Académique Documents
Professionnel Documents
Culture Documents
Doc 1
All Other Names used by the Joint Debtor in the last 8 years
Last four digits of Soc. Sec. No. / Complete EIN or other Tax I.D. No.
(if more than one, state all):
43-1753603
Last four digits of Soc. Sec. No. / Complete EIN or other Tax I.D. No. (if
more than one, state all):
Street Address of Joint Debtor (No. & Street, City, and State):
ZIPCODE
ZIPCODE
65203
County of Residence or of the Principal Place of Business:
Boone
ZIPCODE
ZIPCODE
Location of Principal Assets of Business Debtor (if different from street address above):
ZIPCODE
Nature of Business
Chapter 11 Debtors
Statistical/Administrative Information
Debtor estimates that funds will be available for distribution to unsecured creditors.
Debtor estimates that, after any exempt property is excluded and administrative expenses paid, there will be no funds
available for distribution to unsecured creditors.
5099
Estimated Assets
100199
200999
1,0005,000
5,00110,000
10,00125,000
25,00150,000
50,001100,000
$0 to $50,001 to
$100,001 to
$500,001 to
$1,000,001 to
$10,000,001 to
$50,000,001 to More than
$50,000
$100,000
$500,000
$1 million
$10 million
$50 million $100 million $100 million
OVER
100,000
Estimated Debts
$0 to $50,001 to
$100,001 to
$500,001 to
$1,000,001 to
$10,000,001 to
$50,000,001 to More than
$50,000
$100,000
$500,000
$1 million
$10 million
$50 million $100 million $100 million
Case 06-20745-drd7
Doc 1
Voluntary Petition
Desc Main
Name of Debtor(s):
Prior Bankruptcy Case Filed Within Last 8 Years (If more than one, attach additional sheet)
Location
Where Filed:
Case Number:
Date Filed:
NONE
Pending Bankruptcy Case Filed by any Spouse, Partner or Affiliate of this Debtor (If more than one, attach additional sheet)
Name of Debtor:
NONE
Case Number:
Date Filed:
District:
Relationship:
Judge:
Exhibit A
Exhibit B
X Not Applicable
Signature of Attorney for Debtor(s)
Exhibit C
Does the debtor own or have possession of any property that poses
or is alleged to pose a threat of imminent and identifiable harm to
public health or safety?
Date
I/we have received approved budget and credit counseling during the
180-day period preceding the filing of this petition.
request a waiver of the requirement to obtain budget and credit
I/we
counseling prior to filing based on exigent circumstances (Must attach
certification describing.)
(Address of landlord)
Debtor claims that under applicable nonbankruptcy law, there are circumstances under which the debtor would be
permitted to cure the entire monetary default that gave rise to the judgment for possession, after the judgment for
possession was entered, and
Debtor has included in this petition the deposit with the court of any rent that would become due during the 30-day
period after the filing of this petition.
Case 06-20745-drd7
Doc 1
Voluntary Petition
Desc Main
Name of Debtor(s):
Signatures
Signature(s) of Debtor(s) (Individual/Joint)
I declare under penalty of perjury that the information provided in this
petition is true and correct.
[If petitioner is an individual whose debts are primarily consumer debts and
has chosen to file under chapter 7] I am aware that I may proceed under
chapter 7, 11, 12 or 13 of title 11, United States Code, understand the relief
available under each such chapter, and choose to proceed under chapter 7.
[If no attorney represents me and no bankruptcy petition preparer signs the
petition]- I have obtained and read the notice required by 342(b) of the
Bankruptcy Code.
I request relief in accordance with the chapter of title 11, United States Code,
specified in this petition.
X Not Applicable
Signature of Debtor
X Not Applicable
Signature of Joint Debtor
X Not Applicable
Telephone Number (If not represented by attorney)
Date
(Printed Name of Foreign Representative)
Signature of Attorney
Date
(573)634-3079
Telephone Number
7/21/06
Date
X s/ Jon Rosen
Signature of Authorized Individual
Jon Rosen
Printed Name of Authorized Individual
President
Title of Authorized Individual
7/21/06
Date
Not Applicable
Printed Name and title, if any, of Bankruptcy Petition Preparer
Social Security number(If the bankruptcy petition preparer is not an individual,
state the Social Security number of the officer, principal, responsible person or
partner of the bankruptcy petition preparer.)(Required by 11 U.S.C. 110.)
