(official form 1) (9/01) form b1 united states … hector name of debtor ... principal place of...
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(Official Form 1) (9/01) FORM B1, Page 1
Guevara, Hector Name of Debtor (if individual, enter Last, First, Middle): Name of Joint Debtor (Spouse)(Last, First, Middle):
United States Bankruptcy Court Voluntary PetitionEastern District of New York
FORM B1
All Other Names used by the Joint Debtor in the last 6 yearsAll Other Names used by the Debtor in the last 6 years(include married, maiden, and trade names): (include married, maiden, and trade names):
Soc. Sec./Tax I.D. No. (if more than one, state all):*****2866
Soc. Sec./Tax I.D. No. (if more than one, state all):
Street Address of Joint Debtor (No. & Street, City, State & Zip Code):Street Address of Debtor (No. & Street, City, State & Zip Code):
35 Davinci Drive, Bohemia, New York 1171
County of Residence or of thePrincipal Place of Business:
County of Residence or of thePrincipal Place of Business:Suffolk
Mailing Address of Joint Debtor (if different from street address):Mailing Address of Debtor (if different from street address):
Location of Principal Assets of Business Debtor(if different from street address above):
Information Regarding the Debtor (Check the Applicable Boxes)
�
Venue (Check any applicable box)
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Debtor has been domiciled or has had a residence, principal place of business, or principal assets in this District for 180 days immediately preceding the dateof 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.
Type of Debtor (Check all boxes that apply)
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�
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� Consumer/Non-Business Business
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� Individual(s)CorporationPartnershipOther
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RailroadStockbrokerCommodity Broker
Chapter or Section of Bankruptcy Code Under Whichthe Petition is Filed (Check one box)
Chapter 7 Chapter 11 Chapter 13Chapter 9 Chapter 12Sec. 304 - Case ancillary to foreign proceeding
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Nature of Debts (Check one box) Filing Fee (Check one box)Full Filing Fee AttachedFiling Fee to be paid in installments (Applicable to individuals only)Must attach signed application for the court's consideration certifyingthat the debtor is unable to pay fee except in installments.Rule 1006(b). See Official Form No. 3.
Chapter 11 Small Business (Check all boxes that apply)Debtor is a small business as defined in 11 U.S.C. § 101Debtor is and elects to be considered a small business under11 U.S.C. § 1121(e) (Optional)
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Statistical/Administrative Information (Estimates only)��
Debtor 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
THIS SPACE IS FOR COURT USE ONLY
be no funds available for distribution to unsecured creditors.
Estimated Number of Creditors 1-15 16-49 50-99 100-199 200-999 1000-over
� � � � � �
Estimated Assets
$0 to $50,001 to $100,001 to $500,001 to $1,000,001 to $10,000,001 to $50,000,001 to More than $50,000 $100,000 $500,000 $1 million $10 million $50 million $100 million $100 million
� � � � � � � �
Estimated Debts
� � � � � � � �
$0 to $50,001 to $100,001 to $500,001 to $1,000,001 to $10,000,001 to $50,000,001 to More than $50,000 $100,000 $500,000 $1 million $10 million $50 million $100 million $100 million
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(Official Form 1) (9/01) FORM B1, Page 2
Voluntary Petition Name of Debtor(s):
(This page must be completed and filed in every case)Hector Guevara
District: Relationship:
Date Filed:Case Number:Name of Debtor:
Where Filed: 09/22/1998Eastern DistrictLocation Date Filed:Case Number:
98-894421-288
Judge:
Pending Bankruptcy Case Filed by any Spouse, Partner or Affiliate of this Debtor (If more than one, attach additional sheet)
Prior Bankruptcy Case Filed Within Last 6 Years (If more than one, attach additional sheet)
NONE
3/19/2004
Not Applicable
s/ Hector Guevara
specified in this petition.I request relief in accordance with the chapter of title 11, United States Code,
chosen to file under chapter 7] I am aware that I may proceed under chapter 7,[If petitioner is an individual whose debts are primarily consumer debts and haspetition is true and correct.I declare under penalty of perjury that the information provided in this
Signature(s) of Debtor(s) (Individual/Joint)
Date
Telephone Number (If not represented by attorney)
Signature of Joint DebtorX
Signature of DebtorX
each such chapter, and choose to proceed under chapter 7.11, 12 or 13 of title 11, United States Code, understand the relief available under
Signatures
Exhibit A
�
/s/Jeff MorgensternDateSignature of Attorney for Debtor(s)
X
I have informed the petitioner that [he or she] may proceed under chapterI, the attorney for the petitioner named in the foregoing petition, declare that
whose debts are primarily consumer debts)(To be completed if debtor is an individual
Exhibit B
Exhibit A is attached and made a part of this petition.
Exchange Act of 1934 and is requesting relief under chapter 11)Commission pursuant to Section 13 or 15(d) of the Securities(e.g., forms 10Kand 10Q) with the Securities and Exchange(To be completed if debtor is required to file periodic reports
3/19/2004
Exhibit C
relief available under each such chapter.7, 11, 12, or 13 of title 11, United States Code, and have explained the
Does the debtor own or have possession of any property that poses
Jeff H. Morgenstern, 4163
One Old Country Road, Suite 585 Carle Place, NY 11514
Jeff H. Morgenstern
Address
Social Security Number
Printed Name of Bankruptcy Petition Preparer
the debtor with a copy of this document.that I prepared this document for compensation, and that I have providedI certify that I am a bankruptcy petition preparer as defined in 11 U.S.C. § 110,
Signature of Non-Attorney Petition Preparer
3/19/2004
or assisted in preparing this document:Names and Social Security numbers of all other individuals who prepared
Telephone Number
Address
Firm Name
Printed Name of Attorney for Debtor(s) / Bar No.
Signature of Attorney for Debtor(s)/s/Jeff MorgensternX
Signature of Attorney
or imprisonment or both. 11 U.S.C. § 110; 18 U.S.C. § 156.title 11 and the Federal Rules of Bankruptcy Procedure may result in finesA bankruptcy petition preparer's failure to comply with the provisions of
Date
Not ApplicableSignature of Bankruptcy Petition Preparer
X
conforming to the appropriate official form for each person.If more than one person prepared this document, attach additional sheets
Not Applicable
Date
(516) 719-7280(516) 739-5908
Signature of Debtor (Corporation/Partnership)
3/19/2004Date
Title of Authorized Individual
Printed Name of Authorized Individual
Signature of Authorized IndividualX
States Code, specified in this petition.The debtor requests relief in accordance with the chapter of title 11, Unitedon behalf of the debtor.petition is true and correct, and that I have been authorized to file this petitionI declare under penalty of perjury that the information provided in this
s/
public health or safety?
or is alleged to pose a threat of imminent and identifiable harm to
�
�
Yes, and Exhibit C is attached and made a part of this petition.
No
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UNITED STATES BANKRUPTCY COURT
Eastern District of New York
Case No. ________________________In re: Hector Guevara
*****2866 7Chapter
VERIFICATION OF CREDITOR MATRIX
The above named debtor(s), or debtor’s attorney if applicable, do hereby certify under penalty of perjury that the attached Master Mailing List of creditors, consisting of 2 sheet(s) is complete, correct and consistent with the debtor’s schedules pursuant to Local Bankruptcy Rules and I/we assume all responsibility for errors and omissions.
