UNITED STATES BANKRUPTCY COURT SOUTHERN DISTRICT OF FLORIDA www.flsb.uscourts.gov In re: Case No. Chapter 11 Debtor / FINAL REPORT AND MOTION FOR ENTRY OF FINAL DECREE Pursuant to Local Rule 3022-1(A), the undersigned files this Final Report and Motion for Final Decree and represents: 1. The plan of reorganization in this case was confirmed on The plan provided for a % dividend to unsecured creditors. . 2. The deposit required by the plan has been distributed [and if the debtor is an individual all payments under the plan have been completed or the debtor has filed a motion requesting discharge prior to completion of payments under the plan under 11 U.S.C. § 1141(d)(5)] and all matters to be completed upon the effective date of the confirmed plan have been fulfilled or completed. 3. There are no longer any pending adversary proceedings or contested matters which would affect the substantial consummation of this case and the debtor, if an individual, has filed the local form “Debtor’s Statement Re: 11 U.S.C. §521(q)(1) Applicability, Payment of Domestic Support Obligations, Applicability of Financial Management Course and Notice of Deadline to Object”. 4. All administrative claims and expenses have been paid in full, or appropriate arrangements have been made for the full payment thereof. A summary of fees and expenses is as follows: Trustee Compensation (If trustee received compensation under more $ than one chapter) $ $ $ $ Ch. 7 Ch. 9 or 11 Ch. 12 Ch. 13 Fee for Attorney for Trustee $ $ Fee for Attorney for Debtor $_______ U.S. Trustee (fees required by 28 U.S.C. §1930) $_______ Clerk of Court (fees required by 28 U.S.C. §1930) $ Other Professionals $ ALL expenses, including Trustee's 5. Attached as Exhibit A is a distribution report detailing the payments made under the plan on the effective date. The undersigned respectfully requests that this court enter a final decree and close this fully administered case. I certify that a copy of this report and attachments was mailed to the U.S. Trustee's . office on By: Print Name and Title: Address: Phone: LF-35 (rev. 04/27/09) Page 1 of 2 American LegalNet, Inc. www.FormsWorkflow.com EXHIBIT A CASE NAME: CASE NUMBER: The following payments have been made pursuant to the plan of reorganization: LIST ALL PAYMENTS MADE ON OR BEFORE THE EFFECTIVE DATE OF THE PLAN, OR IF INDIVIDUAL CHAPTER 11, ALL PAYMENTS MADE UNDER THE PLAN. SEPARATE CLAIMANTS BY CLASSIFICATION UNDER THE PLAN AND PROVIDE A TOTAL FOR EACH CLASSIFICATION. LIST THE NAME OF EACH RECIPIENT, AMOUNT OF THE ALLOWED CLAIM AND THE AMOUNT THAT WAS PAID (USE CONTINUATION PAGE IF NECESSARY). ALLOWED AMOUNT OF CLAIM RECIPIENT DIVIDEND PAID $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ LF-35 (rev. 04/27/09) $ $ Page 2 of 2 American LegalNet, Inc. www.FormsWorkflow.com