IN THE UNITED STATES BANKRUPTCY COURT 

FOR THE EASTERN DISTRICT OF VIRGINIA 

Newport News Division 

__________________________________________ 

 ) 

In re: ) 

 ) 

INSIGNIA TECHNOLOGY SERVICES, LLC,1

 ) Case No. 19-50277 

 ) 

 Debtor. ) Chapter 11 

__________________________________________) 

GLOBAL NOTES AND STATEMENT OF LIMITATIONS, METHODOLOGY 

AND DISCLAIMERS REGARDING DEBTOR’S SCHEDULES OF 

ASSETS AND LIABILITIES AND STATEMENT OF FINANCIAL AFFAIRS 

The Debtor’s Schedules of Assets and Liabilities (collectively, the “Schedules”) and Statement of 

Financial Affairs (the “Statement”) were prepared by the Debtor’s management and are unaudited. 

While those members of management responsible for the preparation of the Schedules and 

Statement have made a reasonable effort to ensure that the Schedules and Statement are accurate 

and complete based on information known to them at the time of preparation after reasonable 

inquiries, inadvertent errors or omissions may exist and/or the subsequent receipt of information 

may result in material changes in financial and other data contained in the Schedules and 

Statement. Accordingly, the Debtor reserves its right to amend and/or supplement their Schedules 

and Statement from time to time as may be necessary or appropriate and will do so as information 

becomes available. 

These Global Notes and Statement of Limitations, Methodology and Disclaimers Regarding 

Debtor’s Schedules of Assets and Liabilities and Statement of Financial Affairs (the “Global 

Notes”) are incorporated by reference in, and comprise an integral part of, the Schedules and 

Statement, and should be referred to and reviewed in connection with any review of the Schedules 

and Statement. In the event that the Schedules and Statement differ from the Global Notes, the 

Global Notes shall control. 

General Comments 

Reservation of Rights. While every effort has been made to ensure the accuracy of the Schedules 

and Statement, inadvertent errors or omissions may have occurred. The Debtor reserves the right 

to dispute, or to assert setoff or other defenses to, any claim reflected in the Schedules and 

Statement as to amount, liability and classification. The Debtor also reserves all rights with respect

to the values, amounts and characterizations of the assets and liabilities listed in its Schedules and

Statement. 

 

1

 The last four digits of the Debtor’s federal tax identification number are: 3701. The Debtor’s address is: 610 

Thimble Shoals Boulevard, Building 6, Newport News, Virginia 23606. 

Case 19-50277-SCS Doc 6 Filed 03/02/19 Entered 03/02/19 22:43:24 Desc Main

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2

Basis of Presentation. These Schedules and Statement do not purport to represent financial 

statements prepared in accordance with Generally Accepted Accounting Principles (“GAAP”), nor 

are they intended to reconcile to the financial statements. The Schedules and Statement have been 

signed by Frederick P. O’Brien, President and Chief Executive Officer. In reviewing and signing 

the Schedules and Statements, Mr. O’Brien has necessarily relied upon the efforts, statements and 

representations of the Debtor’s personnel who report to Mr. O’Brien, either directly or indirectly. 

Mr. O’Brien has not, and could not have, personally verified the accuracy of each such statement 

and representation, including statements and representations concerning amounts owed to 

creditors. 

Causes of Action. The Debtor has made its best efforts to set forth known causes of action against 

third parties as assets in its Schedules and Statement. The Debtor reserves all of its rights with 

respect to causes of action it may have, whether disclosed or not disclosed, and neither these Global 

Notes nor the Schedules and Statement shall be deemed a waiver of any such causes of action. 

Claims. Any failure to designate a claim listed on the Debtor’s Schedules as “disputed,” 

“contingent,” or “unliquidated” does not constitute an admission by the Debtor that the claim is 

not “disputed,” “contingent,” or “unliquidated.” The Debtor reserves the right to (i) object to or 

otherwise dispute or assert setoff rights, cross-claims, counterclaims or defenses to, any claim 

reflected on the Schedules as to amount, liability or classification or (ii) otherwise to designate 

subsequently any claim as “disputed,” “contingent,” or “unliquidated.” 

Schedules 

Schedule A/B – Real and Personal Property. All values set forth on Schedule A/B reflect the 

value of the Debtor’s assets as of March 2, 2019 unless otherwise indicated. The Debtor has listed, 

to the best of its ability, all known deposits. In addition, the Debtor has listed the full amounts of

its accounts receivable, which consist of amounts due under its various IT service contracts. 

Schedule D – Creditors Holding Secured Claims. Except as otherwise ordered by the 

Bankruptcy Court, the Debtor reserves its rights to dispute or challenge the validity, perfection or 

immunity from avoidance of any lien purported to be granted or perfected in any specific asset for 

the benefit of a secured creditor listed on Schedule D. Moreover, although the Debtor may have 

scheduled claims of creditors as secured claims, the Debtor reserves all rights to dispute or 

challenge the secured nature of any such creditor’s claim or the characterization of any transaction 

or any document or instrument related to such creditor’s claim. 

Schedule G – Executory Contracts and Unexpired Leases. The Debtor hereby reserves all of 

its rights to dispute the validity, status, or enforceability of any contracts, agreements or leases set 

forth in Schedule G and any amendments thereto. Furthermore, the Debtor reserves all of its rights, 

claims and causes of action with respect to the contracts and agreements listed on these Schedules, 

including the right to dispute or challenge the characterization or the structure of any transaction, 

document or instrument. The presence of a contract or agreement on Schedule G does not 

constitute an admission that such contract or agreement is an executory contract or unexpired lease. 

The contracts, agreements, and leases listed on Schedule G may have expired or may have been 

modified, amended, or supplemented from time to time by various amendments, restatements, 

Case 19-50277-SCS Doc 6 Filed 03/02/19 Entered 03/02/19 22:43:24 Desc Main

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3

waivers, estoppel certificates, letter, and other documents, instruments, and agreements that may 

not be listed therein. Moreover, some of the contracts listed on Schedule G contain option periods 

in which the government may, at its discretion, determine to extend or conclude services under 

such contracts. Lastly, certain of the executory agreements may not have been memorialized and 

could be subject to dispute. 

***END OF GLOBAL NOTES*** 

Case 19-50277-SCS Doc 6 Filed 03/02/19 Entered 03/02/19 22:43:24 Desc Main

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 Official Form 207 Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy page 1

Official Form 207

Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy 04/16

The debtor must answer every question. If more space is needed, attach a separate sheet to this form. On the top of any additional pages, 

write the debtor’s name and case number (if known). 

Part 1: Income

1. Gross revenue from business

 None

Identify the beginning and ending dates of the debtor’s fiscal year, which 

may be a calendar year

Sources of revenue

Check all that apply

Gross revenue

(before deductions and 

exclusions)

From the beginning of the

fiscal year to filing date: From ___________ to Filing date

MM / DD / YYYY

Operating a business

 Other _______________________

$________________

For prior year: From ___________ to ___________

MM / DD / YYYY MM / DD / YYYY

 Operating a business

 Other _______________________

$________________

For the year before that: From ___________ to ___________

MM / DD / YYYY MM / DD / YYYY

Operating a business

 Other _______________________

2. Non-business revenue

Include revenue regardless of whether that revenue is taxable. Non-business income may include interest, dividends, money collected

from lawsuits, and royalties. List each source and the gross revenue for each separately. Do not include revenue listed in line 1.

None

Description of sources of revenue Gross revenue from each 

source

(before deductions and 

exclusions)

From the beginning of the

fiscal year to filing date: From ___________ to Filing date

MM / DD / YYYY

___________________________ $________________

For prior year: From ___________ to ___________

MM / DD / YYYY MM / DD / YYYY ___________________________ $________________

For the year before that: From ___________ to ___________

MM / DD / YYYY MM / DD / YYYY ___________________________ $________________

 Check if this is an

amended filing

Debtor name __________________________________________________________________ 

(State) 

Case number (If known): _________________________ ___________________________________________

 Fill in this information to identify the case:

Insignia Technology Services, LLC

United States Bankruptcy Court for the: District of 

01/01/2019



4,086,213.04

01/01/2018 12/31/2018

19,494,176.15

01/01/2017 12/31/2017



X

X

X

X

___________________ Eastern ___________ Virginia

$________________ 17,490,386.46

19-50277

Case 19-50277-SCS Doc 6 Filed 03/02/19 Entered 03/02/19 22:43:24 Desc Main

 Document Page 4 of 26
4.



