Fill in this information to identify your case:

United States Bankruptcy Court for the:

SOUTHERN DISTRICT OF FLORIDA

Case number (if known) Chapter 7

 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 Forever Trim Body Sculpting & Plastic Surgery Center, LLC

2. All other names debtor

used in the last 8 years

Include any assumed

names, trade names and

doing business as names

DBA Forever Young & Trim Cosmetic Centers

3. Debtor's federal

Employer Identification

Number (EIN)

46-1149741

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

business

1127 S University Dr.

Plantation, FL 33324

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

Broward Location of principal assets, if different from principal

County place of business

3147 Peachtee Way Davie, FL 33328

Number, Street, City, State & ZIP Code

5. Debtor's website (URL) www.foreveryoungandtrim.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 22-10422-PDR Doc 1 Filed 01/19/22 Page 1 of 39
Debtor Forever Trim Body Sculpting & Plastic Surgery Center, LLC 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.

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

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

Case 22-10422-PDR Doc 1 Filed 01/19/22 Page 2 of 39
Debtor Forever Trim Body Sculpting & Plastic Surgery Center, LLC Case number (if known)

Name

10. Are any bankruptcy cases

pending or being filed by a

business partner or an

affiliate of the debtor?

 No

 Yes.

List all cases. If more than 1,

attach a separate list Debtor Relationship

District When Case number, if known

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  $1,000,001 - $10 million  $500,000,001 - $1 billion

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

Case 22-10422-PDR Doc 1 Filed 01/19/22 Page 3 of 39
Debtor Forever Trim Body Sculpting & Plastic Surgery Center, LLC Case number (if known)

Name

 $50,001 - $100,000

 $100,001 - $500,000

 $500,001 - $1 million

 $10,000,001 - $50 million

 $50,000,001 - $100 million

 $100,000,001 - $500 million

 $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 22-10422-PDR Doc 1 Filed 01/19/22 Page 4 of 39
Debtor Forever Trim Body Sculpting & Plastic Surgery Center, LLC 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 January 19, 2022

MM / DD / YYYY

X /s/ MGRM MGRM

Signature of authorized representative of debtor Printed name

Title Timothy P. Reed

18. Signature of attorney X /s/ David W. Langley Date January 19, 2022

Signature of attorney for debtor MM / DD / YYYY

David W. Langley 348279

Printed name

David W. Langley

Firm name

8551 W. Sunrise Blvd., Suite 303

Plantation, FL 33322

Number, Street, City, State & ZIP Code

Contact phone 954-356-0450 Email address dave@flalawyer.com

348279 FL

Bar number and State

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

Case 22-10422-PDR Doc 1 Filed 01/19/22 Page 5 of 39
Fill in this information to identify the case:

Debtor name Forever Trim Body Sculpting & Plastic Surgery Center, LLC

United States Bankruptcy Court for the: SOUTHERN DISTRICT OF FLORIDA

Case number (if known)

 Check if this is an

amended filing

Official Form 202

Declaration Under Penalty of Perjury for Non-Individual Debtors 12/15

An individual who is authorized to act on behalf of a non-individual debtor, such as a corporation or partnership, must sign and submit this

form for the schedules of assets and liabilities, any other document that requires a declaration that is not included in the document, and any

amendments of those documents. This form must state the individual’s position or relationship to the debtor, the identity of the document,

and the date. Bankruptcy Rules 1008 and 9011.

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

connection with a bankruptcy case can result in fines up to $500,000 or imprisonment for up to 20 years, or both. 18 U.S.C. §§ 152, 1341,

1519, and 3571.

Declaration and signature

I am the president, another officer, or an authorized agent of the corporation; a member or an authorized agent of the partnership; or another

individual serving as a representative of the debtor in this case.

I have examined the information in the documents checked below and I have a reasonable belief that the information is true and correct:

 Schedule A/B: Assets–Real and Personal Property (Official Form 206A/B)

 Schedule D: Creditors Who Have Claims Secured by Property (Official Form 206D)

 Schedule E/F: Creditors Who Have Unsecured Claims (Official Form 206E/F)

 Schedule G: Executory Contracts and Unexpired Leases (Official Form 206G)

 Schedule H: Codebtors (Official Form 206H)

 Summary of Assets and Liabilities for Non-Individuals (Official Form 206Sum)

 Amended Schedule

 Chapter 11 or Chapter 9 Cases: List of Creditors Who Have the 20 Largest Unsecured Claims and Are Not Insiders (Official Form 204)

 Other document that requires a declaration

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

Executed on January 19, 2022 X /s/ MGRM

Signature of individual signing on behalf of debtor

MGRM

Printed name

Timothy P. Reed

Position or relationship to debtor

Official Form 202 Declaration Under Penalty of Perjury for Non-Individual Debtors

Software Copyright (c) 1996-2021 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 22-10422-PDR Doc 1 Filed 01/19/22 Page 6 of 39
Fill in this information to identify the case:

Debtor name Forever Trim Body Sculpting & Plastic Surgery Center, LLC

United States Bankruptcy Court for the: SOUTHERN DISTRICT OF FLORIDA

Case number (if known)

 Check if this is an

amended filing

Official Form 206Sum

Summary of Assets and Liabilities for Non-Individuals 12/15

Part 1: Summary of Assets

1. Schedule A/B: Assets-Real and Personal Property (Official Form 206A/B)

1a. Real property:

 Copy line 88 from Schedule A/B............................................................................................................................. $ 0.00

1b. Total personal property:

 Copy line 91A from Schedule A/B......................................................................................................................... $ 37,745.61

1c. Total of all property:

 Copy line 92 from Schedule A/B........................................................................................................................... $ 37,745.61

Part 2: Summary of Liabilities

2. Schedule D: Creditors Who Have Claims Secured by Property (Official Form 206D)

Copy the total dollar amount listed in Column A, Amount of claim, from line 3 of Schedule D.................................... $ 37,819.87

3. Schedule E/F: Creditors Who Have Unsecured Claims (Official Form 206E/F)

3a. Total claim amounts of priority unsecured claims:

 Copy the total claims from Part 1 from line 5a of Schedule E/F.......................................................................... $ 200,447.64

3b. Total amount of claims of nonpriority amount of unsecured claims:

 Copy the total of the amount of claims from Part 2 from line 5b of Schedule E/F................................................ +$ 326,155.90

4. Total liabilities .......................................................................................................................................................

