Fill in this information to identify your case:

United States Bankruptcy Court for the:

EASTERN DISTRICT OF VIRGINIA

Case number (if known) Chapter 11

 Check if this an

amended filing

Official Form 201

Voluntary Petition for Non-Individuals Filing for Bankruptcy 4/19

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).

For more information, a separate document, Instructions for Bankruptcy Forms for Non-Individuals, is available.

1. Debtor's name Civitas Health Care Services, Inc.

2. All other names debtor

used in the last 8 years

Include any assumed

names, trade names and

doing business as names

3. Debtor's federal

Employer Identification

Number (EIN)

26-2277735

4. Debtor's address Principal place of business Mailing address, if different from principal place of

business

5663 South Laburnam Avenue

Henrico, VA 23231

Number, Street, City, State & ZIP Code P.O. Box, Number, Street, City, State & ZIP Code

Henrico Location of principal assets, if different from principal

County place of business

Number, Street, City, State & ZIP Code

5. Debtor's website (URL) www.civitashealth.com

6. Type of debtor  Corporation (including Limited Liability Company (LLC) and Limited Liability Partnership (LLP))

 Partnership (excluding LLP)

 Other. Specify:

Official Form 201 Voluntary Petition for Non-Individuals Filing for Bankruptcy page 1

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Debtor Civitas Health Care Services, Inc. Case number (if known)

Name

7. Describe debtor's business A. Check one:

 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. § 781(3))

 None of the above

B. Check all that apply

 Tax-exempt entity (as described in 26 U.S.C. §501)

 Investment company, including hedge fund or pooled investment vehicle (as defined in 15 U.S.C. §80a-3)

 Investment advisor (as defined in 15 U.S.C. §80b-2(a)(11))

C. NAICS (North American Industry Classification System) 4-digit code that best describes debtor.

 See http://www.uscourts.gov/four-digit-national-association-naics-codes.

 8093 

8. Under which chapter of the

Bankruptcy Code is the

debtor filing?

Check one:

 Chapter 7

 Chapter 9

 Chapter 11. Check all that apply:

 Debtor's aggregate noncontingent liquidated debts (excluding debts owed to insiders or affiliates)

are less than $2,725,625 (amount subject to adjustment on 4/01/22 and every 3 years after that).

 The debtor is a small business debtor as defined in 11 U.S.C. § 101(51D). If the debtor is a small

business debtor, attach the most recent balance sheet, statement of operations, cash-flow

statement, and federal income tax return or if all of these documents do not exist, follow the

procedure in 11 U.S.C. § 1116(1)(B).

 A plan is being filed with this petition.

 Acceptances of the plan were solicited prepetition from one or more classes of creditors, in

accordance with 11 U.S.C. § 1126(b).

 The debtor is required to file periodic reports (for 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 for Bankruptcy under Chapter 11

(Official Form 201A) with this form.

 The debtor is a shell company as defined in the Securities Exchange Act of 1934 Rule 12b-2.

 Chapter 12

9. Were prior bankruptcy

cases filed by or against

the debtor within the last 8

years?

 No.

 Yes.

If more than 2 cases, attach a

separate list. District When Case number

District When Case number

10. Are any bankruptcy cases

pending or being filed by a

business partner or an

affiliate of the debtor?

 No

 Yes.

List all cases. If more than 1,

attach a separate list Debtor Relationship

District When Case number, if known

Official Form 201 Voluntary Petition for Non-Individuals Filing for Bankruptcy page 2

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Debtor Civitas Health Care Services, Inc. Case number (if known)

Name

11. Why is the case filed in

this district?

Check all that apply:

 Debtor has had its domicile, principal place of business, or principal assets in this district for 180 days immediately

preceding the date of this petition or for a longer part of such 180 days than in any other district.

 A bankruptcy case concerning debtor's affiliate, general partner, or partnership is pending in this district.

12. Does the debtor own or

have possession of any

real property or personal

property that needs

immediate attention?

 No

 Yes. Answer below for each property that needs immediate attention. Attach additional sheets if needed.