Address
X Not Applicable
Signature of Bankruptcy Petition Preparer or officer, principal, responsible
person, or partner whose social security number is provided above.
Names and Social Security numbers of all other individuals who prepared or assisted
in preparing this document unless the bankruptcy petition
preparer is not an individual:
If more than one person prepared this document, attach
additional sheets conforming to the appropriate official form for each person.
A bankruptcy petition preparer 's failure to comply with the provisions of title
11 and the Federal Rules of Bankruptcy Procedure may result in fines or
imprisonment or both 11 U.S.C. 110; 18 U.S.C. 156.
Case 06-20745-drd7
Doc 1
Desc Main
Form 6- Summ
Case No.
Debtor
Chapter
SUMMARY OF SCHEDULES
AMOUNTS SCHEDULED
NAME OF SCHEDULE
ATTACHED
(YES/NO)
NO. OF SHEETS
ASSETS
LIABILITIES
OTHER
A - Real Property
YES
B - Personal Property
YES
C - Property Claimed
as Exempt
YES
D - Creditors Holding
Secured Claims
YES
204,207.85
YES
1,800.00
YES
3,409,636.06
YES
H - Codebtors
YES
I - Current Income of
Individual Debtor(s)
NO
J - Current Expenditures of
Individual Debtor(s)
NO
Total
0.00
266,236.13
266,236.13
3,615,643.91
Case 06-20745-drd7
Doc 1
Form 6-Summ2
(10/05)
,
Debtor
Case No.
Chapter
Type of Liability
Amount
$ 1,800.00
Claims for Death or Personal Injury While Debtor Was Intoxicated (from
Schedule E)
TOTAL
$ 1,800.00
The foregoing information is for statistical purposes only under 28 U.S.C. 159.
Desc Main
Case 06-20745-drd7
FORM B6A
(10/05)
Desc Main
Case No.
(If known)
Debtor
In re:
Doc 1
NATURE OF DEBTOR'S
INTEREST IN PROPERTY
Total
CURRENT VALUE
OF DEBTOR'S
INTEREST IN
PROPERTY, WITHOUT
DEDUCTING ANY
SECURED CLAIM
OR EXEMPTION
0.00
(Report also on Summary of Schedules.)
AMOUNT OF
SECURED
CLAIM
Case 06-20745-drd7
Doc 1
FormB6B
(10/05)
In re
Desc Main
Case No.
(If known)
Debtor
1. Cash on hand
TYPE OF PROPERTY
NONE
6. Wearing apparel.
15,211.13
1,025.00
Case 06-20745-drd7
Doc 1
Form B6B-Cont.
(10/05)
In re
Desc Main
Case No.
(If known)
Debtor
TYPE OF PROPERTY
NONE
(Continuation Sheet)
CURRENT VALUE OF
DEBTOR'S INTEREST
IN PROPERTY, WITHOUT DEDUCTING ANY
SECURED CLAIM
OR EXEMPTION
53,000.00
50,000.00
Case 06-20745-drd7
Doc 1
Form B6B-Cont.
(10/05)
In re
Desc Main
Case No.
(If known)
Debtor
TYPE OF PROPERTY
NONE
(Continuation Sheet)
CURRENT VALUE OF
DEBTOR'S INTEREST
IN PROPERTY, WITHOUT DEDUCTING ANY
SECURED CLAIM
OR EXEMPTION
25,000.00
120,000.00
0.00
X
Compaq deskpro (2) workstation; Dell poweredge
workstation; Mitac network server, Acer network
server; Macintosh G4 workstation; Viewsonic
17GA monitor; PS2-variety KVM controller; Brother
Intellifax 1800C; Computer desk, 4-ft. table & filing
cabinet; Assorted textbooks; Assorted office
supplies
30. Inventory.
2,000.00
Case 06-20745-drd7
Doc 1
Form B6B-Cont.
(10/05)
In re
Desc Main
Case No.
(If known)
Debtor
31. Animals.
TYPE OF PROPERTY
NONE
(Continuation Sheet)
Total
CURRENT VALUE OF
DEBTOR'S INTEREST
IN PROPERTY, WITHOUT DEDUCTING ANY
SECURED CLAIM
OR EXEMPTION
$ 266,236.13
Case 06-20745-drd7
Doc 1
Desc Main
Form B6C
(10/05)
In re
Case No.
