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 04/20

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 the case number (if

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

1. Debtor's name Saxon Shoes, Incorporated

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)

54-0560987

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

business

11800 W Broad Street, # 2750

Henrico, VA 23233

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.saxonshoes.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

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 1 of 109
Debtor Saxon Shoes, Incorporated 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.

 4482 

8. Under which chapter of the

Bankruptcy Code is the

debtor filing?

A debtor who is a “small

business debtor” must check

the first sub-box. A debtor as

defined in § 1182(1) who

elects to proceed under

subchapter V of chapter 11

(whether or not the debtor is a

“small business debtor”) must

check the second sub-box.

Check one:

 Chapter 7

 Chapter 9

 Chapter 11. Check all that apply:

 The debtor is a small business debtor as defined in 11 U.S.C. § 101(51D), and its aggregate

noncontingent liquidated debts (excluding debts owed to insiders or affiliates) are less than

$2,725,625. If this sub-box is selected, attach the most recent balance sheet, statement of

operations, cash-flow statement, and federal income tax return or if any of these documents do not

exist, follow the procedure in 11 U.S.C. § 1116(1)(B).

 The debtor is a debtor as defined in 11 U.S.C. § 1182(1), its aggregate noncontingent liquidated

debts (excluding debts owed to insiders or affiliates) are less than $7,500,000, and it chooses to

proceed under Subchapter V of Chapter 11. If this sub-box is selected, attach the most recent

balance sheet, statement of operations, cash-flow statement, and federal income tax return, or if

any 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 Saxon Shoes Spotsylvania, LLC Relationship Affiliate

District EDVA When 8/14/20 Case number, if known

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

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Document Page 2 of 109
Debtor Saxon Shoes, Incorporated Case number (if known)

Name

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

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 3 of 109
Debtor Saxon Shoes, Incorporated 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 4

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 4 of 109
Debtor Saxon Shoes, Incorporated 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 true and correct.

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

Executed on August 14, 2020

MM / DD / YYYY

X /s/ Gary L. Weiner Gary L. Weiner

Signature of authorized representative of debtor Printed name

Title President

18. Signature of attorney X /s/ Paula S. Beran Date August 14, 2020

Signature of attorney for debtor MM / DD / YYYY

Paula S. Beran

Printed name

Tavenner & Beran, PLC

Firm name

20 North 8th Street

Second Floor

Richmond, VA 23219

Number, Street, City, State & ZIP Code

Contact phone 804-783-8300 Email address pberan@tb-lawfirm.com

34679 VA

Bar number and State

Official Form 201 Voluntary Petition for Non-Individuals Filing for Bankruptcy page 5

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 5 of 109
Fill in this information to identify the case:

Debtor name Saxon Shoes, Incorporated

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

Aetrex Worldwide,

Inc.

ATTN: Mary Deresky

414 Alfred Avenue

Teaneck, NJ 07666

mderesky@aetrex.

com

$42,127.61

Atlantic Union Bank

Central Va -

Commercial

Banking

1051 East Cary

Street, Suite 1200

Richmond, VA

23219

mailto:John.Lester

@AtlanticUnionBa

nk.com

Contingent $300,800.00

Birkenstock USA LP

15079 Collections

Center Drive

Chicago, IL

60693-0150

dkahan@birkensto

ckusa.com

$16,262.22

Deckers Outdoor

Corporation

P.O. Box 8424

Pasadena, CA

91109-8424

Kiyah.nelson-bakk

e@deckers.com

$18,099.48

Earth, Inc.

P.O. Box 417263

Boston, MA

02241-7263

anthony.tempesta

@earthbrands.com

$18,513.47

Genesco Inc.

4008 Reliable

Parkway

Chicago, IL 60686

BMATTHEWS@gen

esco.com

$20,402.72

John G. Mull and

Wilma B. Mull

5434 Fallman Drive

Mechanicsville, VA

23111

$400,000.00

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

Software Copyright (c) 1996-2020 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

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Document Page 6 of 109
Debtor Saxon Shoes, Incorporated 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

Naot Yaleet Inc.

80 Ruland Road,

Suite 2

Melville, NY 11747

llinetveit@yaleet.ne

t

$37,440.24

New Balance

Athletic Shoe

P.O. Box 415206

Boston, MA

02241-5206

Maria.Roque@new

balance.com

$46,576.67

On Inc.

P.O. Box 734250

Chicago, IL

60673-4250

morgan.pfunder@o

n-running.com

$26,669.06

Phoenix Footwear

Group

Dept #41677

PO Box 650823

Dallas, TX 75265

rgilliam@phxg.com

$18,558.75

Promotional

Consideration

iPROMOTEu

PO Box 200896

Pittsburgh, PA

15251-0896

scaruso@ipromote

u.com

$29,968.36

Rangoni Firenze

Shoes

6199 Cornerstone

Court East

Suite 106

San Diego, CA

92121

$17,116.15

Richmond Times

Dispatch

P.O. Box 27775

Richmond, VA

23261-7775

athomas@timesdis

patch.com

$22,940.80

Short Pump Town

Center, LLC

P.O. Box 72054

Cleveland, OH

44192-0054

Natalie.Battisti@br

ookfieldpropertiesr

etail.com

$217,160.84

Spotsylvania Towne

Centre

P.O. Box 932400

Cleveland, OH 44193

WSheely@cafaroco

mpany.com

$61,846.70

The Rockport

Company

P.O. Box 936652

Atlanta, GA

31193-6652

Samantha.Hancock

@rockport.com

$34,836.61

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

Software Copyright (c) 1996-2020 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 7 of 109
Debtor Saxon Shoes, Incorporated 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

Vera Bradley

Designs, Inc.

12420 Stonebridge

Road

Roanoke, IN 46783

AHolley@verabradl

ey.com

$28,116.05

Wolff Shoe

Company

P.O. Box 14663

Main Post Office

St. Louis, MO 63195

larry.storz@wolffsh

oe.com

$49,229.75

Wolverine World

Wide, Inc.

25759 Network

Place

Chicago, IL

60673-1257

corinne.mastrojohn

_IC@wwwinc.com

$72,000.00

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

Software Copyright (c) 1996-2020 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

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Document Page 8 of 109
United States Bankruptcy Court

Eastern District of Virginia

In re Saxon Shoes, Incorporated Case No.

Debtor(s) Chapter 11

LIST OF EQUITY SECURITY HOLDERS

Following is the list of the Debtor's equity security holders which is prepared in accordance with rule 1007(a)(3) for filing in this Chapter 11 Case

Name and last known address or place of

business of holder

Security Class Number of Securities Kind of Interest

Amanda P. Weiner

4707 Wythe Avenue

Richmond, VA 23226

37,522 Ownership

Beth Weiner

580 Raleigh Manor Road

Henrico, VA 23229

40,000 Ownership

Cafaro Irrevocable Agreement Trust

Attn: Will Cafaro

2445 Belmont Ave

Youngstown, OH 44504-0186

100,000 Ownership

Cory A. Weiner

580 Raleigh Manor Road

Henrico, VA 23229

37,522 Ownership

Evan S. Weiner

1702 Bridgewater Court

Maidens, VA 23102

37,522 Ownership

Gary Weiner

580 Raleigh Manor Road

Henrico, VA 23229

497,434 Ownership

DECLARATION UNDER PENALTY OF PERJURY ON BEHALF OF CORPORATION OR PARTNERSHIP

I, the President of the corporation named as the debtor in this case, declare under penalty of perjury that I have

read the foregoing List of Equity Security Holders and that it is true and correct to the best of my information and belief.

Date August 14, 2020 Signature /s/ Gary L. Weiner

Gary L. Weiner

Penalty for making a false statement of concealing property: Fine of up to $500,000 or imprisonment for up to 5 years or both.

 18 U.S.C. §§ 152 and 3571.

Sheet 1 of 1 in List of Equity Security Holders

Software Copyright (c) 1996-2020 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

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Document Page 9 of 109
}bk1{Credito AresMatix}bk{

Adidas Sales, Inc.

DEPT CH 19361

Palatine, IL 60055-9405

Aetrex Worldwide, Inc.

ATTN: Mary Deresky

414 Alfred Avenue

Teaneck, NJ 07666

Aetrex Worldwide, Inc.

Larry Schwartz, CEO

414 Alfred Avenue

Teaneck, NJ 07666

Affinity Express, Inc.

P.O. Box 74008403

Chicago, IL 60674-8403

AGS Footwear Group

P.O. Box 6444

11234 Air Park Road

Ashland, VA 23005-6444

Ahmet Karacac Ikitelli OSB

Mah Aymakoop San, Sit. B-7 Blok No: 81

Basajesehir/Istanbul TURKEY

Alhussaini, Subhan

11763 Parsons Walk Court

Glen Allen, VA 23059

Allen Edmonds

PO Box 744258

Atlanta, GA 30374

American Express National Bank

4315 South 2700 West

Salt Lake City, UT 84184

Anastasia's Designs

12223 Valleybrook Drive

Henrico, VA 23233

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Antelope Inc.

523 East Putnam Avenue, Suite 21

Greenwich, CT 06830

Arcopedico Simco Imported Shoes. Inc.

1480 Kleppe Lane

Sparks, NV 89431

Ariat International, Inc.

P.O. Box 201282

Dallas, TX 75320

Asics America Corporation

P.O. Box 827483

Philadelphia, PA 19182-7483

Atlantic Union Bank

Central Va - Commercial Banking

1051 East Cary Street, Suite 1200

Richmond, VA 23219

Ayala, Alhyson

9607 Peppertree Dr.

richmond, VA 23238

Badorf Shoe Company

P.O. Box 367

Lititz, PA 17543

Baerchi SA

CR/DE Portillo

13 Fuensalida Toledo

45510, Spain

Baker, Skylar

5252 Harvest Glen Drive

Glen Allen, VA 23059

Balderson, Sydney

10815 Orchard St

Fairfax, VA 22030

Barck, Alexis

10917 Dominion Fairways Lane

Glen Allen, VA 23059

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Barden, Amber

7803 Winding Ash Place

Chesterfield, VA 23832

Beautifeel USA

21822 Lassen St., Suite J

Chatsworth, CA 91311

Biegler & Associates, P.C.

5911 West Broad Street

Richmond, VA 23230

Birkenstock USA LP

15079 Collections Center Drive

Chicago, IL 60693-0150

Blackburn, William

9284 Hanover Crossing Drive

Apt E

Mechanicsville, VA 23116

Bloom, Tucker

1506 Baysdale Ln

Henrico, VA 23229

Blue Gem Sunglasses, Inc.

6381-B Rose Lane

Carpinteria, CA 93013

Born Shoe Co.

P.O. Box 26802

New York, NY 10087-6802

Brooks Sports, Inc.

P.O. Box 94353

Seattle, WA 98124-6653

Bussola Style USA

8424 Santa Monica Blvd., #A865

Los Angeles, CA 90069

Cafaro Irrevocable Agreement Trust

Attn: Will Cafaro

2445 Belmont Ave

Youngstown, OH 44504-0186

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Cagle, Emily

238 Lauradell Rd.

Ashland, VA 23005

Caleres

P.O. Box 281777

Atlanta, GA 30384-1777

Calzados Boss SL

CALLE MONTE PERDIGUERO

1 26500 CALAHORRA, Spain

Calzados Ilisol S.L.

Partida Pena las Aguilas

pol. 3 95A

03296 Elche Alicante

Casitas A Footwear Company, Inc.

J D Factors, LLC

P.O. Box 3428

Palos Verdes, CA 90274

Cavalcanti, Aline

4705 RADFORD AVE

RICHMOND, VA 23230

Celerant Technology Corp

4830 Arthur Kill Road

Staten Island, NY 10309

Celerant Technology Corporation

Ian Goldman, CEO

4830 Arthur Kill Road

Staten Island, NY 10309

Chainson Footwear, Inc.

301 N. Rice Avenue

Oxnard, CA 93030

Chase Paymentech

Attn: Legal Dep't

14221 Dallas Parkway

Dallas, TX 75254

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Cheeley, Elizabeth

15134 Abner Church Road

Glen Allen, VA 23059

Chocolat Blu

The CIT Group

P.O. Box 1036

Charlotte, NC 28201-1036

CHTD Company

P.O. Box 2576

Springfield, IL 62708

Cicero, Abigail

12275 South Anna Drive

Rockville, VA 21346

Clarks

P.O. Box 415388

Boston, MA 02241-5388

Clarks

P.O. Box 415388

Boston, MA 02241

CNI. INC

2503 Tanglebrook Road

Midlothian, VA 23112

Columbia Gas

P.O. Box 70319

Philadelphia, PA 19176-0319

Columbia Sportswear USA

P.O. Box 935641

Atlanta, GA 31193-5641

Comcast

P.O. Box 70219

Philadelphia, PA 19176-0219

Conexis

P.O. Box 8363

Pasadena, CA 91109-8363

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Document Page 14 of 109
Cox Business Services

PO Box 53249

Phoenix, AZ 85072-3249

Cox, Catherine

1315 Stoneycreek Dr.

Richmond, VA 23238

Dansko Inc.

33 Federal Road

West Grove, PA 19390

Deck, Lauren

1710 EAST BROAD ST

APT 217

RICHMOND, VA 23223

Deckers Outdoor Corporation

P.O. Box 8424

Pasadena, CA 91109-8424

Deer Stags

Wells Fargo Trade Capital Srvc

P.O. Box 842674

Boston, MA 02284-2674

Department of Finance

Lockbox 4732

P.O. Box 90790

Henrico, VA 23228-0790

Doggett, Bettye

P O Box 42228

Richmond, VA 23224

Dominion Virginia Power

P.O. Box 26543

Richmond, VA 23290-0001

Dr. Martens

Airwair USA LLC

Dept 3259

PO BOX 123259

Dallas, TX 75312

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Dyeables

45 Centre Road

Somersworth, NH 03878

Earth, Inc.

P.O. Box 417263

Boston, MA 02241-7263

Ecco USA, Inc.

P.O. Box 83360

Woburn, MA 01813-3360

Effectv

PO Box 415949

Boston, MA 02241-5949

Entercom Richmond

P.O. Box 92911

Cleveland, OH 44194

Estock, Thomas

2920 Bywater Dr

Apt 111

Henrico, VA 23233

Estrada Footware

3524 Griffith Saint Laurent

QC, Canada H4T 1A7

Etzold III, Robert

13924 Collington Mews

Midlothian, VA 23112

Evolutions Footwear

The CIT Group

P.O. Box 1036

Charlotte, NC 28201-1036

Excelsior Air, LLC

6412 Mallory Drive

Richmond, VA 23226

FedEx

P.O. Box 306174

Nashville, TN 37230-7461

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Feetures Flagship Brands, LLC

P.O. Box 790379

St. Louis, MO 63179-0379

Ferguson, Campbell

2556 Manakin Road

Manakin-Sabot, VA 23103

Ferguson, Caroline

436 Dellbrooks Place

Henrico, VA 23238

Ferguson, Rachel

2556 Manakin Rd

Manakin Sabot, VA 23103

FitFlop USA LLC

PO Box 347394

Pittsburgh, PA 15251-4394

Flores, Adeline

8 Equestrian Dr

Stafford, VA 22556

Florsheim Shoe Company

7734 Solution Center

Chicago, IL 60677-7007

Fontaine, Michael

7203 Brooking Way

Mechanicsville, VA 23111

Foster, Meredith

9161 Chartwell Ct

Mechanicsville, VA 23111

Fox River Mills

P.O. Box 92170

Lockbox 135235

Elk Grove Village, IL 60009

Gary Weiner

580 Raleigh Manor Road

Henrico, VA 23229

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 17 of 109
Genesco Inc.

4008 Reliable Parkway

Chicago, IL 60686

Giftcraft Inc.

P.O. Box 1270

Grand Island, NY 14072-8270

Goldman, Ronnie

11695 TIMBERLY WAYE

RICHMOND, VA 23238

Goochland Self Storage

P.O. Box 276

Richmond, VA 23219

Goodhew/Sockwell

P.O. Box 306174

Nashville, TN 37230-6174

Haley, Danielle

16312 Jones Farm Rd

Montpelier, VA 23192

Hamilton, Eva

3816 Springrock Dr.

Richmond, VA 23233

Happy Socks

138 Spring Street, 5th floor

New York, NY 10012

Hauser, Kylie

5208 Harvest Glen Drive

Glen Allen, VA 23059

Hensal, Rebecca

5302 New Line Rd

Gumspring, VA 23065

Herrmann, Catherine

10816 Squaw Valley Pl.

Glen Allen, VA 23060

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 18 of 109
Hey Dude

The CIT Group

P.O. Box 1036

Charlotte, NC 28201

Hirica Zone Industrielle de Casablanca

Avenue de Terreblanque

40230 St Vincent de Tyrosse

FRANCE

Hosted Backbone

1702 Bridgewater Court

Maidens, VA 23102

Hoy Shoe Company, Inc.

4970 Kemper Avenue

St. Louis, MO 63139

Ilse Jacobsen Lines of Denmark

502-B Custer Way

Olympia, WA 98501

IMG College, LLC

c/o Learfield IMG College

P.O. Box 843038

Kansas City, MO 64184-3038

Internal Revenue Service

P.O. Box 7346

Philadelphia, PA 19101-7346

Jack Rogers

The CIT Group

P.O. Box 1036

Charlotte, NC 28201

John G. Mull and Wilma B. Mull

5434 Fallman Drive

Mechanicsville, VA 23111

Johnson, Maggie

201 Echo Meadows Rd

Rockville, VA 23146

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 19 of 109
Keen Footwear

P.O. Box 742937

Los Angeles, CA 90074-2937

Keter Environmental Services, Inc.

P.O. Box 417468

Boston, MA 02241-7468

Kirksey, Margie

7600 EAST PARHAM RD

APT 306

RICHMOND, VA 23294

Kizik Design, LLC

319 River Road

Alpine, UT 84004

Kontos, Rebecca

5413 Hillshire Way

Glen Allen, VA 23059

KWC

5911 West Broad Street

Richmond, VA 23230

Lacks, Chesney

7412 Barnette Avenue

Mechanicsville, VA 23111

LAWSON, MARY

1501 BRONWYN ROAD

APT 302

RICHMOND, VA 23238

Leegin Creative Leather

P.O. Box 406

La Puente, CA 91747

Lemon Jelly

Estrada Footwear

3524 Griffith

Saint Laurent, QC H4T 1A7

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 20 of 109
Lester, Belinda

17113 Mallorys ln

Montpelier, VA 23192

LoanBuilder

c/o Swift Financial, LLC

3505 Silverside Road

Wilmington, DE 19810

Lyles, Ronald

7741 Flannagan Ct. #2

Henrico, VA 23228

Lynch, Mary

4651 Four Seasons Terrace

Unit B

Glen Allen, VA 23060

Macon, Michael

5045 Hopewell Rd

New Kent, VA 23124

Marden, Pamela

610 Diggstown Road

Bumpass, VA 23024

Me Too Shoes

The CIT Group

P.O. Box 1036

Charlotte, NC 28201-1036

Mephisto Inc.

305 Seaboard Lane, Suite 328

Franklin, TN 37067-8287

MessageGears

191 Peachtree St. NE, Suite 900

Atlanta, GA 30303

MMIS

14403 Heather Stone Drive

Chester, VA 23836

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Document Page 21 of 109
Montgomery, Sequoia

9016 Patterson Avenue

Apt 25

Henrico, VA 23229

Moore, Sierra

12308 Bradford Landing Way

Glen Allen, VA 23059

Morgan & Milo

46 Waltham Street, Suite 201

Boston, MA 02118

Munro & Co.

P.O. Box 272

Wichita, KS 67201-0272

Naot Yaleet Inc.

80 Ruland Road, Suite 2

Melville, NY 11747

National Shoe Retailers Association

7386 N. La Cholla Blvd.

Tucson, AZ 85741

New Balance Athletic Shoe

P.O. Box 415206

Boston, MA 02241-5206

Nike USA, Inc.

7932 Collection Center Drive

Chicago, IL 60693

Nina Kids

200 Park Avenue South

New York, NY 10003

Nunez, Theresa

2408 Crystal Ridge Rd

Henrico, VA 23233

Oboz Footwear LLC

201 S Wallace Ave., Suite A-1

Bozeman, MT 59715

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 22 of 109
Olukai, LLC

Dept. L.A. 24237

Pasadena, CA 91185

On Inc.

P.O. Box 734250

Chicago, IL 60673-4250

Osgoode Marley International Leather Goo

P.O. Box 658

180 Lafayette Road

North Hampton, NH 03862

Page, Pat

111 Wichita La

Williamsburg, VA 23188

Parker, Ainsley

8124 Crown Colony Pkwy

Mechanicsville, VA 23116

Parrish, Julia

3825 Whitehall Road

Sandy Hook, VA 23153

Patel, Dhara

12315 Cordell Circle

Glen Allen, VA 23059

Pepper Gate Footwear Corp.

910 S. Wanamaker Avenue

Ontario, CA 91761

Phoenix Footwear Group

Dept #41677

PO Box 650823

Dallas, TX 75265

Promotional Consideration iPROMOTEu

PO Box 200896

Pittsburgh, PA 15251-0896

Propet USA, Inc.

PO Box 392740

Pittsburgh, PA 15251-9740

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 23 of 109
Rainbow Sandals

900 Calle Negocio

San Clemente, CA 92673

Rangoni Firenze Shoes

6199 Cornerstone Court East

Suite 106

San Diego, CA 92121

Recycled Paper Greetings

3613 Solutions Center

Chicago, IL 60677

Reed, Alvin

11720 Leiden Lane

Midlothian, VA 23112

Reef Lifestyle, LLC

P.O. Box 930621

Atlanta, GA 31193-0621

Remac

1445 Bradley Lane #105

Carrollton, TX 75007

Revere Shoes Inc.

515 N Flagler Drive, Suite P-300

West Palm Beach, FL 33401

RGIS

P.O. Box 77631

Detroit, MI 48277

Richmond Family Magazine

P.O. Box 28597

Richmond, VA 23228

Richmond Oxygen

11009 Richardson Road

Ashland, VA 23005

Richmond Times Dispatch

P.O. Box 27775

Richmond, VA 23261-7775

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Document Page 24 of 109
Rieker Shoe

299 Rio Drive

Orlando, FL 32810

Rizer, Nicole

11209 Prescott Pl.

Glen Allen, VA 23059

Robinson, Lauren

205 Pilgrim Lane

Richmond, VA 23227

Sacha London USA Ltd.

Sterling National Bank

P.O. Box 75359

Chicago, IL 60675-5359

Sadjarib, Niloofar

11708 Belvedere Vista Ln

Apt 204

North Chesterfield, VA 23235

Salvia Footwear Corp.

8424 Santa Monica Blvd., #A865

Los Angeles, CA 90069

San Diego Hat Company

P.O. Box 131390

Carlsbad, CA 92013

SAS Shoemakers

P.O. Box 2240

San Antonio, TX 78298-2240

Saxon Shoes Spotsylvania, LLC

1 Towne Center Boulevard, # 4500

Fredericksburg, VA 22407

See Kai Run

22118 20th Ave SE, # 130

Bothell, WA 98021

Short Pump Town Center, LLC

P.O. Box 72054

Cleveland, OH 44192-0054

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 25 of 109
Short Pump Town Center, LLC

50 Public Square, Suite 1100

Cleveland, OH 44113-2267

Siefke, Lorraine

12149 Loblolly Lane

Rockville, VA 23146

Skechers USA, Inc.

P.O. BOX 74008181

Chicago, IL 60674-8181

Sofft Shoe Co.

P.O. Box 26802

New York, NY 10087-6802

Sondra Roberts Inc.

3 Empire Boulevard

South Hackensack, NJ 07606

Spotsylvania Mall Company

2445 Belmont Aveue

P.O. Box 2168

Youngstown, OH 44504-0186

Spotsylvania Towne Centre

P.O. Box 932400

Cleveland, OH 44193

Stance, Inc.

P.O. Box 845082

Los Angeles, CA 90084-5082

Steven Biegler, CPA

KWC

5911 West Broad Street

Richmond, VA 23230

Stowe, Melissa

8703 Pinyon Road

Richmond, VA 23229

Strack, Heather

10200 Brading Lane

Midlothian, VA 23112

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Document Page 26 of 109
Stuart Weitzman Holdings, LLC

P.O. Box 742466

Atlanta, GA 30374-2466

Sweet Attraction, S.A.

Zona Industrial de Revinhade

Franc B BL 1

4650-375

Revinhade Felgueiras, Portugal

Taddeo, Sophia

5804 Meadow Ridge Ct.

Glen Allen, VA 23059

Taxing Authority Consulting Servs., PC

P.O. Box 2156

Richmond, VA 23218

Terry, Samantha

7288 Ann Cabell Lane

Mechanicsville, VA 23111

The Freelance Star

P.O. Box 26742

Richmond, VA 23261-6742

The Jimlar Corporation

The CIT Group

P.O. Box 36034

Charlotte, NC 28236

The Rockport Company

P.O. Box 936652

Atlanta, GA 31193-6652

Thorkelsdottir, Gunnhildur

2522 Crest Hollow Court

Goochland, VA 23063

Timberland VF Outdoor, Inc.

32842 Collection Center Drive

Chicago, IL 60693-0328

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 27 of 109
Toms Shoes LLC

P.O. Box 505286

St. Louis, MO 63150-5286

Treasurer, Spotsylvania County

Larry K Pritchett

P.O. Box 9000

Spotsylvania, VA 22553-9000

Treasurer, Spotsylvania County

Utility Payments

P.O. Box 9000

Spotsylvania, VA 22553-9000

Trisoles

Calzados Ilisol S.L.

