Attorney or Party Name, Address, Telephone and FAX Pro Se Debtor OFFICE OF THE UNITED STATES TRUSTEE LOS ANGELES DIVISION In Re: SUBMIT TO UNITED STATES TRUSTEE ­ DO NOT FILE WITH COURT Case Number: DECLARATION OF DEBTOR REGARDING COMPLIANCE WITH UNITED STATES TRUSTEE GUIDELINES AND REQUIREMENTS FOR CHAPTER 11 DEBTORS IN POSSESSION Debtor-In-Possession. Privacy Policy [Privacy Act of 1974, as amended (5 U.S.C 552a) and LBR 1002-1(e)]. Declarant acknowledges that they have redacted all personally identifiable information contained in this declaration and its attachments and further acknowledges that is the responsibility of the filing party, not the United States Trustee Program, to ensure compliance with this policy. (1) All "personal identifiers" must be redacted from documents filed with the USTP, including attachments. "Personal identifiers" are considered to be the following: (A) Social Security Numbers. If an individual's Social Security number (SSN), or Individual Tax Payer Identification Numbers (ITIN) must be included in the document, only the last four digits of that number should be used. (B) Financial Account Numbers. Only the last four digits of these numbers should be used; (C) Dates of Birth. If an individual's date of birth must be included in the document, only the year should be used; and (D) Names of Minor Children. If the name of a minor child must be mentioned, only the initials of that child should be used. 1. REAL PROPERTY 1.1. For each property that debtor owns, leases, has an interest in, or is in the process of purchasing, including debtor's personal residence, declarant has attached the following documentation: Check All That Apply: 1.1.1. 1.1.2. Debtor owns a personal residence. A Real Property Questionnaire for Principal Residence (USTLA5.1) is attached hereto. Debtor owns, leases, has an interest in, or is in the process of purchasing a total of four (4) or less parcels of real property. For each such property, declarant has attached a Real Property Questionnaire (USTLA-5.2). Debtor owns, has an interest in, or is in the process of purchasing a total of five (5) or more parcels of real property. Attached is an Owned Property Summary Sheet (USTLA-5.3) which identifies all such parcels of real property. Debtor leases five (5) or more parcels of real property. Attached is a Leased Properties Summary Sheet (USTLA-5.4) USTLA 3 1.1.3. 1.1.4. Effective September 1, 2011 In Re: Debtor. 2. BANK ACCOUNT INFORMATION 2.1. Case No.: Debtor has closed all pre-petition bank accounts indicated below. For each account that is closed, Debtor has attached a copy of a bank statement evidencing that the account has been closed. For each account that has not been closed, debtor has provided a detailed explanation as to why each account has not been closed. 2.1.1. Account Name: Depository: Last 4 digits of Account Number: Date of Closure: Closing Balance: Explanation if account has not been closed: 2.1.2. Account Name: Depository: Last 4 digits of Account Number: Date of Closure: Closing Balance: Explanation if account has not been closed: 2.1.3. Account Name: Depository: Last 4 digits of Account Number: Date of Closure: Closing Balance: Explanation if account has not been closed: Additional sheets are attached hereto, marked Attachment 2.1, and incorporated herein by reference. 2.2. All funds from the above-referenced pre-petition bank accounts were transferred to the following Chapter 11 debtor in possession bank accounts: 2.2.1. Account Name: Depository: Last 4 digits of Account Number: Opening Date: Initial Deposit: The beginning balance of this account differs from the ending balance of the pre-petition account because: 2 Effective September 1, 2011 USTLA-3 In Re: Debtor. 2.2.2. Case No.: Account Name: Depository: Last 4 digits of Account Number: Opening Date: Initial Deposit: The beginning balance of this account differs from the ending balance of the pre-petition account because: 2.2.3. Account Name: Depository: Last 4 digits of Account Number: Opening Date: Initial Deposit: The beginning balance of this account differs from the ending balance of the pre-petition account because: Additional sheets are attached hereto, marked Attachment 2.2, and incorporated herein by reference. 3. INSURANCE COVERAGE 3.1. 3.2. Debtor will maintain appropriate insurance coverage for all estate property, including vacant land, throughout the pendency of this proceeding. Debtor has named the United States Trustee, 725 S. Figueroa Street, Suite 2600, Los Angeles, CA 90017, as an additional interest party on each and every insurance policy listed herein and any other policies, throughout the pendency of this proceeding. If, for any reason, an insurance policy shall lapse, not be renewed, or fails to be in full force and effect, debtor will immediately provide updated proof of insurance to the United States Trustee. The following policies are in effect as of the date of this declaration. Name of Insurance Carrier 3.4.1. 3.4.2. 3.4.3. 3.4.4. 3.5. COPIES OF THE DECLARATION PAGE(S) for each policy listed herein are attached hereto as Attachment 3.5. Each declaration page(s) reflects (1) the name of insured, the additional interest party(ies), type and extent of coverage; policy expiration date; and the account or policy number (or other identifying information). Type of Insurance Policy Number 3.3. 3.4. 3 Effective September 1, 2011 USTLA-3 In Re: Debtor. 4. PROOF OF REQUIRED CERTIFICATES AND LICENSES 4.1. 4.2. Case No.: Debtor will maintain all appropriate certificates and licenses required by federal, state and local law for the lawful operation of debtor's business. The following certificates and licenses are in effect as of the date of this declaration: Type of Certificate or License 4.2.1. 4.2.2. 4.2.3. 4.2.4. Issuing Authority 4.3. Attached hereto as Attachment 4 is a copy, or other proof, of each license or certificate listed above. 5. LIST OF INSIDERS The following constitutes a complete list of all insiders of the debtors, as that term is defined by 11 U.S.C. Section 101(31): Name of Person 5.1.1. 5.1.2. 5.1.3. Additional sheets are attached hereto, marked Attachment 5, and incorporated herein by reference. 6. FINANCIAL STATEMENTS Debtor has the following financial statements that were issued in the two year period prior to the filing of this bankruptcy: Audited 6.1.1. 6.1.2. 6.1.3. 6.1.4. 6.1.5. 6.1.6. 6.1.7. Debtor HAS NOT issued any financial statements in the two year period