(If known)
Debtor
DESCRIPTION OF PROPERTY
NONE
SPECIFY LAW
PROVIDING EACH
EXEMPTION
VALUE OF
CLAIMED
EXEMPTION
CURRENT
VALUE OF PROPERTY
WITHOUT DEDUCTING
EXEMPTION
Case 06-20745-drd7
Doc 1
FORM B6D
(10/05)
In re:
Desc Main
Case No.
(If known)
Debtor
ACCOUNT NO.
Callaway Bank
PO Box 10
Fulton, MO 65251
09/26/2005
AMOUNT OF
CLAIM WITHOUT
DEDUCTING
VALUE OF
COLLATERAL
UNSECURED
PORTION, IF
ANY
204,207.85
0.00
0.00
0.00
(All Assets)
__________________________
VALUE $276,000.00
ACCOUNT NO.
DISPUTED
UNLIQUIDATED
CONTINGENT
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions, above.)
CODEBTOR
Check this box if debtor has no creditors holding secured claims to report on this Schedule D.
HUSBAND, WIFE, JOINT
OR COMMUNITY
Guaranty of Debt
Lien on accounts receivable
__________________________
VALUE $0.00
$204,207.85
Total
$204,207.85
Case 06-20745-drd7
Doc 1
Form B6E
Desc Main
(10/05)
In re
Case No.
Debtor
(If known)
Check this box if debtor has no creditors holding unsecured priority claims to report on this Schedule E.
TYPES OF PRIORITY CLAIMS
(Check the appropriate box(es) below if claims in that category are listed on the attached sheets)
Claims for domestic support that are owed to or recoverable by a spouse, former spouse, or child of the debtor, or the parent,
legal guardian, or responsible relative of such a child, or a governmental unit to whom such a domestic support claim has been
assigned to the extent provided in 11 U.S.C. 507(a)(1).
Money owed to employee benefit plans for services rendered within 180 days immediately preceding the filing of the original
petition, or the cessation of business, whichever occurred first, to the extent provided in 11 U.S.C. 507(a)(5).
Deposits by individuals
Claims of individuals up to $2,225* for deposits for the purchase, lease, or rental of property or services for personal,
family, or household use, that were not delivered or provided. 11 U.S.C. 507(a)(7).
Case 06-20745-drd7
Doc 1
Desc Main
Case No.
(If known)
Debtor
ACCOUNT NO.
DISPUTED
CONTINGENT
UNLIQUIDATED
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
CODEBTOR
Type of Priority: Taxes and Certain Other Debts Owed to Governmental Units
AMOUNT
OF CLAIM
1,800.00
AMOUNT
ENTITLED TO
PRIORITY
1,800.00
Subtotal
(Total of this page)
Total
(Use only on last page of the completed Schedule E.)
$1,800.00
$1,800.00
$1,800.00
$1,800.00
Case 06-20745-drd7
Doc 1
Desc Main
Case No.
(If known)
Debtor
ACCOUNT NO.
Alan E. Kirtlink
4731 Brandon Woods St.
Columbia, MO 65201
0.00
0.00
0.00
ACCOUNT NO.
470,351.00
12/31/2005
ACCOUNT NO.
AMOUNT OF
CLAIM
WITHOUT
DEDUCTING
VALUE OF
COLLATERAL
ACCOUNT NO.
Allyn Sher
2571 Dozier Station Rd.
Columbia, MO 65202
DISPUTED
UNLIQUIDATED
CONTINGENT
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions, above.)
Check this box if debtor has no creditors holding unsecured nonpriority claims to report on this Schedule F.
CODEBTOR
C. David Duffy
8877 E. I-70 Drive NE
Columbia, MO 65202
ACCOUNT NO.
Charles L. Chapman
First National Bank & Trust
8th & Broadway
Columbia, MO 65202
0.00
Total
$470,351.00
Case 06-20745-drd7
Doc 1
Desc Main
Case No.
(If known)
Debtor
ACCOUNT NO.
Co-Bin Stuhlman
3627-A California Avenue
St. Louis, MO 63118
0.00
0.00
0.00
0.00
ACCOUNT NO.
David Westbrook
3609 Woods Edge Road
Columbia, MO 65203
0.00
ACCOUNT NO.
David Goldman
860 West Chula Vista
Tucson, AZ 05102
ACCOUNT NO.
AMOUNT OF
CLAIM
WITHOUT
DEDUCTING
VALUE OF
COLLATERAL
ACCOUNT NO.
DISPUTED
UNLIQUIDATED
CONTINGENT
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions, above.)
