b1 (official form 1)(12/11) united states bankruptcy court … · 2012-07-06 · pending bankruptcy...

}bk1{Form 1. Voluntary Petition}bk{

B1 (Official Form 1)(12/11)

United States Bankruptcy Court Voluntary Petition

Name of Debtor (if individual, enter Last, First, Middle):

All Other Names used by the Debtor in the last 8 years(include married, maiden, and trade names):

Last four digits of Soc. Sec. or Individual-Taxpayer I.D. (ITIN) No./Complete EIN(if more than one, state all)

Street Address of Debtor (No. and Street, City, and State):

County of Residence or of the Principal Place of Business:

Mailing Address of Debtor (if different from street address):

Location of Principal Assets of Business Debtor(if different from street address above):

Name of Joint Debtor (Spouse) (Last, First, Middle):

All Other Names used by the Joint Debtor in the last 8 years(include married, maiden, and trade names):

Last four digits of Soc. Sec. or Individual-Taxpayer I.D. (ITIN) No./Complete EIN(if more than one, state all)

Street Address of Joint Debtor (No. and Street, City, and State):

County of Residence or of the Principal Place of Business:

Mailing Address of Joint Debtor (if different from street address):

ZIP Code ZIP Code

ZIP Code ZIP Code

Type of Debtor

(Form of Organization) (Check one box)

Individual (includes Joint Debtors) See Exhibit D on page 2 of this form.

Corporation (includes LLC and LLP) Partnership Other (If debtor is not one of the above entities,

check this box and state type of entity below.)

Chapter 15 Debtors Country of debtor's center of main interests:

Each country in which a foreign proceeding by, regarding, or against debtor is pending:

Filing Fee (Check one box)

Full Filing Fee attached

Filing Fee to be paid in installments (applicable to individuals only). Mustattach signed application for the court's consideration certifying that thedebtor is unable to pay fee except in installments. Rule 1006(b). See OfficialForm 3A.

Filing Fee waiver requested (applicable to chapter 7 individuals only). Mustattach signed application for the court's consideration. See Official Form 3B.

Nature of Business(Check one box)

Health Care Business Single Asset Real Estate as defined

in 11 U.S.C. § 101 (51B) Railroad Stockbroker Commodity Broker Clearing Bank Other

Tax-Exempt Entity(Check box, if applicable)

Debtor is a tax-exempt organizationunder Title 26 of the United StatesCode (the Internal Revenue Code).

Chapter of Bankruptcy Code Under Whichthe Petition is Filed (Check one box)

Chapter 7 Chapter 9 Chapter 11 Chapter 12 Chapter 13

Chapter 15 Petition for Recognitionof a Foreign Main Proceeding

Chapter 15 Petition for Recognitionof a Foreign Nonmain Proceeding

Nature of Debts(Check one box)

Debts are primarily consumer debts, Debts are primarilydefined in 11 U.S.C. § 101(8) as business debts."incurred by an individual primarily fora personal, family, or household purpose."

Chapter 11 DebtorsCheck one box:Debtor is a small business debtor as defined in 11 U.S.C. § 101(51D).Debtor is not a small business debtor as defined in 11 U.S.C. § 101(51D).

Check if:Debtor’s aggregate noncontingent liquidated debts (excluding debts owed to insiders or affiliates)are less than $2,343,300 (amount subject to adjustment on 4/01/13 and every three years thereafter).

Check all applicable boxes:A plan is being filed with this petition.

Acceptances of the plan were solicited prepetition from one or more classes of creditors,in accordance with 11 U.S.C. § 1126(b).

THIS SPACE IS FOR COURT USE ONLYStatistical/Administrative InformationDebtor 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.

