Case 8:10-bk-24771-RK Doc 67 Filed 12/02/10 Entered 12/02/10 09:46:35 Desc

Main Document Page 1 of 2

FormB6H
(1 0/05)
ln re: Crystal Cathedral Ministries Case Nu. 8:10-bk-24771-RK
(If known)
SCHEDULE H - CO DEBTORS
Pro\- ide the information requested concerning any person or entity, olher than a spouse m a joint case, lhat is also liable on any debts listed by the debtor m the
schedules of creditors. Include all guara11tors and co-signors. If the debtor resides or resided in a community property state, commonwealth, or territory (includmg Alaska,
Arizona, C:i!liforni::t, Idaho, Louisiana, Nevada, New Mexico, Puerto Rico, Texas, Washington, or Wisconsin) within the eight year period immediately preceding the
commencement ofthe cu.se, identify the name of the debtor's spouse and of any fonnet" spouse who or rr:sided with the debtor in the community property state,
or territory. Include all names used by the nondebtor spouse during the eight years Jmmedialely precedmg the commencement oflhLs case lfa minor child
IS a codebtor or a creditor, indicate that by stating "a minor child'" and do not disclose the child's name. See 11 U.S.C 117.; Fed.Bankr.P. 1007(m).
D Check this box if debtor has no codebtors.
NAHE AND ADDRESS OF CODEBTOR
Trinity Christian Center of Santa Ana, Inc.
Attn: Paul F. Crouch, Jr., Vice President
2442 Michelle Drive
Tustin, CA 92780
Corporate Guarantor by means of specifically of $3,000,000
Page I of l
NA\IE AND ADDRESS OF CREDITOR
Farmers & Merchants Bank of Long Beach
Newport Beach Office
4695 MacArthur Court, Suite 130
Newport Beach, CA 92660
Creditor, Framers & Merchants Bank, holds possession of
specific collateral (COs), posted by Trinity Christian
Center of Santa Ana, Inc., to guarantee the $3,000,000.00
unsecured loan between Farmers & Merchants Bank and
Crystal Cathedral Ministries, Inc. dated 1117/08.
Form B6G
(12/95)
MI\INDOCS-# 15 5162-vl-CCM_ ScheduleH.LJOC
Case 8:10-bk-24771-RK Doc 67 Filed 12/02/10 Entered 12/02/10 09:46:35 Desc
Main Document Page 2 of 2
f'orm 66 Dec - (Rev. 1 0/05) 2005 USBC, Central District of California
In re: Case No
Debtor (If known)
DECLARATION CONCERNING DEBTOR'S SCHEDULES
DECLARATION UNDER PENALTY OF PERJURY BY INDIVIDUAL DEBTOR
[ declare under penalty of perjury that I have read the foregomg summary and schedules, consisting of
sheets_ and that they are true and correct to the best of my knowledge, information and belief.
(Total shown on summary page plus 1)
Date
Date
Signature:-==-------------------
Debtor
Signature:

[If joint case, both spouses must sign.]
DECLARATION AND SIGNATURE OF NON-AITORNEY BANKRUPTCY PETITION PREPARER
(See 1 t U.S.C. 110)
I declare under penalty of perjury that (1) I am a bankruptcy petition preparer as defined in 11 U.S.C. 110; (2) i 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, I have given the debtor notice of the maximum amoJnt before preparing any document for filing for a debtor or accepting
any fee from the debtor. as required by that section.
Printed or Typed Name of Bankruptcy Petition Preparer Social Security No.
(Required by 11 U.S.C 110.)
the bankruptcy petition preparer is not an individual, state the ilame, title (if any), address, and soc1al security number of the officer, principal,
responsible person, or partner who signs this
Address

Date
Name and Soc1al Security numbers of all other i!'dividuals who prepared or assisted in preparing this document, unless the bankruptcy petition preparer
s not an individual:
If more than one person prepared this document, attach additional sgned sheets conforming to the appropriate Official Form for each person.
A bankruptcy petition preparer's failure to comply with the prov1sions of title 11 and the Federal Rules of Bankruptcy Procedure may resLJit in fines of
_ _ 1_1_ 1_0_!. ! \::! ..: ___________________________________________________________ _
DECLARATION UNDER PENALTY OF PERJURY ON BEHALF OF A CORPORATION OR PARTNERSHIP
I, Fred Southard, the Chief Financial Officer ofttle named as debtor in this case, declare under penalty of perjury, that I have read the
foregoing summary and schedules, consisting of?> sheets, and that they are true and correct to the best of my knowledge,
information and belief.
Date December 1 2010 Signature:
Fred W_ Southard, Cnief Financial Qff,cer
Print or type name of individual signing on behalf of debtor
[An indi\;idual signing on behelf partnership or corporation must indicate position or to deb;or_]
Penalty for making a false statement or concealing property: Fine of up to S500,000 or up to 5 years or both.
IS U.S. C. 152 and 3571
MAINDUCS-#155J6!!vl-CCM _Dec _re _Schedules_DQC