Professional Documents
Culture Documents
Doc 1
Page 1 of 52
Voluntary Petition
All Other Names used by the Joint Debtor in the last 8 years
Last four digits of Soc. Sec. or Indvidual-Taxpayer I.D. (ITIN) No./Complete EIN
(if more than one, state all):
9697
ZIPCODE
ZIPCODE
89104
County of Residence or of the
Principal Place of Business:
Mailing Address of Debtor
CLARK
ZIPCODE
ZIPCODE
89118
Location of Principal Assets of Business Debtor
SAME
(if different from street address above):
Type of Debtor
ZIPCODE
Nature of Business
(Form of organization)
Chapter 7
Chapter 9
Chapter 11
Chapter 12
Chapter 13
Partnership
Stockbroker
Clearing Bank
Restaurant
Tax-Exempt Entity
Chapter 11 Debtors:
Filing Fee
Commodity Broker
Other
Check if:
Debtors aggregate noncontingent liquidated debts (excluding debts
owed to insiders or affiliates) are less than $2,343,300 (amount
subject to adjustment on 4/01/13 and every three years thereafter).
-- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -Check all applicable boxes:
A plan is being filed with this petition
Statistical/Administrative Information
Debtor estimates that funds will be available for distribution to unsecured creditors.
Debtor estimates that, after any exempt property is excluded and administrative expenses paid, there will be no funds available for
distribution to unsecured creditors.
50-99
100-199
200-999
1,0005,000
5,00110,000
10,00125,000
25,00150,000
50,001100,000
Over
100,000
$100,001 to
$500,000
$500,001
to $1
million
$1,000,001
to $10
million
$10,000,001
to $50
million
$50,000,001
to $100
million
$100,000,001
to $500
million
$500,000,001
to $1 billion
More than
$1 billion
$100,001 to
$500,000
$500,001
to $1
million
$1,000,001
to $10
million
$10,000,001
to $50
million
$50,000,001
to $100
million
$100,000,001
to $500
million
$500,000,001
to $1 billion
More than
$1 billion
Estimated Assets
$0 to
$50,000
$50,001 to
$100,000
Estimated Liabilities
$0 to
$50,000
$50,001 to
$100,000
Case 11-20808-bam
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Page 2 of 52
Name of Debtor(s):
Voluntary Petition
(This page must be completed and filed in every case)
Case Number:
Date Filed:
Case Number:
Date Filed:
NONE
Location Where Filed:
Pending Bankruptcy Case Filed by any Spouse, Partner or Affiliate of this Debtor
Name of Debtor:
Case Number:
A&A, INC.
11-11017
01/25/2011
District:
Relationship:
Judge:
NEVADA
PRESIDENT
Exhibit A
(To be completed if debtor is required to file periodic reports
(e.g., forms 10K and 10Q) with the Securities and Exchange
Commission pursuant to Section 13 or 15(d) of the Securities
Exchange Act of 1934 and is requesting relief under Chapter 11)
Date Filed:
BRUCE A. MARKELL
Exhibit B
(To be completed if debtor is an individual
whose debts are primarily consumer debts)
I, the attorney for the petitioner named in the foregoing petition, declare that I
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. I further certify that I have delivered to the debtor the notice
required by 11 U.S.C. 342(b).
07/07/2011
Signature of Attorney for Debtor(s)
Exhibit C
Does 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 exhibit C is attached and made a part of this petition.
No
Exhibit D
(To be completed by every individual debtor. If a joint petition is filed, each spouse must complete and attach a separate Exhibit D.)
Exhibit D completed and signed by the debtor is attached and made part of this petition.
If this is a joint petition:
Exhibit D also completed and signed by the joint debtor is attached and made a part of this petition.
Information Regarding the Debtor - Venue
(Check any applicable box)
Debtor has been domiciled or has had a residence, principal place of business, or principal assets in this District for 180 days immediately
preceding the date of this petition or for a longer part of such 180 days than in any other District.
There is a bankruptcy case concerning debtor's affiliate, general partner, or partnership pending in this District.
Debtor is a debtor in a foreign proceeding and has its principal place of business or principal assets in the United States in this District, or has no
principal place of business or assets in the United States but is a defendant in an action proceeding [in a federal or state court] in this District, or
the interests of the parties will be served in regard to the relief sought in this District.
Certification by a Debtor Who Resides as a Tenant of Residential Property
(Check all applicable boxes.)
Landlord has a judgment against the debtor for possession of debtor's residence. (If box checked, complete the following.)
(Address of landlord)
Debtor 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
Debtor has included with 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.
Debtor certifies that he/she has served the Landlord with this certification. (11 U.S.C. 362(l)).
Date
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Voluntary Petition
(This page must be completed and filed in every case)
Signatures
Signature(s) of Debtor(s) (Individual/Joint)
I declare under penalty of perjury that the information provided in this
petition is true and correct.
[If petitioner is an individual whose debts are primarily consumer debts
and has chosen to file under chapter 7] I am aware that I 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.
I request relief in accordance with the chapter of title 11, United States
Code, specified in this petition.
X
(Signature of Foreign Representative)
X
Signature of Joint Debtor
(Date)
07/07/2011
Date
Signature of Attorney*
001313
Suite 900
Las Vegas, NV
89101
702-388-7185
Telephone Number
07/07/2011
Date
X
Date
Date
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Case No.
Chapter 11
,
Debtor(s)
Nature of Claim
(Trade Debt,
Bank Loan,
Government
Contract, etc.)
Indicate if Claim
is Contingent,
Unliquidated,
Disputed, or
Subject to
Setoff
Amount of Claim
(If Secured Also
State Value of
Security)
1
PLAZA BANK
8275 W. FLAMINGO RD.
Las Vegas NV 89147
Phone:
PLAZA BANK
8275 W. FLAMINGO RD.
Las Vegas NV 89147
BUSINESS DEBT/PERSONAL
GUARANTEE
C $ 2,069,957.00
D
2
MARY JANE JARVIS
P.O. Box 60232
Las Vegas NV 89160
Phone:
MARY JANE JARVIS
P.O. Box 60232
Las Vegas NV 89160
Arrearage on Executory
Contract
C $ 560,000.00
U
D
3
IBM LBPS
14523 Sw Millikan Way St
Beaverton OR 97005
Phone:
IBM LBPS
14523 Sw Millikan Way St
Beaverton OR 97005
MORTGAGE LOAN
C $ 395,330.00
D
4
PLAZA BANK
8275 W. FLAMINGO RD.
Las Vegas NV 89147
Phone:
