Asset Real Estate as defined

Case: 09-14938 Doc: 1 Filed: 09/04/09 Page: 1 of 8 75370-2508. Health Care Business Single Asset Real Estate as defined }bk1{form 1. Voluntary Petition}bk{ B1 (Official Form 1)(1/08) Name of Debtor (if individual, enter Last, First, Middle): Case: 09-14938 Doc: 1 Filed: 09/04/09 Page: 1 of 8 Name of Joint Debtor (Spouse)

More information

Case 09-37765-DOT Doc 1 Filed 11/25/09 Entered 11/25/09 10:58:52 Desc Main Document Page 1 of 29. Mechanicsville, VA 23116

Case 09-37765-DOT Doc 1 Filed 11/25/09 Entered 11/25/09 10:58:52 Desc Main Document Page 1 of 29. Mechanicsville, VA 23116 }bk1{form 1. Voluntary Petition}bk{ Case 09-37765-O oc 1 Filed 11/25/09 ntered 11/25/09 10:58:52 esc Main ocument Page 1 of 29 B1 (Official Form 1)(1/08) ame of ebtor (if individual, enter Last, First,

More information

Case 11-30041 Doc 1 Filed 01/07/11 Entered 01/07/11 10:43:33 Desc Main Document Page 1 of 10. Health Care Business Single Asset Real Estate as defined

Case 11-30041 Doc 1 Filed 01/07/11 Entered 01/07/11 10:43:33 Desc Main Document Page 1 of 10. Health Care Business Single Asset Real Estate as defined }bk1{form 1. Voluntary Petition}bk{ B1 (Official Form 1)(4/10) Case 11-30041 Doc 1 Filed 01/07/11 Entered 01/07/11 10:43:33 Desc Main Document Page 1 of 10 Name of Debtor (if individual, enter Last, First,

More information

United States Bankruptcy Court Southern District of Indiana SUMMARY OF SCHEDULES - AMENDED

United States Bankruptcy Court Southern District of Indiana SUMMARY OF SCHEDULES - AMENDED }bk1{form 6. Sumary of Schedules}bk{ Case -7A Doc 89 Filed 01/17/11 D 01/17/11 09:22:04 Pg 1 of 9 B6 Summary (fficial Form 6 - Summary) (12/07) United States Bankruptcy Court Southern District of Indiana

More information

VOLUNTARY PETITION I. APPLICABLE LAW AND RULES

VOLUNTARY PETITION I. APPLICABLE LAW AND RULES Instructions, Form B1 11.21.12 VOLUNTARY PETITION This form, known as a voluntary petition must be used by a debtor to begin a bankruptcy case. Filing this petition is how an individual or other entity

More information

Case 8:15-bk-11876-MW Doc 1 Filed 04/13/15 Entered 04/13/15 13:12:04 Desc Main Document Page 1 of 10

Case 8:15-bk-11876-MW Doc 1 Filed 04/13/15 Entered 04/13/15 13:12:04 Desc Main Document Page 1 of 10 }bk1{form 1. Voluntary Petition (CDC Local Version)}bk{ Case 8:15-bk-11876-MW Doc 1 Filed 04/13/15 Entered 04/13/15 13:12:04 Desc Main Document Page 1 of 10 B1 (Official Form 1)(04/13) Name of Debtor (if

More information

Case 12-11085-BFK Doc 1 Filed 02/19/12 Entered 02/19/12 21:31:42 Desc Main Document Page 1 of 8

Case 12-11085-BFK Doc 1 Filed 02/19/12 Entered 02/19/12 21:31:42 Desc Main Document Page 1 of 8 }bk1{form 1. Voluntary Petition}bk{ Case 12-11085-BFK Doc 1 Filed 02/19/12 Entered 02/19/12 21:31:42 Desc Main Document Page 1 of 8 B1 (Official Form 1)(12/11) Name of Debtor (if individual, enter Last,