Payments or other transfers of property made within 1 year before filing this case that benefited any insider

List payments or transfers, including expense reimbursements, made within 1 year before filing this case on debts owed to an insider or

guaranteed or cosigned by an insider unless the aggregate value of all property transferred to or for the benefit of the insider is less than

$6,425. (This amount may be adjusted on 4/01/19 and every 3 years after that with respect to cases filed on or after the date of adjustment.)

Do not include any payments listed in line 3. Insiders include officers, directors, and anyone in control of a corporate debtor and their relatives;

general partners of a partnership debtor and their relatives; affiliates of the debtor and insiders of such affiliates; and any managing agent of

the debtor. 11 U.S.C. § 101(31).

None

Debtor _______________________________________________________ Case number (if known)_____________________________________ 

Name

Official Form 207 Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy page 2

Part 2: List Certain Transfers Made Before Filing for Bankruptcy

3. Certain payments or transfers to creditors within 90 days before filing this case

List payments or transfersincluding expense reimbursementsto any creditor, other than regular employee compensation, within 90

days before filing this case unless the aggregate value of all property transferred to that creditor is less than $6,425. (This amount may be

adjusted on 4/01/19 and every 3 years after that with respect to cases filed on or after the date of adjustment.)

 None

Creditor’s name and address Dates Total amount or value Reasons for payment or transfer

Check all that apply

3.1.

__________________________________________

Creditor’s name

__________________________________________

Street

__________________________________________

__________________________________________

City State ZIP Code

________

________

________

$_________________  Secured debt 

 Unsecured loan repayments

 Suppliers or vendors

 Services

 Other _______________________________

3.2.

__________________________________________

Creditor’s name

__________________________________________

Street

__________________________________________

__________________________________________

City State ZIP Code

________

________

________

$_________________  Secured debt 

 Unsecured loan repayments

 Suppliers or vendors

 Services

 Other _______________________________

Insider’s name and address Dates Total amount or value Reasons for payment or transfer

4.1.

________ 

Insider’s name

__________________________________________

Street

__________________________________________

__________________________________________

City State ZIP Code

_________

_________

_________

$__________________ ___________________________________________

___________________________________________

___________________________________________

Relationship to debtor

__________________________________________

4.2.

__________________________________________

Insider’s name

__________________________________________

Street

__________________________________________

__________________________________________

City State ZIP Code

_________

_________

_________

$__________________ ___________________________________________

___________________________________________

___________________________________________

Relationship to debtor

__________________________________________

Insignia Technology Services, LLC

See Exhibit

__________________________________________ 

See Exhibit

19-50277

Case 19-50277-SCS Doc 6 Filed 03/02/19 Entered 03/02/19 22:43:24 Desc Main

 Document Page 5 of 26
Number Creditor's Name Address 1 City State Zip Date of Payments Total Amount or Value Reason for Payment or Transfer

3.1 Akshita Tek Systems, Inc. 19 Latham Village Lane, Unit 5 Lantham NY 12110 1/14/2019 $ Rendered Services: Subcontractor (15,200.00)

3.2 Alerus Financial P.O. Box 6001 Grand Forks ND 58206-6001 12/4/2018 $ Benefit: 401k payment (25,273.90)

3.3 Alerus Financial P.O. Box 6001 Grand Forks ND 58206-6001 12/6/2018 $ Benefit: 401k payment (23,635.64)

3.4 Alerus Financial P.O. Box 6001 Grand Forks ND 58206-6001 12/21/2018 $ (23,439.38) Benefit: 401k payment 

3.5 Alerus Financial P.O. Box 6001 Grand Forks ND 58206-6001 1/7/2019 $ Benefit: 401k payment (25,683.13)

3.6 Alerus Financial P.O. Box 6001 Grand Forks ND 58206-6001 1/25/2019 $ Benefit: 401k payment (4,696.24)

3.7 Alerus Financial P.O. Box 6001 Grand Forks ND 58206-6001 2/5/2019 $ Benefit: Medical Insurance (49,612.37)

3.8 Anthem Blue Cross Blue Shield P.O. Box 580949 Charlotte NC 28258-0494 12/4/2018 $ Benefit: Medical Insurance (62,906.25)

3.9 Anthem Blue Cross Blue Shield P.O. Box 580949 Charlotte NC 28258-0494 2/1/2019 $ Benefit: Medical Insurance (4,070.08)

3.10 Bank of America P.O. Box 660576 Dallas TX 75266-0576 12/4/2018 $ Credit Card: Corporate Card Payment (30,666.33)

3.11 Bank of America P.O. Box 660576 Dallas TX 75266-0576 12/31/2018 $ (32,300.26) Credit Card: Corporate Card Payment 

3.12 Bank of America P.O. Box 660576 Dallas TX 75266-0576 2/27/2019 $ Credit Card: Corporate Card Payment (61,211.50)

3.13 Benefit Wallet 397 Little Neck Rd., Suite 108, Building 3300 Virginia Beach VA 23452 12/6/2018 $ (1,295.69) Benefit: HSA Account Holder Deposit 

3.14 Benefit Wallet 397 Little Neck Rd., Suite 108, Building 3300 Virginia Beach VA 23452 12/21/2018 $ (1,295.69) Benefit: HSA Account Holder Deposit 

3.15 Beneflex 397 Little Neck Rd., Suite 108, Building 3300 Virginia Beach VA 23452 12/4/2018 $ (225.10) Admin Fees: Benefits Administration 

3.16 Beneflex 397 Little Neck Rd., Suite 108, Building 3300 Virginia Beach VA 23452 12/7/2018 $ (1,294.86) Benefit: FSA Account Holder Deposit 

3.17 Beneflex 397 Little Neck Rd., Suite 108, Building 3300 Virginia Beach VA 23452 12/21/2018 $ (1,250.86) Benefit: FSA Account Holder Deposit 

3.18 Beneflex 397 Little Neck Rd., Suite 108, Building 3300 Virginia Beach VA 23452 12/26/2018 $ (109.60) Admin Fees: Benefits Administration 

3.19 Beneflex 397 Little Neck Rd., Suite 108, Building 3300 Virginia Beach VA 23452 1/7/2019 $ (2,106.85) Benefit: FSA Account Holder Deposit 

3.20 Beneflex 397 Little Neck Rd., Suite 108, Building 3300 Virginia Beach VA 23452 1/10/2019 $ (111.00) Admin Fees: Benefits Administration 

3.21 Beneflex 397 Little Neck Rd., Suite 108, Building 3300 Virginia Beach VA 23452 1/22/2019 $ (2,106.85) Benefit: FSA Account Holder Deposit 

3.22 Beneflex 397 Little Neck Rd., Suite 108, Building 3300 Virginia Beach VA 23452 2/1/2019 $ (138.00) Admin Fees: Benefits Administration 

3.23 Beneflex 397 Little Neck Rd., Suite 108, Building 3300 Virginia Beach VA 23452 2/27/2019 $ (109.60) Admin Fees: Benefits Administration 

3.24 Bernstein Management Corporation 5301 Wisconsin Avenue, NW Suite 500 Washington DC 20015 1/8/2019 $ Rental Payment- Sterling, VA office (3,758.83)

3.25 Bernstein Management Corporation 5302 Wisconsin Avenue, NW Suite 500 Washington DC 20016 1/8/2019 $ Rental Payment- Sterling, VA office (3,758.83)

3.26 Brown & Edwards CPA 701 Town Center Dr, Suite 700 Newport News VA 23606 2/27/2019 $ Rendered Services: Accountant (10,000.00)

3.27 CACI Enterprise Solutions, Inc. P.O. Box 418801 Boston MA 02241-8801 12/4/2018 $ (196,576.58) Rendered Services: Subcontractor 

3.28 CACI Enterprise Solutions, Inc. P.O. Box 418801 Boston MA 02241-8802 1/9/2019 $ (255,807.68) Rendered Services: Subcontractor 

3.29 CACI Enterprise Solutions, Inc. P.O. Box 418801 Boston MA 02241-8802 2/27/2019 $ (282,796.55) Rendered Services: Subcontractor 