________________________________________________
Dated: ___________________
Signed:
Signed: ____________________________________________s/ Hector Guevara3/19/2004
Jeff H. Morgenstern
4163Bar No.
Hector Guevara
/s/Jeff Morgenstern
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FORM B6A
(6/90)
Hector Guevara Case No.In re:
(If known)Debtor
,
SCHEDULE A - REAL PROPERTY
DESCRIPTION ANDLOCATION OF
PROPERTY
NATURE OF DEBTOR'SINTEREST IN PROPERTY
AMOUNT OFSECURED
CLAIM
CURRENTMARKET VALUEOF DEBTOR'SINTEREST IN
PROPERTY WITHOUTDEDUCTING ANYSECURED CLAIM OR EXEMPTION
HU
SB
AN
D, W
IFE
, JO
INT
OR
CO
MM
UN
ITY
Total � 0.00(Report also on Summary of Schedules.)
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FORM B6B
(10/89)
Hector Guevara Case No.In re ,
(If known)Debtor
SCHEDULE B - PERSONAL PROPERTY
TYPE OF PROPERTY
CURRENTMARKET VALUE OF
DEBTOR'S INTERESTIN PROPERTY, WITH-OUT DEDUCTING ANY
SECURED CLAIMOR EXEMPTION
DESCRIPTION AND LOCATIONOF PROPERTYN
ON
E
HU
SB
AN
D, W
IFE
, JO
INT
OR
CO
MM
UN
ITY
Cash on hand1. None 100.00
Checking, savings or other financial accounts, certificates of deposit, or shares in banks, savings and loan, thrift, building and loan, and homestead associations, or credit unions, brokerage houses, or cooperatives.
2. Bank Account (restrained) 5,500.00
Security deposits with public utilities, telephone companies, landlords, and others.
3. None None
Household goods and furnishings, including audio, video, and computer equipment.
4. Household Goods 2,000.00
Books, pictures and other art objects, antiques, stamp, coin, record, tape, compact disc, and other collections or collectibles.
5. Books Pictures Paintings 1,000.00
Wearing apparel.6. Wearing Apparel 1,000.00
Furs and jewelry.7. Miscelleaneous Jewelry Unknown
Firearms and sports, photographic, and other hobby equipment.
8. None 0.00
Interests in insurance policies. Name insurance company of each policy and itemize surrender or refund value of each.
9. None 0.00
Annuities. Itemize and name each issuer.
10. None 0.00
Interests in IRA, ERISA, Keogh, or other pension or profit sharing plans. Itemize.
11. IRA Account 1,633.00
Stock and interests in incorporated and unincorporated businesses. Itemize.
12. Stock in Hytech Industries Corp. (defunct) 0.00
Stock in Nu Energy Group Inc. (Restricted) unliquidated
Interests in partnerships or joint ventures. Itemize.
13. None 0.00
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FORM B6B
(10/89)
Hector Guevara Case No.In re ,
(If known)Debtor
(Continuation Sheet)SCHEDULE B - PERSONAL PROPERTY
TYPE OF PROPERTY
CURRENTMARKET VALUE OF
DEBTOR'S INTERESTIN PROPERTY, WITH-OUT DEDUCTING ANY
SECURED CLAIMOR EXEMPTION
DESCRIPTION AND LOCATIONOF PROPERTYN
ON
E
HU
SB
AN
D, W
IFE
, JO
INT
OR
CO
MM
UN
ITY
Government and corporate bonds and other negotiable and nonnegotiable instruments.
14. None 0.00
Accounts receivable.15. Account Receivable 3,968.00
Alimony, maintenance, support, and property settlements to which the debtor is or may be entitled. Give particulars.
16. None 0.00
Other liquidated debts owing debtor including tax refunds. Give particulars.
17. None 0.00
Equitable or future interests, life estates, and rights or powers exercisable for the benefit of the debtor other than those listed in Schedule of Real Property.
18. None 0.00
Contingent and noncontingent interests in estate of a decedent, death benefit plan, life insurance policy, or trust.
19. None 0.00
Other contingent and unliquidated claims of every nature, including tax refunds, counterclaims of the debtor, and rights to setoff claims. Give estimated value of each.
20. claim for rescission of NuEnergy Group Stock purchase Agreement
unliquidated
Patents, copyrights, and other intellectual property. Give particulars.
21. 0.00
Licenses, franchises, and other general intangibles. Give particulars.
22. None 0.00
Automobiles, trucks, trailers, and other vehicles and accessories.
23. None 0.00
Boats, motors, and accessories.24. None 0.00
Aircraft and accessories.25. None 0.00
Office equipment, furnishings, and supplies.
26. None 0.00
Machinery, fixtures, equipment and supplies used in business.
27. None 0.00
Inventory.28. None 0.00
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FORM B6B
(10/89)
Hector Guevara Case No.In re ,
(If known)Debtor
(Continuation Sheet)SCHEDULE B - PERSONAL PROPERTY
TYPE OF PROPERTY
CURRENTMARKET VALUE OF
DEBTOR'S INTERESTIN PROPERTY, WITH-OUT DEDUCTING ANY
SECURED CLAIMOR EXEMPTION
DESCRIPTION AND LOCATIONOF PROPERTYN
ON
E
HU
SB
AN
D, W
IFE
, JO
INT
OR
CO
MM
UN
ITY
Animals.29. None 0.00
Crops - growing or harvested. Give particulars.
30. None 0.00
Farming equipment and implements.31. None 0.00
Farm supplies, chemicals, and feed.32. None 0.00
Other personal property of any kind not already listed. Itemize.
33. None 0.00
Total � $ 15,201.00
(Include amounts from any continuation sheets attached. Report total also on Summary of Schedules.)
continuation sheets attached2
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(6/90)
FORM B6C
Hector Guevara Case No.In re
Debtor.
,
(If known)
SCHEDULE C - PROPERTY CLAIMED AS EXEMPT
� 11 U.S.C. § 522(b)(1)
(Check one box)
Debtor elects the exemption to which debtor is entitled under:
Note: These exemptions are available only in certain states.Exemptions provided in 11 U.S.C. § 522(d).
Exemptions available under applicable nonbankruptcy federal laws, state or local law where the debtor's domicile has been located for the 180 days immediately preceding the filing of the petition, or for a longer portion of the 180-day period than in any other place, and the debtor's interest as a tenant by the entirety or joint tenant to the extent the interest is exempt from process under applicable nonbankruptcy law.
11 U.S.C. § 522(b)(2) �
DESCRIPTION OF PROPERTYSPECIFY LAW
PROVIDING EACHEXEMPTION
VALUE OFCLAIMED
EXEMPTION
CURRENT MARKETVALUE OF PROPERTY,WITHOUT DEDUCTING
EXEMPTIONS
Household Goods 2,000.00CPLR § 5205(a)(5) 2,000.00
IRA Account 1,633.00Debt. & Cred. Law § 282 1,633.00
None NoneCPLR § 5205(a)(5) 0.00
Wearing Apparel 1,000.00CPLR § 5206(a) 1,000.00
Debt. & Cred. Law § 282 0.00
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FORM B6D(6/90)
Hector GuevaraIn re: Case No.,
SCHEDULE D - CREDITORS HOLDING SECURED CLAIMS
� Check this box if debtor has no creditors holding secured claims to report on this Schedule D.
