Source: https://www.scribd.com/document/227581038/Bankruptcy-Boulder-2
Timestamp: 2017-10-19 00:00:21
Document Index: 187314726

Matched Legal Cases: ['§ 159', '§ 101', '§ 101', '§ 159', '§112', '§ 530', '§ 529', '§ 521', '§ 101', '§ 522', '§ 522', '§ 408', '§ 408', '§ 408', '§ 401', '§ 529', '§ 541', '§ 522', '§ 523', '§ 522', '§112', '§112', '§ 507', '§ 507', '§ 507', '§ 507', '§ 507', '§ 507', '§ 507', '§ 507', '§ 507', '§112', '§112', '§ 152', '§ 112', '§ 101', '§ 101', '§ 152', '§ 329']

Bankruptcy Boulder 2 | Chapter 13 | Bankruptcy
Bankruptcy Boulder 2
Uploaded by NC Policy Watch
}bk1{Form6.
SummaryofSchedules}bk{
CaseNo.
10-09166-8
Boulder International LLC
B6 Summary (Official Form 6 - Summary) (12/07)
Indicateastoeachschedulewhether that scheduleis attachedandstatethenumber of pagesineach. Report thetotals fromSchedulesA,
B, D, E, F, I, andJ intheboxesprovided. Addtheamounts fromSchedulesA andB todeterminethetotal amount of thedebtor’s assets.
Addtheamountsof all claimsfromSchedules D, E, andF todeterminethetotal amount of thedebtor’s liabilities. Individual debtors must
alsocompletethe"Statistical Summary of CertainLiabilities andRelatedData" if they fileacaseunder chapter 7, 11, or 13.
ATTACHED NO. OF
NAME OF SCHEDULE ASSETS LIABILITIES OTHER
(YES/NO) SHEETS
A - Real Property
B - Personal Property
C - Property Claimedas Exempt
D- Creditors HoldingSecuredClaims
E - Creditors HoldingUnsecured
F - CreditorsHoldingUnsecured
Nonpriority Claims
G- Executory Contracts and
UnexpiredLeases
H - Codebtors
I - Current Incomeof Individual
J - Current Expendituresof Individual
Total Number of Sheets of ALL Schedules
(Total of Claims onScheduleE)
Software Copyright (c) 1996-2010 - Best Case Solutions - Evanston, IL - www.bestcase.com Best Case Bankruptcy
4 2,054.00
2,054.00
Case 10-09166-8-JRL Doc 10 Filed 11/12/10 Entered 11/12/10 17:49:14 Page 1 of 26
}bk1{Form6.StatisticalSummaryofC ertainLiabilitiesandRelatedData}b k{
Form 6 - Statistical Summary (12/07)
STATISTICAL SUMMARY OF CERTAIN LIABILITIES AND RELATED DATA (28 U.S.C. § 159)
If youareanindividual debtor whosedebtsareprimarily consumer debts, asdefinedin§ 101(8) of theBankruptcy Code(11U.S.C.§ 101(8)), filing
acaseunder chapter 7, 11or 13, youmust report all informationrequestedbelow.
Check thisbox if youareanindividual debtor whosedebtsareNOT primarily consumer debts. Youarenot requiredto
report any informationhere.
This information is for statistical purposes only under 28 U.S.C. § 159.
Summarize the following types of liabilities, as reported in the Schedules, and total them.
Type of Liability Amount
Domestic Support Obligations(fromScheduleE)
TaxesandCertainOther DebtsOwedtoGovernmental Units
(fromScheduleE)
Claimsfor Deathor Personal Injury WhileDebtor WasIntoxicated
(fromScheduleE) (whether disputedor undisputed)
Student LoanObligations(fromScheduleF)
Domestic Support, SeparationAgreement, andDivorceDecree
ObligationsNot ReportedonScheduleE
ObligationstoPensionor Profit-Sharing, andOther Similar Obligations
(fromScheduleF)
AverageIncome(fromScheduleI, Line16)
AverageExpenses(fromScheduleJ , Line18)
Current Monthly Income(fromForm22A Line12; OR,
Form22B Line11; OR, Form22C Line20)
1. Total fromScheduleD, "UNSECURED PORTION, IF ANY"
2. Total fromScheduleE, "AMOUNT ENTITLED TOPRIORITY"
3. Total fromScheduleE, "AMOUNT NOT ENTITLED TO
PRIORITY, IF ANY" column
4. Total fromScheduleF
5. Total of non-priority unsecureddebt (sumof 1, 3, and4)
Case 10-09166-8-JRL Doc 10 Filed 11/12/10 Entered 11/12/10 17:49:14 Page 2 of 26
}bk1{ScheduleA-RealProperty}bk{
CaseNo. 10-09166-8 Boulder International LLC
B6A (Official Form 6A) (12/07)
Except asdirectedbelow, list all real property inwhichthedebtor has any legal, equitable, or futureinterest, includingall property ownedas a
cotenant, community property, or inwhichthedebtor has alifeestate. Includeany property inwhichthedebtor holds rightsandpowers exercisablefor
thedebtor'sownbenefit. If thedebtor ismarried, statewhether husband, wife, both, or themarital community owntheproperty by placingan"H," "W,"
"J ," or "C" inthecolumnlabeled"Husband, Wife, J oint, or Community." If thedebtor holds nointerest inreal property, write"None" under
"DescriptionandLocationof Property."
Do not include interests in executory contracts and unexpired leases on this schedule. List them in Schedule G - Executory Contracts and
Unexpired Leases.
If anentity claimstohavealienor holdasecuredinterest inany property, statetheamount of thesecuredclaim. SeeScheduleD. If noentity
claimstoholdasecuredinterest intheproperty, write"None" inthecolumnlabeled"Amount of SecuredClaim." If thedebtor isanindividual or
if ajoint petitionis filed, statetheamount of any exemptionclaimedintheproperty only inScheduleC - Property ClaimedasExempt.
Natureof Debtor's
Interest inProperty
J oint, or
Current Valueof
Debtor's Interest in
Property, without
Deducting any Secured
Claimor Exemption
continuationsheets attachedtotheScheduleof Real Property
Sub-Total > (Total of this page) 0.00
Total >
(Report alsoonSummary of Schedules)
Case 10-09166-8-JRL Doc 10 Filed 11/12/10 Entered 11/12/10 17:49:14 Page 3 of 26
}bk1{ScheduleB-PersonalProperty}b k{
B6B (Official Form 6B) (12/07)
Except asdirectedbelow, list all personal property of thedebtor of whatever kind. If thedebtor hasnoproperty inoneor moreof thecategories, place
an"x" intheappropriatepositioninthecolumnlabeled"None." If additional spaceisneededinany category, attachaseparatesheet properly identified
withthecasename, casenumber, andthenumber of thecategory. If thedebtor ismarried, statewhether husband, wife, both, or themarital community
owntheproperty by placingan"H," "W," "J ," or "C" inthecolumnlabeled"Husband, Wife, J oint, or Community." If thedebtor is anindividual or ajoint
petitionis filed, statetheamount of any exemptions claimedonly inScheduleC - Property Claimedas Exempt.
Do not list interests in executory contracts and unexpired leases on this schedule. List them in Schedule G - Executory Contracts and
If theproperty isbeingheldfor thedebtor by someoneelse, statethat person'snameandaddress under "DescriptionandLocationof Property."