Lines 2 + 3a + 3b $ 564,423.41

Official Form 206Sum Summary of Assets and Liabilities for Non-Individuals page 1

Software Copyright (c) 1996-2021 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 22-10422-PDR Doc 1 Filed 01/19/22 Page 7 of 39
Fill in this information to identify the case:

Debtor name Forever Trim Body Sculpting & Plastic Surgery Center, LLC

United States Bankruptcy Court for the: SOUTHERN DISTRICT OF FLORIDA

Case number (if known)

 Check if this is an

amended filing

Official Form 206A/B

Schedule A/B: Assets - Real and Personal Property 12/15

Disclose all property, real and personal, which the debtor owns or in which the debtor has any other legal, equitable, or future interest.

Include all property in which the debtor holds rights and powers exercisable for the debtor's own benefit. Also include assets and properties

which have no book value, such as fully depreciated assets or assets that were not capitalized. In Schedule A/B, list any executory contracts

or unexpired leases. Also list them on Schedule G: Executory Contracts and Unexpired Leases (Official Form 206G).

Be as complete and accurate as possible. If more space is needed, attach a separate sheet to this form. At the top of any pages added, write

the debtor’s name and case number (if known). Also identify the form and line number to which the additional information applies. If an

additional sheet is attached, include the amounts from the attachment in the total for the pertinent part.

For Part 1 through Part 11, list each asset under the appropriate category or attach separate supporting schedules, such as a fixed asset

schedule or depreciation schedule, that gives the details for each asset in a particular category. List each asset only once. In valuing the

debtor’s interest, do not deduct the value of secured claims. See the instructions to understand the terms used in this form.

Part 1: Cash and cash equivalents

1. Does the debtor have any cash or cash equivalents?

 No. Go to Part 2.

 Yes Fill in the information below.

All cash or cash equivalents owned or controlled by the debtor Current value of

debtor's interest

3. Checking, savings, money market, or financial brokerage accounts (Identify all)

Name of institution (bank or brokerage firm) Type of account Last 4 digits of account

number

3.1.

Bank of America - Negative Bank

Balance Checking 3936 $0.00

3.2. Wells Fargo Checking 9353 $17.73

4. Other cash equivalents (Identify all)

5. Total of Part 1. $17.73

Add lines 2 through 4 (including amounts on any additional sheets). Copy the total to line 80.

Part 2: Deposits and Prepayments

6. Does the debtor have any deposits or prepayments?

 No. Go to Part 3.

 Yes Fill in the information below.

Part 3: Accounts receivable

10. Does the debtor have any accounts receivable?

 No. Go to Part 4.

 Yes Fill in the information below.

Part 4: Investments

Official Form 206A/B Schedule A/B Assets - Real and Personal Property page 1

Software Copyright (c) 1996-2021 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 22-10422-PDR Doc 1 Filed 01/19/22 Page 8 of 39
Debtor Forever Trim Body Sculpting & Plastic Surgery

Center, LLC

Case number (If known)

Name

13. Does the debtor own any investments?

 No. Go to Part 5.

 Yes Fill in the information below.

Part 5: Inventory, excluding agriculture assets

18. Does the debtor own any inventory (excluding agriculture assets)?

 No. Go to Part 6.

 Yes Fill in the information below.

Part 6: Farming and fishing-related assets (other than titled motor vehicles and land)

27. Does the debtor own or lease any farming and fishing-related assets (other than titled motor vehicles and land)?

 No. Go to Part 7.

 Yes Fill in the information below.

Part 7: Office furniture, fixtures, and equipment; and collectibles

38. Does the debtor own or lease any office furniture, fixtures, equipment, or collectibles?

 No. Go to Part 8.

 Yes Fill in the information below.

General description Net book value of

debtor's interest

(Where available)

Valuation method used

for current value

Current value of

debtor's interest

39. Office furniture

List of Office Furniture and Computers is

Attached. Items are currently being held in the

Storage Unit or in Timothy Reeds garage.

Location of each item is listed on the attached. $0.00 $3,145.00

40. Office fixtures

41. Office equipment, including all computer equipment and

communication systems equipment and software

Phone Equipment is leased by another

company and is used by but not owned by

Forever Trim Body Sculpting & Plastic Surgury

Center, LLC $0.00 $0.00

Inventory List of Surgical Instruments

Attached. Items are currently being held in

Timothy Reeds Garage $23,571.51 $5,892.88

Used Capital Equipment Inventory is attached.

Smaller Items are currently being held in the

Storage Unit, while the larger items are at

Timothy Reeds Garage $28,690.00 $28,690.00

42. Collectibles Examples: Antiques and figurines; paintings, prints, or other artwork;

books, pictures, or other art objects; china and crystal; stamp, coin, or baseball card

collections; other collections, memorabilia, or collectibles

Official Form 206A/B Schedule A/B Assets - Real and Personal Property page 2

Software Copyright (c) 1996-2021 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 22-10422-PDR Doc 1 Filed 01/19/22 Page 9 of 39
Debtor Forever Trim Body Sculpting & Plastic Surgery

Center, LLC

Case number (If known)

Name

43. Total of Part 7. $37,727.88

Add lines 39 through 42. Copy the total to line 86.

44. Is a depreciation schedule available for any of the property listed in Part 7?

 No

 Yes

45. Has any of the property listed in Part 7 been appraised by a professional within the last year?

 No

 Yes

Part 8: Machinery, equipment, and vehicles

46. Does the debtor own or lease any machinery, equipment, or vehicles?

 No. Go to Part 9.

 Yes Fill in the information below.

Part 9: Real property

54. Does the debtor own or lease any real property?

 No. Go to Part 10.

 Yes Fill in the information below.

Part 10: Intangibles and intellectual property

59. Does the debtor have any interests in intangibles or intellectual property?

 No. Go to Part 11.

 Yes Fill in the information below.

General description Net book value of

debtor's interest

(Where available)

Valuation method used

for current value

Current value of

debtor's interest

60. Patents, copyrights, trademarks, and trade secrets

61. Internet domain names and websites

62. Licenses, franchises, and royalties

63. Customer lists, mailing lists, or other compilations

Patient Records.

