Operating Reporting Requirements UNITED STATES DEPARTMENT OF JUSTICE OFFICE OF THE UNITED STATES TRUSTEE SOUTHERN DISTRICT OF CALIFORNIA In re Debtor(s). ) ) ) ) ) ) ) CHAPTER 11 (NON - BUSINESS) Case No. OPERATING REPORT NO. FOR THE MONTH ENDING: 1. CASH RECEIPTS AND DISBURSEMENTS A. (GENERAL ACCOUNT*) 1. TOTAL RECEIPTS PER ALL PRIOR GENERAL ACCOUNT REPORTS $ 2. LESS: TOTAL DISBURSEMENTS PER ALL PRIOR GENREAL $ ACCOUNT REPORTS 3. BEGINNING BALANCE $ 4. RECEIPTS DURING CURRENT PERIOD 5. BALANCE $ 6. LESS: TOTAL DISBURSEMENTS DURING CURRENT PERIOD $ (Total from Page 2) 7. ENDING BALANCE: $ 8. GENERAL ACCOUNT NUMBER DEPOSITORY NAME AND LOCATION ALL receipts must be deposited into the general account. ** Include receipts from the sale of any real or personal property out of the ordinary course of business; attach an exhibit specifying what was sold, to whom, terms, and date of Court Order or Report of Sale Debtor-in-Possession Monthly Operating Report (Non-Business) - Page 1 of 7 American LegalNet, Inc. www.FormsWorkFlow.com Operating Reporting Requirements TOTAL DISBURSEMENTS FROM GENERAL ACCOUNT FOR CURRENT PERIOD DATE CHECK NUMBER PAYEE PURPOSE AMOUNT $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ TOTAL DISBURSEMENTS THIS PERIOD $ Add additional pages as necessary to include all disbursements. Debtor-in-Possession Monthly Operating Report (Non-Business) - Page 2 of 7 American LegalNet, Inc. www.FormsWorkFlow.com Operating Reporting Requirements GENERAL ACCOUNT BANK RECONCILIATION* Balance per bank statement dated: $ Plus deposits in transit(a): Deposit Date Deposit Amount $ $ $ Total deposits in transit $ Less outstanding checks (a): Check Number Check Date Check Amount Total outstanding checks Bank statement adjustments** Adjusted bank balance $ It is acceptable to attach lists of deposits in transit and outstanding checks to this form or to replace this form with a similar form. ** Please attach a detailed explanation of any bank statement adjustment. Debtor-in-Possession Monthly Operating Report (Non-Business) - Page 3 of 7 American LegalNet, Inc. www.FormsWorkFlow.com Operating Reporting Requirements II. STATUS OF PAYMENTS TO SECURED CREDITORS, LESSORS, AND OTHER PARTIES TO EXECUTORY CONTRACTS III. INSURANCE COVERAGE IV. SUMMARY SCHEDULE OF CASH ENDING BALANCES FOR PERIOD: GENERAL ACCOUNT $ OTHER ACCOUNTS*: $ OTHER MONIES*: $ TOTAL CASH AVAILABLE $ *Specify the fund and the type of holding (i.e., CD, Savings Account, Investment securities, etc.), and the depository name, location, and account number. NOTE: Attach copies of monthly account statements from financial institutions for each account. Debtor-in-Possession Monthly Operating Report (Non-Business) 226 Page 4 of 7 American LegalNet, Inc. www.FormsWorkFlow.com Operating Reporting Requirements V. UNITED STATES TRUSTEE QUARTERLY FEES (TOTAL PAYMENTS) VI. SCHEDULE OF COMPENSATION PAID TO INSIDERS *Please indicate how compensation was identified in the order (e.g., $1,000/wk., $2,500/mo.) VII. SCHEDULE OF OTHER AMOUNTS PAID TO INSIDERS Debtor-in-Possession Monthly Operating Report (Non-Business) 226 Page 5 of 7 American LegalNet, Inc. www.FormsWorkFlow.com Operating Reporting Requirements VIII. QUESTIONNAIRE 1. Has the debtor-in-possession made any payments on its pre-petition unsecured debt, except as have been authorized by the court? No. Yes. Explain 2. State what progress was made during the reporting period toward filing a Plan of Reorganization: 3. Describe potential future developments which may have a significant impact on the case. 4. Attach copies of all Orders granting relief from the automatic stay that were entered during the reporting period. 5. Did you receive any exempt income this month, which is not set forth in the operating report? No. Yes. Please set forth the amounts and the source of the income Debtor-in-Possession Monthly Operating Report (Non-Business) 226 Page 6 of 7 American LegalNet, Inc. www.FormsWorkFlow.com Operating Reporting Requirements I, (Name and title), declare under penalty of perjury that I have fully read and understood the foregoing debtor-in-possession non-business report and that the information contained herein is true and correct to the best of my knowledge. Date: Principal for Debtor-In-Possession Debtor-in-Possession Monthly Operating Report (Non-Business) 226 Page 7 of 7 American LegalNet, Inc. www.FormsWorkFlow.com