More information

United States Bankruptcy Court District of Utah

United States Bankruptcy Court District of Utah }bk1{form 6. Sumary of Schedules (istrict of Utah)}bk{ Case 10-22287 oc 3 Filed 03/02/10 ntered 03/02/10 12:52:39 esc Main ocument Page 1 of 34 B6 Summary (fficial Form 6 - Summary) (12/07) United States

More information

SCHEDULE D - CREDITORS HOLDING SECURED CLAIMS

SCHEDULE D - CREDITORS HOLDING SECURED CLAIMS }bk1{chedule - reditors olding ecured laims}bk{ 6 (fficial Form 6) (12/07) n re outhern oad uilders of olk ounty nc. ebtor ase o. - M tate the name mailing address including zip code and last four digits

More information

Legal Name: All other names you have used in the last 6 years: Address, City, State, Zip: Mailing Address if different:

Legal Name: All other names you have used in the last 6 years: Address, City, State, Zip: Mailing Address if different: BANKRUPTCY INTERVIEW INSTRUCTIONS: The interview sheet contains basic information needed for your bankruptcy. Do the best to complete the information. If you do not know the answer, then write "I do not

More information

Case EPK Doc 1 Filed 12/16/13 Page 1 of 43

Case EPK Doc 1 Filed 12/16/13 Page 1 of 43 }bk1{form 1. Voluntary Petition}bk{ B1 (fficial Form 1)(04/13) ame of ebtor (if individual, enter Last, First, Middle): McCline, Jameel B Case 1339719PK oc 1 Filed 12/16/13 Page 1 of 43 United States Bankruptcy

More information

Case 12-18916-lbr Doc 1 Entered 07/31/12 12:40:21 Page 1 of 43

Case 12-18916-lbr Doc 1 Entered 07/31/12 12:40:21 Page 1 of 43 }bk1{form 1. Voluntary Petition}bk{ B1 (fficial Form 1)(12/11) ase 1218916lbr oc 1 ntered 07/31/12 12:40:21 Page 1 of 43 ame of ebtor (if individual, enter Last, First, Middle): anseco, Jose Jr. nited

More information

Case 12-12803-JKC-11 Doc 1 Filed 10/30/12 EOD 10/30/12 08:36:49 Pg 1 of 12

Case 12-12803-JKC-11 Doc 1 Filed 10/30/12 EOD 10/30/12 08:36:49 Pg 1 of 12 }bk1{form 1. Voluntary Petition}bk{ ase 1212803JK11 oc 1 Filed 10/30/12 10/30/12 08:36:49 Pg 1 of 12 B1 (fficial Form 1)(12/11) ame of ebtor (if individual, enter Last, First, Middle): Bolt A Blok, nc.

More information

BANKRUPTCY QUESTIONNAIRE. Name of Debtor: first middle last Name of Co-Debtor: first middle last

BANKRUPTCY QUESTIONNAIRE. Name of Debtor: first middle last Name of Co-Debtor: first middle last BANKRUPTCY QUESTIONNAIRE Name of Debtor: first middle last Name of Co-Debtor: first middle last I. By completing this document and returning it to Broc E. Whitehead, I/we certify that it is my/our duty

More information

Case 2:11-bk-62889-TD Doc 1 Filed 12/30/11 Entered 12/30/11 16:13:57 Desc Voluntary Petition

Case 2:11-bk-62889-TD Doc 1 Filed 12/30/11 Entered 12/30/11 16:13:57 Desc Voluntary Petition United States Bankruptcy Main Document Court Page 1 of 40 Central District of California Voluntary Petition Form B1 (Official Form 1) - (Rev. 12/11) 2011 USBC, Central District of California Name of Debtor

More information

United States Bankruptcy Court Eastern District of Michigan. Voluntary Petition

United States Bankruptcy Court Eastern District of Michigan. Voluntary Petition }bk1{form 1. Voluntary Petition}bk{ B1 (Official Form 1)(04/13) ame of Debtor (if individual, enter Last, First, Middle): Harris, Charlene B United States Bankruptcy Court Eastern District of Michigan

More information

United States Bankruptcy Court Western District of Tennessee. Voluntary Petition. (Official Form 1) (10/05) 4466 Elvis Presley Blvd.