Located in storage unit. $0.00 $0.00

64. Other intangibles, or intellectual property

65. Goodwill

66. Total of Part 10. $0.00

Add lines 60 through 65. Copy the total to line 89.

67. Do your lists or records include personally identifiable information of customers (as defined in 11 U.S.C.§§ 101(41A) and 107?

 No

 Yes

68. Is there an amortization or other similar schedule available for any of the property listed in Part 10?

 No

Official Form 206A/B Schedule A/B Assets - Real and Personal Property page 3

Software Copyright (c) 1996-2021 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 22-10422-PDR Doc 1 Filed 01/19/22 Page 10 of 39
Debtor Forever Trim Body Sculpting & Plastic Surgery

Center, LLC

Case number (If known)

Name

 Yes

69. Has any of the property listed in Part 10 been appraised by a professional within the last year?

 No

 Yes

Part 11: All other assets

70. Does the debtor own any other assets that have not yet been reported on this form?

Include all interests in executory contracts and unexpired leases not previously reported on this form.

 No. Go to Part 12.

 Yes Fill in the information below.

Official Form 206A/B Schedule A/B Assets - Real and Personal Property page 4

Software Copyright (c) 1996-2021 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 22-10422-PDR Doc 1 Filed 01/19/22 Page 11 of 39
Debtor Forever Trim Body Sculpting & Plastic Surgery

Center, LLC

Case number (If known)

Name

Part 12: Summary

In Part 12 copy all of the totals from the earlier parts of the form

Type of property Current value of

personal property

Current value of real

property

80. Cash, cash equivalents, and financial assets.

Copy line 5, Part 1 $17.73

81. Deposits and prepayments. Copy line 9, Part 2. $0.00

82. Accounts receivable. Copy line 12, Part 3. $0.00

83. Investments. Copy line 17, Part 4. $0.00

84. Inventory. Copy line 23, Part 5. $0.00

85. Farming and fishing-related assets. Copy line 33, Part 6. $0.00

86. Office furniture, fixtures, and equipment; and collectibles.

Copy line 43, Part 7. $37,727.88

87. Machinery, equipment, and vehicles. Copy line 51, Part 8. $0.00

88. Real property. Copy line 56, Part 9.........................................................................................> $0.00

89. Intangibles and intellectual property. Copy line 66, Part 10. $0.00

90. All other assets. Copy line 78, Part 11. + $0.00

91. Total. Add lines 80 through 90 for each column $37,745.61 + 91b. $0.00

92. Total of all property on Schedule A/B. Add lines 91a+91b=92 $37,745.61

Official Form 206A/B Schedule A/B Assets - Real and Personal Property page 5

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Case 22-10422-PDR Doc 1 Filed 01/19/22 Page 12 of 39
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Case 22-10422-PDR Doc 1 Filed 01/19/22 Page 18 of 39
Fill in this information to identify the case:

Debtor name Forever Trim Body Sculpting & Plastic Surgery Center, LLC

United States Bankruptcy Court for the: SOUTHERN DISTRICT OF FLORIDA

Case number (if known)

 Check if this is an

amended filing

Official Form 206D

Schedule D: Creditors Who Have Claims Secured by Property 12/15

Be as complete and accurate as possible.

1. Do any creditors have claims secured by debtor's property?

 No. Check this box and submit page 1 of this form to the court with debtor's other schedules. Debtor has nothing else to report on this form.

 Yes. Fill in all of the information below.

Part 1: List Creditors Who Have Secured Claims

2. List in alphabetical order all creditors who have secured claims. If a creditor has more than one secured

claim, list the creditor separately for each claim.

Column A

Amount of claim

Do not deduct the value

of collateral.

Column B

Value of collateral

that supports this

claim

2.1 FC Marketplace, LLC Describe debtor's property that is subject to a lien $32,819.87 $0.00

Creditor's Name UCC Financing

747 Front Street., Floor 4

San Francisco, CA 94111

Creditor's mailing address Describe the lien

UCC Financing Statement lien on all assets

Is the creditor an insider or related party?

 No

Creditor's email address, if known  Yes

Is anyone else liable on this claim?

Date debt was incurred  No

8/16/2017  Yes. Fill out Schedule H: Codebtors (Official Form 206H)

Last 4 digits of account number

1542

Do multiple creditors have an

interest in the same property?

As of the petition filing date, the claim is:

Check all that apply

 No  Contingent

 Unliquidated

 Disputed

 Yes. Specify each creditor,

including this creditor and its relative

priority.

2.2 Fund Box Describe debtor's property that is subject to a lien $5,000.00 $0.00

Creditor's Name UCC Financing

6900 Dallas Parkway, STE

700

Plano, TX 75024

Creditor's mailing address Describe the lien

Is the creditor an insider or related party?

 No

Creditor's email address, if known  Yes

Is anyone else liable on this claim?

Date debt was incurred  No

 Yes. Fill out Schedule H: Codebtors (Official Form 206H)

Last 4 digits of account number

Do multiple creditors have an

interest in the same property?

As of the petition filing date, the claim is:

Check all that apply

Official Form 206D Schedule D: Creditors Who Have Claims Secured by Property page 1 of 2

Software Copyright (c) 1996-2021 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 22-10422-PDR Doc 1 Filed 01/19/22 Page 19 of 39
Debtor

Forever Trim Body Sculpting & Plastic Surgery

Center, LLC Case number (if known)

Name

 No  Contingent

 Unliquidated

 Disputed

 Yes. Specify each creditor,

including this creditor and its relative

priority.

3. Total of the dollar amounts from Part 1, Column A, including the amounts from the Additional Page, if any. $37,819.87

Part 2: List Others to Be Notified for a Debt Already Listed in Part 1

List in alphabetical order any others who must be notified for a debt already listed in Part 1. Examples of entities that may be listed are collection agencies,

assignees of claims listed above, and attorneys for secured creditors.

If no others need to notified for the debts listed in Part 1, do not fill out or submit this page. If additional pages are needed, copy this page.

Name and address On which line in Part 1 did

you enter the related creditor?

