Fill in this information to identify the case: 

United States Bankruptcy Court for the: 

________ District of ______ _ 

(State) 

Case number (If known) __________ Chapter__ i 

Official Form 201 

D Check if this is an 

amended filing 

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 Fonns for Non-Individuals, is available. 

1. Debtor's name 

2. All other names debtor used 

in the last 8 years 

Include any assumed names, 

trade names, and doing business 

as names 

LLC 

3. Debtor's federal Employer ~ _) 0 ,i_ S :{ _) b.. 

Identification Number (EIN) 

4. Debtor's address 

s. Debtor's website (URL) 

Official Form 201 

Principal place of business Mailing address, if different from principal place 

L\y 2- f'>ci\/Af S'-/ L_\!!-~frA J~sess 

Number Strer l ~ ,-,N-um_b_e_r---,-S-tre_e_t __________ _ 

f\Jj\1⁄4l DMcH FL 35!\39 

City State ZIP Code 

P.O. Box 

City State ZIP Code 

Location of principal assets, if different from 

principal place of business 

Number Street 

City State ZIP Code 

Voluntary Petition for Non-Individuals Filing for Bankruptcy page 1 

Case 22-11755-RAM Doc 1 Filed 03/03/22 Page 1 of 5
,

Debtor 

6. Type of debtor 

1. Describe debtor's business 

s. Under which chapter of the 

Bankruptcy Code is the 

debtor filing? 

A debtor who is a "small business 

debtor" must check the first subbox. 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. 

Official Form 201 

Case number (,/known) _____________ _ 

~ Corporation (including Limited Liability Company (LLC) and Limited Liability Partnership (LLP)) 

D Partnership (excluding LLP) 

0 Other. Specify: __________________________ _ 

A. Check one: 

0 Health Care Business (as defined in 11 U.S.C. § 101 (27A)) 

~ Single Asset Real Estate (as defined in 11 U.S.C. § 101(51 B)) 

0 Railroad (as defined in 11 U.S.C. § 101 (44)) 

D Stockbroker (as defined in 11 U.S.C. § 101 (53A)) 

0 Commodity Broker (as defined in 11 U.S.C. § 101(6)) 

0 Clearing Bank (as defined in 11 U.S.C. § 781(3)) 

0 None of the above 

B. Check all that apply: 

0 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) 

0 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:llwww.uscourts.qovlfour-digit-national-association-naics-codes . 

Check one: 

0 Chapter? 

0 Chapter 9 

1⁄4f Chapter 11 . Check all that apply 

D Chapter 12 

0 The debtor is a small business debtor as defined in 11 U.S.C. § 101 (51 D), 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)(8). 

0 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)(8). 

D A plan is being filed with this petition. 

0 Acceptances of the plan were solicited prepetition from one or more classes of 

creditors, in accordance with 11 U.S.C. § 1126(b). 

0 The debtor is required to file periodic reports (for example, 1 OK and 1 OQ) 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. 

D The debtor is a shell company as defined in the Securities Exchange Act of 1934 Rule 

12b-2. 

Voluntary Petition for Non-Individuals Filing for Bankruptcy page 2 

Case 22-11755-RAM Doc 1 Filed 03/03/22 Page 2 of 5
Debtor Name 

9. Were prior bankruptcy cases 

filed by or against the debtor 

within the last 8 years? 

If more than 2 cases, attach a 

separate list. 

10. Are any bankruptcy cases 

pending or being filed by a 

business partner or an 

affiliate of the debtor? 

List all cases. If more than 1, 

attach a separate list. 

11. Why is the case filed in this 

district? 

Case number (,tknown), ______________ _ 

.~No 

• Yes. District _J;_ Case number _________ _ 

MM/ DD/YYYY 

District _________ When Case number _________ _ 

MM/ DD/YYYY 

)g No 

D Yes. Debtor Relationship 

District ------------------ When MM / DD /YYYY 

Check all that apply: 

;iJ 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. 

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

12. Does the debtor own or have D No 

possession of any real .i:J Yes. Answer below for each property that needs immediate attention. Attach additional sheets if needed. 

property or personal property 

that needs immediate Why does the property need immediate attention? (Check all that apP',y.) 

attention? 

Official Form 201 

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

What is the hazard? __________________________ _ 

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

D II 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). 

D Other __________________________ _ 

Who,eistheproporty? ~Go Q ~ -A\Ji::/ 456& O~El 

Number Street c;;JJr 

.MJE}\! 6f}cft City 

E 3>3d~ 

State ZIP Code 

Is the property insured? 

g'No 

D Yes. Insurance agency __________________________ _ 

Contact name 

Phone 

Voluntary Petition for Non-Individuals Filing for Bankruptcy page 3 

Case 22-11755-RAM Doc 1 Filed 03/03/22 Page 3 of 5
Debtor Name 

13. Debtor's estimation of 

available funds 

14. Estimated number of 

creditors 

15. Estimated aSSEltS 

1&. Estimated liabilities 

Case number (1fknown) _____________ _ 

Check one: 

D Funds will be available for distribution to unsecured creditors. 

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

~-49 

tJ 50-99 

0 100-199 

0 200-999 

.• $0-$50,000 

0 $50,001-$100,000 

0 $100,001-$500,000 

D $500,001-$1 million 

0 $0-$50,000 

0 $50,001-$100,000 

0 $100,001-$500,000 

D $500,001-$1 million 

0 1,000-5,000 

0 5,001-10,000 

0 10,001-25,000 

D $1,000,001-$10 million 

D $10,000,001-$50 million 

D $50,000,001-$100 million 

D $100,000,001-$500 million 

D $1,000,001-$1 0 million 

D $10,000,001-$50 million 

D $50,000,001-$100 million 

D $100,000,001-$500 million 

0 25,001-50,000 

0 50,001-100,000 

D More than 100,000 

D $500,000,001-$1 billion 

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

)a" $10,000,000,001-$50 billion 

D More than $50 billion 

D $500,000,001-$1 billion 

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

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

D More than $50 billion 

Request for Relief, Declaration, and Signatures 

WARNING -- Bankr Jptcy 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. 

11. Declaration and signature of 

authorized representative of 

debtor 

Official Form 201 

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. 

o pe jury that the foregoing is true and correct. 

:> '4)2-2--

Printed name 

Voluntary Petition for Non-Individuals Filing for Bankruptcy page 4 

Case 22-11755-RAM Doc 1 Filed 03/03/22 Page 4 of 5
Debtor ~.~e: _;(~S:_R _u__c_ Case number (1/known) ______________ _ 

1s. Signature of attorney Date 

Signature of attorney for debtor MM /DD /YYYY 

Printed name 

Firm name 

Number Street 

City State ZIP Code 

Contact phone Email address 

Bar number State 

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

Case 22-11755-RAM Doc 1 Filed 03/03/22 Page 5 of 5