CODEBTOR
(Continuation Sheet)
Sheet no. 1 of 6 sheets attached to Schedule of Creditors Holding Unsecured Nonpriority Claims
Subtotal
$0.00
Case 06-20745-drd7
Doc 1
Desc Main
Case No.
(If known)
Debtor
ACCOUNT NO.
Dela D. Marshall
2409 Cherry Ridge Lane
Columbia, MO 65203
0.00
0.00
0.00
0.00
ACCOUNT NO.
Jerry D. Kennett
2801 Pepper Tree Lane
Columbia, MO 65201
0.00
ACCOUNT NO.
J. Caleb Cheavens
513 Old Hwy. 63 North
Columbia, MO 65201
ACCOUNT NO.
AMOUNT OF
CLAIM
WITHOUT
DEDUCTING
VALUE OF
COLLATERAL
ACCOUNT NO.
DISPUTED
UNLIQUIDATED
CONTINGENT
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions, above.)
CODEBTOR
(Continuation Sheet)
Sheet no. 2 of 6 sheets attached to Schedule of Creditors Holding Unsecured Nonpriority Claims
Subtotal
$0.00
Case 06-20745-drd7
Doc 1
Desc Main
Case No.
(If known)
Debtor
ACCOUNT NO.
DISPUTED
UNLIQUIDATED
CONTINGENT
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions, above.)
CODEBTOR
(Continuation Sheet)
AMOUNT OF
CLAIM
WITHOUT
DEDUCTING
VALUE OF
COLLATERAL
2,907,784.00
12/31/2005
Jerry Kennett
2801 Pepper Tree Lane
Columbia, MO 65201
ACCOUNT NO.
John R. Perkins
Perkins Law Office
1426 Inglenook
Jefferson City, MO 65109
0.00
0.00
0.00
ACCOUNT NO.
Mary A. Misfeldt
4102 S. Wappel Drive
Columbia, MO 65203
X
Shareholder - listed for notice purposes
only - not considered an unsecured
creditor of the debtor but rather an
equity security holder
ACCOUNT NO.
0.00
ACCOUNT NO.
Sheet no. 3 of 6 sheets attached to Schedule of Creditors Holding Unsecured Nonpriority Claims
Subtotal
$2,907,784.00
Case 06-20745-drd7
Doc 1
Desc Main
Case No.
(If known)
Debtor
ACCOUNT NO.
Matthew P. Kerner
1081 Roseta
Columbia, MO 65201
0.00
0.00
0.00
3,319.00
ACCOUNT NO.
Nancy Edwards
1060 Fergus Lane
Punta Gorda, FL 33983
0.00
ACCOUNT NO.
Myra Ferguson
1108 Club Meadows Drive
Columbia, MO 65203
ACCOUNT NO.
AMOUNT OF
CLAIM
WITHOUT
DEDUCTING
VALUE OF
COLLATERAL
ACCOUNT NO.
Micahel F. Kaplan
Plastic & Reconstructive Surgery
1701 E. Broadway
Columbia, MO 65201
DISPUTED
UNLIQUIDATED
CONTINGENT
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions, above.)
CODEBTOR
(Continuation Sheet)
Commission Owed
Sheet no. 4 of 6 sheets attached to Schedule of Creditors Holding Unsecured Nonpriority Claims
Subtotal
$3,319.00
Case 06-20745-drd7
Doc 1
Desc Main
Case No.
(If known)
Debtor
ACCOUNT NO.
Natalie K. March
5012 Gasconade Drive
Columbia, MO 65202
ACCOUNT NO.
DISPUTED
UNLIQUIDATED
CONTINGENT
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions, above.)
CODEBTOR
(Continuation Sheet)
AMOUNT OF
CLAIM
WITHOUT
DEDUCTING
VALUE OF
COLLATERAL
0.00
5,337.06
11/22/2002
Office of Research
University of MO - Columbia
310 Jesse Hall
Columbia, MO 65211-1230
ACCOUNT NO.
Paula A. Simpson
8707 Trails West Drive
Columbia, MO 65202
0.00
0.00
ACCOUNT NO.
0.00
ACCOUNT NO.
Sheet no. 5 of 6 sheets attached to Schedule of Creditors Holding Unsecured Nonpriority Claims
Subtotal
$5,337.06
Case 06-20745-drd7
Doc 1
Desc Main
Case No.
(If known)
Debtor
ACCOUNT NO.