Last 4 digits of

account number for

this entity

Official Form 206D Additional Page of Schedule D: Creditors Who Have Claims Secured by Property page 2 of 2

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Case 22-10422-PDR Doc 1 Filed 01/19/22 Page 20 of 39
Fill in this information to identify the case:

Debtor name Forever Trim Body Sculpting & Plastic Surgery Center, LLC

United States Bankruptcy Court for the: SOUTHERN DISTRICT OF FLORIDA

Case number (if known)

 Check if this is an

amended filing

Official Form 206E/F

Schedule E/F: Creditors Who Have Unsecured Claims 12/15

Be as complete and accurate as possible. Use Part 1 for creditors with PRIORITY unsecured claims and Part 2 for creditors with NONPRIORITY unsecured claims.

List the other party to any executory contracts or unexpired leases that could result in a claim. Also list executory contracts on Schedule A/B: Assets - Real and

Personal Property (Official Form 206A/B) and on Schedule G: Executory Contracts and Unexpired Leases (Official Form 206G). Number the entries in Parts 1 and

2 in the boxes on the left. If more space is needed for Part 1 or Part 2, fill out and attach the Additional Page of that Part included in this form.

Part 1: List All Creditors with PRIORITY Unsecured Claims

1. Do any creditors have priority unsecured claims? (See 11 U.S.C. § 507).

 No. Go to Part 2.

 Yes. Go to line 2.

2. List in alphabetical order all creditors who have unsecured claims that are entitled to priority in whole or in part. If the debtor has more than 3 creditors

with priority unsecured claims, fill out and attach the Additional Page of Part 1.

Total claim Priority amount

2.1 Priority creditor's name and mailing address As of the petition filing date, the claim is: $2,197.64 $2,197.64

Broward County Tax Collector

Records, Taxes and Treasury

Division

115 S. Andrews Ave., Room 120

Fort Lauderdale, FL 33301

Check all that apply.

 Contingent

 Unliquidated

 Disputed

Date or dates debt was incurred Basis for the claim:

2020 Taxes

Last 4 digits of account number 8147

Specify Code subsection of PRIORITY

unsecured claim: 11 U.S.C. § 507(a) (8)

Is the claim subject to offset?

 No

 Yes

2.2 Priority creditor's name and mailing address As of the petition filing date, the claim is: $3,450.00 $3,025.00

Marlen De Lara

7521 SW 116th Street

Miami, FL 33156

Check all that apply.

 Contingent

 Unliquidated

 Disputed

Date or dates debt was incurred Basis for the claim:

Paid a deposit to Company

Last 4 digits of account number

Specify Code subsection of PRIORITY

unsecured claim: 11 U.S.C. § 507(a) (7)

Is the claim subject to offset?

 No

 Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 1 of 6

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Case 22-10422-PDR Doc 1 Filed 01/19/22 Page 21 of 39
Debtor

Forever Trim Body Sculpting & Plastic Surgery

Center, LLC Case number (if known)

Name

2.3 Priority creditor's name and mailing address As of the petition filing date, the claim is: $194,800.00 $0.00

Tim Reed

3147 Peachtree Way

Fort Lauderdale, FL 33328

Check all that apply.

 Contingent

 Unliquidated

 Disputed

Date or dates debt was incurred Basis for the claim:

2019 - 2021 Income Owed from 2019 - Present

Last 4 digits of account number

Specify Code subsection of PRIORITY

unsecured claim: 11 U.S.C. § 507(a) (4)

Is the claim subject to offset?

 No

 Yes

Part 2: List All Creditors with NONPRIORITY Unsecured Claims

3. List in alphabetical order all of the creditors with nonpriority unsecured claims. If the debtor has more than 6 creditors with nonpriority unsecured claims, fill

out and attach the Additional Page of Part 2.

Amount of claim

3.1 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $121.56

A.R.M Solutions Inc.

PO Box 2929

Camarillo, CA 93011

Date(s) debt was incurred 

Last 4 digits of account number 3439 

 Contingent

 Unliquidated

 Disputed

Basis for the claim: 

Is the claim subject to offset?  No  Yes

3.2 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $25,000.00

Alphaeon Financing

Comenity Capital Bank

PO Box 183003

Columbus, OH 43218

Date(s) debt was incurred 

Last 4 digits of account number 8251 

 Contingent

 Unliquidated

 Disputed

Basis for the claim: 

Is the claim subject to offset?  No  Yes

3.3 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $5,702.40

Alphaeon Financing

Caridad Rufina Vasquez

7751 SW 17 Terrace

Miami, FL 33155

Date(s) debt was incurred 

Last 4 digits of account number 

 Contingent

 Unliquidated

 Disputed

Basis for the claim: 

Is the claim subject to offset?  No  Yes

3.4 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $11,684.48

Amex

Three World Financial Center

200 Vesey Street

New York, NY 10285

Date(s) debt was incurred 6/15/2015 

Last 4 digits of account number 1001 

 Contingent

 Unliquidated

 Disputed

Basis for the claim: 

Is the claim subject to offset?  No  Yes

3.5 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $35,300.75

Bank of America

Bank of America Corporate Center

100 North Tryon Street

Charlotte, NC 28255

Date(s) debt was incurred 1/15/2013 

Last 4 digits of account number 9534 

 Contingent

 Unliquidated

 Disputed

Basis for the claim: 

Is the claim subject to offset?  No  Yes

Official Form 206 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 2 of 6

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Case 22-10422-PDR Doc 1 Filed 01/19/22 Page 22 of 39
Debtor

Forever Trim Body Sculpting & Plastic Surgery

Center, LLC Case number (if known)

Name

3.6 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $7,206.86

Bank of America

Bank of America Corporate Center

100 North Tryon Street

Charlotte, NC 28255

Date(s) debt was incurred 8/18/2016 

Last 4 digits of account number 3020 

 Contingent

 Unliquidated

 Disputed

Basis for the claim: 

Is the claim subject to offset?  No  Yes

3.7 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $22,550.21

Bank of America

Bank of America Corporate Center

100 North Tryon Street

Charlotte, NC 28255

Date(s) debt was incurred 

Last 4 digits of account number 3178 

 Contingent

 Unliquidated

 Disputed

Basis for the claim: PPP Loan 

Is the claim subject to offset?  No  Yes

3.8 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. Unknown

Camille Mucci

3860 NE 24 Ave

Pompano Beach, FL 33064

Date(s) debt was incurred 

Last 4 digits of account number 

 Contingent

 Unliquidated

 Disputed

Basis for the claim: 

Is the claim subject to offset?  No  Yes

3.9 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $40,000.00

Cox Communications, Inc.