Estimated Number of Creditors

1- 50- 100- 200- 1,000- 5,001- 10,001- 25,001- 50,001- OVER49 99 199 999 5,000 10,000 25,000 50,000 100,000 100,000

Estimated Assets

$0 to $50,001 to $100,001 to $500,001 $1,000,001 $10,000,001 $50,000,001 $100,000,001 $500,000,001 More than$50,000 $100,000 $500,000 to $1 to $10 to $50 to $100 to $500 to $1 billion $1 billion

million million million million million

Estimated Liabilities

$0 to $50,001 to $100,001 to $500,001 $1,000,001 $10,000,001 $50,000,001 $100,000,001 $500,000,001 More than$50,000 $100,000 $500,000 to $1 to $10 to $50 to $100 to $500 to $1 billion $1 billion

million million million million million

Southern District of California

Santa Ysabel Resort and Casino

20-1366478

25575 Hwy 79Santa Ysabel, CA

San Diego

PO Box 600Santa Ysabel, CA

92070

92070

Case 12-09415-PB11 Filed 07/02/12 Doc 1 Pg. 1 of 18

B1 (Official Form 1)(12/11)

Voluntary Petition

(This page must be completed and filed in every case)

Name of Debtor(s):

All Prior Bankruptcy Cases Filed Within Last 8 Years (If more than two, attach additional sheet)

Location Case Number: Date Filed:Where Filed:

Location Case Number: Date Filed:Where Filed:

Pending Bankruptcy Case Filed by any Spouse, Partner, or Affiliate of this Debtor (If more than one, attach additional sheet)

Name of Debtor: Case Number: Date Filed:

District: Relationship: Judge:

Exhibit A

(To be completed if debtor is required to file periodic reports (e.g.,forms 10K and 10Q) with the Securities and Exchange Commissionpursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934and is requesting relief under chapter 11.)

Exhibit A is attached and made a part of this petition.

Exhibit CDoes 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?

Yes, and Exhibit C is attached and made a part of this petition.

No.

Exhibit D(To be completed by every individual debtor. If a joint petition is filed, each spouse must complete and attach a separate Exhibit D.)

Exhibit D completed and signed by the debtor is attached and made a part of this petition.

If this is a joint petition:

Exhibit D also completed and signed by the joint debtor is attached and made a part of this petition.

Information Regarding the Debtor - Venue

(Check any applicable box)

Debtor has been domiciled or has had a residence, principal place of business, or principal assets in this District for 180days immediately preceding the date of this petition or for a longer part of such 180 days than in any other District.

There is a bankruptcy case concerning debtor's affiliate, general partner, or partnership pending in this District.

Debtor is a debtor in a foreign proceeding and has its principal place of business or principal assets in the United States inthis District, or has no principal place of business or assets in the United States but is a defendant in an action orproceeding [in a federal or state court] in this District, or the interests of the parties will be served in regard to the reliefsought in this District.

Certification by a Debtor Who Resides as a Tenant of Residential Property(Check all applicable boxes)

Landlord has a judgment against the debtor for possession of debtor's residence. (If box checked, complete the following.)

(Name of landlord that obtained judgment)

(Address of landlord)

Debtor claims that under applicable nonbankruptcy law, there are circumstances under which the debtor would be permitted to curethe 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 periodafter the filing of the petition.

Debtor certifies that he/she has served the Landlord with this certification. (11 U.S.C. § 362(l)).

Exhibit B(To be completed if debtor is an individual whose debts are primarily consumer debts.)

I, the attorney for the petitioner named in the foregoing petition, declare that Ihave informed the petitioner that [he or she] may proceed under chapter 7, 11,12, or 13 of title 11, United States Code, and have explained the relief availableunder each such chapter. I further certify that I delivered to the debtor the noticerequired by 11 U.S.C. §342(b).

