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Official Form 1 (10/06)
Grassi, John T.
Name of Debtor (if individual, enter Last, First, Middle): Name of Joint Debtor (Spouse) (Last, First, Middle):
United States Bankruptcy Court Voluntary PetitionSouthern District of Florida
All Other Names used by the Joint Debtor in the last 8 yearsAll Other Names used by the Debtor in the last 8 years
(include married, maiden, and trade names): (include married, maiden, and trade names):
Last four digits of Soc. Sec./Complete EIN or other Tax I.D. No. (if more than one,state all):
xxx-xx-6151
Last four digits of Soc. Sec./Complete EIN or other Tax I.D. No. (if more than one,state all):
Street Address of Joint Debtor (No. & Street, City, and State):Street Address of Debtor (No. & Street, City, and State):
1001 S.E. 12th Terrace
Deerfield Beach, FL
33441ZIP CODE ZIP CODE
County of Residence or of the Principal Place of Business:
Broward
County of Residence or of the Principal Place of Business:
Mailing Address of Joint Debtor (if different from street address):Mailing Address of Debtor (if different from street address):
2369 Woodlands Way
Deerfield Beach, FLZIP CODE ZIP CODE33442
Location of Principal Assets of Business Debtor (if different from street address above):
ZIP CODE
Other
See Exhibit D on page 2 of this form.
Nature of Business
(Check one box)
Chapter 15 Petition forRecognition of a ForeignNonmain Proceeding
Chapter 15 Petition forRecognition of a ForeignMain Proceeding
Chapter 13
Health Care Business
Single Asset Real Estate as defined in 11U.S.C. 101(51B)
Clearing Bank
Chapter 12
Chapter 9
Chapter 11
Chapter 7
the Petition is Filed (Check one box)Chapter of Bankruptcy Code Under Which
Commodity Broker
Stockbroker
Railroad
Other (If debtor is not one of the above entities,check this box and state type of entity below.)
________________________
Partnership
Corporation (includes LLC and LLP)
Individual (includes Joint Debtors)
Type of Debtor
(Check one box.)(Form of Organization)
Nature of Debts(Check one box)
Debtor is a tax-exempt organizationunder Title 26 of the United StatesCode (the Internal Revenue Code.)
Debts are primarily consumerdebts, defined in 11 U.S.C. 101(8) as incurred by anindividual primarily for apersonal, family, or house-hold purpose.
Debts are primarilybusiness debts.
Tax-Exempt Entity(Check box, if applicable)
Filing Fee (Check one box)
Full Filing Fee attached
Filing Fee to be paid in installments (applicable to individuals only). Must attach
signed application for the court's consideration certifying that the debtor is
unable to pay fee except in installments. Rule 1006(b) See Official Form 3A.
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 one box:
Check if:
Debtor's aggregate noncontingent liquidated debts (excluding debts owed toinsiders or affiliates) are less than $2 million.
Filing Fee waiver requested (applicable to chapter 7 individuals only). Mustattach signed application for the court's consideration. See Official Form 3B.
Chapter 11 Debtors
Check all applicable boxes
A plan is being filed with this petition
Acceptances of the plan were solicited prepetition from one or more classesof creditors, in accordance with 11 U.S.C. 1126(b).
expenses paid, there will be no funds available for distribution to unsecured creditors.
THIS SPACE IS FOR COURT USE ONLY
Debtor estimates that, after any exempt property is excluded and administrative
Debtor estimates that funds will be available for distribution to unsecured creditors.
Statistical/Administrative Information
Over100,000
50,001-100,000
25,001-50,000
10,001-25,000
5,001-10,000
1,000-5,000
200-999
100-199
50-99
1-49
Estimated Number of Creditors
Estimated Liabilities
Estimated Assets$0 to$10,000
$10,000 to$100,000
$100,000 to$1 million
$1 million to$100 million
More than $100 million
$0 to$50,000
$50,000 to$100,000
$100,000 to$1 million
$1 million to$100 million
More than $100 million
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FORM B1, PageOfficial Form 1 (10/06)
Voluntary Petition Name of Debtor(s):(This page must be completed and filed in every case)
John T. Grassi
NONE
All Prior Bankruptcy Cases Filed Within Last 8 Years (If more than two, attach additional sheet.)