PLAZA BANK
8275 W. FLAMINGO RD.
Las Vegas NV 89147
BUSINESS DEBT/PERSONAL
GUARANTEE
C $ 250,000.00
D
5
GMAC MORTGAGE
3451 Hammond Ave
Waterloo IA 50702
Phone:
GMAC MORTGAGE
3451 Hammond Ave
Waterloo IA 50702
MORTGAGE LOAN
C $ 206,673.00
D
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,
Debtor(s)
6
AMERICAS SERVICING CO
Po Box 10328
Phone:
AMERICAS SERVICING CO
Po Box 10328
Des Moines IA
Des Moines IA
50306
Phone:
CHASE
Po Box 901039
7
CHASE
Po Box 901039
Fort Worth TX
50306
76101
Fort Worth TX
Indicate if Claim
is Contingent,
Unliquidated,
Disputed, or
Subject to
Setoff
76101
Phone:
WELLS FARGO
PAYMENT REMITTANCE CENTER
C $ 187,994.00
D
Value:
$ 107,400.00
Net Unsecured:
$ 80,594.00
MORTGAGE LOAN
C $ 71,545.00
D
*Value:
$ 300,000.00
Net Unsecured:
$ 71,545.00
*Prior Liens Exist
BUSINESS DEBT/PERSONAL
GUARANTEE
C $ 35,279.00
D
C $ 34,671.00
D
90054-0349
9
WELLS FARGO
PAYMENT REMITTANCE CENTER
P.O. BOX 54349
Los Angeles CA 90054-0349
Phone:
WELLS FARGO
PAYMENT REMITTANCE CENTER
P.O. BOX 54349
Los Angeles CA 90054-0349
BUSINESS DEBT/PERSONAL
GUARANTEE
10
EMC MORTGAGE
Po Box 293150
Lewisville TX
Phone:
EMC MORTGAGE
Po Box 293150
Lewisville TX
SECOND MORTGAGE
75029
Amount of Claim
(If Secured Also
State Value of
Security)
8
WELLS FARGO
PAYMENT REMITTANCE CENTER
90054-0349
Nature of Claim
(Trade Debt,
Bank Loan,
Government
Contract, etc.)
75029
C $ 34,439.00
D
*Value:
$ 107,400.00
Net Unsecured:
$ 34,439.00
*Prior Liens Exist
11
BAC HOME LOANS SERVICING
450 American St
Simi Valley CA 93065
Phone:
BAC HOME LOANS SERVICING
450 American St
Simi Valley CA 93065
MORTGAGE LOAN
12
BANK OF AMERICA
Po Box 17054
Wilmington DE 19850
Phone:
BANK OF AMERICA
Po Box 17054
Wilmington DE 19850
CREDIT LINE
C $ 21,336.00
D
13
CITI
Po Box 6241
Sioux Falls SD
Phone:
CITI
Po Box 6241
Sioux Falls SD
CREDIT LINE
C $ 15,883.00
D
57117
C $ 321,889.00
D
Value:
$ 300,000.00
Net Unsecured:
$ 21,889.00
57117
Page 2
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,
Debtor(s)
14
BANK OF AMERICA
Po Box 1598
Phone:
BANK OF AMERICA
Po Box 1598
Norfolk VA
Norfolk VA
23501
Kalamazoo MI
49009
Los Angeles CA
Kalamazoo MI
90096-8000
Los Angeles CA
Wilmington DE
19850
Wilmington DE
Phone:
DISCOVER FIN SVCS LLC
Po Box 15316
Wilmington DE
Wilmington DE
Los Angeles CA
90096-8000
Richmond VA
Los Angeles CA
23285
Richmond VA
C $ 7,789.00
D
BUSINESS DEBT/PERSONAL
GUARANTEE
C $ 5,431.00
D
CREDIT LINE
C $ 5,426.00
D
CREDIT LINE
C $ 4,924.00
D
BUSINESS DEBT/PERSONAL
GUARANTEE
C $ 4,551.00
D
CREDIT LINE
C $ 3,345.00
D
90096-8000
Phone:
CAPTIAL ONE
Po Box 85520
20
CAPTIAL ONE
Po Box 85520
CREDIT LINE
19850
Phone:
AMERICAN EXPRESS
BOX 0001
19
AMERICAN EXPRESS
BOX 0001
C $ 12,943.00
D
19850
18
DISCOVER FIN SVCS LLC
Po Box 15316
19850
CREDIT LINE
90096-8000
Phone:
CHASE
Po Box 15298
17
CHASE
Po Box 15298
Amount of Claim
(If Secured Also
State Value of
Security)
49009
Phone:
AMERICAN EXPRESS
BOX 0001
16
AMERICAN EXPRESS
BOX 0001
Indicate if Claim
is Contingent,
Unliquidated,
Disputed, or
Subject to
Setoff
23501
Phone:
PNC BANK
1 Ncc Pkwy
15
PNC BANK
1 Ncc Pkwy
Nature of Claim
(Trade Debt,
Bank Loan,
Government
Contract, etc.)
23285
Page 3
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,
Debtor(s)
as debtor in this case, declare under penalty of perjury that I have read the foregoing List of Creditors Holding Twenty Largest Unsecured Claims and that
they are true and correct to the best of my knowledge, information and belief.
Date: 7/7/2011
Page 4
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WARNING: Effective December 1, 2009, the 15-day deadline to file schedules and certain other documents under
Bankruptcy Rule 1007(c) is shortened to 14 days. For further information, see note at bottom of page 2
Page 9 of 52
Page 2
found to have committed certain kinds of improper conduct described in the Bankruptcy Code, the court may deny
your discharge and, if it does, the purpose for which you filed the bankruptcy petition will be defeated.
Even if you receive a general discharge, some particular debts are not discharged under the law. Therefore,
you may still be responsible for most taxes and student loans; debts incurred to pay nondischargeable taxes; domestic
support and property settlement obligations; most fines, penalties, forfeitures, and criminal restitution obligations;
certain debts which are not properly listed in your bankruptcy papers; and debts for death or personal injury caused
by operating a motor vehicle, vessel, or aircraft while intoxicated from alcohol or drugs. Also, if a creditor can prove
that a debt arose from fraud, breach of fiduciary duty, or theft, or from a willful and malicious injury, the bankruptcy
court may determine that the debt is not discharged.
Chapter 13: Repayment of All or Part of the Debts of an Individual with Regular Income ($235 filing
fee, $39 administrative fee: Total fee $274)
Chapter 13 is designed for individuals with regular income who would like to pay all or part of
their debts in installments over a period of time. You are only eligible for chapter 13 if your debts do not exceed
certain dollar amounts set forth in the Bankruptcy Code.
Under chapter 13, you must file with the court a plan to repay your creditors all or part of the money that you
owe them, using your future earnings. The period allowed by the court to repay your debts may be three years or
five years, depending upon your income and other factors. The court must approve your plan before it can take
effect.
After completing the payments under your plan, your debts are generally discharged except for domestic
support obligations; most student loans; certain taxes; most criminal fines and restitution obligations; certain debts
which are not properly listed in your bankruptcy papers; certain debts for acts that caused death or personal injury;
and certain long term secured obligations.
Chapter 11: Reorganization ($1000 filing fee, $39 administrative fee: Total fee $1039)
Chapter 11 is designed for the reorganization of a business but is also available to consumer debtors. Its
provisions are quite complicated, and any decision by an individual to file a chapter 11 petition should be reviewed
with an attorney.
Chapter 12: Family Farmer or Fisherman ($200 filing fee, $39 administrative fee: Total fee $239)
Chapter 12 is designed to permit family farmers and fishermen to repay their debts over a period of time from
future earnings and is similar to chapter 13. The eligibility requirements are restrictive, limiting its use to those
whose income arises primarily from a family-owned farm or commercial fishing operation.