3.30 City of Newport News 2400 Washington Ave Newport News VA 23607 12/4/2018 $ Fee: Property Taxes (2,807.91)

3.31 City of Newport News 2400 Washington Ave Newport News VA 23608 1/25/2019 $ Fee: Business License (24,946.05)

3.32 Dell Business Credit P.O. Box 5275 Carol Stream IL 60197-4349 12/19/2018 $ (39,267.47) IT equipment purchase 

3.33 Dell Business Credit P.O. Box 5275 Carol Stream IL 60197-4349 1/25/2019 $ IT equipment purchase (2,438.02)

3.34 EA Frameworks, LLC 1716 Briarcrest Drive, Suite 320 Bryan TX 77802 12/5/2018 $ Rendered Service: Subcontractor (20,700.80)

3.35 EA Frameworks, LLC 1716 Briarcrest Drive, Suite 320 Bryan TX 77802 1/14/2019 $ Rendered Service: Subcontractor (20,700.80)

3.36 Fox Rothschild LLP 1030 15th St NW, Suite 380 DC 20005 2/27/2019 $ Rendered Services: Legal (9,418.00)

3.37 Global Insights + Solutions LLC 11293 Market Street Fulton MD 20759 12/5/2018 $ Rendered Service: Subcontractor Payment (19,102.40)

3.38 Global Insights + Solutions LLC 11293 Market Street Fulton MD 20759 1/14/2019 $ Rendered Service: Subcontractor Payment (19,102.40)

3.39 IGES, LLC 405 Ians Way Chesapeake VA 23320 12/5/2018 $ Rendered Service: Subcontractor Payment (20,700.80)

3.40 IGES, LLC 405 Ians Way Chesapeake VA 23320 1/14/2019 $ Rendered Service: Subcontractor Payment (20,700.80)

3.41 IGES, LLC 405 Ians Way Chesapeake VA 23320 2/27/2019 $ Rendered Services: Subcontractor (18,630.72)

3.42 InQuisient 11654 Plaza America Drive, #639 Reston VA 20190 12/5/2018 $ Rendered Service: Subcontractor Payment (18,360.00)

3.43 InQuisient 11654 Plaza America Drive, #639 Reston VA 20190 1/14/2019 $ Rendered Service: Subcontractor Payment (20,790.00)

3.44 Kinetic Solutions, LLC 2013 Main Line Blvd. #102 Alexandria VA 23301 12/5/2018 $ Rendered Service: Consultant Payment (17,480.00)

3.45 Kinetic Solutions, LLC 2013 Main Line Blvd. #102 Alexandria VA 23301 1/14/2019 $ Rendered Service: Consultant Payment (15,200.00)

3.46 Leading Strategy, Inc. 1804 Anderson Road Falls Church VA 22043 12/5/2018 $ Rendered Service: Consultant Payment (17,480.00)

3.47 Leading Strategy, Inc. 1804 Anderson Road Falls Church VA 22043 1/15/2019 $ Rendered Service: Consultant Payment (15,960.00)

3.48 Metlife P.O. Box 804466 Kansas City MO 64180-4466 12/4/2018 $ Benefit: Dental Insurance (5,283.15)

3.49 Metlife P.O. Box 804466 Kansas City MO 64180-4466 1/3/2019 $ Benefit: Dental Insurance (5,517.61)

3.50 Metlife P.O. Box 804466 Kansas City MO 64180-4466 2/1/2019 $ Benefit: Dental Insurance (5,787.73)

3.51 Mutual of Omaha PO Box 2147 Omaha NE 68103-2147 12/4/2018 $ Benefit: Life Insurance (3,474.59)

3.52 Mutual of Omaha PO Box 2147 Omaha NE 68103-2147 1/3/2019 $ Benefit: Life Insurance (3,659.98)

3.53 Mutual of Omaha PO Box 2147 Omaha NE 68103-2147 2/1/2019 $ Benefit: Life Insurance (4,582.81)

3.54 National Disabled Veterans Winter Sports 3725 Alexandria Pike Cold Springs KY 41076 12/13/2018 $ Charitable Contribution (5,000.00)

3.57 Optum Bank P.O. Box 271629 Salt Lake UT 84127 2/27/2019 $ Benefits: Health Savings Account (24,000.00)

3.58 Optum Bank P.O. Box 271629 Salt Lake UT 84127 2/27/2019 $ (6,437.09) Benefits: Health Savings Account

3.59 PCT LLC 1115 Independence Blvd Suite 208 Virginia Beach VA 23455 12/4/2018 $ Rental Payment- Newport News, VA (10,159.26)

3.60 PCT LLC 1115 Independence Blvd Suite 208 Virginia Beach VA 23455 1/3/2019 $ Rental Payment- Newport News, VA (10,159.26)

3.61 PCT LLC 1115 Independence Blvd Suite 208 Virginia Beach VA 23455 2/1/2019 $ Rental Payment- Newport News, VA & Utilities (11,552.19)

3.62 Pillsbury Winthrop Shaw Pittman LLP P.O. Box 601240 Charlotte NC 28260-1240 3/1/2019 $ (225,000.00) Professional Services Fee: Legal - Retainer 2

3.63 Pillsbury Winthrop Shaw Pittman LLP P.O. Box 601240 Charlotte NC 28260-1240 1/25/2019 $ (350,000.00) Professional Services Fee: Legal - Retainer 1

3.64 PKS, LLC 1282 Smallwood Drive, Suite 334 Waldorf MD 20603 2/4/2019 $ Rendered Service: Subcontractor (9,067.50)

3.65 PKS, LLC 1282 Smallwood Drive, Suite 334 Waldorf MD 20603 2/27/2019 $ Rendered Service: Subcontractor (5,022.00)

3.66 Robert Half Finance & Accounting P.O. Box 743295 Los Angeles CA 90074-3295 12/19/2018 $ (19,000.00) Direct hire replacement fee 

3.67 Russo Group 17 Amalfi Ct. Robbinsville NJ 8691 2/27/2019 $ Rendered Services: Legal (7,600.00)

3.68 Sprezzatura P.O. Box 201613 Denver CO 80220 1/10/2019 $ Rendered Service: Subcontractor (40,823.20)

3.69 Sprezzatura P.O. Box 201613 Denver CO 80220 2/1/2019 $ Rendered Service: Subcontractor (14,102.56)

3.70 Take2 Consulting, LLC 1593 Spring Hill Road, Suite 100 Vienna VA 22182 2/1/2019 $ Direct hire replacement fee (16,100.00)

3.71 TapRoot Solutions, Inc. 401 Golden Bear Dr. Austin TX 78734 12/13/2018 $ Rendered Service: Subcontractor Payment (7,500.00)

3.72 TapRoot Solutions, Inc. 401 Golden Bear Dr. Austin TX 78734 1/15/2019 $ Rendered Service: Subcontractor Payment (6,600.00)

3.73 Tek Systems P.O. Box 198568 Atlanta GA 30384-8568 12/21/2018 $ (11,666.00) Direct hire replacement fee 

3.74 Tek Systems P.O. Box 198568 Atlanta GA 30384-8568 1/3/2019 $ Direct hire replacement fee (11,666.00)

3.75 Tek Systems P.O. Box 198568 Atlanta GA 30384-8568 1/10/2019 $ Direct hire replacement fee (36,520.00)

3.76 Tek Systems P.O. Box 198568 Atlanta GA 30384-8568 2/1/2019 $ Direct hire replacement fee (12,428.00)

3.77 The Hartford P.O. Box 660916 Dallas TX 75266-0916 12/13/2018 $ Company Insurance Premiums (4,613.92)

3.78 The Hartford P.O. Box 660916 Dallas TX 75266-0916 1/18/2019 $ (5,425.24) Company Insurance Premiums 

3.79 The Hartford P.O. Box 660916 Dallas TX 75266-0916 2/27/2019 $ (950.48) Company Insurance Premiums 

3.80 UHS Premium Billing P.O. Box 94017 Palatine IL 60094-4017 1/25/2019 $ (121,848.45) Benefit: Medical Insurance 

3.81 VAIL Technologies, LLC 4628 Covered Bridge Lane West Harrison IN 47060 12/4/2018 $ Rendered Services: Subcontractor (83,654.64)

3.82 VAIL Technologies, LLC 4628 Covered Bridge Lane West Harrison IN 47060 2/1/2019 $ Rendered Services: Subcontractor (20,057.60)