United States Bankruptcy Court Western District of Tennessee. Voluntary Petition. (Official Form 1) (10/05) 4466 Elvis Presley Blvd. }bk1{form 1. Voluntary Petition}bk{ (Official Form 1) (10/05) Name of Debtor (if individual, enter Last, First, Middle): Memphis Security Company, Inc. United States Bankruptcy Court Western District of

More information

Case 12-23611-bam Doc 1 Entered 12/13/12 12:40:20 Page 1 of 10

Case 12-23611-bam Doc 1 Entered 12/13/12 12:40:20 Page 1 of 10 }bk1{form 1. Voluntary Petition}bk{ B1 (Official Form 1)(12/11) Case 12-23611-bam Doc 1 Entered 12/13/12 12:40:20 Page 1 of 10 Name of Debtor (if individual, enter Last, First, Middle): Mixed Nuts, LLC

More information

Client Questionnaire For Business Debtor Section 1 - Basic Information

Client Questionnaire For Business Debtor Section 1 - Basic Information Part A. Name and Address Name of business: Contact Person's Name: Client Questionnaire For Business Debtor Section 1 - Basic Information Telephone Number: ext: Alternative Number: Email: Has the business

More information

Case 12-31593 Doc 1 Filed 04/02/12 Entered 04/02/12 15:19:57 Page 1 of 9

Case 12-31593 Doc 1 Filed 04/02/12 Entered 04/02/12 15:19:57 Page 1 of 9 }bk1{form 1. Voluntary Petition}bk{ B1 (Official Form 1)(12/11) Case 12-31593 Doc 1 Filed 04/02/12 Entered 04/02/12 15:19:57 Page 1 of 9 Name of Debtor (if individual, enter Last, First, Middle): Webb

More information

Client Questionnaire For Business Debtor

Client Questionnaire For Business Debtor Client Questionnaire For Business Debtor Section 1 Basic Information Part A. Name and Address Name of business: Contact Person s name: Telephone Number: ext.: Alternative Number: Has the business gone

More information

Client Questionnaire For Business Debtor

Client Questionnaire For Business Debtor Part A. Name and Address Name of business: Contact Person s name: Client Questionnaire For Business Debtor Section 1 Basic Information Telephone Number: ext.: Alternative Number: Has the business gone

More information

Case 14-24039-EPK Doc 1 Filed 06/19/14 Page 1 of 10

Case 14-24039-EPK Doc 1 Filed 06/19/14 Page 1 of 10 }bk1{form 1. Voluntary Petition}bk{ B1 (Official Form 1)(04/13) Name of Debtor (if individual, enter Last, First, Middle): The Wojo Corp. Case 14-24039-EPK Doc 1 Filed 06/19/14 Page 1 of 10 United States

More information

Case 11-08902-11 Filed 05/27/11 Doc 1 Pg. 1 of 40. Health Care Business Single Asset Real Estate as defined

Case 11-08902-11 Filed 05/27/11 Doc 1 Pg. 1 of 40. Health Care Business Single Asset Real Estate as defined }bk1{form 1. Voluntary Petition}bk{ B1 (Official Form 1)(4/10) ame of Debtor (if individual, enter Last, First, Middle): Case 11-08902-11 Filed 05/27/11 Doc 1 Pg. 1 of 40 United States Bankruptcy Court

More information

INSTRUCTIONS FOR COMPLETING OFFICIAL FORM 7. STATEMENT OF FINANCIAL AFFAIRS (Revised 2/01) I. INTRODUCTION

INSTRUCTIONS FOR COMPLETING OFFICIAL FORM 7. STATEMENT OF FINANCIAL AFFAIRS (Revised 2/01) I. INTRODUCTION INSTRUCTIONS FOR COMPLETING OFFICIAL FORM 7 STATEMENT OF FINANCIAL AFFAIRS (Revised 2/01) I. INTRODUCTION The Statement of Financial Affairs provides a summary of the debtor's financial history, transactions,