Partida Pena las Aguilas, pol.

3 95A 03296 Elche Alicante

Tsukihoshi / Footmates

Badorf Shoe Company

P.O. Box 367

Lititz, PA 17543

U.S. Small Business Administration

400 North 8th Street, Suite 1150

Richmond, VA 23219

Uline Shipping Supplies

PO Box 88741

Chicago, IL 60680-1741

Under Armour

P.O. Box 791022

Baltimore, MD 21279-1022

UNITED CONCORDIA

P.O. BOX 827377

Philadelphia, PA 19182

Unitrends USA Inc.

205 Park Avenue

Hicksville, NY 11801

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 28 of 109
UPS

P.O. Box 809488

Chicago, IL 60680-9488

VCJS, LLC

The CIT Group

P.O. Box 1036

Charlotte, NC 28201-1036

VCU Sports Properties, LLC

c/o Learfield Communications, LLC

P.O. Box 843038

Kansas City, MO 64184-3038

Veith, Dean

6524 HAGUEMAN DR.

RICHMOND, VA 23225

Vera Bradley Designs, Inc.

12420 Stonebridge Road

Roanoke, IN 46783

VF Outdoor, Inc.

13911 Collections Center Drive

Chicago, IL 60693

Vida Shoes

29 West 56th Street

New York, NY 10019

Vieno, Robert

2695 Trellis Green Circle

Henrico, VA 23233

Vionic Group LLC 670736

P.O. Box 670736

Dallas, TX 75267-0736

Virginia Department of Taxation

P.O. Box 2156

Richmond, VA 23218

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 29 of 109
WebBank

c/o Kelly Barnett, President

215 South State Street, Suite 100

Salt Lake City, UT 84111

Weiner, Amanda

4707 Wythe Ave

Richmond, VA 23226

Weiner, Beth

580 Raleigh Manor Rd.

Henrico, VA 23229

Weiner, Beth & Gary

580 Raleigh Manor Road

Henrico, VA 23229

Weiner, Evan

1702 Bridgewater Court

Maidens, VA 23102

Weiner, Gary

580 Raleigh Manor Road

Henrico, VA 23229

Weiner, Gary

580 Raleigh Manor Rd

Henrico, VA 23229

White, Nur

2318 Singingwoods Lane

Richmond, VA 23233

White, Sherry

3101 Able Pl

Chesterfield, VA 23832

Williams Mullen

P.O. Box 800

Richmond, VA 23218-0800

Wolff Shoe Company

P.O. Box 14663

Main Post Office

St. Louis, MO 63195

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Document Page 30 of 109
Wolky North America Inc.

1419 West Auto Drive

Tempe, AZ 85284

Wolverine World Wide, Inc.

25759 Network Place

Chicago, IL 60673-1257

WRIC

P.O. Box 743299

Atlanta, GA 30384

WTVR

P.O. Box 417876

Boston, MA 02241-7876

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Document Page 31 of 109
United States Bankruptcy Court

Eastern District of Virginia

In re Saxon Shoes, Incorporated 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 Saxon Shoes, Incorporated 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]

August 14, 2020 /s/ Paula S. Beran

Date Paula S. Beran

Signature of Attorney or Litigant

Counsel for Saxon Shoes, Incorporated

Tavenner & Beran, PLC

20 North 8th Street

Second Floor

Richmond, VA 23219

804-783-8300 Fax:804-783-0178

pberan@tb-lawfirm.com

Software Copyright (c) 1996-2020 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

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OMB No. 1545-0123

Form

Department of the Treasury

Internal Revenue Service

Return and

allowances Gross receipts

or sales Bal. Subtract line 1b from line 1a

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and

belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge. May the IRS discuss

this return with the

preparer shown

below? See instr.

Print/Type preparer's name Preparer's signature

Check if

selfemployedPaid

Preparer

Use

Only

Firm's name Firm's EIN

Firm's address Phone no.

911701 12-30-19

| Do not file this form unless the corporation has filed or is attaching Form 2553 to elect to be an S corporation.

| Go to www.irs.gov/Form1120S for instructions and the latest information.

A

B

C

D

E

F

$

Employer identification number

TYPE OR PRINT

G

H

I

J

(1) (2) (3) (4) (5)

(1) (2)

Caution: only 

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

a b c 1c

2

3

4

5

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7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22c

23e

24

25

26

27

Total income (loss). 

(Do not deduct oil and gas depletion.)

Total deductions. 

Ordinary business income (loss).

a

b

c

22a

22b

a

b

c

d

e

23a

23b

23c

23d

Amount owed. 

Overpayment. 

Credited to 2020 estimated tax Refunded

Yes No

For Paperwork Reduction Act Notice, see separate instructions.

Income Deductions (See instructions for limitations) Tax and Payments

For calendar year 2019 or tax year beginning , ending

S election effective date Name

Number, street, and room or suite no. If a P.O. box, see instructions.

City or town, state or province, country, and ZIP or foreign postal code

Date incorporated

Total assets (see instructions)

Business activity 

code number (see instructions)

Check if Sch. M-3

attached

Is the corporation electing to be an S corporation beginning with this tax year? Yes No If "Yes," attach Form 2553 if not already filed

Check if: Final return Name change Address change Amended return S election termination or revocation

Enter the number of shareholders who were shareholders during any part of the tax year

Check if corporation: Aggregated activities for section 465 at-risk purposes Grouped activities for section 469 passive activity purposes

Include trade or business income and expenses on lines 1a through 21. See the instructions for more information.

Cost of goods sold (attach Form 1125-A)

Gross profit. Subtract line 2 from line 1c

Net gain (loss) from Form 4797, line 17 (attach Form 4797)

Other income (loss) (attach statement)

Add lines 3 through 5

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Compensation of officers (see instrs. - attach Form 1125-E)

Salaries and wages (less employment credits)

Repairs and maintenance

Bad debts

Rents

Taxes and licenses

~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Interest (see instructions)

Depreciation not claimed on Form 1125-A or elsewhere on return (attach Form 4562)

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~

Depletion ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Advertising

Pension, profit-sharing, etc., plans

Employee benefit programs

Other deductions (attach statement)

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Add lines 7 through 19 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

 Subtract line 20 from line 6

Excess net passive income or LIFO recapture tax (see instructions) ~~~~~~

Tax from Schedule D (Form 1120-S)

Add lines 22a and 22b

~~~~~~~~~~~~~~~~~~~



2019 estimated tax payments and 2018 overpayment credited to 2019 ~~~~~

Tax deposited with Form 7004

Credit for federal tax paid on fuels (attach Form 4136)

Reserved for future use

Add lines 23a through 23d

~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Estimated tax penalty (see instructions). Check if Form 2220 is attached ~~~~~~~~~~~~~~

 If line 23e is smaller than the total of lines 22c and 24, enter amount owed ~~~~~~~~~~~~

 If line 23e is larger than the total of lines 22c and 24, enter amount overpaid

Enter amount from line 26: 



Signature of officer Date Title

Date PTIN

Form (2019)

~~~~~~~~~~~~~~~~~~~~~~~~~~~ |

~ ~~

  |

|

 

|

| |

| |

|

LHA

Sign

Here

1120-S

1120-S U.S. Income Tax Return for an S Corporation

2019

†

† †

† † † † †

† †

†

† †

†

= =

STATEMENT 1 

STATEMENT 2 

STATEMENT 3 

12/31/1986

SAXON SHOES, INC. 54-0560987

448210 11800 WEST BROAD STREET #2750 03/01/1953

RICHMOND, VA 23233 4,022,082.

X

7

7,448,713. 7,448,713.

4,668,070.

2,780,643.

-853.

3,723.

2,783,513.

134,715.

1,280,867.

36,764.

455,336.

292,587.

187,428.

57,032.

358,489.

645,137.

3,448,355.

-664,842.

PRESIDENT

X

MICHELLE A. GRAVES, CPA 05/18/20 P00871131

KOSITZKA, WICKS AND COMPANY 54-1342298

5911 WEST BROAD STREET

RICHMOND, VA 23230 (804) 855-1200

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 1

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Document Page 37 of 109
(v) If Percentage in (iv) is 100%, Enter the Date (if any) a Qualified Subchapter S Subsidiary Election Was Made

(v) Maximum

Percentage Owned in

Profit, Loss, or Capital

(iv) Percentage

of Stock

Owned

911711 12-30-19

2

Yes No

1

2

3

4

5

6

7

8

9

10

11

a b c

a b 

a

(i) (ii) (iii) 

b

(i) (iii) (iv) (ii) 

a

b

Form 8918, 

Form 8281, 

(a) or 

 and (b)

a

b

c

both 

a

b

Form 1120-S (2019) Page 

(see instructions)

Check accounting method: Cash Accrual Other (specify) |

See the instructions and enter the:

Business activity | Product or service |

At any time during the tax year, was any shareholder of the corporation a disregarded entity, a trust, an estate, or a

nominee or similar person? If "Yes," attach Schedule B-1, Information on Certain Shareholders of an S Corporation ~~~~~~~~~~~~~~~

At the end of the tax year, did the corporation:

Own directly 20% or more, or own, directly or indirectly, 50% or more of the total stock issued and outstanding of any

foreign or domestic corporation? For rules of constructive ownership, see instructions. If "Yes," complete (i) through (v) below 

Name of Corporation Employer Identification Number (if any)

Country of

Incorporation

Own directly an interest of 20% or more, or own, directly or indirectly, an interest of 50% or more in the profit, loss, or

capital in any foreign or domestic partnership (including an entity treated as a partnership) or in the beneficial interest of a

trust? For rules of constructive ownership, see instructions. If "Yes," complete (i) through (v) below

Name of Entity Type of Entity Country of

Organization

Employer Identification Number (if any)

At the end of the tax year, did the corporation have any outstanding shares of restricted stock?

If "Yes," complete lines (i) and (ii) below.

~~~~~~~~~~~~~~~~~~~~~~~~

(i)

(ii)

Total shares of restricted stock

Total shares of non-restricted stock

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ |

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ |

At the end of the tax year, did the corporation have any outstanding stock options, warrants, or similar instruments? ~~~~~~~~~~~~~~~

If "Yes," complete lines (i) and (ii) below. 

(i)

(ii)

Total shares of stock outstanding at the end of the tax year

Total shares of stock outstanding if all instruments were executed

~~~~~~~~~~~~~~~~~~~~~ |

~~~~~~~~~~~~~~~~~~ |

Has this corporation filed, or is it required to file, Material Advisor Disclosure Statement, to provide info. on any reportable transaction?

Check this box if the corporation issued publicly offered debt instruments with original issue discount ~~~~~~~~~~~~~~~~~ |

If checked, the corporation may have to file Information Return for Publicly Offered Original Issue Discount Instruments.

If the corporation was a C corporation before it elected to be an S corporation the corporation acquired an asset

with a basis determined by reference to the basis of the asset (or the basis of any other property) in the hands of a C

corporation has net unrealized built-in gain in excess of the net recognized built-in gain from prior years, enter the net unrealized built-in gain reduced by net recognized built-in gain from prior years ~~~~~~~~~~ | $

Did the corporation have an election under section 163(j) for any real property trade or business or any farming business

in effect during the tax year? See instructions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Does the corporation satisfy one or more of the following? See instructions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

The corporation owns a pass-through entity with current, or prior year carryover, excess business interest expense.

The corporation's aggregate average annual gross receipts (determined under section 448(c)) for the 3 tax years

preceding the current tax year are more than $26 million and the corporation has business interest expense.

The corporation is a tax shelter and the corporation has business interest expense.

If "Yes," complete and attach Form 8990.

Does the corporation satisfy of the following conditions?

The corporation's total receipts (see instructions) for the tax year were less than $250,000.

The corporation's total assets at the end of the tax year were less than $250,000.

If "Yes," the corporation is not required to complete Schedules L and M-1.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Form (2019)

 





Schedule B Other Information

1120-S 

† † †

†

SAXON SHOES, INC. 54-0560987

X

RETAIL SALES SHOES/ACCESSORIES

X

X

X

SAXON SHOES SPOTSYLVANIA,

LLC 26-4499223 PARTNERSHIP UNITED STATES 100.00%

X

X

X

X

X

X

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 2

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During the tax year, did the corporation have any non-shareholder debt that was canceled, was forgiven, or had the terms modified so as to reduce the principal amount of the debt?

(2)

Amount

Other rental real estate credits (see instructions)

Other rental credits (see instructions)

Other income (loss) (see instructions) Type

Section 59(e)(2) expenditures (1) Type

Other deductions (see instructions) Type

(attach Form 3468, if applicable)

Type

Type

Other credits (see instructions) Type

911721 12-30-19

3

Yes No

12

13

14

15

a

b

Total amount

1

2

3

4

5

6

7

8

9

10

1

2

3c

4

5a

6

7

8a

9

10

a

b

c

a

b

c

3a

3b

5b

8b

8c

a

b

11

12

11

12a

12b

12c(2)

12d

a

b

c

d

13

14

a

b

c

d

e

f

g

a

b

c

d

e

f

g

h

i

j

k

l

m

n

o

p

q

r

13a

13b

13c

13d

13e

13f

13g

14b

14c

14d

14e

14f

14g

14h

14i

14j

14k

14l

14m

14n

14o

14p

14q

Income (Loss) Deductions Credits Foreign Transactions

 (continued)

Form 1120-S (2019) Page 

(see instructions)

If "Yes," enter the amount of principal reduction | $

During the tax year, was a qualified subchapter S subsidiary election terminated or revoked? If "Yes," see instructions

Did the corporation make any payments in 2019 that would require it to file Form(s) 1099?

If "Yes," did the corporation file or will it file required Form(s) 1099?

~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Is the corporation attaching Form 8996 to certify as a Qualified Opportunity Fund?

If "Yes," enter the amount from Form 8996 , line 14

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

| $

Ordinary business income (loss) (page 1, line 21)

Net rental real estate income (loss) (attach Form 8825)

Other gross rental income (loss)

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~



~~~~~~~~~~~~~~~~~~~

Expenses from other rental activities (attach statement)

Other net rental income (loss). Subtract line 3b from line 3a

~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~

Interest income 

Dividends:

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Ordinary dividends 

Qualified dividends ~~~~~~~~~~~~~~~~~~

Royalties ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Net short-term capital gain (loss) (attach Schedule D (Form 1120-S))

Net long-term capital gain (loss) (attach Schedule D (Form 1120-S))

Collectibles (28%) gain (loss)

Unrecaptured section 1250 gain (attach statement)

Net section 1231 gain (loss) (attach Form 4797)

~~~~~~~~~~~~~~~~~~~~



~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

 |

Section 179 deduction (attach Form 4562) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Charitable contributions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Investment interest expense ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

 | |

 |

Low-income housing credit (section 42(j)(5))

Low-income housing credit (other)

Qualified rehabilitation expenditures (rental real estate)

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~

 |

 |

Biofuel producer credit (attach Form 6478) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

 |

Name of country or U.S. possession |

Gross income from all sources

Gross income sourced at shareholder level

Foreign gross income sourced at corporate level

Reserved for future use

Foreign branch category

Passive category

General category

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Other (attach statement )

Deductions allocated and apportioned at shareholder level

Interest expense

Other

Deductions allocated and apportioned at corporate level to foreign source income

Reserved for future use

Foreign branch category

Passive category

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

General category

Other (attach statement)

Other information

Total foreign taxes (check one):

Reduction in taxes available for credit (attach statement)

Other foreign tax information (attach statement)

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Paid Accrued ~~~~~~~~~~~~~~~~~~~ |

~~~~~~~~~~~~~~~~~~~~~~~~~~

Form (2019)

~~~~~~~~~~~~

 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~





Schedule B Other Information

Schedule K Shareholders' Pro Rata Share Items

1120-S 

† †

STATEMENT 4 

SAXON SHOES, INC. 54-0560987

X

X

X

X

X

-664,842.

29,866.

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 3

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 39 of 109
(att. stmt.)

Mortgages, notes, bonds payable in less than 1 year

Mortgages, notes, bonds payable in 1 year or more

Adjustments to shareholders' equity (att. stmt.)

911731

12-30-19

4

Shareholders' Pro Rata Share Items Total amount

15a

 b

 c

 d

 e

 f

16a

 b

 c

 d

 e

17a

 b

 c

 d

18

15a

15b

15c

15d

15e

15f

16a

16b

16c

16d

16e

17a

17b

17c

18

Income (loss) reconciliation. 

Balance Sheets per Books

Assets

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

a

b

a

b

a

b

a

b

Liabilities and Shareholders' Equity

Alternative

Minimum Tax (AMT) Items Items Affecting Shareholder Basis Other Information Recon- ciliation

(a) (b) (c) (d)

(continued)

Form 1120S (2019) Page 

Post-1986 depreciation adjustment

Adjusted gain or loss

Depletion (other than oil and gas)

Oil, gas, and geothermal properties - gross income

Oil, gas, and geothermal properties - deductions

Other AMT items (attach statement)

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Tax-exempt interest income

Other tax-exempt income

Nondeductible expenses

Distributions (attach statement if required)

Repayment of loans from shareholders

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Investment income

Investment expenses

Dividend distributions paid from accumulated earnings and profits

Other items and amounts 

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~

Combine the amounts on lines 1 through 10 in the far right column.

From the result, subtract the sum of the amounts on lines 11 through 12d and 14p

Beginning of tax year End of tax year

Cash

Trade notes and accounts receivable

Less allowance for bad debts

Inventories

U.S. government obligations

Tax-exempt securities

Other current assets (att. stmt.)

~~~~~~~~~~~~~~~~~

~~~

~~~~~~ (

(

(

(

)

)

)

)

(

(

(

(

)

)

)

)

~~~~~~~~~~~~~~

~~~~~~

~~~~~~~~~

~~~~~

Loans to shareholders

Mortgage and real estate loans

Other investments (att. stmt.)

Buildings and other depreciable assets

Less accumulated depreciation

Depletable assets

Less accumulated depletion

~~~~~~~~~

~~~~~

~~~~~~

~~

~~~~~

~~~~~~~~~~~

~~~~~~~

Land (net of any amortization) ~~~~~~

Intangible assets (amortizable only)

Less accumulated amortization

Other assets (att. stmt.)

Total assets

~~~

~~~~~

~~~~~~~~~

~~~~~~~~~~~~~~

Accounts payable ~~~~~~~~~~~

Other current liabilities (att. stmt.)

Loans from shareholders

~~~~

~~~~~~~~

Other liabilities (att. stmt.)

Capital stock

Additional paid-in capital

Retained earnings

Less cost of treasury stock

Total liabilities and shareholders' equity

~~~~~~~~

~~~~~~~~~~~~~

~~~~~~~~

~~~~~~~~~~~

~

~~~~~~~ ( ) ( )

Form (2019)







 

 

Schedule K

Schedule L

1120-S 

STATEMENT 5 

STATEMENT 6 

STATEMENT 7 

STATEMENT 8 

STATEMENT 9 

STATEMENT 10 

STATEMENT 11 

SAXON SHOES, INC. 54-0560987

-338.

-93.

13,391.

-694,708.

223,589. 31,063.

227. 0.

227. 0.

2,657,174. 2,515,182.

79,614. 59,779.

0. 13,171.

4,165,757. 4,090,572.

2,667,744. 1,498,013. 2,740,914. 1,349,658.

494,285. 494,285.

383,275. 111,010. 445,930. 48,355.

4,874. 4,874.

4,574,501. 4,022,082.

1,023,572. 1,151,755.

271,579. 212,077.

1,703,425. 207,376.

1,232,838. 2,966,980.

282,394. 282,394.

60,693. -798,500.

4,574,501. 4,022,082.

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 4

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 40 of 109
Travel and entertainment $

Income included on Schedule K, lines 1, 2, 3c, 4, 5a,

6, 7, 8a, 9, and 10, not recorded on books this year

(itemize): 

Income (loss) (Schedule K, line 18). Subtract line 7 from line 4

911732

12-30-19

5

Note: 

1

2

3

4

5

6

7

8

a 

a 

b 

a 

(b) (a) (c) (d)

1

2

3

4

5

6

7

8

Form 1120-S (2019) Page 

The corporation may be required to file Schedule M-3. See instructions.

Net income (loss) per books ~~~~~~~ Income recorded on books this year not

included on Schedule K, lines 1 through

10 (itemize):

Tax-exempt interest $

Expenses recorded on books this year not

included on Schedule K, lines 1 through 12

and 14p (itemize):

Depreciation $

Deductions included on Schedule K, lines 1

through 12 and 14p, not charged against

book income this year (itemize):

Depreciation $ 

Add lines 5 and 6 ~~~~~~~~~~~~~~

Add lines 1 through 3

(see instrs.)

 Shareholders'

undistributed taxable

income previously taxed

 Accumulated

adjustments account

 Accumulated

earnings and profits

 Other adjustments

account

Balance at beginning of tax year ~~~~~

Ordinary income from page 1, line 21 ~~~

Other additions ~~~~~~~~~~~~

Loss from page 1, line 21 ~~~~~~~~

Other reductions ~~~~~~~~~~~~

Combine lines 1 through 5 ~~~~~~~

Distributions ~~~~~~~~~~~~~~

Balance at end of tax year. Subtract line

7 from line 6

( )

( ) ( )

Form (2019)



 

Schedule M-1 Reconciliation of Income (Loss) per Books With Income (Loss) per Return

Schedule M-2 Analysis of Accumulated Adjustments Account, Shareholders' Undistributed Taxable Income

Previously Taxed, Accumulated Earnings and Profits, and Other Adjustments Account 

1120-S 

STMT 12 

STMT 13 

STMT 14 

STATEMENT 15 

SAXON SHOES, INC. 54-0560987

-859,193.

3,418.

149,373.

2,050. 1,697. 1,697.

11,341. 162,764. 1,697.

-693,011. -694,708.

-6,251,222. -227,597.

664,842.

43,257.

-6,959,321. -227,597.

-6,959,321. -227,597.

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 5

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 41 of 109
(Rev. November 2018)

Department of the Treasury

Internal Revenue Service

Name Employer Identification number

924441

04-01-19

1

2

3

4

5

6

7

8

9

1

2

3

4

5

6

7

8

Total. 

Cost of goods sold. 

a

b

c

d

e

f

9d

For Paperwork Reduction Act Notice, see separate instructions. 1125-A 

| Attach to Form 1120, 1120-C, 1120-F, 1120S, or 1065.

| Go to www.irs.gov/Form1125A for the latest information.

OMB No. 1545-0123

Form

Inventory at beginning of year ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Purchases ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Cost of labor ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Additional section 263A costs (attach schedule) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Other costs (attach schedule) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Add lines 1 through 5 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Inventory at end of year ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Subtract line 7 from line 6. Enter here and on Form 1120, page 1, line 2 or the

appropriate line of your tax return. See instructions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Check all methods used for valuing closing inventory:

(i)

(ii)

(iii)

Cost

Lower of cost or market

Other (Specify method used and attach explanation) |

Check if there was a writedown of subnormal goods ~~~~~~~~~~~~~~~~~~~~~~~

Check if the LIFO inventory method was adopted this tax year for any goods (if checked, attach Form 970) ~~~~~~~~~~~~~~~~~~~~

If the LIFO inventory method was used for this tax year, enter amount of closing inventory computed

under LIFO ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

|

|

If property is produced or acquired for resale, do the rules of Section 263A apply to the entity? See instructions ~~~~~~~~~~~~~~

Was there any change in determining quantities, cost, or valuations between opening and closing inventory? ~~~~~~~~~~~~~~~

If "Yes," attach explanation.

Yes

Yes

No

No

Form (Rev. 11-2018)

LHA

1125-A Cost of Goods Sold

†

†

†

†

†

†

†

†

†

SEE STATEMENT 16 

SAXON SHOES, INC. 54-0560987

2,657,174.

4,216,558.

309,520.

7,183,252.

2,515,182.

4,668,070.

X

X

X

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 6

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 42 of 109
(Rev. October 2016)

Department of the Treasury

Internal Revenue Service

Name Employer Identification number

Percent of

time devoted to

business

924451 04-01-19

(a) (b) (c) (f) 

(d) (e) 

1

2

3

4

2

3

4

For Paperwork Reduction Act Notice, see separate instructions. 1125-E 

| Attach to Form 1120, 1120-C, 1120-F, 1120-REIT, 1120-RIC, or 1120S.

| Information about Form 1125-E and its separate instructions is at www.irs.gov/form1125e.

Note: 

OMB No. 1545-0123

Form

Name of officer Social security

number

Percent of stock owned Amount of

Common Preferred compensation

Total compensation of officers

Compensation of officers claimed on Form 1125-A or elsewhere on return

Subtract line 3 from line 2. Enter the result here and on Form 1120, page 1, line 12 or the

appropriate line of your tax return

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~



Form (Rev. 10-2016)

Complete Form 1125-E only if total receipts are $500,000 or more. See instructions for definition of total receipts.

LHA

1125-E Compensation of Officers

SAXON SHOES, INC. 54-0560987

GARY L. WEINER 100% 60.99% 134,715.

134,715.

134,715.

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 7

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 43 of 109
OMB No. 1545-0123 (Rev. December 2016)

Department of the Treasury

Internal Revenue Service

Social Security Number (SSN)

or Employer Identification

Number (EIN) (if any) of

Shareholder of Record

913811

04-01-19

SCHEDULE B-1

(Form 1120S)

| Information about Schedule B-1 (Form 1120S) and its instructions is at www.irs.gov/form1120s.

Employer identification number

(a) (b) (c) (d)

For Paperwork Reduction Act Notice, see the Instructions for Form 1120S. Schedule B-1 (Form 1120S) (12-2016)

| Attach to Form 1120S.

Name of corporation

Name of Shareholder of Record - Disregarded Entity,

Trust, Estate, Nominee or Similar Person

Type of Shareholder

of Record

Name and SSN or EIN (if any) of Individual or Entity Responsible for Reporting Shareholder's Income, Deductions, Credits, etc., From Schedule K-1

(Form 1120S, Schedule B, Question 3)

LHA

Information on Any Shareholder That Was a Disregarded Entity, a Trust, an Estate, or a Nominee or Similar

Person at Any Time During the Tax Year 

Information on Certain Shareholders of an S Corporation

SAXON SHOES, INC. 54-0560987

AMC FBO WA CAFARO & AM

AMC FBO WA CAFARO & AM CAFARO JR TR J

CAFARO JR TR J TRUST 34-6856572

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 8

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 44 of 109
OMB No. 1545-0172

Form

Attachment

Sequence No.

Department of the Treasury

Internal Revenue Service (99)

Name(s) shown on return Business or activity to which this form relates Identifying number

Dollar limitation for tax year. Subtract line 4 from line 1. If zero or less, enter -0-. If married filing separately, see instructions

(a) Description of property (b) Cost (business use only) (c) Elected cost

If you are electing to group any assets placed in service during the tax year into one or more general asset accounts, check here

(c) Basis for depreciation

(business/investment use

only - see instructions)

(b) Month and

year placed

in service

(d) Recovery

period (a) Classification of property (e) Convention (f) Method (g) Depreciation deduction

916251 12-12-19

Election To Expense Certain Property Under Section 179 Note:

| Attach to your tax return.

| Go to www.irs.gov/Form4562 for instructions and the latest information. 179

1

2

3

4

5

1

2

3

4

5

6

7

8

9

10

11

12

13

 smaller

7

8

9

10

11

12

13

Note:

Special Depreciation Allowance and Other Depreciation (Don't )

14

15

16

14

15

16

MACRS Depreciation (Don't

Section A

17 17

18

Section B - Assets Placed in Service During 2019 Tax Year Using the General Depreciation System

19a

b

c

d

e

f

g

h

i

Section C - Assets Placed in Service During 2019 Tax Year Using the Alternative Depreciation System

20a

b

c

d

Summary 

21 21

22

23

Total. 

22

23

For Paperwork Reduction Act Notice, see separate instructions. 4562 

If you have any listed property, complete Part V before you complete Part I.

Maximum amount (see instructions)

Total cost of section 179 property placed in service (see instructions)

Threshold cost of section 179 property before reduction in limitation

Reduction in limitation. Subtract line 3 from line 2. If zero or less, enter -0-

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~



Listed property. Enter the amount from line 29

Total elected cost of section 179 property. Add amounts in column (c), lines 6 and 7

Tentative deduction. Enter the of line 5 or line 8

~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Carryover of disallowed deduction from line 13 of your 2018 Form 4562

Business income limitation. Enter the smaller of business income (not less than zero) or line 5

Section 179 expense deduction. Add lines 9 and 10, but don't enter more than line 11

Carryover of disallowed deduction to 2020. Add lines 9 and 10, less line 12

~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~





Don't use Part II or Part III below for listed property. Instead, use Part V.

include listed property.

Special depreciation allowance for qualified property (other than listed property) placed in service during

the tax year ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Property subject to section 168(f)(1) election

Other depreciation (including ACRS)

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~



 include listed property. See instructions.)

MACRS deductions for assets placed in service in tax years beginning before 2019 ~~~~~~~~~~~~~~



3-year property

5-year property

7-year property

10-year property

15-year property

20-year property

25-year property 25 yrs. S/L

S/L

S/L

S/L

S/L

27.5 yrs.

27.5 yrs.

MM

MM

MM

MM

/

/

/

/

Residential rental property

39 yrs. Nonresidential real property

Class life

12-year

30-year

40-year

S/L

S/L

S/L

S/L

12 yrs.

30 yrs.

40 yrs.

MM

MM

/

/

(See instructions.)

Listed property. Enter amount from line 28 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Add amounts from line 12, lines 14 through 17, lines 19 and 20 in column (g), and line 21.

Enter here and on the appropriate lines of your return. Partnerships and S corporations - see instr. 

For assets shown above and placed in service during the current year, enter the

portion of the basis attributable to section 263A costs

LHA Form (2019)

(Including Information on Listed Property)

Part I

Part II

Part III

Part IV

4562 Depreciation and Amortization 2019

J †

9

OTHER

SAXON SHOES, INC. OTHER DEPRECIATION 54-0560987

1,020,000.

2,550,000.

49,451.

30,000. 3 YRS HY S/L 5,000.

5,981. 5 YRS HY 200DB 1,196.

1,385.

57,032.

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 9

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 45 of 109
Date amortization

begins

Amortization

period or percentage

Basis for depreciation

(business/investment 

use only)

Description of costs Amortizable

amount

Code

section

Amortization

for this year

916252 12-12-19

don't

2

Listed Property

Note: only

Section A - Depreciation and Other Information (Caution: 

24a Yes No 24b Yes No

25

(b) (c) (e) (i) (f) (g) (h) (a) (d)

25

26

27

28 28

29 29

Section B - Information on Use of Vehicles

(a) (b) (c) (d) (e) (f)

30

31

32

33

34

35

36

Yes No Yes No Yes No Yes No Yes No Yes No

Section C - Questions for Employers Who Provide Vehicles for Use by Their Employees

aren't

37

38

39

40

41

Yes No

Note:

Amortization

(a) (b) (c) (d) (e) (f)

42

43

44

43

44 Total.

 4562

Do you have evidence to support the business/investment use claimed?

 Date

placed in

service

 Business/

investment

use percentage

Elected

section 179

cost

Recovery

period

Depreciation

deduction

Type of property

(list vehicles first)

Method/

Convention Cost or

other basis

Total business/investment miles driven during the

year ( include commuting miles)

Vehicle Vehicle Vehicle Vehicle Vehicle Vehicle

Form (2019)

Form 4562 (2019) Page

 (Include automobiles, certain other vehicles, certain aircraft, and property used for

entertainment, recreation, or amusement.)

For any vehicle for which you are using the standard mileage rate or deducting lease expense, complete 24a,

24b, columns (a) through (c) of Section A, all of Section B, and Section C if applicable.

See the instructions for limits for passenger automobiles.)

If "Yes," is the evidence written?

Special depreciation allowance for qualified listed property placed in service during the tax year and

used more than 50% in a qualified business use

Property used more than 50% in a qualified business use:

%

%

%

Property used 50% or less in a qualified business use:

%

%

S/L -

S/L -

% S/L -

Add amounts in column (h), lines 25 through 27. Enter here and on line 21, page 1 ~~~~~~~~~~~~

Add amounts in column (i), line 26. Enter here and on line 7, page 1 

Complete this section for vehicles used by a sole proprietor, partner, or other "more than 5% owner," or related person. If you provided vehicles

to your employees, first answer the questions in Section C to see if you meet an exception to completing this section for those vehicles.

