SCHEDULE A - REAL PROPERTY
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- Christiana Lawrence
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1 FORM B6A (6/90) In re: HomeGold, Inc. Debtor, Case No B (If known) SCHEDULE A - REAL PROPERTY DESCRIPTION AND LOCATION OF PROPERTY NATURE OF DEBTOR'S INTEREST IN PROPERTY HUSBAND, WIFE, JOINT OR COMMUNITY CURRENT MARKET VALUE OF DEBTOR'S INTEREST IN PROPERTY WITHOUT DEDUCTING ANY SECURED CLAIM OR EXEMPTION AMOUNT OF SECURED CLAIM See Exhibit A attached (REO properties) $ 711, $ 0.00 Total $ 711, (Report also on Summary of Schedules.)
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4 FORM B6B (10/89) In re HomeGold, Inc. Debtor, Case No B (If known) SCHEDULE B - PERSONAL PROPERTY TYPE OF PROPERTY NONE DESCRIPTION AND LOCATION OF PROPERTY HUSBAND, WIFE, JOINT OR COMMUNITY CURRENT MARKET VALUE OF DEBTOR'S INTEREST IN PROPERTY, WITH- OUT DEDUCTING ANY SECURED CLAIM OR EXEMPTION 1. Cash on hand X 2. Exhibit B2 attached 2,346, 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. Banks Park, LP Security deposits with public utilities, telephone companies, landlords, and others. PO Box Richmond VA Crown-Phoenix, LLC 3808 N. Sullivan Road Bldg N-15 Spokane WA DD Greenville, LLC 15 S Main St 9th Floor Suite 900 Greenville SC Frontstep, Inc Corporate Exchange Drive Columbus OH FSP Piedmont Center, LP 37 Villa Road B-135 Greenville SC Highwoods/Tennessess PO Box Nashville TN Hub Properties Trust PO Box Boston MA John E Haas PO Box Columbia SC North X Northwest Partners PO Box Cincinnati OH Storage Northpoint Drive Lexington SC , , , , , , , , ,
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7 FORM B6B (10/89) In re HomeGold, Inc. Debtor, Case No B (If known) SCHEDULE B - PERSONAL PROPERTY (Continuation Sheet) TYPE OF PROPERTY NONE DESCRIPTION AND LOCATION OF PROPERTY HUSBAND, WIFE, JOINT OR COMMUNITY CURRENT MARKET VALUE OF DEBTOR'S INTEREST IN PROPERTY, WITH- OUT DEDUCTING ANY SECURED CLAIM OR EXEMPTION 3. Security deposits with public utilities, Sutton & Edwards Management telephone companies, landlords, and 1981 Marcus Avenue others. Lake Success NY TIC Barrett Woods II, LLC Barrett Parkway Suite 330 St. Louis MO , , Household goods and furnishings, X including audio, video, and computer equipment. 5. Books, pictures and other art objects, X antiques, stamp, coin, record, tape, compact disc, and other collections or collectibles. 6. Wearing apparel. X 7. Furs and jewelry. X 8. Firearms and sports, photographic, and X other hobby equipment. 9. Interests in insurance policies. Name X insurance company of each policy and itemize surrender or refund value of each. 10. Annuities. Itemize and name each X issuer. 11. Interests in IRA, ERISA, Keogh, or other X pension or profit sharing plans. Itemize. 12. Stock and interests in incorporated and Capital investment interest in EMMCO - estimated unincorporated businesses. Itemize. fair value 15,170, Interests in partnerships or joint X ventures. Itemize. 14. Government and corporate bonds and X other negotiable and nonnegotiable instruments. 15. Accounts receivable. Loans Receivable and accrued interest 4,698,120.00
8 FORM B6B (10/89) In re HomeGold, Inc. Debtor, Case No B (If known) SCHEDULE B - PERSONAL PROPERTY (Continuation Sheet) TYPE OF PROPERTY NONE DESCRIPTION AND LOCATION OF PROPERTY HUSBAND, WIFE, JOINT OR COMMUNITY CURRENT MARKET VALUE OF DEBTOR'S INTEREST IN PROPERTY, WITH- OUT DEDUCTING ANY SECURED CLAIM OR EXEMPTION 16. Alimony, maintenance, support, and X property settlements to which the debtor is or may be entitled. Give particulars. 17. Other liquidated debts owing debtor R-Doc Note receivable and accrued interest 8,602, including tax refunds. Give particulars. 18. Equitable or future interests, life estates, X and rights or powers exercisable for the benefit of the debtor other than those listed in Schedule of Real Property. 19. Contingent and noncontingent interests X in estate of a decedent, death benefit plan, life insurance policy, or trust. 20. Other contingent and unliquidated X claims of every nature, including tax refunds, counterclaims of the debtor, and rights to setoff claims. Give estimated value of each. 21. Patents, copyrights, and other X intellectual property. Give particulars. 22. Licenses, franchises, and other general X intangibles. Give particulars. 23. Automobiles, trucks, trailers, and other X vehicles and accessories. 24. Boats, motors, and accessories. X 25. Aircraft and accessories. X 26. Office equipment, furnishings, and Leashold improvements, furniture, fixtures, and supplies. equipment, net primarily located in Columbia, SC (50% of book value) 95, Machinery, fixtures, equipment and X supplies used in business. 28. Inventory. X 29. Animals. X 30. Crops - growing or harvested. Give X particulars.