3. Bankruptcy Crimes and Availability of Bankruptcy Papers to Law Enforcement Officials
A person who knowingly and fraudulently conceals assets or makes a false oath or statement under penalty
of perjury, either orally or in writing, in connection with a bankruptcy case is subject to a fine, imprisonment, or
both. All information supplied by a debtor in connection with a bankruptcy case is subject to examination by the
Attorney General acting through the Office of the United States Trustee, the Office of the United States Attorney,
and other components and employees of the Department of Justice.
WARNING: Section 521(a)(1) of the Bankruptcy Code requires that you promptly file detailed information regarding your
creditors, assets, liabilities, income, expenses and general financial condition. Your bankruptcy case may be dismissed if
this information is not filed with the court within the time deadlines set by the Bankruptcy Code, the Bankruptcy Rules, and
the local rules of the court. The documents and the deadlines for filing them are listed on Form B200, which is posted at
http://www.uscourts.gov/bkforms/bankruptcy_forms.html#procedure.
Many filing deadlines change on December 1, 2009. Of special note, 12 rules that set 15 days to act are amended to
require action within 14 days, including Rule 1007(c), filing the initial case papers; Rule 3015(b), filing a chapter 13
plan; Rule 8009(a), filing appellate briefs; and Rules 1019, 1020, 2015, 2015.1, 2016, 4001, 4002, 6004, and 6007.
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Page 10 of 52
Case No.
Chapter 11
/ Debtor
SUMMARY OF SCHEDULES
Indicate as to each schedule whether that schedule is attached and state the number of pages in each. Report the totals from Schedules A, B, D, E, F, I, 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 D, E, and
F to determine the total amount of the debtor's liabilities. Individual debtors must also complete the "Statistical Summary of Certain Liabilities and Related Data"if they
file a case under chapter 7, 11, or 13.
NAME OF SCHEDULE
A-Real Property
B-Personal Property
C-Property Claimed as
Exempt
D-Creditors Holding Secured
Claims
E-Creditors Holding
Unsecured Priority Claims
Attached
(Yes/No)
No. of
Sheets
Yes
407,400.00
Yes
10,455.88
Yes
Yes
615,867.00
Yes
0.00
Yes
11
3,635,763.00
Yes
Yes
Yes
8,067.17
Yes
6,142.42
ASSETS
LIABILITIES
OTHER
F-Creditors Holding
Unsecured Nonpriority Claims
G-Executory Contracts and
Unexpired Leases
H-Codebtors
TOTAL
24
417,855.88
4,251,630.00
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Case No.
Chapter 11
/ Debtor
STATISTICAL SUMMARY OF CERTAIN LIABILITIES AND RELATED DATA (28 U.S.C 159)
If 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 NOT primarily consumer debts. You are not required to report any information here.
Type of Liability
Amount
Taxes and Certain Other Debts Owed to Governmental Units (from Schedule E)
Claims for Death or Personal Injury While Debtor Was Intoxicated (from Schedule E) (whether
disputed or undisputed)
Domestic Support, Separation Agreement, and Divorce Decree Obligations Not Reported on
Schedule E
TOTAL
Current Monthly Income (from Form 22A Line 12; OR, Form 22B Line 11; OR, Form 22C Line 20)
$
$
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Case No.
(if known)
25
Date:
7/7/2011
Signature
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.
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Case No.
(if known)
Current
Value
Nature of Debtor's
Interest in Property
Husband--H
Wife--W
Joint--J
Community--C
Fee Simple
TOTAL $
(Report also on Summary of Schedules.)
of Debtor's Interest,
in Property Without
Deducting any
Secured Claim or
Exemption
Amount of
Secured Claim
$ 300,000.00
$ 300,000.00
$ 107,400.00
$ 107,400.00
407,400.00
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Case No.
(if known)
Type of Property
Husband--H
Wife--W
Joint--J
Community--C
n
e
$ 1,855.88
$ 5,000.00
WEARING APPAREL
Location: In debtor's possession
$ 100.00
6. Wearing apparel.
FIREARMS
12 gauge Benelli $400.00 - 20 gauge Benelli
$250.00 - 20 gauge Charles Daly $250.00 20 gauge Wetherby $300.00 - 338 Winchester
$500.00 - 44 Mag Smith and Wesson $450.00 22 Beretta $125.00 - 9 mm springfield arm
$225.00 - 9 mm smith and wesson $200.00
Location: In debtor's possession
of
of Debtor's Interest,
in Property Without
Deducting any
Secured Claim or
Exemption
1. Cash on hand.
Page
Current
Value
$ 2,700.00
$ 800.00
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Case No.
(if known)
Type of Property
Current
Value
Husband--H
Wife--W
Joint--J
Community--C
n
e
Page
of
$ 0.00
Unknown
Unknown
of Debtor's Interest,
in Property Without
Deducting any
Secured Claim or
Exemption
$ 0.00
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Case No.
(if known)
Type of Property
N
o
n
e
30. Inventory.
31. Animals.
Page
of
Current
Value
Total
of Debtor's Interest,
in Property Without
Deducting any
Secured Claim or
Exemption
$ 10,455.88
Case 11-20808-bam
In re
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Case No.
(if known)
Description of Property
Specify Law
Providing each
Exemption
Value of
Claimed
Exemption
Current
Value of Property
Without Deducting
Exemptions
$ 300,000.00
$ 300,000.00
NRS 21.090(1)(g)
$ 1,855.88
$ 1,855.88
NRS 21.090(1)(b)
$ 5,000.00
$ 5,000.00
WEARING APPAREL
NRS 21.090(1)(b)
$ 100.00
$ 100.00
NRS 21.090(1)(i)
$ 800.00
$ 800.00
10 U.S.C. 1035(d)
15 U.S.C. 1673
$ 0.00
$ 0.00
Unknown
Page No.
1 of
* Amount subject to adjustment on 4/1/13, and every three years thereafter with respect to cases commenced on or after the date of adjustment.
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Case No.
,
Debtor(s)
(if known)
Account No:
1061218076931
Creditor # : 1
AMERICAS SERVICING CO
Po Box 10328
Des Moines IA 50306
2005-07-28
MORTGAGE LOAN
2100 JAYMIE WAY LAS VEGAS, NV
89106
Value:
91588128
Creditor # : 2
BAC HOME LOANS SERVICING
450 American St
Simi Valley CA 93065
2005-02-24
MORTGAGE LOAN
1808 S. 15TH STREET, LAS
VEGAS, NEVADA
Account No:
2005-03-03
HOME EQUITY LOAN
1808 S. 15TH STREET, LAS
VEGAS, NEVADA
Value:
Value:
Amount of Claim
Unsecured
Without
Portion, If Any
Deducting Value
of Collateral
$ 187,994.00
$ 80,594.00
$ 321,889.00
$ 21,889.00
$ 71,545.00
$ 71,545.00
$ 581,428.00
$ 174,028.00
$ 107,400.00
Account No:
449219941607
Creditor # : 3
CHASE
Po Box 901039
Fort Worth TX 76101
Contingent
Unliquidated
Disputed
$ 300,000.00
$ 300,000.00
Subtotal $
(Total of this page)
Total $
(Use only on last page)
(Report also on Summary of
Schedules.)
