Document:

ex10_21.htm

    
      

    

    Exhibit
10.11

     

    
      
        	
                In
      re

              	
                CHARYS
      HOLDING COMPANY, INC

              	
                Case
      No.

              	 	
                08-10289
      (BLS)

              
	 
      	Debtor	
                Reporting
      Period:

              	 	
                July
      1 through 31

              

      

    

     

    
      
        DEBTOR
QUESTIONNAIRE

      

      
        

      

      
        	 
      	 	
                
                  Must
      be completed each month, if the answer to any of the questions is "Yes",
      provide a detailed explanation of each item. Attach additional sheets if
      necessary.

                

              	 	 	
                
                  Yes

                

              	 	 	
                
                  No

                

              	 
	
                
                  1

                

              	 	
                
                  Have
      any assets been sold or transferred outside the normal course of business
      this reporting period?

                

              	 	 	 
      	 	 	
                
                  X

                

              	 
	
                
                  2

                

              	 	
                
                  Have
      any funds been disbursed from any account other than a debtor m possession
      account this reporting period?

                

              	 	 	 
      	 	 	
                
                  X

                

              	 
	
                
                  3

                

              	 	
                
                  Is
      the Debtor delinquent in the timely filing of any post-petition tax
      returns?

                

              	 	 	 
      	 	 	
                
                  X

                

              	 
	
                
                  4

                

              	 	
                
                  Are
      workers compensation, general liability or other necessary insurance
      coverages expired or cancelled, or has the debtor received notice of
      expiration or cancellation of such policies?

                

              	 	 	 
      	 	 	
                
                  X

                

              	 
	
                
                  5

                

              	 	
                
                  Is
      the Debtor delinquent in paying any insurance premium
      payment?

                

              	 	 	 
      	 	 	
                
                  X

                

              	 
	
                
                  6

                

              	 	
                
                  Have
      any payments been made on pre-petition liabilities this reporting
      period?

                

              	 	 	 
      	 	 	
                
                  X

                

              	 
	
                
                  7

                

              	 	
                
                  Are
      any post petition receivables (accounts, notes or loans) due from related
      parties?

                

              	 	 	 
      	 	 	
                
                  X

                

              	 
	
                
                  8

                

              	 	
                
                  Are
      any post petition payroll taxes past due?

                

              	 	 	 
      	 	 	
                
                  X

                

              	 
	
                
                  9

                

              	 	
                
                  Are
      any post petition State or Federal income taxes past
      due?

                

              	 	 	 
      	 	 	
                
                  X

                

              	 
	
                
                  10

                

              	 	
                
                  Are
      any post petition real estate taxes past due?

                

              	 	 	 
      	 	 	
                
                  X

                

              	 
	
                
                  11

                

              	 	
                
                  Are
      any other post petition taxes past due?

                

              	 	 	 
      	 	 	
                
                  X

                

              	 
	
                
                  12

                

              	 	
                
                  Have
      any pre-petition taxes been paid during this reporting
      period?

                

              	 	 	 
      	 	 	
                
                  X

                

              	 
	
                
                  13

                

              	 	
                
                  Are
      any amounts owed to post petition creditors
    delinquent?

                

              	 	 	
                
                  X***

                

              	 	 	 
      	 
	
                
                  14

                

              	 	
                
                  Are
      any wage payments past due?

                

              	 	 	 
      	 	 	
                
                  X

                

              	 
	
                
                  15

                

              	 	
                
                  Have
      any post petition loans been been received by the Debtor from any
      party?

                

              	 	 	 
      	 	 	
                
                  X

                

              	 
	
                
                  16

                

              	 	
                
                  Is
      the Debtor delinquent in paying any U.S. Trustee
    fees?

                

              	 	 	 
      	 	 	
                
                  X

                

              	 
	
                
                  17

                

              	 	
                
                  Is
      the Debtor delinquent with any court ordered payments to attorneys or
      other professionals?

                

              	 	 	 
      	 	 	
                
                  X

                

              	 
	
                
                  18

                

              	 	
                
                  Have
      the owners or shareholders received any compensation outside of the normal
      course of business?