9 FORM B6B (10/89) In re HomeGold, Inc. Debtor, Case No B (If known) SCHEDULE B - PERSONAL PROPERTY (Continuation Sheet) TYPE OF PROPERTY NONE DESCRIPTION AND LOCATION OF PROPERTY HUSBAND, WIFE, JOINT OR COMMUNITY CURRENT MARKET VALUE OF DEBTOR'S INTEREST IN PROPERTY, WITH- OUT DEDUCTING ANY SECURED CLAIM OR EXEMPTION 31. Farming equipment and implements. X 32. Farm supplies, chemicals, and feed. X 33. Other personal property of any kind not Cash in Clerk's account (Tomlin/Troy Cases) 1,869, already listed. Itemize. Goodwill (unable to estimate impairment, if any) 18,001, Household Reserve Account 1,500, Impac Receivable (net of $300,000 reserve) 2,200, Prepaid expenses (rent, licenses, insurance, taxes receivable, etc. - 50% of book value) 534, Servicing asset 405, continuation sheets attached Total $55,659, (Include amounts from any continuation sheets attached. Report total also on Summary of Schedules.)
10 FORM B6D (6/90) In re: HomeGold, Inc., Case No B SCHEDULE D - CREDITORS HOLDING SECURED CLAIMS Check this box if debtor has no creditors holding secured claims to report on this Schedule D. CREDITOR'S NAME AND MAILING ADDRESS INCLUDING ZIP CODE CODEBTOR HUSBAND, WIFE, JOINT OR COMMUNITY DATE CLAIM WAS INCURRED, NATURE OF LIEN, AND DESCRIPTION AND MARKET VALUE OF PROPERTY SUBJECT TO LIEN CONTINGENT UNLIQUIDATED DISPUTED AMOUNT OF CLAIM WITHOUT DEDUCTING VALUE OF COLLATERAL UNSECURED PORTION, IF ANY ACCOUNT NO. Amex Business Finance PO Box Dalas TX Amcat equipment VALUE: unknown 26, ACCOUNT NO. Avaya Financial Services PO Box Chicago IL Phone Equipment VALUE: unknown 21, ACCOUNT NO. NTFC Capital Corp PO Box Atlanta GA Phone Equipment VALUE: unknown 178, ACCOUNT NO. Tomlin/ Troy Plaintiffs c/o J Jerome Hartzell Esq Hartzell & Whiteman LLP 2626 Glenwood Ave Suite 500 Raleigh NC Settlement Agreement and Release/Security Agreement and UCC-1 Financing Statement VALUE: unknown X X 10,000, Continuation sheets attached Subtotal (Total of this page) Total (Use only on last page) $10,226, $10,226, (Report total also on Summary of Schedules)
11 B6E (Rev.4/98) In re: HomeGold, Inc., Case No B Debtor (If known) SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS Check this box if debtor has no creditors holding unsecured priority claims to report on this Schedule E. TYPES OF PRIORITY CLAIMS (Check the appropriate box(es) below if claims in that category are listed on the attached sheets) Extensions 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)(2). 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 $4,650* per person earned within 90 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)(3). 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)(4). Certain farmers and fishermen Claims of certain farmers and fishermen, up to $4,650* per farmer or fisherman, against the debtor, as provided in 11 U.S.C. 507(a)(5). Deposits by individuals Claims of individuals up to $2,100* 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)(6). Alimony, Maintenance, or Support Claims of a spouse, former spouse, or child of the debtor for alimony, maintenance, or support, to the extent provided in 11 U.S.C. 507(a)(7). Taxes and Certain Other Debts Owed to Governmental Units Taxes, 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 FDIC, RTC, Director of the Office of Thrift 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). Other Priority Debts * Amounts are subject to adjustment on April 1, 2004, and every three years thereafter with respect to cases commenced on or after the date of adjustment. 1 Continuation sheets attached