Case Number: Date Filed:LocationWhere Filed:
Location
Where Filed:Case Number: Date Filed:
NONE
Pending Bankruptcy Case Filed by any Spouse, Partner or Affiliate of this Debtor (If more than one, attach additional sheet)
Judge:
Name of Debtor: Case Number: Date Filed:
Relationship:District:
Exhibit A
Exhibit A is attached and made a part of this petition.
(To be completed if debtor is required to file periodic reports (e.g., forms 10K and10Q) with the Securities and Exchange Commission pursuant to Section 13 or 15(d)of the Securities Exchange Act of 1934 and is requesting relief under chapter 11.)
Not Applicable
have informed the petitioner that [he or she] may proceed under chapter 7, 11,
I, the attorney for the petitioner named in the foregoing petition, declare that I
whose debts are primarily consumer debts)(To be completed if debtor is an individual
Exhibit B
2/13/2007
available under each such chapter. I further certify that I have delivered to the12, or 13 of title 11, United States Code, and have explained the relief
X
debtor the notice required by 11 U.S.C. 342(b).
Patrick S. Scott
DateSignature of Attorney for Debtor(s)290025
Yes, and Exhibit C is attached and made a part of this petition.
No
Does 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?
Exhibit C
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.
Landlord has a judgment against the debtor for possession of debtor's residence. (If box checked, complete the following).
(Check all applicable boxes.)Statement by a Debtor Who Resides as a Tenant of Residential Property
Debtor is a debtor in a foreign proceeding and has its principal place of business or principal assets in the United States in this District. orhas no principal place of business or assets in the United States but is a defendant in an action or proceeding [in a federal or state court] inthis District, or the interests of the parties will be served in regard to the relief sought in this District.
There is a bankruptcy case concerning debtor's affiliate. general partner, or partnership pending in this District.
Debtor has been domiciled or has had a residence, principal place of business, or principal assets in this District for 180 days immediatelypreceding the date of this petition or for a longer part of such 180 days than in any other District.
(Check any applicable box)Information Regarding the Debtor - Venue
(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 cure theentire 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 period after thefiling of the petition.
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FORM B1, PageOfficial Form 1 (10/06)
Voluntary Petition Name of Debtor(s):
John T. Grassi(This page must be completed and filed in every case)
X Not Applicable
Pursuant to 11 U.S.C. 1511, I request relief in accordance with theChapter of title 11 specified in the petition. A certified copy of theorder granting recognition of the foreign main proceeding is attached.
(Check only one box.)
I request relief in accordance with chapter 15 of Title 11, United States Code.Certified Copies of the documents required by 1515 of title 11 are attached.[If no attorney represents me and no bankruptcy petition preparer signs the petition] I
have obtained and read the notice required by 11 U.S.C. 342(b).
s/ John T. GrassiX
I request relief in accordance with the chapter of title 11, United States Code, specifiedin this petition.
[If petitioner is an individual whose debts are primarily consumer debts and haschosen to file under chapter 7] I am aware that I may proceed under chapter 7, 11, 12
or 13 of title 11, United States Code, understand the relief available under each suchchapter, and choose to proceed under chapter 7.
I declare under penalty of perjury that the information provided in this petition is trueand correct.
Signature(s) of Debtor(s) (Individual/Joint)
Signatures
Signature of a Foreign Representative
I declare under penalty of perjury that the information provided in this petition is trueand correct, that I am the foreign representative of a debtor in a foreign proceeding,and that I am authorized to file this petition.
Not ApplicableX
Signature of Debtor (Signature of Foreign Representative)John T. Grassi
Signature of Joint Debtor (Printed Name of Foreign Representative)
Telephone Number (If not represented by attorney)
Date
2/13/2007 Date
I declare under penalty of perjury that the information provided in this petition is trueand correct, and that I have been authorized to file this petition on behalf of thedebtor.