ACCOUNT NO.
DISPUTED
UNLIQUIDATED
CONTINGENT
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions, above.)
CODEBTOR
(Continuation Sheet)
AMOUNT OF
CLAIM
WITHOUT
DEDUCTING
VALUE OF
COLLATERAL
0.00
21,394.00
02/19/2004
Scott Stewart
4706 Autumn Cove Ct.
Alexandria, VA 22312
ACCOUNT NO.
Scott Stewart
Stewart Publishing
4706 Autumn Cove Court
Alexandria, VA 22312
1,451.00
ACCOUNT NO.
Susan Pendergrass
1410 Countryshire Drive
Columbia, MO 65202
Commissions owed
ACCOUNT NO.
William Straser
97 Columbia Ave.
Jamestown, RI 02835
0.00
0.00
Sheet no. 6 of 6 sheets attached to Schedule of Creditors Holding Unsecured Nonpriority Claims
Subtotal
$22,845.00
$3,409,636.06
Case 06-20745-drd7
Doc 1
Form B6G
Desc Main
(10/05)
In re:
Debtor
Case No.
(If known)
Alliance Hospital
Charles Hurst, Director of HR
515 North Adams
Odessa, TX 79761
BJC Healthcare
Attn: Gary Stocker
4353 Clayton Ave.
St. Louis, MO 63110
Case 06-20745-drd7
Doc 1
Desc Main
(10/05)
In re:
Case No.
(If known)
Hammond-Henry Hospital
Attn: Margaret Chavez
600 North College Ave.
Geneseo, IL 61254
NuMed Incorporated
Attn: Nita Ford
1100 Moseley Road
Aubrey, TX 76227
Socket
1005 Cherry
Columbia MO 65201
SSM Healthcare
Attn: Margie Schulte
477 North Lindbergh Blvd.
SSM INformation Center
St. Louis, MO 63117
Case 06-20745-drd7
Doc 1
Desc Main
(10/05)
In re:
Case No.
(If known)
Content only
Pain Management
Case 06-20745-drd7
Doc 1
Desc Main
Form B6H
(10/05)
In re:
Case No.
(If known)
Debtor
SCHEDULE H - CODEBTORS
Check this box if debtor has no codebtors.
C. David Duffy
8877 E. I-70 Dr. NE
Columbia, MO 65202
Jerry Kennett
2801 Pepper Tree Lane
Columbia, MO 65201
Callaway Bank
PO Box 10
Fulton, MO 65251
Case 06-20745-drd7
Doc 1
Desc Main
In re
Case No.
(If known)
Debtor
Date
7/21/06
Signature:
s/ Jon Rosen
Jon Rosen President
[An individual signing on behalf of a partnership or corporation must indicate position or relationship to debtor.]
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.
Case 06-20745-drd7
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Desc Main
Form 7
(10/05)
Case No.
(If known)
Debtor
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 the
two 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
277,356.00
Operation of Business
2004
202,710.00
Operation of Business
2005
145,680.00
Operation of Business
2006
State the amount of income received by the debtor other than from employment, trade,
profession, or operation of the debtor's business during the two 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.)
AMOUNT
SOURCE
3. Payments to creditors
Complete a. or b., as appropriate, and c.
None
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 within 90 days immediately preceding the commencement
of this case if the aggregate value of all property that constitutes or is affected by such transfer is not less that
$600. 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
creditor 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.)
NAME AND ADDRESS OF CREDITOR
DATES OF
AMOUNT
AMOUNT
PAYMENTS
PAID
STILL OWING
Monthly
1,350.00
0.00
Socket Internet
Monthly
1,250.00
0.00
Case 06-20745-drd7
Doc 1
Desc Main
Form 7-Cont.
(10/05)
None
b. Debtor whose debts are not primarily consumer debts: List each payment or other transfer to any creditor made within
90 days immediately preceding the commencement of the case if the aggregate value of all property that constitutes or is
affected by such transfer is not less than $5,000. (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.)
AMOUNT
None
DATES OF
PAID OR
AMOUNT
PAYMENTS/
VALUE OF
STILL
TRANSFERS
TRANSFERS
OWING
c. All debtors: List all payments made within one 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
DATES OF
PAYMENTS
Jon Rosen
2000 North Deerborn Circle
Columbia, MO 65203
AMOUNT
AMOUNT PAID
93,065.00
STILL OWING
0.00
a. List all suits and administrative proceedings to which the debtor is or was a party within one 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
NATURE OF PROCEEDING
COURT OR AGENCY
STATUS OR
AND LOCATION
DISPOSITION
b. Describe all property that has been attached, garnished or seized under any legal or equitable
process within one 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.)