12 FORM B6E - Cont. (10/89) In re: HomeGold, Inc. Debtor, Case No B (If known) SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS (Continuation Sheet) Type of Priority: Taxes and Certain Other Debts Owed to Governmental Units CREDITOR'S NAME AND MAILING ADDRESS INCLUDING ZIP CODE CODEBTOR HUSBAND, WIFE, JOINT OR COMMUNITY DATE CLAIM WAS INCURRED AND CONSIDERATION FOR CLAIM CONTINGENT UNLIQUIDATED DISPUTED TOTAL AMOUNT OF CLAIM AMOUNT ENTITLED TO PRIORITY ACCOUNT NO. 49, , Dept of Treasury Innsolvency Group Assembly Street Columbia SC W-2 adjustments - payroll withholdings ACCOUNT NO /01/2002 4, , Greenville Co Tax Collector PO Box 368 Greenville SC ACCOUNT NO /01/ Lexington Co Tax Collector 212 South Lake Drive Lexington SC ACCOUNT NO /01/2002 5, , Lexington Co Tax Collector 212 South Lake Drive Lexington SC ACCOUNT NO /01/ , , Lexington Co Tax Collector 212 South Lake Drive Lexington SC ACCOUNT NO /01/2002 6, , Lexington Co Tax Collector 212 South Lake Drive Lexington SC ACCOUNT NO. 153, , South Carolina Dept of Revenue Corporation Return Columbia SC South Carolina State Franchise Fee Sheet no. 1 of 1 sheets attached to Schedule of Creditors Holding Priority Claims Subtotal (Total of this page) Total (Use only on last page of the completed Schedule E.) (Report total also on Summary of Schedules) $262, $262,125.79
13 FORM B6F (Official Form 6F) - (9/97) In re: HomeGold, Inc., Case No B Debtor (If known) SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS Check this box if debtor has no creditors holding unsecured nonpriority claims to report on this Schedule F. CREDITOR'S NAME AND MAILING ADDRESS INCLUDING ZIP CODE CODEBTOR HUSBAND, WIFE, JOINT OR COMMUNITY DATE CLAIM WAS INCURRED AND CONSIDERATION FOR CLAIM. IF CLAIM IS SUBJECT TO SETOFF, SO STATE CONTINGENT UNLIQUIDATED DISPUTED AMOUNT OF CLAIM ACCOUNT NO. X 900, EMMCO LLC 113 Reed Avenue Lexington SC ACCOUNT NO. 76,652, See Exhibit F attached 0 Continuation sheets attached Subtotal $77,552, Total $77,552, (Report also on Summary of Schedules)
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61 Form B6 (6/90) United States Bankruptcy Court District of South Carolina In re HomeGold, Inc. Case No. Chapter B SUMMARY OF SCHEDULES AMOUNTS SCHEDULED NAME OF SCHEDULE ATTACHED (YES/NO) NO. OF SHEETS ASSETS LIABILITIES OTHER A - Real Property YES 1 $ 711, B - Personal Property YES 4 $ 55,659, C - Property Claimed as Exempt NO D - Creditors Holding Secured Claims YES 1 $ 10,226, E - Creditors Holding Unsecured Priority Claims YES 2 $ 262, F - Creditors Holding Unsecured Nonpriority Claims YES 1 $ 77,552, G - Executory Contracts and Unexpired Leases YES 1 H - Codebtors YES 1 I - Current Income of Individual Debtor(s) NO 0 $ J - Current Expenditures of Individual Debtor(s) NO 0 $ Total Number of sheets in ALL Schedules 11 Total Assets $ 56,371, Total Liabilities $ 88,041,368.07
62 In re: HomeGold, Inc. Case No B DECLARATION CONCERNING DEBTOR'S SCHEDULES DECLARATION UNDER PENALTY OF PERJURY BY INDIVIDUAL DEBTOR (NOT APPLICABLE) DECLARATION UNDER PENALTY OF PERJURY ON BEHALF OF CORPORATION OR PARTNERSHIP I, the CFO of the corporation/partnership named as debtor in this case, declare under penalty of perjury that I have read the foregoing summary and schedules, consisting of 11 sheets plus the summary page, and that they are true and correct to the best of my knowledge, information, and belief. Date 4/24/2003 Signature /s/ Karen Miller Karen Miller CFO 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 3571.