~~~~~~~

Total commuting miles driven during the year ~

Total other personal (noncommuting) miles

driven~~~~~~~~~~~~~~~~~~~~~

Total miles driven during the year.

Add lines 30 through 32~~~~~~~~~~~~

Was the vehicle available for personal use

during off-duty hours? ~~~~~~~~~~~~

Was the vehicle used primarily by a more 

than 5% owner or related person? ~~~~~~

Is another vehicle available for personal

use? 

Answer these questions to determine if you meet an exception to completing Section B for vehicles used by employees who 

more than 5% owners or related persons.

Do you maintain a written policy statement that prohibits all personal use of vehicles, including commuting, by your 

employees?~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Do you maintain a written policy statement that prohibits personal use of vehicles, except commuting, by your 

employees? See the instructions for vehicles used by corporate officers, directors, or 1% or more owners ~~~~~~~~~~~~

Do you treat all use of vehicles by employees as personal use? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Do you provide more than five vehicles to your employees, obtain information from your employees about

the use of the vehicles, and retain the information received? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Do you meet the requirements concerning qualified automobile demonstration use? ~~~~~~~~~~~~~~~~~~~~~~~

If your answer to 37, 38, 39, 40, or 41 is "Yes," don't complete Section B for the covered vehicles.

Amortization of costs that begins during your 2019 tax year:

Amortization of costs that began before your 2019 tax year ~~~~~~~~~~~~~~~~~~~~~~~~~~

 Add amounts in column (f). See the instructions for where to report 

Part V

Part VI

† † † †

! ! ! ! ! !

! ! ! ! ! !

! ! ! !

SAXON SHOES, INC. 54-0560987

X X

TOYOTA SEQUOIA050815100.00 12,022. 12,022.5 YRS200DB-HY 1,385.

1,385.

38,025.

38,025.

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 10

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 46 of 109
OMB No. 1545-0184

Department of the Treasury Attachment Internal Revenue Service Sequence No.

Name(s) shown on return Identifying number

Cost or other Gain or (loss) Date Depreciation

sold

(mo., day, yr.)

 Date

acquired

(mo., day, yr.)

 Gross basis, plus

sales price

Subtract (f) from

the sum of (d) and (e) Description of allowed or allowable

property

improvements and

since acquisition expense of sale

Form (2019)

918001

12-04-19

(Also Involuntary Conversions and Recapture Amounts Under Sections 179 and 280F(b)(2))

| Attach to your tax return.

| Go to www.irs.gov/Form4797 for instructions and the latest information.

1

2

3

4

5

6

7

8

1

(f) (g) (b) (c) (e) (d) (a)

3

4

5

6

7

8

9

Partnerships and S corporations. 

Individuals, partners, S corporation shareholders, and all others. 

9

10

11

12

13

14

15

16

17

11

12

13

14

15

16

17

18a

18b

18

a

b

4797 For Paperwork Reduction Act Notice, see separate instructions.

Form

Enter the gross proceeds from sales or exchanges reported to you for 2019 on Form(s) 1099-B or 1099-S (or substitute

statement) that you are including on line 2, 10, or 20. See instructions 

(see instructions)

Gain, if any, from Form 4684, line 39 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Section 1231 gain from installment sales from Form 6252, line 26 or 37 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Section 1231 gain or (loss) from like-kind exchanges from Form 8824 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Gain, if any, from line 32, from other than casualty or theft ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Combine lines 2 through 6. Enter the gain or (loss) here and on the appropriate line as follows ~~~~~~~~~~~~~~~~~~

Report the gain or (loss) following the instructions for Form 1065, Schedule K,

line 10, or Form 1120-S, Schedule K, line 9. Skip lines 8, 9, 11, and 12 below.

If line 7 is zero or a loss, enter the amount

from line 7 on line 11 below and skip lines 8 and 9. If line 7 is a gain and you didn't have any prior year section

1231 losses, or they were recaptured in an earlier year, enter the gain from line 7 as a long-term capital gain on

the Schedule D filed with your return and skip lines 8, 9, 11, and 12 below.

Nonrecaptured net section 1231 losses from prior years. See instructions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Subtract line 8 from line 7. If zero or less, enter -0-. If line 9 is zero, enter the gain from line 7 on line 12 below. If

line 9 is more than zero, enter the amount from line 8 on line 12 below and enter the gain from line 9 as a long-term

capital gain on the Schedule D filed with your return. See instructions 

(see instructions)

Ordinary gains and losses not included on lines 11 through 16 (include property held 1 year or less):

Loss, if any, from line 7

Gain, if any, from line 7 or amount from line 8, if applicable

Gain, if any, from line 31

Net gain or (loss) from Form 4684, lines 31 and 38a

Ordinary gain from installment sales from Form 6252, line 25 or 36

( )

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Ordinary gain or (loss) from like-kind exchanges from Form 8824 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Combine lines 10 through 16 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

For all except individual returns, enter the amount from line 17 on the appropriate line of your return and skip lines a

and b below. For individual returns, complete lines a and b below.

If the loss on line 11 includes a loss from Form 4684, line 35, column (b)(ii), enter that part of the loss here. Enter the loss

from income-producing property on Schedule A (Form 1040 or Form 1040-SR), line 16. (Do not include any loss on

property used as an employee.) Identify as from "Form 4797, line 18a." See instructions

Redetermine the gain or (loss) on line 17 excluding the loss, if any, on line 18a. Enter here and on Schedule 1

(Form 1040 or Form 1040-SR), Part I, line 4 

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~

LHA

27

Part I Sales or Exchanges of Property Used in a Trade or Business and Involuntary Conversions From Other

Than Casualty or Theft - Most Property Held More Than 1 Year 

Part II Ordinary Gains and Losses 

Sales of Business Property 4797 2019

SAXON SHOES, INC. 54-0560987

0.

STATEMENT 17 110,313. 111,166. -853.

-853.

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 11

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 47 of 109
Form 4797 (2019)

(b) Date acquired (c) Date sold

(mo., day, yr.) (mo., day, yr.)

918002

12-04-19 (2019)

2

Gain From Disposition of Property Under Sections 1245, 1250, 1252, 1254, and 1255 

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

(a) 

A

B

C

D

These columns relate to the properties on

 lines 19A through 19D. Property A Property B Property C Property D

Note: 20

21

22

23

24

25a

25b

26a

26b

26c

26d

26e

26f

26g

27a

27b

27c

28a

28b

29a

29b

If section 1245 property: 

a

b

a

b

c

d

e

f

g

a

b

c

a

b

a

b

smaller 

If section 1250 property: 

smaller 

or

smaller

If section 1252 property: 

smaller 

If section 1254 property:

smaller 

If section 1255 property:

smaller 

30

31

32

(a) Section

179

(b) Section

280F(b)(2)

33

34

35

Form 4797 

Page 

(see instructions)

Description of section 1245, 1250, 1252, 1254, or 1255 property:

Gross sales price ( See line 1 before completing.)

Cost or other basis plus expense of sale ~~~~~~

Depreciation (or depletion) allowed or allowable ~~

Adjusted basis. Subtract line 22 from line 21 ~~~~

Total gain. Subtract line 23 from line 20 

Depreciation allowed or allowable from line 22 ~~~

Enter the of line 24 or 25a 

If straight line depreciation

was used, enter -0- on line 26g, except for a corporation

subject to section 291. 

Additional depreciation after 1975 ~~~~~~~~

Applicable percentage multiplied by the of

line 24 or line 26a ~~~~~~~~~~~~~~~

Subtract line 26a from line 24. If residential rental

property line 24 isn't more than line 26a, skip lines

26d and 26e ~~~~~~~~~~~~~~~~~

Additional depreciation after 1969 and before 1976 ~

Enter the of line 26c or 26d ~~~~~~~

Section 291 amount (corporations only) ~~~~~

Add lines 26b, 26e, and 26f 

Skip this section if you didn't

dispose of farmland or if this form is being completed for

a partnership.

Soil, water, and land clearing expenses ~~~~~~

Line 27a multiplied by applicable percentage ~~~~

Enter the of line 24 or 27b 

Intangible drilling and development costs, expenditures

for development of mines and other natural deposits,

mining exploration costs, and depletion ~~~~~~

Enter the of line 24 or 28a 

Applicable percentage of payments excluded from

income under section 126 ~~~~~~~~~~~~

Enter the of line 24 or 29a 

 Complete property columns A through D through line 29b before going to line 30.

Total gains for all properties. Add property columns A through D, line 24 ~~~~~~~~~~~~~~~~~~~~~~~~

Add property columns A through D, lines 25b, 26g, 27c, 28b, and 29b. Enter here and on line 13 ~~~~~~~~~~~~~~

Subtract line 31 from line 30. Enter the portion from casualty or theft on Form 4684, line 33. Enter the portion

from other than casualty or theft on Form 4797, line 6 

(see instructions)

Section 179 expense deduction or depreciation allowable in prior years ~~~~~~~~~~~~~~

Recomputed depreciation. See instructions ~~~~~~~~~~~~~~~~~~~~~~~~~~

Recapture amount. Subtract line 34 from line 33. See the instructions for where to report 

Part III

Summary of Part III Gains.

Part IV Recapture Amounts Under Sections 179 and 280F(b)(2) When Business Use Drops to 50% or Less

J

SAXON SHOES, INC. 54-0560987

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 12

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 48 of 109
OMB No. 1545-0184

Department of the Treasury Attachment Internal Revenue Service Sequence No.

Name(s) shown on return Identifying number

Cost or other Gain or (loss) Date Depreciation

sold

(mo., day, yr.)

 Date

acquired

(mo., day, yr.)

 Gross basis, plus

sales price

Subtract (f) from

the sum of (d) and (e) Description of allowed or allowable

property

improvements and

since acquisition expense of sale

Form (2019)

918001

12-04-19

(Also Involuntary Conversions and Recapture Amounts Under Sections 179 and 280F(b)(2))

| Attach to your tax return.

| Go to www.irs.gov/Form4797 for instructions and the latest information.

1

2

3

4

5

6

7

8

1

(f) (g) (b) (c) (e) (d) (a)

3

4

5

6

7

8

9

Partnerships and S corporations. 

Individuals, partners, S corporation shareholders, and all others. 

9

10

11

12

13

14

15

16

17

11

12

13

14

15

16

17

18a

18b

18

a

b

4797 For Paperwork Reduction Act Notice, see separate instructions.

Form

Enter the gross proceeds from sales or exchanges reported to you for 2019 on Form(s) 1099-B or 1099-S (or substitute

statement) that you are including on line 2, 10, or 20. See instructions 

(see instructions)

Gain, if any, from Form 4684, line 39 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Section 1231 gain from installment sales from Form 6252, line 26 or 37 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Section 1231 gain or (loss) from like-kind exchanges from Form 8824 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Gain, if any, from line 32, from other than casualty or theft ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Combine lines 2 through 6. Enter the gain or (loss) here and on the appropriate line as follows ~~~~~~~~~~~~~~~~~~

Report the gain or (loss) following the instructions for Form 1065, Schedule K,

line 10, or Form 1120-S, Schedule K, line 9. Skip lines 8, 9, 11, and 12 below.

If line 7 is zero or a loss, enter the amount

from line 7 on line 11 below and skip lines 8 and 9. If line 7 is a gain and you didn't have any prior year section

1231 losses, or they were recaptured in an earlier year, enter the gain from line 7 as a long-term capital gain on

the Schedule D filed with your return and skip lines 8, 9, 11, and 12 below.

Nonrecaptured net section 1231 losses from prior years. See instructions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Subtract line 8 from line 7. If zero or less, enter -0-. If line 9 is zero, enter the gain from line 7 on line 12 below. If

line 9 is more than zero, enter the amount from line 8 on line 12 below and enter the gain from line 9 as a long-term

capital gain on the Schedule D filed with your return. See instructions 

(see instructions)

Ordinary gains and losses not included on lines 11 through 16 (include property held 1 year or less):

Loss, if any, from line 7

Gain, if any, from line 7 or amount from line 8, if applicable

Gain, if any, from line 31

Net gain or (loss) from Form 4684, lines 31 and 38a

Ordinary gain from installment sales from Form 6252, line 25 or 36

( )

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Ordinary gain or (loss) from like-kind exchanges from Form 8824 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Combine lines 10 through 16 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

For all except individual returns, enter the amount from line 17 on the appropriate line of your return and skip lines a

and b below. For individual returns, complete lines a and b below.

If the loss on line 11 includes a loss from Form 4684, line 35, column (b)(ii), enter that part of the loss here. Enter the loss

from income-producing property on Schedule A (Form 1040 or Form 1040-SR), line 16. (Do not include any loss on

property used as an employee.) Identify as from "Form 4797, line 18a." See instructions

Redetermine the gain or (loss) on line 17 excluding the loss, if any, on line 18a. Enter here and on Schedule 1

(Form 1040 or Form 1040-SR), Part I, line 4 

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~

LHA

27

Part I Sales or Exchanges of Property Used in a Trade or Business and Involuntary Conversions From Other

Than Casualty or Theft - Most Property Held More Than 1 Year 

Part II Ordinary Gains and Losses 

Sales of Business Property 4797 2019

ALTERNATIVE MINIMUM TAX

SAXON SHOES, INC. 54-0560987

STATEMENT 18 110,313. 111,259. -946.

-946.

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 13

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 49 of 109
Form 4797 (2019)

(b) Date acquired (c) Date sold

(mo., day, yr.) (mo., day, yr.)

918002

12-04-19 (2019)

2

Gain From Disposition of Property Under Sections 1245, 1250, 1252, 1254, and 1255 

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

(a) 

A

B

C

D

These columns relate to the properties on

 lines 19A through 19D. Property A Property B Property C Property D

Note: 20

21

22

23

24

25a

25b

26a

26b

26c

26d

26e

26f

26g

27a

27b

27c

28a

28b

29a

29b

If section 1245 property: 

a

b

a

b

c

d

e

f

g

a

b

c

a

b

a

b

smaller 

If section 1250 property: 

smaller 

or

smaller

If section 1252 property: 

smaller 

If section 1254 property:

smaller 

If section 1255 property:

smaller 

30

31

32

(a) Section

179

(b) Section

280F(b)(2)

33

34

35

Form 4797 

Page 

(see instructions)

Description of section 1245, 1250, 1252, 1254, or 1255 property:

Gross sales price ( See line 1 before completing.)

Cost or other basis plus expense of sale ~~~~~~

Depreciation (or depletion) allowed or allowable ~~

Adjusted basis. Subtract line 22 from line 21 ~~~~

Total gain. Subtract line 23 from line 20 

Depreciation allowed or allowable from line 22 ~~~

Enter the of line 24 or 25a 

If straight line depreciation

was used, enter -0- on line 26g, except for a corporation

subject to section 291. 

Additional depreciation after 1975 ~~~~~~~~

Applicable percentage multiplied by the of

line 24 or line 26a ~~~~~~~~~~~~~~~

Subtract line 26a from line 24. If residential rental

property line 24 isn't more than line 26a, skip lines

26d and 26e ~~~~~~~~~~~~~~~~~

Additional depreciation after 1969 and before 1976 ~

Enter the of line 26c or 26d ~~~~~~~

Section 291 amount (corporations only) ~~~~~

Add lines 26b, 26e, and 26f 

Skip this section if you didn't

dispose of farmland or if this form is being completed for

a partnership.

Soil, water, and land clearing expenses ~~~~~~

Line 27a multiplied by applicable percentage ~~~~

Enter the of line 24 or 27b 

Intangible drilling and development costs, expenditures

for development of mines and other natural deposits,

mining exploration costs, and depletion ~~~~~~

Enter the of line 24 or 28a 

Applicable percentage of payments excluded from

income under section 126 ~~~~~~~~~~~~

Enter the of line 24 or 29a 

 Complete property columns A through D through line 29b before going to line 30.

Total gains for all properties. Add property columns A through D, line 24 ~~~~~~~~~~~~~~~~~~~~~~~~

Add property columns A through D, lines 25b, 26g, 27c, 28b, and 29b. Enter here and on line 13 ~~~~~~~~~~~~~~

Subtract line 31 from line 30. Enter the portion from casualty or theft on Form 4684, line 33. Enter the portion

from other than casualty or theft on Form 4797, line 6 

(see instructions)

Section 179 expense deduction or depreciation allowable in prior years ~~~~~~~~~~~~~~

Recomputed depreciation. See instructions ~~~~~~~~~~~~~~~~~~~~~~~~~~

Recapture amount. Subtract line 34 from line 33. See the instructions for where to report 

Part III

Summary of Part III Gains.

Part IV Recapture Amounts Under Sections 179 and 280F(b)(2) When Business Use Drops to 50% or Less

J

SAXON SHOES, INC. 54-0560987

ALTERNATIVE MINIMUM TAX

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 14

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 50 of 109
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

FORM 1120S OTHER INCOME STATEMENT 1

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}

DESCRIPTION AMOUNT

}}}}}}}}}}} }}}}}}}}}}}}}}

MISCELLANEOUS INCOME 3,723.

}}}}}}}}}}}}}}

TOTAL TO FORM 1120S, PAGE 1, LINE 5 3,723.

~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

FORM 1120S TAXES AND LICENSES STATEMENT 2

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}

DESCRIPTION AMOUNT

}}}}}}}}}}} }}}}}}}}}}}}}}

PAYROLL TAXES 107,273.

TAXES AND LICENSES 185,314.

}}}}}}}}}}}}}}

TOTAL TO FORM 1120S, PAGE 1, LINE 12 292,587.

~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

FORM 1120S OTHER DEDUCTIONS STATEMENT 3

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}

DESCRIPTION AMOUNT

}}}}}}}}}}} }}}}}}}}}}}}}}

AMORTIZATION EXPENSE 38,025.

AUTO EXPENSE 3,274.

BANK CREDIT CARD FEES 21,677.

CASH (OVER)/SHORT -15.

CASUAL LABOR 16,394.

COMPUTER CONTRACTS 52,951.

COMPUTER SUPPORT 7,130.

CREDIT CARD PROCESSING FEES 138,398.

DUES AND SUBSCRIPTIONS 6,685.

EQUIPMENT RENTAL 7,381.

GROUP INSURANCE 33,539.

HSA ADMINISTRATIVE FEES 261.

INSURANCE 30,640.

MEALS 2,050.

OFFICE SUPPLIES AND POSTAGE 7,271.

PAYROLL PROCESSING FEES 10,106.

PROFESSIONAL FEES 25,791.

PROFIT SHARING PLAN ADMINISTRATIVE 4,620.

SECURITY -5.

SELLING SUPPLIES 48,193.

TELEPHONE 120,513.

TRAVEL 9,776.

UTILITIES 60,482.