3.83 Verity LLC 960 Deereco Road, Suite 500 Timonium MD 21093 2/11/2019 $ Professional Services Fee: Consulting Expert (40,000.00)

3.84 Zeva Incorporated 11710 Plaza America Drive Reston VA 20190 2/27/2019 $ Rendered Services: Subcontractor (61,627.25)

3.85 Zeva Incorporated 11710 Plaza America Drive Reston VA 20190 2/27/2019 $ Rendered Services: Subcontractor (26,696.00)

3.86 Zeva Incorporated 11710 Plaza America Drive Reston VA 20190 2/27/2019 $ Rendered Services: Subcontractor (26,696.00)

Part 2, Question 3 - List payments or transfers including expense reimbursements to any creditor, other than regular employee compensation, within 90 days before filing this case unless the aggregate value of all property transferred to that creditor is less 

than $6,425.

page 3

Case No. 19-50277

Case 19-50277-SCS Doc 6 Filed 03/02/19 Entered 03/02/19 22:43:24 Desc Main

 Document Page 6 of 26
Number Name Address 1 City State Zip Relationship to Debtor Total Amount or Value Date of Payments Reason for Providing Value 

4.1 Melissa Mailley 1214 Franklin St Alexandria VA 22314 Daughter In Law $1,000.00 02/16/2018 Rent 2/2018

4.2 Melissa Mailley 1214 Franklin St Alexandria VA 22314 Daughter In Law $1,000.00 03/16/2018 Rent 3/2018

4.3 Melissa Mailley 1214 Franklin St Alexandria VA 22314 Daughter In Law $1,000.00 04/16/2018 Rent 4/2018

4.4 Melissa Mailley 1214 Franklin St Alexandria VA 22314 Daughter In Law $1,000.00 05/16/2018 Rent 5/2018

4.5 Melissa Mailley 1214 Franklin St Alexandria VA 22314 Daughter In Law $1,000.00 06/15/2018 Rent 6/2018

4.6 Melissa Mailley 1214 Franklin St Alexandria VA 22314 Daughter In Law $1,000.00 07/16/2018 Rent 7/2018

4.7 Melissa Mailley 1214 Franklin St Alexandria VA 22314 Daughter In Law $1,000.00 08/17/2018 Rent 8/2018

4.8 Melissa Mailley 1214 Franklin St Alexandria VA 22314 Daughter In Law $1,000.00 09/14/2018 Rent 9/2018

4.9 Melissa Mailley 1214 Franklin St Alexandria VA 22314 Daughter In Law $1,000.00 10/16/2018 Rent 10/2018

4.10 Melissa Mailley 1214 Franklin St Alexandria VA 22314 Daughter In Law $1,000.00 11/16/2018 Rent 11/2018

4.11 Melissa Mailley 1214 Franklin St Alexandria VA 22314 Daughter In Law $1,000.00 12/14/2018 Rent 12/2018

4.12 Melissa Mailley 1214 Franklin St Alexandria VA 22314 Daughter In Law $1,000.00 01/14/2019 Rent 1/2019

4.13 Melissa Mailley 1214 Franklin St Alexandria VA 22314 Daughter In Law $1,000.00 02/14/2019 Rent 2/2019

Part 2, Question 4 - List payments or transfers, including expense reimbursements, made within 1 year before filing this case on debts owed to an insider or guaranteed or cosigned by an insider unless the aggregate 

value of all property transferred to or for the benefit of the insider is less than $6,425.

page 4

Case No. 19-50277

Case 19-50277-SCS Doc 6 Filed 03/02/19 Entered 03/02/19 22:43:24 Desc Main

 Document Page 7 of 26
Debtor _______________________________________________________ Case number (if known)_____________________________________ 

Name

Official Form 207 Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy page 5

5. Repossessions, foreclosures, and returns

List all property of the debtor that was obtained by a creditor within 1 year before filing this case, including property repossessed by a creditor,

sold at a foreclosure sale, transferred by a deed in lieu of foreclosure, or returned to the seller. Do not include property listed in line 6.

None

Creditor’s name and address Description of the property Date Value of property

5.1.

__________________________________________

Creditor’s name

__________________________________________

Street

__________________________________________

__________________________________________

City State ZIP Code

___________________________________________

___________________________________________

___________________________________________

______________ $___________

5.2.

__________________________________________

Creditor’s name

__________________________________________

Street

__________________________________________

__________________________________________

City State ZIP Code

___________________________________________

___________________________________________

___________________________________________

_______________ $___________

6. Setoffs

List any creditor, including a bank or financial institution, that within 90 days before filing this case set off or otherwise took anything from an account of

the debtor without permission or refused to make a payment at the debtor’s direction from an account of the debtor because the debtor owed a debt.

None

Creditor’s name and address Description of the action creditor took Date action was 

taken

Amount

__________________________________________

Creditor’s name

__________________________________________

Street

__________________________________________

__________________________________________

City State ZIP Code

___________________________________________

___________________________________________

_______________ $___________

Last 4 digits of account number: XXXX– __ __ __ __

Part 3: Legal Actions or Assignments

7. Legal actions, administrative proceedings, court actions, executions, attachments, or governmental audits

List the legal actions, proceedings, investigations, arbitrations, mediations, and audits by federal or state agencies in which the debtor

was involved in any capacity—within 1 year before filing this case.

 None

7.1.

Case title Nature of case Court or agency’s name and address Status of case

_________________________________ ______________________________ __________________________________________

Name

__________________________________________

Street

__________________________________________

__________________________________________

City State ZIP Code

 Pending 

 On appeal 

Case number  Concluded

_________________________________

7.2.

Case title

______________________________

Court or agency’s name and address  Pending 

 On appeal 

 Concluded

_________________________________ __________________________________________

Name

__________________________________________

Street

__________________________________________

__________________________________________

City State ZIP Code

Case number

_________________________________

Insignia Technology Services, LLC





See Exhibit

X

X

19-50277

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Number Case Title and Case Number Nature of Case Court or Agency and Location Status of Case

7.1 David La Clair v. Frederick P. O'Brien and Insignia Technology Services, LLC Civil Action U.S.D.C. E.D. Va - Newport News Division Pending 

7.2 Ragin v. Insignia Technology Services, LLC / 570-2018-01621 EEOC EEOC, 131 M St NE, Washington, DC 20002 Concluded

7.3 Ragin v. Insignia Technology Services, LLC/ 570-2019-00388 EEOC EEOC, 131 M St NE, Washington, DC 20002 Pending 

7.4 Pulino v. Insignia Technology Services, LLC / 1002019165 OFCCP OFCCP, 200 Constitution Ave NW, Washington, DC 20210 Pending 

Part 3, Question 7 - List the legal actions, proceedings, investigations, arbitrations, mediations, and audits by federal or state agencies in which the debtor was involved in any 

capacity—within 1 year before filing this case.

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Debtor _______________________________________________________ Case number (if known)_____________________________________ 

Name

Official Form 207 Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy page 7

8. Assignments and receivership

List any property in the hands of an assignee for the benefit of creditors during the 120 days before filing this case and any property in the

hands of a receiver, custodian, or other court-appointed officer within 1 year before filing this case.

None

Custodian’s name and address Description of the property Value 

__________________________________________

Custodian’s name

__________________________________________

Street

__________________________________________

__________________________________________

City State ZIP Code

______________________________________ $_____________

Case title Court name and address

______________________________________ __________________________________________

Name

__________________________________________

Street

__________________________________________

__________________________________________

City State ZIP Code

Case number

______________________________________

Date of order or assignment

______________________________________

Part 4: Certain Gifts and Charitable Contributions

9. List all gifts or charitable contributions the debtor gave to a recipient within 2 years before filing this case unless the aggregate value

of the gifts to that recipient is less than $1,000



9.1.

Description of the gifts or contributions Dates given Value 

___________________________________________

_________________ $__________

Recipient’s relationship to debtor

__________________________________________

9.2.

__________________________________________

Recipient’s name

__________________________________________

Street

__________________________________________

__________________________________________

City State ZIP Code

___________________________________________

___________________________________________

_________________ $__________

Recipient’s relationship to debtor

__________________________________________

Part 5: Certain Losses

10. All losses from fire, theft, or other casualty within 1 year before filing this case.

 None

Description of the property lost and how the loss

occurred

Amount of payments received for the loss

If you have received payments to cover the loss, for 

example, from insurance, government compensation, or 

tort liability, list the total received.