More information

MARK S. ZUCKERBERG, P.C. ATTORNEY AT LAW

MARK S. ZUCKERBERG, P.C. ATTORNEY AT LAW LAW OFFICE OF MARK S. ZUCKERBERG, P.C. ATTORNEY AT LAW Full Legal Name: (Last, First, Middle) Spouse's Full Legal Name: (Last, First Middle) All other names used in the past 6 years: All other names used

More information

14-10701-rg Doc 237 Filed 05/22/14 Entered 05/22/14 22:40:17 Main Document Pg 1 of 7

14-10701-rg Doc 237 Filed 05/22/14 Entered 05/22/14 22:40:17 Main Document Pg 1 of 7 Pg 1 of 7 DECHERT LLP 1095 Avenue of the Americas New York, New York 10036 Telephone (212) 698-3500 Facsimile (212) 698-3599 Allan S. Brilliant Shmuel Vasser Jeffrey T. Mispagel Attorneys for the Debtors

More information

INSTRUCTIONS FOR COMPLETING OFFICIAL FORM 1, VOLUNTARY PETITION I. INTRODUCTION

INSTRUCTIONS FOR COMPLETING OFFICIAL FORM 1, VOLUNTARY PETITION I. INTRODUCTION INSTRUCTIONS FOR COMPLETING OFFICIAL FORM 1, VOLUNTARY PETITION I. INTRODUCTION This form, known as a "voluntary petition," must be used by a debtor to begin a bankruptcy case. Filing this petition is

More information

Case 1:13-bk-13069 Doc 1 Filed 06/23/13 Entered 06/23/13 20:11:01 Desc Main Document Page 1 of 6

Case 1:13-bk-13069 Doc 1 Filed 06/23/13 Entered 06/23/13 20:11:01 Desc Main Document Page 1 of 6 }bk1{form 1. Voluntary Petition}bk{ Case 1:13-bk-13069 Doc 1 Filed 06/23/13 Entered 06/23/13 20:11:01 Desc Main Document Page 1 of 6 B1 (Official Form 1)(4/10) Name of Debtor (if individual, enter Last,

More information

ALL WASHINGTON LEGAL CLINIC OF SEATTLE/EVERETT A LEGAL SERVICE PROVIDED BY:

ALL WASHINGTON LEGAL CLINIC OF SEATTLE/EVERETT A LEGAL SERVICE PROVIDED BY: ALL WASHINGTON LEGAL CLINIC OF SEATTLE/EVERETT SEATTLE OFFICE: TACOMA OFFICE EVERETT OFFICE: 212 Pioneer Building Suite 1204 Suite 602 600 First Avenue 1119 Pacific Ave. 2722 Colby Ave. Seattle, WA 98104

More information

SCHEDULE B - PERSONAL PROPERTY - AMENDED

SCHEDULE B - PERSONAL PROPERTY - AMENDED }bk1{scheduleb-personalproperty}bk{ B6B (fficial Form 6B) (12/07) Bender Shipbuilding Case o. & Repair 09-12616 Co. Inc. xcept as directed below list all personal property of the debtor of whatever kind.

More information

INSTRUCTIONS FOR COMPLETING OFFICIAL FORM 10, PROOF OF CLAIM I. INTRODUCTION

INSTRUCTIONS FOR COMPLETING OFFICIAL FORM 10, PROOF OF CLAIM I. INTRODUCTION INSTRUCTIONS FOR COMPLETING OFFICIAL FORM 10, PROOF OF CLAIM I. INTRODUCTION The principal response of a creditor to the filing of a bankruptcy case is to file a proof of claim (Official Form 10). Specifically,

