Вы находитесь на странице: 1из 8

Case 12-46965 Doc 102 Filed 05/24/13 Entered 05/24/13 06:57:17 Desc Main

Document Page 1 of 8
LLH
.g-
MONHLY UFEHTNO HEFOHT
LM^|c 1!
P NUM` , {_(
Form 2-A
COVEH8HEET
For Period Ending 0 (-
A00Ovl|hgM0lho: _--.aBaii; _:..-Basis
Hl5RFORlSDUE21 DAYSAFER HEENDOFHEMONh
Mar On Box for Each
Required Document:
8eonuocumoot
A|trched

<
Z

tevlvuaq
Waived

Debtor tU$1 ill1oh e<ch of the following reportsldocuments unless the U. S. Tn.stea
has waived the requirement In writing, Submit the original Monthly Operating Report
baring an orlglnal signature, to the u. $. Trustee. A oopy Of the Rlpor mt be
fed wth Iha Clerk of Court. 11 U.S.C. I04t)
REQUIRED REPORlS/OOCUMENTS
1. Cash Receipts and Disbulerents Statement (Form i-B)
Z. Balance Sheet |o)
3. Profit and Loss Statement (For 2-D)
4. Supporting Schedules (For 2-E)
5. Quarterly Fee Summar (Form 2-F)
6. Narrative (Form 2-G)
7. Bank Statements |0rF||bnK000unI8
8. Bank Statement Reconciliation$ for all Bank Accounts
Ideclare Cnder penalty of perur that the following Monthly Operating HupoO, and any
attachments thereto ara frue, accurate and correct to the best of my knowledge and b000/
EXe0ul00 00 _/, FtI0l
Ignlf0


- /~ TIl0
l
[qv, J3v0
Case 12-46965 Doc 102 Filed 05/24/13 Entered 05/24/13 06:57:17 Desc Main
Document Page 2 of 8
CAH FLOW 5UMMAHY
UAUE NC:
l0lm Z
PH lb N bUbLMbNb MLN
ForPeriod; _-,5to 5-/_
ul|0hI
Month Accumulated
1. BegInnIng Cash BaIan00 >
-`

/-

\'1
2. Cash Recelpts
U8|8I|On8
8|0of As8eIs
Loans/advances
Ih0|
Total Ca8hH000||8
~
3. U88 Disbursements
Operations
Debt Serice/Secured loan payment
Professional Iee8/U.S.Trustee fees
/r</.1J
OIhe|
T0Ial C8shDisbursements
+ g.:.5
4. Net \10 ||0w[10Il 8h H000lts less
Total Ca8h D|8bur8emnI8)
_
5 nd|ng0ash8a|ance(toorm2-C)
~`'`
[2)
UAH dALNbUMMAHT
P0hyCash
DIF Operating Account
DIP State Tax Account
DIP Fuy|o||A00ounI
Other Operating Account
Ulh0|InI0|8tI088||nQ00UnI
TOTAL [must8greewith Ending Csh Bu|unce above)
financial lnettution
>

