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Case 12-46965 Doc 111 Filed 06/11/13 Entered 06/11/13 06:30:05 Desc Main

Document Page 1 of 10
bLH! @_ _
b NUm' _(7 z
MNHL1PHT|NU b
CMAHJLH 11
Form 2-A
OVbH=HEET
For Period lnding ... ...

A000ut|hg M0lhod _--..s.. :..-s .sis


Mark Ona Bo: for Each
Required Docun'lelit:
eporDocument
Atlchsd
2

L
X
L

hlSREFOR7I5DUEZ1 0AY5AFIR hEEN0 OFIhMONIH


Previously
Waived
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Debtor must attach each of the fllowlng rnpor:doc1enta unless the U. s. Tru$1ea
lP( waivad the requirement In wttlng. Submit the original Monthly Oplltlng Repor
bearing al origllal Algnature, to the U. S. Tt\Mae. A copy of tte Re!o must be
fied with the Cler of Court, 11 U.S.C. {7048j
HbQU|HbDREFOHTlOCUMENT
!. Cash Receipts 8U0 Disbursements Statement (Form 2-B)
/. Bs|ance Sheet(Form Z-C)
3. Pr0fi!and LOss Slat0menI(FOmZ-D)
4. Supporing 8chodu|es[|o2-)
b. 0uader|,|008ummaq(|or2-|)
6. Nrr||v0 (|orm2G)
. b8hK Statements k|All bhKA0OOuht8
Bank Statement Reconciliations forl|BahKAoOOuDt8
ldeclare underpenalty of perjuqfh8ff0fol/owing Monthly Operating Repcr, and any
attachments fh0r0loare true, accurate and 0oD0cflO fh0 006fmyknowledge and be/t0.
r|nt
ignatule!

__ __ __

It|e!
/ /-

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Case 12-46965 Doc 111 Filed 06/11/13 Entered 06/11/13 06:30:05 Desc Main
Document Page 2 of 10
CA N'
Ofm Z-
CASH RECtIPTS AND OISBUR$EMENTS STATeMENT
For P8rlOd' to
CASH FLOWSUMMARY
Cu||00I
W
Accumul
1. BegnnIngC88h aI8nc0
_
lT
2. Cash Receipts
Operations
8|00fAssets
Loa ns/advarces
Other
Total Ch H00c||8
J. 88hDisbursements
Operations
Debt Serice/Secured lOan payment
Professional fees/U.$. Trustee fees
Other
Total Cash Disbursements
4. Net Cash Flow (T0II U8h Receipts less
Total C8h Disbursements)
@2.'
0 EndIng Csh Ba|ance (to For 2-0)
+ .^.7
.
+ s
|/)
0A88ALN06SUMMARY
Petty Cash
IIF OperaIlnQAOOunt
DIFState TA000u0I
DF Fayroll Account
Other Operating Account
OIh0||nl0!08I08||DQP000unI
TOTAL (must agree wNh Ending Cash Ba|an00 above)
Financial Institution
1
>
Book
Balance
(t) A00umuI0l0dbeginning 08hb8l8h06I800C8h8v0l/0lfh0 0omm0Ncm8nt0l08c880
Cun0nfmonth bQl0nInqcash balance should8gualfheprvious mohlh 8hd|0gbalance.
(2) A0caShb8/80c08800u/db8fhesamo.
Page 1 of3
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Case 12-46965 Doc 111 Filed 06/11/13 Entered 06/11/13 06:30:05 Desc Main
Document Page 3 of 10
LL!
Ofm Z-
CASE NO:
/ * -/5
CASH RECEIPTS ANO OIUUUHbbMbN5 STATEMENf
For Period: _~: to @
/t/ Y-z /
CASH DISBURSEMENTS DETAIL
NO.
{anschadd/f/onalsheefsasncceSq}
h00K N0. Fm0U0I
Tota| Cash DI8bummnl 0
> /st.71 )

(t) Iorlfor I ccounts sno1ld f(rea wltf total aash dlsbursm'nts listed cnIorm:B, pl{i 1 Pa(e 3 of 3
f

-
Rev, 01/01/08
F ; Po7 /lt l ' s U,u_ ___
Case 12-46965 Doc 111 Filed 06/11/13 Entered 06/11/13 06:30:05 Desc Main
Document Page 4 of 10
Olm Z-
Pbb NO
/ _ --_
PbH bbl1 ANU DISBURSEMENTS STATEMENT
ForPer|Od. _ "/j |o 7
J- ; .
PbN lbUbbMbNb b1PlL NO.
(anechadd|t|ona/shoouasnocossaq}
I
/I Ir
I t l{
l
r
I!
''
Tota C9hD|8ur80m8nM
/t) fctelfor all accounts should {gree with total cash disbursements I/stee f -.-!...
$ _:z_,_1 l)
/-,
Page 3
fav, 01/01/08
^
Case 12-46965 Doc 111 Filed 06/11/13 Entered 06/11/13 06:30:05 Desc Main
Document Page 5 of 10
CASE NO: / v._
OIR 4
CASH HPN bUHbbMbNbb11bMLN1
FO|Prl0d: _/_ to _g_
;C/5 _.
CASH OlBUUH8EMENT8 OAIL PcCOuHt NO.
[ahachad0/0OnaI8h88Muan80888q}
Date h008N e oes:_aa_._ae_