More information

Instructions Bankruptcy Forms for Individuals

Instructions Bankruptcy Forms for Individuals Instructions Bankruptcy Forms for Individuals U.S. Bankruptcy Court December 2015 (Rev. April 2016) About this Booklet of Instructions... 1 About the bankruptcy forms and filing bankruptcy... 2 Understand

More information

Case Doc 1 Filed 01/30/14 Entered 01/30/14 14:29:33 Desc Main Document Page 1 of 41

Case Doc 1 Filed 01/30/14 Entered 01/30/14 14:29:33 Desc Main Document Page 1 of 41 }bk1{form 1. Voluntary Petition}bk{ B1 (Official Form 1)(04/13) Case 14-80263 Doc 1 Filed 01/30/14 Entered 01/30/14 14:29:33 Desc Main Document Page 1 of 41 Name of Debtor (if individual, enter Last, First,

More information

Debtors SCHEDULE A. REAL PROPERTY

Debtors SCHEDULE A. REAL PROPERTY }bk1{schedulea.realproperty}bk{ n re ebtors SHL A. RAL PRPRY ase o. xcept as directed below list all real property in which the debtor has any legal equitable or future interest including all property

More information

UNITED STATES BANKRUPTCY COURT EASTERN DISTRICT OF MISSOURI EASTERN DIVISION

UNITED STATES BANKRUPTCY COURT EASTERN DISTRICT OF MISSOURI EASTERN DIVISION UNITED STATES BANKRUPTCY COURT EASTERN DISTRICT OF MISSOURI EASTERN DIVISION In re: ) Chapter 11 ) BURTON DOUGLAS MORRISS, ) Case No.: 12-40164 ) Debtor. ) Judge Kathy A. Surratt-States ) STATEMENT CONCERNING

More information

United States Bankruptcy Court District of Connecticut SUMMARY OF SCHEDULES

United States Bankruptcy Court District of Connecticut SUMMARY OF SCHEDULES }bk1{form 6. Sumary of Schedules}bk{ Case 14-51790 Doc 13 Filed 12/31/14 Entered 12/31/14 16:04:37 Desc Main Document Page 1 of 90 B 6 Summary (Official Form 6 - Summary) (12/13) United States Bankruptcy

More information

Case 14-14360-abl Doc 33 Entered 07/18/14 18:04:56 Page 1 of 34. Case No.: 14-14360-ABL Chapter 11

Case 14-14360-abl Doc 33 Entered 07/18/14 18:04:56 Page 1 of 34. Case No.: 14-14360-ABL Chapter 11 Case 14-14360-abl Doc 33 Entered 07/18/14 18:04:56 Page 1 of 34 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 GORDON SILVER GERALD M. GORDON, ESQ. Nevada Bar No. 229 E-mail: ggordon@gordonsilver.com

More information

than one, state all): ZIPCODE 1993-2007 EZ-Filing, Inc. [1-800-998-2424] - Forms Software Only Nature of Business

than one, state all): ZIPCODE 1993-2007 EZ-Filing, Inc. [1-800-998-2424] - Forms Software Only Nature of Business (Official Form 1) (10/06) Name of Debtor (if individual, enter Last, First, Middle): Naman, Elias M. II All Other Names used by the Debtor in the last 8 years (include married, maiden, and trade names):

More information

Case:14-23906-EEB Doc#:1 Filed:10/13/14 Entered:10/13/14 19:10:21 Page1 of 7 10/13/14 6:35PM

Case:14-23906-EEB Doc#:1 Filed:10/13/14 Entered:10/13/14 19:10:21 Page1 of 7 10/13/14 6:35PM }bk1{form 1. Voluntary Petition}bk{ Case:14-23906-EEB Doc#:1 Filed:10/13/14 Entered:10/13/14 19:10:21 Page1 of 7 B1 (Official Form 1)(04/13) Name of Debtor (if individual, enter Last, First, Middle): United

More information

Greg Gouner, Attorney at Law 11750 Bricksome Avenue, Suite C Baton Rouge, LA 70816 (225) 293-6200