XSignature of Attorney for Debtor(s) (Date)

Santa Ysabel Resort and Casino

- None -

- None -


B4 (Official Form 4) (12/07)

United States Bankruptcy CourtSouthern District of California

In re Santa Ysabel Resort and Casino Case No.Debtor(s) Chapter 11

LIST OF CREDITORS HOLDING 20 LARGEST UNSECURED CLAIMS

Following is the list of the debtor's creditors holding the 20 largest unsecured claims. The list is prepared inaccordance with Fed. R. Bankr. P. 1007(d) for filing in this chapter 11 [or chapter 9] case. The list does not include (1)persons who come within the definition of "insider" set forth in 11 U.S.C. § 101, or (2) secured creditors unless the value ofthe collateral is such that the unsecured deficiency places the creditor among the holders of the 20 largest unsecured claims.If a minor child is one of the creditors holding the 20 largest unsecured claims, state the child's initials and the name andaddress of the child's parent or guardian, such as "A.B., a minor child, by John Doe, guardian." Do not disclose the child'sname. See 11 U.S.C. § 112; Fed. R. Bankr. P. 1007(m).

(1)

Name of creditor and completemailing address including zipcode

(2)

Name, telephone number and completemailing address, including zip code, ofemployee, agent, or department of creditorfamiliar with claim who may be contacted

(3)

Nature of claim (tradedebt, bank loan,government contract,etc.)

(4)

Indicate if claim iscontingent,unliquidated,disputed, orsubject to setoff

(5)

Amount of claim[if secured, alsostate value ofsecurity]

County of San Diego (MOU)1600 Pacific Coast HighwaySuite 212San Diego, CA 92101


3,041,938.83

NATIVE AMERICANMEGAJACKPOTSDEPT # 72714LOS ANGELES, CA90084-2714

NATIVE AMERICAN MEGAJACKPOTSDEPT # 72714LOS ANGELES, CA 90084-2714

506,932.83

INTERNATION GAMINGTECHNOLOGY(Participation Fees)DEPARTMENT 7866LOS ANGELES, CA90088-7866

INTERNATION GAMINGTECHNOLOGY(Participation Fees)DEPARTMENT 7866LOS ANGELES, CA 90088-7866

247,187.18

ARISTOCRATDEPT. 9540LOS ANGELES, CA90084-9540

ARISTOCRATDEPT. 9540LOS ANGELES, CA 90084-9540

102,603.11

CBS OUTDOORP.O. BOX 33074Newark, NJ 07188-0074


101,745.00

STATE OF CALIFORNIA2399 GATEWAY OAKS DR.,STE 100GAMBLING CONTROLCOMMISSIONSACRAMENTO, CA 95833

STATE OF CALIFORNIA2399 GATEWAY OAKS DR., STE 100GAMBLING CONTROL COMMISSIONSACRAMENTO, CA 95833

100,632.70

GLOBAL POWER GROUP,INC.12060 Woodside Ave.Lakeside, CA 92040

GLOBAL POWER GROUP, INC.12060 Woodside Ave.Lakeside, CA 92040

42,860.00

GLOBAL INDUSTRYPRODUCTS, CORP4262 BLUE DIAMOND RD.STE. 102-248Las Vegas, NV 89139

GLOBAL INDUSTRY PRODUCTS,CORP4262 BLUE DIAMOND RD.STE. 102-248Las Vegas, NV 89139

40,860.00

Software Copyright (c) 1996-2012 CCH INCORPORATED - www.bestcase.com Best Case Bankruptcy


B4 (Official Form 4) (12/07) - Cont.In re Santa Ysabel Resort and Casino Case No.

Debtor(s)

LIST OF CREDITORS HOLDING 20 LARGEST UNSECURED CLAIMS(Continuation Sheet)

(1)

Name of creditor and completemailing address including zipcode

(2)

Name, telephone number and completemailing address, including zip code, ofemployee, agent, or department of creditorfamiliar with claim who may be contacted

(3)

Nature of claim (tradedebt, bank loan,government contract,etc.)