6205-B Peachtree Dunwoody Road NE

Atlanta, GA 30328

Date(s) debt was incurred 

Last 4 digits of account number 

 Contingent

 Unliquidated

 Disputed

Basis for the claim: 

Is the claim subject to offset?  No  Yes

3.10 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $6,500.00

First American

100 Throckmorton St Suite 1800

Fort Worth, TX 76102

Date(s) debt was incurred 

Last 4 digits of account number 8855 

 Contingent

 Unliquidated

 Disputed

Basis for the claim: 

Is the claim subject to offset?  No  Yes

3.11 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $4,322.51

Henry schein

PO Box 382060

Pittsburgh, PA 15250

Date(s) debt was incurred 

Last 4 digits of account number 7276 

 Contingent

 Unliquidated

 Disputed

Basis for the claim: 

Is the claim subject to offset?  No  Yes

3.12 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. Unknown

Jessica Rodriguez

1190 NE 89th Street

Miami, FL 33138

Date(s) debt was incurred 

Last 4 digits of account number 

 Contingent

 Unliquidated

 Disputed

Basis for the claim: 

Is the claim subject to offset?  No  Yes

Official Form 206 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 3 of 6

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Case 22-10422-PDR Doc 1 Filed 01/19/22 Page 23 of 39
Debtor

Forever Trim Body Sculpting & Plastic Surgery

Center, LLC Case number (if known)

Name

3.13 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $33,309.70

Kabbage

730 Peachtree Street NE

Suite 1100

Atlanta, GA 30308

Date(s) debt was incurred 2/28/2020 

Last 4 digits of account number 2952 

 Contingent

 Unliquidated

 Disputed

Basis for the claim: 

Is the claim subject to offset?  No  Yes

3.14 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. Unknown

Michael J Rodriguez, MD, PA

1190 NE 89th Street

Miami, FL 33138

Date(s) debt was incurred 

Last 4 digits of account number 

 Contingent

 Unliquidated

 Disputed

Basis for the claim: 

Is the claim subject to offset?  No  Yes

3.15 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. Unknown

Michael J. Rodriguez

1190 NE 89th Street

Miami, FL 33138

Date(s) debt was incurred 

Last 4 digits of account number 

 Contingent

 Unliquidated

 Disputed

Basis for the claim: 

Is the claim subject to offset?  No  Yes

3.16 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. Unknown

Michael J. Rodriguez, MD

1190 NE 89th Street

Miami, FL 33138

Date(s) debt was incurred 

Last 4 digits of account number 

 Contingent

 Unliquidated

 Disputed

Basis for the claim: 

Is the claim subject to offset?  No  Yes

3.17 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $9,689.43

RAS LAVRAR

1133 South University Drive

Second Floor

Fort Lauderdale, FL 33324

Date(s) debt was incurred 

Last 4 digits of account number 5810 

 Contingent

 Unliquidated

 Disputed

Basis for the claim: Collection 

Is the claim subject to offset?  No  Yes

3.18 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $2,050.00

Revenue Assurance Partners

PO Box 4883

Covington, LA 70434

Date(s) debt was incurred 

Last 4 digits of account number 

 Contingent

 Unliquidated

 Disputed

Basis for the claim: Collection 

Is the claim subject to offset?  No  Yes

3.19 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $8,000.00

Social Security Administration

POB 3490

Philadelphia, PA 19122

Date(s) debt was incurred 

Last 4 digits of account number 

 Contingent

 Unliquidated

 Disputed

Basis for the claim: 

Is the claim subject to offset?  No  Yes

Official Form 206 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 4 of 6

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Case 22-10422-PDR Doc 1 Filed 01/19/22 Page 24 of 39
Debtor

Forever Trim Body Sculpting & Plastic Surgery

Center, LLC Case number (if known)

Name

3.20 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $8,954.00

Sun Sentinel

P.O. Box 100606

Atlanta, GA 30384

Date(s) debt was incurred 

Last 4 digits of account number 6793 

 Contingent

 Unliquidated

 Disputed

Basis for the claim: 

Is the claim subject to offset?  No  Yes

3.21 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $764.00

The News-Press Media Group

PO Box 677583

Dallas, TX 75267

Date(s) debt was incurred 

Last 4 digits of account number 3438 

 Contingent

 Unliquidated

 Disputed

Basis for the claim: 

Is the claim subject to offset?  No  Yes

3.22 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. $105,000.00

Tim Reed

3147 Peachtree Way

Fort Lauderdale, FL 33328

Date(s) debt was incurred 

Last 4 digits of account number 

 Contingent

 Unliquidated

 Disputed

Basis for the claim: Loan 

Is the claim subject to offset?  No  Yes

3.23 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. Unknown

Wayne Mucci, D.O.

3860 NE 24 Ave

Pompano Beach, FL 33064

Date(s) debt was incurred 

Last 4 digits of account number 

 Contingent

 Unliquidated

 Disputed

Basis for the claim: 

Is the claim subject to offset?  No  Yes

3.24 Nonpriority creditor's name and mailing address As of the petition filing date, the claim is: Check all that apply. Unknown

WPM Esthetics

3860 NE 24 Ave

Pompano Beach, FL 33064

Date(s) debt was incurred 

Last 4 digits of account number 

 Contingent

 Unliquidated

 Disputed

Basis for the claim: 

Is the claim subject to offset?  No  Yes

Part 3: List Others to Be Notified About Unsecured Claims

4. List in alphabetical order any others who must be notified for claims listed in Parts 1 and 2. Examples of entities that may be listed are collection agencies,

assignees of claims listed above, and attorneys for unsecured creditors.

If no others need to be notified for the debts listed in Parts 1 and 2, do not fill out or submit this page. If additional pages are needed, copy the next page.

Name and mailing address On which line in Part1 or Part 2 is the

related creditor (if any) listed?