Why does the property need immediate attention? (Check all that apply.)

 It poses or is alleged to pose a threat of imminent and identifiable hazard to public health or safety.

What is the hazard?

 It needs to be physically secured or protected from the weather.

 It includes perishable goods or assets that could quickly deteriorate or lose value without attention (for example,

livestock, seasonal goods, meat, dairy, produce, or securities-related assets or other options).

 Other

Where is the property?

Number, Street, City, State & ZIP Code

Is the property insured?

 No

 Yes. Insurance agency

Contact name

Phone

Statistical and administrative information

13. Debtor's estimation of

available funds

. Check one:

 Funds will be available for distribution to unsecured creditors.

 After any administrative expenses are paid, no funds will be available to unsecured creditors.

14. Estimated number of

creditors

 1-49

 50-99

 100-199

 200-999

 1,000-5,000

 5001-10,000

 10,001-25,000

 25,001-50,000

 50,001-100,000

 More than100,000

15. Estimated Assets  $0 - $50,000

 $50,001 - $100,000

 $100,001 - $500,000

 $500,001 - $1 million

 $1,000,001 - $10 million

 $10,000,001 - $50 million

 $50,000,001 - $100 million

 $100,000,001 - $500 million

 $500,000,001 - $1 billion

 $1,000,000,001 - $10 billion

 $10,000,000,001 - $50 billion

 More than $50 billion

16. Estimated liabilities  $0 - $50,000

 $50,001 - $100,000

 $100,001 - $500,000

 $500,001 - $1 million

 $1,000,001 - $10 million

 $10,000,001 - $50 million

 $50,000,001 - $100 million

 $100,000,001 - $500 million

 $500,000,001 - $1 billion

 $1,000,000,001 - $10 billion

 $10,000,000,001 - $50 billion

 More than $50 billion

Official Form 201 Voluntary Petition for Non-Individuals Filing for Bankruptcy page 3

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Debtor Civitas Health Care Services, Inc. Case number (if known)

Name

Request for Relief, Declaration, and Signatures

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

17. Declaration and signature

of authorized

representative of debtor

The debtor requests relief in accordance with the chapter of title 11, United States Code, specified in this petition.

I have been authorized to file this petition on behalf of the debtor.

I have examined the information in this petition and have a reasonable belief that the information is trued and correct.

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

Executed on September 24, 2019

MM / DD / YYYY

X /s/ Lemar Allen Bowers Lemar Allen Bowers

Signature of authorized representative of debtor Printed name

Title Chief Executive Office/President

18. Signature of attorney X /s/ Steven Shareff Date September 24, 2019

Signature of attorney for debtor MM / DD / YYYY

Steven Shareff 24323

Printed name

Steven Shareff, Esquire

Firm name

PO Box 729

Louisa, VA 23093

Number, Street, City, State & ZIP Code

Contact phone 540 748-2176 Email address eleban39@aol.com

24323 VA

Bar number and State

Official Form 201 Voluntary Petition for Non-Individuals Filing for Bankruptcy page 4

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Fill in this information to identify the case:

Debtor name Civitas Health Care Services, Inc.

United States Bankruptcy Court for the: EASTERN DISTRICT OF VIRGINIA  Check if this is an

Case number (if known): amended filing

Official Form 204

Chapter 11 or Chapter 9 Cases: List of Creditors Who Have the 20 Largest Unsecured Claims and

Are Not Insiders 12/15

A list of creditors holding the 20 largest unsecured claims must be filed in a Chapter 11 or Chapter 9 case. Include claims which the

debtor disputes. Do not include claims by any person or entity who is an insider, as defined in 11 U.S.C. § 101(31). Also, do not

include claims by secured creditors, unless the unsecured claim resulting from inadequate collateral value places the creditor

among the holders of the 20 largest unsecured claims.