Signature of Debtor (Corporation/Partnership)
954-523-1615 954-523-1614
Date
Not Applicable
Signature of Attorney
XSignature of Attorney for Debtor(s)
Printed Name of Attorney for Debtor(s) / Bar No.
Firm Name
Address
2/13/2007
Signature of Non-Attorney Petition Preparer
I declare under penalty of perjury that: (1) I am a bankruptcy petition preparer asdefined in 11 U.S.C. 110; (2) 1 prepared this document for compensation and haveprovided the debtor with a copy of this document and the notices and informationrequired under 11 U.S.C. 110(b), 110(h), and 342(b); and, (3) if rules orguidelines have been promulgated pursuant to 11 U.S.C. 110(h) setting a maximumfee for services chargeable by bankruptcy petition prepares, I have given the debtornotice of the maximum amount before preparing any document for filing for a debtoror accepting any fee from the debtor, as required in that section. Official Form 19Bis attached.
Printed Name and title, if any, of Bankruptcy Petition Preparer
Law Office of Patrick Scott
111 S.E. 12th Street, Suite B Ft. Lauderdale, FL 33316-1813
Patrick S. Scott, 290025
Telephone Number
Address
Not ApplicableX
If more than one person prepared this document, attach additional sheets conformingto the appropriate official form for each person.
Not Applicable
The debtor requests the relief in accordance with the chapter of title 11, United StatesCode, specified in this petition.
X
Signature of Authorized Individual
Printed Name of Authorized Individual
Title of Authorized Individual
Date
Names and Social Security numbers of all other individuals who prepared or assisted inpreparing this document unless the bankruptcy petition preparer is not anindividual:
A bankruptcy petition preparer 's failure to comply with the provisions of title 11 and
the Federal Rules of Bankruptcy Procedure may result in fines or imprisonment or bo
11 U.S.C. 110; 18 U.S.C. 156.
Social Security number(If the bankruptcy petition preparer is not an individual,state the Social Security number of the officer, principal, responsible person orpartner of the bankruptcy petition preparer.)(Required by 11 U.S.C. 110.)
Date
Signature of Bankruptcy Petition Preparer or officer, principal, responsible person, orpartner whose social security number is provided above.
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(10/05)FORM B6A
,In re: Case No.
(If known)John T. Grassi
Debtor
SCHEDULE A - REAL PROPERTY
DESCRIPTION ANDLOCATION OF
PROPERTY
NATURE OF DEBTOR'SINTEREST IN PROPERTY
AMOUNT OFSECURED
CLAIM
CURRENT VALUEOF DEBTOR'SINTEREST IN
PROPERTY, WITHOUTDEDUCTING ANY
SECURED CLAIMOR EXEMPTION
HUSBAND,WIFE,JO
INT
ORCOMMUNITY
Total 0.00
(Report also on Summary of Schedules.)
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(10/05)FormB6B
,In re Case No.
(If known)
John T. Grassi
Debtor
SCHEDULE B - PERSONAL PROPERTY
TYPE OF PROPERTY
CURRENT VALUE OFDEBTOR'S INTERESTIN PROPERTY, WITH-OUT DEDUCTING ANY
SECURED CLAIMOR EXEMPTION
DESCRIPTION AND LOCATIONOF PROPERTYN
ONE
HUSBAND,WIFE,JOINT
ORCOMMUNITY
Cash on hand1. Cash 50.00
Checking, savings or other financialaccounts, certificates of deposit, orshares in banks, savings and loan, thrift,building and loan, and homestead
associations, or credit unions, brokeragehouses, or cooperatives.
2. X
Security deposits with public utilities,telephone companies, landlords, andothers.
3. X
Household goods and furnishings,including audio, video, and computerequipment.
4. Furniture and furnishings as follows: computer,printer/scanner, filing cabinet, hand and powertools, tool cabinet.
300.00
Books, pictures and other art objects,antiques, stamp, coin, record, tape,compact disc, and other collections orcollectibles.