List unpaid claims on Official Form 106A/B (Schedule A/B: 

Assets – Real and Personal Property).

Date of loss Value of property 

lost

___________________________________________

___________________________________________

___________________________________________ _________________ $__________

Insignia Technology Services, LLC

X

None

Recipient’s name and address

__________________________________________ ___________________________________________ 

Recipient’s name 

__________________________________________ 

Street

__________________________________________ 

__________________________________________ 

City State ZIP Code

See Exhibit

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Number Recipient Name Address Description of the gift or contribution Dates Given Value 

9.1 DAV National Headquarters 3725 Alexandria Pike, Cold Spring, KY 41076 2019 National Disabled Veterans Winter Sports Clinic- Bronze Sponsor 12/13/2018 5,000.00 $ 

9.2 Paralyzed Veterans of America 13145 Applegrove Lane, Herndon, VA 20171 Mission Able Awards 2017 Patron Sponsor 8/10/2017 5,000.00 $ 

9.3 Paralyzed Veterans of America 13145 Applegrove Lane, Herndon, VA 20171 Mission Able Awards 2018 Patron Sponsor 4/30/2018 10,000.00 $ 

9.4 WPY- Team Hole in the Wall 565 Ashford Center Road, Ashford, CT 06278 Athletic Fundraising Initiative for the Seriously Ill Children & Families 4/16/2017 1,045.00 $ 

Part 4, Question 9: List all gifts or charitable contributions the debtor gave to a recipient within 2 years before filing this case unless the aggregate value of the gifts to that recipient is less than $1,000.

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Debtor _______________________________________________________ Case number (if known)_____________________________________ 

Name

Official Form 207 Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy page 9

Part 6: Certain Payments or Transfers

11. Payments related to bankruptcy

List any payments of money or other transfers of property made by the debtor or person acting on behalf of the debtor within 1 year before

the filing of this case to another person or entity, including attorneys, that the debtor consulted about debt consolidation or restructuring,

seeking bankruptcy relief, or filing a bankruptcy case.

 None

Who was paid or who received the transfer? If not money, describe any property transferred Dates Total amount or 

value

11.1. __________________________________________

___________________________________________

___________________________________________

______________ $_________

Address

__________________________________________

Street

__________________________________________

__________________________________________

City State ZIP Code

Email or website address

_________________________________

Who made the payment, if not debtor?

__________________________________________

Who was paid or who received the transfer? If not money, describe any property transferred Dates Total amount or 

value 

11.2. __________________________________________ ___________________________________________

___________________________________________

______________

Address

__________________________________________ 

Street

__________________________________________

__________________________________________

City State ZIP Code

Email or website address

__________________________________________

Who made the payment, if not debtor?

__________________________________________

12. Self-settled trusts of which the debtor is a beneficiary 

List any payments or transfers of property made by the debtor or a person acting on behalf of the debtor within 10 years before the filing of this case to

a self-settled trust or similar device.

Do not include transfers already listed on this statement.

None

Name of trust or device Describe any property transferred Dates transfers 

were made

Total amount or 

value 

__________________________________________ ___________________________________________

___________________________________________

______________ $_________

Trustee

__________________________________________

Verity LLC

1650 Tysons Blvd

McLean VA 

https://www.pillsburylaw.com/en/

$_________

Insignia Technology Services, LLC

X

575,000.00

22102

2/11/2019 40,000

Pillsbury Winthrop Shaw Pittman LLP

960 Deereco Rd

Suite 500

Timonium MD 21093

1/25/2019 3/1/2019

Pillsbury Winthrop Shaw Pittman LLP

https://www.verity-llc.com/

19-50277

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Debtor _______________________________________________________ Case number (if known)_____________________________________ 

Name

Official Form 207 Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy page 10

13. Transfers not already listed on this statement

List any transfers of money or other propertyby sale, trade, or any other meansmade by the debtor or a person acting on behalf of the debtor

within 2 years before the filing of this case to another person, other than property transferred in the ordinary course of business or financial affairs.

Include both outright transfers and transfers made as security. Do not include gifts or transfers previously listed on this statement.

None

Who received transfer? Description of property transferred or payments received 

or debts paid in exchange

Date transfer 

was made

Total amount or 

value

13.1. __________________________________________ ___________________________________________

___________________________________________

________________ $_________

Address

__________________________________________

Street

__________________________________________

__________________________________________

City State ZIP Code

Relationship to debtor

__________________________________________

Who received transfer?

___________________________________________

___________________________________________

________________ $_________

13.2.

__________________________________________

Address

__________________________________________

Street

__________________________________________

__________________________________________

City State ZIP Code

Relationship to debtor

__________________________________________

Part 7: Previous Locations

14.Previous addresses

List all previous addresses used by the debtor within 3 years before filing this case and the dates the addresses were used.

 Does not apply

Address Dates of occupancy

14.1. _______________________________________________________________________

Street

_______________________________________________________________________

_______________________________________________________________________

City State ZIP Code

From ____________ To ____________

14.2. _______________________________________________________________________

Street

_______________________________________________________________________

_______________________________________________________________________

City State ZIP Code

From ____________ To ____________

Insignia Technology Services, LLC

X

See Exhibit

19-50277

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Number Address City State Zip Dates of Occupancy

14.1 1060 East Montague Avenue, Suite 101 Charleston SC 29405 11/7/2016-11/1/2018

14.2 3300 W Montague North Charleston SC 29418 9/1/2014-8/31/2017

14.3 1401 Wilson Boulevard Arlington VA 22209 4/15/2015-5/31/2016

Part 7, Question 14: List all previous addresses used by the debtor within 3 years before filing this case and the dates the addresses were 

used.

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Debtor _______________________________________________________ Case number (if known)_____________________________________ 

Name

Official Form 207 Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy page 12

Part 8: Health Care Bankruptcies

15. Health Care bankruptcies

Is the debtor primarily engaged in offering services and facilities for:

 diagnosing or treating injury, deformity, or disease, or

 providing any surgical, psychiatric, drug treatment, or obstetric care?

 No. Go to Part 9.

 Yes. Fill in the information below.

Facility name and address Nature of the business operation, including type of services the 

debtor provides

If debtor provides meals 

and housing, number of 

patients in debtor’s care

15.1. ________________________________________

Facility name

________________________________________

Street

________________________________________

________________________________________

City State ZIP Code

___________________________________________________________

____________________________________________________________

____________________

Location where patient records are maintained (if different from facility 

address). If electronic, identify any service provider.

How are records kept?

____________________________________________________________

____________________________________________________________

Check all that apply:

 Electronically

 Paper

Facility name and address Nature of the business operation, including type of services the 

debtor provides

If debtor provides meals 

and housing, number of 

patients in debtor’s care

15.2. ________________________________________

Facility name

________________________________________

Street

________________________________________

________________________________________

City State ZIP Code

___________________________________________________________

___________________________________________________________

____________________

Location where patient records are maintained (if different from facility 

address). If electronic, identify any service provider.

How are records kept?

____________________________________________________________

____________________________________________________________

Check all that apply:

 Electronically

 Paper

Part 9: Personally Identifiable Information

16. Does the debtor collect and retain personally identifiable information of customers?

No.

 Yes. State the nature of the information collected and retained. ___________________________________________________________________ 

Does the debtor have a privacy policy about that information? 

 No

 Yes

17.Within 6 years before filing this case, have any employees of the debtor been participants in any ERISA, 401(k), 403(b), or other

pension or profit-sharing plan made available by the debtor as an employee benefit?

 No. Go to Part 10.

Yes. Does the debtor serve as plan administrator?

 No. Go to Part 10.

 Yes. Fill in below:

Name of plan Employer identification number of the plan 

_______________________________________________________________________ EIN: ___ ___ – ___ ___ ___ ___ ___ ___ ___

Has the plan been terminated? 

 No

 Yes

Insignia Technology Services, LLC

X

X

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Debtor _______________________________________________________ Case number (if known)_____________________________________ 

Name

Official Form 207 Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy page 13

Part 10: Certain Financial Accounts, Safe Deposit Boxes, and Storage Units

18. Closed financial accounts

Within 1 year before filing this case, were any financial accounts or instruments held in the debtor’s name, or for the debtor’s benefit, closed, sold,

moved, or transferred?