(4)

Indicate if claim iscontingent,unliquidated,disputed, orsubject to setoff

(5)

Amount of claim[if secured, alsostate value ofsecurity]

J. MICHAEL CABALLERO5864 W. MOHAVE BLOOMTUCSON, AZ 85735


26,250.00

COX MEDIALockbox 50456LOS ANGELES, CA 90074


20,920.00

John FarkashP.O. BOX 576RANCHO SANTA FE, CA92067

John FarkashP.O. BOX 576RANCHO SANTA FE, CA 92067

8,910.00

CINTAS CORPORATION#055460 W. CALIFORNIAAVENUEVISTA, CA 92083

CINTAS CORPORATION #055460 W. CALIFORNIA AVENUEVISTA, CA 92083

5,221.03

Midwest Television, Inc7677 Engineer RoadSan Diego, CA 92111


3,962.50

GLOBAL CASH ACCESS,INC3525 EAST POST RD. - STE120Las Vegas, NV 89120

GLOBAL CASH ACCESS, INC3525 EAST POST RD. - STE 120Las Vegas, NV 89120

3,607.27

WELLS FARGO BANKSNW 7091 PO BOX 1450ACCOUNT ANALYSISMINNEAPOLIS, MN 55485


2,195.78

McGladrey & Pullen18401 VON KARMAN AVE,5th FLIRVINE, CA 92612-8531

McGladrey & Pullen18401 VON KARMAN AVE, 5th FLIRVINE, CA 92612-8531

2,000.00

LLOYD PEST CONTROL1202 MORENA BLVD., STE.400San Diego, CA 92110-3845

LLOYD PEST CONTROL1202 MORENA BLVD., STE. 400San Diego, CA 92110-3845

1,200.00

GAMING GUIDEPO BOX 19267San Diego, CA 92159


1,200.00



CSD 1008 (Page 2) [08/21/00]

INSTRUCTIONS

1) Full compliance with Special Requirements for Mailing Addresses (CSD 1007) is required.

2) A creditors matrix with Verification is required whenever the following occurs:

a) A new petition is filed. Diskette required.

b) A case is converted on or after SEPTEMBER 1, 2000. (See paragraph 4b concerning post-petition creditors.)

c) An amendment to a case on or after SEPTEMBER 1, 2000, which adds, deletes or changes creditor address information on thedebtor's Schedule of Debts and/or Schedule of Equity Security Holders. Scannable matrix format required.

3) The scannable matrix must be originally typed or printed. It may not be a copy.

4) CONVERSIONS:

a) When converting a Chapter 13 case filed before SEPTEMBER 1, 2000, to another chapter, ALL creditors must be listed on themailing matrix at the time of filing and accompanied by a Verification. Diskette required.

b) For Chapter 7, 11, or 12 cases converted on or after SEPTEMBER 1, 2000, only post-petition creditors need be listed on themailing matrix. The matrix and Verification must be filed with the post-petition schedule of debts and/or schedule of equitysecurity holders. If there are no post-petition creditors, only the verification form is required. Scannable matrix format required.

5) AMENDMENTS AND BALANCE OF SCHEDULES:

a) Scannable matrix format required.

b) The matrix with Verification is a document separate from the amended schedules and may not be used to substitute for anyportion of the schedules. IT MUST BE SUBMITTED WITH THE AMENDMENT/BALANCE OF SCHEDULES.

c) Prepare a separate page for each type of change required: ADDED, DELETED, or CORRECTED. On the REVERSE side ofeach matrix page, indicate which category that particular page belongs in. Creditors falling in the same category should beplaced on the same page in alphabetical order.

6) Please refer to CSD 1007 for additional information on how to avoid matrix-related problems.