If theproperty isbeingheldfor aminor child, simply statethechild'sinitials andthenameandaddress of thechild'sparent or guardian, suchas
"A.B., aminor child, by J ohnDoe, guardian." Donot disclosethechild'sname. See, 11U.S.C. §112andFed. R. Bankr. P. 1007(m).
Debtor's Interest in Property,
without Deducting any
Secured Claimor Exemption
continuation sheets attached to the Schedule of Personal Property
1. Cashonhand X
2. Checking, savingsor other financial
accounts, certificatesof deposit, or
sharesinbanks, savingsandloan,
thrift, buildingandloan, and
homesteadassociations, or credit
unions, brokeragehouses, or
Checking Acct.
Location: Bank of America
- 34.00
3. Security depositswithpublic
utilities, telephonecompanies,
landlords, andothers.
4. Householdgoods andfurnishings,
includingaudio, video, and
5. Books, picturesandother art
objects, antiques, stamp, coin,
record, tape, compact disc, and
other collectionsor collectibles.
6. Wearingapparel. X
7. Furs andjewelry. X
8. Firearms andsports, photographic,
andother hobby equipment.
9. Interests ininsurancepolicies.
Nameinsurancecompany of each
policy anditemizesurrender or
refundvalueof each.
10. Annuities. Itemizeandnameeach
Sub-Total >
(Total of this page)
Case 10-09166-8-JRL Doc 10 Filed 11/12/10 Entered 11/12/10 17:49:14 Page 4 of 26
B6B (Official Form 6B) (12/07) - Cont.
Sheet of continuation sheets attached
to the Schedule of Personal Property
(ContinuationSheet)
11. Interests inaneducationIRA as
definedin26U.S.C. § 530(b)(1) or
under aqualifiedStatetuitionplan
asdefinedin26U.S.C. § 529(b)(1).
Giveparticulars. (Fileseparately the
record(s) of any suchinterest(s).
11U.S.C. § 521(c).)
12. Interests inIRA, ERISA, Keogh, or
other pensionor profit sharing
plans. Giveparticulars.
13. Stock andinterests inincorporated
andunincorporatedbusinesses.
Itemize.
14. Interests inpartnershipsor joint
ventures. Itemize.
15. Government andcorporatebonds
andother negotiableand
nonnegotiableinstruments.
16. Accountsreceivable. X
17. Alimony, maintenance, support, and
property settlementstowhichthe
debtor isor may beentitled. Give
18. Other liquidateddebtsowedtodebtor
includingtax refunds. Giveparticulars.
19. Equitableor futureinterests, life
estates, andrightsor powers
exercisablefor thebenefit of the
debtor other thanthoselistedin
ScheduleA - Real Property.
20. Contingent andnoncontingent
interests inestateof adecedent,
deathbenefit plan, lifeinsurance
policy, or trust.
21. Other contingent andunliquidated
claimsof every nature, including
tax refunds, counterclaimsof the
debtor, andrightstosetoff claims.
Giveestimatedvalueof each.
Contract with Estate of Home Interiors & Gifts, Inc.
Location: In re: Home Interiors & Gifts, Case No.
08-31961, US Bankruptcy Court for the Northern
Case 10-09166-8-JRL Doc 10 Filed 11/12/10 Entered 11/12/10 17:49:14 Page 5 of 26
22. Patents, copyrights, andother
intellectual property. Give
23. Licenses, franchises, andother
general intangibles. Give
24. Customer lists or other compilations
containingpersonally identifiable
information(asdefinedin11U.S.C.
§ 101(41A)) providedtothedebtor
by individuals inconnectionwith
obtainingaproduct or servicefrom
thedebtor primarily for personal,
family, or householdpurposes.
25. Automobiles, trucks, trailers, and
other vehicles andaccessories.
26. Boats, motors, andaccessories. X
27. Aircraft andaccessories. X
28. Officeequipment, furnishings, and
Location: 1951 Clark Avenue, Raleigh NC 27605
29. Machinery, fixtures, equipment, and
suppliesusedinbusiness.
Computer hardware; General networking hardware
and aged computer, Mac G3
- 900.00
Software; COTS Software, Outdated versions - 0.00
Computer, Apple Book Pro
- 300.00
Time Capsule Disk Storage Unit
30. Inventory. X
Case 10-09166-8-JRL Doc 10 Filed 11/12/10 Entered 11/12/10 17:49:14 Page 6 of 26
31. Animals. X
32. Crops- growingor harvested. Give
33. Farmingequipment and
34. Farmsupplies, chemicals, andfeed. X
35. Other personal property of any kind
not already listed. Itemize.
Case 10-09166-8-JRL Doc 10 Filed 11/12/10 Entered 11/12/10 17:49:14 Page 7 of 26
Rev. 12/2009
IN THE MATTER OF: CASE NUMBER:
Boulder International LLC 10-09166-8
SCHEDULE C-1 - PROPERTY CLAIMED AS EXEMPT
I, Richard A. Lindenmuth , claim the following property as exempt pursuant to 11 U.S.C. § 522 and the laws of the State of North
Carolina, and nonbankruptcy Federal law: (Attach additional sheets if necessary).
1. NCGS 1C-1601(a)(1) (NC Const., Article X, Section 2) REAL OR PERSONAL PROPERTY USED AS A RESIDENCE OR BURIAL PLOT
(The exemption is not to exceed $35,000; however, an unmarried debtor who is 65 years of age or older is entitled to retain an aggregate interest in the
property not to exceed $60,000 in value so long as the property was previously owned by the debtor as a tenant by the entireties or as a joint tenant with
rights of survivorship and the former co-owner of the property is deceased, in which case the debtor must specify his/her age and the name of the former
co-owner, if a child use initials only, of the property below).
(H)Husband
(W)Wife
(J )J oint
or Lien Holder
or Lien
Value Claimed as Exempt
Pursuant to NCGS 1C-1601(a)(1)
Debtor's Age:
Name of former co-owner:
VALUE OF REAL ESTATE CLAIMED AS EXEMPT PURSUANT TO NCGS 1C-1601(a)(1): $ 0.00
2. NCGS 1C-1601(a)(3) MOTOR VEHICLE (The exemption in one vehicle is not to exceed $3,500).
Style of Auto
Pursuant to NCGS 1C-1601(a)(3)
VALUE OF MOTOR VEHICLE CLAIMED AS EXEMPT PURSUANT TO NCGS 1C-1601(a)(3): $ 0.00
3. NCGS 1C-1601(a)(4) (NC Const., Article X, Section 1) PERSONAL OR HOUSEHOLD GOODS (The debtor's aggregate interest is not to
exceed $5,000 plus $1,000 for each dependent of the debtor, not to exceed $4,000 total for dependents). The number of dependents for exemption
purposes is 0 .