Include checking, savings, money market, or other financial accounts; certificates of deposit; and shares in banks, credit unions,

brokerage houses, cooperatives, associations, and other financial institutions.

 None

Financial institution name and address Last 4 digits of account 

number

Type of account Date account was 

closed, sold, moved, 

or transferred

Last balance 

before closing or 

transfer

18.1. ______________________________________

Name

______________________________________

Street

______________________________________

______________________________________

City State ZIP Code

XXXX–___ ___ ___ ___  Checking

 Savings

 Money market

 Brokerage 

 Other______________

___________________ $__________

18.2. ______________________________________

Name

______________________________________

Street

______________________________________

______________________________________

City State ZIP Code

XXXX–___ ___ ___ ___  Checking

 Savings

 Money market

 Brokerage 

 Other______________

___________________ $__________

19. Safe deposit boxes

List any safe deposit box or other depository for securities, cash, or other valuables the debtor now has or did have within 1 year before filing this case.

 None

Depository institution name and address Names of anyone with access to it Description of the contents Does debtor 

still have it?

______________________________________

Name

______________________________________

Street

______________________________________

______________________________________

City State ZIP Code

__________________________________

__________________________________

__________________________________

__________________________________

__________________________________

__________________________________

 No

 Yes

Address

____________________________________

____________________________________

20.Off-premises storage

List any property kept in storage units or warehouses within 1 year before filing this case. Do not include facilities that are in a part of a building in

which the debtor does business.

None

Facility name and address Names of anyone with access to it Description of the contents Does debtor 

still have it?

______________________________________

Name

______________________________________

Street

______________________________________

______________________________________

City State ZIP Code

__________________________________

__________________________________

__________________________________

__________________________________

__________________________________

__________________________________

 No

 Yes

Address

________________________________

_________________________________

Insignia Technology Services, LLC

X

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 No

List any property that the debtor holds or controls that another entity owns. Include any property borrowed from, being stored for, or held in

trust. Do not list leased or rented property.

 None

Debtor _______________________________________________________ Case number (if known)_____________________________________ 

Name

Official Form 207 Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy page 14

Part 11: Property the Debtor Holds or Controls That the Debtor Does Not Own

21. Property held for another

Owner’s name and address Location of the property Description of the property Value

______________________________________

Name

______________________________________

Street

______________________________________

______________________________________

City State ZIP Code

__________________________________

__________________________________

__________________________________

__________________________________

__________________________________

__________________________________

$_______

Part 12: Details About Environmental Information

For the purpose of Part 12, the following definitions apply:

 Environmental law means any statute or governmental regulation that concerns pollution, contamination, or hazardous material,

regardless of the medium affected (air, land, water, or any other medium).

 Site means any location, facility, or property, including disposal sites, that the debtor now owns, operates, or utilizes or that the debtor

formerly owned, operated, or utilized.

 Hazardous material means anything that an environmental law defines as hazardous or toxic, or describes as a pollutant, contaminant,

or a similarly harmful substance.

Report all notices, releases, and proceedings known, regardless of when they occurred.

22.

Court or agency name and address Nature of the case Status of case

_________________________________

_____________________________________

Name

_____________________________________

Street

_____________________________________

_____________________________________

City State ZIP Code

__________________________________

__________________________________

__________________________________

 Pending 

 On appeal 

 Concluded

Case number

_________________________________

23. Has any governmental unit otherwise notified the debtor that the debtor may be liable or potentially liable under or in violation of an

environmental law?

 Yes. Provide details below.

Site name and address Governmental unit name and address Environmental law, if known Date of notice

__________________________________

Name

__________________________________

Street

__________________________________

__________________________________

City State ZIP Code

_____________________________________

Name

_____________________________________

Street

_____________________________________

_____________________________________

City State ZIP Code

__________________________________

__________________________________

__________________________________

__________

Insignia Technology Services, LLC

Has the debtor been a party in any judicial or administrative proceeding under any environmental law? Include settlements and orders.

X





No

Yes. Provide details below.

Case title

X

X

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Debtor _______________________________________________________ Case number (if known)_____________________________________ 

Name

Official Form 207 Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy page 15

24. Has the debtor notified any governmental unit of any release of hazardous material?

 No

 Yes. Provide details below.

Site name and address Governmental unit name and address Environmental law, if known Date of notice

__________________________________

Name

__________________________________

Street

__________________________________

__________________________________

City State ZIP Code

______________________________________

Name

______________________________________

Street

______________________________________

______________________________________

City State ZIP Code

__________________________________

__________________________________

__________________________________

__________

Part 13: Details About the Debtor’s Business or Connections to Any Business

25.Other businesses in which the debtor has or has had an interest

List any business for which the debtor was an owner, partner, member, or otherwise a person in control within 6 years before filing this case.

Include this information even if already listed in the Schedules.

 None

Business name and address Describe the nature of the business Employer Identification number 

Do not include Social Security number or ITIN.

25.1. __________________________________

Name

__________________________________

Street

__________________________________

__________________________________

City State ZIP Code

_____________________________________________

_____________________________________________

_____________________________________________

EIN: ___ ___ – ___ ___ ___ ___ ___ ___ ___

Dates business existed

From _______ To _______

25.2.

Business name and address Describe the nature of the business Employer Identification number 

Do not include Social Security number or ITIN.

__________________________________

Name

__________________________________

Street

__________________________________

__________________________________

City State ZIP Code

_____________________________________________

_____________________________________________

_____________________________________________

EIN: ___ ___ – ___ ___ ___ ___ ___ ___ ___

Dates business existed

From _______ To _______

Business name and address Describe the nature of the business Employer Identification number 

Do not include Social Security number or ITIN.

25.3. __________________________________

Name

__________________________________

Street

__________________________________

__________________________________

City State ZIP Code

_____________________________________________

_____________________________________________

_____________________________________________

EIN: ___ ___ – ___ ___ ___ ___ ___ ___ ___

Dates business existed

From _______ To _______

Insignia Technology Services, LLC

X

X

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____________________________

Insignia Technology Services, LLC Debtor ___ ________________________ Case number (if known)_____________________________________ 

Name

Official Form 207 Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy page 16

26. Books, records, and financial statements

26a. List all accountants and bookkeepers who maintained the debtor’s books and records within 2 years before filing this case.

 None

Name and address Dates of service

26a.1. __________________________________________________________________________________

Name

__________________________________________________________________________________

Street

__________________________________________________________________________________

__________________________________________________________________________________

City State ZIP Code

From _______ To _______

Name and address Dates of service

26a.2. __________________________________________________________________________________

Name

__________________________________________________________________________________

Street

__________________________________________________________________________________

__________________________________________________________________________________

City State ZIP Code

From _______ To _______

26b. List all firms or individuals who have audited, compiled, or reviewed debtor’s books of account and records or prepared a financial 

statement within 2 years before filing this case. 

 None

Name and address Dates of service

26b.1. ______________________________________________________________________________

Name

______________________________________________________________________________

Street

______________________________________________________________________________

______________________________________________________________________________

City State ZIP Code

From _______ To _______

Name and address Dates of service

26b.2. ______________________________________________________________________________

Name

______________________________________________________________________________

Street

______________________________________________________________________________

______________________________________________________________________________

City State ZIP Code

From _______ To _______

26c. List all firms or individuals who were in possession of the debtor’s books of account and records when this case is filed. 

 None

Name and address If any books of account and records are 

unavailable, explain why

26c.1. ______________________________________________________________________________

Name

______________________________________________________________________________

Street

______________________________________________________________________________

______________________________________________________________________________

City State ZIP Code

_________________________________________

_________________________________________

_________________________________________

See Exhibit

See Exhibit

See Exhibit

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Number Name Address 1 City State Zip Dates of Service

26a.1 Hugh Barlow, Dixon Hughes Goodman, LLC 701 Town Center Drive, Suite 700 Newport News VA 23606 03/27/14-10/24/18

26a.2 Hugh Barlow, Brown Edwards & Company, LLP 701 Town Center Drive, Suite 700 Newport News VA 23606 10/25/18-Present

26a.3 Heather Grochowski 8922 Granby Street Norfolk VA 23503 6/1/2010-11/7/2017

26a.4 Kelly Martin 610 Thimble Shoals Blvd, Bldg 6 Newport News VA 23606 12/4/2017-Present

Number Name Address 1 City State Zip Dates of Service

26b.1 Hugh Barlow, Dixon Hughes Goodman, LLC 701 Town Center Drive, Suite 700 Newport News VA 23606 03/27/14-10/24/18

26b.2 Hugh Barlow, Brown Edwards & Company, LLP 701 Town Center Drive, Suite 700 Newport News VA 23606 10/25/18-Present

Number Name Address 1 City State Zip Unavailable Books and Records?