}}}}}}}}}}}}}}

TOTAL TO FORM 1120S, PAGE 1, LINE 19 645,137.

~~~~~~~~~~~~~~

SAXON SHOES, INC. 54-0560987

}}}}}}}}}}}}}}}}} }}}}}}}}}}

STATEMENT(S) 1, 2, 3

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 15

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 51 of 109
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

SCHEDULE K CHARITABLE CONTRIBUTIONS STATEMENT 4

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}

NO 50%, 60% OR

DESCRIPTION LIMIT 100% LIMIT 30% LIMIT 20% LIMIT

}}}}}}}}}}} }}}}} }}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}}

CONTRIBUTIONS 29,866.

}}}}}}}}}}}}

29,866.

}}}}}}}}}}}} }}}}}}}}}}}}

TOTALS TO SCHEDULE K, LINE 12A

~~~~~~~~~~~~ ~~~~~~~~~~~~ ~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

SCHEDULE K OTHER ITEMS, LINE 17D STATEMENT 5

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}

DESCRIPTION AMOUNT

}}}}}}}}}}} }}}}}}}}}}}}}}

SECTION 199A - ORDINARY INCOME (LOSS) -664,842.

SECTION 199A - W-2 WAGES 1,419,214.

SECTION 199A - UNADJUSTED BASIS OF ASSETS 1,785,820.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

SCHEDULE L OTHER CURRENT ASSETS STATEMENT 6

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}

BEGINNING OF END OF TAX

DESCRIPTION TAX YEAR YEAR

}}}}}}}}}}} }}}}}}}}}}}}}} }}}}}}}}}}}}}}

ACCOUNTS RECEIVABLE - ADVERTISING 300. 0.

LOANS TO EMPLOYEES 1,079. 2,141.

PREPAID EXPENSES 76,077. 57,307.

RETURNED CHECKS 2,158.

}}}}}}}}}}}}}}

79,614.

331.

}}}}}}}}}}}}}}

TOTAL TO SCHEDULE L, LINE 6 59,779.

~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

SCHEDULE L OTHER ASSETS STATEMENT 7

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}

BEGINNING OF END OF TAX

DESCRIPTION TAX YEAR YEAR

}}}}}}}}}}} }}}}}}}}}}}}}} }}}}}}}}}}}}}}

SECURITY DEPOSIT 4,874.

}}}}}}}}}}}}}}

4,874.

4,874.

}}}}}}}}}}}}}}

TOTAL TO SCHEDULE L, LINE 14 4,874.

~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~

SAXON SHOES, INC. 54-0560987

}}}}}}}}}}}}}}}}} }}}}}}}}}}

STATEMENT(S) 4, 5, 6, 7

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 16

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 52 of 109
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

SCHEDULE L OTHER CURRENT LIABILITIES STATEMENT 8

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}

BEGINNING OF END OF TAX

DESCRIPTION TAX YEAR YEAR

}}}}}}}}}}} }}}}}}}}}}}}}} }}}}}}}}}}}}}}

401K PAYABLE 3,174.

ACCORD NOTE PAYABLE 1,433,713. 0.

ACCRUED EXPENSES 17,831. 16,287.

ACCRUED SALARIES 82,850. 11,421.

CUSTOMER DEPOSITS 957. 801.

CUSTOMER REFUNDS PAYABLE 477. 92.

EMPLOYEE FUND 2,508. 2,508.

GARNISHMENTS 60. 182.

GIFT CERTIFICATES PAYABLE 112,797. 125,977.

HSA PAYABLE 199.

SALES TAX PAYABLE 52,232.

}}}}}}}}}}}}}}

1,703,425.

46,735.

}}}}}}}}}}}}}}

TOTAL TO SCHEDULE L, LINE 18 207,376.

~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

SCHEDULE L ANALYSIS OF TOTAL RETAINED EARNINGS PER BOOKS STATEMENT 9

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}

DESCRIPTION AMOUNT

}}}}}}}}}}} }}}}}}}}}}}}}}

BALANCE AT BEGINNING OF YEAR 60,693.

NET INCOME PER BOOKS -859,193.

DISTRIBUTIONS 0.

OTHER INCREASES (DECREASES)

}}}}}}}}}}}}}}

BALANCE AT END OF YEAR - SCHEDULE L, LINE 24, COLUMN (D) -798,500.

~~~~~~~~~~~~~~

SAXON SHOES, INC. 54-0560987

}}}}}}}}}}}}}}}}} }}}}}}}}}}

STATEMENT(S) 8, 9

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 17

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 53 of 109
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

SCHEDULE K ADJUSTED GAIN OR LOSS STATEMENT 10

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}

TOTAL 25%/28% RATE

DESCRIPTION AMOUNT AMOUNT

}}}}}}}}}}} }}}}}}}}}}}} }}}}}}}}}}}}

ADJUSTED GAIN OR LOSS ALLOCABLE TO:

ORDINARY GAIN OR LOSS -93.

SECTION 1231 GAIN OR LOSS

SHORT-TERM CAPITAL GAIN OR LOSS

LONG-TERM CAPITAL GAIN OR LOSS

UNRECAPTURED SECTION 1250 GAIN - 25% RATE AMOUNT

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

SCHEDULE K NONDEDUCTIBLE EXPENSES STATEMENT 11

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}

DESCRIPTION AMOUNT

}}}}}}}}}}} }}}}}}}}}}}}}}

OFFICER LIFE INSURANCE 11,341.

EXCLUDED MEALS AND ENTERTAINMENT EXPENSES 2,050.

}}}}}}}}}}}}}}

TOTAL TO SCHEDULE K, LINE 16C 13,391.

~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

SCHEDULE M-1 INCOME INCLUDED ON SCHEDULE K STATEMENT 12

NOT RECORDED ON BOOKS THIS YEAR

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}

DESCRIPTION AMOUNT

}}}}}}}}}}} }}}}}}}}}}}}}}

TAX GAIN/LOSS ON SALE OF ASSETS IN EXCESS OF BOOK 3,418.

}}}}}}}}}}}}}}

TOTAL TO SCHEDULE M-1, LINE 2 3,418.

~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

SCHEDULE M-1 EXPENSES RECORDED ON BOOKS THIS YEAR STATEMENT 13

NOT INCLUDED ON SCHEDULE K

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}

DESCRIPTION AMOUNT

}}}}}}}}}}} }}}}}}}}}}}}}}

OFFICER LIFE INSURANCE 11,341.

}}}}}}}}}}}}}}

TOTAL TO SCHEDULE M-1, LINE 3 11,341.

~~~~~~~~~~~~~~

SAXON SHOES, INC. 54-0560987

}}}}}}}}}}}}}}}}} }}}}}}}}}}

STATEMENT(S) 10, 11, 12, 13

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 18

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 54 of 109
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

SCHEDULE M-1 DEDUCTIONS ON SCHEDULE K STATEMENT 14

NOT CHARGED AGAINST BOOK INCOME THIS YEAR

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}

DESCRIPTION AMOUNT

}}}}}}}}}}} }}}}}}}}}}}}}}

EXCESS TAX OVER BOOK AMORTIZATION 1,697.

}}}}}}}}}}}}}}

TOTAL TO SCHEDULE M-1, LINE 6 1,697.

~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

SCHEDULE M-2 ACCUMULATED ADJUSTMENTS ACCOUNT- OTHER REDUCTIONS STATEMENT 15

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}

DESCRIPTION AMOUNT

}}}}}}}}}}} }}}}}}}}}}}}}}

CHARITABLE CONTRIBUTIONS 29,866.

NONDEDUCTIBLE EXPENSES 13,391.

}}}}}}}}}}}}}}

TOTAL TO SCHEDULE M-2, LINE 5 - COLUMN (A) 43,257.

~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

FORM 1125-A OTHER COSTS STATEMENT 16

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}

DESCRIPTION AMOUNT

}}}}}}}}}}} }}}}}}}}}}}}}}

FREIGHT 292,544.

INVENTORY LOSS 15,912.

SHOE REPAIRS 1,064.

}}}}}}}}}}}}}}

TOTAL TO LINE 5 309,520.

~~~~~~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

FORM 4797 ORDINARY GAINS AND LOSSES STATEMENT 17

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}

DESCRIPTION DATE DATE SALES DEPR COST GAIN

OF PROPERTY ACQUIRED SOLD PRICE ALLOWED OR BASIS OR LOSS

}}}}}}}}}}}}}}}}}}}}}} }}}}}}}} }}}}}}}} }}}}}}}} }}}}}}}} }}}}}}}} }}}}}}}}}

NICE LABEL SOFTWARE 10/28/09 07/01/19 922. 922. 0.

IMPORTSTAR LICENSE 11/13/09 07/01/19 625. 625. 0.

COMPUTER RESOLUTION

UPGRADE

11/14/09 07/01/19

270. 270. 0.

VA-STC-TI 2CXOJ656078 08/16/10 07/01/19 355. 355. 0.

VA-STC-T2 2CXOJ656036 08/16/10 07/01/19 355. 355. 0.

VA-STC-T2

ETLBY081780190267F4204

08/16/10 07/01/19

122. 122. 0.

VA-STC-VM1 4GB 240-PIN

512MX72

09/28/10 07/01/19

630. 630. 0.

SAXON SHOES, INC. 54-0560987

}}}}}}}}}}}}}}}}} }}}}}}}}}}

STATEMENT(S) 14, 15, 16, 17

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 19

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 55 of 109
VA-STC-VM2 4GB 240-PIN

512MX72

09/28/10 07/01/19

630. 630. 0.

BRIGHTON FIXTURE 12/07/10 07/01/19 232. 232. 0.

CISCO HWIC-3G-CDMA-V

HOME-GARY-RT193

FOC14092

04/21/10 07/01/19

551. 551. 0.

FUTURE MEMORY 64MB

COMPACT FLASH CARD

HOME-EV

04/29/10 07/01/19

75. 75. 0.

TC A58 SFF PDC/2.6 2GB

250GB DVDR WINDOWS 7

04/29/10 07/01/19

439. 439. 0.

FUTURE MEMORY 64MB

COMPACT FLASH CARD

HOME-GA

04/29/10 07/01/19

75. 75. 0.

CISCO 1841 128MB:256MB

DRAM UPGRADE HOME-EVAN

05/04/10 07/01/19

75. 75. 0.

CISCO 1841 128MB:256MB

DRAM UPGRADE HOME-GARY

05/04/10 07/01/19

75. 75. 0.

WYSE C50LE VA-SPTC-ST1

2CZDJ300080

06/09/10 07/01/19

346. 346. 0.

HOME-EVAN-HPLJ3015

VNBCB5M2MX

08/16/10 07/01/19

707. 707. 0.

CISCO CP-7921G-A-K9

SIAC14300024

11/09/10 07/01/19

341. 341. 0.

CISCO CP-BATT-7921G-E 11/09/10 07/01/19 62. 62. 0.

TESTC50LE WYSE C50LE

2CZDJA0094

12/07/10 07/01/19

355. 355. 0.

VA=SPTC-OFFT8 WYSE

C50LE 2CZDJA00123

12/07/10 07/01/19

355. 355. 0.

ACER 17" TFR LCD VGA

VA-SPTC-OFF12

04/29/10 07/01/19

118. 118. 0.

TC A58 SFF PDC/2.6 2GB

250GB DVDR WIND 7

04/29/10 07/01/19

439. 439. 0.

VA-SPTC-OFF2A MJVMY70

7522P1U

08/16/10 07/01/19

486. 486. 0.

VA-SPTC-T2 2CZOJ656077

C50LE

08/16/10 07/01/19

355. 355. 0.

VA-SPTC-T2

ETLBY08178019026194204

08/16/10 07/01/19

122. 122. 0.

VA-SPTC-OFFT1 WYSE

C50LE

12/07/10 07/01/19

355. 355. 0.

VA-SPTC-OFFT3 WYSE

C50LE

12/07/10 07/01/19

355. 355. 0.

SOFTWARE 04/01/10 07/01/19 150. 150. 0.

VA-SPTC-TS1

PRIMALSCRIPT 2009 PROG

SOFTWARE

11/03/10 07/01/19

299. 299. 0.

(2) CISCO

WS-C2960-24PS-S

09/08/11 07/01/19

2,118. 2,118. 0.

(2) CISCO SMARTNET -

SNTP

09/08/11 07/01/19

299. 299. 0.

VMWARE VS4-STD-C 06/01/11 07/01/19 2,640. 2,640. 0.

VA-STPC-VM4, HARD

DRIVES

01/11/11 07/01/19

640. 640. 0.

SAXON SHOES, INC. 54-0560987

}}}}}}}}}}}}}}}}} }}}}}}}}}}

STATEMENT(S) 17

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 20

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 56 of 109
WYSE C50LE,

2CZDJC01737

01/25/11 07/01/19

336. 336. 0.

COMPUTER EQUIP 05/05/11 07/01/19 208. 208. 0.

KINGSTON 8GB MEMORY

KIT FOR IBM TYPE 7979

05/10/11 07/01/19

1,120. 1,120. 0.

IBM 79T4230 INTEL ETH

DUAL PT SVR ADPT

I340T2

05/10/11 07/01/19

400. 400. 0.

INTEL X5450 PROCESSOR

(2)

06/01/11 07/01/19

1,060. 1,060. 0.

INTEL E5420 PROCESSOR 06/01/11 07/01/19 465. 465. 0.

KINGSTON 8 GB MEMORY

KIT FOR IBM TYPE7979

(2)

06/01/11 07/01/19

2,240. 2,240. 0.

WYSE FOR 902169-01K 07/26/11 07/01/19 387. 387. 0.

WYSE 902169-01L 09/08/11 07/01/19 387. 387. 0.

CISCO CP-7945 09/08/11 07/01/19 305. 305. 0.

CISCO 3G-ANTM-OUT-OM 09/08/11 07/01/19 137. 137. 0.

CISCO CPDSKCH-7921GB 09/08/11 07/01/19 123. 123. 0.

WYSE C50LE W/ MOUNT

BRACKET

01/11/11 07/01/19

355. 355. 0.

ACRE MT-V193DJBM 01/11/11 07/01/19 159. 159. 0.

HP J8021A 01/25/11 07/01/19 278. 278. 0.

RAM FOR SERVERS 09/01/12 07/01/19 3,360. 3,360. 0.

2 VIEWSONIC LED LCD

DISPLAYS

01/06/12 07/01/19

390. 390. 0.

GRAPHICS CARD 01/06/12 07/01/19 456. 456. 0.

CISCO AIR-AP1131AG,

CON-SNTP-AIRAP

01/06/12 07/01/19

536. 536. 0.

COMPUTER EQUIPMENT 01/05/12 07/01/19 1,196. 1,196. 0.

PALO ALTO PAN-PA-500 04/09/12 07/01/19 3,624. 3,624. 0.

COMPUTER EQUIPMENT 05/20/12 07/01/19 147. 147. 0.

COMPUTER EQUIPMENT 06/12/12 07/01/19 1,525. 1,525. 0.

COMPUTER EQUIPMENT 08/30/12 07/01/19 1,015. 1,015. 0.

LENOVA THINK CENTER

M92P

08/31/12 07/01/19

785. 785. 0.

4 BARCODE READERS FOR

IPOD

09/19/12 07/01/19

2,020. 2,020. 0.

COMPUTER EQUIPMENT 10/04/12 07/01/19 202. 202. 0.

(2) CISCO

WS-C37502G-24 AND

COMPONENTS

03/01/12 07/01/19

7,362. 7,362. 0.

CISCO AIR-AP1131AG-A-K

ET AL

03/01/12 07/01/19

783. 783. 0.

COMPUTER EQUIP 04/18/12 07/01/19 118. 118. 0.

(2) RR SYSTEM X3650 M3

EXON ET AL

07/03/12 07/01/19

10,156. 10,156. 0.

(4) RR 600GB SAS 10K

RPM ET AL

07/03/12 07/01/19

2,216. 2,216. 0.

(8) 16GB ECC DDR3 PC3L 07/03/12 07/01/19 3,360. 3,360. 0.

COMPUTER EQUIP 09/01/12 07/01/19 1,682. 1,682. 0.

(4) WYSE 902169-01L 10/31/12 07/01/19 1,548. 1,548. 0.

(4) WYSE 920277-01L 10/31/12 07/01/19 76. 76. 0.

LENOVA 3311B1U AND

PORT REPLICATOR

11/30/12 07/01/19

1,191. 1,191. 0.

SAXON SHOES, INC. 54-0560987

}}}}}}}}}}}}}}}}} }}}}}}}}}}

STATEMENT(S) 17

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 21

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 57 of 109
:ENOVA 23594DU AND

04W8693

11/30/12 07/01/19

929. 929. 0.

(2) CISCO

WS-C37502G-24

11/30/12 07/01/19

2,900. 2,900. 0.

(2) CISCO SMARTNET

8X5X NBD

11/30/12 07/01/19

2,659. 2,659. 0.

(3) ACRE V193W 08/31/12 07/01/19 324. 324. 0.

COMPUTER EQUIP 04/04/12 07/01/19 904. 904. 0.

WYSE 920227-01L X4 AND

902169-01L X3

08/31/12 07/01/19

1,624. 1,624. 0.

LENOVA 3311B1U 11/30/12 07/01/19 5,045. 5,045. 0.

CISCO 7965G 08/31/12 07/01/19 1,170. 1,170. 0.

LENOVO 3311B1U 11/30/12 07/01/19 1,009. 1,009. 0.

NICELABEL N4 US 01/06/12 07/01/19 1,400. 1,400. 0.

VS5-STD-C VSPHERE V5 07/03/12 07/01/19 3,520. 3,520. 0.

COMPUTER EQUIP 01/16/13 07/01/19 12. 12. 0.

SYMBOL DS 6707 2D USB

LASER BARCODE SCANNER

04/16/13 07/01/19

401. 401. 0.

51046-85189933125

248-479-2210

05/04/13 07/01/19

170. 170. 0.

51046-05976183001084-7

7-1862

05/22/13 07/01/19

52. 52. 0.

UPGRADE FOR IBM SYSTEM

X 3650

09/04/13 07/01/19

1,368. 1,368. 0.

2 HP LASERJET 1102W 09/10/13 07/01/19 278. 278. 0.

HP L2715A 09/10/13 07/01/19 575. 575. 0.

51046-015283471

310-257-6722

11/13/13 07/01/19

3,985. 3,985. 0.

51046-184550115-118455

115

11/22/13 07/01/19

810. 810. 0.

MEMORY UPGRADE 01/30/14 07/01/19 3,964. 3,964. 0.

COMPUTER EQUIP 02/03/14 07/01/19 1,000. 1,000. 0.

LENOVA THINKPAD T530

2392ARU NOTEBOOK

03/07/14 07/01/19

1,531. 1,531. 0.

3 IBM 73.4GB SAS HOT

SWAP 2.5 INTERNAL

DRIVES

07/22/15 07/01/19

288. 305. -17.

REPLACEMENT ACCESS PTS

- UBIQUITI UNIFI AP-AC

09/07/15 07/01/19

763. 810. -47.

TP T540P I7-4700MQ

2.4GB 500GB DVDRW

04/21/15 07/01/19

1,395. 1,480. -85.

THINKPAD ULTRA DOCK

170W

04/21/15 07/01/19

238. 253. -15.

CISCO ME-3400 -12CS-A

SWITCH 12 PORTS

EXTERNA

01/01/16 07/01/19

442. 499. -57.

CISCO 7206VXR W/

NPE-G1 C7200-I/O-2FE/E

PA-2F

01/01/16 07/01/19

256. 289. -33.

CISCO 7206VXR W/

NPE-G2 1GB DRAM & DUAL

AC PO

01/02/16 07/01/19

796. 900. -104.

IT BASE - 7206VXR

ROUTERS

01/06/16 07/01/19

938. 1,060. -122.

SAXON SHOES, INC. 54-0560987

}}}}}}}}}}}}}}}}} }}}}}}}}}}

STATEMENT(S) 17

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 22

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 58 of 109
INGENICO

ISC480-11P2809A-ISC480

SIGNATURE CAP

09/15/16 07/01/19

595. 673. -78.

MOBILEMARK WHITE

5-IN-1 ROOF ANTENNA

06/14/17 07/01/19

257. 318. -61.

CISCO VPN MODULE FOR

ROUTER

09/19/17 07/01/19

970. 1,200. -230.

CISCO 1840 ROUTER 19'

RACK MOUNT KIT

09/29/15 07/01/19

}}}}}}}}

64.

}}}}}}}}

110,313.

68.

}}}}}}}}

111,166.

-4.

}}}}}}}}}

TOTALS TO FORM 4797, LINE 10 -853.

~~~~~~~~ ~~~~~~~~ ~~~~~~~~ ~~~~~~~~~

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

AMT 4797 ORDINARY GAINS AND LOSSES STATEMENT 18

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}

DESCRIPTION DATE DATE SALES DEPR COST GAIN

OF PROPERTY ACQUIRED SOLD PRICE ALLOWED OR BASIS OR LOSS

}}}}}}}}}}}}}}}}}}}}}} }}}}}}}} }}}}}}}} }}}}}}}} }}}}}}}} }}}}}}}} }}}}}}}}}

NICE LABEL SOFTWARE 10/28/09 07/01/19 922. 922. 0.

IMPORTSTAR LICENSE 11/13/09 07/01/19 625. 625. 0.

COMPUTER RESOLUTION

UPGRADE

11/14/09 07/01/19

270. 270. 0.

VA-STC-TI 2CXOJ656078 08/16/10 07/01/19 355. 355. 0.

VA-STC-T2 2CXOJ656036 08/16/10 07/01/19 355. 355. 0.

VA-STC-T2

ETLBY081780190267F4204

08/16/10 07/01/19

122. 122. 0.

VA-STC-VM1 4GB 240-PIN

512MX72

09/28/10 07/01/19

630. 630. 0.

VA-STC-VM2 4GB 240-PIN

512MX72

09/28/10 07/01/19

630. 630. 0.

BRIGHTON FIXTURE 12/07/10 07/01/19 232. 232. 0.

CISCO HWIC-3G-CDMA-V

HOME-GARY-RT193

FOC14092

04/21/10 07/01/19

551. 551. 0.

FUTURE MEMORY 64MB

COMPACT FLASH CARD

HOME-EV

04/29/10 07/01/19

75. 75. 0.

TC A58 SFF PDC/2.6 2GB

250GB DVDR WINDOWS 7

04/29/10 07/01/19

439. 439. 0.

FUTURE MEMORY 64MB

COMPACT FLASH CARD

HOME-GA

04/29/10 07/01/19

75. 75. 0.

CISCO 1841 128MB:256MB

DRAM UPGRADE HOME-EVAN

05/04/10 07/01/19

75. 75. 0.

CISCO 1841 128MB:256MB

DRAM UPGRADE HOME-GARY

05/04/10 07/01/19

75. 75. 0.

WYSE C50LE VA-SPTC-ST1

2CZDJ300080

06/09/10 07/01/19

346. 346. 0.

HOME-EVAN-HPLJ3015

VNBCB5M2MX

08/16/10 07/01/19

707. 707. 0.

SAXON SHOES, INC. 54-0560987

}}}}}}}}}}}}}}}}} }}}}}}}}}}

STATEMENT(S) 17, 18

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 23

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 59 of 109
CISCO CP-7921G-A-K9

SIAC14300024

11/09/10 07/01/19

341. 341. 0.

CISCO CP-BATT-7921G-E 11/09/10 07/01/19 62. 62. 0.

TESTC50LE WYSE C50LE

2CZDJA0094

12/07/10 07/01/19

355. 355. 0.

VA=SPTC-OFFT8 WYSE

C50LE 2CZDJA00123

12/07/10 07/01/19

355. 355. 0.

ACER 17" TFR LCD VGA

VA-SPTC-OFF12

04/29/10 07/01/19

118. 118. 0.

TC A58 SFF PDC/2.6 2GB

250GB DVDR WIND 7

04/29/10 07/01/19

439. 439. 0.

VA-SPTC-OFF2A MJVMY70

7522P1U

08/16/10 07/01/19

486. 486. 0.

VA-SPTC-T2 2CZOJ656077

C50LE

08/16/10 07/01/19

355. 355. 0.

VA-SPTC-T2

ETLBY08178019026194204

08/16/10 07/01/19

122. 122. 0.

VA-SPTC-OFFT1 WYSE

C50LE

12/07/10 07/01/19

355. 355. 0.

VA-SPTC-OFFT3 WYSE

C50LE

12/07/10 07/01/19

355. 355. 0.

SOFTWARE 04/01/10 07/01/19 150. 150. 0.

VA-SPTC-TS1

PRIMALSCRIPT 2009 PROG

SOFTWARE

11/03/10 07/01/19

299. 299. 0.

(2) CISCO

WS-C2960-24PS-S

09/08/11 07/01/19

2,118. 2,118. 0.

(2) CISCO SMARTNET -

SNTP

09/08/11 07/01/19

299. 299. 0.

VMWARE VS4-STD-C 06/01/11 07/01/19 2,640. 2,640. 0.

VA-STPC-VM4, HARD

DRIVES

01/11/11 07/01/19

640. 640. 0.

WYSE C50LE,

2CZDJC01737

01/25/11 07/01/19

336. 336. 0.

COMPUTER EQUIP 05/05/11 07/01/19 208. 208. 0.

KINGSTON 8GB MEMORY

KIT FOR IBM TYPE 7979

05/10/11 07/01/19

1,120. 1,120. 0.

IBM 79T4230 INTEL ETH

DUAL PT SVR ADPT

I340T2

05/10/11 07/01/19

400. 400. 0.

INTEL X5450 PROCESSOR

(2)

06/01/11 07/01/19

1,060. 1,060. 0.