Name of creditor and

complete mailing address,

including zip code

Name, telephone number

and email address of

creditor contact

Nature of claim

(for example, trade

debts, bank loans,

professional services,

and government

contracts)

Indicate if claim

is contingent,

unliquidated, or

disputed

Amount of claim

If the claim is fully unsecured, fill in only unsecured claim amount. If

claim is partially secured, fill in total claim amount and deduction for

value of collateral or setoff to calculate unsecured claim.

Total claim, if

partially secured

Deduction for value

of collateral or setoff

Unsecured claim

AF Byrd

5737 S Laburname

Avenue

Building 5

Henrico, VA 23231

corporate office

arrears

$13,230.00

Bill Waddington

909 East Main Street

Ste 1200

Richmond, VA

23219

legal services $22,024.00

Commonwealth of

Va for DMAS

Attorney

General/Jody Allen

900 East Main Street

Richmond, VA

23219

retractions due to

medicaid

overpayments

$40,661.00

Hogge Law

500 East Plume

Street Ste 800

Richmond, VA

23230

legal services $15,303.00

Internal Revenue

Services

c/o Ms. M Edwards

Revenue Off

410 N 8th Street

Room 860

Richmond, VA

23219-4838

payroll taxes $1,000,000.00 $0.00 $1,000,000.00

Jackson Lewis

Legal

701 East Byrd Street

17th Floo

Richmond, VA

23219

legal services $36,485.00

Official form 204 Chapter 11 or Chapter 9 Cases: List of Creditors Who Have the 20 Largest Unsecured claims page 1

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Debtor Civitas Health Care Services, Inc. Case number (if known)

Name

Name of creditor and

complete mailing address,

including zip code

Name, telephone number

and email address of

creditor contact

Nature of claim

(for example, trade

debts, bank loans,

professional services,

and government

contracts)

Indicate if claim

is contingent,

unliquidated, or

disputed

Amount of claim

If the claim is fully unsecured, fill in only unsecured claim amount. If

claim is partially secured, fill in total claim amount and deduction for

value of collateral or setoff to calculate unsecured claim.

Total claim, if

partially secured

Deduction for value

of collateral or setoff

Unsecured claim

Kabbage

740 Waukegan Road

Ste 404

Deerfield, IL 60015

credit line $19,885.00

Knight Capital

Funding

9 East Loockermann

Street

Suite 202-543

Dover, DE 19901

$57,500.00 $0.00 $57,500.00

On Deck

1400 Broadway

New York, NY

lloan $40,269.00

Parker Pollard

6802 Paragon Place

Suite 230

Richmond, VA

23230

legal services $25,740.00

Parker Pollard

Wilton and Pead

6802 Paragon Place

Suite 300

Richmond, VA

23230

legal services $19,653.00

Porter Realty

4801 Radford

Avenue

PO Box 6482

Richmond, VA

23230

office space lease $12,969.00

SPG Advance

1221 McDonald

Avenue

Brooklyn, NY 11230

$53,501.00 $0.00 $53,501.00

Stewart Financial

Services

13819 Vincent Lane

Midlothian, VA

23114

accounting

services

$14,184.00

The Nesbitt Law

Firm

1915 Huguenot

Road

Richmond, VA

23235

legal services $12,092.00

Tierpoint

12444 POwercourt

Drive Ste 450

Saint Louis, MO

63131

server hosting

site

$62,666.00

Official form 204 Chapter 11 or Chapter 9 Cases: List of Creditors Who Have the 20 Largest Unsecured claims page 2

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

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Debtor Civitas Health Care Services, Inc. Case number (if known)

Name

Name of creditor and

complete mailing address,

including zip code

Name, telephone number

and email address of

creditor contact

Nature of claim

(for example, trade

debts, bank loans,

professional services,

and government

contracts)

Indicate if claim

is contingent,

unliquidated, or

disputed

Amount of claim

If the claim is fully unsecured, fill in only unsecured claim amount. If

claim is partially secured, fill in total claim amount and deduction for

value of collateral or setoff to calculate unsecured claim.