CO
NT
ING
EN
TCREDITOR'S NAME ANDMAILING ADDRESS
INCLUDING ZIP CODE
DATE CLAIM WAS INCURRED,NATURE OF LIEN, AND
DESCRIPTION AND MARKETVALUE OF PROPERTY
SUBJECT TO LIEN
AMOUNTOF CLAIMWITHOUT
DEDUCTINGVALUE OF
COLLATERAL
UNSECUREDPORTION,
IF ANY
DIS
PU
TE
D
UN
LIQ
UID
AT
ED
HU
SB
AN
D, W
IFE
, JO
INT
OR
CO
MM
UN
ITY
CO
DE
BT
OR
ACCOUNT NO.
__________________________VALUE
0 Continuation sheets attached
$0.00
$0.00
Subtotal �
Total �
(Report total also on Summary of Schedules)
(Total of this page)
(Use only on last page)
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B6E
(Rev.4/98)
In re: Case No.
(If known)Debtor,Hector Guevara
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
� Check this box if debtor has no creditors holding unsecured priority claims to report on this Schedule E.
TYPES OF PRIORITY CLAIMS
� Extensions of credit in an involuntary case
Claims arising in the ordinary course of the debtor's business or financial affairs after the commencement of the case but before the earlier of the appointment of a trustee or the order for relief. 11 U.S.C. § 507(a)(2).
(Check the appropriate box(es) below if claims in that category are listed on the attached sheets)
� Wages, salaries, and commissions
Wages, salaries, and commissions, including vacation, severance, and sick leave pay owing to employees and commissions owing to qualifying independent sales representatives up to $4,650* per person earned within 90 days immediately preceding
the filing of the original petition, or the cessation of business, whichever occurred first, to the extent provided in
11 U.S.C. § 507(a)(3).
� Contributions to employee benefit plans
Money owed to employee benefit plans for services rendered within 180 days immediately preceding the filing of the original petition, or the cessation of business, whichever occurred first, to the extent provided in 11 U.S.C. § 507(a)(4).
� Certain farmers and fishermen
Claims of certain farmers and fishermen, up to $4,650* per farmer or fisherman, against the debtor, as provided in 11
U.S.C. § 507(a)(5).
� Deposits by individuals
Claims of individuals up to $2,100* for deposits for the purchase, lease, or rental of property or services for personal, family, or household use, that were not delivered or provided. 11 U.S.C. § 507(a)(6).
� Alimony, Maintenance, or Support
Claims of a spouse, former spouse, or child of the debtor for alimony, maintenance, or support, to the extent provided in 11 U.S.C. § 507(a)(7).
Taxes, customs duties, and penalties owing to federal, state, and local governmental units as set forth in 11
Taxes and Certain Other Debts Owed to Governmental Units�
U.S.C. § 507(a)(8).
an insured depository institution. 11 U.S.C. § 507(a)(9).or Board of Governors of the Federal Reserve System, or their predecessors or successors, to maintain the capital of
Claims based on commitments to the FDIC, RTC, Director of the Office of Thrift Supervision, Comptroller of the Currency,
� Commitments to Maintain the Capital of an Insured Depository Institution
* Amounts are subject to adjustment on April 1, 2004, and every three years thereafter with respect to cases commenced on or
after the date of adjustment.
Other Priority Debts�
Continuation sheets attached1
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FORM B6E - Cont.
(10/89)
Case No.In re: ,
(If known)Debtor
Hector Guevara
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
Type of Priority: Alimony, Maintenance, or Support
CO
DE
BT
OR
HU
SB
AN
D,
WIF
E,
JOIN
TO
R C
OM
MU
NIT
Y
CO
NT
ING
EN
T
UN
LIQ
UID
AT
ED
DIS
PU
TE
D TOTAL AMOUNT OF CLAIM
AMOUNTENTITLED
TOPRIORITY
CREDITOR'S NAME ANDMAILING ADDRESS
INCLUDING ZIP CODE
DATE CLAIM WAS INCURRED AND CONSIDERATION
FOR CLAIM
Child Support Legal fees
Gail Rigoglioso27 Nicole Court, Bohemia, NY 11716
19,785.0019,785.00 ACCOUNT NO.
$19,785.00
$19,785.00
�
�Subtotal
(Total of this page)
Total(Use only on last page of the completed Schedule E.)
Sheet no. 1 of 1 sheets attached to Schedule of Creditors Holding Priority Claims
(Report total also on Summary of Schedules)
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Case No.In re: Hector Guevara
FORM B6F (Official Form 6F) - (9/97)
,(If known)Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
Check this box if debtor has no creditors holding unsecured nonpriority claims to report on this Schedule F.�
DATE CLAIM WAS INCURRED AND CONSIDERATION FOR CLAIM.
IF CLAIM IS SUBJECT TOSETOFF, SO STATE
CREDITOR'S NAME ANDMAILING ADDRESS
INCLUDING ZIP CODEAMOUNT OF
CLAIM
CO
DE
BT
OR
HU
SB
AN
D, W
IFE
, JO
INT
OR
CO
MM
UN
ITY
CO
NT
ING
EN
T
UN
LIQ
UID
AT
ED
DIS
PU
TE
D
0.00XACCOUNT NO.
15,000.00XACCOUNT NO.
American ExpressP.O. Box 297874Ft. Lauderdale, Fl. 33329
Credit Cards
5,500.00ACCOUNT NO.
Brancato & Marchese PC36 Maple PlaceManhasset, NY 11030
Legal Fees
200,000.00ACCOUNT NO. X
David Ochoac/o Myrka Gonzalez, EsqP.O. Box 956Sayville, New York 11782
claim for consulting services
7,000.00310-62268ACCOUNT NO.
Ford CreditP.O. Box 220564Pittsburgh PA 15257-2564
Auto Lease
Continuation sheets attached1
Total �
� $227,500.00Subtotal
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Case No.In re: Hector Guevara ,(If known)Debtor
FORM B6F - Cont.(10/89)
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS(Continuation Sheet)
DATE CLAIM WAS INCURRED AND CONSIDERATION FOR CLAIM.
IF CLAIM IS SUBJECT TOSETOFF, SO STATE
CREDITOR'S NAME ANDMAILING ADDRESS
INCLUDING ZIP CODEAMOUNT OF
CLAIM
CO
DE
BT
OR
HU
SB
AN
D, W
IFE
, JO
INT
OR
CO
MM
UN
ITY
CO
NT
ING
EN
T
UN
LIQ
UID
AT
ED
DIS
PU
TE
D
260,000.00ACCOUNT NO.
Gail Rigoglioso27 Nicole Court,Bohemia, New York 11716
Distributive award; corporate vacation pay
57,000.00XACCOUNT NO.