INTEL E5420 PROCESSOR 06/01/11 07/01/19 465. 465. 0.

KINGSTON 8 GB MEMORY

KIT FOR IBM TYPE7979

(2)

06/01/11 07/01/19

2,240. 2,240. 0.

WYSE FOR 902169-01K 07/26/11 07/01/19 387. 387. 0.

WYSE 902169-01L 09/08/11 07/01/19 387. 387. 0.

CISCO CP-7945 09/08/11 07/01/19 305. 305. 0.

CISCO 3G-ANTM-OUT-OM 09/08/11 07/01/19 137. 137. 0.

CISCO CPDSKCH-7921GB 09/08/11 07/01/19 123. 123. 0.

WYSE C50LE W/ MOUNT

BRACKET

01/11/11 07/01/19

355. 355. 0.

ACRE MT-V193DJBM 01/11/11 07/01/19 159. 159. 0.

SAXON SHOES, INC. 54-0560987

}}}}}}}}}}}}}}}}} }}}}}}}}}}

STATEMENT(S) 18

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 24

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 60 of 109
HP J8021A 01/25/11 07/01/19 278. 278. 0.

RAM FOR SERVERS 09/01/12 07/01/19 3,360. 3,360. 0.

2 VIEWSONIC LED LCD

DISPLAYS

01/06/12 07/01/19

390. 390. 0.

GRAPHICS CARD 01/06/12 07/01/19 456. 456. 0.

CISCO AIR-AP1131AG,

CON-SNTP-AIRAP

01/06/12 07/01/19

536. 536. 0.

COMPUTER EQUIPMENT 01/05/12 07/01/19 1,196. 1,196. 0.

PALO ALTO PAN-PA-500 04/09/12 07/01/19 3,624. 3,624. 0.

COMPUTER EQUIPMENT 05/20/12 07/01/19 147. 147. 0.

COMPUTER EQUIPMENT 06/12/12 07/01/19 1,525. 1,525. 0.

COMPUTER EQUIPMENT 08/30/12 07/01/19 1,015. 1,015. 0.

LENOVA THINK CENTER

M92P

08/31/12 07/01/19

785. 785. 0.

4 BARCODE READERS FOR

IPOD

09/19/12 07/01/19

2,020. 2,020. 0.

COMPUTER EQUIPMENT 10/04/12 07/01/19 202. 202. 0.

(2) CISCO

WS-C37502G-24 AND

COMPONENTS

03/01/12 07/01/19

7,362. 7,362. 0.

CISCO AIR-AP1131AG-A-K

ET AL

03/01/12 07/01/19

783. 783. 0.

COMPUTER EQUIP 04/18/12 07/01/19 118. 118. 0.

(2) RR SYSTEM X3650 M3

EXON ET AL

07/03/12 07/01/19

10,156. 10,156. 0.

(4) RR 600GB SAS 10K

RPM ET AL

07/03/12 07/01/19

2,216. 2,216. 0.

(8) 16GB ECC DDR3 PC3L 07/03/12 07/01/19 3,360. 3,360. 0.

COMPUTER EQUIP 09/01/12 07/01/19 1,682. 1,682. 0.

(4) WYSE 902169-01L 10/31/12 07/01/19 1,548. 1,548. 0.

(4) WYSE 920277-01L 10/31/12 07/01/19 76. 76. 0.

LENOVA 3311B1U AND

PORT REPLICATOR

11/30/12 07/01/19

1,191. 1,191. 0.

:ENOVA 23594DU AND

04W8693

11/30/12 07/01/19

929. 929. 0.

(2) CISCO

WS-C37502G-24

11/30/12 07/01/19

2,900. 2,900. 0.

(2) CISCO SMARTNET

8X5X NBD

11/30/12 07/01/19

2,659. 2,659. 0.

(3) ACRE V193W 08/31/12 07/01/19 324. 324. 0.

COMPUTER EQUIP 04/04/12 07/01/19 904. 904. 0.

WYSE 920227-01L X4 AND

902169-01L X3

08/31/12 07/01/19

1,624. 1,624. 0.

LENOVA 3311B1U 11/30/12 07/01/19 5,045. 5,045. 0.

CISCO 7965G 08/31/12 07/01/19 1,170. 1,170. 0.

LENOVO 3311B1U 11/30/12 07/01/19 1,009. 1,009. 0.

NICELABEL N4 US 01/06/12 07/01/19 1,400. 1,400. 0.

VS5-STD-C VSPHERE V5 07/03/12 07/01/19 3,520. 3,520. 0.

COMPUTER EQUIP 01/16/13 07/01/19 12. 12. 0.

SYMBOL DS 6707 2D USB

LASER BARCODE SCANNER

04/16/13 07/01/19

401. 401. 0.

51046-85189933125

248-479-2210

05/04/13 07/01/19

170. 170. 0.

51046-05976183001084-7

7-1862

05/22/13 07/01/19

52. 52. 0.

SAXON SHOES, INC. 54-0560987

}}}}}}}}}}}}}}}}} }}}}}}}}}}

STATEMENT(S) 18

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 25

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 61 of 109
UPGRADE FOR IBM SYSTEM

X 3650

09/04/13 07/01/19

1,368. 1,368. 0.

2 HP LASERJET 1102W 09/10/13 07/01/19 278. 278. 0.

HP L2715A 09/10/13 07/01/19 575. 575. 0.

51046-015283471

310-257-6722

11/13/13 07/01/19

3,985. 3,985. 0.

51046-184550115-118455

115

11/22/13 07/01/19

810. 810. 0.

MEMORY UPGRADE 01/30/14 07/01/19 3,964. 3,964. 0.

COMPUTER EQUIP 02/03/14 07/01/19 1,000. 1,000. 0.

LENOVA THINKPAD T530

2392ARU NOTEBOOK

03/07/14 07/01/19

1,531. 1,531. 0.

3 IBM 73.4GB SAS HOT

SWAP 2.5 INTERNAL

DRIVES

07/22/15 07/01/19

288. 305. -17.

REPLACEMENT ACCESS PTS

- UBIQUITI UNIFI AP-AC

09/07/15 07/01/19

763. 810. -47.

TP T540P I7-4700MQ

2.4GB 500GB DVDRW

04/21/15 07/01/19

1,395. 1,480. -85.

THINKPAD ULTRA DOCK

170W

04/21/15 07/01/19

238. 253. -15.

CISCO ME-3400 -12CS-A

SWITCH 12 PORTS

EXTERNA

01/01/16 07/01/19

442. 499. -57.

CISCO 7206VXR W/

NPE-G1 C7200-I/O-2FE/E

PA-2F

01/01/16 07/01/19

256. 289. -33.

CISCO 7206VXR W/

NPE-G2 1GB DRAM & DUAL

AC PO

01/02/16 07/01/19

796. 900. -104.

IT BASE - 7206VXR

ROUTERS

01/06/16 07/01/19

938. 1,060. -122.

INGENICO

ISC480-11P2809A-ISC480

SIGNATURE CAP

09/15/16 07/01/19

595. 673. -78.

MOBILEMARK WHITE

5-IN-1 ROOF ANTENNA

06/14/17 07/01/19

257. 338. -81.

CISCO VPN MODULE FOR

ROUTER

09/19/17 07/01/19

970. 1,273. -303.

CISCO 1840 ROUTER 19'

RACK MOUNT KIT

09/29/15 07/01/19

}}}}}}}}

64.

}}}}}}}}

110,313.

68.

}}}}}}}}

111,259.

-4.

}}}}}}}}}

TOTALS TO AMT FORM 4797, LINE 10 -946.

~~~~~~~~ ~~~~~~~~ ~~~~~~~~ ~~~~~~~~~

SAXON SHOES, INC. 54-0560987

}}}}}}}}}}}}}}}}} }}}}}}}}}}

STATEMENT(S) 18

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

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Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 62 of 109
Items affecting shareholder basis

911271

11-15-19

Shareholder's Share of Current Year Income,

Deductions, Credits, and Other Items

1

2

3

4

5a

5b

6

7

8a

8b

8c

9

10

11

12

13

14

15

16

17

A

B

C

D

E

F

18

19

For Paperwork Reduction Act Notice, see Instructions for Form 1120-S. Schedule K-1 (Form 1120-S) 2019

For IRS Use Only

Final K-1 Amended K-1 OMB No. 1545-0123

Department of the Treasury

Internal Revenue Service For calendar year 2019, or tax Ordinary business income (loss)

Net rental real estate inc (loss)

Other net rental income (loss)

Interest income

Credits

Foreign transactions

year beginning

ending

| See separate instructions.

Corporation's employer identification number

Corporation's name, address, city, state, and ZIP code

Ordinary dividends

Qualified dividends

Royalties

Net short-term capital gain (loss)

Net long-term capital gain (loss)

Collectibles (28%) gain (loss)

IRS Center where corporation filed return

Shareholder's identifying number

Shareholder's name, address, city, state and ZIP code

Unrecaptured sec 1250 gain

Net section 1231 gain (loss)

Other income (loss)

Section 179 deduction

Other deductions

Alternative min tax (AMT) items

Shareholder's percentage of stock

ownership for tax year ~~~~~~ %

Other information

More than one activity for at-risk purposes*

More than one activity for passive activity purposes*

*See attached statement for additional information.

LHA www.irs.gov/Form1120S

Schedule K-1

(Form 1120-S) Part III

Shareholder's Share of Income, Deductions,

Credits, etc. 

Part I Information About the Corporation

Part II Information About the Shareholder

2019

671119

† †

†

†

1

X

54-0560987

SAXON SHOES, INC.

11800 WEST BROAD STREET #2750

RICHMOND, VA 23233

E-FILE

SUSAN W. ADOLF

9505 BRANWAY COURT

RICHMOND, VA 23229

V * STMT

1

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 27

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 63 of 109
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

SCHEDULE K-1 SECTION 199A ADDITIONAL INFORMATION

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}

THE SECTION 199A AMOUNTS TO BE USED IN THE CALCULATION OF THE QUALIFIED

BUSINESS INCOME DEDUCTION ON YOUR 1040/1041 RETURN ARE REPORTED ON LINE 17,

UNDER CODE V. PLEASE CONSULT YOUR TAX ADVISOR REGARDING THE CALCULATION OF

QUALIFIED BUSINESS INCOME DEDUCTION, INCLUDING THE POSSIBLE AGGREGATIONS

AND LIMITATIONS THAT MAY APPLY AND THE FILING OF THE 1.199A-4(C)(2)(I)

ANNUAL DISCLOSURE STATEMENT.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

SCHEDULE K-1 SECTION 199A ITEMS, BOX 17

CODE V

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}

DESCRIPTION AMOUNT

}}}}}}}}}}} }}}}}}}}}}}}}}

TRADE OR BUSINESS

SAXON SHOES, INC. 54-0560987

}}}}}}}}}}}}}}}}} }}}}}}}}}}

SHAREHOLDER 1

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 28

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 64 of 109
912101

04-01-19

Shareholder Number:

Shareholder Name:

Shareholder ID Number:

Ownership Percentage:

Year Ended:

S Corporation Name:

S Corporation ID Number:

%

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

a.

b.

Increases:

Stock basis, beginning of year (Not less than zero) ~~~~~~~~~

Additional capital contributions ~~~~~~~~~~~~~~~~~

a.

b.

c.

d.

e.

f.

g.

h.

i.

j.

k.

l.

m.

Ordinary income from trade or business ~~~~~~~~~~~~~

Net income from rental real estate activities ~~~~~~~~~~~~

Net income from other rental activities ~~~~~~~~~~~~~~

Net short-term capital gains ~~~~~~~~~~~~~~~~~~~

Net long-term capital gains ~~~~~~~~~~~~~~~~~~~

Other portfolio income ~~~~~~~~~~~~~~~~~~~~~

Net gain under Section 1231 ~~~~~~~~~~~~~~~~~~

Other income ~~~~~~~~~~~~~~~~~~~~~~~~~

Tax exempt interest income ~~~~~~~~~~~~~~~~~~~

Other tax-exempt income ~~~~~~~~~~~~~~~~~~~~

Section 179 recapture ~~~~~~~~~~~~~~~~~~~~~

Depletion (other than oil and gas) in excess of basis ~~~~~~~~

Other increases:

Total increases (Add lines 2(a) through 2(m)) ~~~~~~~~~~~~~~~~~~~~~~~~~

Total increases to stock basis (Add lines 1 and 3) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Less: Distributions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Subtract line 5 from line 4 (Not less than zero) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Decreases:

a.

b.

c.

d.

e.

f.

g.

h.

i.

j.

k.

l.

m.

n.

o.

p.

q.

r.

Ordinary losses from trade or business ~~~~~~~~~~~~~~

Net losses from rental real estate activities ~~~~~~~~~~~~

Net losses from other rental activities ~~~~~~~~~~~~~~~

Net short-term capital losses ~~~~~~~~~~~~~~~~~~

Net long-term capital losses ~~~~~~~~~~~~~~~~~~~

Other portfolio losses ~~~~~~~~~~~~~~~~~~~~~

Net losses under Section 1231 ~~~~~~~~~~~~~~~~~

Other deductions ~~~~~~~~~~~~~~~~~~~~~~~

Charitable contributions ~~~~~~~~~~~~~~~~~~~~

Section 179 expense deduction ~~~~~~~~~~~~~~~~~

Deductions related to portfolio income (losses) ~~~~~~~~~~

Interest expense on investment debts ~~~~~~~~~~~~~~

Foreign taxes paid or accrued ~~~~~~~~~~~~~~~~~~

Section 59(e) expenditures ~~~~~~~~~~~~~~~~~~~

Nondeductible expenses ~~~~~~~~~~~~~~~~~~~~

Oil and gas depletion ~~~~~~~~~~~~~~~~~~~~~~

Other decreases:

Disallowed prior year's losses and deductions ~~~~~~~~~~~~~~~~~~~~~~~~

Total decreases (Add lines 7(a) through 7(r)) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Net increases or decreases to basis (Subtract line 8 from line 6) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Less: Net increases applied to debt basis ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Stock basis, end of year (Subtract line 10 from line 9) (Not less than zero) ~~~~~~~~~~~~~~~~~~~~~~~~~~

Stock Basis

Shareholder Basis Worksheet

1 DECEMBER 31, 2019

SUSAN W. ADOLF SAXON SHOES, INC.

54-0560987

0.

502,760.

502,760.

-502,760.

0.

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 28.1

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 65 of 109
912102

04-01-19

Shareholder Number:

Shareholder Name:

Year Ended:

Shareholder ID Number:

12.

13.

14.

15.

16.

17.

18.

19.

20.

21.

22.

23.

24.

25.

26.

27.

28.

29.

30.

Debt basis, beginning of year (Not less than zero) 

Loans made during the year ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Restoration of debt basis (from line 10) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Subtotal (Add lines 13 and 14) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Less: Loan repayments ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Gain from loan repayments ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Other adjustments:

Subtotal (Combine lines 12, 15, 16, 17 and 18) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Applied against excess loss and deductions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Debt basis, end of year (Not less than zero) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Total shareholder stock and debt basis, end of year (Add lines 11 and 21) (Not less than zero) ~~~~~~~~~~~~~~~~~

Distributions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Less: Basis before distributions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Enter excess of line 23 over line 24 (capital gain) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Total

Disallowed

Losses

Debt Basis Applied

Against Excess Losses

and Deductions

Beginning of year ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Add: Losses and deductions this year ~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Less: Applied this year ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Less: Excess nondeductible expenses ~~~~~~~~~~~~~~~~~~~~~~~~~~~~

End of year (Not less than zero) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Debt Basis

Gain on Distributions

Carryover

Shareholder Basis Worksheet, Continued

1

DECEMBER 31, 2019

SUSAN W. ADOLF

0.

0.

0.

502,760.

502,760.

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 28.2

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 66 of 109
912103

04-01-19

Shareholder Number:

Shareholder Name:

Year Ended:

Shareholder ID Number:

(a)

Beginning of Year

and Current Year

Losses and Deductions

(b)

%

(c)

Allowable Losses

and Deductions

in Current Year

(d)

Disallowed Losses

and Deductions

(Carryover to Next Year)

Ordinary losses from trade or business ~~~~~~~

Net losses from rental real estate activities ~~~~~~

Net losses from other rental activities ~~~~~~~~

Net short-term capital losses ~~~~~~~~~~~~

Net long-term capital losses ~~~~~~~~~~~~

Other portfolio losses ~~~~~~~~~~~~~~~

Net losses under Section 1231 ~~~~~~~~~~~

Other deductions ~~~~~~~~~~~~~~~~~

Charitable contributions ~~~~~~~~~~~~~~

Section 179 expense deduction ~~~~~~~~~~~

Deductions related to portfolio income (losses) ~~~~

Interest expense on investment debts ~~~~~~~~

Foreign taxes paid or accrued ~~~~~~~~~~~

Section 59(e) expenditures ~~~~~~~~~~~~

Other decreases ~~~~~~~~~~~~~~~~~

 Total deductible losses and deductions ~~~~~~

Nondeductible expenses ~~~~~~~~~~~~~~

Oil and gas depletion ~~~~~~~~~~~~~~~

 Total nondeductible expenses and oil and gas

 depletion ~~~~~~~~~~~~~~~~~~~

 Totals ~~~~~~~~~~~~~~~~~~~~

Allocation of Losses and Deductions

1

DECEMBER 31, 2019

SUSAN W. ADOLF

277,147. 95.571886 277,147.

164. .056554 164.

9,876. 3.405658 9,876.

2,801. .965902 2,801.

289,988.100.000000 289,988.

212,772.100.000000 212,772.

212,772.100.000000 212,772.

502,760. 502,760.

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 28.3

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 67 of 109
Items affecting shareholder basis

911271

11-15-19

Shareholder's Share of Current Year Income,

Deductions, Credits, and Other Items

1

2

3

4

5a

5b

6

7

8a

8b

8c

9

10

11

12

13

14

15

16

17

A

B

C

D

E

F

18

19

For Paperwork Reduction Act Notice, see Instructions for Form 1120-S. Schedule K-1 (Form 1120-S) 2019

For IRS Use Only

Final K-1 Amended K-1 OMB No. 1545-0123

Department of the Treasury

Internal Revenue Service For calendar year 2019, or tax Ordinary business income (loss)

Net rental real estate inc (loss)

Other net rental income (loss)

Interest income

Credits

Foreign transactions

year beginning

ending

| See separate instructions.

Corporation's employer identification number

Corporation's name, address, city, state, and ZIP code

Ordinary dividends

Qualified dividends

Royalties

Net short-term capital gain (loss)

Net long-term capital gain (loss)

Collectibles (28%) gain (loss)

IRS Center where corporation filed return

Shareholder's identifying number

Shareholder's name, address, city, state and ZIP code

Unrecaptured sec 1250 gain

Net section 1231 gain (loss)

Other income (loss)

Section 179 deduction

Other deductions

Alternative min tax (AMT) items

Shareholder's percentage of stock

ownership for tax year ~~~~~~ %

Other information

More than one activity for at-risk purposes*

More than one activity for passive activity purposes*

*See attached statement for additional information.

LHA www.irs.gov/Form1120S

Schedule K-1

(Form 1120-S) Part III

Shareholder's Share of Income, Deductions,

Credits, etc. 

Part I Information About the Corporation

Part II Information About the Shareholder

2019

671119

† †

†

†

2

-440,953.

54-0560987

SAXON SHOES, INC.

11800 WEST BROAD STREET #2750

RICHMOND, VA 23233

E-FILE

GARY L. WEINER

580 RALEIGH MANOR ROAD A -224.

HENRICO, VA 23229

B -62.

66.324533

C* 8,882.

A 19,808.

V * STMT

2

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 29

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 68 of 109
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

SCHEDULE K-1 FOOTNOTES

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}

INFORMATION TO CALCULATE THE POTENTIAL QUALIFIED BUSINESS

INCOME DEDUCTION UNDER SECTION 199A IS BEING PROVIDED ON

SCHEDULE K-1 AND SUPPORTING SCHEDULES WHERE APPLICABLE.

THE POTENTIAL DEDUCTION IS SUBJECT TO VARIOUS LIMITATIONS

COMPUTED ON AN INDIVIDUAL OWNER OR BENEFICIARY'S INCOME TAX

RETURN. EACH TAXPAYER MUST DETERMINE THEIR ALLOWABLE

DEDUCTION. PRESENTATION OF THE REQUIRED INFORMATION

INDICATES NEITHER ALLOWANCE OF, NOR THE AMOUNT OF, ANY

DEDUCTION.

QBI INCOME REPORTED IN THE STATEMENTS TO THIS K-1 HAS NOT

BEEN REDUCED BY THE AMOUNT OF CHARITABLE CONTRIBUTIONS

REPORTED ON THE FACE OF THE K-1. PLEASE CONSULT YOUR TAX

ADVISOR REGARDING PROPER TREATMENT IN THE CALCULATION OF

ANY POTENTIAL DEDUCTION UNDER IRC SECTION 199A.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

SCHEDULE K-1 NONDEDUCTIBLE EXPENSES, BOX 16, CODE C

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}

DESCRIPTION AMOUNT SHAREHOLDER FILING INSTRUCTIONS

}}}}}}}}}}} }}}}}}}}}}}}} }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}

EXCLUDED MEALS AND ENTERTAINMENT

EXPENSES 1,360. SEE SHAREHOLDERS INSTRUCTIONS

OFFICER LIFE INSURANCE 7,522.

}}}}}}}}}}}}}

TOTAL 8,882.

~~~~~~~~~~~~~

SAXON SHOES, INC. 54-0560987

}}}}}}}}}}}}}}}}} }}}}}}}}}}

SHAREHOLDER 2

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 30

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 69 of 109
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

SCHEDULE K-1 SECTION 199A ADDITIONAL INFORMATION

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}

THE SECTION 199A AMOUNTS TO BE USED IN THE CALCULATION OF THE QUALIFIED

BUSINESS INCOME DEDUCTION ON YOUR 1040/1041 RETURN ARE REPORTED ON LINE 17,

UNDER CODE V. PLEASE CONSULT YOUR TAX ADVISOR REGARDING THE CALCULATION OF

QUALIFIED BUSINESS INCOME DEDUCTION, INCLUDING THE POSSIBLE AGGREGATIONS

AND LIMITATIONS THAT MAY APPLY AND THE FILING OF THE 1.199A-4(C)(2)(I)

ANNUAL DISCLOSURE STATEMENT.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

SCHEDULE K-1 SECTION 199A ITEMS, BOX 17

CODE V

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}

DESCRIPTION AMOUNT

}}}}}}}}}}} }}}}}}}}}}}}}}

TRADE OR BUSINESS

ORDINARY INCOME(LOSS) -440,953.

W-2 WAGES 941,287.

UNADJUSTED BASIS 1,184,437.

SAXON SHOES, INC. 54-0560987

}}}}}}}}}}}}}}}}} }}}}}}}}}}

SHAREHOLDER 2

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 31

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 70 of 109
912101

04-01-19

Shareholder Number:

Shareholder Name:

Shareholder ID Number:

Ownership Percentage:

Year Ended:

S Corporation Name:

S Corporation ID Number:

%

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

a.

b.

Increases:

Stock basis, beginning of year (Not less than zero) ~~~~~~~~~

Additional capital contributions ~~~~~~~~~~~~~~~~~

a.

b.

c.

d.

e.

f.

g.

h.

i.

j.

k.

l.

m.

Ordinary income from trade or business ~~~~~~~~~~~~~

Net income from rental real estate activities ~~~~~~~~~~~~

Net income from other rental activities ~~~~~~~~~~~~~~

Net short-term capital gains ~~~~~~~~~~~~~~~~~~~

Net long-term capital gains ~~~~~~~~~~~~~~~~~~~

Other portfolio income ~~~~~~~~~~~~~~~~~~~~~

Net gain under Section 1231 ~~~~~~~~~~~~~~~~~~

Other income ~~~~~~~~~~~~~~~~~~~~~~~~~

Tax exempt interest income ~~~~~~~~~~~~~~~~~~~

Other tax-exempt income ~~~~~~~~~~~~~~~~~~~~

Section 179 recapture ~~~~~~~~~~~~~~~~~~~~~

Depletion (other than oil and gas) in excess of basis ~~~~~~~~

Other increases:

Total increases (Add lines 2(a) through 2(m)) ~~~~~~~~~~~~~~~~~~~~~~~~~

Total increases to stock basis (Add lines 1 and 3) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Less: Distributions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Subtract line 5 from line 4 (Not less than zero) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Decreases:

a.

b.

c.

d.

e.

f.

g.

h.

i.

j.

k.

l.

m.

n.

o.

p.

q.

r.

Ordinary losses from trade or business ~~~~~~~~~~~~~~

Net losses from rental real estate activities ~~~~~~~~~~~~

Net losses from other rental activities ~~~~~~~~~~~~~~~

Net short-term capital losses ~~~~~~~~~~~~~~~~~~

Net long-term capital losses ~~~~~~~~~~~~~~~~~~~

Other portfolio losses ~~~~~~~~~~~~~~~~~~~~~

Net losses under Section 1231 ~~~~~~~~~~~~~~~~~

Other deductions ~~~~~~~~~~~~~~~~~~~~~~~

Charitable contributions ~~~~~~~~~~~~~~~~~~~~

Section 179 expense deduction ~~~~~~~~~~~~~~~~~

Deductions related to portfolio income (losses) ~~~~~~~~~~

Interest expense on investment debts ~~~~~~~~~~~~~~

Foreign taxes paid or accrued ~~~~~~~~~~~~~~~~~~

Section 59(e) expenditures ~~~~~~~~~~~~~~~~~~~

Nondeductible expenses ~~~~~~~~~~~~~~~~~~~~

Oil and gas depletion ~~~~~~~~~~~~~~~~~~~~~~

Other decreases:

Disallowed prior year's losses and deductions ~~~~~~~~~~~~~~~~~~~~~~~~

Total decreases (Add lines 7(a) through 7(r)) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Net increases or decreases to basis (Subtract line 8 from line 6) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Less: Net increases applied to debt basis ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Stock basis, end of year (Subtract line 10 from line 9) (Not less than zero) ~~~~~~~~~~~~~~~~~~~~~~~~~~

Stock Basis

Shareholder Basis Worksheet

2 DECEMBER 31, 2019

GARY L. WEINER SAXON SHOES, INC.