Greg Gouner, Attorney at Law 11750 Bricksome Avenue, Suite C Baton Rouge, LA 70816 (225) 293-6200 Bankruptcy Forms: Chapters 7/Chapter 13 Instructions: Please fill out this form completely. You are providing this office with the information required to prepare the filing of a Chapter 7 or Chapter 13

More information

Name of Joint Debtor. (if more than one, state all): 4321. West Valley NY ZIPCODE ZIPCODE. Chapter 7. Chapter 12. Check one box:

Name of Joint Debtor. (if more than one, state all): 4321. West Valley NY ZIPCODE ZIPCODE. Chapter 7. Chapter 12. Check one box: Official Form 1 (04/10) United States Bankruptcy Court WESTERN NEW YORK DISTRICT OF Name of Debtor (if individual, enter Last, First, Middle): Name of Joint Debtor (Spouse)(Last, First, Middle): Voluntary

More information

Health Care Business Single Asset Real Estate as defined

Health Care Business Single Asset Real Estate as defined }bk1{form 1. Voluntary Petition}bk{ B1 (fficial Form 1)(4/10) ame of ebtor (if individual enter Last First Middle): Americas Powersport Auction LL nited States Bankruptcy ourt Middle istrict of ennessee

More information

Case 11-61215 Doc 1 Filed 12/13/11 Entered 12/13/11 16:51:04 Desc Main Document Page 1 of 64

Case 11-61215 Doc 1 Filed 12/13/11 Entered 12/13/11 16:51:04 Desc Main Document Page 1 of 64 }bk1{form 1. Voluntary Petition}bk{ B1 (fficial Form 1)(12/11) ase 11-61215 oc 1 Filed 12/13/11 ntered 12/13/11 16:51:04 esc Main ocument Page 1 of 64 ame of ebtor (if individual, enter Last, First, Middle):

More information

Case 8:12-bk-05664-KRM Doc 1 Filed 04/14/12 Page 2 of 53. B1 (Official Form 1)(12/11) Page 2 Name of Debtor(s):

Case 8:12-bk-05664-KRM Doc 1 Filed 04/14/12 Page 2 of 53. B1 (Official Form 1)(12/11) Page 2 Name of Debtor(s): }bk1{form 1. Voluntary Petition}bk{ B1 (fficial Form 1)(12/11) ame of ebtor (if individual, enter Last, First, Middle): Khawam, atalie ase 8:12bk05664KRM oc 1 Filed 04/14/12 Page 1 of 53 nited States Bankruptcy

More information

Case 14-42863-pwb Doc 1 Filed 11/20/14 Entered 11/20/14 11:17:32 Desc Main Document Page 1 of 97. Nature of Business (Check one box)

Case 14-42863-pwb Doc 1 Filed 11/20/14 Entered 11/20/14 11:17:32 Desc Main Document Page 1 of 97. Nature of Business (Check one box) }bk1{form1.voluntarypetition}bk{ Case 14-42863-pwb Doc 1 Filed 11/20/14 Entered 11/20/14 11:17:32 Desc Main Document Page 1 of 97 B1 (Official Form 1)(04/13) Name of Debtor (if individual, enter Last,

More information

Case 15-31606-rld11 Doc 1 Filed 04/02/15

Case 15-31606-rld11 Doc 1 Filed 04/02/15 }bk1{form 1. Voluntary Petition}bk{ B1 (Official Form 1)(04/13) Name of Debtor (if individual, enter Last, First, Middle): Impact Medical, LLC Case 15-31606-rld11 Doc 1 Filed 04/02/15 United States Bankruptcy