63 United States Bankruptcy Court District of South Carolina In re: HomeGold, Inc. Case No B Chapter 11 List of Equity Security Holders REGISTERED NAME OF HOLDER OF SECURITY LAST KNOWN ADDRESS OR PLACE OF BUSINESS CLASS OF SECURITY NUMBER REGISTERED KIND OF INTEREST REGISTERED HomeGold Financial, Inc Briargate Circle Columbia SC Common 100 List of Equity Security Holders - Page 1
64 UNITED STATES BANKRUPTCY COURT In re: District of South Carolina HomeGold, Inc. Case No B Chapter 11 STATEMENT OF FINANCIAL AFFAIRS 1. Income from employment or operation of business None State the gross amount of income the debtor has received from employment, trade, or profession, or from operation of the debtor's business from the beginning of this calendar year to the date this case was commenced. State also the gross amounts received during the two years immediately preceding this calendar year. (A debtor that maintains, or has maintained, financial records on the basis of a fiscal rather than a calendar year may report fiscal year income. Identify the beginning and ending dates of the debtor's fiscal year.) If a joint petition is filed, state income for each spouse separately. (Married debtors filing under chapter 12 or chapter 13 must state income of both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.) AMOUNT SOURCE FISCAL YEAR PERIOD 43,186, ,033, , Mortgage Loan Buisness 2001 Mortgage Loan Buisness 2002 Mortgage Loan Buisness 1/1/03-3/31/03 None 2. Income other than from employment or operation of business State the amount of income received by the debtor other than from employment, trade, profession, or operation of the debtor's business during the two years immediately preceding the commencement of this case. Give particulars. If a joint petition is filed, state income for each spouse separately. (Married debtors filing under chapter 12 or chapter 13 must state income for each spouse whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.) AMOUNT SOURCE FISCAL YEAR PERIOD None 3. Payments to creditors a. List all payments on loans, installment purchases of goods or services, and other debts, aggregating more than $600 to any creditor, made within 90 days immediately preceding the commencement of this case. (Married debtors filing under chapter 12 or chapter 13 must include payments by either or both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.) NAME AND ADDRESS OF CREDITOR DATES OF PAYMENTS AMOUNT PAID AMOUNT STILL OWING See Exhibit SFA 3(a) attached b. List all payments made within one year immediately preceding the commencement of this case to or for the benefit of creditors who are or were insiders. (Married debtors filing under chapter 12 or chapter 13 must include payments by either or both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.) None NAME AND ADDRESS OF CREDITOR AND RELATIONSHIP TO DEBTOR DATES OF PAYMENTS AMOUNT PAID AMOUNT STILL OWING
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75 NAME AND ADDRESS OF CREDITOR AND RELATIONSHIP TO DEBTOR DATES OF PAYMENTS AMOUNT PAID AMOUNT STILL OWING 4. Suits and administrative proceedings, executions, garnishments and attachments None a. List all suits and administrative proceedings to which the debtor is or was a party within one year immediately preceding the filing of this bankruptcy case. (Married debtors filing under chapter 12 or chapter 13 must include information concerning either or both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.) CAPTION OF SUIT AND CASE NUMBER NATURE OF PROCEEDING COURT OR AGENCY AND LOCATION STATUS OR DISPOSITION See Exhibt SFA 4a attached None b. Describe all property that has been attached, garnished or seized under any legal or equitable process within one year immediately preceding the commencement of this case. (Married debtors filing under chapter 12 or chapter 13 must include information concerning property of either or both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.) NAME AND ADDRESS OF PERSON FOR WHOSE BENEFIT PROPERTY WAS SEIZED DATE OF SEIZURE DESCRIPTION AND VALUE OF PROPERTY None 5. Repossessions, foreclosures and returns List all property that has been repossessed by a creditor, sold at a foreclosure sale, transferred through a deed in lieu of foreclosure or returned to the seller, within one year immediately preceding the commencement of this case. (Married debtors filing under chapter 12 or chapter 13 must include information concerning property of either or both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.) NAME AND ADDRESS OF CREDITOR OR SELLER DATE OF REPOSSESSION, FORECLOSURE SALE TRANSFER OR RETURN DESCRIPTION AND VALUE OF PROPERTY None 6. Assignments and receiverships a. Describe any assignment of property for the benefit of creditors made within 120 days immediately preceding the commencement of this case. (Married debtors filing under chapter 12 or chapter 13 must include any assignment by either or both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.) NAME AND ADDRESS OF ASSIGNEE DATE OF ASSIGNMENT TERMS OF ASSIGNMENT OR SETTLEMENT b. List all property which has been in the hands of a custodian, receiver, or court-appointed official within one year immediately preceding the commencement of this case. (Married debtors filing under chapter 12 or chapter 13 must include information concerning property of either or both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.)