26c.1 Hugh Barlow, Brown Edwards & Company, LLP 701 Town Center Drive, Suite 700 Newport News VA 23606 No

26c.2 Kelly Martin 610 Thimble Shoals Blvd, Bldg 6 Newport News VA 23606 No

Part 13, Question 26a - List all accountants and bookkeepers who maintained the debtor’s books and records within 2 years before filing this case.

Part 13, Question 26b - List all firms or individuals who have audited, compiled, or reviewed debtor’s books of account and records or prepared a financial

statement within 2 years before filing this case.

Part 13, Question 26c - List all firms or individuals who were in possession of the debtor’s books of account and records when this case is filed.

page 17

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Debtor _______________________________________________________ Case number (if known)_____________________________________ 

Name

Official Form 207 Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy page 18

Name and address If any books of account and records are 

unavailable, explain why

26c.2. ______________________________________________________________________________

Name

______________________________________________________________________________

Street

______________________________________________________________________________

______________________________________________________________________________

City State ZIP Code

_________________________________________

_________________________________________

_________________________________________

26d. List all financial institutions, creditors, and other parties, including mercantile and trade agencies, to whom the debtor issued a financial statement 

within 2 years before filing this case. 

 None

Name and address

26d.1. ______________________________________________________________________________

Name

______________________________________________________________________________

Street

______________________________________________________________________________

______________________________________________________________________________

City State ZIP Code

Name and address

26d.2. ______________________________________________________________________________

Name

______________________________________________________________________________

Street

______________________________________________________________________________

______________________________________________________________________________

City State ZIP Code

27. Inventories

Have any inventories of the debtor’s property been taken within 2 years before filing this case?

 No

 Yes. Give the details about the two most recent inventories.

Name of the person who supervised the taking of the inventory Date of 

inventory

The dollar amount and basis (cost, market, or 

other basis) of each inventory

______________________________________________________________________ $___________________

Name and address of the person who has possession of inventory records

27.1. ______________________________________________________________________

Name

______________________________________________________________________

Street

______________________________________________________________________

______________________________________________________________________

City State ZIP Code

Insignia Technology Services, LLC

See Exhibit

Kelly Martin - Corporate Controller for Insignia Technology Services, LLC

Kelly Martin - Corporate Controller 

610 Thimble Shoals Blvd, Building 6

Newport News VA 23606

12/12/2018 ___________ 407,294.10

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Number Name Address 1 City State Zip Unavailable Books and Records?

26d.1 David La Clair 312 Chinquapin Orchard Yorktown VA 23693 No

26d.2 Capital One Bank 1750 Tysons Blvd, 12th Floor McLean VA 22102 No

Part 13, Question 26d - List all financial institutions, creditors, and other parties, including mercantile and trade agencies, to whom the debtor issued a financial statement within 2 

years before filing this case.

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Debtor _______________________________________________________ Case number (if known)_____________________________________ 

Name

Official Form 207 Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy page 20

Name of the person who supervised the taking of the inventory Date of 

inventory

The dollar amount and basis (cost, market, or 

other basis) of each inventory

______________________________________________________________________ _______ $___________________

Name and address of the person who has possession of inventory records

27.2. ______________________________________________________________________

Name

______________________________________________________________________

Street

______________________________________________________________________

______________________________________________________________________

City State ZIP Code

28.List the debtor’s officers, directors, managing members, general partners, members in control, controlling shareholders, or other

people in control of the debtor at the time of the filing of this case.

Name Address Position and nature of any 

interest 

% of interest, if any

____________________________ _____________________________________________ ____________________________ _______________

____________________________ _____________________________________________ ____________________________ _______________

____________________________ _____________________________________________ ____________________________ _______________

____________________________ _____________________________________________ ____________________________ _______________

____________________________ _____________________________________________ ____________________________ _______________

29.Within 1 year before the filing of this case, did the debtor have officers, directors, managing members, general partners, members in control

of the debtor, or shareholders in control of the debtor who no longer hold these positions?

 No

 Yes. Identify below.

Name Address Position and nature of 

any interest

Period during which 

position or interest was 

held

____________________________ _____________________________________________ ______________________ From _____ To _____

____________________________ _____________________________________________ ______________________ From _____ To _____

____________________________ _____________________________________________ ______________________ From _____ To _____

____________________________ _____________________________________________ ______________________ From _____ To _____

30. Payments, distributions, or withdrawals credited or given to insiders

Within 1 year before filing this case, did the debtor provide an insider with value in any form, including salary, other compensation, draws,

bonuses, loans, credits on loans, stock redemptions, and options exercised?

 No

 Yes. Identify below.

Name and address of recipient Amount of money or 

description and value of 

property

Dates Reason for 

providing the value

30.1. ______________________________________________________________

Name

______________________________________________________________

Street

______________________________________________________________

______________________________________________________________

City State ZIP Code

_________________________ _____________ ____________

_____________

_____________

Relationship to debtor _____________

______________________________________________________________ _____________

Insignia Technology Services, LLC

See Exhibit

X

Frederick P. O'Brien 220 Olde Pond Ln Yorktown, VA 23693 Member/CEO 100%

19-50277

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220 Olde Pond Lane

220 Olde Pond Lane

220 Olde Pond Lane

220 Olde Pond Lane

220 Olde Pond Lane

220 Olde Pond Lane

220 Olde Pond Lane

220 Olde Pond Lane

220 Olde Pond Lane

Yorktown

Yorktown

Yorktown

Yorktown

Yorktown

Yorktown

Yorktown

Yorktown

Yorktown

VA

VA

VA

VA

VA

VA

VA

VA

VA

23693

23693

23693

23693

23693

23693

23693

23693

23693

Manager/Member

Manager/Member

Manager/Member

Manager/Member

Manager/Member

Manager/Member

Manager/Member

Manager/Member

Manager/Member

Number Name Address 1 City State Zip Relationship to Debtor Description of and Value of Property Date of PaymentsReason for Providing Value 

30.1 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 02/28/2018 Guaranteed Payment (Reasonable Compensation)

30.2 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 02/28/2018 Guaranteed Payment (Reasonable Compensation)

30.3 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 03/06/2018 Guaranteed Payment (Reasonable Compensation)

30.4 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 03/06/2018 Guaranteed Payment (Reasonable Compensation)

30.5 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 03/13/2018 Guaranteed Payment (Reasonable Compensation)

30.6 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 03/13/2018 Guaranteed Payment (Reasonable Compensation)

30.7 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 03/20/2018 Guaranteed Payment (Reasonable Compensation)

30.8 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 03/20/2018 Guaranteed Payment (Reasonable Compensation)

30.9 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 03/29/2018 Guaranteed Payment (Reasonable Compensation)

30.10 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 03/29/2018 Guaranteed Payment (Reasonable Compensation)

30.11 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 04/03/2018 Guaranteed Payment (Reasonable Compensation)

30.12 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 04/03/2018 Guaranteed Payment (Reasonable Compensation)

30.13 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 04/10/2018 Guaranteed Payment (Reasonable Compensation)

30.14 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 04/10/2018 Guaranteed Payment (Reasonable Compensation)

30.15 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 04/17/2018 Guaranteed Payment (Reasonable Compensation)

30.16 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 04/17/2018 Guaranteed Payment (Reasonable Compensation)

30.17 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 04/26/2018 Guaranteed Payment (Reasonable Compensation)

30.18 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 04/26/2018 Guaranteed Payment (Reasonable Compensation)

30.19 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 05/01/2018 Guaranteed Payment (Reasonable Compensation)

30.20 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 05/01/2018 Guaranteed Payment (Reasonable Compensation)

30.21 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 05/07/2018 Guaranteed Payment (Reasonable Compensation)