None
DESCRIPTION
DATE OF
AND VALUE OF
SEIZURE
PROPERTY
Case 06-20745-drd7
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Desc Main
Form 7-Cont.
(10/05)
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, within one 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.)
DATE OF REPOSSESSION,
DESCRIPTION
FORECLOSURE SALE
AND VALUE OF
OF CREDITOR OR SELLER
TRANSFER OR RETURN
PROPERTY
a. Describe any assignment of property for the benefit of creditors made within 120 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 joint petition
is filed, unless the spouses are separated and a joint petition is not filed.)
TERMS OF
NAME AND ADDRESS
DATE OF
ASSIGNMENT
OF ASSIGNEE
ASSIGNMENT
OR SETTLEMENT
b. List all property which has been in the hands of a custodian, receiver, or court-appointed official
within one 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.)
None
DESCRIPTION
OF COURT
DATE OF
AND VALUE OF
OF CUSTODIAN
ORDER
PROPERTY
7. Gifts
None
List all gifts or charitable contributions made within one 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 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
RELATIONSHIP
OF PERSON
TO DEBTOR,
DATE
AND VALUE OF
DESCRIPTION
OR ORGANIZATION
IF ANY
OF GIFT
GIFT
8. Losses
None
List all losses from fire, theft, other casualty or gambling within one year immediately preceding
the commencement of this case or since the commencement of this case . (Married debtors filing
under chapter 12 or chapter 13 must include losses 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.)
DESCRIPTION
AND VALUE OF
DATE OF
PROPERTY
LOSS
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Form 7-Cont.
(10/05)
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 a petition in bankruptcy within one year immediately preceding the commencement
of this case.
NAME AND ADDRESS
DATE OF PAYMENT,
OF PAYEE
NAME OF PAYOR IF
OF PROPERTY
AMOUNT OF MONEY OR
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 within two 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 spouses are separated and a joint petition is not filed.)
DESCRIBE PROPERTY
NAME AND ADDRESS OF TRANSFEREE,
RELATIONSHIP TO DEBTOR
TRANSFERRED
DATE
None
b. List all property transferred by the debtor within ten 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
DATE(S) OF
DEVICE
TRANSFER(S)
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 within one 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
AMOUNT AND
DATE OF SALE
OF INSTITUTION
OR CLOSING
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Form 7-Cont.
(10/05)
List each safe deposit or other box or depository in which the debtor has or had securities,
cash, or other valuables within one 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 filed.)
NAME AND ADDRESS
DESCRIPTION
OF BANK OR
OF
DATE OF TRANSFER
OR SURRENDER,
OTHER DEPOSITORY
TO BOX OR DEPOSITORY
CONTENTS
IF ANY
13. Setoffs
None
List all setoffs made by any creditor, including a bank, against a debt or deposit of the debtor
within 90 days preceding the commencement of this 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.)
DATE OF
AMOUNT OF
SETOFF
SETOFF
List all property owned by another person that the debtor holds or controls.
NAME AND ADDRESS
OF OWNER
OF PROPERTY
LOCATION OF PROPERTY
If the debtor has moved within three 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
2-1-97 to 12-31-03
1-1-03 to 8-15-05
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) within eight 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.
NAME
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Form 7-Cont.
(10/05)
DATE OF
ENVIRONMENTAL
ADDRESS
OF GOVERNMENTAL UNIT
NOTICE
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.
None
DATE OF
ENVIRONMENTAL
ADDRESS
OF GOVERNMENTAL UNIT
NOTICE
LAW
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.
None
DOCKET NUMBER
OF GOVERNMENTAL UNIT
STATUS OR
DISPOSITION
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 within the six years immediately preceding the commencement of this case,
or in which the debtor owned 5 percent or more of the voting or equity securities within the six 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, within the six years immediately preceding the commencement of this case.
If the debtor is a corporation, list the names, addresses, taxpayer identification numbers, nature of the business, 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 within the six years immediately preceding the commencement of this case.
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Form 7-Cont.
(10/05)
NAME
ADDRESS
NATURE OF BUSINESS
I.D. NO.
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.