66.324533 54-0560987

0.

440,953.

19,808.

8,882.

469,643.

699,458.

1,169,101.

-1,169,101.

0.

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 31.1

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 71 of 109
912102

04-01-19

Shareholder Number:

Shareholder Name:

Year Ended:

Shareholder ID Number:

12.

13.

14.

15.

16.

17.

18.

19.

20.

21.

22.

23.

24.

25.

26.

27.

28.

29.

30.

Debt basis, beginning of year (Not less than zero) 

Loans made during the year ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Restoration of debt basis (from line 10) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Subtotal (Add lines 13 and 14) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Less: Loan repayments ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Gain from loan repayments ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Other adjustments:

Subtotal (Combine lines 12, 15, 16, 17 and 18) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Applied against excess loss and deductions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Debt basis, end of year (Not less than zero) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Total shareholder stock and debt basis, end of year (Add lines 11 and 21) (Not less than zero) ~~~~~~~~~~~~~~~~~

Distributions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Less: Basis before distributions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Enter excess of line 23 over line 24 (capital gain) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Total

Disallowed

Losses

Debt Basis Applied

Against Excess Losses

and Deductions

Beginning of year ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Add: Losses and deductions this year ~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Less: Applied this year ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Less: Excess nondeductible expenses ~~~~~~~~~~~~~~~~~~~~~~~~~~~~

End of year (Not less than zero) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Debt Basis

Gain on Distributions

Carryover

Shareholder Basis Worksheet, Continued

2

DECEMBER 31, 2019

GARY L. WEINER

0.

0.

0.

699,458. 1,000,000.

469,643.

1,169,101. 1,000,000.

PRINCIPAL AMOUNT OF DEBT OWED TO SHAREHOLDER, ADJUSTED FOR

LOANS MADE OR PAID DURING THE YEAR 1,000,000.

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 31.2

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 72 of 109
912103

04-01-19

Shareholder Number:

Shareholder Name:

Year Ended:

Shareholder ID Number:

(a)

Beginning of Year

and Current Year

Losses and Deductions

(b)

%

(c)

Allowable Losses

and Deductions

in Current Year

(d)

Disallowed Losses

and Deductions

(Carryover to Next Year)

Ordinary losses from trade or business ~~~~~~~

Net losses from rental real estate activities ~~~~~~

Net losses from other rental activities ~~~~~~~~

Net short-term capital losses ~~~~~~~~~~~~

Net long-term capital losses ~~~~~~~~~~~~

Other portfolio losses ~~~~~~~~~~~~~~~

Net losses under Section 1231 ~~~~~~~~~~~

Other deductions ~~~~~~~~~~~~~~~~~

Charitable contributions ~~~~~~~~~~~~~~

Section 179 expense deduction ~~~~~~~~~~~

Deductions related to portfolio income (losses) ~~~~

Interest expense on investment debts ~~~~~~~~

Foreign taxes paid or accrued ~~~~~~~~~~~

Section 59(e) expenditures ~~~~~~~~~~~~

Other decreases ~~~~~~~~~~~~~~~~~

 Total deductible losses and deductions ~~~~~~

Nondeductible expenses ~~~~~~~~~~~~~~

Oil and gas depletion ~~~~~~~~~~~~~~~

 Total nondeductible expenses and oil and gas

 depletion ~~~~~~~~~~~~~~~~~~~

 Totals ~~~~~~~~~~~~~~~~~~~~

Allocation of Losses and Deductions

2

DECEMBER 31, 2019

GARY L. WEINER

1,120,499. 96.576508 1,120,499.

437. .037665 437.

39,283. 3.385826 39,283.

1,160,219.100.000000 1,160,219.

8,882.100.000000 8,882.

8,882.100.000000 8,882.

1,169,101. 1,169,101.

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 31.3

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 73 of 109
Items affecting shareholder basis

911271

11-15-19

Shareholder's Share of Current Year Income,

Deductions, Credits, and Other Items

1

2

3

4

5a

5b

6

7

8a

8b

8c

9

10

11

12

13

14

15

16

17

A

B

C

D

E

F

18

19

For Paperwork Reduction Act Notice, see Instructions for Form 1120-S. Schedule K-1 (Form 1120-S) 2019

For IRS Use Only

Final K-1 Amended K-1 OMB No. 1545-0123

Department of the Treasury

Internal Revenue Service For calendar year 2019, or tax Ordinary business income (loss)

Net rental real estate inc (loss)

Other net rental income (loss)

Interest income

Credits

Foreign transactions

year beginning

ending

| See separate instructions.

Corporation's employer identification number

Corporation's name, address, city, state, and ZIP code

Ordinary dividends

Qualified dividends

Royalties

Net short-term capital gain (loss)

Net long-term capital gain (loss)

Collectibles (28%) gain (loss)

IRS Center where corporation filed return

Shareholder's identifying number

Shareholder's name, address, city, state and ZIP code

Unrecaptured sec 1250 gain

Net section 1231 gain (loss)

Other income (loss)

Section 179 deduction

Other deductions

Alternative min tax (AMT) items

Shareholder's percentage of stock

ownership for tax year ~~~~~~ %

Other information

More than one activity for at-risk purposes*

More than one activity for passive activity purposes*

*See attached statement for additional information.

LHA www.irs.gov/Form1120S

Schedule K-1

(Form 1120-S) Part III

Shareholder's Share of Income, Deductions,

Credits, etc. 

Part I Information About the Corporation

Part II Information About the Shareholder

2019

671119

† †

†

†

3

-33,262.

54-0560987

SAXON SHOES, INC.

11800 WEST BROAD STREET #2750

RICHMOND, VA 23233

E-FILE

AMANDA P. WEINER

4707 WYTHE AVENUE A -17.

RICHMOND, VA 23226

B -4.

5.002933

C* 669.

A 1,495.

V * STMT

3

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 32

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 74 of 109
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

SCHEDULE K-1 FOOTNOTES

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}

INFORMATION TO CALCULATE THE POTENTIAL QUALIFIED BUSINESS

INCOME DEDUCTION UNDER SECTION 199A IS BEING PROVIDED ON

SCHEDULE K-1 AND SUPPORTING SCHEDULES WHERE APPLICABLE.

THE POTENTIAL DEDUCTION IS SUBJECT TO VARIOUS LIMITATIONS

COMPUTED ON AN INDIVIDUAL OWNER OR BENEFICIARY'S INCOME TAX

RETURN. EACH TAXPAYER MUST DETERMINE THEIR ALLOWABLE

DEDUCTION. PRESENTATION OF THE REQUIRED INFORMATION

INDICATES NEITHER ALLOWANCE OF, NOR THE AMOUNT OF, ANY

DEDUCTION.

QBI INCOME REPORTED IN THE STATEMENTS TO THIS K-1 HAS NOT

BEEN REDUCED BY THE AMOUNT OF CHARITABLE CONTRIBUTIONS

REPORTED ON THE FACE OF THE K-1. PLEASE CONSULT YOUR TAX

ADVISOR REGARDING PROPER TREATMENT IN THE CALCULATION OF

ANY POTENTIAL DEDUCTION UNDER IRC SECTION 199A.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

SCHEDULE K-1 NONDEDUCTIBLE EXPENSES, BOX 16, CODE C

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}

DESCRIPTION AMOUNT SHAREHOLDER FILING INSTRUCTIONS

}}}}}}}}}}} }}}}}}}}}}}}} }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}

EXCLUDED MEALS AND ENTERTAINMENT

EXPENSES 102. SEE SHAREHOLDERS INSTRUCTIONS

OFFICER LIFE INSURANCE 567.

}}}}}}}}}}}}}

TOTAL 669.

~~~~~~~~~~~~~

SAXON SHOES, INC. 54-0560987

}}}}}}}}}}}}}}}}} }}}}}}}}}}

SHAREHOLDER 3

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 33

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 75 of 109
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

SCHEDULE K-1 SECTION 199A ADDITIONAL INFORMATION

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}

THE SECTION 199A AMOUNTS TO BE USED IN THE CALCULATION OF THE QUALIFIED

BUSINESS INCOME DEDUCTION ON YOUR 1040/1041 RETURN ARE REPORTED ON LINE 17,

UNDER CODE V. PLEASE CONSULT YOUR TAX ADVISOR REGARDING THE CALCULATION OF

QUALIFIED BUSINESS INCOME DEDUCTION, INCLUDING THE POSSIBLE AGGREGATIONS

AND LIMITATIONS THAT MAY APPLY AND THE FILING OF THE 1.199A-4(C)(2)(I)

ANNUAL DISCLOSURE STATEMENT.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

SCHEDULE K-1 SECTION 199A ITEMS, BOX 17

CODE V

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}

DESCRIPTION AMOUNT

}}}}}}}}}}} }}}}}}}}}}}}}}

TRADE OR BUSINESS

ORDINARY INCOME(LOSS) -33,262.

W-2 WAGES 71,002.

UNADJUSTED BASIS 89,343.

SAXON SHOES, INC. 54-0560987

}}}}}}}}}}}}}}}}} }}}}}}}}}}

SHAREHOLDER 3

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 34

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 76 of 109
912101

04-01-19

Shareholder Number:

Shareholder Name:

Shareholder ID Number:

Ownership Percentage:

Year Ended:

S Corporation Name:

S Corporation ID Number:

%

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

a.

b.

Increases:

Stock basis, beginning of year (Not less than zero) ~~~~~~~~~

Additional capital contributions ~~~~~~~~~~~~~~~~~

a.

b.

c.

d.

e.

f.

g.

h.

i.

j.

k.

l.

m.

Ordinary income from trade or business ~~~~~~~~~~~~~

Net income from rental real estate activities ~~~~~~~~~~~~

Net income from other rental activities ~~~~~~~~~~~~~~

Net short-term capital gains ~~~~~~~~~~~~~~~~~~~

Net long-term capital gains ~~~~~~~~~~~~~~~~~~~

Other portfolio income ~~~~~~~~~~~~~~~~~~~~~

Net gain under Section 1231 ~~~~~~~~~~~~~~~~~~

Other income ~~~~~~~~~~~~~~~~~~~~~~~~~

Tax exempt interest income ~~~~~~~~~~~~~~~~~~~

Other tax-exempt income ~~~~~~~~~~~~~~~~~~~~

Section 179 recapture ~~~~~~~~~~~~~~~~~~~~~

Depletion (other than oil and gas) in excess of basis ~~~~~~~~

Other increases:

Total increases (Add lines 2(a) through 2(m)) ~~~~~~~~~~~~~~~~~~~~~~~~~

Total increases to stock basis (Add lines 1 and 3) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Less: Distributions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Subtract line 5 from line 4 (Not less than zero) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Decreases:

a.

b.

c.

d.

e.

f.

g.

h.

i.

j.

k.

l.

m.

n.

o.

p.

q.

r.

Ordinary losses from trade or business ~~~~~~~~~~~~~~

Net losses from rental real estate activities ~~~~~~~~~~~~

Net losses from other rental activities ~~~~~~~~~~~~~~~

Net short-term capital losses ~~~~~~~~~~~~~~~~~~

Net long-term capital losses ~~~~~~~~~~~~~~~~~~~

Other portfolio losses ~~~~~~~~~~~~~~~~~~~~~

Net losses under Section 1231 ~~~~~~~~~~~~~~~~~

Other deductions ~~~~~~~~~~~~~~~~~~~~~~~

Charitable contributions ~~~~~~~~~~~~~~~~~~~~

Section 179 expense deduction ~~~~~~~~~~~~~~~~~

Deductions related to portfolio income (losses) ~~~~~~~~~~

Interest expense on investment debts ~~~~~~~~~~~~~~

Foreign taxes paid or accrued ~~~~~~~~~~~~~~~~~~

Section 59(e) expenditures ~~~~~~~~~~~~~~~~~~~

Nondeductible expenses ~~~~~~~~~~~~~~~~~~~~

Oil and gas depletion ~~~~~~~~~~~~~~~~~~~~~~

Other decreases:

Disallowed prior year's losses and deductions ~~~~~~~~~~~~~~~~~~~~~~~~

Total decreases (Add lines 7(a) through 7(r)) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Net increases or decreases to basis (Subtract line 8 from line 6) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Less: Net increases applied to debt basis ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Stock basis, end of year (Subtract line 10 from line 9) (Not less than zero) ~~~~~~~~~~~~~~~~~~~~~~~~~~

Stock Basis

Shareholder Basis Worksheet

3 DECEMBER 31, 2019

AMANDA P. WEINER SAXON SHOES, INC.

5.002933 54-0560987

0.

33,262.

1,495.

669.

35,426.

247,677.

283,103.

-283,103.

0.

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 34.1

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 77 of 109
912102

04-01-19

Shareholder Number:

Shareholder Name:

Year Ended:

Shareholder ID Number:

12.

13.

14.

15.

16.

17.

18.

19.

20.

21.

22.

23.

24.

25.

26.

27.

28.

29.

30.

Debt basis, beginning of year (Not less than zero) 

Loans made during the year ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Restoration of debt basis (from line 10) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Subtotal (Add lines 13 and 14) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Less: Loan repayments ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Gain from loan repayments ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Other adjustments:

Subtotal (Combine lines 12, 15, 16, 17 and 18) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Applied against excess loss and deductions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Debt basis, end of year (Not less than zero) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Total shareholder stock and debt basis, end of year (Add lines 11 and 21) (Not less than zero) ~~~~~~~~~~~~~~~~~

Distributions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Less: Basis before distributions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Enter excess of line 23 over line 24 (capital gain) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Total

Disallowed

Losses

Debt Basis Applied

Against Excess Losses

and Deductions

Beginning of year ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Add: Losses and deductions this year ~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Less: Applied this year ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Less: Excess nondeductible expenses ~~~~~~~~~~~~~~~~~~~~~~~~~~~~

End of year (Not less than zero) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Debt Basis

Gain on Distributions

Carryover

Shareholder Basis Worksheet, Continued

3

DECEMBER 31, 2019

AMANDA P. WEINER

0.

0.

0.

247,677.

35,426.

283,103.

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 34.2

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 78 of 109
912103

04-01-19

Shareholder Number:

Shareholder Name:

Year Ended:

Shareholder ID Number:

(a)

Beginning of Year

and Current Year

Losses and Deductions

(b)

%

(c)

Allowable Losses

and Deductions

in Current Year

(d)

Disallowed Losses

and Deductions

(Carryover to Next Year)

Ordinary losses from trade or business ~~~~~~~

Net losses from rental real estate activities ~~~~~~

Net losses from other rental activities ~~~~~~~~

Net short-term capital losses ~~~~~~~~~~~~

Net long-term capital losses ~~~~~~~~~~~~

Other portfolio losses ~~~~~~~~~~~~~~~

Net losses under Section 1231 ~~~~~~~~~~~

Other deductions ~~~~~~~~~~~~~~~~~

Charitable contributions ~~~~~~~~~~~~~~

Section 179 expense deduction ~~~~~~~~~~~

Deductions related to portfolio income (losses) ~~~~

Interest expense on investment debts ~~~~~~~~

Foreign taxes paid or accrued ~~~~~~~~~~~

Section 59(e) expenditures ~~~~~~~~~~~~

Other decreases ~~~~~~~~~~~~~~~~~

 Total deductible losses and deductions ~~~~~~

Nondeductible expenses ~~~~~~~~~~~~~~

Oil and gas depletion ~~~~~~~~~~~~~~~

 Total nondeductible expenses and oil and gas

 depletion ~~~~~~~~~~~~~~~~~~~

 Totals ~~~~~~~~~~~~~~~~~~~~

Allocation of Losses and Deductions

3

DECEMBER 31, 2019

AMANDA P. WEINER

175,834. 89.072719 175,834.

78. .039513 78.

1,416. .717307 1,416.

11,059. 5.602188 11,059.

9,018. 4.568273 9,018.

197,405.100.000000 197,405.

85,698.100.000000 85,698.

85,698.100.000000 85,698.

283,103. 283,103.

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 34.3

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 79 of 109
Items affecting shareholder basis

911271

11-15-19

Shareholder's Share of Current Year Income,

Deductions, Credits, and Other Items

1

2

3

4

5a

5b

6

7

8a

8b

8c

9

10

11

12

13

14

15

16

17

A

B

C

D

E

F

18

19

For Paperwork Reduction Act Notice, see Instructions for Form 1120-S. Schedule K-1 (Form 1120-S) 2019

For IRS Use Only

Final K-1 Amended K-1 OMB No. 1545-0123

Department of the Treasury

Internal Revenue Service For calendar year 2019, or tax Ordinary business income (loss)

Net rental real estate inc (loss)

Other net rental income (loss)

Interest income

Credits

Foreign transactions

year beginning

ending

| See separate instructions.

Corporation's employer identification number

Corporation's name, address, city, state, and ZIP code

Ordinary dividends

Qualified dividends

Royalties

Net short-term capital gain (loss)

Net long-term capital gain (loss)

Collectibles (28%) gain (loss)

IRS Center where corporation filed return

Shareholder's identifying number

Shareholder's name, address, city, state and ZIP code

Unrecaptured sec 1250 gain

Net section 1231 gain (loss)

Other income (loss)

Section 179 deduction

Other deductions

Alternative min tax (AMT) items

Shareholder's percentage of stock

ownership for tax year ~~~~~~ %

Other information

More than one activity for at-risk purposes*

More than one activity for passive activity purposes*

*See attached statement for additional information.

LHA www.irs.gov/Form1120S

Schedule K-1

(Form 1120-S) Part III

Shareholder's Share of Income, Deductions,

Credits, etc. 

Part I Information About the Corporation

Part II Information About the Shareholder

2019

671119

† †

†

†

4

-33,262.

54-0560987

SAXON SHOES, INC.

11800 WEST BROAD STREET #2750

RICHMOND, VA 23233

E-FILE

CORY A. WEINER

580 RALEIGH MANOR ROAD A -17.

RICHMOND, VA 23229

B -5.

5.002933

C* 671.

A 1,494.

V * STMT

4

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 35

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 80 of 109
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

SCHEDULE K-1 FOOTNOTES

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}

INFORMATION TO CALCULATE THE POTENTIAL QUALIFIED BUSINESS

INCOME DEDUCTION UNDER SECTION 199A IS BEING PROVIDED ON

SCHEDULE K-1 AND SUPPORTING SCHEDULES WHERE APPLICABLE.

THE POTENTIAL DEDUCTION IS SUBJECT TO VARIOUS LIMITATIONS

COMPUTED ON AN INDIVIDUAL OWNER OR BENEFICIARY'S INCOME TAX

RETURN. EACH TAXPAYER MUST DETERMINE THEIR ALLOWABLE

DEDUCTION. PRESENTATION OF THE REQUIRED INFORMATION

INDICATES NEITHER ALLOWANCE OF, NOR THE AMOUNT OF, ANY

DEDUCTION.

QBI INCOME REPORTED IN THE STATEMENTS TO THIS K-1 HAS NOT

BEEN REDUCED BY THE AMOUNT OF CHARITABLE CONTRIBUTIONS

REPORTED ON THE FACE OF THE K-1. PLEASE CONSULT YOUR TAX

ADVISOR REGARDING PROPER TREATMENT IN THE CALCULATION OF

ANY POTENTIAL DEDUCTION UNDER IRC SECTION 199A.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

SCHEDULE K-1 NONDEDUCTIBLE EXPENSES, BOX 16, CODE C

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}

DESCRIPTION AMOUNT SHAREHOLDER FILING INSTRUCTIONS

}}}}}}}}}}} }}}}}}}}}}}}} }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}

EXCLUDED MEALS AND ENTERTAINMENT

EXPENSES 103. SEE SHAREHOLDERS INSTRUCTIONS

OFFICER LIFE INSURANCE 568.

}}}}}}}}}}}}}

TOTAL 671.

~~~~~~~~~~~~~

SAXON SHOES, INC. 54-0560987

}}}}}}}}}}}}}}}}} }}}}}}}}}}

SHAREHOLDER 4

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 36

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 81 of 109
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

SCHEDULE K-1 SECTION 199A ADDITIONAL INFORMATION

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}

THE SECTION 199A AMOUNTS TO BE USED IN THE CALCULATION OF THE QUALIFIED

BUSINESS INCOME DEDUCTION ON YOUR 1040/1041 RETURN ARE REPORTED ON LINE 17,

UNDER CODE V. PLEASE CONSULT YOUR TAX ADVISOR REGARDING THE CALCULATION OF

QUALIFIED BUSINESS INCOME DEDUCTION, INCLUDING THE POSSIBLE AGGREGATIONS

AND LIMITATIONS THAT MAY APPLY AND THE FILING OF THE 1.199A-4(C)(2)(I)

ANNUAL DISCLOSURE STATEMENT.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

SCHEDULE K-1 SECTION 199A ITEMS, BOX 17

CODE V

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}

DESCRIPTION AMOUNT

}}}}}}}}}}} }}}}}}}}}}}}}}

TRADE OR BUSINESS

ORDINARY INCOME(LOSS) -33,262.

W-2 WAGES 71,003.

UNADJUSTED BASIS 89,344.

SAXON SHOES, INC. 54-0560987

}}}}}}}}}}}}}}}}} }}}}}}}}}}

SHAREHOLDER 4

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 37

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 82 of 109
912101

04-01-19

Shareholder Number:

Shareholder Name:

Shareholder ID Number:

Ownership Percentage:

Year Ended:

S Corporation Name:

S Corporation ID Number:

%

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

a.

b.

Increases:

Stock basis, beginning of year (Not less than zero) ~~~~~~~~~

Additional capital contributions ~~~~~~~~~~~~~~~~~

a.

b.

c.

d.

e.

f.

g.

h.

i.

j.

k.

l.

m.

Ordinary income from trade or business ~~~~~~~~~~~~~

Net income from rental real estate activities ~~~~~~~~~~~~

Net income from other rental activities ~~~~~~~~~~~~~~

Net short-term capital gains ~~~~~~~~~~~~~~~~~~~

Net long-term capital gains ~~~~~~~~~~~~~~~~~~~

Other portfolio income ~~~~~~~~~~~~~~~~~~~~~

Net gain under Section 1231 ~~~~~~~~~~~~~~~~~~

Other income ~~~~~~~~~~~~~~~~~~~~~~~~~

Tax exempt interest income ~~~~~~~~~~~~~~~~~~~

Other tax-exempt income ~~~~~~~~~~~~~~~~~~~~

Section 179 recapture ~~~~~~~~~~~~~~~~~~~~~

Depletion (other than oil and gas) in excess of basis ~~~~~~~~

Other increases:

Total increases (Add lines 2(a) through 2(m)) ~~~~~~~~~~~~~~~~~~~~~~~~~

Total increases to stock basis (Add lines 1 and 3) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Less: Distributions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Subtract line 5 from line 4 (Not less than zero) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Decreases:

a.

b.

c.

d.

e.

f.

g.

h.

i.

j.

k.

l.

m.

n.

o.

p.

q.

r.

Ordinary losses from trade or business ~~~~~~~~~~~~~~

Net losses from rental real estate activities ~~~~~~~~~~~~

Net losses from other rental activities ~~~~~~~~~~~~~~~

Net short-term capital losses ~~~~~~~~~~~~~~~~~~

Net long-term capital losses ~~~~~~~~~~~~~~~~~~~

Other portfolio losses ~~~~~~~~~~~~~~~~~~~~~

Net losses under Section 1231 ~~~~~~~~~~~~~~~~~

Other deductions ~~~~~~~~~~~~~~~~~~~~~~~

Charitable contributions ~~~~~~~~~~~~~~~~~~~~

Section 179 expense deduction ~~~~~~~~~~~~~~~~~

Deductions related to portfolio income (losses) ~~~~~~~~~~

Interest expense on investment debts ~~~~~~~~~~~~~~

Foreign taxes paid or accrued ~~~~~~~~~~~~~~~~~~

Section 59(e) expenditures ~~~~~~~~~~~~~~~~~~~

Nondeductible expenses ~~~~~~~~~~~~~~~~~~~~

Oil and gas depletion ~~~~~~~~~~~~~~~~~~~~~~

Other decreases:

Disallowed prior year's losses and deductions ~~~~~~~~~~~~~~~~~~~~~~~~

Total decreases (Add lines 7(a) through 7(r)) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Net increases or decreases to basis (Subtract line 8 from line 6) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Less: Net increases applied to debt basis ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Stock basis, end of year (Subtract line 10 from line 9) (Not less than zero) ~~~~~~~~~~~~~~~~~~~~~~~~~~

Stock Basis

Shareholder Basis Worksheet

4 DECEMBER 31, 2019

CORY A. WEINER SAXON SHOES, INC.

5.002933 54-0560987

0.

33,262.

1,494.

671.

35,427.

239,977.

275,404.

-275,404.

0.

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 37.1

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 83 of 109
912102

04-01-19

Shareholder Number:

Shareholder Name:

Year Ended:

Shareholder ID Number:

12.

13.

14.

15.

16.

17.

18.

19.

20.

21.

22.

23.

24.

25.