HSBC4040 Veterans Memorial HighwayBohemia, NY 11716
Corporate guarantee
227,530.00ACCOUNT NO.
Hytech Industries Corp.35 Davinci DriveBohemia, New York 11716
Officer Loans
89,000.00XACCOUNT NO.
Suffolk County National Bank3880 Veterans Memorial HighwayBohemia, NY 11716
corporate guarentee
147,000.00XACCOUNT NO.
US SBALittle Rock Servicing Center,2120 River Front Drive, Suite 100Little Rock Ark. 72202-1747
Corporate guarentee
(Use only on last page of the completed Schedule F.)
(Total of this page)
Total
Sheet no. 1 of 1 continuation sheets attached to Schedule of Creditors Holding Unsecured Nonpriority Claims
$1,008,030.00�
� $780,530.00Subtotal
(Report also on Summary of Schedules)
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(10/89)
Form B6G
Hector GuevaraIn re: Case No.,
(If known)Debtor
SCHEDULE G - EXECUTORY CONTRACTS AND UNEXPIRED LEASES
Check this box if debtor has no executory contracts or unexpired leases.�
NAME AND MAILING ADDRESS, INCLUDING ZIP CODE,OF OTHER PARTIES TO LEASE OR CONTRACT.
DESCRIPTION OF CONTRACT OR LEASE AND NATURE OFDEBTOR'S INTEREST, STATE WHETHER LEASE IS FOR
NONRESIDENTIAL REAL PROPERTY. STATE CONTRACTNUMBER OF ANY GOVERNMENT CONTRACT.
Auto lease (6/05)
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,
(If known)DebtorHector GuevaraIn re: Case No.
(6/90)
B6H
SCHEDULE H - CODEBTORS� Check this box if debtor has no codebtors.
NAME AND ADDRESS OF CODEBTOR NAME AND ADDRESS OF CREDITOR
American ExpressP.O. Box 297874Ft. Lauderdale, Fl. 33329
Suffolk County National Bank3880 Veterans Memorial HighwayBohemia, NY 11716
Hytech Industries Corp.35 Davinci DriveBohemia, NY 11716
HSBC4040 Veterans Memorial HighwayBohemia, NY 11716
Hytech Industries Corp.35 Davinci DriveBohemia, NY 11716
US SBALittle Rock Servicing Center,2120 River Front Drive, Suite 100Little Rock Ark. 72202-1747
Hytech Industries Corp.35 Davinci DriveBohemia, NY 11716
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FORM B6I (6/90)
Case No.In re ,Hector Guevara(If known)Debtor
SCHEDULE I - CURRENT INCOME OF INDIVIDUAL DEBTOR(S)Debtor’s MaritalStatus:
DEPENDENTS OF DEBTOR AND SPOUSEDivorced
RELATIONSHIPAGENAMES
None
Debtor’s Age:
Spouse’s Age:57
EMPLOYMENT: DEBTOR SPOUSE
Occupation
How long employed
Address of Employer
Unemployed
Name of Employer
0.00 b. Insurance0.00$ c. Union dues $
$$0.00 a. Payroll taxes and social security $ $
Estimated monthly overtime 0.00 $
0.00 $$(pro rate if not paid monthly.)
LESS PAYROLL DEDUCTIONS
0.00 $$SUBTOTAL
Current monthly gross wages, salary, and commissions
SPOUSEDEBTORIncome: (Estimate of average monthly income)
$
d. Other (Specify) $ $0.00
Social security or other government assistancedebtor’s use or that of dependents listed above. $ $Alimony, maintenance or support payments payable to the debtor for the
$ $
Income from real property $ $
$(attach detailed statement) $
Regular income from operation of business or profession or farm
TOTAL NET MONTHLY TAKE HOME PAY $ $
SUBTOTAL OF PAYROLL DEDUCTIONS $ $
(Specify) $ $
Interest and dividends
0.00
0.00
0.00
0.000.00
0.00
0.00
$ $0.00Pension or retirement income
Other monthly income
(Specify) $ $0.00
0.00 $TOTAL MONTHLY INCOME
(Report also on Summary of Schedules)TOTAL COMBINED MONTHLY INCOME
$
$ 0.00
the filing of this document:Describe any increase or decrease of more than 10% in any of the above categories anticipated to occur within the year following
NONE
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,In re Case No.
(6/90)Form B6J
Hector Guevara
Debtor (If known)
SCHEDULE J - CURRENT EXPENDITURES OF INDIVIDUAL DEBTOR(S)
�
schedule of expenditures labeled "Spouse".
Check this box if a joint petition is filed and debtor's spouse maintains a separate household. Complete a separate
Are real estate taxes included?
Is property insurance included?Utilities
100.000.000.00
0.00No
Yes �No
Rent or home mortgage payment (include lot rented for mobile home) $
�Yes
$Electricity and heating fuel
$Water and sewer
$Telephone
Other $ 0.00
0.000.000.000.00
0.0050.00
100.0020.0020.00
100.00300.00
0.00
Life
Recreation, clubs and entertainment, newspapers, magazines, etc. $
$Charitable contributions
Auto
Health
$
Homeowner’s or renter’s $
Insurance (not deducted from wages or included in home mortgage payments)
Transportation (not including car payments) $
$Medical and dental expenses
$
$
Laundry and dry cleaning $
$Food
Home maintenance (repairs and upkeep) $
Clothing $
Other 200.00$Auto
0.00
0.00
Taxes (not deducted from wages or included in home mortgage payments)
AutoInstallment payments: (In chapter 12 and 13 cases, do not list payments to be included in the plan)
(Specify) $
$
Other 438.00Auto Lease $
0.000.00
2,500.00$Payments for support of additional dependents not living at your home
$Regular expenses from operation of business, profession, or farm (attach detailed statement)
$Alimony, maintenance or support paid to others
Other $ 0.00
TOTAL MONTHLY EXPENSES (Report also on Summary of Schedules)
[FOR CHAPTER 12 AND 13 DEBTORS ONLY]
A. Total projected monthly income
D. Total amount to be paid into plan each
(interval)
$
$
$
some other regular interval.
B. Total projected monthly expenses
C. Excess income (A minus B)
$
$
Provide the information requested below, including whether plan payments are to be made bi-weekly, monthly, annually, or at
3,828.00
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Form B6
(6/90)
United States Bankruptcy CourtEastern District of New York
Case No. In re Hector Guevara
Chapter 7
SUMMARY OF SCHEDULESAMOUNTS SCHEDULED
NAME OF SCHEDULEATTACHED(YES/NO) NO. OF SHEETS ASSETS LIABILITIES OTHER
Real Property
Personal Property
Property Claimed
Creditors Holding
Creditors Holding Unsecured
Creditors Holding Unsecured
Executory Contracts and
Codebtors
Current Expenditures of
Total Number of sheets
Total Assets
Total Liabilities
$
$
$
$
$
$
$
$
$
�
�
�
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
as Exempt
Secured Claims
Priority Claims
Nonpriority Claims
Unexpired Leases
Individual Debtor(s)
Individual Debtor(s)
A -
B -
C -
D -
E -
F -
G -
H -
I -
J -
in ALL Schedules
Current Income of
1
3
1
1
2
2
1
1
1
2
15,201.00
1,027,815.00
0.00
15,201.00
0.00
19,785.00
1,008,030.00
0.00
3,828.00
15
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Case No.In re: Hector Guevara*****2866
DECLARATION CONCERNING DEBTOR'S SCHEDULES
DECLARATION UNDER PENALTY OF PERJURY BY INDIVIDUAL DEBTOR
I declare under penalty of perjury that I have read the foregoing summary and schedules, consisting of sheets plus the summary15page, and that they are true and correct to the best of my knowledge, information, and belief.