Claimed as Exempt
Pursuant to NCGS
1C-1601(a)(4)
VALUE CLAIMED AS EXEMPT PURSUANT TO NCGS 1C-1601(a)(4): $ 0.00
4. NCGS 1C-1601(a)(5) TOOLS OF TRADE (The debtor's aggregate interest is not to exceed $2,000 in value).
Pursuant to NCGS 1C-1601(a)(5)
VALUE CLAIMED AS EXEMPT PURSUANT TO NCGS 1C-1601(a)(5): $ 0.00
5. NCGS 1C-1601(a)(6) LIFE INSURANCE (NC Const., Article X, Section 5).
Description\Insured\Last Four Digits of Policy Number\Beneficiary(if child, initials only)
Schedule C-1 - Property Claimed as Exempt - 12/2009
Software Copyright (c) 1996-2010 Best Case Solutions - Evanston, IL - www.bestcase.com Best Case Bankruptcy
Case 10-09166-8-JRL Doc 10 Filed 11/12/10 Entered 11/12/10 17:49:14 Page 8 of 26
6. NCGS 1C-1601(a)(7) PROFESSIONALLY PRESCRIBED HEALTH AIDS (For Debtor or Debtor's Dependents, no limit on value).
7. NCGS 1C-1601(a)(8) COMPENSATION FOR PERSONAL INJ URY, INCLUDING COMPENSATION FROM PRIVATE DISABILITY
POLICIES OR ANNUITIES, OR COMPENSATION FOR DEATH OF A PERSON UPON WHOM THE DEBTOR WAS DEPENDENT FOR SUPPORT.
COMPENSATION NOT EXEMPT FROM RELATED LEGAL, HEALTH OR FUNERAL EXPENSE.
Description AND Source of Compensation, Including Name (If child, initials only) & Last Four Digits of Account Number of any Disability Policy/Annuity
8. NCGS 1C-1601(a)(2) ANY PROPERTY (Debtor's aggregate interest in any property is not to exceed $5,000 in value of any unused
exemption amount to which the debtor is entitled under NCGS 1C-1601(a)(1)).
Pursuant to NCGS 1C-1601(a)(2)
VALUE CLAIMED AS EXEMPT PURSUANT TO NCGS 1C-1601(a)(2): $ 0.00
9. NCGS 1C-1601(a)(9) and 11 U.S.C. § 522 INDIVIDUAL RETIREMENT PLANS & RETIREMENT FUNDS, as defined in the Internal
Revenue Code, and any plan treated in the same manner as an individual retirement plan, including individual retirement accounts and Roth retirement
accounts as described in §§ 408(a) and 408A of the Internal Revenue Code, individual retirement annuities as described in § 408(b) of the Internal
Revenue Code, accounts established as part of a trust described in § 408(c) of the Internal Revenue Code, and funds in an account exempt from
taxation under § 401, 403, 408, 408A, 414, 457, or 510(a) of the Internal Revenue Code. For purposes of this subdivision, "Internal Revenue Code"
means Code as defined in G.S. 105-228.90.
Type of Account\Location of Account\Last Four Digits of Account Number
10. NCGS 1C-1601(a)(10) FUNDS IN A COLLEGE SAVINGS PLAN, as qualified under § 529 of the Internal Revenue Code, and that are not
otherwise excluded from the estate pursuant to 11 U.S.C. §§ 541(b)(5)-(6), (e), not to exceed a cumulative limit of $25,000. If funds were placed in a
college savings plan within the 12 months prior to filing, the contributions must have been made in the ordinary course of the debtor's financial affairs
and must have been consistent with the debtor's past pattern of contributions. The exemption applies to funds for a child of the debtor that will actually
be used for the child's college or university expenses.
College Savings Plan\Last Four Digits of Account Number\Value\Initials of Child Beneficiary
11. NCGS 1C-1601(a)(11) RETIREMENT BENEFITS UNDER THE RETIREMENT PLANS OF OTHER STATES AND GOVERNMENTAL
UNITS OF OTHER STATES (The debtor's interest is exempt only to the extent that these benefits are exempt under the laws of the state or
governmental unit under which the benefit plan is established).
Name of Retirement Plan\State Governmental Unit\Last Four Digits of Identifying Number
12. NCGS 1C-1601(a)(12) ALIMONY, SUPPORT, SEPARATE MAINTENANCE, AND CHILD SUPPORT PAYMENTS OR FUNDS THAT
HAVE BEEN RECEIVED OR TO WHICH THE DEBTOR IS ENTITLED (The debtor's interest is exempt to the extent the payments or funds are
reasonably necessary for the support of the debtor or any dependent of the debtor).
Type of Support\Amount\Location of Funds
13. TENANCY BY THE ENTIRETY. The following property is claimed as exempt pursuant to 11 U.S.C. § 522 and the law of the State of
North Carolina pertaining to property held as tenants by the entirety.
Property and Address
VALUE CLAIMED AS EXEMPT: $ 0.00
Schedule C-1 - Property Claimed as Exempt - 12/2009 Page 2
Case 10-09166-8-JRL Doc 10 Filed 11/12/10 Entered 11/12/10 17:49:14 Page 9 of 26
14. NORTH CAROLINA PENSION FUND EXEMPTIONS
15. OTHER EXEMPTIONS CLAIMED UNDER LAWS OF THE STATE OF NORTH CAROLINA
16. FEDERAL PENSION FUND EXEMPTIONS
17. OTHER EXEMPTIONS CLAIMED UNDER NONBANKRUPTCY FEDERAL LAW
18. RECENT PURCHASES
(a). List tangible personal property purchased by the debtor within ninety (90) days of the filing of the bankruptcy petition.
(b). List any tangible personal property from 18(a) that is directly traceable to the liquidation or conversion of property that may be exempt and
that was not acquired by transferring or using additional property.
Description of Replacement Property Description of Property Liquidated or Converted that May Be Exempt
19. The debtor's property is subject to the following claims:
a. Of the United States or its agencies as provided by federal law.
b. Of the State of North Carolina or its subdivisions for taxes, appearance bonds or fiduciary bonds;
c. Of a lien by a laborer for work done and performed for the person claiming the exemption, but only as to the specific property affected.
d. Of a lien by a mechanic for work done on the premises, but only as to the specific property affected.
e. For payment of obligations contracted for the purchase of specific real property affected.
f. For contractual security interests in specific property affected; provided, that the exemptions shall apply to the debtor's household goods
notwithstanding any contract for a nonpossessory, nonpurchase money security interest in any such goods.
g. For statutory liens, on the specific property affected, other than judicial liens.
h. For child support, alimony or distributive award order pursuant to Chapter 50 of the General Statutes of North Carolina.
i. For criminal restitution orders docketed as civil judgments pursuant to G.S. 15A-1340.38.
j. Debts of a kind specified in 11 U.S.C. § 523(a)(1) (certain taxes), (5) (domestic support obligations).
k. Debts of a kind specified in 11 U.S.C. § 522(c).
None of the property listed in paragraph 18(a), except qualified replacement property under 18(b), has been included in this claim of
None of the claims listed in paragraph 19 is subject to this claim of exemptions.
I declare that to the extent any exemptions I have claimed appear on its face to exceed the amount allowed by the applicable statute, I claim
only the maximum amount allowed by statute.
Schedule C-1 - Property Claimed as Exempt - 12/2009 Page 3
Case 10-09166-8-JRL Doc 10 Filed 11/12/10 Entered 11/12/10 17:49:14 Page 10 of
UNSWORN DECLARATION UNDER PENALTY OF PERJ URY ON BEHALF OF INDIVIDUAL
TO SCHEDULE C-1 - PROPERTY CLAIMED AS EXEMPT
I, Richard A. Lindenmuth , declare under penalty of perjury that I have read the foregoing Schedule C-1 - Property Claimed as
Exempt, consisting of 4 sheets, and that they are true and correct to the best of my knowledge, information and belief.