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- Cont.
Case No.
,
Debtor(s)
(if known)
(Continuation Sheet)
Account No:
5890011711744
Creditor # : 4
EMC MORTGAGE
Po Box 293150
Lewisville TX 75029
2005-08-01
SECOND MORTGAGE
2100 JAYMIE WAY LAS VEGAS, NV
89106
Value:
Amount of Claim
Unsecured
Without
Portion, If Any
Deducting Value
of Collateral
$ 34,439.00
$ 34,439.00
$ 34,439.00
$ 34,439.00
$ 107,400.00
Account No:
Value:
Account No:
Value:
Account No:
Value:
Account No:
Value:
Account No:
Value:
Sheet no. 1
of 1
Subtotal $
(Total of this page)
Total $
(Use only on last page)
$ 615,867.00
(Report also on Summary of
Schedules.)
$ 208,467.00
(If applicable, report also on
Statistical Summary of
Certain Liabilities and
Related Data)
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Case No.
Debtor(s)
(if known)
(Check the appropriate box(es) below if claims in that category are listed on the attached sheets)
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Case No.
Debtor(s)
(if known)
4-62008
Creditor # : 1
AMERICAN EXPRESS
BOX 0001
Los Angeles CA 90096-8000
H--Husband
W--Wife
J--Joint
C--Community
Account No:
6-02000
Creditor # : 2
AMERICAN EXPRESS
BOX 0001
Los Angeles CA 90096-8000
Disputed
Unliquidated
Contingent
Co-Debtor
Amount of Claim
$ 4,551.00
$ 5,431.00
Account No:
Account No:
1061328013766
Creditor # : 3
AMERICAS SERVICING CO
Po Box 10328
Des Moines IA 50306
2006-05-04
Conventional Real Estate Loan
$ 0.00
-3499910168962273
Creditor # : 4
AMEX
Po Box 297871
Fort Lauderdale FL 33329
1982-03-21
CREDIT LINE
$ 0.00
Account No:
Subtotal $
Total $
(Use only on last page of the com pleted Schedule F. Report also on Sum m ary of
Schedules and, if applicable, on the Statistical Sum m ary of Certain Liabilities and Related
$ 9,982.00
Case 11-20808-bam
B6F (Official Form 6F) (12/07)
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- Cont.
Case No.
Debtor(s)
(if known)
H--Husband
W--Wife
J--Joint
C--Community
Disputed
Unliquidated
Contingent
Co-Debtor
Amount of Claim
Account No:
-3499911455669233
Creditor # : 5
AMEX
Po Box 297871
Fort Lauderdale FL 33329
1982-10-21
CREDIT LINE
$ 0.00
Account No:
032569971016315093
Creditor # : 6
AMEX
Po Box 297871
Fort Lauderdale FL 33329
1984-07-01
CREDIT LINE
$ 0.00
Account No:
22905700
Creditor # : 7
BAC HOME LOANS SERVICING
450 American St
Simi Valley CA 93065
2003-02-20
Conventional Real Estate Loan
$ 0.00
Account No:
46787528
Creditor # : 8
BAC HOME LOANS SERVICING
450 American St
Simi Valley CA 93065
2003-12-01
Conventional Real Estate Loan
$ 0.00
Account No:
46999840
Creditor # : 9
BAC HOME LOANS SERVICING
450 American St
Simi Valley CA 93065
2003-12-01
HOME EQUITY LOAN
$ 0.00
4888936206450870
Creditor # : 10
BANK OF AMERICA
Po Box 1598
Norfolk VA 23501
1991-10-14
CREDIT LINE
$ 12,943.00
Account No:
Sheet No.
1 of
Subtotal $
Total $
(Use only on last page of the com pleted Schedule F. Report also on Sum m ary of
Schedules and, if applicable, on the Statistical Sum m ary of Certain Liabilities and Related
$ 12,943.00
Case 11-20808-bam
B6F (Official Form 6F) (12/07)
Doc 1
Page 23 of 52
- Cont.
Case No.
Debtor(s)
(if known)
H--Husband
W--Wife
J--Joint
C--Community
Disputed
Unliquidated
Contingent
Co-Debtor
Amount of Claim
Account No:
74971082072060
Creditor # : 11
BANK OF AMERICA
Po Box 17054
Wilmington DE 19850
1995-07-11
CREDIT LINE
$ 0.00
Account No:
4888930146383085
Creditor # : 12
BANK OF AMERICA
Po Box 1598
Norfolk VA 23501
2004-03-16
CREDIT LINE
$ 0.00
Account No:
430178500123
Creditor # : 13
BANK OF AMERICA
Po Box 1598
Norfolk VA 23501
1996-04-05
CREDIT LINE
$ 0.00
Account No:
4147340014933234
Creditor # : 14
BANK OF AMERICA
Po Box 1598
Norfolk VA 23501
2003-09-16
CREDIT LINE
$ 0.00
Account No:
374315738846500
Creditor # : 15
BANK OF AMERICA
Po Box 17054
Wilmington DE 19850
1996-08-13
CREDIT LINE
$ 21,336.00
63090000210212
Creditor # : 16
BANK OF AMERICA N.A.
201 N Tryon St
Charlotte NC 28202
1993-12-20
Recreational Merchandise
$ 0.00
Account No:
Sheet No.
2 of
Subtotal $
Total $
(Use only on last page of the com pleted Schedule F. Report also on Sum m ary of
Schedules and, if applicable, on the Statistical Sum m ary of Certain Liabilities and Related
$ 21,336.00
Case 11-20808-bam
B6F (Official Form 6F) (12/07)
Doc 1
Page 24 of 52
- Cont.
Case No.
Debtor(s)
(if known)
H--Husband
W--Wife
J--Joint
C--Community
Disputed
Unliquidated
Contingent
Co-Debtor
Amount of Claim
Account No:
10000010011831483
Creditor # : 17
BANK OF AMERICA N.A.
201 N Tryon St
Charlotte NC 28202
1993-12-20
Recreational Merchandise
$ 0.00
Account No:
5452100002383032
Creditor # : 18
BARCLAYS BANK DELAWARE
125 S West St
Wilmington DE 19801
1996-04-05
CREDIT LINE
$ 0.00
Account No:
8918009502
Creditor # : 19
BLMDSNB
9111 Duke Blvd
Mason OH 45040
2002-11-23
CHARGE ACCOUNT
$ 0.00
Account No:
8918009504
Creditor # : 20
BLMDSNB
9111 Duke Blvd
Mason OH 45040
2008-11-14
CHARGE ACCOUNT
$ 0.00
Account No:
8918009531
Creditor # : 21
BLMDSNB
9111 Duke Blvd
Mason OH 45040
2009-02-28
CHARGE ACCOUNT
$ 0.00
5291492291263842
Creditor # : 22
CAPTIAL ONE
Po Box 85520
Richmond VA 23285
2002-11-14
CREDIT LINE
$ 3,345.00
Account No:
Sheet No.