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83 None NAME AND ADDRESS OF CUSTODIAN NAME AND ADDRESS OF COURT CASE TITLE & NUMBER DATE OF ORDER DESCRIPTION AND VALUE OF PROPERTY 7. Gifts None List all gifts or charitable contributions made within one year immediately preceding the commencement of this case except ordinary and usual gifts to family members aggregating less than $200 in value per individual family member and charitable contributions aggregating less than $100 per recipient. (Married debtors filing under chapter 12 or chapter 13 must include gifts or contributions by either or both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.) NAME AND ADDRESS RELATIONSHIP DESCRIPTION OF PERSON TO DEBTOR, DATE AND VALUE OF OR ORGANIZATION IF ANY OF GIFT GIFT 8. Losses None List all losses from fire, theft, other casualty or gambling within one year immediately preceding the commencement of this case or since the commencement of this case. (Married debtors filing under chapter 12 or chapter 13 must include losses by either or both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.) DESCRIPTION AND VALUE OF PROPERTY DESCRIPTION OF CIRCUMSTANCES AND, IF LOSS WAS COVERED IN WHOLE OR IN PART BY INSURANCE, GIVE PARTICULARS DATE OF LOSS None 9. Payments related to debt counseling or bankruptcy List all payments made or property transferred by or on behalf of the debtor to any persons, including attorneys, for consultation concerning debt consolidation, relief under the bankruptcy law or preparation of a petition in bankruptcy within one year immediately preceding the commencement of this case. NAME AND ADDRESS OF PAYEE C. Richard Rayburn, Jr. Rayburn Cooper & Durham, P.A. 227 W Trade Street Suite 1200 Charlotte NC Jennings L. Graves, Jr. PO Box 8600 Greenville, SC Moore, Kirkland & Beauston 150 North Ninth Street West Columbia SC Robert R. Dunn The Finley Group Southpark Towers Suite Fairview Road Charlotte NC Robinson, Barton, McCarthy, Calloway... Post Office Box Pickens Street Columbia, SC DATE OF PAYMENT, NAME OF PAYOR IF OTHER THAN DEBTOR Februrary & March 2003 $75,600 November 2002 $12,500 March 2003 $20,000 March 2003 $50,000 March 2003 $50,000 AMOUNT OF MONEY OR DESCRIPTION AND VALUE OF PROPERTY
84 None 10. Other transfers a. List all other property, other than property transferred in the ordinary course of the business or financial affairs of the debtor, transferred either absolutely or as security within one year immediately preceding the commencement of this case. (Married debtors filing under chapter 12 or chapter 13 must include transfers by either or both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.) NAME AND ADDRESS OF TRANSFEREE, RELATIONSHIP TO DEBTOR EMMCO 113 Reed Avenue Lexington SC DATE DESCRIBE PROPERTY TRANSFERRED AND VALUE RECEIVED 12/31/2002 See Exhibit SFA 10 attached for details 11. Closed financial accounts None List all financial accounts and instruments held in the name of the debtor or for the benefit of the debtor which were closed, sold, or otherwise transferred within one year immediately preceding the commencement of this case. Include checking, savings, or other financial accounts, certificates of deposit, or other instruments; shares and share accounts held in banks, credit unions, pension funds, cooperatives, associations, brokerage houses and other financial institutions. (Married debtors filing under chapter 12 or chapter 13 must include information concerning accounts or instruments held by or for either or both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.) NAME AND ADDRESS OF INSTITUTION See Exhibit SFA11 attached TYPE AND NUMBER OF ACCOUNT AND AMOUNT OF FINAL BALANCE AMOUNT AND DATE OF SALE OR CLOSING 12. Safe deposit boxes None List each safe deposit or other box or depository in which the debtor has or had securities, cash, or other valuables within one year immediately preceding the commencement of this case. (Married debtors filing under chapter 12 or chapter 13 must include boxes or depositories of either or both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.) NAME AND ADDRESS OF BANK OR OTHER DEPOSITORY NAMES AND ADDRESSES OF THOSE WITH ACCESS TO BOX OR DEPOSITORY DESCRIPTION OF CONTENTS DATE OF TRANSFER OR SURRENDER, IF ANY None 13. Setoffs List all setoffs made by any creditor, including a bank, against a debt or deposit of the debtor within 90 days preceding the commencement of this case. (Married debtors filing under chapter 12 or chapter 13 must include information concerning either or both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.) NAME AND ADDRESS OF CREDITOR DATE OF SETOFF AMOUNT OF SETOFF None 14. Property held for another person