Date: Signature
Hector Guevara
s/ Hector Guevara3/19/2004
[If joint case, both spouses must sign]
ON BEHALF OF CORPORATION OR PARTNERSHIPDECLARATION UNDER PENALTY OF PERJURY
(NOT APPLICABLE)
Penalty for making a false statement or concealing property. Fine of up to $500,000 or imprisonment for up to 5 years or both. 18 U.S.C §§ 152and 3571.
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UNITED STATES BANKRUPTCY COURT
Eastern District of New YorkCase No.Hector GuevaraIn re:
*****2866 7Chapter
STATEMENT OF FINANCIAL AFFAIRS
1. Income from employment or operation of business
None�
State the gross amount of income the debtor has received from employment, trade, or profession, or fromoperation of the debtor's business from the beginning of this calendar year to the date this case wascommenced. State also the gross amounts received during the two years immediately preceding thiscalendar year. (A debtor that maintains, or has maintained, financial records on the basis of a fiscal rather than a calendar year may report fiscal year income. Identify the beginning and ending dates of the debtor'sfiscal year.) If a joint petition is filed, state income for each spouse separately. (Married debtors filing under chapter 12 or chapter 13 must state income of both spouses whether or not a joint petition is filed, unless thespouses are separated and a joint petition is not filed.)
AMOUNT SOURCE FISCAL YEAR PERIOD
Earnings 200281,096.00
Earnings 200348,462.00
2. Income other than from employment or operation of businessNone�
State the amount of income received by the debtor other than from employment, trade, profession, or operation of the debtor's business during the two years immediately preceding thecommencement of this case. Give particulars. If a joint petition is filed, state income for eachspouse separately. (Married debtors filing under chapter 12 or chapter 13 must state income foreach spouse whether or not a joint petition is filed, unless the spouses are separated and a jointpetition is not filed.)
AMOUNT SOURCE FISCAL YEAR PERIOD
Tax/refunds10,000.00 2003
Pension/Profit Sharing Plan(net of taxes)38,390.00 2003
3. Payments to creditorsNone�
a. List all payments on loans, installment purchases of goods or services, and other debts,aggregating more than $600 to any creditor, made within 90 days immediately preceding the commencement of this case. (Married debtors filing under chapter 12 or chapter 13 must includepayments by either or both spouses whether or not a joint petition is filed, unless the spouses areseparated and a joint petition is not filed.)
NAME AND ADDRESS OF CREDITOR PAYMENTSDATES OF
PAIDAMOUNT
STILL OWINGAMOUNT
b. List all payments made within one year immediately preceding the commencement of this caseto or for the benefit of creditors who are or were insiders. (Married debtors filing under chapter 12or chapter 13 must include payments by either or both spouses whether or not a joint petition isfiled, unless the spouses are separated and a joint petition is not filed.)
None�
AND RELATIONSHIP TO DEBTOR
NAME AND ADDRESS OF CREDITOR
PAYMENTS
DATES OF
AMOUNT PAID STILL OWING
AMOUNT
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4. Suits and administrative proceedings, executions, garnishments and attachments
None�
a. List all suits and administrative proceedings to which the debtor is or was a party within one year immediately preceding the filing of this bankruptcy case. (Married debtors filing under chapter 12 orchapter 13 must include information concerning either or both spouses whether or not a joint petition isfiled, unless the spouses are separated and a joint petition is not filed.)
AND CASE NUMBER
CAPTION OF SUIT
NATURE OF PROCEEDING AND LOCATION
COURT OR AGENCY
DISPOSITION
STATUS OR
Guevara vs. Guevara 02-15512
Supreme SuffolkDivorce Judgment of Divorce 7/03
b. Describe all property that has been attached, garnished or seized under any legal or equitableprocess within one year immediately preceding the commencement of this case. (Married debtorsfiling under chapter 12 or chapter 13 must include information concerning property of either or bothspouses whether or not a joint petition is filed, unless the spouses are separated and a jointpetition is not filed.)
None�
BENEFIT PROPERTY WAS SEIZEDOF PERSON FOR WHOSE
SEIZUREDATE OF
PROPERTYAND VALUE OF
NAME AND ADDRESS DESCRIPTION
Gail Rigoglioso 01/01/2004 Bank Account(-5,500)
5. Repossessions, foreclosures and returnsNone�
List all property that has been repossessed by a creditor, sold at a foreclosure sale,transferred through a deed in lieu of foreclosure or returned to the seller, within one yearimmediately preceding the commencement of this case. (Married debtors filing under chapter 12or chapter 13 must include information concerning property of either or both spouses whether ornot a joint petition is filed, unless the spouses are separated and a joint petition is not filed.)
OF CREDITOR OR SELLER TRANSFER OR RETURNFORECLOSURE SALENAME AND ADDRESSDATE OF REPOSSESSION,
PROPERTYAND VALUE OFDESCRIPTION
6. Assignments and receiverships
None�
a. Describe any assignment of property for the benefit of creditors made within 120 daysimmediately preceding the commencement of this case. (Married debtors filing under chapter 12or chapter 13 must include any assignment by either or both spouses whether or not a joint petitionis filed, unless the spouses are separated and a joint petition is not filed.)
OR SETTLEMENTASSIGNMENTOF ASSIGNEE
ASSIGNMENTDATE OFNAME AND ADDRESS
TERMS OF
b. List all property which has been in the hands of a custodian, receiver, or court-appointed officialwithin one year immediately preceding the commencement of this case. (Married debtors filingunder chapter 12 or chapter 13 must include information concerning property of either or bothspouses whether or not a joint petition is filed, unless the spouses are separated and a jointpetition is not filed.)
None�
PROPERTYORDERCASE TITLE & NUMBEROF CUSTODIANAND VALUE OFDATE OFOF COURTNAME AND ADDRESSDESCRIPTIONNAME AND ADDRESS
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7. Gifts
None�
List all gifts or charitable contributions made within one year immediately preceding thecommencement of this case except ordinary and usual gifts to family members aggregating less than $200 in value per individual family member and charitable contributions aggregating lessthan $100 per recipient. (Married debtors filing under chapter 12 or chapter 13 must include giftsor contributions by either or both spouses whether or not a joint petition is filed, unless the spousesare separated and a joint petition is not filed.)
OR ORGANIZATION IF ANY OF GIFTOF PERSON TO DEBTOR, DATENAME AND ADDRESS RELATIONSHIP DESCRIPTION
AND VALUE OFGIFT
Church of Scientology Church 04/01/2003 $7,850.00
8. Losses
None�
List all losses from fire, theft, other casualty or gambling within one year immediately precedingthe commencement of this case or since the commencement of this case. (Married debtors filingunder chapter 12 or chapter 13 must include losses by either or both spouses whether or not ajoint petition is filed, unless the spouses are separated and a joint petition is not filed.)