5. Books 5.00
Wearing apparel.6. Clothing 50.00
Furs and jewelry.7. 1 watch 20.00
Firearms and sports, photographic, andother hobby equipment.
8. 1 bicycle, golf clubs 100.00
Interests in insurance policies. Nameinsurance company of each policy anditemize surrender or refund value ofeach.
9. X
Annuities. Itemize and name eachissuer.
10. X
Interests in an education IRA as definedin 26 U.S.C. 530(b)(1) or under aqualified State tuition plan as defined in26 U.S.C. 529(b)(1). Give particulars.(File separately the record(s) of any suchinterest(s). 11 U.S.C. 521(c); Rule1007(b)).
11. X
Interests in IRA, ERISA, Keogh, or otherpension or profit sharing plans. GiveParticulars.
12. X
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(10/05)Form B6B-Cont.
,In re Case No.
(If known)
John T. Grassi
Debtor
(Continuation Sheet)SCHEDULE B - PERSONAL PROPERTY
TYPE OF PROPERTY
CURRENT VALUE OFDEBTOR'S INTERESTIN PROPERTY, WITH-OUT DEDUCTING ANY
SECURED CLAIMOR EXEMPTION
DESCRIPTION AND LOCATIONOF PROPERTYN
ONE
HUSBAND,WIFE,JOINT
ORCOMMUNITY
Stock and interests in incorporated andunincorporated businesses. Itemize.
13. 100% interest in Grassi Enterprises, Inc. 0.00
Interests in partnerships or jointventures. Itemize.
14. X
Government and corporate bonds andother negotiable and nonnegotiableinstruments.
15. X
Accounts receivable.16. X
Alimony, maintenance, support, andproperty settlements to which the debtoris or may be entitled. Give particulars.
17. X
Other liquidated debts owed to debtorincluding tax refunds. Give particulars.
18. X
Equitable or future interests, life estates,
and rights or powers exercisable for thebenefit of the debtor other than thoselisted in Schedule A - Real Property.
19. X
Contingent and noncontingent interestsin estate of a decedent, death benefitplan, life insurance policy, or trust.
20. X
Other contingent and unliquidatedclaims of every nature, including taxrefunds, counterclaims of the debtor,and rights to setoff claims. Giveestimated value of each.
21. X
Patents, copyrights, and otherintellectual property. G ive particulars.
22. X
Licenses, franchises, and other generalintangibles. Give particulars.
23. X
24. XCustomer lists or other compilationscontaining personally identifiableinformation (as defined in 11 U.S.C. 101(41A)) provided to the debtor byindividuals in connection with obtaininga product or service from the debtorprimarily for personal, family, orhousehold purposes.
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(10/05)Form B6B-Cont.
,In re Case No.
(If known)
John T. Grassi
Debtor
(Continuation Sheet)SCHEDULE B - PERSONAL PROPERTY
TYPE OF PROPERTY
CURRENT VALUE OFDEBTOR'S INTERESTIN PROPERTY, WITH-OUT DEDUCTING ANY
SECURED CLAIMOR EXEMPTION
DESCRIPTION AND LOCATIONOF PROPERTYN
ONE
HUSBAND,WIFE,JOINT
ORCOMMUNITY
Automobiles, trucks, trailers, and othervehicles and accessories.
25. X
Boats, motors, and accessories.26. X
Aircraft and accessories.27. X
Office equipment, furnishings, andsupplies.
28. X
Machinery, fixtures, equipment andsupplies used in business.
29. X
Inventory.30. X
Animals.31. X
Crops - growing or harvested. Giveparticulars.
32. X
Farming equipment and implements.33. X
Farm supplies, chemicals, and feed.34. X
Other personal property of any kind notalready listed. Itemize.
35. X
Total $ 525.00
(Include amounts from any continuation shattached. Report total also on Summary ofSchedules.)
continuation sheets attached2
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,In re Case No.
Form B6C
(10/05)
Debtor(If known)
John T. Grassi
SCHEDULE C - PROPERTY CLAIMED AS EXEMPT
11 U.S.C. 522(b)(2)
(Check one box)
Debtor claims the exemptions to which debtor is entitled under:
11 U.S.C. 522(b)(3)
Check if debtor claims a homestead exemption that exceeds$125,000.