Sook
Balance
{I) A00umu/8M08g/I0g08hIanceIs mecaShav8/8bl08fIh800mm0ncementofmecuS0.
Curr0ntmont0begnnng cashba/mc$hOuldoqualfh0pr0v|OuSmOnfh'8 8nd|ogIn00
(2) Al caShb8IncuSsnouta 08rne same.
P1g 1of3
av. 011lJ0
Case 12-46965 Doc 102 Filed 05/24/13 Entered 05/24/13 06:57:17 Desc Main
Document Page 3 of 8
L.
Ub NO: _- t1;
Ofm Z-H
OAUH RECElFTB AND DISBURSEMENTS A1EMNT
FOrP0l'00 // ' 2 '
c d
rCA *
/`
H DISBURSEMENTS DETAIL
{anecoJ0/f|0h0/8h80fSSnecessaQ}
PCC0UD NO.
r
{t) Totl for all accounts should agree with total cssh disbursements listd on For 28, page 1
Amount
Case 12-46965 Doc 102 Filed 05/24/13 Entered 05/24/13 06:57:17 Desc Main
Document Page 4 of 8
BTOR
l0Im Z-
b N'
Y/"z'
UPBH HEOElPTGAND DI8UH8EMNTB BTATbMENT
F0rPet|Od: _/-3 to _
/c/; - /_ @
H UMN bL
(zmc0a00|#e/8h60Mas weaq}
AccounlNo!
Pagt 3 of3
Rev. 01101l
Case 12-46965 Doc 102 Filed 05/24/13 Entered 05/24/13 06:57:17 Desc Main
Document Page 5 of 8
DEBTOR:
Dm Z-
C N!
- /f
PH HbCIPT8 ND DlBUUMNTJATbMbN1
FOrPe||o. _/-] !0 _--
4/-:A- e$ f l
H UMN1b blL A0countNo:
(zmc00ddM0nal$hvMas oeeq)
CheckNo.
-
I/
fl J1
TmICehb|abumomonm_g_ 7| |T)
(f) Tot/ for 1/ aucounu &hou/d agrt wih tI tash dlaburemnts f1td on For 2B, p1 1 Page 3 of3
|v l -J "' +++rr
f l ' ... c. f( r i.
0'" "
.-Y Qo-
Riv. 01/01/06
1
^
a. C i - 5C /-./ /)c ; /~-*
Case 12-46965 Doc 102 Filed 05/24/13 Entered 05/24/13 06:57:17 Desc Main
Document Page 6 of 8
Pb N - g@
Form 2.
CASH RECEIPS AND DISBURSEMENTS STATEMEN
FOrP6do; _J-g to, _ J - _
-b.-- < Ct' 1 ,
PHUMN1 b lL P00OUD NO
(mM008Mu 0wzq}
hwNo.
r
>
,, ,,
I I l
1 l!
1 1
2uc

J -

< <
l


Aoun|

f
`
.<
(
>1o.

!
) J
/O o >

TOl8l089h
" f ' ''
() IoImr#ccounmahc0/d1g w ttl cu/ /m mmlht on Fon lB
,
,I 1 P1ga 3 of 3
Rev. 01/1/
Case 12-46965 Doc 102 Filed 05/24/13 Entered 05/24/13 06:57:17 Desc Main
Document Page 7 of 8

j
0Im -c
UHHOHTNU UHULE
P NLI
"-
0fH0t|ud! to
PEQ@NPA PTPLbbNbUL
B0gInnInQ Amount Amount
FaId
Ut
P0Id
Check
Number
ndlng
BaIance 8l8n08 (J) Ac0r0ed
Income TaxWithheld:
|0d0|a|

State

FICA TaxWithheld
ch|0y6|8 FICA aX
Unemployment Tax
Federal
State
Sa|es, Use&
c0|801rxes
Propen/1axes
Accrued Income Tax.
F0dorl
SIaIu
Other:

TOTAL5
+

(l} For frst repor, Beginning Balance wll be $0;thereakr, Beginning Balance will be Ending Balance frm pncrreon
Workers' Compensation
General L|a0|I|ty
ropny(Fire, The)
V0hl0|8
U!h0|(list): g__
Z{D | q4 /-IL
INSURANs@S
C8rr|er Amount of EXpIr8lIon
Coverage D8I8
Fr0m|um
F0|0
Through
+ _ __
J
-
_

00g i _ ^
-.. A0l
+ Zf7 /`/J //
g--~tgg - /5 /
@ _./ /t @(L

- ]@ /_
g
+ g Q27-z+ //>
P<ge 1 of 2
.v. Q1/Q110i
Case 12-46965 Doc 102 Filed 05/24/13 Entered 05/24/13 06:57:17 Desc Main
Document Page 8 of 8
DEUTOH! @_ . ,@ Pb NO! _~_J {
Fotm 2-G

NPHHAlVb
ForF0r|od End|ng ~ J9
.
F|000pr0v|ei br|fd&$rfptfon cfany sIgn|cantbuslnesmd|gaIzct|onsNken 0ylhd0t0r, It Pl0lj
0l the cour 0UIlD the f9ODlD@

pr|od, any unueuaIor h0D-f60UlID@ accounting tnsaetlons that aNtepcnvd|n


thflnlntlal 1910H0DW, and lny sIgn|f|canthangoa|nthe ftnanclal condition of the debtor which have occurrd
to 10

- :g .
I I
Pag0 J of T
Rev. 01/01/0!

Вам также может понравиться