                

              	 	 	 
      	 	 	
                
                  X

                

              	 

      

      
         

      

      
        ***For
additional information regarding these items see MOR-4ex10_1.htm

    
      

    

    Exhibit
10.12

     

    
      
        UNITED
STATES BANKRUPTCY COURT

      

      
        ______________
DISTRICT OF DELAWARE

      

      
        

      

      
        

      

      
        	
                In re 
      

              	
                  CROCHET & BOREL SERVICES,
      INC.

              	 
      	
                Case
      No.

              	 
      	
                  08-10290 (BLS)

              
	 
      	 
      	 
      	
                Reporting
      Period:

              	 
      	
                  July 1 through July
    31

              
	 
      	 
      	 
      	 
      	 
      	 
      
	 
      	 
      	 
      	
                Federal
      Tax I.D. #

              	 
      	
                 
78-0486425

              

      

      
        

      

      
        CORPORATE
MONTHLY OPERATING REPORT

      

      
        

      

      
        File
with the Court and submit a copy to the United States Trustee within 20 days
after the end of the month and submit
a copy of the report to any official committee appointed in the
case.

      

      
        (Reports
for Rochester and Buffalo Divisions of Western District of New York are due 15
days after the end of the
month, as are the reports for Southern District of New York.)

      

      

      
        	
                
                  REQUIRED DOCUMENTS

                

              	
                
                  Form No.

                

              	
                
                  Document
      Attached

                

              	
                
                  Explanation Attached

                

              
	
                
                  Schedule of Cash Receipts and
      Disbursements

                

              	
                
                  MOR-1

                

              	
                
                  x

                

              	 
      
	
                
                  Bank Reconciliation (or copies of debtor's bank
      reconciliations)

                

              	
                
                  MOR-1
      (CON'T)

                

              	
                
                  x

                

              	 
      
	
                
                  Copies of bank
    statements

                

              	 
      	 
      	 
      
	
                
                  Cash disbursements
      journals

                

              	 
      	 
      	 
      
	
                
                  Statement of
    Operations

                

              	
                
                  MOR-2

                

              	
                x

              	 
      
	
                
                  Balance Sheet

                

              	
                
                  MOR-3

                

              	
                
                  x

                

              	 
      
	
                
                  Status of Post-petition Taxes

                

              	
                
                  MOR-4

                

              	
                
                  x

                

              	 
      
	
                
                  Copies of IRS Form 6123 or payment
      receipt

                

              	
                 
      

              	 
      	 
      
	
                
                  Copies of tax returns filed during reporting
      period

                

              	 
      	 
      	 
      
	
                
                  Summary of Unpaid Post-petition
      Debts

                

              	
                
                  MOR-4

                

              	
                
                  x

                

              	 
      
	
                
                  Listing of Aged Accounts Payable
      

                

              	
                
                   

                

              	
                
                   

                

              	 
      
	Accounts
      Receivable Reconciliation and Aging	MOR-5	
                x

              	 
	
                
                  Taxes Reconciliation and
      Aging

                

              	
                
                  MOR-5

                

              	
                
                  x

                

              	 
      
	
                
                  Payments to Insiders and
      Professional

                

              	
                
                  MOR-6

                

              	x	 
      
	
                
                  Post Petition Status of Secured Notes, Leases
      Payable

                

              	
                
                  MOR-6

                

              	
                
                  x

                

              	 
      
	
                
                  Debtor Questionnaire

                

              	
                
                  MOR-7

                

              	
                
                  x

                

              	 
      

      

      
        

      

      
        I declare
under penalty of perjury (28 U.S.C. Section 1746) that this report and the
attached documents are true and correct: to the best of my knowledge and
belief.

      

      
        

      

      
        	
                Signature of Debtor

              	
                /s/ Raymond J. Smith

              	 
      	
                Date 8/19/08

              
	 
      	 
      	 
      	 
      
	
                Signature of Authorized
      Individual*

              	
                /s/ Raymond J. Smith

              	 
      	
                Date 8/19/08

              
	 
      	 
      	 
      	 
      
	
                Printed Name of Authorized
      Individual

              	 
      	 
      	
                Date

              
	
                Raymond
      J. Smith

              	 
      	 
      	 
      

      

      
        

      

      
        *
Authorized individual must be an officer, director or shareholder if debtor is a
corporation; a partner if debtor is a partnership; a manager or member if debtor
is a limited liability company.

Source: [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00146-of-00352.parquet"}, [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00146-of-00352.parquet"}]]