26.

27.

28.

29.

30.

Debt basis, beginning of year (Not less than zero) 

Loans made during the year ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Restoration of debt basis (from line 10) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Subtotal (Add lines 13 and 14) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Less: Loan repayments ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Gain from loan repayments ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Other adjustments:

Subtotal (Combine lines 12, 15, 16, 17 and 18) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Applied against excess loss and deductions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Debt basis, end of year (Not less than zero) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Total shareholder stock and debt basis, end of year (Add lines 11 and 21) (Not less than zero) ~~~~~~~~~~~~~~~~~

Distributions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Less: Basis before distributions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Enter excess of line 23 over line 24 (capital gain) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Total

Disallowed

Losses

Debt Basis Applied

Against Excess Losses

and Deductions

Beginning of year ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Add: Losses and deductions this year ~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Less: Applied this year ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Less: Excess nondeductible expenses ~~~~~~~~~~~~~~~~~~~~~~~~~~~~

End of year (Not less than zero) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Debt Basis

Gain on Distributions

Carryover

Shareholder Basis Worksheet, Continued

4

DECEMBER 31, 2019

CORY A. WEINER

0.

0.

0.

239,977.

35,427.

275,404.

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 37.2

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 84 of 109
912103

04-01-19

Shareholder Number:

Shareholder Name:

Year Ended:

Shareholder ID Number:

(a)

Beginning of Year

and Current Year

Losses and Deductions

(b)

%

(c)

Allowable Losses

and Deductions

in Current Year

(d)

Disallowed Losses

and Deductions

(Carryover to Next Year)

Ordinary losses from trade or business ~~~~~~~

Net losses from rental real estate activities ~~~~~~

Net losses from other rental activities ~~~~~~~~

Net short-term capital losses ~~~~~~~~~~~~

Net long-term capital losses ~~~~~~~~~~~~

Other portfolio losses ~~~~~~~~~~~~~~~

Net losses under Section 1231 ~~~~~~~~~~~

Other deductions ~~~~~~~~~~~~~~~~~

Charitable contributions ~~~~~~~~~~~~~~

Section 179 expense deduction ~~~~~~~~~~~

Deductions related to portfolio income (losses) ~~~~

Interest expense on investment debts ~~~~~~~~

Foreign taxes paid or accrued ~~~~~~~~~~~

Section 59(e) expenditures ~~~~~~~~~~~~

Other decreases ~~~~~~~~~~~~~~~~~

 Total deductible losses and deductions ~~~~~~

Nondeductible expenses ~~~~~~~~~~~~~~

Oil and gas depletion ~~~~~~~~~~~~~~~

 Total nondeductible expenses and oil and gas

 depletion ~~~~~~~~~~~~~~~~~~~

 Totals ~~~~~~~~~~~~~~~~~~~~

Allocation of Losses and Deductions

4

DECEMBER 31, 2019

CORY A. WEINER

175,835. 92.690114 175,835.

78. .041117 78.

10,402. 5.483337 10,402.

3,387. 1.785432 3,387.

189,702.100.000000 189,702.

85,702.100.000000 85,702.

85,702.100.000000 85,702.

275,404. 275,404.

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 37.3

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 85 of 109
Items affecting shareholder basis

911271

11-15-19

Shareholder's Share of Current Year Income,

Deductions, Credits, and Other Items

1

2

3

4

5a

5b

6

7

8a

8b

8c

9

10

11

12

13

14

15

16

17

A

B

C

D

E

F

18

19

For Paperwork Reduction Act Notice, see Instructions for Form 1120-S. Schedule K-1 (Form 1120-S) 2019

For IRS Use Only

Final K-1 Amended K-1 OMB No. 1545-0123

Department of the Treasury

Internal Revenue Service For calendar year 2019, or tax Ordinary business income (loss)

Net rental real estate inc (loss)

Other net rental income (loss)

Interest income

Credits

Foreign transactions

year beginning

ending

| See separate instructions.

Corporation's employer identification number

Corporation's name, address, city, state, and ZIP code

Ordinary dividends

Qualified dividends

Royalties

Net short-term capital gain (loss)

Net long-term capital gain (loss)

Collectibles (28%) gain (loss)

IRS Center where corporation filed return

Shareholder's identifying number

Shareholder's name, address, city, state and ZIP code

Unrecaptured sec 1250 gain

Net section 1231 gain (loss)

Other income (loss)

Section 179 deduction

Other deductions

Alternative min tax (AMT) items

Shareholder's percentage of stock

ownership for tax year ~~~~~~ %

Other information

More than one activity for at-risk purposes*

More than one activity for passive activity purposes*

*See attached statement for additional information.

LHA www.irs.gov/Form1120S

Schedule K-1

(Form 1120-S) Part III

Shareholder's Share of Income, Deductions,

Credits, etc. 

Part I Information About the Corporation

Part II Information About the Shareholder

2019

671119

† †

†

†

5

-33,261.

54-0560987

SAXON SHOES, INC.

11800 WEST BROAD STREET #2750

RICHMOND, VA 23233

E-FILE

EVAN S. WEINER

1702 BRIDGEWATER COURT A -17.

MAIDENS, VA 23102

B -5.

5.002933

C* 669.

A 1,494.

V * STMT

5

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 38

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 86 of 109
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

SCHEDULE K-1 FOOTNOTES

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}

INFORMATION TO CALCULATE THE POTENTIAL QUALIFIED BUSINESS

INCOME DEDUCTION UNDER SECTION 199A IS BEING PROVIDED ON

SCHEDULE K-1 AND SUPPORTING SCHEDULES WHERE APPLICABLE.

THE POTENTIAL DEDUCTION IS SUBJECT TO VARIOUS LIMITATIONS

COMPUTED ON AN INDIVIDUAL OWNER OR BENEFICIARY'S INCOME TAX

RETURN. EACH TAXPAYER MUST DETERMINE THEIR ALLOWABLE

DEDUCTION. PRESENTATION OF THE REQUIRED INFORMATION

INDICATES NEITHER ALLOWANCE OF, NOR THE AMOUNT OF, ANY

DEDUCTION.

QBI INCOME REPORTED IN THE STATEMENTS TO THIS K-1 HAS NOT

BEEN REDUCED BY THE AMOUNT OF CHARITABLE CONTRIBUTIONS

REPORTED ON THE FACE OF THE K-1. PLEASE CONSULT YOUR TAX

ADVISOR REGARDING PROPER TREATMENT IN THE CALCULATION OF

ANY POTENTIAL DEDUCTION UNDER IRC SECTION 199A.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

SCHEDULE K-1 NONDEDUCTIBLE EXPENSES, BOX 16, CODE C

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}

DESCRIPTION AMOUNT SHAREHOLDER FILING INSTRUCTIONS

}}}}}}}}}}} }}}}}}}}}}}}} }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}

EXCLUDED MEALS AND ENTERTAINMENT

EXPENSES 102. SEE SHAREHOLDERS INSTRUCTIONS

OFFICER LIFE INSURANCE 567.

}}}}}}}}}}}}}

TOTAL 669.

~~~~~~~~~~~~~

SAXON SHOES, INC. 54-0560987

}}}}}}}}}}}}}}}}} }}}}}}}}}}

SHAREHOLDER 5

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 39

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 87 of 109
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

SCHEDULE K-1 SECTION 199A ADDITIONAL INFORMATION

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}

THE SECTION 199A AMOUNTS TO BE USED IN THE CALCULATION OF THE QUALIFIED

BUSINESS INCOME DEDUCTION ON YOUR 1040/1041 RETURN ARE REPORTED ON LINE 17,

UNDER CODE V. PLEASE CONSULT YOUR TAX ADVISOR REGARDING THE CALCULATION OF

QUALIFIED BUSINESS INCOME DEDUCTION, INCLUDING THE POSSIBLE AGGREGATIONS

AND LIMITATIONS THAT MAY APPLY AND THE FILING OF THE 1.199A-4(C)(2)(I)

ANNUAL DISCLOSURE STATEMENT.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

SCHEDULE K-1 SECTION 199A ITEMS, BOX 17

CODE V

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}

DESCRIPTION AMOUNT

}}}}}}}}}}} }}}}}}}}}}}}}}

TRADE OR BUSINESS

ORDINARY INCOME(LOSS) -33,261.

W-2 WAGES 71,002.

UNADJUSTED BASIS 89,343.

SAXON SHOES, INC. 54-0560987

}}}}}}}}}}}}}}}}} }}}}}}}}}}

SHAREHOLDER 5

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 40

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 88 of 109
912101

04-01-19

Shareholder Number:

Shareholder Name:

Shareholder ID Number:

Ownership Percentage:

Year Ended:

S Corporation Name:

S Corporation ID Number:

%

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

a.

b.

Increases:

Stock basis, beginning of year (Not less than zero) ~~~~~~~~~

Additional capital contributions ~~~~~~~~~~~~~~~~~

a.

b.

c.

d.

e.

f.

g.

h.

i.

j.

k.

l.

m.

Ordinary income from trade or business ~~~~~~~~~~~~~

Net income from rental real estate activities ~~~~~~~~~~~~

Net income from other rental activities ~~~~~~~~~~~~~~

Net short-term capital gains ~~~~~~~~~~~~~~~~~~~

Net long-term capital gains ~~~~~~~~~~~~~~~~~~~

Other portfolio income ~~~~~~~~~~~~~~~~~~~~~

Net gain under Section 1231 ~~~~~~~~~~~~~~~~~~

Other income ~~~~~~~~~~~~~~~~~~~~~~~~~

Tax exempt interest income ~~~~~~~~~~~~~~~~~~~

Other tax-exempt income ~~~~~~~~~~~~~~~~~~~~

Section 179 recapture ~~~~~~~~~~~~~~~~~~~~~

Depletion (other than oil and gas) in excess of basis ~~~~~~~~

Other increases:

Total increases (Add lines 2(a) through 2(m)) ~~~~~~~~~~~~~~~~~~~~~~~~~

Total increases to stock basis (Add lines 1 and 3) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Less: Distributions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Subtract line 5 from line 4 (Not less than zero) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Decreases:

a.

b.

c.

d.

e.

f.

g.

h.

i.

j.

k.

l.

m.

n.

o.

p.

q.

r.

Ordinary losses from trade or business ~~~~~~~~~~~~~~

Net losses from rental real estate activities ~~~~~~~~~~~~

Net losses from other rental activities ~~~~~~~~~~~~~~~

Net short-term capital losses ~~~~~~~~~~~~~~~~~~

Net long-term capital losses ~~~~~~~~~~~~~~~~~~~

Other portfolio losses ~~~~~~~~~~~~~~~~~~~~~

Net losses under Section 1231 ~~~~~~~~~~~~~~~~~

Other deductions ~~~~~~~~~~~~~~~~~~~~~~~

Charitable contributions ~~~~~~~~~~~~~~~~~~~~

Section 179 expense deduction ~~~~~~~~~~~~~~~~~

Deductions related to portfolio income (losses) ~~~~~~~~~~

Interest expense on investment debts ~~~~~~~~~~~~~~

Foreign taxes paid or accrued ~~~~~~~~~~~~~~~~~~

Section 59(e) expenditures ~~~~~~~~~~~~~~~~~~~

Nondeductible expenses ~~~~~~~~~~~~~~~~~~~~

Oil and gas depletion ~~~~~~~~~~~~~~~~~~~~~~

Other decreases:

Disallowed prior year's losses and deductions ~~~~~~~~~~~~~~~~~~~~~~~~

Total decreases (Add lines 7(a) through 7(r)) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Net increases or decreases to basis (Subtract line 8 from line 6) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Less: Net increases applied to debt basis ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Stock basis, end of year (Subtract line 10 from line 9) (Not less than zero) ~~~~~~~~~~~~~~~~~~~~~~~~~~

Stock Basis

Shareholder Basis Worksheet

5 DECEMBER 31, 2019

EVAN S. WEINER SAXON SHOES, INC.

5.002933 54-0560987

0.

33,261.

1,494.

669.

35,424.

203,948.

239,372.

-239,372.

0.

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 40.1

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 89 of 109
912102

04-01-19

Shareholder Number:

Shareholder Name:

Year Ended:

Shareholder ID Number:

12.

13.

14.

15.

16.

17.

18.

19.

20.

21.

22.

23.

24.

25.

26.

27.

28.

29.

30.

Debt basis, beginning of year (Not less than zero) 

Loans made during the year ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Restoration of debt basis (from line 10) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Subtotal (Add lines 13 and 14) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Less: Loan repayments ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Gain from loan repayments ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Other adjustments:

Subtotal (Combine lines 12, 15, 16, 17 and 18) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Applied against excess loss and deductions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Debt basis, end of year (Not less than zero) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Total shareholder stock and debt basis, end of year (Add lines 11 and 21) (Not less than zero) ~~~~~~~~~~~~~~~~~

Distributions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Less: Basis before distributions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Enter excess of line 23 over line 24 (capital gain) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Total

Disallowed

Losses

Debt Basis Applied

Against Excess Losses

and Deductions

Beginning of year ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Add: Losses and deductions this year ~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Less: Applied this year ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Less: Excess nondeductible expenses ~~~~~~~~~~~~~~~~~~~~~~~~~~~~

End of year (Not less than zero) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Debt Basis

Gain on Distributions

Carryover

Shareholder Basis Worksheet, Continued

5

DECEMBER 31, 2019

EVAN S. WEINER

0.

0.

0.

203,948.

35,424.

239,372.

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 40.2

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 90 of 109
912103

04-01-19

Shareholder Number:

Shareholder Name:

Year Ended:

Shareholder ID Number:

(a)

Beginning of Year

and Current Year

Losses and Deductions

(b)

%

(c)

Allowable Losses

and Deductions

in Current Year

(d)

Disallowed Losses

and Deductions

(Carryover to Next Year)

Ordinary losses from trade or business ~~~~~~~

Net losses from rental real estate activities ~~~~~~

Net losses from other rental activities ~~~~~~~~

Net short-term capital losses ~~~~~~~~~~~~

Net long-term capital losses ~~~~~~~~~~~~

Other portfolio losses ~~~~~~~~~~~~~~~

Net losses under Section 1231 ~~~~~~~~~~~

Other deductions ~~~~~~~~~~~~~~~~~

Charitable contributions ~~~~~~~~~~~~~~

Section 179 expense deduction ~~~~~~~~~~~

Deductions related to portfolio income (losses) ~~~~

Interest expense on investment debts ~~~~~~~~

Foreign taxes paid or accrued ~~~~~~~~~~~

Section 59(e) expenditures ~~~~~~~~~~~~

Other decreases ~~~~~~~~~~~~~~~~~

 Total deductible losses and deductions ~~~~~~

Nondeductible expenses ~~~~~~~~~~~~~~

Oil and gas depletion ~~~~~~~~~~~~~~~

 Total nondeductible expenses and oil and gas

 depletion ~~~~~~~~~~~~~~~~~~~

 Totals ~~~~~~~~~~~~~~~~~~~~

Allocation of Losses and Deductions

5

DECEMBER 31, 2019

EVAN S. WEINER

175,835. 95.657117 175,835.

77. .041889 77.

5,125. 2.788084 5,125.

2,781. 1.512910 2,781.

183,818.100.000000 183,818.

55,554.100.000000 55,554.

55,554.100.000000 55,554.

239,372. 239,372.

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 40.3

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 91 of 109
Items affecting shareholder basis

911271

11-15-19

Shareholder's Share of Current Year Income,

Deductions, Credits, and Other Items

1

2

3

4

5a

5b

6

7

8a

8b

8c

9

10

11

12

13

14

15

16

17

A

B

C

D

E

F

18

19

For Paperwork Reduction Act Notice, see Instructions for Form 1120-S. Schedule K-1 (Form 1120-S) 2019

For IRS Use Only

Final K-1 Amended K-1 OMB No. 1545-0123

Department of the Treasury

Internal Revenue Service For calendar year 2019, or tax Ordinary business income (loss)

Net rental real estate inc (loss)

Other net rental income (loss)

Interest income

Credits

Foreign transactions

year beginning

ending

| See separate instructions.

Corporation's employer identification number

Corporation's name, address, city, state, and ZIP code

Ordinary dividends

Qualified dividends

Royalties

Net short-term capital gain (loss)

Net long-term capital gain (loss)

Collectibles (28%) gain (loss)

IRS Center where corporation filed return

Shareholder's identifying number

Shareholder's name, address, city, state and ZIP code

Unrecaptured sec 1250 gain

Net section 1231 gain (loss)

Other income (loss)

Section 179 deduction

Other deductions

Alternative min tax (AMT) items

Shareholder's percentage of stock

ownership for tax year ~~~~~~ %

Other information

More than one activity for at-risk purposes*

More than one activity for passive activity purposes*

*See attached statement for additional information.

LHA www.irs.gov/Form1120S

Schedule K-1

(Form 1120-S) Part III

Shareholder's Share of Income, Deductions,

Credits, etc. 

Part I Information About the Corporation

Part II Information About the Shareholder

2019

671119

† †

†

†

6

-88,646.

54-0560987

SAXON SHOES, INC.

11800 WEST BROAD STREET #2750

RICHMOND, VA 23233

E-FILE

AMC FBO WA CAFARO & AM CAFARO JR TR

ATTENTION WILL CAFARO 2445 BELMONT A A -45.

YOUNGSTOWN, OH 44504-0186

B -12.

13.333333

C* 1,786.

A 3,982.

V * STMT

6

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 41

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 92 of 109
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

SCHEDULE K-1 FOOTNOTES

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}

INFORMATION TO CALCULATE THE POTENTIAL QUALIFIED BUSINESS

INCOME DEDUCTION UNDER SECTION 199A IS BEING PROVIDED ON

SCHEDULE K-1 AND SUPPORTING SCHEDULES WHERE APPLICABLE.

THE POTENTIAL DEDUCTION IS SUBJECT TO VARIOUS LIMITATIONS

COMPUTED ON AN INDIVIDUAL OWNER OR BENEFICIARY'S INCOME TAX

RETURN. EACH TAXPAYER MUST DETERMINE THEIR ALLOWABLE

DEDUCTION. PRESENTATION OF THE REQUIRED INFORMATION

INDICATES NEITHER ALLOWANCE OF, NOR THE AMOUNT OF, ANY

DEDUCTION.

QBI INCOME REPORTED IN THE STATEMENTS TO THIS K-1 HAS NOT

BEEN REDUCED BY THE AMOUNT OF CHARITABLE CONTRIBUTIONS

REPORTED ON THE FACE OF THE K-1. PLEASE CONSULT YOUR TAX

ADVISOR REGARDING PROPER TREATMENT IN THE CALCULATION OF

ANY POTENTIAL DEDUCTION UNDER IRC SECTION 199A.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

SCHEDULE K-1 NONDEDUCTIBLE EXPENSES, BOX 16, CODE C

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}

DESCRIPTION AMOUNT SHAREHOLDER FILING INSTRUCTIONS

}}}}}}}}}}} }}}}}}}}}}}}} }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}

EXCLUDED MEALS AND ENTERTAINMENT

EXPENSES 274. SEE SHAREHOLDERS INSTRUCTIONS

OFFICER LIFE INSURANCE 1,512.

}}}}}}}}}}}}}

TOTAL 1,786.

~~~~~~~~~~~~~

SAXON SHOES, INC. 54-0560987

}}}}}}}}}}}}}}}}} }}}}}}}}}}

SHAREHOLDER 6

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 42

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 93 of 109
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

SCHEDULE K-1 SECTION 199A ADDITIONAL INFORMATION

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}

THE SECTION 199A AMOUNTS TO BE USED IN THE CALCULATION OF THE QUALIFIED

BUSINESS INCOME DEDUCTION ON YOUR 1040/1041 RETURN ARE REPORTED ON LINE 17,

UNDER CODE V. PLEASE CONSULT YOUR TAX ADVISOR REGARDING THE CALCULATION OF

QUALIFIED BUSINESS INCOME DEDUCTION, INCLUDING THE POSSIBLE AGGREGATIONS

AND LIMITATIONS THAT MAY APPLY AND THE FILING OF THE 1.199A-4(C)(2)(I)

ANNUAL DISCLOSURE STATEMENT.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

SCHEDULE K-1 SECTION 199A ITEMS, BOX 17

CODE V

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}

DESCRIPTION AMOUNT

}}}}}}}}}}} }}}}}}}}}}}}}}

TRADE OR BUSINESS

ORDINARY INCOME(LOSS) -88,646.

W-2 WAGES 189,229.

UNADJUSTED BASIS 238,109.

SAXON SHOES, INC. 54-0560987

}}}}}}}}}}}}}}}}} }}}}}}}}}}

SHAREHOLDER 6

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 43

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 94 of 109
912101

04-01-19

Shareholder Number:

Shareholder Name:

Shareholder ID Number:

Ownership Percentage:

Year Ended:

S Corporation Name:

S Corporation ID Number:

%

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

a.

b.

Increases:

Stock basis, beginning of year (Not less than zero) ~~~~~~~~~

Additional capital contributions ~~~~~~~~~~~~~~~~~

a.

b.

c.

d.

e.

f.

g.

h.

i.

j.

k.

l.

m.

Ordinary income from trade or business ~~~~~~~~~~~~~

Net income from rental real estate activities ~~~~~~~~~~~~

Net income from other rental activities ~~~~~~~~~~~~~~

Net short-term capital gains ~~~~~~~~~~~~~~~~~~~

Net long-term capital gains ~~~~~~~~~~~~~~~~~~~

Other portfolio income ~~~~~~~~~~~~~~~~~~~~~

Net gain under Section 1231 ~~~~~~~~~~~~~~~~~~

Other income ~~~~~~~~~~~~~~~~~~~~~~~~~

Tax exempt interest income ~~~~~~~~~~~~~~~~~~~

Other tax-exempt income ~~~~~~~~~~~~~~~~~~~~

Section 179 recapture ~~~~~~~~~~~~~~~~~~~~~

Depletion (other than oil and gas) in excess of basis ~~~~~~~~

Other increases:

Total increases (Add lines 2(a) through 2(m)) ~~~~~~~~~~~~~~~~~~~~~~~~~

Total increases to stock basis (Add lines 1 and 3) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Less: Distributions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Subtract line 5 from line 4 (Not less than zero) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Decreases:

a.

b.

c.

d.

e.

f.

g.

h.

i.

j.

k.

l.

m.

n.

o.

p.

q.

r.

Ordinary losses from trade or business ~~~~~~~~~~~~~~

Net losses from rental real estate activities ~~~~~~~~~~~~

Net losses from other rental activities ~~~~~~~~~~~~~~~

Net short-term capital losses ~~~~~~~~~~~~~~~~~~

Net long-term capital losses ~~~~~~~~~~~~~~~~~~~

Other portfolio losses ~~~~~~~~~~~~~~~~~~~~~

Net losses under Section 1231 ~~~~~~~~~~~~~~~~~

Other deductions ~~~~~~~~~~~~~~~~~~~~~~~

Charitable contributions ~~~~~~~~~~~~~~~~~~~~

Section 179 expense deduction ~~~~~~~~~~~~~~~~~

Deductions related to portfolio income (losses) ~~~~~~~~~~

Interest expense on investment debts ~~~~~~~~~~~~~~

Foreign taxes paid or accrued ~~~~~~~~~~~~~~~~~~

Section 59(e) expenditures ~~~~~~~~~~~~~~~~~~~

Nondeductible expenses ~~~~~~~~~~~~~~~~~~~~

Oil and gas depletion ~~~~~~~~~~~~~~~~~~~~~~

Other decreases:

Disallowed prior year's losses and deductions ~~~~~~~~~~~~~~~~~~~~~~~~

Total decreases (Add lines 7(a) through 7(r)) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Net increases or decreases to basis (Subtract line 8 from line 6) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Less: Net increases applied to debt basis ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Stock basis, end of year (Subtract line 10 from line 9) (Not less than zero) ~~~~~~~~~~~~~~~~~~~~~~~~~~

Stock Basis

Shareholder Basis Worksheet

6 DECEMBER 31, 2019

AMC FBO WA CAFARO & AM CAFARO JR TR J SAXON SHOES, INC.

13.333333 54-0560987

0.

88,646.

3,982.

1,786.

94,414.

148,816.

243,230.

-243,230.

0.

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 43.1

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 95 of 109
912102

04-01-19

Shareholder Number:

Shareholder Name:

Year Ended:

Shareholder ID Number:

12.

13.

14.

15.

16.

17.

18.

19.

20.

21.

22.

23.

24.

25.

26.

27.

28.

29.

30.

Debt basis, beginning of year (Not less than zero) 

Loans made during the year ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Restoration of debt basis (from line 10) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Subtotal (Add lines 13 and 14) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Less: Loan repayments ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Gain from loan repayments ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Other adjustments:

Subtotal (Combine lines 12, 15, 16, 17 and 18) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Applied against excess loss and deductions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Debt basis, end of year (Not less than zero) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Total shareholder stock and debt basis, end of year (Add lines 11 and 21) (Not less than zero) ~~~~~~~~~~~~~~~~~

Distributions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Less: Basis before distributions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Enter excess of line 23 over line 24 (capital gain) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Total

Disallowed

Losses

Debt Basis Applied

Against Excess Losses

and Deductions

Beginning of year ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Add: Losses and deductions this year ~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Less: Applied this year ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Less: Excess nondeductible expenses ~~~~~~~~~~~~~~~~~~~~~~~~~~~~

End of year (Not less than zero) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Debt Basis

Gain on Distributions

Carryover

Shareholder Basis Worksheet, Continued

6

DECEMBER 31, 2019

AMC FBO WA CAFARO & AM CAFARO JR TR J

0.

0.

0.