CSD 1008



}bk1{Creditor Address Matrix}bk{

ARISTOCRATDEPT. 9540LOS ANGELES, CA 90084-9540

Aztec Leasing2215 Vista Rodeo Dr.El Cajon, CA 92019

Betwiser9873 Ashton Pines Ct.Las Vegas, NV 89147

CbeyondFile 50326LOS ANGELES, CA 90074


CertegyPO Box 30038Tampa, FL 33630-3038

CintasPO Box 633842Cincinnati, OH 45263

CINTAS CORPORATION #055460 W. CALIFORNIA AVENUEVISTA, CA 92083




CumminsPO Box 339Mount Prospect, IL 60056

Department of the TreasuryInternal Revenue ServiceOgden, UT 84201

Egghart5575 Kietzke Lane - Bldg. AReno, NV 89511

Employment Development Dept.Bankr. Unit - MIC 92EP.O. Box 826880Sacramento, CA 94280

FarkashP.O. BOX 576RANCHO SANTA FE, CA 92067

Franchise Tax BoardBankruptcy Section, MS A-340P.O. Box 2952Sacramento, CA 95812-2952


Gemaco2925 North 7 HwyBlue Springs, MO 64014


GLOBAL CASH ACCESS, INC3525 EAST POST RD. - STE 120Las Vegas, NV 89120

GLOBAL INDUSTRY PRODUCTS, CORP4262 BLUE DIAMOND RD.STE. 102-248Las Vegas, NV 89139

Global Power12060 Woodside Ave.Lakeside, CA 92040

GLOBAL POWER GROUP, INC.12060 Woodside Ave.Lakeside, CA 92040

Hawthorne Machinery Co.16945 Camino San BernardoSan Diego, CA 92127-2499

IGTAttn: Legal Department9295 Prototype DriveReno, NV 89521

Internal Revenue ServiceSpecial Proc. - InsolvencyPO Box 30213Laguna Niguel, CA 92607-0213

INTERNATION GAMING TECHNOLOGY(Participation Fees)DEPARTMENT 7866LOS ANGELES, CA 90088-7866

IRS-Insolvency DivisionP.O. Box 7346Philadelphia, PA 19101-7346



John FarkashP.O. BOX 576RANCHO SANTA FE, CA 92067

KonamiDept. 8401Los Angeles, CA 90084-8401

LLOYD PEST CONTROL1202 MORENA BLVD., STE. 400San Diego, CA 92110-3845

McGladrey & Pullen18401 VON KARMAN AVE, 5th FLIRVINE, CA 92612-8531


National Indian Gaming Comm.Attn: Lawrence S. Roberts1411 L Street NW, Suite 9100Washington, DC 20005

NATIVE AMERICAN MEGAJACKPOTSDEPT # 72714LOS ANGELES, CA 90084-2714

ProflamePO Box 7Santa Ysabel, CA 92070


Ramona Outdoor Community Centers726 D StreetRamona, CA 92065

San Diego Cnty, County CounselThomas D. Bunton1600 Pacific Highway, Rm 355San Diego, CA 92101-2469

SCA Promotions, Inc.3030 LBJ Frwy. - Ste. 300Dallas, TX 75234

ScentAir75 Remittance Dr. - Ste. 6542Chicago, IL 60675-6542

Securities & Exchange Comm.Attn: Bankruptcy Counsel5670 Wilshire Blvd., Fl 11Los Angeles, CA 90036

SharpDept LA 21565Pasadena, CA 91185-1565

STATE OF CALIFORNIA2399 GATEWAY OAKS DR., STE 100GAMBLING CONTROL COMMISSIONSACRAMENTO, CA 95833

Sysco San Diego, Inc.12180 Kirkham RoadPoway, CA 92064

United States TrusteeUnited States Dept of Justice402 West Broadway, Suite 600San Diego, CA 92101



YAVAPAI-APACHE NATIONP.O. Box 1188Camp Verde, AZ 86322

Yavapai-Apache Nationc/o Eric M. George, Esq.2121 Ave. of the Stars, # 2400Los Angeles, CA 90067

Yavapai-Apache NationAttn: Chairman2400 W. Datsi StreetCamp Verde, AZ 86322

Yavapai-Apache NationOffice of Attorney General2400 W. Datsi StreetCamp Verde, AZ 86322


b1 (official form 1)(12/11) united states bankruptcy court … · 2012-07-06 · pending bankruptcy...

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