1/06 UNITED STATES BANKRUPTCY COURT DISTRICT OF DIVISION IN RE: } } } } } } CASE NUMBER JUDGE CHAPTER 11 DEBTOR. DEBTOR'S MONTHLY OPERATING REPORTS (BUSINESS) FOR THE PERIOD FROM TO Comes now the above-named debtor and files its Monthly Operating Reports in accordance with the Guidelines established by the United States Trustee and FRBP 2015. Attorney for Debtor's Signature Debtor's Address and Phone Number: Attorney's Address and Phone Number: Note: The original Monthly Operating Report is to be filed with the court and a copy simultaneously provided to the United States Trustee Office. Monthly Operating Reports must be filed by the 20th day of the following month. For assistance in preparing the Monthly Operating Report, refer to the following resources: 1) Instructions for Preparations of Debtor's Chapter 11 Monthly Operating Report 2) Initial Filing Requirements 3) Frequently Asked Questions (FAQs) MOR-1 American LegalNet, Inc. www.USCourtForms.com 1/06 MOR-2 American LegalNet, Inc. www.USCourtForms.com 1/06 SCHEDULE OF RECEIPTS AND DISBURSEM ENTS FOR THE PERIOD BEGINNING AND ENDING Name of Debtor: Date of Petition: Case Number CURRENT MONTH 1. FUNDS AT BEGINNING OF PERIOD 2. RECEIPTS: A. Cash Sales Minus: Cash Refunds Net Cash Sales B. Accounts Receivable C. Other Receipts (See MOR-3) (If you receive rental income, you must attach a rent roll.) 3. TOTAL RECEIPTS (Lines 2A+2B+2C) 4. TOTAL FUNDS AVAILABLE FOR OPERATIONS (Line 1 + Line 3) 5. DISBURSEM ENTS A. Advertising B. Bank Charges C. Contract Labor D. Fixed Asset Payments (not incl. in "N") E. Insurance F. Inventory Payments (See Attach. 2) G. Leases H. Manufacturing Supplies I. Office Supplies J. Payroll - Net (See Attachment 4B) K. Professional Fees (Accounting & Legal) L. Rent M. Repairs & Maintenance N. Secured Creditor Payments (See Attach. 2) O. Taxes Paid - Payroll (See Attachment 4C) P. Taxes Paid - Sales & Use (See Attachment 4C) Q. Taxes Paid - Other (See Attachment 4C) R. Telephone S. Travel & Entertainment Y. U.S. Trustee Quarterly Fees U. Utilities V. Vehicle Expenses W . Other Operating Expenses (See MOR-3) 6. TOTAL DISBURSEM ENTS (Sum of 5A thru W ) 7. ENDING BALANCE (Line 4 Minus Line 6) (a) CUMULATIVE PETITION TO DATE (b) (-) (c) (c) I declare under penalty of perjury that this statement and the accompanying documents and reports are true and correct to the best of my knowledge and belief. This day of , 20 . (Signature) (a)This number is carried forward from last month's report. For the first report only, this number will be the balance as of the petition date. (b)This figure will not change from month to month. It is always the amount of funds on hand as of the date of the petition. (c)These two amounts will always be the same if form is completed correctly. MOR-3 American LegalNet, Inc. www.USCourtForms.com 1/06 M ONTHLY SCHEDULE OF RECEIPTS AND DISBURSEM ENTS (cont'd) Detail of Other Receipts and Other Disbursements OTHER RECEIPTS: Describe Each Item of Other Receipt and List Amount of Receipt. W rite totals on Page MOR-2, Line 2C. Cumulative Petition to Date _______________ _______________ _______________ _______________ _______________ _______________ _______________ _______________ Description _____________________________________ _____________________________________ _____________________________________ _____________________________________ _____________________________________ _____________________________________ _____________________________________ TOTAL OTHER RECEIPTS Current Month ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ "Other Receipts" includes Loans from Insiders and other sources (i.e. Officer/Owner, related parties directors, related corporations, etc.). Please describe below: Source of Funds Loan Amount Purpose Repayment Schedule OTHER DISBURSEM ENTS: Describe Each Item of Other Disbursement and List Amount of Disbursement. W rite totals on Page MOR-2, Line 5W . Cumulative Description Current Month Petition to Date _____________________________________ ______________ _______________ _____________________________________ ______________ _______________ _____________________________________ ______________ _______________ _____________________________________ ______________ _______________ ______________________________________ ______________ _______________ _____________________________________ ______________ _______________ _____________________________________ ______________ _______________ _____________________________________ ______________ _______________ TOTAL OTHER DISBURSEMENTS ______________ _______________ NOTE: Attach a current Balance Sheet and Income (Profit & Loss) Statement. MOR-4 American LegalNet, Inc. www.USCourtForms.com 1/06 ATTACHMENT 1 MONTHLY ACCOUNTS RECEIVABLE RECONCILIATION AND AGING Name of Debtor: Reporting Period beginning Case Number: and ending ACCOUNTS RECEIVABLE AT PETITION DATE: ACCOUNTS RECEIVABLE RECONCILIATION (Include all accounts receivable, pre-petition and post-petition, including charge card sales which have not been received): Beginning of Month Balance PLUS: Current Month New Billings MINUS: Collection During the Month PLUS/MINUS: Adjustments or Writeoffs End of Month Balance $ $ $ $ (a) (b) * (c) *For any adjustments or Write-offs provide explanation and supporting documentation, if applicable: POST PETITION ACCOUNTS RECEIVABLE AGING (Show the total for each aging category for all accounts receivable) 0-30 Days $ 31-60 Days $ 61-90 Days $ Over 90Days $ Total $ (c) For any receivables in the "Over 90 Days" category, please provide the following: Receivable Date Customer Status (Collection efforts taken, estimate of collectibility, write-off, disputed account, etc.) (a)This number is carried forward from last month's report. For the first report only, this number will be the balance as of the petition date. (b)This must equal the number reported in the "Current Month" column of Schedule of Receipts and Disbursements (Page MOR-2, Line 2B). MOR-5 American LegalNet, Inc. www.USCourtForms.com 1/06 (c)These two amounts must equal. MOR-6 American LegalNet, Inc. www.USCourtForms.com 1/06 ATTACHM ENT 2 M ONTHLY ACCOUNTS PAYABLE AND SECURED PAYM ENTS REPORT Name of Debtor: Reporting Period beginning Case Number: and ending In the space below list all invoices or bills incurred and not paid since the filing of the petition. Do not include amounts owed prior to filing the