You are on page 1of 12

Case 12-46965 Doc 152 Filed 08/29/13 Entered 08/29/13 10:19:02 Desc Main

Document Page 1 of 12
DEBTOR: __ _
CA8E NUMBER: _ . y{ _._
MONlHL Y OPERA TING AEPORl
CHAPTER 11
Form 2-A
COVERSHEET
Fot Period Ending ,//Q
Accounting Method: _Ainal 8asls _ Cash Basis
THIS REPORT IS DUE 21 DAYS AFTER THE END OF THE MONTH
Mark One Box fr E1C
Reiulred Document:
ReporOoeume1t Prvlously
Attached Walvod
L



L
L
|
=
Debtor must atac each of th followln1 repors/documents unlss the U. S. Trustee
h<& waived the requirement in witing. Submit the original Monthly Opertlna Repor
beelng an orgira1 rlgnalure, to lhe U. s. Ttslee. A cpy of the Repo mut be
fl!d wi\1 the Clerk of Cou 11 uc. 704(8}
REQUIRED REPORTS/DOCUMENTS
1. Cash Reco|p|sand Disbursementa Statement (Form 2B)
2. Balance 8hoet|ot2-0)
3. Profit and Loss Statement (Form 2-D)
4. Supporing Schedules (For 2-E)
5. Quarterly Fee Summar (Form 2F)
6. Narrative [|or2-C)
7. Bank Statements for All Bank Accounts
8. Bank Statement Reconciliatione fr all Bank Accounts
I declare under penalty of perjuqthat the folowing Monthly Operating Report, and any
attachments thereto are true, acc(rate and correct to the bCst of my knowledge and belief.
Executed on; 7// Print Name_ _ .. _ ... .
Rev. 011011oe
Case 12-46965 Doc 152 Filed 08/29/13 Entered 08/29/13 10:19:02 Desc Main
Document Page 2 of 12
DEBTOR: CASE NO:
Form 2-B
CASH RECEIPTS AND DISBURSEMENTS STATEMENT
For Period: __, to
[_lD
CASH FLOW SUMMARY Current
W
Accumulatf
$ '^^.[
J
1. Beginning Cash Balance
_(1)
2. Cash Receipts
Operations
Sale of Assets
Loans/advances
Other
Total Cash Receipts
3. Cash Oisburtements
Operations
Oebt Setlce/Secured loan payment
Professional fees/U.S. Trustee fees
Other
Total Cash Disbursements
4. Net Cash Flow (Total Cash Receipts less
Total Cash Disbursements)

7-
J
'
5 ending Cash Balance (to Form 2C) $ _/_<
==(2)
CASH BALANCE SUMMARY
Petty Cash
0|POperating Account
DIP State Tax Account
DIP Payroll Account
Other Operating Account
Other lntere't-bearlng Account
TOTAL (must agree with Ending Cash Balance above)
Financial Institution
$
$
Book
Balance
{I) Accumulated beginning cash bal;mce ls te cash 8V'ilable at the commencemant of ta case.
Current month beginning cash balance should equal the prvious mont's ending balance.
(2) Al cash balfces should be the same.
Page 1of3
Av. 01.1/
Case 12-46965 Doc 152 Filed 08/29/13 Entered 08/29/13 10:19:02 Desc Main
Document Page 3 of 12
UbBTOR: CA6 NO:
Form 2 e
CASH RECEIFTS AND DISSURSEMENTS STATEMENT
For Period; , / to {//_
CASH ECEIPTS DETAIL Account No: _
(atch add/Uonat sheet as necessar)
Date Pfer Description

lotal Cash e<elpts


(1) TOiI ror all arcQunb lhould (gro with tttol fllh tlpb /igtt on Form 2-B, page 1
Amount
Page 2 of 3
foY. 01/1/8
Case 12-46965 Doc 152 Filed 08/29/13 Entered 08/29/13 10:19:02 Desc Main
Document Page 4 of 12
CASE NO;
u Y-
1:
Form 2-B
CASH RECclPTS AND DISBURSEMENTS STATEMENT
ForPeriod; __ to _-,
//-5 t /
CASH DISBURSEMENTS DEiAIL - A0countNo;
~-=
(atach additons/ sheats as necessar)
Total 0aah a / "
*
(1) Total for al accounts should agre with ttl cash disburement fsted on Form 2-B, page 1 Page 3 of 3
RlV. 01/01/0Ji
Case 12-46965 Doc 152 Filed 08/29/13 Entered 08/29/13 10:19:02 Desc Main
Document Page 5 of 12
CASE NO: _ v/1:]
Form 2-B
CASH RECEIPTS AND DISBURSEMENTS STATEMENT
For Period: _/ to _-_
(/L' 1 )
CASH DISBURSEMENTS DETAIL
(atach additional sheets as necessar)
Account No:
Total Cash 01$burements
S t J !/
(1) Total for 1/ 1ccount th(u/d agre with total cash dlsburstment. /1$tAd on Form 28, page 1
Amount
$ (1)

Psge 3 cf 3
Rev, 01/01/08
Case 12-46965 Doc 152 Filed 08/29/13 Entered 08/29/13 10:19:02 Desc Main
Document Page 6 of 12
DEBTOR: CASE NO:
.. Y-] (,
Form 2-B
CASH RECEIPTS AND DISBURSEMENTS STATEMENT
For Period: __ to o-_
cr/:
CASH DISBURSEMENTS DETAIL
(atach additional sheets as necessar)