3 of
Subtotal $
Total $
(Use only on last page of the com pleted Schedule F. Report also on Sum m ary of
Schedules and, if applicable, on the Statistical Sum m ary of Certain Liabilities and Related
$ 3,345.00
Case 11-20808-bam
B6F (Official Form 6F) (12/07)
Doc 1
Page 25 of 52
- Cont.
Case No.
Debtor(s)
(if known)
H--Husband
W--Wife
J--Joint
C--Community
Disputed
Unliquidated
Contingent
Co-Debtor
Amount of Claim
Account No:
10612321421208
Creditor # : 23
CHASE
201 N Walnut St # De1-10
Wilmington DE 19801
2006-05-02
AUTO LOAN
$ 0.00
Account No:
4651860402848
Creditor # : 24
CHASE
10790 Rancho Bernardo Rd
San Diego CA 92127
2007-09-26
Conventional Real Estate Loan
$ 0.00
Account No:
4388576038467901
Creditor # : 25
CHASE
Po Box 15298
Wilmington DE 19850
2004-03-05
CREDIT LINE
$ 5,426.00
Account No:
1025791367
Creditor # : 26
CHEVRON
Pob 5010 Room 1242
Concord CA 94524
1984-07-12
CREDIT LINE
$ 0.00
Account No:
402990923
Creditor # : 27
CITGO/CBSD
Po Box 6497
Sioux Falls SD 57117
2005-12-02
CREDIT LINE
$ 0.00
5424180452959353
Creditor # : 28
CITI
Po Box 6241
Sioux Falls SD 57117
1996-05-01
CREDIT LINE
$ 0.00
Account No:
Sheet No.
4 of
Subtotal $
Total $
(Use only on last page of the com pleted Schedule F. Report also on Sum m ary of
Schedules and, if applicable, on the Statistical Sum m ary of Certain Liabilities and Related
$ 5,426.00
Case 11-20808-bam
B6F (Official Form 6F) (12/07)
Doc 1
Page 26 of 52
- Cont.
Case No.
Debtor(s)
(if known)
H--Husband
W--Wife
J--Joint
C--Community
Disputed
Unliquidated
Contingent
Co-Debtor
Amount of Claim
Account No:
5466160086066873
Creditor # : 29
CITI
Po Box 6241
Sioux Falls SD 57117
2005-02-10
CREDIT LINE
$ 15,883.00
Account No:
1161523186
Creditor # : 30
CITI/SHELL
Po Box 6497
Sioux Falls SD 57117
1996-10-24
CREDIT LINE
$ 0.00
Account No:
381853001000
Creditor # : 31
DINERS CLUB
Po Box 5113
Englewood CO 80155
2001-07-01
CREDIT LINE
$ 0.00
Account No:
6011009456176127
Creditor # : 32
DISCOVER FIN SVCS LLC
Po Box 15316
Wilmington DE 19850
2008-02-10
CREDIT LINE
$ 4,924.00
Account No:
6011298862676537
Creditor # : 33
DISCOVER FIN SVCS LLC
Po Box 15316
Wilmington DE 19850
2001-10-11
CREDIT LINE
$ 0.00
6011009780210485
Creditor # : 34
DISCOVER FIN SVCS LLC
Po Box 15316
Wilmington DE 19850
2000-01-31
CREDIT LINE
$ 0.00
Account No:
Sheet No.
5 of
Subtotal $
Total $
(Use only on last page of the com pleted Schedule F. Report also on Sum m ary of
Schedules and, if applicable, on the Statistical Sum m ary of Certain Liabilities and Related
$ 20,807.00
Case 11-20808-bam
B6F (Official Form 6F) (12/07)
Doc 1
Page 27 of 52
- Cont.
Case No.
Debtor(s)
(if known)
H--Husband
W--Wife
J--Joint
C--Community
Disputed
Unliquidated
Contingent
Co-Debtor
Amount of Claim
Account No:
5890011711736
Creditor # : 35
EMC MORTGAGE
Po Box 293150
Lewisville TX 75029
2005-07-28
Conventional Real Estate Loan
$ 0.00
Account No:
7302500003376422
Creditor # : 36
EXXMBLCITI
Po Box 6497
Sioux Falls SD 57117
2007-11-13
CREDIT LINE
$ 0.00
7061591017293217
Creditor # : 37
GEMB/CHEVRON
4125 Windward Plz
Alpharetta GA 30005
1984-07-12
CREDIT LINE
$ 50.00
2006-05-04
MORTGAGE LOAN
APN #162-13-415-003
(HOUSE IS FORCLOSED)
$ 206,673.00
Account No:
7111302911742105
Creditor # : 39
HSBC/COSTC
Po Box 15524
Wilmington DE 19850
1997-07-28
CHARGE ACCOUNT
$ 0.00
7204620921566182
Creditor # : 40
HSBC/COSTC
Po Box 15524
Wilmington DE 19850
1997-07-28
CHARGE ACCOUNT
$ 0.00
Account No:
7304905987
Creditor # : 38
GMAC MORTGAGE
3451 Hammond Ave
Waterloo IA 50702
Account No:
Account No:
Sheet No.
6 of
Subtotal $
Total $
(Use only on last page of the com pleted Schedule F. Report also on Sum m ary of
Schedules and, if applicable, on the Statistical Sum m ary of Certain Liabilities and Related
$ 206,723.00
Case 11-20808-bam
B6F (Official Form 6F) (12/07)
Doc 1
Page 28 of 52
- Cont.
Case No.
Debtor(s)
(if known)
H--Husband
W--Wife
J--Joint
C--Community
Disputed
Unliquidated
Contingent
Co-Debtor
Amount of Claim
$ 395,330.00
$ 2,129.00
11/03/2008
Arrearage on Executory Contract
X X X
$ 560,000.00
Account No:
4904573839536
Creditor # : 44
MCYDSNB
9111 Duke Blvd
Mason OH 45040
2009-03-01
CHARGE ACCOUNT
$ 0.00
Account No:
4904573839520
Creditor # : 45
MCYDSNB
9111 Duke Blvd
Mason OH 45040
2005-08-21
CHARGE ACCOUNT
$ 0.00
103194160
Creditor # : 46
MEDICAL EDGE HEALTH
c/o CREDIT SYSTEMS INTL IN
1277 COUNTRY CLUB LN
Fort Worth TX 76112
2009-06-30
Medical Bills
$ 46.00
10009302
Creditor # : 41
IBM LBPS
14523 Sw Millikan Way St
Beaverton OR 97005
Account No:
82131290196935
Creditor # : 42
LOWE'S BUSINESS ACCT/GEMB
P.O. BOX 530970
Atlanta GA 30353-0970
2007-09-26
MORTGAGE LOAN
APN # 162-13-714-009
3159 Lipton Ct. Las Vegas, NV
89121 (FORECLOSED)
Account No:
Account No:
Creditor # : 43
MARY JANE JARVIS
P.O. Box 60232
Las Vegas NV 89160
Account No:
Sheet No.