Last 4 digits of

account number, if

any

4.1 Sara Silverman

Modlin Slinsky PA

1551 Sawgrass Corporate Parkway

Suite 110

Fort Lauderdale, FL 33323

Line 3.4 

 Not listed. Explain 

 3809 

4.2 Szabo Media Collections

3355 Lenox Road NE, Suite 945

Atlanta, GA 30326

Line 3.20 

 Not listed. Explain 

 3502 

Part 4: Total Amounts of the Priority and Nonpriority Unsecured Claims

Official Form 206 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 5 of 6

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Case 22-10422-PDR Doc 1 Filed 01/19/22 Page 25 of 39
Debtor

Forever Trim Body Sculpting & Plastic Surgery

Center, LLC Case number (if known)

Name

5. Add the amounts of priority and nonpriority unsecured claims.

Total of claim amounts

5a. Total claims from Part 1 5a. $ 200,447.64

5b. Total claims from Part 2 5b. + $ 326,155.90

5c. Total of Parts 1 and 2

Lines 5a + 5b = 5c. 5c. $ 526,603.54

Official Form 206 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 6 of 6

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Case 22-10422-PDR Doc 1 Filed 01/19/22 Page 26 of 39
Fill in this information to identify the case:

Debtor name Forever Trim Body Sculpting & Plastic Surgery Center, LLC

United States Bankruptcy Court for the: SOUTHERN DISTRICT OF FLORIDA

Case number (if known)

 Check if this is an

amended filing

Official Form 206G

Schedule G: Executory Contracts and Unexpired Leases 12/15

Be as complete and accurate as possible. If more space is needed, copy and attach the additional page, number the entries consecutively.

1. Does the debtor have any executory contracts or unexpired leases?

 No. Check this box and file this form with the debtor's other schedules. There is nothing else to report on this form.

 Yes. Fill in all of the information below even if the contacts of leases are listed on Schedule A/B: Assets - Real and Personal Property

(Official Form 206A/B).

2. List all contracts and unexpired leases State the name and mailing address for all other parties with

whom the debtor has an executory contract or unexpired

lease

2.1. State what the contract or

lease is for and the nature of

the debtor's interest

Subleased at 1127 S

University Dr.,

Plantation, FL 33324

New Era Medical

1127 S University Dr.

Fort Lauderdale, FL 33324

State the term remaining

List the contract number of any

government contract

Official Form 206G Schedule G: Executory Contracts and Unexpired Leases Page 1 of 1

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Case 22-10422-PDR Doc 1 Filed 01/19/22 Page 27 of 39
Fill in this information to identify the case:

Debtor name Forever Trim Body Sculpting & Plastic Surgery Center, LLC

United States Bankruptcy Court for the: SOUTHERN DISTRICT OF FLORIDA

Case number (if known)

 Check if this is an

amended filing

Official Form 206H

Schedule H: Your Codebtors 12/15

Be as complete and accurate as possible. If more space is needed, copy the Additional Page, numbering the entries consecutively. Attach the

Additional Page to this page.

1. Do you have any codebtors?

 No. Check this box and submit this form to the court with the debtor's other schedules. Nothing else needs to be reported on this form.

 Yes

2. In Column 1, list as codebtors all of the people or entities who are also liable for any debts listed by the debtor in the schedules of

creditors, Schedules D-G. Include all guarantors and co-obligors. In Column 2, identify the creditor to whom the debt is owed and each schedule

on which the creditor is listed. If the codebtor is liable on a debt to more than one creditor, list each creditor separately in Column 2.

Column 1: Codebtor Column 2: Creditor

Name Mailing Address Name Check all schedules

that apply:

2.1 Tim Reed 1127 S University Dr.

Fort Lauderdale, FL 33324

Kabbage  D 

 E/F 3.13 

 G 

2.2 Tim Reed 1127 S University Dr.

Fort Lauderdale, FL 33324

Fund Box  D 2.2 

 E/F 

 G 

2.3 Tim Reed 1127 S University Dr.

Fort Lauderdale, FL 33324

Bank of America  D 

 E/F 3.5 

 G 

2.4 Tim Reed 1127 S University Dr.

Fort Lauderdale, FL 33324

Amex  D 

 E/F 3.4 

 G 

Official Form 206H Schedule H: Your Codebtors Page 1 of 1

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Case 22-10422-PDR Doc 1 Filed 01/19/22 Page 28 of 39
Fill in this information to identify the case:

Debtor name Forever Trim Body Sculpting & Plastic Surgery Center, LLC

United States Bankruptcy Court for the: SOUTHERN DISTRICT OF FLORIDA

Case number (if known)

 Check if this is an

amended filing

Official Form 207

Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy 04/19

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

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

Part 1: Income

1. Gross revenue from business

 None.

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

which may be a calendar year

Sources of revenue

Check all that apply

Gross revenue

(before deductions and

exclusions)

For year before that:

From 1/01/2020 to 12/31/2020

 Operating a business $392,408.00

 Other

For the fiscal year:

From 1/01/2019 to 12/31/2019

 Operating a business $778,049.00

 Other

For the fiscal year:

From 1/01/2018 to 12/31/2018

 Operating a business $1,539,097.00

 Other

2. Non-business revenue

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

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

 None.

Description of sources of revenue Gross revenue from

each source

(before deductions and

exclusions)

Part 2: List Certain Transfers Made Before Filing for Bankruptcy

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

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

filing this case unless the aggregate value of all property transferred to that creditor is less than $6,825. (This amount may be adjusted on 4/01/22

and every 3 years after that with respect to cases filed on or after the date of adjustment.)

 None.

Creditor's Name and Address Dates Total amount of value Reasons for payment or transfer

Check all that apply

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

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Debtor Forever Trim Body Sculpting & Plastic Surgery Center, LLC Case number (if known)

Creditor's Name and Address Dates Total amount of value Reasons for payment or transfer

Check all that apply

3.1. Broward County Tax Collector

Records, Taxes and Treasury Division

115 S. Andrews Ave., Room 120

Fort Lauderdale, FL 33301

Monthly $273.67  Secured debt

 Unsecured loan repayments

 Suppliers or vendors

 Services

 Other

3.2. Discover Bank

c/o Lloyd & McDaniel, PLC

PO Box 23200

Louisville, KY 40223

Monthly $200.00  Secured debt

 Unsecured loan repayments

 Suppliers or vendors

 Services

 Other

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

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

or cosigned by an insider unless the aggregate value of all property transferred to or for the benefit of the insider is less than $6,825. (This amount

may be adjusted on 4/01/22 and every 3 years after that with respect to cases filed on or after the date of adjustment.) Do not include any payments

listed in line 3. Insiders include officers, directors, and anyone in control of a corporate debtor and their relatives; general partners of a partnership

debtor and their relatives; affiliates of the debtor and insiders of such affiliates; and any managing agent of the debtor. 11 U.S.C. § 101(31).