None
NAME
ADDRESS
a. List all bookkeepers and accountants who within two 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
Cortni Cross
406 W. Vandiver
Columbia, MO 65202
2002 to 2006
1997 to 2006
b. List all firms or individuals who within the two 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.
None
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.
None
NAME
ADDRESS
d. List all financial institutions, creditors and other parties, including mercantile and trade agencies,
to whom a financial statement was issued by the debtor within two years immediately preceding the
commencement of this case by the debtor.
None
DATE ISSUED
08/01/2005
20. Inventories
None
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.
DOLLAR AMOUNT OF INVENTORY
DATE OF INVENTORY
INVENTORY SUPERVISOR
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Form 7-Cont.
(10/05)
b. List the name and address of the person having possession of the records of each of the two
inventories reported in a., above.
None
OF INVENTORY RECORDS
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
securities of the corporation.
None
TITLE
David Duffy
8877 E. I-70 Dr. NE
Columbia, MO 65202
Director
Jerry Kennett
2801 Peppertree Lane
Columbia, MO 65201
Director
Jon Rosen
2000 North Deerborn Circle
Columbia, MO 65203
Director
Mike Crist
Enterprise Development
910 East Broadway
Columbia, MO 65201
Director
OF STOCK OWNERSHIP
a. If the debtor is a partnership, list each member who withdrew from the partnership within one
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 within one year immediately preceding the commencement of this case.
None
TITLE
DATE OF TERMINATION
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Form 7-Cont.
(10/05)
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 during one year immediately preceding the commencement
of this case.
NAME & ADDRESS
AMOUNT OF MONEY
OF RECIPIENT,
OR DESCRIPTION
RELATIONSHIP TO DEBTOR
OF WITHDRAWAL
Jon Rosen
2000 North Deerborn Circle
Columbia, MO 650203
Monthly paychecks
July 2005 - July 2006
93,065.00
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 within six years immediately
preceding the commencement of the case.
NAME OF PARENT CORPORATION
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 within six years immediately preceding the
commencement of the case.
NAME OF PENSION FUND
* * * * * *
[If completed on behalf of a partnership or corporation]
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.
Date
Signature
7/21/06
s/ Jon Rosen
Jon Rosen, President
Print Name and Title
[An individual signing on behalf of a partnership or corporation must indicate position or relationship to debtor.]
_____ continuation sheets attached
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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B 203
(12/94)
Case No.
Chapter
Debtor
1,000.00
1,000.00
Balance Due
0.00
Debtor
4.
Debtor
Other (specify)
Other (specify)
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)
Representation of the debtor in adversary proceedings and other contested bankruptcy matters;
e)
Attorney will track time at $150 per hour. Any fees incurred in excess of above may result in an application for fees
and expenses being filed with the Court. To the extent approved, Debtor will be responsible for paying.