7 of
Subtotal $
Total $
(Use only on last page of the com pleted Schedule F. Report also on Sum m ary of
Schedules and, if applicable, on the Statistical Sum m ary of Certain Liabilities and Related
$ 957,505.00
Case 11-20808-bam
B6F (Official Form 6F) (12/07)
Doc 1
Page 29 of 52
- Cont.
Case No.
Debtor(s)
(if known)
Account No:
H--Husband
W--Wife
J--Joint
C--Community
Disputed
Unliquidated
Contingent
Co-Debtor
Amount of Claim
103194160
Representing:
MEDICAL EDGE HEALTH
Account No:
102479798310001
Creditor # : 47
NISSAN MOTOR ACCEPTANCE
Po Box 660360
Dallas TX 75266
2008-11-17
AUTO LOAN
$ 0.00
Account No:
00000025005590216
Creditor # : 48
NISSAN-INFINITI LT
2901 Kinwest Pkwy
Irving TX 75063
2005-02-28
AUTO LEASE
$ 0.00
4011160699
Creditor # : 49
NVFCU MTG
P.o. Box 15400
Las Vegas NV 89114
1999-06-28
Conventional Real Estate Loan
$ 0.00
$ 250,000.00
$ 2,069,957.00
Account No:
101282
Creditor # : 50
PLAZA BANK
8275 W. FLAMINGO RD.
Las Vegas NV 89147
Account No:
101281
Creditor # : 51
PLAZA BANK
8275 W. FLAMINGO RD.
Las Vegas NV 89147
Account No:
Sheet No.
8 of
Subtotal $
Total $
(Use only on last page of the com pleted Schedule F. Report also on Sum m ary of
Schedules and, if applicable, on the Statistical Sum m ary of Certain Liabilities and Related
$ 2,319,957.00
Case 11-20808-bam
B6F (Official Form 6F) (12/07)
Doc 1
Page 30 of 52
- Cont.
Case No.
Debtor(s)
(if known)
H--Husband
W--Wife
J--Joint
C--Community
Disputed
Unliquidated
Contingent
Co-Debtor
Amount of Claim
Account No:
4489010110000453
Creditor # : 52
PNC BANK
1 Ncc Pkwy
Kalamazoo MI 49009
1985-11-01
CREDIT LINE
$ 7,789.00
Account No:
4352371697765155
Creditor # : 53
TARGET NB
Po Box 673
Minneapolis MN 55440
2005-03-06
CREDIT LINE
$ 0.00
6035320168493763
Creditor # : 54
THD/CBSD
Po Box 6497
Sioux Falls SD 57117
2005-03-04
CHARGE ACCOUNT
$ 0.00
$ 35,279.00
$ 0.00
$ 34,671.00
Account No:
4856200119015025
Creditor # : 55
WELLS FARGO
PAYMENT REMITTANCE CENTER
P.O. BOX 54349
Los Angeles CA 90054-0349
Account No:
50237118665259001
Creditor # : 56
WELLS FARGO
Po Box 29704
Phoenix AZ 85038
Account No:
5474643171350187
Creditor # : 57
WELLS FARGO
PAYMENT REMITTANCE CENTER
P.O. BOX 54349
Los Angeles CA 90054-0349
2005-03-05
AUTO LOAN
Account No:
Sheet No.
9 of
Subtotal $
Total $
(Use only on last page of the com pleted Schedule F. Report also on Sum m ary of
Schedules and, if applicable, on the Statistical Sum m ary of Certain Liabilities and Related
$ 77,739.00
Case 11-20808-bam
B6F (Official Form 6F) (12/07)
Doc 1
Page 31 of 52
- Cont.
Case No.
Debtor(s)
(if known)
H--Husband
W--Wife
J--Joint
C--Community
Disputed
Unliquidated
Contingent
Co-Debtor
Amount of Claim
Account No:
4465392390021534
Creditor # : 58
WELLS FARGO BANK
Po Box 5445
Portland OR 97228
2000-05-16
CREDIT LINE
$ 0.00
Account No:
4300230031603212
Creditor # : 59
WFB-NE
4800 Nw 1st Street Suite 300
Lincoln NE 68521
2003-08-01
CREDIT LINE
$ 0.00
Account No:
518880433110
Creditor # : 60
WFDS/WDS
Po Box 1697
Winterville NC 28590
2004-02-23
AUTO LOAN
$ 0.00
Account No:
37496
Creditor # : 61
WFNNB/EXPRESS
4590 E Broad St
Columbus OH 43213
1996-10-20
Revolving Charge Account
$ 0.00
Account No:
32936
Creditor # : 62
WFNNB/EXPRESS
4590 E Broad St
Columbus OH 43213
1993-10-05
Revolving Charge Account
$ 0.00
4300230032932651
Creditor # : 63
WORLDS FOREMOST BANK N
4800 Nw 1st St Ste 300
Lincoln NE 68521
2003-08-01
CREDIT LINE
$ 0.00
Account No:
Sheet No. 10 of
Subtotal $
$ 0.00
Total $
(Use only on last page of the com pleted Schedule F. Report also on Sum m ary of
Schedules and, if applicable, on the Statistical Sum m ary of Certain Liabilities and Related
$ 3,635,763.00
Case 11-20808-bam
Doc 1
/ Debtor
Page 32 of 52
Case No.
(if known)
Check this box if the debtor has no executory contracts or unexpired leases.
Name and Mailing Address,
Including Zip Code, of
Other Parties to Lease
or Contract.
Page
1 of
Case 11-20808-bam
Doc 1
/ Debtor
Page 33 of 52
Case No.
(if known)
SCHEDULE H-CODEBTORS
Provide the information requested concerning any person or entity, other than a spouse in a joint case, that is also liable on any debts listed by the
debtor in the schedules of creditors. Include all guarantors and co-signers. 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 eight year period immediately preeceding the commencement of the case, identify the name of the debtors spouse and of
any former spouse who resides or resided with the debtor in the community property state, commonwealth, or territory. Include all names used by
the nondebtor spouse during the eight years immediately preceding the commencement of this case. If a minor child is a codebtor or 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 Doe, guardian." Do not
disclose the child's name. See, 11 U.S.C. 112 and Fed. R. Bankr. P. 1007(m).
Check this box if the debtor has no codebtors.
Name and Address of Codebtor
GMAC MORTGAGE
3451 Hammond Ave
Waterloo IA 50702
Page
1 of
Case 11-20808-bam
Doc 1
Page 34 of 52
Case No.