Account No;
Detcr@.on
Jtz .. -

v
(.
r

, 1
(/
J
, ,
I(
'I

/
fl
/
,
f
I I
I
'2_'
".9h.#



A

/ 11
Total Caah Disbursements
(
t

(1) Total fr al accounts should agree with total cuh d/sb1ements l5ted on Form 2-8, ptge 1
Amount
$ |1)

4v.Y /
Page 3 of3
Rev. 011011oa
Case 12-46965 Doc 152 Filed 08/29/13 Entered 08/29/13 10:19:02 Desc Main
Document Page 7 of 12
DEBTOR: CASE NO:
o-
YY6_
Form 2-B
CASH RECEIPTS ANO DISBURSEMENTS STATEMENl
ForPeriod: y-/-__ to
K
-L-
C
/< /.{-^ /> /
CASH DISBURSEMENTS DETAIL Acc0unt
(attach additional sheets as nacesssr)
Date Check No.
(1) Total for 1/ accountt !hould agree wih total cHh d/sb1remant1 ltd on Form 2B, page 1
Amount
Page 3 of 3
Rev. 01101101
Case 12-46965 Doc 152 Filed 08/29/13 Entered 08/29/13 10:19:02 Desc Main
Document Page 8 of 12
DEBTOR: CASE NO:
_ lY6_
Form 2-B
CASH RECEIPTS AND DISBURSEMENTS STATEMENT
ForPeriod: ,__ to g,_
(,/ 7 //~ : _ L
CASH DISBURSEMENTS DETAIL Account No:
(atach additional sheets as nocoxxaq)
Date Check No.
l

I
//.
1
I1
(1) Total for al 1ccount should agre with total ca.h dlsburements /lstod M For 2-B, page 1
Amount
P1gl 3 (f 3
Hev. U1/I1/UI
Case 12-46965 Doc 152 Filed 08/29/13 Entered 08/29/13 10:19:02 Desc Main
Document Page 9 of 12
DEBTOR:
Form 2 0
CASE NO;
/ ' 2
CASH RECEIPTS AND DISBURSEMENTS STATEMENT
For Period: ,-_to _/-/]
/b/ / ^ ~_ ,
CASH DISEURSEMENTS DETAIL _ Account
(aecbadd|t|ona/sheets as necessar)
(1) Total for all accounts should agre With tots/ ca1h dl8b!r$&mants listed j Fr 2-B, page 1 Pag1 3 of 3
lcv. 01101101
Case 12-46965 Doc 152 Filed 08/29/13 Entered 08/29/13 10:19:02 Desc Main
Document Page 10 of 12
DEBTOR: CASE NO:
Y-:;
Form 2-B
CASH RECEIPTS AND DISBURSEMENTS STATEMENT
For Period: _-_/ to @{/_
//:/ 1 -7 Cs /
CASH DISBURSEMENTS DE1AIL Account No:
(atach additional sheet as nacessar)

0oac@'oo __:so_
,ro: !

WAC.
V
7
!
^
J

3Jj
Amount
$
_
_
?
V
S', 7
( 0 ,1
.l _(

TotI Cash Disburements 51 b $ g > (1)


(1) Total for all account should agre with total cash diiburemenm /lsted on Form '1:3 :-
Rev. 01101105
Case 12-46965 Doc 152 Filed 08/29/13 Entered 08/29/13 10:19:02 Desc Main
Document Page 11 of 12
DEBTOR: _ CASE NO:
/.9
Form 2-e
SUPPORTING SCHEDULES
ForPeriod; -/ j to _~__
P05]@E7|7|0N7@E5P_Y4BLE@HED@
FICA Tax Withheld
Employer's FICA Tax
Unemployment Tax
Federl
State
Sales, Use &
Excise Taxes
Propery Taxes
Accrued Income Tax:
Federal
State
Other;
*
Beginning Amount
Balane [1 Accrued
m
Amount
Paid
TOlALS
$ W G
Date
Paid
Check
Number
Ending
Balance
(1) For frt '"PQr, Beginning Balance w/1 be $0; thereafer, Beginning Balance wllbe Ending Balance frm pror repor.
Workers' Corpensation
General Liability
Proper (Fire, Thef)
Vehicle
Other (list): ,
7Y1 pre '--c
@0840CgsO0DgLS
C.rrler Amount of Expiration
Coverage Date
Premium
Paid
Through
$ $
Zg $ 00 .J4$
.. -(
$ Z:
/1J $
&- . ~;n_ _$
Pt/ /tk,j l gc /()$
d^. $ ; g2/13$
/-/?
/3
c,/J
//3
///_
Page 1Of2
Rav. 01/Q1/08
Case 12-46965 Doc 152 Filed 08/29/13 Entered 08/29/13 10:19:02 Desc Main
Document Page 12 of 12
DESfOR:
For 2-
NARRATIVE
For Period Ending
__
cAse No; _-@f 4 >
PIHH provide a brief descrlptlOti of any sign/f cant bualne11 and legil actions lk1 by the debtpr, It creditor,
or th cour during the ciogperiod, any unu!ual or nonrecurtlng accounting transactfna that ar repored In
th& financial etmenb, nd any algniflc'ant chang( In tho financial condition of the debtor which have occurred
' :F;
_g_
Page 1of1
Rv, J3B

You might also like