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97 List all property owned by another person that the debtor holds or controls. NAME AND ADDRESS OF OWNER DESCRIPTION AND VALUE OF PROPERTY LOCATION OF PROPERTY None 15. Prior address of debtor If the debtor has moved within the two years immediately preceding the commencement of this case, list all premises which the debtor occupied during that period and vacated prior to the commencement of this case. If a joint petition is filed, report also any separate address of either spouse. ADDRESS 1021 Briargate Circle Suite B Columbia SC NAME USED HomeGold Financial, Inc. DATES OF OCCUPANCY 2/02-7/02 & 1/03 - present 113 Reed Avenue Lexington SC 2901 Pelham Road Greenville SC HomeGold Finanical, Inc. 5/01-2/02 & 7/02-12/02 HomeGold Finanical, Inc. 12/95-5/01 None 16. Spouses and Former Spouses If the debtor resides or resided in a community property state, commonwealth, or territory (including Alaska, Arizona, California, Idaho, Louisiana, Nevada, New Mexico, Puerto Rico, Texas, Washington, or Wisconsin) within the six-year period immediately preceding the commencement of the case, identify the name of the debtor 's spouse and of any former spouse who resides or resided with the debtor in the community property state. NAME 17. Environmental Information. For the purpose of this question, the following definitions apply: "Environmental Law" means any federal, state or local statute or regulation regulating pollution, contamination, releases of hazardous or toxic substances, wastes or material into the air, land, soil, surface water, groundwater, or other medium, including, but not limited to, statutes or regulations regulating the cleanup of these substances, wastes, or material. "Site" means any location, facility, or property as defined under any Environmental Law, whether or not presently or formerly owned or operated by the debtor, including, but not limited to, disposal sites. "Hazardous Material" means anything defined as a hazardous waste, hazardous substance, toxic substance, hazardous material, pollutant, or contaminant or similar term under an Environmental Law. None a. List the name and address of every site for which the debtor has received notice in writing by a governmental unit that it may be liable or potentially liable under or in violation of an Environmental Law. Indicate the governmental unit, the date of the notice, and, if known, the Environmental Law. SITE NAME AND ADDRESS NAME AND ADDRESS OF GOVERNMENTAL UNIT DATE OF NOTICE ENVIRONMENTAL LAW b. List the name and address of every site for which the debtor provided notice to a governmental unit of a release of Hazardous Material. Indicate the governmental unit to which the notice was sent and the date of the notice. None
98 SITE NAME AND ADDRESS NAME AND ADDRESS OF GOVERNMENTAL UNIT DATE OF NOTICE ENVIRONMENTAL LAW None c. List all judicial or administrative proceedings, including settlements or orders, under any Environmental Law with respect to which the debtor is or was a party. Indicate the name and address of the governmental unit that is or was a party to the proceeding, and the docket number. NAME AND ADDRESS OF GOVERNMENTAL UNIT DOCKET NUMBER STATUS OR DISPOSITION 18. Nature, location and name of business None a. If the debtor is an individual, list the names, addresses, taxpayer identification numbers, nature of the businesses, and beginning and ending dates of all businesses in which the debtor was an officer, director, partner, or managing executive of a corporation, partnership, sole proprietorship, or was a self-employed professional within the six years immediately preceding the commencement of this case, or in which the debtor owned 5 percent or more of the voting or equity securities within the six years immediately preceding the commencement of this case. If the debtor is a partnership, list the names, addresses, taxpayer identification numbers, nature of the business, and beginning and ending dates of all businesses in which the debtor was a partner or owned 5 percent or more of the voting or equity securities within the six years immediately preceding the commencement of this case. If the debtor is a corporation, list the names, addresses, taxpayer identification numbers, nature of the business, and beginning and ending dates of all businesses in which the debtor was a