Executed on: November 12, 2010 /s/ Richard A. Lindenmuth
Richard A. Lindenmuth
Schedule C-1 - Property Claimed as Exempt - 12/2009 Page 4
Case 10-09166-8-JRL Doc 10 Filed 11/12/10 Entered 11/12/10 17:49:14 Page 11 of
}bk1{ScheduleD-CreditorsHoldingS ecuredClaims}bk{
DATE CLAIM WAS INCURRED,
NATURE OF LIEN, AND
DESCRIPTION ANDVALUE
SUBJ ECT TOLIEN
Husband, Wife, J oint, or Community
ANDMAILINGADDRESS
INCLUDINGZIP CODE,
(Seeinstructionsabove.)
_____ continuationsheets attached
PORTION, IF
B6D (Official Form 6D) (12/07)
Statethename, mailingaddress, includingzipcode, andlast four digitsof any account number of all entitiesholdingclaimssecuredby property of thedebtor asof
thedateof filingof thepetition. Thecompleteaccount number of any account thedebtor haswiththecreditor isuseful tothetrusteeandthecreditor andmay beprovided
if thedebtor choosestodoso. List creditorsholdingall typesof securedinterests suchasjudgment liens, garnishments, statutory liens, mortgages, deedsof trust, and
other security interests.
List creditorsinalphabetical order totheextent practicable. If aminor childisacreditor, thechild'sinitialsandthenameandaddressof thechild'sparent or
guardian, suchas"A.B., aminor child, by J ohnDoe, guardian." Donot disclosethechild'sname. See, 11U.S.C. §112andFed. R. Bankr. P. 1007(m). If all secured
creditorswill not fit onthispage, usethecontinuationsheet provided.
If any entity other thanaspouseinajoint casemay bejointly liableonaclaim, placean"X" inthecolumnlabeled"Codebtor" ,includetheentity ontheappropriate
scheduleof creditors, andcompleteScheduleH - Codebtors. If ajoint petitionisfiled, statewhether thehusband, wife, bothof them, or themarital community may be
liableoneachclaimby placingan"H", "W", "J ", or "C" inthecolumnlabeled"Husband, Wife, J oint, or Community".
If theclaimiscontingent, placean"X" inthecolumnlabeled"Contingent". If theclaimisunliquidated, placean"X" inthecolumnlabeled"Unliquidated". If the
claimisdisputed, placean"X" inthecolumnlabeled"Disputed". (Youmay needtoplacean"X" inmorethanoneof thesethreecolumns.)
Total thecolumnslabeled"Amount of ClaimWithout DeductingValueof Collateral" and"UnsecuredPortion, if Any" intheboxeslabeled"Total(s)" onthelast
sheet of thecompletedschedule. Report thetotal fromthecolumnlabeled"Amount of Claim" alsoontheSummary of Schedulesand, if thedebtor isanindividual with
primarily consumer debts, report thetotal fromthecolumnlabeled"UnsecuredPortion" ontheStatistical Summary of CertainLiabilitiesandRelatedData.
Check thisbox if debtor hasnocreditorsholdingsecuredclaimstoreport onthisScheduleD.
(Report onSummary of Schedules)
Case 10-09166-8-JRL Doc 10 Filed 11/12/10 Entered 11/12/10 17:49:14 Page 12 of
}bk1{ScheduleE-CreditorsHoldingU nsecuredPriorityClaims}bk{
B6E (Official Form 6E) (4/10)
A completelist of claimsentitledtopriority, listedseparately by typeof priority, istobeset forthonthesheetsprovided. Only holdersof unsecuredclaimsentitled
topriority shouldbelistedinthisschedule. Intheboxesprovidedontheattachedsheets, statethename, mailingaddress, includingzipcode, andlast four digitsof the
account number, if any, of all entitiesholdingpriority claimsagainst thedebtor or theproperty of thedebtor, asof thedateof thefilingof thepetition. Useaseparate
continuationsheet for eachtypeof priority andlabel eachwiththetypeof priority.
Thecompleteaccount number of any account thedebtor haswiththecreditor isuseful tothetrusteeandthecreditor andmay beprovidedif thedebtor choosestodo
so. If aminor childisacreditor, statethechild'sinitialsandthenameandaddressof thechild'sparent or guardian, suchas"A.B., aminor child, by J ohnDoe, guardian."
Donot disclosethechild'sname. See, 11U.S.C. §112andFed. R. Bankr. P. 1007(m).
If any entity other thanaspouseinajoint casemay bejointly liableonaclaim, placean"X" inthecolumnlabeled"Codebtor," includetheentity ontheappropriate
scheduleof creditors, andcompleteScheduleH-Codebtors. If ajoint petitionisfiled, statewhether thehusband, wife, bothof them, or themarital community may be
liableoneachclaimby placingan"H," "W," "J ," or "C" inthecolumnlabeled"Husband, Wife, J oint, or Community." If theclaimiscontingent, placean"X" inthe
columnlabeled"Contingent." If theclaimisunliquidated, placean"X" inthecolumnlabeled"Unliquidated." If theclaimisdisputed, placean"X" inthecolumnlabeled
"Disputed." (Youmay needtoplacean"X" inmorethanoneof thesethreecolumns.)
Report thetotal of claimslistedoneachsheet inthebox labeled"Subtotals" oneachsheet. Report thetotal of all claimslistedonthisScheduleE inthebox labeled
"Total" onthelast sheet of thecompletedschedule. Report thistotal alsoontheSummary of Schedules.
Report thetotal of amountsentitledtopriority listedoneachsheet inthebox labeled"Subtotals" oneachsheet. Report thetotal of all amountsentitledtopriority
listedonthisScheduleE inthebox labeled"Totals" onthelast sheet of thecompletedschedule. Individual debtorswithprimarily consumer debtsreport thistotal
alsoontheStatistical Summary of CertainLiabilitiesandRelatedData.
Report thetotal of amountsnot entitledtopriority listedoneachsheet inthebox labeled"Subtotals" oneachsheet. Report thetotal of all amountsnot entitledto
priority listedonthisScheduleE inthebox labeled"Totals" onthelast sheet of thecompletedschedule. Individual debtorswithprimarily consumer debtsreport this
total alsoontheStatistical Summary of CertainLiabilitiesandRelatedData.
Check thisbox if debtor hasnocreditorsholdingunsecuredpriority claimstoreport onthisScheduleE.
TYPES OF PRIORITY CLAIMS (Check theappropriatebox(es) belowif claimsinthat category arelistedontheattachedsheets)
Claimsfor domestic support that areowedtoor recoverableby aspouse, former spouse, or childof thedebtor, or theparent, legal guardian, or responsiblerelative
of suchachild, or agovernmental unit towhomsuchadomestic support claimhasbeenassignedtotheextent providedin11U.S.C. § 507(a)(1).
Extensions of credit in an involuntary case
Claimsarisingintheordinary courseof thedebtor'sbusinessor financial affairsafter thecommencement of thecasebut beforetheearlier of theappointment of a
trusteeor theorder for relief. 11U.S.C. § 507(a)(3).