Total claim, if

partially secured

Deduction for value

of collateral or setoff

Unsecured claim

United Health Care

UHS Premium

Building

PO Box 959782

Saint Louis, MO

63195-9782

employee health

insurance

$89,254.00

Virginia Department

of Taxatio

PO Box 1777

Richmond, VA

23218-1777

$88,852.00 $0.00 $88,852.00

Virginia

Employment

Commission

$39,164.00 $0.00 $39,164.00

Windstream

3 Golf Center Suite

361

Hoffman Estates, IL

60169

phone service

early termination

fee

$127,261.00

Official form 204 Chapter 11 or Chapter 9 Cases: List of Creditors Who Have the 20 Largest Unsecured claims page 3

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

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 Document Page 7 of 14
}bk1{Credito AresMatix}bk{

ADP LLC

PO Box 842875

Boston, MA 02284-2875

AF Byrd

5737 S Laburname Avenue

Building 5

Henrico, VA 23231

Anthem

PO Box 361625

Columbus, OH 43236

AT&T

PO Box 2390

Southgate, MI 48195

Ballentine Manor

PO Box 730

Carrollton, VA 23314

Bill Waddington

909 East Main Street Ste 1200

Richmond, VA 23219

City of Virginia Beach

2401 Courthouse Drive Buld 1

Virginia Beach, VA 23456

Commissioner of Revenue

PO Box 15285

Commonwealth of Va for DMAS

Attorney General/Jody Allen

900 East Main Street

Richmond, VA 23219

Crowgey and Associates

1108 East Main Sttreet Ste 600

Richmond, VA 23219-3535

Direct Capital

155 Commerce Way

Portsmouth, NH 03801

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 Document Page 8 of 14
E Fax

PO Box 361595

Columbus, OH 43236

Henrico County Finance

PO Box 90775

Henrico, VA 23273

Henrico County Revenue Divisio

PO Box 90775

Henrico, VA 23273

Hirschler Flesicher Attorneys

2100 East Cary Street

Richmond, VA 23223

Hogge Law

500 East Plume Street Ste 800

Richmond, VA 23230

Internal Revenue Services

c/o Ms. M Edwards Revenue Off

410 N 8th Street Room 860

Richmond, VA 23219-4838

Jackson Lewis Legal

701 East Byrd Street 17th Floo

Richmond, VA 23219

Jessica Spain

Atlantic Constructors

1401 Battery Brooke Parkway

Virginia Beach, VA 23455

Kabbage

740 Waukegan Road Ste 404

Deerfield, IL 60015

Knight Capital Funding

9 East Loockermann Street

Suite 202-543

Dover, DE 19901

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Lauris Online

419 Salem Avenue

Roanoke, VA 24016

Miller Mechanical

9701 Metroploitan Court

Suite C

Richmond, VA 23236

On Deck

1400 Broadway

New York, NY

Parker Pollard

6802 Paragon Place Suite 230

Richmond, VA 23230

Parker Pollard Wilton and Pead

6802 Paragon Place Suite 300

Richmond, VA 23230

Patient First

PO Box 759041

Baltimore, MD 21275-9041

Paycheck

1175 John Street

West Henrietta, NY 14586

Pitney Bowles

PO Biox 963

Buffalo, NY 14226

Porter Realty

4801 Radford Avenue

PO Box 6482

Richmond, VA 23230

Relias Learning

111 Corning Road Suite 250

Cary, NC 27518

Shred it

2883 Network Place

Chicago, IL 60673

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SPG Advance

1221 McDonald Avenue

Brooklyn, NY 11230

Staples Inc

PO Box 361595

Columbus, OH 43236

Stewart Financial Services

13819 Vincent Lane

Midlothian, VA 23114

The Flying Locksmiths

1553 Bradford Road Ste 202

Virginia Beach, VA 23455

The Nesbitt Law Firm

1915 Huguenot Road

Richmond, VA 23235

Tierpoint

12444 POwercourt Drive Ste 450

Saint Louis, MO 63131

United Health Care

UHS Premium Building

PO Box 959782

Saint Louis, MO 63195-9782

Virginia Department of Taxatio

PO Box 1777

Richmond, VA 23218-1777

Virginia Employment Commission

Wilson law Group

5000 Monument Avenue

Richmond, VA 23230

Windstream

3 Golf Center Suite 361

Hoffman Estates, IL 60169

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United States Bankruptcy Court

Eastern District of Virginia

In re Civitas Health Care Services, Inc. Case No.