148,816. 225,449.

94,414.

243,230. 225,449.

PRINCIPAL AMOUNT OF DEBT OWED TO SHAREHOLDER, ADJUSTED FOR

LOANS MADE OR PAID DURING THE YEAR 500,000.

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 43.2

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 96 of 109
912103

04-01-19

Shareholder Number:

Shareholder Name:

Year Ended:

Shareholder ID Number:

(a)

Beginning of Year

and Current Year

Losses and Deductions

(b)

%

(c)

Allowable Losses

and Deductions

in Current Year

(d)

Disallowed Losses

and Deductions

(Carryover to Next Year)

Ordinary losses from trade or business ~~~~~~~

Net losses from rental real estate activities ~~~~~~

Net losses from other rental activities ~~~~~~~~

Net short-term capital losses ~~~~~~~~~~~~

Net long-term capital losses ~~~~~~~~~~~~

Other portfolio losses ~~~~~~~~~~~~~~~

Net losses under Section 1231 ~~~~~~~~~~~

Other deductions ~~~~~~~~~~~~~~~~~

Charitable contributions ~~~~~~~~~~~~~~

Section 179 expense deduction ~~~~~~~~~~~

Deductions related to portfolio income (losses) ~~~~

Interest expense on investment debts ~~~~~~~~

Foreign taxes paid or accrued ~~~~~~~~~~~

Section 59(e) expenditures ~~~~~~~~~~~~

Other decreases ~~~~~~~~~~~~~~~~~

 Total deductible losses and deductions ~~~~~~

Nondeductible expenses ~~~~~~~~~~~~~~

Oil and gas depletion ~~~~~~~~~~~~~~~

 Total nondeductible expenses and oil and gas

 depletion ~~~~~~~~~~~~~~~~~~~

 Totals ~~~~~~~~~~~~~~~~~~~~

Allocation of Losses and Deductions

6

DECEMBER 31, 2019

AMC FBO WA CAFARO & AM CAFARO JR TR J

235,156. 97.395669 235,156.

6,288. 2.604331 6,288.

241,444.100.000000 241,444.

1,786.100.000000 1,786.

1,786.100.000000 1,786.

243,230. 243,230.

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 43.3

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 97 of 109
Items affecting shareholder basis

911271

11-15-19

Shareholder's Share of Current Year Income,

Deductions, Credits, and Other Items

1

2

3

4

5a

5b

6

7

8a

8b

8c

9

10

11

12

13

14

15

16

17

A

B

C

D

E

F

18

19

For Paperwork Reduction Act Notice, see Instructions for Form 1120-S. Schedule K-1 (Form 1120-S) 2019

For IRS Use Only

Final K-1 Amended K-1 OMB No. 1545-0123

Department of the Treasury

Internal Revenue Service For calendar year 2019, or tax Ordinary business income (loss)

Net rental real estate inc (loss)

Other net rental income (loss)

Interest income

Credits

Foreign transactions

year beginning

ending

| See separate instructions.

Corporation's employer identification number

Corporation's name, address, city, state, and ZIP code

Ordinary dividends

Qualified dividends

Royalties

Net short-term capital gain (loss)

Net long-term capital gain (loss)

Collectibles (28%) gain (loss)

IRS Center where corporation filed return

Shareholder's identifying number

Shareholder's name, address, city, state and ZIP code

Unrecaptured sec 1250 gain

Net section 1231 gain (loss)

Other income (loss)

Section 179 deduction

Other deductions

Alternative min tax (AMT) items

Shareholder's percentage of stock

ownership for tax year ~~~~~~ %

Other information

More than one activity for at-risk purposes*

More than one activity for passive activity purposes*

*See attached statement for additional information.

LHA www.irs.gov/Form1120S

Schedule K-1

(Form 1120-S) Part III

Shareholder's Share of Income, Deductions,

Credits, etc. 

Part I Information About the Corporation

Part II Information About the Shareholder

2019

671119

† †

†

†

7

-35,458.

54-0560987

SAXON SHOES, INC.

11800 WEST BROAD STREET #2750

RICHMOND, VA 23233

E-FILE

BETH G. WEINER

580 RALEIGH MANOR ROAD A -18.

HENRICO, VA 23229

B -5.

5.333335

C* 714.

A 1,593.

V * STMT

7

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 44

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 98 of 109
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

SCHEDULE K-1 FOOTNOTES

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}

INFORMATION TO CALCULATE THE POTENTIAL QUALIFIED BUSINESS

INCOME DEDUCTION UNDER SECTION 199A IS BEING PROVIDED ON

SCHEDULE K-1 AND SUPPORTING SCHEDULES WHERE APPLICABLE.

THE POTENTIAL DEDUCTION IS SUBJECT TO VARIOUS LIMITATIONS

COMPUTED ON AN INDIVIDUAL OWNER OR BENEFICIARY'S INCOME TAX

RETURN. EACH TAXPAYER MUST DETERMINE THEIR ALLOWABLE

DEDUCTION. PRESENTATION OF THE REQUIRED INFORMATION

INDICATES NEITHER ALLOWANCE OF, NOR THE AMOUNT OF, ANY

DEDUCTION.

QBI INCOME REPORTED IN THE STATEMENTS TO THIS K-1 HAS NOT

BEEN REDUCED BY THE AMOUNT OF CHARITABLE CONTRIBUTIONS

REPORTED ON THE FACE OF THE K-1. PLEASE CONSULT YOUR TAX

ADVISOR REGARDING PROPER TREATMENT IN THE CALCULATION OF

ANY POTENTIAL DEDUCTION UNDER IRC SECTION 199A.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

SCHEDULE K-1 NONDEDUCTIBLE EXPENSES, BOX 16, CODE C

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}

DESCRIPTION AMOUNT SHAREHOLDER FILING INSTRUCTIONS

}}}}}}}}}}} }}}}}}}}}}}}} }}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}

EXCLUDED MEALS AND ENTERTAINMENT

EXPENSES 109. SEE SHAREHOLDERS INSTRUCTIONS

OFFICER LIFE INSURANCE 605.

}}}}}}}}}}}}}

TOTAL 714.

~~~~~~~~~~~~~

SAXON SHOES, INC. 54-0560987

}}}}}}}}}}}}}}}}} }}}}}}}}}}

SHAREHOLDER 7

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 45

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 99 of 109
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

SCHEDULE K-1 SECTION 199A ADDITIONAL INFORMATION

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}

THE SECTION 199A AMOUNTS TO BE USED IN THE CALCULATION OF THE QUALIFIED

BUSINESS INCOME DEDUCTION ON YOUR 1040/1041 RETURN ARE REPORTED ON LINE 17,

UNDER CODE V. PLEASE CONSULT YOUR TAX ADVISOR REGARDING THE CALCULATION OF

QUALIFIED BUSINESS INCOME DEDUCTION, INCLUDING THE POSSIBLE AGGREGATIONS

AND LIMITATIONS THAT MAY APPLY AND THE FILING OF THE 1.199A-4(C)(2)(I)

ANNUAL DISCLOSURE STATEMENT.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

SCHEDULE K-1 SECTION 199A ITEMS, BOX 17

CODE V

}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}}

DESCRIPTION AMOUNT

}}}}}}}}}}} }}}}}}}}}}}}}}

TRADE OR BUSINESS

ORDINARY INCOME(LOSS) -35,458.

W-2 WAGES 75,691.

UNADJUSTED BASIS 95,244.

SAXON SHOES, INC. 54-0560987

}}}}}}}}}}}}}}}}} }}}}}}}}}}

SHAREHOLDER 7

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 46

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 100 of 109
912101

04-01-19

Shareholder Number:

Shareholder Name:

Shareholder ID Number:

Ownership Percentage:

Year Ended:

S Corporation Name:

S Corporation ID Number:

%

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

a.

b.

Increases:

Stock basis, beginning of year (Not less than zero) ~~~~~~~~~

Additional capital contributions ~~~~~~~~~~~~~~~~~

a.

b.

c.

d.

e.

f.

g.

h.

i.

j.

k.

l.

m.

Ordinary income from trade or business ~~~~~~~~~~~~~

Net income from rental real estate activities ~~~~~~~~~~~~

Net income from other rental activities ~~~~~~~~~~~~~~

Net short-term capital gains ~~~~~~~~~~~~~~~~~~~

Net long-term capital gains ~~~~~~~~~~~~~~~~~~~

Other portfolio income ~~~~~~~~~~~~~~~~~~~~~

Net gain under Section 1231 ~~~~~~~~~~~~~~~~~~

Other income ~~~~~~~~~~~~~~~~~~~~~~~~~

Tax exempt interest income ~~~~~~~~~~~~~~~~~~~

Other tax-exempt income ~~~~~~~~~~~~~~~~~~~~

Section 179 recapture ~~~~~~~~~~~~~~~~~~~~~

Depletion (other than oil and gas) in excess of basis ~~~~~~~~

Other increases:

Total increases (Add lines 2(a) through 2(m)) ~~~~~~~~~~~~~~~~~~~~~~~~~

Total increases to stock basis (Add lines 1 and 3) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Less: Distributions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Subtract line 5 from line 4 (Not less than zero) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Decreases:

a.

b.

c.

d.

e.

f.

g.

h.

i.

j.

k.

l.

m.

n.

o.

p.

q.

r.

Ordinary losses from trade or business ~~~~~~~~~~~~~~

Net losses from rental real estate activities ~~~~~~~~~~~~

Net losses from other rental activities ~~~~~~~~~~~~~~~

Net short-term capital losses ~~~~~~~~~~~~~~~~~~

Net long-term capital losses ~~~~~~~~~~~~~~~~~~~

Other portfolio losses ~~~~~~~~~~~~~~~~~~~~~

Net losses under Section 1231 ~~~~~~~~~~~~~~~~~

Other deductions ~~~~~~~~~~~~~~~~~~~~~~~

Charitable contributions ~~~~~~~~~~~~~~~~~~~~

Section 179 expense deduction ~~~~~~~~~~~~~~~~~

Deductions related to portfolio income (losses) ~~~~~~~~~~

Interest expense on investment debts ~~~~~~~~~~~~~~

Foreign taxes paid or accrued ~~~~~~~~~~~~~~~~~~

Section 59(e) expenditures ~~~~~~~~~~~~~~~~~~~

Nondeductible expenses ~~~~~~~~~~~~~~~~~~~~

Oil and gas depletion ~~~~~~~~~~~~~~~~~~~~~~

Other decreases:

Disallowed prior year's losses and deductions ~~~~~~~~~~~~~~~~~~~~~~~~

Total decreases (Add lines 7(a) through 7(r)) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Net increases or decreases to basis (Subtract line 8 from line 6) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Less: Net increases applied to debt basis ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Stock basis, end of year (Subtract line 10 from line 9) (Not less than zero) ~~~~~~~~~~~~~~~~~~~~~~~~~~

Stock Basis

Shareholder Basis Worksheet

7 DECEMBER 31, 2019

BETH G. WEINER SAXON SHOES, INC.

5.333335 54-0560987

0.

35,458.

1,593.

714.

37,765.

37,765.

-37,765.

0.

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 46.1

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Document Page 101 of 109
912102

04-01-19

Shareholder Number:

Shareholder Name:

Year Ended:

Shareholder ID Number:

12.

13.

14.

15.

16.

17.

18.

19.

20.

21.

22.

23.

24.

25.

26.

27.

28.

29.

30.

Debt basis, beginning of year (Not less than zero) 

Loans made during the year ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Restoration of debt basis (from line 10) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Subtotal (Add lines 13 and 14) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Less: Loan repayments ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Gain from loan repayments ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Other adjustments:

Subtotal (Combine lines 12, 15, 16, 17 and 18) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Applied against excess loss and deductions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Debt basis, end of year (Not less than zero) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Total shareholder stock and debt basis, end of year (Add lines 11 and 21) (Not less than zero) ~~~~~~~~~~~~~~~~~

Distributions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Less: Basis before distributions ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Enter excess of line 23 over line 24 (capital gain) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Total

Disallowed

Losses

Debt Basis Applied

Against Excess Losses

and Deductions

Beginning of year ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Add: Losses and deductions this year ~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Less: Applied this year ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Less: Excess nondeductible expenses ~~~~~~~~~~~~~~~~~~~~~~~~~~~~

End of year (Not less than zero) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Debt Basis

Gain on Distributions

Carryover

Shareholder Basis Worksheet, Continued

7

DECEMBER 31, 2019

BETH G. WEINER

0.

0.

0.

37,765.

37,765.

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

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912103

04-01-19

Shareholder Number:

Shareholder Name:

Year Ended:

Shareholder ID Number:

(a)

Beginning of Year

and Current Year

Losses and Deductions

(b)

%

(c)

Allowable Losses

and Deductions

in Current Year

(d)

Disallowed Losses

and Deductions

(Carryover to Next Year)

Ordinary losses from trade or business ~~~~~~~

Net losses from rental real estate activities ~~~~~~

Net losses from other rental activities ~~~~~~~~

Net short-term capital losses ~~~~~~~~~~~~

Net long-term capital losses ~~~~~~~~~~~~

Other portfolio losses ~~~~~~~~~~~~~~~

Net losses under Section 1231 ~~~~~~~~~~~

Other deductions ~~~~~~~~~~~~~~~~~

Charitable contributions ~~~~~~~~~~~~~~

Section 179 expense deduction ~~~~~~~~~~~

Deductions related to portfolio income (losses) ~~~~

Interest expense on investment debts ~~~~~~~~

Foreign taxes paid or accrued ~~~~~~~~~~~

Section 59(e) expenditures ~~~~~~~~~~~~

Other decreases ~~~~~~~~~~~~~~~~~

 Total deductible losses and deductions ~~~~~~

Nondeductible expenses ~~~~~~~~~~~~~~

Oil and gas depletion ~~~~~~~~~~~~~~~

 Total nondeductible expenses and oil and gas

 depletion ~~~~~~~~~~~~~~~~~~~

 Totals ~~~~~~~~~~~~~~~~~~~~

Allocation of Losses and Deductions

7

DECEMBER 31, 2019

BETH G. WEINER

35,458. 95.700521 35,458.

1,593. 4.299479 1,593.

37,051.100.000000 37,051.

714.100.000000 714.

714.100.000000 714.

37,765. 37,765.

00350518 786335 18345-002 2019.03050 SAXON SHOES, INC. 18345-11

 46.3

Case 20-33453-KRH Doc 1 Filed 08/14/20 Entered 08/14/20 10:58:12 Desc Main

Document Page 103 of 109
 5:01 PM

 08/13/20

 Accrual Basis

 Saxon Shoes, Inc.

 Balance Sheet

 As of June 30, 2020

Jun 30, 20

ASSETS

Current Assets

Checking/Savings

10525 · Cash - Xenith 129,615.23

10900 · Cash in drawers 2,600.01

10950 · Petty Cash 200.16

Total Checking/Savings 132,415.40

Other Current Assets

11500 · Loans to employees 1,960.41

12100 · Inventory Asset 2,489,798.39

12800 · Prepaid expenses 63,308.53

19450 · Returned Checks 1,000.33

Total Other Current Assets 2,556,067.66

Total Current Assets 2,688,483.06

Fixed Assets

17000 · Furniture & Fixtures 641,336.78

17100 · Sequoia Vehicle 12,021.50

17150 · Sign 33,659.00

17300 · Computer Equipment 556,499.21

17330 · Intangible assets 290,702.22

17350 · Software 454,350.20

17370 · Startup Expenses 203,583.04

17480 · Leasehold Improvements 2,410,504.70

17500 · Accumulated depreciation -2,854,662.49

17510 · Accumulated amortization -423,932.05

Total Fixed Assets 1,324,062.11

Other Assets

19600 · Security Deposit 4,873.56

Total Other Assets 4,873.56

TOTAL ASSETS 4,017,418.73

LIABILITIES & EQUITY

Liabilities

Current Liabilities

Accounts Payable

20700 · Accounts payable 946,359.22

20701 · Accounts Payable- Non-Inventory 331,666.54

Total Accounts Payable 1,278,025.76

Credit Cards

20710 · American Express 20,153.04

20730 · American Express - Corporate 12,806.66

Total Credit Cards 32,959.70

Other Current Liabilities

25393 · Note payable - Paypal 65,924.85

21700 · Garnishments W/H & payable 182.40

21800 · Employee fund 2,382.48

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 5:01 PM

 08/13/20

 Accrual Basis

 Saxon Shoes, Inc.

 Balance Sheet

 As of June 30, 2020

Jun 30, 20

21900 · Accrued Wages 46,473.31

21950 · Accrued expenses 5,197.30

22000 · Payroll clearing -33,946.32

22200 · Gift Certificates Outstanding 118,245.60

22300 · Sales Tax Payable 16,714.06

22400 · Customer Deposits -744.98

Total Other Current Liabilities 220,428.70

Total Current Liabilities 1,531,414.16

Long Term Liabilities

25275 · Note Payable-Gary & Beth 03/20 30,736.49

25300 · SBA PPP with Atlantic Union 300,800.00

25280 · Note Payable-Gary & Beth W 2020 51,104.51

25270 · Note Payable - Mull 400,000.00

25260 · Note Payable-Gary & Beth F2019 137,210.94

25250 · Note Payable-Gary & Beth W 2019 1,464,500.00

25240 · Note Payable-Gary & Beth W 2018 506,250.00

25152 · Note payable - Cafaro 503,333.34

25230 · Note Payable-Gary & Beth W 2017 503,333.34

Total Long Term Liabilities 3,897,268.62

Total Liabilities 5,428,682.78

Equity

30700 · Common stock 2,000,000 sh 282,393.70

31500 · Retained earnings -815,444.28

Net Income -878,213.47

Total Equity -1,411,264.05

TOTAL LIABILITIES & EQUITY 4,017,418.73

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Document Page 105 of 109
 5:30 PM

 08/13/20

 Accrual Basis

 Saxon Shoes, Inc.

 Profit & Loss

 January through June 2020

1 2 90 98 99

Ordinary Income/Expense

Income

40000 · Sales 1,254,473.17 307,934.61 0.00 39,327.06 0.00

Total Income 1,254,473.17 307,934.61 0.00 39,327.06 0.00

Cost of Goods Sold

12130 · Finance Charges 3,537.02 1,352.14 0.00 0.00 275.00

50600 · Cost of goods sold 822,301.95 219,252.54 0.00 21,887.11 0.00

50625 · Cost of Good Sold - Adjustment -10,879.15 -4,917.37 -211.50 -296.60 8,249.63

50655 · Purchase Discounts -11,619.68 -1,928.03 0.00 0.00 -1.00

50700 · Shoe repairs 155.00 0.00 0.00 0.00 0.00

50800 · Freight 48,439.27 13,377.00 0.00 266.18 180.19

Total COGS 851,934.41 227,136.28 -211.50 21,856.69 8,703.82

Gross Profit 402,538.76 80,798.33 211.50 17,470.37 -8,703.82

Expense

60500 · Advertising 60,376.45 3,862.20 100.00 0.00 3,619.88

60700 · Amortization 0.00 0.00 0.00 0.00 9,593.64

60800 · Automobile expense 0.00 0.00 0.00 0.00 913.46

60900 · Bank and credit card fees 141.98 30.00 0.00 102.97 1,086.80

60901 · Credit Card Processing Fees 23,457.70 5,089.48 0.00 1,033.93 0.00

61100 · Cash over/short -99.26 568.86 0.00 200.00 0.00

61125 · Computer Contracts 0.00 0.00 0.00 0.00 27,542.23

61130 · Computer Expenses 0.00 0.00 0.00 268.99 661.16

61300 · Contract labor 182.00 0.00 0.00 0.00 0.00

62200 · Depreciation 26,164.26 31,366.56 226.32 14,187.24 9,945.96

62600 · Dues and subscriptions -70.00 0.00 69.66 49.95 3,423.99

62700 · Employee Hiring Expenses 86.85 42.00 0.00 0.00 480.00

62900 · Equipment rental 1,790.10 1,790.10 0.00 0.00 0.00

63400 · HSA - Administrative fees 0.00 0.00 0.00 0.00 71.10

63900 · Insurance-group 4,090.81 -65.82 0.00 0.00 7,798.33

64200 · Insurance-general 3,656.46 1,567.04 0.00 0.00 9,065.41

64300 · Interest 0.00 0.00 0.00 0.00 107,445.62

65100 · Meals and entertainment 309.96 77.00 0.00 0.00 522.56

65600 · Office Supplies-Postage 477.00 413.16 0.00 400.00 1,962.79

65700 · Payroll processing fees 1,834.94 1,298.55 0.00 0.00 1,134.61

66000 · Payroll taxes 17,841.94 6,503.88 0.00 0.00 13,992.90

66300 · Profit sharing Administration 0.00 0.00 0.00 0.00 3,767.00

66500 · Professional fees 2,134.73 854.91 0.00 683.15 37,894.01

67000 · Rent 167,200.02 50,000.04 0.00 0.00 10,467.96

67200 · Repairs and maintenance 6,454.28 9,017.12 0.00 15.78 443.95

67400 · Salaries-officers 0.00 0.00 0.00 0.00 52,034.66

67500 · Salaries-others 210,291.92 68,734.96 0.00 0.00 124,257.88

68200 · Selling supplies 16,390.91 6,422.87 0.00 0.00 395.00

68600 · Taxes and licenses 69,534.97 18,733.07 111.69 0.00 5,162.24

68700 · Telecommunications 3,431.71 6,556.85 0.00 14.00 52,042.35

68900 · Travel 0.00 265.50 0.00 0.00 -201.91

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 5:30 PM

 08/13/20

 Accrual Basis

 Saxon Shoes, Inc.

 Profit & Loss

 January through June 2020

1 2 90 98 99

69200 · Utilities 12,196.55 7,934.27 0.00 0.00 54.00

Total Expense 627,876.28 221,062.60 507.67 16,956.01 485,577.58

Net Ordinary Income -225,337.52 -140,264.27 -296.17 514.36 -494,281.40

Other Income/Expense

Other Income

90197 · Sales tax discounts 0.00 120.68 17.00 0.00 0.00

90200 · Miscellaneous income 153.84 183.56 0.00 0.00 0.00

Total Other Income 153.84 304.24 17.00 0.00 0.00

Other Expense

68500 · Physical inventory adjustment 5,714.52 4,294.80 0.00 0.00 0.00

90190.0 · Officer Life Insurance - Corp 0.00 0.00 0.00 0.00 5,670.60

90192.0 · Officer Health Ins - Corp 0.00 0.00 0.00 0.00 2,085.39

90193 · Charitable contributions 758.97 199.27 0.00 300.00 0.00

Total Other Expense 6,473.49 4,494.07 0.00 300.00 7,755.99

Net Other Income -6,319.65 -4,189.83 17.00 -300.00 -7,755.99

Net Income -231,657.17 -144,454.10 -279.17 214.36 -502,037.39

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Document Page 107 of 109
 5:30 PM

 08/13/20

 Accrual Basis

 Saxon Shoes, Inc.

 Profit & Loss

 January through June 2020

Ordinary Income/Expense

Income

40000 · Sales

Total Income

Cost of Goods Sold

12130 · Finance Charges

50600 · Cost of goods sold

50625 · Cost of Good Sold - Adjustment

50655 · Purchase Discounts

50700 · Shoe repairs

50800 · Freight

Total COGS

Gross Profit

Expense

60500 · Advertising

60700 · Amortization

60800 · Automobile expense

60900 · Bank and credit card fees

60901 · Credit Card Processing Fees

61100 · Cash over/short

61125 · Computer Contracts

61130 · Computer Expenses

61300 · Contract labor

62200 · Depreciation

62600 · Dues and subscriptions

62700 · Employee Hiring Expenses

62900 · Equipment rental

63400 · HSA - Administrative fees

63900 · Insurance-group

64200 · Insurance-general

64300 · Interest

65100 · Meals and entertainment

65600 · Office Supplies-Postage

65700 · Payroll processing fees

66000 · Payroll taxes

66300 · Profit sharing Administration

66500 · Professional fees

67000 · Rent

67200 · Repairs and maintenance

67400 · Salaries-officers

67500 · Salaries-others

68200 · Selling supplies

68600 · Taxes and licenses

68700 · Telecommunications

68900 · Travel

TOTAL

1,601,734.84

1,601,734.84

5,164.16

1,063,441.60

-8,054.99

-13,548.71

155.00

62,262.64

1,109,419.70

492,315.14

67,958.53

9,593.64

913.46

1,361.75

29,581.11

669.60

27,542.23

930.15

182.00

81,890.34

3,473.60

608.85

3,580.20

71.10

11,823.32

14,288.91

107,445.62

909.52

3,252.95

4,268.10

38,338.72

3,767.00

41,566.80

227,668.02

15,931.13

52,034.66

403,284.76

23,208.78

93,541.97

62,044.91

63.59

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Document Page 108 of 109
 5:30 PM

 08/13/20

 Accrual Basis

 Saxon Shoes, Inc.

 Profit & Loss

 January through June 2020

Ordinary Income/Expense 69200 · Utilities

Total Expense

Net Ordinary Income

Other Income/Expense

Other Income

90197 · Sales tax discounts

90200 · Miscellaneous income

Total Other Income

Other Expense

68500 · Physical inventory adjustment

90190.0 · Officer Life Insurance - Corp

90192.0 · Officer Health Ins - Corp

90193 · Charitable contributions

Total Other Expense

Net Other Income

Net Income

TOTAL

20,184.82

1,351,980.14

-859,665.00

137.68

337.40

475.08

10,009.32

5,670.60

2,085.39

1,258.24

19,023.55

-18,548.47

-878,213.47

 Page 4 of 4

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Document Page 109 of 109