More information

PREPARING THE PETITION, SCHEDULES, STATEMENT OF FINANCIAL AFFAIRS, MEANS TEST (FORM 22C) AND CHAPTER 13 PLAN

PREPARING THE PETITION, SCHEDULES, STATEMENT OF FINANCIAL AFFAIRS, MEANS TEST (FORM 22C) AND CHAPTER 13 PLAN PREPARING THE PETITION, SCHEDULES, STATEMENT OF FINANCIAL AFFAIRS, MEANS TEST (FORM 22C) AND CHAPTER 13 PLAN THE PETITION Provide complete information for each debtor. Full name Any aka, dba or fdba Complete

More information

Case 10-15781-11 Filed 09/01/10 Doc 1 Pg. 1 of 12. Health Care Business Single Asset Real Estate as defined

Case 10-15781-11 Filed 09/01/10 Doc 1 Pg. 1 of 12. Health Care Business Single Asset Real Estate as defined }bk1{form 1. Voluntary Petition}bk{ B1 (Official Form 1)(4/10) Name of Debtor (if individual, enter Last, First, Middle): Sears, Timothy Karl Case 10-15781-11 Filed 09/01/10 Doc 1 Pg. 1 of 12 United States

More information

Case 12-30081-EPK Doc 1 Filed 08/22/12 Page 1 of 9 FORM 5. INVOLUNTARY PETITION United States Bankruptcy Court Southern District of Florida

Case 12-30081-EPK Doc 1 Filed 08/22/12 Page 1 of 9 FORM 5. INVOLUNTARY PETITION United States Bankruptcy Court Southern District of Florida B5 (Official Form 5) (12/07) IN RE (Name of Debtor - If Individual: Last, First, Middle) CLSF III IV, Inc. Case 12-30081-EPK Doc 1 Filed 08/22/12 Page 1 of 9 FORM 5. INVOLUNTARY PETITION United States

More information

Case:11-01114-jrh Doc #:1 Filed: 02/07/11 Page 1 of 34

Case:11-01114-jrh Doc #:1 Filed: 02/07/11 Page 1 of 34 Case:11-01114-jrh Doc #:1 Filed: 02/07/11 Page 1 of 34 Directv PO Box 60036 Los Angeles, CA 90060-0036 MPC Cashway 1191 W. Grand River Williamston, MI 48895 Steve Hulliberger Plumbing 3798 Holt Rd. Webberville,

More information

Case 10-24178 Doc 1 Filed 04/16/10 Entered 04/16/10 10:11:28 Desc Main Document Page 1 of 31. 3450 Fescue Lane Memphis, TN 38115-4184

Case 10-24178 Doc 1 Filed 04/16/10 Entered 04/16/10 10:11:28 Desc Main Document Page 1 of 31. 3450 Fescue Lane Memphis, TN 38115-4184 }bk1{form 1. Voluntary Petition}bk{ B1 (fficial Form 1)(4/10) ase 1024178 oc 1 Filed 04/16/10 ntered 04/16/10 10:11:28 esc Main ocument Page 1 of 31 nited States Bankruptcy ourt Western istrict of ennessee

More information

Bankruptcy Petition Preparation Checklist

Bankruptcy Petition Preparation Checklist Chapter 7 / 13 Bankruptcy Worksheet IMPORTANT! This page must be read and signed before your case will be filed. If this set of worksheets is not filled out completely, WE CANNOT PREPARE THE PETITION AND

More information

Official Form 201 Voluntary Petition for Non-Individuals Filing for Bankruptcy 4/16

Official Form 201 Voluntary Petition for Non-Individuals Filing for Bankruptcy 4/16 Case 16-16539 Doc 1 Filed 05/12/16 Page 1 of 10 Fill in this information to identify your case: United States Bankruptcy Court for the: DISTRICT OF MARYLAND Case number (if known) Chapter 11 Check if this

More information

B1 (Official Form 1)(4/10) Page 2 Name of Debtor(s):

B1 (Official Form 1)(4/10) Page 2 Name of Debtor(s): }bk1{form 1. Voluntary Petition}bk{ B1 (Official Form 1)(4/10) Name of Debtor (if individual, enter Last, First, Middle): LVN Property Management, LLC United States Bankruptcy Court Middle District of

More information