,
l
=_

l1

@0
x^
+
_a

l /1
. J,
l1 1

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F00u0I

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7 Zd
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TOl8 C88U|8uf80m0l8 ^!^ z g; |)
/)7/, ;}
Page 3 of 3
T/
(I) TQt<l fQr al accounts 1hQuld ag"' with total cash disburHment listed on For 2-B, pag" 1
Rev. 01/01/0B
Case 12-46965 Doc 111 Filed 06/11/13 Entered 06/11/13 06:30:05 Desc Main
Document Page 6 of 10
LLLH` OAENO;
_- _/1t
0l0 4
CASH RECelPTS AND OIUUHGEMNTU STATEMENT
FrPor|Od __^
to
(//D
/'"/` , |
PGH DISBURSEMENTS DETAIL
P000UD N0'
(attach additonal $heet I$ ne<S:tr)
T0l8I U$h a-s..--kJ-_7_1)
(1) Total for all accounts should agree with totl c<sh dlsbursement5 /5ted on Form 2-B, page 1 Page 3of3
Rev. 011011oa
Case 12-46965 Doc 111 Filed 06/11/13 Entered 06/11/13 06:30:05 Desc Main
Document Page 7 of 10
'
FOrm 7-
CASI NO!
, _-7-}
CASHRECEIPTS ANU DISBURSEMENTS UA1bMbN
FOrPer|od. _ to, _J-y_
,:> __.
CASH DISBURSEMENTS DETAIL
(0d8ch0d0/0OhsI8huebas nocosaaq)
P00OUD ND'
TOtI Oash cisua:se-k."($ _)Ob
|!!

(f) 7tzlfor af atcount hould gre with total cash dlsbururmmt. /Js(ed OM Form 2-B, page 1 Page J of 3
Rev. 01/01/08
Case 12-46965 Doc 111 Filed 06/11/13 Entered 06/11/13 06:30:05 Desc Main
Document Page 8 of 10
LL' Pb Nw'
D|0 -
CASH HbLLlb ANUUIUUHbbMbN1 PJbMLN
For Fcr|o0' _/-_ I0 6 /.
UAH RECElFTB OETP|L
[0d0chadd/0onaIshoefSas nocessaq)
Account NO-

9I0
7
0esc(@|oo
. 2

l
J
I
/

_
j
TotaI Ca8h K0eip
(t) Tot(/ for al accauntr rhru/c ogre wi( tatt/ cish mce/pt/1t11d M Jor 2-B, p911 1
AouoI
Pa9e ot3
Hm. 11
Case 12-46965 Doc 111 Filed 06/11/13 Entered 06/11/13 06:30:05 Desc Main
Document Page 9 of 10
P NL!
/? 6
I0lm ZE
UFFOHTINU 8UHEDULb
ForPerIod! to
FJPETTION AE8 PAY4|ESCnEDQ
Income Tax Withheld:
Federal +
o|nn|nq Amount
Balance _: AcCruvd
State
w
F|CAT0xW|lhho|d
Employer's FICA T
Unemp|OymuD!T8
Federal
Stat
Sales, Use &
b0|80Tx88
||00/1008
Accrued Income 8
|d0r0l
State
th0|
m
TOTAL8
+

==
W
Amount
Pald
Date
P0ld
Check
Numr
nding
Balance
{i) Fol flt mpoq8eglnnIngBalance w/J be $0,th6r6e6q 8egnnI0g8elncewil be Ending Balance from prior rpor.
Workers' Compensation
Gen8ral Liability
PrOpeUy [F||8. 1h80)
Vhl0|0
Other (list): @_g
7Y5 qrz A-c
/NSQRANCESCHEDQLE
C8rrI8t
Amount of Expiration
Coverage Date
Premium
Paid
Through
$ m
A
_

+ 400K ,.g
sL Zul Zf/f
q/1
':og /
g P//-+ @, _+
Zt Jg 27/j
/'_
/J
/,1_
,1 _-/_

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Case 12-46965 Doc 111 Filed 06/11/13 Entered 06/11/13 06:30:05 Desc Main
Document Page 10 of 10
DEBTOR:
Form 2-C
NPHHPV
ForPeriod Ending ,)( _
OAGE NO! _-gf 5
PfeHe provide br|eldmcr|pt|on olnya|gn|anIbuslnau and lgal actions taken by the debtor, IU CNdltOI,
or the cour during the repodlnqper|od,any unuaual or non-recurring accounting transact|mthat are repored In
the flnanclal atatementa1 zndany sIgn|cantobanges In the flnam:lal condition of the debtor whIcbhaveurred
--:::~,-::.
+ .
.':

80 1^f"
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