partner or owned 5 percent or more of the voting or equity securities within the six years immediately preceding the commencement of this case. NAME See Exhibit SFA 18 a TAXPAYER I.D. NUMBER ADDRESS NATURE OF BUSINESS BEGINNING AND ENDING DATES b. Identify any business listed in response to subdivision a., above, that is "single asset real estate" as defined in 11 U.S.C None NAME ADDRESS None 19. Books, records and financial statements a. List all bookkeepers and accountants who within two years immediately preceding the filing of this bankruptcy case kept or supervised the keeping of books of account and records of the debtor. NAME AND ADDRESS DATES SERVICES RENDERED See Exhibit SFA 19 attached None b. List all firms or individuals who within the two years immediately preceding the filing of this bankruptcy case have audited the books of account and records, or prepared a financial statement of the debtor. NAME AND ADDRESS DATES SERVICES RENDERED
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104 NAME AND ADDRESS Elliott Davis, LLP 870 S Pleasantburg Drive Greenville SC Moore, Kirkland & Beauston, LLP 150 N. Ninth Street West Columbia SC DATES SERVICES RENDERED January 2000 to October 2002 October 2002 to present None None c. List all firms or individuals who at the time of the commencement of this case were in possession of the books of account and records of the debtor. If any of the books of account and records are not available, explain. NAME See Exhibit SFA 19c attached ADDRESS d. List all financial institutions, creditors and other parties, including mercantile and trade agencies, to whom a financial statement was issued within the two years immediately preceding the commencement of this case by the debtor. NAME AND ADDRESS BB&T 1901 Assembly Street Columbia SC DATE ISSUED annually Household Financial Corporation 2700 Sanders Road Prospect Heights IL Impac Warehouse Lending Group 1401 Dove Street Newport Beach CA Provident Bankshares Corporation 114 East Lexington Street Baltimore MD monthly monthly monthly Various other business partners and state agencies in the ordinary course of business None 20. Inventories a. List the dates of the last two inventories taken of your property, the name of the person who supervised the taking of each inventory, and the dollar amount and basis of each inventory. DATE OF INVENTORY INVENTORY SUPERVISOR DOLLAR AMOUNT OF INVENTORY (Specify cost, market or other basis) None None b. List the name and address of the person having possession of the records of each of the two inventories reported in a., above. DATE OF INVENTORY 21. Current Partners, Officers, Directors and Shareholders NAME AND ADDRESSES OF CUSTODIAN OF INVENTORY RECORDS
105 a. If the debtor is a partnership, list the nature and percentage of partnership interest of each member of the partnership. NAME AND ADDRESS NATURE OF INTEREST PERCENTAGE OF INTEREST None b. If the debtor is a corporation, list all officers and directors of the corporation, and each stockholder who directly or indirectly owns, controls, or holds 5 percent or more of the voting securities of the corporation. NAME AND ADDRESS TITLE NATURE AND PERCENTAGE OF STOCK OWNERSHIP John M. Sterling 44 Harvest Court Greenville SC Ronald J. Sheppard 113 Reed Avenue Lexinton SC Stockholder Stockholder 12.37% voting common stockholder 35.49% voting common stockholder None 22. Former partners, officers, directors and shareholders a. If the debtor is a partnership, list each member who withdrew from the partnership within one year immediately preceding the commencement of this case. NAME ADDRESS DATE OF WITHDRAWAL None b. If the debtor is a corporation, list all officers, or directors whose relationship with the corporation terminated within one year immediately preceding the commencement of this case. NAME AND ADDRESS David C. Gaffney 1347 K Avenue Cayce SC TITLE DATE OF TERMINATION 08/26/2002 J. Robert Philpott, Jr. 212 S Tryon Street Charlotte NC John M. Sterling, Jr. 44 Harvest Circle Greenville SC Kevin G. Martin 521 Aspen Glade Ct Lexington SC Paul Banninger 113 Reed Ave Lexington SC Ronald J. Sheppard 113 Reed Ave Lexington SC Tecumseh Hooper, Jr Laurens Road Ste 101 Greenville SC 01/30/ /20/ /29/ /19/ /19/ /30/2002