PROPERTYAND VALUE OFDESCRIPTION
BY INSURANCE, GIVE PARTICULARSLOSS WAS COVERED IN WHOLE OR IN PARTDESCRIPTION OF CIRCUMSTANCES AND, IF
LOSSDATE OF
9. Payments related to debt counseling or bankruptcyNone�
List all payments made or property transferred by or on behalf of the debtor to any persons,including attorneys, for consultation concerning debt consolidation, relief under the bankruptcy lawor preparation of a petition in bankruptcy within one year immediately preceding the commencementof this case.
OF PAYEE
NAME AND ADDRESS
OTHER THAN DEBTORNAME OF PAYOR IFDATE OF PAYMENT,
OF PROPERTYDESCRIPTION AND VALUEAMOUNT OF MONEY OR
Jeff H. MorgensternOne Old Country Road, Suite 585Carle Place, NY 11514
March 2004 $4,209.00
10. Other transfers
None�
a. List all other property, other than property transferred in the ordinary course of the business orfinancial affairs of the debtor, transferred either absolutely or as security within one yearimmediately preceding the commencement of this case. (Married debtors filing under chapter 12or chapter 13 must include transfers by either or both spouses whether or not a joint petition isfiled, unless the spouses are separated and a joint petition is not filed.)
AND VALUE RECEIVEDDATERELATIONSHIP TO DEBTORTRANSFERREDNAME AND ADDRESS OF TRANSFEREE,DESCRIBE PROPERTY
Annette Primiani
09/01/2003 Gold Coins ($6,000.00) in consideration of share of living expenses.
Gail Rigoglioso
03/03/2003 Restricted Nu-Energy Group Stock in escrow, as Security
Gail Rigoglioso
03/03/2003 share of martial residence pursuant to divorce settlement
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11. Closed financial accounts
None�
List all financial accounts and instruments held in the name of the debtor or for the benefit ofthe debtor which were closed, sold, or otherwise transferred within one year immediately precedingthe commencement of this case. Include checking, savings, or other financial accounts,certificates of deposit, or other instruments; shares and share accounts held in banks, creditunions, pension funds, cooperatives, associations, brokerage houses and other financialinstitutions. (Married debtors filing under chapter 12 or chapter 13 must include informationconcerning accounts or instruments held by or for either or both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.)
OR CLOSINGAMOUNT OF FINAL BALANCEOF INSTITUTIONDATE OF SALEOF ACCOUNT ANDNAME AND ADDRESSAMOUNT ANDTYPE AND NUMBER
Suffolk County National Bank Hytech Pension/Profit Sharing Plan
7/03 ($38,390.00)
12. Safe deposit boxes
None�
List each safe deposit or other box or depository in which the debtor has or had securities,cash, or other valuables within one year immediately preceding the commencement of this case.(Married debtors filing under chapter 12 or chapter 13 must include boxes or depositories of eitheror both spouses whether or not a joint petition is filed, unless the spouses are separated and ajoint petition is not filed.)
IF ANYCONTENTSTO BOX OR DEPOSITORYOTHER DEPOSITORY
OR SURRENDER,OFOF THOSE WITH ACCESSOF BANK OR
DESCRIPTIONNAMES AND ADDRESSESNAME AND ADDRESS DATE OF TRANSFER
13. SetoffsNone�
List all setoffs made by any creditor, including a bank, against a debt or deposit of the debtorwithin 90 days preceding the commencement of this case. (Married debtors filing under chapter 12or chapter 13 must include information concerning either or both spouses whether or not a jointpetition is filed, unless the spouses are separated and a joint petition is not filed.)
SETOFFSETOFFNAME AND ADDRESS OF CREDITORAMOUNT OFDATE OF
14. Property held for another personNone�
List all property owned by another person that the debtor holds or controls.
LOCATION OF PROPERTYOF PROPERTYOF OWNERDESCRIPTION AND VALUENAME AND ADDRESS
15. Prior address of debtorNone�
If the debtor has moved within the two years immediately preceding the commencement of thiscase, list all premises which the debtor occupied during that period and vacated prior to thecommencement of this case. If a joint petition is filed, report also any separate address of eitherspouse.
DATES OF OCCUPANCYNAME USEDADDRESS
27 Nicole CourtBohemia, New York 11716
Hector Guevara 1991-2002
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16. Spouses and Former SpousesNone�
If the debtor resides or resided in a community property state, commonwealth, or territory (including Alaska, Arizona, California, Idaho, Louisiana, Nevada, New Mexico, Puerto Rico, Texas, Washington, or Wisconsin) within the six-year period immediately preceding the commencement of the case, identify the name of the debtor 's spouse and of any former spouse who resides or resided with the debtor in the community property state.
NAME
17. Environmental Information.
For the purpose of this question, the following definitions apply:
"Environmental Law" means any federal, state or local statute or regulation regulating pollution, contamination, releases of hazardous or toxic substances, wastes or material into the air, land, soil, surface water, groundwater, or other medium, including, but not limited to, statutes or regulations regulating the cleanup of these substances, wastes, or material.
"Site" means any location, facility, or property as defined under any Environmental Law, whether or not presently or formerly owned or operated by the debtor, including, but not limited to, disposal sites.
"Hazardous Material" means anything defined as a hazardous waste, hazardous substance, toxic substance, hazardous material, pollutant, or contaminant or similar term under an Environmental Law.
a. List the name and address of every site for which the debtor has received notice in writing by a governmental unit that it may be liable or potentially liable under or in violation of an Environmental Law. Indicate the governmental unit, the date of the notice, and, if known, the Environmental Law.
None�
ADDRESS
SITE NAME AND
OF GOVERNMENTAL UNIT
NAME AND ADDRESS
NOTICE
DATE OF ENVIRONMENTAL
LAW
b. List the name and address of every site for which the debtor provided notice to a governmental unit of a release of Hazardous Material. Indicate the governmental unit to which the notice was sent and the date of the notice.
None�
SITE NAME AND
ADDRESS
NAME AND ADDRESS
OF GOVERNMENTAL UNIT
DATE OF
NOTICE
ENVIRONMENTAL
LAW
c. List all judicial or administrative proceedings, including settlements or orders, under any Environmental Law with respect to which the debtor is or was a party. Indicate the name and address of the governmental unit that is or was a party to the proceeding, and the docket number.
None�
NAME AND ADDRESS
OF GOVERNMENTAL UNIT
DOCKET NUMBER STATUS OR
DISPOSITION
18. Nature, location and name of business
None�
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a. If the debtor is an individual, list the names, addresses, taxpayer identification numbers, nature of the businesses, and beginning and ending dates of all businesses in which the debtor was an officer, director, partner, or managing executive of a corporation, partnership, sole proprietorship, or was a self-employed professional within the six years immediately preceding the commencement of this case, or in which the debtor owned 5 percent or more of the voting or equity securities within the six years immediately preceding the commencement of this case.