 None.

Insider's name and address

Relationship to debtor

Dates Total amount of value Reasons for payment or transfer

5. Repossessions, foreclosures, and returns

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

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

 None

Creditor's name and address Describe of the Property Date Value of property

6. Setoffs

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

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

debt.

 None

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

taken

Amount

Part 3: Legal Actions or Assignments

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

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

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

 None.

Case title

Case number

Nature of case Court or agency's name and

address

Status of case

7.1. American Express vs Timothy

Reed dba Forever Young &

Trim

COCE-20-033809

Collection Broward County Circuit

Court

201 SE 6 Ave

Fort Lauderdale, FL 33301

 Pending

 On appeal

 Concluded

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

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Case 22-10422-PDR Doc 1 Filed 01/19/22 Page 30 of 39
Debtor Forever Trim Body Sculpting & Plastic Surgery Center, LLC Case number (if known)

Case title

Case number

Nature of case Court or agency's name and

address

Status of case

7.2. Discover Bank vs Timothy

Reed and Forever Young &

Trim

Collection Broward County Circuit

Court

201 SE 6 Ave

Fort Lauderdale, FL 33301

 Pending

 On appeal

 Concluded

7.3. Funding Circle vs Forever

Trim

CACE-21-015011

Collection Broward County Circuit

Court

201 SE 6 Ave

Fort Lauderdale, FL 33301

 Pending

 On appeal

 Concluded

8. Assignments and receivership

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

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

 None

Part 4: Certain Gifts and Charitable Contributions

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

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

 None

Recipient's name and address Description of the gifts or contributions Dates given Value

Part 5: Certain Losses

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

 None

Description of the property lost and

how the loss occurred

Amount of payments received for the loss

If you have received payments to cover the loss, for

example, from insurance, government compensation, or

tort liability, list the total received.

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

A/B: Assets – Real and Personal Property).

Dates of loss Value of property

lost

Part 6: Certain Payments or Transfers

11. Payments related to bankruptcy

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

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

relief, or filing a bankruptcy case.

 None.

Official Form 207 Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy page 3

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Debtor Forever Trim Body Sculpting & Plastic Surgery Center, LLC Case number (if known)

Who was paid or who received

the transfer?

Address

If not money, describe any property transferred Dates Total amount or

value

11.1. David W. Langley

8551 W. Sunrise Blvd., Suite

303

Plantation, FL 33322 Attorney Fees 9/22/20 $3,662.00

Email or website address

dave@flalawyer.com

Who made the payment, if not debtor?

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

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

to a self-settled trust or similar device.

Do not include transfers already listed on this statement.

 None.

Name of trust or device Describe any property transferred Dates transfers

were made

Total amount or

value

13. Transfers not already listed on this statement

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

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

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

 None.

Who received transfer?

Address

Description of property transferred or

payments received or debts paid in exchange

Date transfer

was made

Total amount or

value

Part 7: Previous Locations

14. Previous addresses

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

 Does not apply

Address Dates of occupancy

From-To

14.1. 8040 Peters Road H104

Fort Lauderdale, FL 33324

Sept 2011 - July 2020

Part 8: Health Care Bankruptcies

15. Health Care bankruptcies

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

- diagnosing or treating injury, deformity, or disease, or

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

 No. Go to Part 9.

 Yes. Fill in the information below.

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

the debtor provides

If debtor provides meals

and housing, number of

patients in debtor’s care

Part 9: Personally Identifiable Information

Official Form 207 Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy page 4

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Case 22-10422-PDR Doc 1 Filed 01/19/22 Page 32 of 39
Debtor Forever Trim Body Sculpting & Plastic Surgery Center, LLC Case number (if known)

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

 No.

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

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

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

 No. Go to Part 10.

 Yes. Does the debtor serve as plan administrator?

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

18. Closed financial accounts

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

moved, or transferred?

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

cooperatives, associations, and other financial institutions.

 None

Financial Institution name and

Address

Last 4 digits of

account number

Type of account or

instrument

Date account was

closed, sold,

moved, or

transferred

Last balance

before closing or

transfer

19. Safe deposit boxes

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

case.

 None

Depository institution name and address Names of anyone with

access to it

Address

Description of the contents Do you still

have it?

20. Off-premises storage

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

which the debtor does business.

 None

Facility name and address Names of anyone with

access to it

Description of the contents Do you still

have it?

Versatile Warehousing

4701 Orange Dr.

Fort Lauderdale, FL 33314

Timothy Reed Medical and Inventory  No

 Yes

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

21. Property held for another

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

not list leased or rented property.

 None

Part 12: Details About Environment Information

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

Environmental law means any statute or governmental regulation that concerns pollution, contamination, or hazardous material, regardless of the

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

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

Software Copyright (c) 1996-2021 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 22-10422-PDR Doc 1 Filed 01/19/22 Page 33 of 39
Debtor Forever Trim Body Sculpting & Plastic Surgery Center, LLC Case number (if known)

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

owned, operated, or utilized.

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

similarly harmful substance.

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

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

 No.

 Yes. Provide details below.

Case title

Case number

Court or agency name and

address

Nature of the case Status of case

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

environmental law?

 No.

 Yes. Provide details below.

Site name and address Governmental unit name and

address

Environmental law, if known Date of notice

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

 No.

 Yes. Provide details below.

Site name and address Governmental unit name and

address

Environmental law, if known Date of notice

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

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

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

Include this information even if already listed in the Schedules.

 None

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

Do not include Social Security number or ITIN.