Debtor(s) Chapter 11

CORPORATE OWNERSHIP STATEMENT (RULE 7007.1)

Pursuant to Federal Rule of Bankruptcy Procedure 7007.1 and to enable the Judges to evaluate possible disqualification or

recusal, the undersigned counsel for Civitas Health Care Services, Inc. in the above captioned action, certifies that the

following is a (are) corporation(s), other than the debtor or a governmental unit, that directly or indirectly own(s) 10% or

more of any class of the corporation's(s') equity interests, or states that there are no entities to report under FRBP 7007.1:

 None [Check if applicable]

September 24, 2019 /s/ Steven Shareff

Date Steven Shareff 24323

Signature of Attorney or Litigant

Counsel for Civitas Health Care Services, Inc.

Steven Shareff, Esquire

PO Box 729

Louisa, VA 23093

540 748-2176

eleban39@aol.com

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United States Bankruptcy Court

Eastern District of Virginia

In re Civitas Health Care Services, Inc. Case No.

Debtor(s) Chapter 11

STATEMENT REGARDING AUTHORITY TO SIGN AND FILE PETITION

I, Lemar Allen Bowers, declare under penalty of perjury that I am the Chief Executive Office/President of

Civitas Health Care Services, Inc., and that the following is a true and correct copy of the resolutions adopted by the

Board of Directors of said corporation at a special meeting duly called and held on the day of , 20 .

"Whereas, it is in the best interest of this corporation to file a voluntary petition in the United States

Bankruptcy Court pursuant to Chapter 11 of Title 11 of the United States Code;

Be It Therefore Resolved, that Lemar Allen Bowers, Chief Executive Office/President of this Corporation, is

authorized and directed to execute and deliver all documents necessary to perfect the filing of a chapter 11

voluntary bankruptcy case on behalf of the corporation; and

Be It Further Resolved, that Lemar Allen Bowers, Chief Executive Office/President of this Corporation is

authorized and directed to appear in all bankruptcy proceedings on behalf of the corporation, and to otherwise

do and perform all acts and deeds and to execute and deliver all necessary documents on behalf of the

corporation in connection with such bankruptcy case, and

Be It Further Resolved, that Lemar Allen Bowers, Chief Executive Office/President of this Corporation is

authorized and directed to employ Steven Shareff 24323, attorney and the law firm of Steven Shareff, Esquire to

represent the corporation in such bankruptcy case."

Date September 24, 2019 Signed /s/ Lemar Allen Bowers

Lemar Allen Bowers

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Resolution of Board of Directors

of

Civitas Health Care Services, Inc.

Whereas, it is in the best interest of this corporation to file a voluntary petition in the the United States

Bankruptcy Court pursuant to Chapter 11 of Title 11 of the United States Code;

Be It Therefore Resolved, that Lemar Allen Bowers, Chief Executive Office/President of this Corporation, is

authorized and directed to execute and deliver all documents necessary to perfect the filing of a chapter 11

voluntary bankruptcy case on behalf of the corporation; and

Be It Further Resolved, that Lemar Allen Bowers, Chief Executive Office/President of this Corporation is

authorized and directed to appear in all bankruptcy proceedings on behalf of the corporation, and to otherwise

do and perform all acts and deeds and to execute and deliver all necessary documents on behalf of the

corporation in connection with such bankruptcy case, and

Be It Further Resolved, that Lemar Allen Bowers, Chief Executive Office/President of this Corporation is

authorized and directed to employ Steven Shareff 24323, attorney and the law firm of Steven Shareff, Esquire to

represent the corporation in such bankruptcy case.

Date September 24, 2019 Signed

Date September 24, 2019 Signed

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