If the debtor is a partnership, list the names, addresses, taxpayer identification numbers, nature of the business, and beginning and ending dates of all businesses in which the debtor was a partner or owned 5 percent or more of the voting or equity securities within the six years immediately preceding the commencement of this case.
If the debtor is a corporation, list the names, addresses, taxpayer identification numbers, nature of the business, and beginning and ending dates of all businesses in which the debtor was a partner or owned 5 percent or more of the voting or equity securities within the six years immediately preceding the commencement of this case.
BEGINNING AND ENDING
NATURE OF BUSINESSNAME DATES
TAXPAYER
I.D. NUMBER ADDRESS
Manufacturing 11/01/1986
11/01/2003
Hytech Industries CorBohemia, New York
52-1614703
energy development 11/01/2002Nu Energy Group Inc.Bohemia, New York
02-0637139
b. Identify any business listed in response to subdivision a., above, that is "single asset real estate" as defined in 11 U.S.C. § 101.
None�
NAME ADDRESS
19. Books, records and financial statementsNone�
a. List all bookkeepers and accountants who within two years immediately preceding the filing ofthis bankruptcy case kept or supervised the keeping of books of account and records of the debtor.
DATES SERVICES RENDEREDNAME AND ADDRESS
Gregory Garritano, P.C.Bohemia, New York
2002-2004
b. List all firms or individuals who within the two years immediately preceding the filing of thisbankruptcy case have audited the books of account and records, or prepared a financial statementof the debtor.
None�
DATES SERVICES RENDEREDNAME AND ADDRESS
c. List all firms or individuals who at the time of the commencement of this case were inpossession of the books of account and records of the debtor. If any of the books of account andrecords are not available, explain.
None�
ADDRESSNAME
Bohemia, New YorkDebtor
d. List all financial institutions, creditors and other parties, including mercantile and tradeagencies, to whom a financial statement was issued within the two years immediately preceding thecommencement of this case by the debtor.
None�
DATE ISSUED NAME AND ADDRESS
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20. InventoriesNone�
a. List the dates of the last two inventories taken of your property, the name of the person whosupervised the taking of each inventory, and the dollar amount and basis of each inventory.
(Specify cost, market or other basis)INVENTORY SUPERVISORDATE OF INVENTORYDOLLAR AMOUNT OF INVENTORY
b. List the name and address of the person having possession of the records of each of the twoinventories reported in a., above.
None�
OF INVENTORY RECORDSDATE OF INVENTORYNAME AND ADDRESSES OF CUSTODIAN
21. Current Partners, Officers, Directors and ShareholdersNone�
a. If the debtor is a partnership, list the nature and percentage of partnership interest of eachmember of the partnership.
PERCENTAGE OF INTERESTNATURE OF INTERESTNAME AND ADDRESS
b. If the debtor is a corporation, list all officers and directors of the corporation, and eachstockholder who directly or indirectly owns, controls, or holds 5 percent or more of the votingsecurities of the corporation.
None�
OF STOCK OWNERSHIPTITLENAME AND ADDRESSNATURE AND PERCENTAGE
22. Former partners, officers, directors and shareholdersNone�
a. If the debtor is a partnership, list each member who withdrew from the partnership within oneyear immediately preceding the commencement of this case.
DATE OF WITHDRAWALADDRESSNAME
b. If the debtor is a corporation, list all officers, or directors whose relationship with the corporationterminated within one year immediately preceding the commencement of this case.
None�
DATE OF TERMINATIONTITLE NAME AND ADDRESS
23. Withdrawals from a partnership or distributions by a corporationNone�
If the debtor is a partnership or corporation, list all withdrawals or distributions credited or givento an insider, including compensation in any form, bonuses, loans, stock redemptions, optionsexercised and any other perquisite during one year immediately preceding the commencementof this case.
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AND VALUE OF PROPERTYOF WITHDRAWALRELATIONSHIP TO DEBTOR
OR DESCRIPTIONDATE AND PURPOSEOF RECIPIENT,
AMOUNT OF MONEYNAME & ADDRESS
24. Tax Consolidation Group.None�
If the debtor is a corporation, list the name and federal taxpayer identification number of the parent corporation of any consolidated group for tax purposes of which the debtor has been a member at any time within the six -year period immediately preceding the commencement of the case.
NAME OF PARENT CORPORATION TAXPAYER IDENTIFICATION NUMBER
25. Pension Funds.None�
If the debtor is not an individual, list the name and federal taxpayer identification number of any pension fund to which the debtor, as an employer, has been responsible for contributing at any time within the six-year period immediately preceding the commencement of the case.
NAME OF PENSION FUND TAXPAYER IDENTIFICATION NUMBER
* * * * * *
I declare under penalty of perjury that I have read the answers contained in the foregoing statement
3/19/2004 s/ Hector Guevara
of financial affairs and any attachments thereto and that they are true and correct.
Date Signatureof Debtor Hector Guevara
[if completed by an individual or individual and spouse]
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UNITED STATES BANKRUPTCY COURTEastern District of New York
In re: Case No.
Chapter 7Hector Guevara*****2866
CHAPTER 7 INDIVIDUAL DEBTOR'S STATEMENT OF INTENTION
2. I intend to do the following with respect to the property of the estate which secures those consumer debts:
I have filed a schedule of assets and liabilities which includes consumer debts secured by property of the estate.1.
Property To Be Surrendered.
Description of Property Creditor's Name
a.
None
Property To Be Retained.
Propertyis claimedas exempt
Creditor'sName
DescriptionofProperty
Property willbe redeemedpursuant to11 U.S.C. § 722
Debt will bereaffirmedpursuant to11 U.S.C. § 524(c)
[Check any applicable statement.]b.
Other
None
Date:Signature of Debtor
3/19/2004 s/ Hector Guevara
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UNITED STATES BANKRUPTCY COURT
Eastern District of New York
ChapterCase No.
7In re: Hector Guevara
*****2866Debtor
DISCLOSURE OF COMPENSATION OF ATTORNEY FOR DEBTOR
1. Pursuant to 11 U.S.C. § 329(a) and Bankruptcy Rule 2016(b), I certify that I am the attorney for the above-named debtor(s)
and that compensation paid to me within one year before the filing of the petition in bankruptcy, or agreed to be
paid to me, for services rendered or to be rendered on behalf of the debtor(s) in contemplation of or in connection with the bankruptcy case is as follows:
Other (specify)�Debtor�
$ Balance Due
$ Prior to the filing of this statement I have received
$ For legal services, I have agreed to accept
0.00
2. The source of compensation paid to me was:
4,209.00
4,209.00
Third party funds3. The source of compensation to be paid to me is:
� �Debtor Other (specify)
4. I have not agreed to share the above-disclosed compensation with any other person unless they are members and associates
of my law firm.
I have agreed to share the above-disclosed compensation with a person or persons who are not members or associates of
my law firm. A copy of the agreement, together with a list of the names of the people sharing in the compensation, is
�
�
attached.