Wages, salaries, and commissions
Wages, salaries, andcommissions, includingvacation, severance, andsick leavepay owingtoemployeesandcommissionsowingtoqualifyingindependent sales
representativesupto$11,725* per personearnedwithin180daysimmediately precedingthefilingof theoriginal petition, or thecessationof business, whichever
occurredfirst, totheextent providedin11U.S.C. § 507(a)(4).
Money owedtoemployeebenefit plansfor servicesrenderedwithin180daysimmediately precedingthefilingof theoriginal petition, or thecessationof business,
whichever occurredfirst, totheextent providedin11U.S.C. § 507(a)(5).
Certain farmers and fishermen
Claimsof certainfarmersandfishermen, upto$5,775* per farmer or fisherman, against thedebtor, asprovidedin11U.S.C. § 507(a)(6).
Deposits by individuals
Claimsof individualsupto$2,600* for depositsfor thepurchase, lease, or rental of property or servicesfor personal, family, or householduse, that werenot
deliveredor provided. 11U.S.C. § 507(a)(7).
Taxes and certain other debts owed to governmental units
Taxes, customsduties, andpenaltiesowingtofederal, state, andlocal governmental unitsasset forthin11U.S.C. § 507(a)(8).
Commitments to maintain the capital of an insured depository institution
ClaimsbasedoncommitmentstotheFDIC, RTC, Director of theOfficeof Thrift Supervision, Comptroller of theCurrency, or Boardof Governorsof theFederal
ReserveSystem, or their predecessorsor successors, tomaintainthecapital of aninsureddepository institution. 11U.S.C. § 507(a)(9).
Claims for death or personal injury while debtor was intoxicated
Claimsfor deathor personal injury resultingfromtheoperationof amotor vehicleor vessel whilethedebtor wasintoxicatedfromusingalcohol, adrug, or
another substance. 11U.S.C. § 507(a)(10).
* Amount subject to adjustment on 4/01/13, and every three years thereafter with respect to cases commenced on or after the date of adjustment.
continuationsheets attached
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}bk1{ScheduleF-CreditorsHoldingU nsecuredNonpriorityClaims}bk{
CREDITOR'S NAME,
ANDACCOUNT NUMBER
(Seeinstructions above.)
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJ ECT TOSETOFF, SOSTATE.
B6F (Official Form 6F) (12/07)
Statethename, mailingaddress, includingzipcode, andlast four digitsof any account number, of all entitiesholdingunsecuredclaimswithout priority against the
debtor or theproperty of thedebtor, asof thedateof filingof thepetition. Thecompleteaccount number of any account thedebtor haswiththecreditor isuseful tothe
trusteeandthecreditor andmay beprovidedif thedebtor choosestodoso. If aminor childisacreditor, statethechild'sinitialsandthenameandaddressof thechild's
parent or guardian, suchas"A.B., aminor child, by J ohnDoe, guardian." Donot disclosethechild'sname. See, 11U.S.C. §112andFed. R. Bankr. P. 1007(m). Donot
includeclaimslistedinSchedulesDandE. If all creditorswill not fit onthispage, usethecontinuationsheet provided.
liableoneachclaimby placingan"H," "W," "J ," or "C" inthecolumnlabeled"Husband, Wife, J oint, or Community."
If theclaimiscontingent, placean"X" inthecolumnlabeled"Contingent." If theclaimisunliquidated, placean"X" inthecolumnlabeled"Unliquidated." If the
claimisdisputed, placean"X" inthecolumnlabeled"Disputed." (Youmay needtoplacean"X" inmorethanoneof thesethreecolumns.)
Report thetotal of all claimslistedonthisscheduleinthebox labeled"Total" onthelast sheet of thecompletedschedule. Report thistotal alsoontheSummary of
Schedulesand, if thedebtor isanindividual withprimarily consumer debts, report thistotal alsoontheStatistical Summary of CertainLiabilitiesandRelatedData.
Check thisbox if debtor hasnocreditorsholdingunsecuredclaimstoreport onthisScheduleF.
S/N:40483-101029
P.O. Box 105262
Atlanta, GA 30348-5262
xxxx-xxxx-xxxx-9971 Revolving
P.O. Box 17054
Wilmington, DE 19884
P.O. Box 660108
Dallas, TX 75266-0108
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}bk1{ScheduleG-ExecutoryContracts andUnexpiredLeases}bk{
B6G (Official Form 6G) (12/07)
Describeall executory contracts of any natureandall unexpiredleases of real or personal property. Includeany timeshareinterests. Statenature
of debtor'sinterest incontract, i.e., "Purchaser", "Agent", etc. Statewhether debtor isthelessor or lesseeof alease. Providethenamesand
completemailingaddresses of all other parties toeachleaseor contract described. If aminor childisaparty tooneof theleases or contracts,
statethechild'sinitials andthenameandaddress of thechild'sparent or guardian, suchas"A.B., aminor child, by J ohnDoe, guardian." Donot
disclosethechild'sname. See, 11U.S.C. §112andFed. R. Bankr. P. 1007(m).
Check this box if debtor has noexecutory contracts or unexpiredleases.
NameandMailingAddress, IncludingZipCode,
of Other Parties toLeaseor Contract
Descriptionof Contract or LeaseandNatureof Debtor'sInterest.
Statewhether leaseisfor nonresidential real property.
Statecontract number of any government contract.
continuationsheets attachedtoScheduleof Executory Contracts andUnexpiredLeases
138 Mine Lake Ct
Annual Web Hosting Contract
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}bk1{ScheduleH-Codebtors}bk{
B6H (Official Form 6H) (12/07)
Providetheinformationrequestedconcerningany personor entity, other thanaspouseinajoint case, that is alsoliableonany debtslisted
by debtor intheschedules of creditors. Includeall guarantors andco-signers. If thedebtor residesor residedinacommunity property state,
commonwealth, or territory (includingAlaska, Arizona, California, Idaho, Louisiana, Nevada, NewMexico, PuertoRico, Texas, Washington, or
Wisconsin) withintheeight year periodimmediately precedingthecommencement of thecase, identify thenameof thedebtor'sspouseandof
any former spousewhoresidesor residedwiththedebtor inthecommunity property state, commonwealth, or territory. Includeall namesused
by thenondebtor spouseduringtheeight years immediately precedingthecommencement of this case. If aminor childisacodebtor or acreditor,
Check this box if debtor has nocodebtors.
NAME ANDADDRESS OF CODEBTOR NAME ANDADDRESS OF CREDITOR
continuation sheets attached to Schedule of Codebtors
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B6 Declaration (Official Form 6 - Declaration). (12/07)
In re Boulder International LLC Case No. 10-09166-8
Debtor(s) Chapter 7
DECLARATION CONCERNING DEBTOR'S SCHEDULES
DECLARATION UNDER PENALTY OF PERJ URY ON BEHALF OF CORPORATION OR PARTNERSHIP
I, the Member-Manager of the corporation named as debtor in this case, declare under penalty of perjury
that I have read the foregoing summary and schedules, consisting of 15 sheets, and that they are true and
correct to the best of my knowledge, information, and belief.
Date November 12, 2010 Signature /s/ Richard A. Lindenmuth
Member-Manager
Penalty for making a false statement or concealing property: Fine of up to $500,000 or imprisonment for up to 5 years or both.