6. By agreement with the debtor(s) the above disclosed fee does not include the following services:
None
CERTIFICATION
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: 7/21/06
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C. David Duffy
8877 E. I-70 Dr. NE
Columbia, MO 65202
Jerry Kennett
2801 Pepper Tree Lane
Columbia, MO 65201
Alan E. Kirtlink
4731 Brandon Woods St.
Columbia, MO 65201
Allyn Sher
2571 Dozier Station Rd.
Columbia, MO 65202
C. David Duffy
8877 E. I-70 Drive NE
Columbia, MO 65202
Callaway Bank
PO Box 10
Fulton, MO 65251
Charles L. Chapman
First National Bank & Trust
8th & Broadway
Columbia, MO 65202
Desc Main
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Co-Bin Stuhlman
3627-A California Avenue
St. Louis, MO 63118
Dela D. Marshall
2409 Cherry Ridge Lane
Columbia, MO 65203
David Goldman
860 West Chula Vista
Tucson, AZ 05102
David Westbrook
3609 Woods Edge Road
Columbia, MO 65203
J. Caleb Cheavens
513 Old Hwy. 63 North
Columbia, MO 65201
Desc Main
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Jerry D. Kennett
2801 Pepper Tree Lane
Columbia, MO 65201
Jerry Kennett
2801 Pepper Tree Lane
Columbia, MO 65201
John R. Perkins
Perkins Law Office
1426 Inglenook
Jefferson City, MO 65109
Mary A. Misfeldt
4102 S. Wappel Drive
Columbia, MO 65203
Matthew P. Kerner
1081 Roseta
Columbia, MO 65201
Micahel F. Kaplan
Plastic & Reconstructive Surgery
1701 E. Broadway
Columbia, MO 65201
Desc Main
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Myra Ferguson
1108 Club Meadows Drive
Columbia, MO 65203
Nancy Edwards
1060 Fergus Lane
Punta Gorda, FL 33983
Natalie K. March
5012 Gasconade Drive
Columbia, MO 65202
Office of Research
University of MO - Columbia
310 Jesse Hall
Columbia, MO 65211-1230
Paula A. Simpson
8707 Trails West Drive
Columbia, MO 65202
Scott Stewart
Stewart Publishing
4706 Autumn Cove Court
Alexandria, VA 22312
Desc Main
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Scott Stewart
4706 Autumn Cove Ct.
Alexandria, VA 22312
Susan Pendergrass
1410 Countryshire Drive
Columbia, MO 65202
William Straser
97 Columbia Ave.
Jamestown, RI 02835
Desc Main
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)
)
)
)
)
Case No.
Debtor(s)
)
)
7/21/06
s/ Jon Rosen
Jon Rosen President
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Case No.
Chapter
"Whereas, it is in the best interest of this Corporation to file a voluntary petition in the United States
Bankruptcy Court pursuant to Chapter 7 of Title 11 of the United States Code;
Be It Therefore Resolved, that Jon Rosen, President of this Corporation, is authorized and directed to execute and deliver all
documents necessary to perfect the filing of a Chapter 7 voluntary bankruptcy case on behalf of the Corporation; and
Be It Further Resolved, that Jon Rosen, President of this Corporation, is authorized and directed to appear in all bankruptcy
proceedings on behalf of the Corporation, and to otherwise do and perform all acts and deeds and to execute and deliver all
necessary documents on behalf of the Corporation in connection with such bankruptcy case; and
Jon Rosen, President of this Corporation, is authorized and directed to employ John C. Reed,
Be It Further Resolved, that
attorney and the law firm of Pletz and Reed, P.C. to represent the Corporation in such bankruptcy case."
Executed on:
7/21/06
Signed:
s/ Jon Rosen
Jon Rosen
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Case No.
Alan E. Kirtlink
4731 Brandon Woods Street
Columbia, MO 65201
CLASS OF
SECURITY
NUMBER
REGISTERED
KIND OF INTEREST
REGISTERED
1,866
Shares
111,937
Shares
1,504,051
Shares
188,954
Shares
Co-Bin Stuhlman
3627-A California Avenue
St. Louis, MO 63118
5,597
Shares
46,641
Shares
5,000
Shares
120,027
Shares
David Westbrook
3609 Woods Edge Road
Columbia, MO 65203
5,597
Shares
Dela D. Marshall
2409 Cherry Ridge Lane
Columbia, MO 65203
3,732
Shares
1,119,372
Shares
Allyn Sher
2571 Dozier Station Rd.
Columbia, MO 65202
Anna Clark Rosen
Jonathon Paul Rosen
1005 Wayne Road
Columbia, MO 65203
Charles L. Chapman
First National Bank & Trust
8th & Broadway
Columbia, MO 65202
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Case No.
CLASS OF
SECURITY
NUMBER
REGISTERED
KIND OF INTEREST
REGISTERED
3,732
Shares
J. Caleb Cheavens
513 Old Hwy. 63 North
Columbia, MO 65201
250
Shares
5,513,573
Shares
3,731
Shares
1,504,052
Shares
27,984
Shares
55,969
Shares
Mary A. Misfeldt
4102 S. Wappel Drive
Columbia, MO 65201
933
Shares
Matthew P. Kerner
1081 Roseta
Columbia, MO 65201
4,664
Shares
55,969
Shares
27,984
Shares
Jerry D. Kennett
2801 Pepper Tree Lane
Columbia, MO 65201
John R. Perkins
Perkins Law Office
1426 Inglenook
Jefferson City, MO 65109
Jon Rosen
2000 N. Deerborn Circle
Columbia, MO 65203
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Case No.
CLASS OF
SECURITY
NUMBER
REGISTERED
KIND OF INTEREST
REGISTERED
Myra Ferguson
1108 Club Meadows Drive
Columbia, MO 65203
1,866
Shares
Natalie K. March
5012 Gasconade Drive
Columbia, MO 65202
4,664
Shares
Paula Simpson
8707 Trails West Drive
Columbia, MO 65202
1,866
Shares
55,969
Shares
111,937
Shares
846
Shares
117,907
Shares