,
Debtor(s)
(if known)
RELATIONSHIP(S):
Single
EMPLOYMENT:
DEBTOR
Occupation
PRESIDENT
Name of Employer
7 YEARS
Address of Employer
SPOUSE
DEBTOR
SPOUSE
3. SUBTOTAL
$
$
$
8,908.40 $
0.00 $
8,908.40 $
0.00
0.00
0.00
$
$
$
$
2,556.75
382.48
0.00
118.00
$
$
$
$
0.00
0.00
0.00
0.00
3,057.23 $
0.00
$
$
$
$
$
5,851.17
0.00
0.00
0.00
0.00
$
$
$
$
$
0.00
0.00
0.00
0.00
0.00
$
$
2,216.00 $
0.00 $
0.00
0.00
0.00 $
0.00
2,216.00 $
8,067.17 $
0.00
1. Monthly gross wages, salary, and commissions (Prorate if not paid monthly)
2. Estimate monthly overtime
INSURANCE
7. Regular income from operation of business or profession or farm (attach detailed statement)
8. Income from real property
9. Interest and dividends
10. Alimony, maintenance or support payments payable to the debtor for the debtor's use or that
of dependents listed above.
11. Social security or government assistance
(Specify): SOCIAL SECURITY
12. Pension or retirement income
13. Other monthly income
(Specify):
14. SUBTOTAL OF LINES 7 THROUGH 13
15. AVERAGE MONTHLY INCOME
from line 15; if there is only one debtor repeat total reported on line 15)
$
$
0.00
8,067.17
17. Describe any increase or decrease in income reasonably anticipated to occur within the year following the filing of this document:
Page No.
1 of
Case 11-20808-bam
Doc 1
Page 35 of 52
Case No.
Debtor(s)
(if known)
Yes
No
Yes
No
2,697.51
$
.....................................................................................................................
556.80
$
2. Utilities: a. Electricity and heating fuel
..................................................................................................................................................
b. Water and sewer
136.53
$
c. Telephone
54.37
$
..............................................................................................................................................................
DISH NETWORK
d. Other
95.25
$
Other
SOUTHWEST GAS
29.35
$
...................................................................................................................................................................
233.19
0.00
$
..............................................................................................................................................
400.00
$
100.00
$
.................................................................................................................................................................................
175.00
$
6. Laundry and dry cleaning
4. Food
5. Clothing
0.00
$
........................................................................................................................................................
$
300.00
0.00
$
..................................................................................................................
$
40.00
11. Insurance (not deducted from wages or included in home mortgage payments)
a. Homeowner's or renter's
10.42
$
....................................................................................................................................................
$
b. Life
c. Health
14.00
0.00
$
......................................................................................................................................................................
0.00
$
0.00
$
........................................................................................................................................................................
0.00
$
Other
d. Auto
e. Other
1,300.00
13. Installment payments: (In chapter 11, 12, and 13 cases, do not list payments to be included in the plan)
a. Auto
0.00
$
........................................................................................................................................................................
$
b. Other:
c. Other:
0.00
0.00
$
........................................................................................................................................................................
0.00
$
..................................................................................................................................
0.00
$
0.00
$
....................................................................................
0.00
$
0.00
$
...............................................................................................................................................................................
15. Payments for support of additional dependents not living at your home
16. Regular expenses from operation of business, profession, or farm (attach detailed statement)
17. Other:
Other:
0.00
18. AVERAGE MONTHLY EXPENSES Total lines 1-17. Report also on Summary of Schedules
6,142.42
$
$
$
8,067.17
6,142.42
1,924.75
and, if applicable, on the Statistical Summary of Certain Liabilities and Related Data.)
19. Describe any increase or decrease in expenditures reasonably anticipated to occur within the year following the filing of this document:
Case 11-20808-bam
Doc 1
Page 36 of 52
Case No.
220.00
POOL SERVICE
$
.......................................................................................................................................................................................
13.19
GARBAGE
$
.......................................................................................................................................................................................
Line 2 Continuation Page Total (seen as line item "2" on Schedule J)
233.19
Form 7 (04/10)
Case 11-20808-bam
Doc 1
Page 37 of 52
DEFINITIONS
"In business." A debtor is "in business" for the purpose of this form if the debtor is a corporation or partnership. An individual debtor is "in
business" for the purpose of this form if the debtor is or has been, within the six years immediately preceding the filing of this bankruptcy case,
any of the following: an officer, director, managing executive, or owner of 5 percent or more of the voting or equity securities of a corporation; a
partner, other than a limited partner, of a partnership; a sole proprietor or self-employed full-time or part-time. An individual debtor my also be "in
business" for the purpose of this form if the debtor engages in a trade, business, or other activity, other than as an employee, to supplement
income from the debtor's primary employment.
"Insider." The term "insider" includes but is not limited to: relatives of the debtor; general partners of the debtor and their relatives;
corporations of which the debtor is an officer, director, or person in control; officers, directors, and any owner of 5 percent or more of the voting
or equity securities of a corporation debtor and their relatives; affiliates of the debtor and insiders of such affiliates; any managing agent of the
debtor. 11 U.S.C. 101.
State the gross amount of income the debtor has received from employment, trade, or profession, or from operation of the debtor's business, including
part-time activities either as an employee or in independent trade or 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
Gastronomy Manangement
Gastronomy Manangement
Gastronomy Manangement
State the amount of income received by the debtor other than from employment, trade, profession, 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
Form 7 (04/10)
Case 11-20808-bam
AMOUNT
Year before:
Doc 1
Page 38 of 52
SOURCE
$42,323
SOCIAL SECURITY
SOCIAL SECURTIY
3. Payments to creditors
None
DATES OF
PAYMENTS
AMOUNT PAID
AMOUNT
STILL OWING
* Amounts are subject to adjustment on 4/01/13, and every three years thereafter with respect to cases commenced on or after the date of adjustment.
None
$9054.70
05/02/11
05/11/11
05/25/11
$3,006.88
$757.38
$4,791.94
06/08/11
$650.00
$10,503.00
b. Debtor whose debts are not primarily consumer debts: List each payment or other transfer to any creditor made within 90 days immediately preceding the
commencement of this case unless the aggregate value of all property that constitutes or is affected by such transfer is less than $5,850*. If the debtor is
an individual, indicate with an asterisk (*) any payments that were made to a creditor on account of a domestic support obligation or as part of an alternative
repayment schedule under a plan by an approved nonprofit budgeting and creditor counseling agency. (Married debtors filingunder chapter 12 or chapter 13
must include payments and other 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.)
* Amounts are subject to adjustment on 4/01/13, and every three years thereafter with respect to cases commenced on or after the date of adjustment.
None
c. All debtors: 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.)
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
Jarvis v. Rochat
arbitration
COURT OR AGENCY
AND LOCATION
STATUS OR DISPOSITION
Pending
Form 7 (04/10)
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CAPTION OF SUIT
AND CASE NUMBER
Doc 1
NATURE OF PROCEEDING
Page 39 of 52
STATUS OR DISPOSITION
Nevada 89104
Plaza Bank v.
Rochat
A-11-632838-B
None
Complaint for
deficiency
Eighth Judicial
District Court
200 Lewis
Las Vegas Nevada
89125
Pending
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.)
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.)
DATE OF
REPOSSESSION
FORECLOSURE SALE,
TRANSFER OR RETURN
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.)
None
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.)
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.)
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.)
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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.
DATE OF PAYMENT,
AMOUNT OF MONEY OR
NAME OF PAYER IF OTHER THAN DEBTOR DESCRIPTION AND VALUE OF PROPERTY
$5,000
$36.00
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 two years 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.)
