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2. All other names debtor used Dedication of Care Home Health Aaenc\
in the last8 years
include any assumed names,
trade names, and doing business
as names
4. Debtor's address Principal place of business Mailing address, If different from pilnclpal place
of business
6. Type of debtor ^Corporation (including Limited Liability Company(LLC) and Limited Uability Partnership(LLP))
Q Partnership (excluding LLP)
□ Other. Specify;
Official Form 201 Voluntary Petition for Non-Individuals Filing for Bankruptcy
Case 18-70254 Document 1 Filed in TXSB on 07/09/18 Page 2 of 4
A. Check one:
7. Describe debtor's business
19 Health Care Business(as defined in 11 U.S.C.§ 101(27A))
□ Single Asset Real Estate (as defined In 11 U.S.C. § 101 (51B))
□ Railroad (as defined in 11 U.S.C. § 101(44))
□ Stockbroker (as defined in 11 U.S.C. § 101 (53A))
□ Commodity Broker (as defined in 11 U.S.C. § 101(6))
□ Clearing Bank (as defined in 11 U.S.C. § 761(3))
O None of the above
C. NAtCS (North American Indus^ Classification System) 4-diglt code that best describes debtor. See
httD://www.uscourts.aov/four-diQit-national-association-naics-codes.
6 2 1 6
a The debtor is required to file periodic reports (ft>r example, 10K and 10Q) with the
Securities and Exchange Commission according to § 13 or 15(d) of the Securities
Exchange Act of 1934. File the Attachment to Voluntary Petition for Non-Individuals Filing
k>r Bankruptcy under Chapter 11 (Official Form 201 A) wWi this form.
Q The debtor is a shell company as defined in the SecurHtes Exchange Act of 1934 Rule
12b-2.
Q Chapter 12
Official Form 201 Voluntary Petition for Non-Individuals Filing for Bankruptcy page 2
Case 18-70254 Document 1 Filed in TXSB on 07/09/18 Page 3 of 4
11. Why is the case filed in this Check all that apply:
district?
Debtor has had its domicile, principal place of business, or principal assets in this district for 180 days
immediately preceding the date ofthis petition or for a longer part of such 180 days than in any other
district
Q A bankruptcy case concerning debtor's affiliate, general partner, or partnership is pending in this district
G Other
Contact name
Phone
Official Form 201 Voluntary Petition for Non-Individuals Riing for Bankruptcy pages
Case 18-70254 Document 1 Filed in TXSB on 07/09/18 Page 4 of 4
WARNING - Bankruptcy fraud is a serious crime. Making a false statement in connection with a bankruptcy case can result in fines up to
$500,000 or imprisonment for up to 20 years, or both. 18U.S.C. §§152,1341,1510, and 3571.
17. Declaration and signature of □ 7^3 debtor requests relief in accordance with the chapter of title 11. United States Code, specified in this
authorized representative of peation
debtor
a I have examined the information in this petition and have a reasonable belief that the Infonnation is true and
correct
I declare under penalty of perjury that the foregoing Is true and conect.
Executeyl^on 07/06/2018
.MM.7Mi<YYYY
Title President
Kelly K. McKinnis
Printed name
Rrmname
3423 W. Alberta
Number Street
Edinburg TX 78539
City State ZIP Code
956-560-8588 mckinnis22@yahoo.com
Contact phone Email address
Official Form 201 Voluntary Petition for Non-Individuals Filing for Bankruptcy page 4