30.22 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 05/07/2018 Guaranteed Payment (Reasonable Compensation)

30.23 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 05/14/2018 Guaranteed Payment (Reasonable Compensation)

30.24 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 05/14/2018 Guaranteed Payment (Reasonable Compensation)

30.25 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 05/29/2018 Guaranteed Payment (Reasonable Compensation)

30.26 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 05/29/2018 Guaranteed Payment (Reasonable Compensation)

30.27 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 06/05/2018 Guaranteed Payment (Reasonable Compensation)

30.28 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 06/05/2018 Guaranteed Payment (Reasonable Compensation)

30.29 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 06/12/2018 Guaranteed Payment (Reasonable Compensation)

30.30 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 06/12/2018 Guaranteed Payment (Reasonable Compensation)

30.31 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 06/19/2018 Guaranteed Payment (Reasonable Compensation)

30.32 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 06/19/2018 Guaranteed Payment (Reasonable Compensation)

30.33 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 06/26/2018 Guaranteed Payment (Reasonable Compensation)

30.34 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 06/26/2018 Guaranteed Payment (Reasonable Compensation)

30.35 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 07/05/2018 Guaranteed Payment (Reasonable Compensation)

30.36 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 07/05/2018 Guaranteed Payment (Reasonable Compensation)

30.37 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 07/10/2018 Guaranteed Payment (Reasonable Compensation)

30.38 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 07/10/2018 Guaranteed Payment (Reasonable Compensation)

30.39 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 07/19/2018 Guaranteed Payment (Reasonable Compensation)

30.40 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 07/19/2018 Guaranteed Payment (Reasonable Compensation)

30.41 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 07/24/2018 Guaranteed Payment (Reasonable Compensation)

30.42 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 07/24/2018 Guaranteed Payment (Reasonable Compensation)

30.43 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 08/02/2018 Guaranteed Payment (Reasonable Compensation)

30.44 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 08/02/2018 Guaranteed Payment (Reasonable Compensation)

30.45 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 08/07/2018 Guaranteed Payment (Reasonable Compensation)

30.46 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 08/07/2018 Guaranteed Payment (Reasonable Compensation)

30.47 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 08/16/2018 Guaranteed Payment (Reasonable Compensation)

30.48 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 08/16/2018 Guaranteed Payment (Reasonable Compensation)

30.49 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 08/30/2018 Guaranteed Payment (Reasonable Compensation)

30.50 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 08/30/2018 Guaranteed Payment (Reasonable Compensation)

30.51 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 08/30/2018 Guaranteed Payment (Reasonable Compensation)

30.52 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 08/30/2018 Guaranteed Payment (Reasonable Compensation)

30.53 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 09/14/2018 Guaranteed Payment (Reasonable Compensation)

30.54 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 09/14/2018 Guaranteed Payment (Reasonable Compensation)

30.55 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $479,992.00 09/14/2018 Guaranteed Payment (Reasonable Compensation)

30.56 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 09/17/2018 Guaranteed Payment (Reasonable Compensation)

30.57 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 09/17/2018 Guaranteed Payment (Reasonable Compensation)

30.58 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,077.00 09/18/2018 Guaranteed Payment (Reasonable Compensation)

30.59 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,077.00 09/18/2018 Guaranteed Payment (Reasonable Compensation)

30.60 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,077.00 09/18/2018 Guaranteed Payment (Reasonable Compensation)

30.61 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,077.00 09/18/2018 Guaranteed Payment (Reasonable Compensation)

30.62 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 09/26/2018 Guaranteed Payment (Reasonable Compensation)

30.63 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 09/26/2018 Guaranteed Payment (Reasonable Compensation)

30.64 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 10/01/2018 Guaranteed Payment (Reasonable Compensation)

30.65 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 10/01/2018 Guaranteed Payment (Reasonable Compensation)

30.66 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 10/11/2018 Guaranteed Payment (Reasonable Compensation)

30.67 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 10/11/2018 Guaranteed Payment (Reasonable Compensation)

30.68 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 10/15/2018 Guaranteed Payment (Reasonable Compensation)

30.69 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 10/15/2018 Guaranteed Payment (Reasonable Compensation)

30.70 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 10/26/2018 Guaranteed Payment (Reasonable Compensation)

30.71 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 10/26/2018 Guaranteed Payment (Reasonable Compensation)

30.72 Fred O'Brien $3,173.00 11/09/2018 Guaranteed Payment (Reasonable Compensation)

30.73 Fred O'Brien $3,173.00 11/09/2018 Guaranteed Payment (Reasonable Compensation)

30.74 Fred O'Brien $3,173.00 11/13/2018 Guaranteed Payment (Reasonable Compensation)

30.75 Fred O'Brien $3,173.00 11/13/2018 Guaranteed Payment (Reasonable Compensation)

30.76 Fred O'Brien $3,173.00 11/23/2018 Guaranteed Payment (Reasonable Compensation)

30.77 Fred O'Brien $3,173.00 11/23/2018 Guaranteed Payment (Reasonable Compensation)

30.78 Fred O'Brien $3,173.00 11/23/2018 Guaranteed Payment (Reasonable Compensation)

30.79 Fred O'Brien $3,173.00 11/23/2018 Guaranteed Payment (Reasonable Compensation)

30.80 Fred O'Brien $3,173.00 12/04/2018 Guaranteed Payment (Reasonable Compensation)

Part 13, Question 30 - Within 1 year before filing this case, did the debtor provide an insider with value in any form, including salary, other compensation, draws, bonuses, loans, credits on loans, stock 

redemptions, and options exercised?

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30.81 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 12/04/2018 Guaranteed Payment (Reasonable Compensation)

30.82 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 12/11/2018 Guaranteed Payment (Reasonable Compensation)

30.83 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 12/24/2018 Guaranteed Payment (Reasonable Compensation)

30.84 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 12/31/2018 Guaranteed Payment (Reasonable Compensation)

30.85 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 1/8/2019 Guaranteed Payment (Reasonable Compensation)

30.86 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 1/17/2019 Guaranteed Payment (Reasonable Compensation)

30.87 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $3,173.00 1/22/2019 Guaranteed Payment (Reasonable Compensation)

30.88 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $5,972.50 2/14/2019 Guaranteed Payment (Reasonable Compensation)

30.89 Fred O'Brien 220 Olde Pond Lane Yorktown VA 23693 Manager/Member $5,972.50 2/28/2019 Guaranteed Payment (Reasonable Compensation)

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Debtor _______________________________________________________ Case number (if known)_____________________________________ 

Name

Official Form 207 Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy page 23

Name and address of recipient

__________________________ _____________ ______________

30.2 ______________________________________________________________

Name

______________________________________________________________

Street

______________________________________________________________

______________________________________________________________

City State ZIP Code

_____________

_____________

_____________

Relationship to debtor _____________

______________________________________________________________

31.Within 6 years before filing this case, has the debtor been a member of any consolidated group for tax purposes?

 No

 Yes. Identify below.

Name of the parent corporation Employer Identification number of the parent 

corporation

______________________________________________________________ EIN: ___ ___ – ___ ___ ___ ___ ___ ___ ___

32.Within 6 years before filing this case, has the debtor as an employer been responsible for contributing to a pension fund?

 No

 Yes. Identify below.

Name of the pension fund Employer Identification number of the pension fund 

______________________________________________________________ EIN: ___ ___ – ___ ___ ___ ___ ___ ___ ___

Part 14: Signature and Declaration

WARNING -- Bankruptcy fraud is a serious crime. Making a false statement, concealing property, or obtaining money or property by fraud in 

connection with a bankruptcy case can result in fines up to $500,000 or imprisonment for up to 20 years, or both.

18 U.S.C. §§ 152, 1341, 1519, and 3571.

I have examined the information in this Statement of Financial Affairs and any attachments and have a reasonable belief that the information 

is true and correct.

I declare under penalty of perjury that the foregoing is true and correct.

Executed on _________________

MM / DD / YYYY

___________________________________________________________ Printed name _________________________________________________

Signature of individual signing on behalf of the debtor

Position or relationship to debtor ____________________________________

Are additional pages to Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy (Official Form 207) attached?

 No

 Yes

Insignia Technology Services, LLC

President & CEO

Frederick P. O'Brien

X

 03 / 02 / 2019

/s/ Frederick P. O'Brien

19-50277

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