None
b. List all property transferred by the debtor within ten years immediately preceding the commencement of this case to a self-settled trust or similar device
of which the debtor is a benificiary.
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.)
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.)
13. Setoffs
None
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.)
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List all property owned by another person that the debtor holds or controls.
If the debtor has moved within three 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.
DATES OF
ADDRESS
NAME USED
OCCUPANCY
7/2008
to
1/2009
1/2009
to
7/2011
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 eight years 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.
None
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
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.
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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, partner in a partnership, sole proprietor, or was
self-employed in a trade, profession, or other activity either full- or part-time within 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 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 businesses, 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 six years immediately preceding the
commencment of this case.
If the debtor is a corporation, list the names, addresses, taxpayer identification numbers, nature of the businesses, 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 six years immediately preceding the
commencment of this case.
NAME
ADDRESS
NATURE OF BUSINESS
BEGINNING AND
ENDING DATES
ANDRE'S LTD
ID: 88-0159973
RESTAURANT
11/8/78
to
12/31/09
ANDRE'S FRENCH
RESTAURANT INC.
ID: 86-0874943
RESTAURANT
12/12/96
to
Present
ALIZE
ID: 88-0489014
4321 W. FLAMINGO
RD.
LAS VEGAS, NV
89103
RESTAURANT
12/22/00
to
Present
GASTRONOMY
MANAGEMENT GROUP
ID: 20-2100533
RESTAURANT
MANAGEMENT
COMPANY
12/16/04
to
Present
A&A INC.
ID: 88-0159971
SINGLE REAL
ESTATE
CORPORATION
11/08/78
to
Present
None
b. Identify any business listed in response to subdivision a., above, that is "single asset real estate" as defined in 11 U.S.C. 101.
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The following questions are to be completed by every debtor that is a corporation or partnership and by any individual debtor who is or
has been, within six years immediately preceding the commencement of this case, any of the following: an officer, director, managing executive, or
owner of more than 5 percent of the voting or equity securities of a corporation; a partner, other than a limited partner, of a partnership; a sole
proprietor, or self-employed in a trade, profession, or other activity, either full- or part-time.
(An individual or joint debtor should complete this portion of the statement only if the debtor is or has been in business, as defined above,
within six years immediately preceding the commencement of this case. A debtor who has not been in business within those six years should go
directly to the signature page.)
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.
None
b. List all firms or individuals who within 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
ADDRESS
Dates: PREPARES
QUARTERLY & ANNUAL
FINANCIAL STATEMENTS
& RETURNS
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.
None
d. List all financial institutions, creditors and other parties, including mercantile and trade agencies, to whom a financial statement was issued by the debtor
within two years immediately preceding the commencement of this case.
NAME
ADDRESS
DATES ISSUED
PLAZA BANK
Dates: PERIODICALLY
12/10 5/11
20. Inventories
None
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.
None
b. List the name and address of the person having possession of the records of each of the inventories reported in a., above.
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a. If the debtor is a partnership, list the nature and percentage of partnership interest of each member of the partnership.
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 or equity securities of the corporation.
TITLE
DIRECTOR
SECRETARY
TREASURER
FOR ANDRE'S FRENCH
RESTAURANT, INC.
PRESIDENT
OF ANDRE'S FRENCH
RESTAURANT, INC.
TREASURER &
DIRECTOR
FOR ALIZE
PRESIDENT &
SECRETARY
OF ALIZE
SECRETARY
TREASURER
DIRECTOR
OF GASTRONOMY
MANAGEMENT GROUP
PRESIDENT
OF GASTRONOMY
MANGAGEMENT GROUP
PRESIDENT
SECRETARY
TREASURER
DIRECTOR
FOR A&A, INC.
NATURE AND
PERCENTAGE OF STOCK OWNERSHIP
100%
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.
Form 7 (04/10)
None
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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.
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.
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 six years immediately preceeding the commencement of the case.
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 six years immediately preceding the commencement of the case.
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.
Date
07/07/2011
Signature
of Debtor
Date
Signature
of Joint Debtor
(if any)
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Case No.
Chapter 11
1,039.00
5,000.00
0.00
5,000.00
Respectfully submitted,
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The above named Debtor(s) hereby verify that the attached list of creditors is true and correct to the
best of our knowledge.
Date: 07/07/2011
Case 11-20808-bam
Doc 1
33329
23285
CHASE
201 N Walnut St # De1-10
Wilmington, DE 19801
CHASE
Po Box 15298
Wilmington, DE
19850
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Case 11-20808-bam
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CHASE
10790 Rancho Bernardo Rd
San Diego, CA 92127
CHASE
Po Box 901039
Fort Worth, TX
76101
CHEVRON
Pob 5010 Room 1242
Concord, CA 94524
CITGO/CBSD
Po Box 6497
Sioux Falls, SD
57117
CITI
Po Box 6241
Sioux Falls, SD
57117
CITI/SHELL
Po Box 6497
Sioux Falls, SD
57117
80155
75029
Page 49 of 52
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Doc 1
EXXMBLCITI
Po Box 6497
Sioux Falls, SD
57117
GEMB/CHEVRON
4125 Windward Plz
Alpharetta, GA 30005
GMAC MORTGAGE
3451 Hammond Ave
Waterloo, IA 50702
HSBC/COSTC
Po Box 15524
Wilmington, DE
19850
IBM LBPS
14523 Sw Millikan Way St
Beaverton, OR 97005
INTERNAL REVENUE SERVICE
P.O. BOX #7346
Philadelphia, PA 19101-7346
LEWIS MALDONADO
US EPA REGION 9 BK CONTACT
OFFICE OF REGIONAL COUNSEL, ORC-3
75 HAWTHORNE STREET
San Francisco, CA 94105
LOWE'S BUSINESS ACCT/GEMB
P.O. BOX 530970
Atlanta, GA 30353-0970
MARY JANE JARVIS
P.O. Box 60232
Las Vegas, NV 89160
MCYDSNB
9111 Duke Blvd
Mason, OH 45040
MEDICAL EDGE HEALTH
c/o CREDIT SYSTEMS INTL IN
1277 COUNTRY CLUB LN
Fort Worth, TX 76112
NEVADA DEPARTMENT OF TAXATION
BANKRUPTCY SECTION
555 E. WASHINGTON AVENUE, #1300
Las Vegas, NV 89101
NISSAN MOTOR ACCEPTANCE
Po Box 660360
Dallas, TX 75266
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NISSAN-INFINITI LT
2901 Kinwest Pkwy
Irving, TX 75063
NVFCU MTG
P.o. Box 15400
Las Vegas, NV 89114
PLAZA BANK
8275 W. FLAMINGO RD.
Las Vegas, NV 89147
PNC BANK
1 Ncc Pkwy
Kalamazoo, MI
49009
55440
THD/CBSD
Po Box 6497
Sioux Falls, SD
57117
28590
Page 51 of 52
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Doc 1
WFNNB/EXPRESS
4590 E Broad St
Columbus, OH 43213
WORLDS FOREMOST BANK N
4800 Nw 1st St Ste 300
Lincoln, NE 68521
Page 52 of 52