18 U.S.C. §§ 152 and 3571.
Software Copyright (c) 1996-2010 Best Case Solutions - Evanston, IL - bestcase.com Best Case Bankruptcy
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B7 (Official Form7) (04/10)
This statement is to be completed by every debtor. Spouses filing a joint petition may file a single statement on which the information for
both spouses is combined. If the case is filed under chapter 12 or chapter 13, a married debtor must furnish information for both spouses whether or
not a joint petition is filed, unless the spouses are separated and a joint petition is not filed. An individual debtor engaged in business as a sole
proprietor, partner, family farmer, or self-employed professional, should provide the information requested on this statement concerning all such
activities as well as the individual's personal affairs. To indicate payments, transfers and the like to minor children, state the child's initials and the
name and address of the child's parent or guardian, such as "A.B., a minor child, by J ohn Doe, guardian." Do not disclose the child's name. See, 11
U.S.C. § 112; Fed. R. Bankr. P. 1007(m).
Questions 1 - 18 are to be completed by all debtors. Debtors that are or have been in business, as defined below, also must complete
Questions 19 - 25. If the answer to an applicable question is "None," mark the box labeled "None." If additional space is needed for the answer
to any question, use and attach a separate sheet properly identified with the case name, case number (if known), and the number of the question.
"In business." A debtor is "in business" for the purpose of this form if the debtor is a corporation or partnership. An individual debtor is "in
business" for the purpose of this form if the debtor is or has been, within six years immediately preceding the filing of this bankruptcy case, any of
the following: an officer, director, managing executive, or owner of 5 percent or more of the voting or equity securities of a corporation; a partner,
other than a limited partner, of a partnership; a sole proprietor or self-employed full-time or part-time. An individual debtor also may be "in
business" for the purpose of this form if the debtor engages in a trade, business, or other activity, other than as an employee, to supplement income
from the debtor's primary employment.
"Insider." The term "insider" includes but is not limited to: relatives of the debtor; general partners of the debtor and their relatives;
corporations of which the debtor is an officer, director, or person in control; officers, directors, and any owner of 5 percent or more of the voting or
equity securities of a corporate debtor and their relatives; affiliates of the debtor and insiders of such affiliates; any managing agent of the debtor. 11
U.S.C. § 101.
1. Income from employment or operation of business
State the gross amount of income the debtor has received from employment, trade, or profession, or from operation of the debtor's
business, including part-time activities either as an employee or in independent trade or business, from the beginning of this calendar
year to the date this case was commenced. State also the gross amounts received during thetwo years immediately preceding this
calendar year. (A debtor that maintains, or has maintained, financial records on the basis of a fiscal rather than a calendar year may
report fiscal year income. Identify the beginning and ending dates of the debtor's fiscal year.) If a joint petition is filed, state income for
each spouse separately. (Married debtors filing under chapter 12 or chapter 13 must state income of both spouses whether or not a joint
petition is filed, unless the spouses are separated and a joint petition is not filed.)
AMOUNT SOURCE
$24,000.00 2010 YTD: Debtor Business Income
$18,683.00 2009: Debtor Business Income
$461,860.00 2008: Debtor Business Income
2. Income other than from employment or operation of business
State the amount of income received by the debtor other than from employment, trade, profession, or operation of the debtor's business
during thetwo years immediately preceding the commencement of this case. Give particulars. If a joint petition is filed, state income
for each spouse separately. (Married debtors filing under chapter 12 or chapter 13 must state income for each spouse whether or not a
joint petition is filed, unless the spouses are separated and a joint petition is not filed.)
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3. Payments to creditors
Complete a. or b., as appropriate, and c.
a. Individual or joint debtor(s) with primarily consumer debts. List all payments on loans, installment purchases of goods or services,
and other debts to any creditor made within90 days immediately preceding the commencement of this case unless the aggregate value
of all property that constitutes or is affected by such transfer is less than $600. Indicate with an (*) any payments that were made to a
creditor on account of a domestic support obligation or as part of an alternative repayment schedule under a plan by an approved
nonprofit budgeting and credit counseling agency. (Married debtors filing under chapter 12 or chapter 13 must include payments by
either or both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.)
OF CREDITOR
DATES OF
AMOUNT STILL
b. Debtor whose debts are not primarily consumer debts: List each payment or other transfer to any creditor made within90 days
immediately preceding the commencement of the case unless the aggregate value of all property that constitutes or is affected by such
transfer is less than $5,850
. If the debtor is an individual, indicate with an asterisk (*) any payments that were made to a creditor on
account of a domestic support obligation or as part of an alternative repayment schedule under a plan by an approved nonprofit
budgeting and credit counseling agency. (Married debtors filing under chapter 12 or chapter 13 must include payments and other
transfers by either or both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not
filed.)
NAME AND ADDRESS OF CREDITOR
PAID OR
c. All debtors: List all payments made withinone year immediately preceding the commencement of this case to or for the benefit of
creditors who are or were insiders. (Married debtors filing under chapter 12 or chapter 13 must include payments by either or both
spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.)
NAME AND ADDRESS OF CREDITOR AND
DATE OF PAYMENT AMOUNT PAID
10105 Old Warden Road
Member-Manager and 100% Shareholder
Jan 2010 to Nov 2010 $15,360.00 $0.00
4. Suits and administrative proceedings, executions, garnishments and attachments
a. List all suits and administrative proceedings to which the debtor is or was a party withinone year immediately preceding the filing of
this bankruptcy case. (Married debtors filing under chapter 12 or chapter 13 must include information concerning either or both spouses
whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.)
CAPTION OF SUIT
AND CASE NUMBER
COURT OR AGENCY
In re: Home Interiors & Gifts, Inc., Case No.
08-31961
US Bankruptcy Court for the Northern
b. Describe all property that has been attached, garnished or seized under any legal or equitable process withinone year immediately
preceding the commencement of this case. (Married debtors filing under chapter 12 or chapter 13 must include information concerning
property of either or both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not
NAME AND ADDRESS OF PERSON FOR WHOSE
BENEFIT PROPERTY WAS SEIZED
DESCRIPTION AND VALUE OF
Amount subject to adjustment on 4/01/13, and every three years thereafter with respect to cases commenced on or after the date of adjustment.
Software Copyright (c) 1996-2010 Best Case Solutions, Inc. - Evanston, IL - www.bestcase.com Best Case Bankruptcy
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5. Repossessions, foreclosures and returns
List all property that has been repossessed by a creditor, sold at a foreclosure sale, transferred through a deed in lieu of foreclosure or
returned to the seller, withinone year immediately preceding the commencement of this case. (Married debtors filing under chapter 12
or chapter 13 must include information concerning property of either or both spouses whether or not a joint petition is filed, unless the
spouses are separated and a joint petition is not filed.)