5. In return for the above-disclosed fee, I have agreed to render legal service for all aspects of the bankruptcy case, including:
Analysis of the debtor's financial situation, and rendering advice to the debtor in determining whether to file
a petition in bankruptcy;a)
Preparation and filing of any petition, schedules, statement of affairs, and plan which may be required;b)
Representation of the debtor at the meeting of creditors and confirmation hearing, and any adjourned hearings thereof;c)
Representation of the debtor in adversary proceedings and other contested bankruptcy matters;d)
[Other provisions as needed]e)
None
6. By agreement with the debtor(s) the above disclosed fee does not include the following services:
None
Jeff H. Morgenstern, Bar No. 4163
Dated:
representation of the debtor(s) in this bankruptcy proceeding.
I certify that the foregoing is a complete statement of any agreement or arrangement for payment to me for
CERTIFICATION
Attorney for Debtor(s)Jeff H. Morgenstern
/s/Jeff Morgenstern
3/19/2004
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DESCRIPTION OF PRE-PETITION SERVICESPURSUANT TO LOCAL RULE 2017-1
DATE HOURS MATTER
01/28/04 2.0 Conference - debtor re status of personalfinances, bankruptcy & other alternatives;
01/28/04 1.0 Review and analysis of Divorce Stipulation ofSettlement;
01/30/04 .5 Conference with debtor to update information forfiling; review of earnings, budget, Corporate liabilitieswith guarantees;
02/02/04 1.0 Conference with debtor, Bob Fletcher, Esq., MarkBrancato, Esq., re: extent of restrictions on Nu-EnergyStock;
02/03/04 1.0 Research on restricted Stocks and property of theestate and trustee’s ability to liquidate;
02/13/04 2.0 Preparation of Petition, Schedules, Statement ofAffairs; review/analysis of documents gathered onmonthly budget, creditors, earnings and assets;
02/17/04 .5 Revisions to Petition and Schedules
03/16/04 1.0 Meeting with debtor; review and execution ofPetition, review of procedures in Chapter 7proceeding.
ADDITIONAL SERVICES TO BE RENDERED:
Filing of petition; preparation ofdebtor for, and appearance at 341 meeting;responses to inquiries of Trustee and production ofdocuments; follow-up for discharge
Anticipated time for additional services: 5.0 Hrs.Billing Rate $250.00/Hr.
/s/Jeff Morgenstern Jeff Morgenstern
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UNITED STATES BANKRUPTCY COURTEASTERN DISTRICT OF NEW YORK
STATEMENT PURSUANT TO LOCALBANKRUPTCY RULE 1073-2(b)
DEBTOR(S): CASE NO.:
Pursuant to Local Bankruptcy Rule 1073-2(b), the debtor (or any other pe titioner) hereby makes the following disclosure
concerning Related C ases, to the petitioner’s best knowledge, information and belief:
[NOTE: Cases sh all be deemed “ Related C ases” for purpose s of E.D.N.Y . LBR 10 73-1 and E.D.N.Y. L BR 10 73-2 if the earlier ca se
was pending at any time within six years before the filing of the new petition, and the debtors in such cases: (i) are the same; (ii)
are spouses or ex-spouses; (iii) are affiliates, as defined in 11 U.S.C. § 101(2); (iv) are general partners in the same partnership;
(v) are a partnership and one or more of its general partners; (vi) are partnerships which share one or more common general
partners; or (vii) have, or within 180 days of the commencement of either of the Related Cases had, an intere st in property that
was o r is included in the pro perty o f anoth er estate u nder 11 U.S.C. § 541(a) .]
G NO RELATED CASE IS PENDING OR HAS BEEN PEN DING AT ANY TIME.
G THE FOLLOWING RELATED CASE(S) IS PENDING OR HAS BEEN PENDING:
1. CASE NO.:__________________ JUDGE:_____________________ DISTRICT/DIVISION:_________________________
CASE STILL PENDING (Y/N):_____ [If closed] Date of closing:________________
CURRENT STA TUS OF RELATE D CASE:_____________________________________________________________________
(Discharged/awaiting discharge, confirmed, dismissed, etc.)
MANNER IN WHICH CASES ARE RELATED (Refer to NOTE ab ove):_________________________________________
REAL PROPERTY L ISTED IN DEBTOR’S SCHE DULE “A” (“REAL PRO PERT Y”) W HICH WAS ALSO LISTED IN
SCHEDULE “A” OF RELATED CASE:_________________________________________________________________________
_____________________________________________________________________________________________________________
2. CASE NO.:___________________ JUDGE:_____________________ DISTRICT/DIVISION:__________________________
CASE STILL PENDING (Y/N):_____ [If closed] Date of closing:________________
CURRENT STA TUS OF RELATE D CASE:_____________________________________________________________________
(Discharged/awaiting discharge, confirmed, dismissed, etc.)
MANNER IN WHICH CASES ARE RELATED (Refer to NOTE ab ove):______________________________________________
REAL PROPERTY LISTED IN DEBTOR’S SCHEDULE “A” (“REAL PROPERTY”) WHICH WAS ALSO LISTED
IN SCHEDULE “A” OF RELATED CASE:______________________________________________________________________
_____________________________________________________________________________________________________________
(OVER)
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DISCLOSURE OF RELATED CASE S (cont’d)
3. CASE NO.:____________________ JUDGE:_____________________ DISTRICT/DIVISION:_________________________
CASE STILL PENDING (Y/N):_____ [If closed] Date of closing:________________
CURRENT STA TUS OF RELATE D CASE:_____________________________________________________________________
(Discharged/awaiting discharge, confirmed, dismissed, etc.)
MANNER IN WHICH CASES ARE RELATED (Refer to NOTE ab ove):______________________________________________
REAL PROPERTY LISTED IN DEBTOR’S SCHEDULE “A” (“REAL PROPERTY”) WHICH WAS ALSO LISTED
IN SCHEDULE “A” OF RELATED CASE:______________________________________________________________________
_____________________________________________________________________________________________________________
NOTE: Pursuant to 11 U.S.C. § 109(g), certain individuals who have had prior cases dismissed within the preceding 180 days may
not be eligible to be debtors. Such an individual will be required to file a statement in support of his/her eligibility to file.
TO BE COM PLETED BY DEBTOR/PETITIONER'S ATTORNEY, AS APPLICABLE:
I am admitted to practice in the Eastern District of New York (Y/N):_____
CERTIF ICATION (to be signed by pro se debtor/petitioner or debtor/petitioner's attorney, as applicable):
I certify under penalty of perjury that the within bankruptcy case is not related to any case now pending or pending at any time,
except a s indicated elsewhe re on this fo rm.
_____________________________________________ _____________________________________________
Signature of Debtor's Attorney Signature of Pro Se Debtor/Petitioner
_____________________________________________
Mailing Address of Debtor/Petitioner
_____________________________________________
City, State, Zip Code
_____________________________________________
Area Code and Telephone Number
Failure to fully and truthfully provide all information required by the E.D.N.Y. LBR 1073-2 Statement may subject the debtor
or any other petitioner and their attorney to appropriate sanctions, including without limitation conversion, the appointment of
a trustee or the dismissal of the case with prejudice.
NOTE: Any cha nge in addre ss must be reported to the Court immediately IN WRITING. Dismissal of your petition may otherw ise
result.
USBC-2 Rev.02/15/1
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