Dates business existed

25.1. Forever Trim Body Sculpting

Center LLC

1127 S University Dr.

Plantation, FL 33324

Provides non-invasive,

non-surgical services for fat and

weight production

EIN:

From-To

27-1551206

12/22/2009 - Current

26. Books, records, and financial statements

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

 None

Name and address Date of service

From-To

26a.1. Stacy Reed

3147 Peachtree Way

Fort Lauderdale, FL 33328

Since 12/22/2009

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

within 2 years before filing this case.

 None

Official Form 207 Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy page 6

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Case 22-10422-PDR Doc 1 Filed 01/19/22 Page 34 of 39
Debtor Forever Trim Body Sculpting & Plastic Surgery Center, LLC Case number (if known)

Name and address Date of service

From-To

26b.1. Martinez-Marquez, CPA, PA

6303 Blue Lagoon Dr., Suite 200 East

Miami, FL 33126

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

 None

Name and address If any books of account and records are

unavailable, explain why

26c.1. Martinez-Marquez, CPA, PA

6303 Blue Lagoon Dr., Suite 200 East

Miami, FL 33126

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

statement within 2 years before filing this case.

 None

Name and address

27. Inventories

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

 No

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

Name of the person who supervised the taking of the

inventory

Date of inventory The dollar amount and basis (cost, market,

or other basis) of each inventory

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

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

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

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

 No

 Yes. Identify below.

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

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

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

 No

 Yes. Identify below.

Name and address of recipient Amount of money or description and value of

property

Dates Reason for

providing the value

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

 No

 Yes. Identify below.

Name of the parent corporation Employer Identification number of the parent

corporation

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

Software Copyright (c) 1996-2021 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 22-10422-PDR Doc 1 Filed 01/19/22 Page 35 of 39
Debtor Forever Trim Body Sculpting & Plastic Surgery Center, LLC Case number (if known)

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

 No

 Yes. Identify below.

Name of the pension fund Employer Identification number of the parent

corporation

Part 14: Signature and Declaration

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

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

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

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

and correct.

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

Executed on January 19, 2022

/s/ MGRM MGRM

Signature of individual signing on behalf of the debtor Printed name

Position or relationship to debtor Timothy P. Reed

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

 No

 Yes

Official Form 207 Statement of Financial Affairs for Non-Individuals Filing for Bankruptcy page 8

Software Copyright (c) 1996-2021 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 22-10422-PDR Doc 1 Filed 01/19/22 Page 36 of 39
United States Bankruptcy Court

Southern District of Florida

In re Forever Trim Body Sculpting & Plastic Surgery Center, LLC Case No.

Debtor(s) Chapter 7

VERIFICATION OF CREDITOR MATRIX

I, the Timothy P. Reed of the corporation named as the debtor in this case, hereby verify that the attached list of creditors is true and

correct to the best of my knowledge.

Date: January 19, 2022 /s/ MGRM

MGRM/Timothy P. Reed

Signer/Title

Software Copyright (c) 1996-2021 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 22-10422-PDR Doc 1 Filed 01/19/22 Page 37 of 39
}bk1{Credito AresMatix}bk{

A.R.M Solutions Inc.

PO Box 2929

Camarillo, CA 93011

Alphaeon Financing

Comenity Capital Bank

PO Box 183003

Columbus, OH 43218

Alphaeon Financing

Caridad Rufina Vasquez

7751 SW 17 Terrace

Miami, FL 33155

Amex

Three World Financial Center

200 Vesey Street

New York, NY 10285

Bank of America

Bank of America Corporate Center

100 North Tryon Street

Charlotte, NC 28255

Bank of America

Bank of America Corporate Center

100 North Tryon Street

Charlotte, NC 28255

Bank of America

Bank of America Corporate Center

100 North Tryon Street

Charlotte, NC 28255

Broward County Tax Collector

Records, Taxes and Treasury Division

115 S. Andrews Ave., Room 120

Fort Lauderdale, FL 33301

Camille Mucci

3860 NE 24 Ave

Pompano Beach, FL 33064

Cox Communications, Inc.

6205-B Peachtree Dunwoody Road NE

Atlanta, GA 30328

FC Marketplace, LLC

747 Front Street., Floor 4

San Francisco, CA 94111

First American

100 Throckmorton St Suite 1800

Fort Worth, TX 76102

Fund Box

6900 Dallas Parkway, STE 700

Plano, TX 75024

Henry schein

PO Box 382060

Pittsburgh, PA 15250

Jessica Rodriguez

1190 NE 89th Street

Miami, FL 33138

Kabbage

730 Peachtree Street NE

Suite 1100

Atlanta, GA 30308

Marlen De Lara

7521 SW 116th Street

Miami, FL 33156

Michael J Rodriguez, MD, PA

1190 NE 89th Street

Miami, FL 33138

Michael J. Rodriguez

1190 NE 89th Street

Miami, FL 33138

Michael J. Rodriguez, MD

1190 NE 89th Street

Miami, FL 33138

RAS LAVRAR

1133 South University Dri

Second Floor

Fort Lauderdale, FL 3332

Revenue Assurance Partne

PO Box 4883

Covington, LA 70434

Sara Silverman

Modlin Slinsky PA

1551 Sawgrass Corporate P

Suite 110

Fort Lauderdale, FL 3332

Social Security Administ

POB 3490

Philadelphia, PA 19122

Sun Sentinel

P.O. Box 100606

Atlanta, GA 30384

Szabo Media Collections

3355 Lenox Road NE, Suite9

Atlanta, GA 30326

The News-Press Media Gro

PO Box 677583

Dallas, TX 75267

Tim Reed

3147 Peachtree Way

Fort Lauderdale, FL 3332

Tim Reed

3147 Peachtree Way

Fort Lauderdale, FL 3332

Tim Reed

1127 S University Dr.

Fort Lauderdale, FL 3332

Case 22-10422-PDR Doc 1 Filed 01/19/22 Page 38 of 39
Tim Reed

1127 S University Dr.

Fort Lauderdale, FL 33324

Tim Reed

1127 S University Dr.

Fort Lauderdale, FL 33324

Tim Reed

1127 S University Dr.

Fort Lauderdale, FL 33324

Wayne Mucci, D.O.

3860 NE 24 Ave

Pompano Beach, FL 33064

WPM Esthetics

3860 NE 24 Ave

Pompano Beach, FL 33064

Case 22-10422-PDR Doc 1 Filed 01/19/22 Page 39 of 39