CREDITOR OR SELLER
DATE OF REPOSSESSION,
TRANSFER OR RETURN
6. Assignments and receiverships
a. Describe any assignment of property for the benefit of creditors made within120 days immediately preceding the commencement of
this case. (Married debtors filing under chapter 12 or chapter 13 must include any assignment by either or both spouses whether or not a
NAME AND ADDRESS OF ASSIGNEE
TERMS OF ASSIGNMENT OR SETTLEMENT
b. List all property which has been in the hands of a custodian, receiver, or court-appointed official withinone year immediately
OF CUSTODIAN
CASE TITLE & NUMBER
List all gifts or charitable contributions made withinone year immediately preceding the commencement of this case except ordinary
and usual gifts to family members aggregating less than $200 in value per individual family member and charitable contributions
aggregating less than $100 per recipient. (Married debtors filing under chapter 12 or chapter 13 must include gifts or contributions by
DEBTOR, IF ANY
VALUE OF GIFT
8. Losses
List all losses from fire, theft, other casualty or gambling withinone year immediately preceding the commencement of this caseor
since the commencement of this case. (Married debtors filing under chapter 12 or chapter 13 must include losses by either or both
DESCRIPTION OF CIRCUMSTANCES AND, IF
LOSS WAS COVERED IN WHOLE OR IN PART
BY INSURANCE, GIVE PARTICULARS
9. Payments related to debt counseling or bankruptcy
List all payments made or property transferred by or on behalf of the debtor to any persons, including attorneys, for consultation
concerning debt consolidation, relief under the bankruptcy law or preparation of the petition in bankruptcy withinone year immediately
preceding the commencement of this case.
OF PAYEE
DATE OF PAYMENT,
NAME OF PAYOR IF OTHER
THAN DEBTOR
OR DESCRIPTION AND VALUE
US Bankruptcy Court Petition Date Filing Fee $299.00
J.M. Cook, P.A.
Raleigh, NC 27602-2241
Petition Date Atty's Fees for Chapter 7 Filing
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Corp Bk counsel in connection
with Fee App. $34,661.70
Quinlan, Selander, Lownds, Winslett Corp Bk Counsel $1,000.00
10. Other transfers
a. List all other property, other than property transferred in the ordinary course of the business or financial affairs of the debtor,
transferred either absolutely or as security withintwo years immediately preceding the commencement of this case. (Married debtors
filing under chapter 12 or chapter 13 must include transfers by either or both spouses whether or not a joint petition is filed, unless the
NAME AND ADDRESS OF TRANSFEREE,
DESCRIBE PROPERTY TRANSFERRED
AND VALUE RECEIVED
b. List all property transferred by the debtor withinten years immediately preceding the commencement of this case to a self-settled
trust or similar device of which the debtor is a beneficiary.
NAME OF TRUST OR OTHER
AMOUNT OF MONEY OR DESCRIPTION AND
VALUE OF PROPERTY OR DEBTOR'S INTEREST
11. Closed financial accounts
List all financial accounts and instruments held in the name of the debtor or for the benefit of the debtor which were closed, sold, or
otherwise transferred withinone year immediately preceding the commencement of this case. Include checking, savings, or other
financial accounts, certificates of deposit, or other instruments; shares and share accounts held in banks, credit unions, pension funds,
cooperatives, associations, brokerage houses and other financial institutions. (Married debtors filing under chapter 12 or chapter 13 must
include information concerning accounts or instruments held by or for either or both spouses whether or not a joint petition is filed,
unless the spouses are separated and a joint petition is not filed.)
TYPE OF ACCOUNT, LAST FOUR
DIGITS OF ACCOUNT NUMBER,
AND AMOUNT OF FINAL BALANCE
AMOUNT AND DATE OF SALE
OR CLOSING
12. Safe deposit boxes
List each safe deposit or other box or depository in which the debtor has or had securities, cash, or other valuables withinone year
immediately preceding the commencement of this case. (Married debtors filing under chapter 12 or chapter 13 must include boxes or
depositories of either or both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not
NAME AND ADDRESS OF BANK
OR OTHER DEPOSITORY
OF THOSE WITH ACCESS
TO BOX OR DEPOSITORY
DATE OF TRANSFER OR
SURRENDER, IF ANY
13. Setoffs
List all setoffs made by any creditor, including a bank, against a debt or deposit of the debtor within90 days preceding the
commencement of this case. (Married debtors filing under chapter 12 or chapter 13 must include information concerning either or both
NAME AND ADDRESS OF CREDITOR DATE OF SETOFF AMOUNT OF SETOFF
14. Property held for another person
List all property owned by another person that the debtor holds or controls.
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NAME AND ADDRESS OF OWNER DESCRIPTION AND VALUE OF PROPERTY LOCATION OF PROPERTY
15. Prior address of debtor
If the debtor has moved withinthree years immediately preceding the commencement of this case, list all premises which the debtor
occupied during that period and vacated prior to the commencement of this case. If a joint petition is filed, report also any separate
address of either spouse.
ADDRESS NAME USED DATES OF OCCUPANCY
16. Spouses and Former Spouses
If the debtor resides or resided in a community property state, commonwealth, or territory (including Alaska, Arizona, California,
Idaho, Louisiana, Nevada, New Mexico, Puerto Rico, Texas, Washington, or Wisconsin) withineight years immediately preceding the
commencement of the case, identify the name of the debtor’s spouse and of any former spouse who resides or resided with the debtor in
the community property state.
17. Environmental Information.
For the purpose of this question, the following definitions apply:
"Environmental Law" means any federal, state, or local statute or regulation regulating pollution, contamination, releases of hazardous
or toxic substances, wastes or material into the air, land, soil, surface water, groundwater, or other medium, including, but not limited
to, statutes or regulations regulating the cleanup of these substances, wastes, or material.
"Site" means any location, facility, or property as defined under any Environmental Law, whether or not presently or formerly
owned or operated by the debtor, including, but not limited to, disposal sites.
"Hazardous Material" means anything defined as a hazardous waste, hazardous substance, toxic substance, hazardous material,
pollutant, or contaminant or similar term under an Environmental Law
a. List the name and address of every site for which the debtor has received notice in writing by a governmental unit that it may be
liable or potentially liable under or in violation of an Environmental Law. Indicate the governmental unit, the date of the notice, and, if
known, the Environmental Law:
b. List the name and address of every site for which the debtor provided notice to a governmental unit of a release of Hazardous
Material. Indicate the governmental unit to which the notice was sent and the date of the notice.
c. List all judicial or administrative proceedings, including settlements or orders, under any Environmental Law with respect to which
the debtor is or was a party. Indicate the name and address of the governmental unit that is or was a party to the proceeding, and the
DOCKET NUMBER STATUS OR DISPOSITION
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18 . Nature, location and name of business
a. If the debtor is an individual, list the names, addresses, taxpayer identification numbers, nature of the businesses, and beginning and
ending dates of all businesses in which the debtor was an officer, director, partner, or managing executive of a corporation, partner in a
partnership, sole proprietor, or was self-employed in a trade, profession, or other activity either full- or part-time withinsix years
immediately preceding the commencement of this case, or in which the debtor owned 5 percent or more of the voting or equity
securities withinsix years immediately preceding the commencement of this case.
If the debtor is a partnership, list the names, addresses, taxpayer identification numbers, nature of the businesses, and beginning and
ending dates of all businesses in which the debtor was a partner or owned 5 percent or more of the voting or equity securities, withinsix
years immediately preceding the commencement of this case.
If the debtor is a corporation, list the names, addresses, taxpayer identification numbers, nature of the businesses, and beginning and
ending dates of all businesses in which the debtor was a partner or owned 5 percent or more of the voting or equity securities withinsix
LAST FOUR DIGITS OF
SOCIAL-SECURITY OR
TAXPAYER-I.D. NO.