106 NAME AND ADDRESS Tobe C. B. Childers 4926 Mullens Ford Road Charlotte NC TITLE DATE OF TERMINATION 04/23/2002 None 23. Withdrawals from a partnership or distributions by a corporation If the debtor is a partnership or corporation, list all withdrawals or distributions credited or given to an insider, including compensation in any form, bonuses, loans, stock redemptions, options exercised and any other perquisite during one year immediately preceding the commencement of this case. NAME & ADDRESS OF RECIPIENT, RELATIONSHIP TO DEBTOR DATE AND PURPOSE OF WITHDRAWAL AMOUNT OF MONEY OR DESCRIPTION AND VALUE OF PROPERTY David C. Gaffney 1347 K Avenue Cayce, SC EVP - General Counsel Forrest E. Ferrell 212 Tillman Street Lexington, SC President John M. Sterling, Sr. 44 Harvest Ct Greenville SC Officer Karen A. Miller 100 Maritime Trail Lexington, SC EVP - CAO Kevin G. Martin 521 Aspen Glade Court Lexington, SC EVP-CFO Paul Banninger 1485 Granary Road Blue Bell, PA Prior 12 months $73,968 Prior 12 months $358,923 Prior 12 months $159,615 Prior 12 months $244,231 Prior 12 months $75,538 Prior 12 months $372,885 Ronald J. Sheppard, CEO 125 Belle Chase Drive Lexington SC CEO Tony L. Park 11 Ruffian Way Greenville, SC Prior 12 months $1,534,615 Prior 12 months $134,615 None 24. Tax Consolidation Group. If the debtor is a corporation, list the name and federal taxpayer identification number of the parent corporation of any consolidated group for tax purposes of which the debtor has been a member at any time within the six -year period immediately preceding the commencement of the case. NAME OF PARENT CORPORATION HomeGold Financial, Inc TAXPAYER IDENTIFICATION NUMBER
107 25. Pension Funds. None If the debtor is not an individual, list the name and federal taxpayer identification number of any pension fund to which the debtor, as an employer, has been responsible for contributing at any time within the six-year period immediately preceding the commencement of the case. NAME OF PENSION FUND TAXPAYER IDENTIFICATION NUMBER * * * * * * [If completed on behalf of a partnership or corporation] I, declare under penalty of perjury that I have read the answers contained in the foregoing statement of financial affairs and any attachments thereto and that they are true and correct to the best of my knowledge, information and belief. Date 4/24/2003 Signature /s/ Karen Miller Karen Miller, CFO Print Name and Title [An individual signing on behalf of a partnership or corporation must indicate position or relationship to debtor.]
108 UNITED STATES BANKRUPTCY COURT District of South Carolina In re: Debtor HomeGold, Inc Case No. Chapter DISCLOSURE OF COMPENSATION OF ATTORNEY FOR DEBTOR B Pursuant to 11 U.S.C. 329(a) and Bankruptcy Rule 2016(b), I certify that I am the attorney for the above-named debtor(s) and that compensation paid to me within one year before the filing of the petition in bankruptcy, or agreed to be paid to me, for services rendered or to be rendered on behalf of the debtor(s) in contemplation of or in connection with the bankruptcy case is as follows: For legal services, I have agreed to accept Prior to the filing of this statement I have received Balance Due $ $ $ 50, , The source of compensation paid to me was: Debtor 3. The source of compensation to be paid to me is: Debtor Other (specify) Other (specify) 4. I have not agreed to share the above-disclosed compensation with any other person unless they are members and associates of my law firm. I have agreed to share the above-disclosed compensation with a person or persons who are not members or associates of my law firm. A copy of the agreement, together with a list of the names of the people sharing in the compensation, is attached. 5. In return for the above-disclosed fee, I have agreed to render legal service for all aspects of the bankruptcy case, including: a) b) c) d) Analysis of the debtor's financial situation, and rendering advice to the debtor in determining whether to file a petition in bankruptcy; Preparation and filing of any petition, schedules, statement of affairs, and plan which may be required; Representation of the debtor at the meeting of creditors and confirmation hearing, and any adjourned hearings thereof; Representation of the debtor in adversary proceedings and other contested bankruptcy matters; e) [Other provisions as needed] None 6. By agreement with the debtor(s) the above disclosed fee does not include the following services: None representation of the debtor(s) in this bankruptcy proceeding. CERTIFICATION I certify that the foregoing is a complete statement of any agreement or arrangement for payment to me for Dated: 4/24/2003 /s/w. E. Calloway W E Calloway, Bar No. 25 Robinson, Barton, McCarthy, Calloway... Attorney for Debtor(s)
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