(ITIN)/ COMPLETE EIN
ADDRESS NATURE OF BUSINESS
ENDING DATES
b. Identify any business listed in response to subdivision a., above, that is "single asset real estate" as defined in 11 U.S.C. § 101.
The following questions are to be completed by every debtor that is a corporation or partnership and by any individual debtor who is or has
been, withinsix years immediately preceding the commencement of this case, any of the following: an officer, director, managing executive, or
owner of more than 5 percent of the voting or equity securities of a corporation; a partner, other than a limited partner, of a partnership, a sole
proprietor, or self-employed in a trade, profession, or other activity, either full- or part-time.
(An individual or joint debtor should complete this portion of the statement only if the debtor is or has been in business, as defined above,
within six years immediately preceding the commencement of this case. A debtor who has not been in business within those six years should go
directly to the signature page.)
19. Books, records and financial statements
a. List all bookkeepers and accountants who withintwo years immediately preceding the filing of this bankruptcy case kept or
supervised the keeping of books of account and records of the debtor.
NAME AND ADDRESS DATES SERVICES RENDERED
4130 Parklane Ave.
b. List all firms or individuals who within thetwo years immediately preceding the filing of this bankruptcy case have audited the
books of account and records, or prepared a financial statement of the debtor.
NAME ADDRESS DATES SERVICES RENDERED
c. List all firms or individuals who at the time of the commencement of this case were in possession of the books of account and records
of the debtor. If any of the books of account and records are not available, explain.
Ernst & Young 4130 Parklane Ave.
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d. List all financial institutions, creditors and other parties, including mercantile and trade agencies, to whom a financial statement was
issued by the debtor withintwo years immediately preceding the commencement of this case.
NAME AND ADDRESS DATE ISSUED
20. Inventories
a. List the dates of the last two inventories taken of your property, the name of the person who supervised the taking of each inventory,
and the dollar amount and basis of each inventory.
DATE OF INVENTORY INVENTORY SUPERVISOR
DOLLAR AMOUNT OF INVENTORY
(Specify cost, market or other basis)
b. List the name and address of the person having possession of the records of each of the two inventories reported in a., above.
NAME AND ADDRESSES OF CUSTODIAN OF INVENTORY
21 . Current Partners, Officers, Directors and Shareholders
a. If the debtor is a partnership, list the nature and percentage of partnership interest of each member of the partnership.
NAME AND ADDRESS NATURE OF INTEREST PERCENTAGE OF INTEREST
b. If the debtor is a corporation, list all officers and directors of the corporation, and each stockholder who directly or indirectly owns,
controls, or holds 5 percent or more of the voting or equity securities of the corporation.
NAME AND ADDRESS TITLE
NATURE AND PERCENTAGE
OF STOCK OWNERSHIP
Richard A. Lindemuth
Member-Manager 100% interest
22 . Former partners, officers, directors and shareholders
a. If the debtor is a partnership, list each member who withdrew from the partnership withinone year immediately preceding the
commencement of this case.
NAME ADDRESS DATE OF WITHDRAWAL
b. If the debtor is a corporation, list all officers, or directors whose relationship with the corporation terminated withinone year
immediately preceding the commencement of this case.
NAME AND ADDRESS TITLE DATE OF TERMINATION
23 . Withdrawals from a partnership or distributions by a corporation
If the debtor is a partnership or corporation, list all withdrawals or distributions credited or given to an insider, including compensation
in any form, bonuses, loans, stock redemptions, options exercised and any other perquisite duringone year immediately preceding the
OF RECIPIENT,
DATE AND PURPOSE
OR DESCRIPTION AND
Jan 2010 to Nov 2010 Salary $15,360.00
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24. Tax Consolidation Group.
If the debtor is a corporation, list the name and federal taxpayer identification number of the parent corporation of any consolidated
group for tax purposes of which the debtor has been a member at any time withinsix years immediately preceding the commencement
NAME OF PARENT CORPORATION TAXPAYER IDENTIFICATION NUMBER (EIN)
25. Pension Funds.
If the debtor is not an individual, list the name and federal taxpayer-identification number of any pension fund to which the debtor, as
an employer, has been responsible for contributing at any time withinsix years immediately preceding the commencement of the case.
NAME OF PENSION FUND TAXPAYER IDENTIFICATION NUMBER (EIN)
DECLARATION UNDER PENALTY OF PERJURY ON BEHALF OF CORPORATION OR PARTNERSHIP
I declare under penalty of perjury that I have read the answers contained in the foregoing statement of financial affairs and any attachments thereto
and that they are true and correct to the best of my knowledge, information and belief.
[An individual signing on behalf of a partnership or corporation must indicate position or relationship to debtor.]
Penalty for making a false statement: Fine of up to $500,000 or imprisonment for up to 5 years, or both. 18 U.S.C. §§ 152 and 3571
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DISCLOSURE OF COMPENSATION OF ATTORNEY FOR DEBTOR(S)
1. Pursuant to 11 U.S.C. § 329(a) and Bankruptcy Rule 2016(b), I certify that I am the attorney for the above-named debtor and that
compensation paid to me within one year before the filing of the petition in bankruptcy, or agreed to be paid to me, for services rendered or to
be rendered on behalf of the debtor(s) in contemplation of or in connection with the bankruptcy case is as follows:
For legal services, I have agreed to accept $ 2,701.00
Prior to the filing of this statement I have received $ 2,701.00
Balance Due $ 0.00
2. The source of the compensation paid to me was:
Debtor Other (specify): The Debtor paid $1,500; the balance was paid by Richard Lindenmuth
3. The source of compensation to be paid to me is:
Debtor Other (specify):
4. I have not agreed to share the above-disclosed compensation with any other person unless they are members and associates of my law firm.
I have agreed to share the above-disclosed compensation with a person or persons who are not members or associates of my law firm. A
copy of the agreement, together with a list of the names of the people sharing in the compensation is attached.
5. In return for the above-disclosed fee, I have agreed to render legal service for all aspects of the bankruptcy case, including:
a. Analysis of the debtor's financial situation, and rendering advice to the debtor in determining whether to file a petition in bankruptcy;
b. Preparation and filing of any petition, schedules, statement of affairs and plan which may be required;
c. Representation of the debtor at the meeting of creditors and confirmation hearing, and any adjourned hearings thereof;
d. [Other provisions as needed]
Negotiations with secured creditors to reduce to market value; exemption planning; preparation and filing of
reaffirmation agreements and applications as needed; preparation and filing of motions pursuant to 11 USC
522(f)(2)(A) for avoidance of liens on household goods; Representation at a possible Rule 2017 hearing.
6. By agreement with the debtor(s), the above-disclosed fee does not include the following service:
Representation of the debtors in any dischargeability actions, judicial lien avoidances, relief from stay actions or
any other adversary proceeding.
I certify that the foregoing is a complete statement of any agreement or arrangement for payment to me for representation of the debtor(s) in
this bankruptcy proceeding.
Dated: November 12, 2010 /s/ J.M. Cook
J.M. Cook 25352
(919) 675-2411 Fax: (919) 882-1719
J.M.Cook@jmcookesq.com
Case 10-09166-8-JRL Doc 10 Filed 11/12/10 Entered 11/12/10 17:49:14 Page 26 of
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