DESCRIPTION OF PROPERTY
SPECIFY LAWPROVIDING EACH
EXEMPTION
VALUE OFCLAIMED
EXEMPTION
CURRENTVALUE OF PROPERTYWITHOUT DEDUCTING
EXEMPTION
1 bicycle, golf clubs 100.00Art. 10 4(a)(2), FSA 222.061 100.00
1 watch 20.00Art. 10 4(a)(2), FSA 222.061 20.00
Books 5.00Art. 10 4(a)(2), FSA 222.061 5.00
Clothing 50.00Art. 10 4(a)(2), FSA 222.061 50.00
Furniture and furnishings asfollows: computer,printer/scanner, filing cabinet,hand and power tools, toolcabinet.
300.00Art. 10 4(a)(2), FSA 222.061 300.00
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Official Form 6D (10/06)
, Case No.In re
(If known)
John T. Grassi
Debtor
SCHEDULE D - CREDITORS HOLDING SECURED CLAIMS
Check this box if debtor has no creditors holding secured claims to report on this Schedule D.
CONTINGENT
DATE CLAIM WASINCURRED, NATURE
OF LIEN, ANDDESCRIPTION AND
VALUE OF PROPERTYSUBJECT TO LIEN
AMOUNT OFCLAIM WITHOUT
DEDUCTINGVALUE OF
COLLATERAL
UNSECUREPORTION, I
ANY
DISPUTED
UNLIQUIDATED
HUSBAND,WIFE,JOINT
ORCOMMUNITY
CREDITOR'S NAME ANDMAILING ADDRESS
INCLUDING ZIP CODE ANDAN ACCOUNT NUMBER
(See Instructions, Above.)CODEBTOR
ACCOUNT NO.
__________________________VALUE
0attachedcontinuation sheets
0.00
0.00
Subtotal
Total
(Report also on Summary ofSchedules)
(Total of this page)
(Use only on last page)
0.0
0.0
(If applicable, repoalso on StatisticaSummary of CertaLiabilities andRelated Data.)
$
$ $
$
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Official Form 6E (10/06)
, Case No.In re
Debtor (If known)
John T. Grassi
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.
(Check the appropriate box(es) below if claims in that category are listed on the attached sheets)TYPES OF PRIORITY CLAIMS
Claims for domestic support that are owed to or recoverable by a spouse, former spouse, or child of the debtor, or the parent, legal guardian, orresponsible relative of such a child, or a governmental unit to whom such a domestic support claim has been assigned to the extent provided in11 U.S.C. 507(a)(1).
Domestic Support Obligations
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 theappointment of a trustee or the order for relief. 11 U.S.C. 507(a)(3).
Wages, salaries, and commissions
Wages, salaries, and commissions, including vacation, severance, and sick leave pay owing to employees and commissions owing to qualifyingindependent sales representatives up to $10,000* per person earned 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).
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 thecessation of business, whichever occurred first, to the extent provided in 11 U.S.C. 507(a)(5).
Certain farmers and fishermen
Claims of certain farmers and f ishermen, up to $4,925* per farmer or fisherman, against the debtor, as provided in 11 U.S.C. 507(a)(6).
Deposits by individuals
Claims of individuals up to $2,225* for deposits for the purchase, lease, or rental of property or services for personal, family, orhousehold use, that were not delivered or provided. 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 U.S.C. 507(a)(8).
Taxes and Certain Other Debts Owed to Governmental Units
Claims based on commitments to the FDIC, RTC, Director of the Of fice of Thrift Supervision, Comptroller of the Currency, or Board ofGovernors of the Federal Reserve System, or their predecessors or successors, to maintain the capital of an insured depository institution. 11 U.S.C. 507 (a)(9).
Commitments to Maintain the Capital of an Insured Depository Institution
Claims for Death or Personal Injury While Debtor Was Intoxicated
Claims for death or personal injury resulting from the operation of a motor vehicle or vessel while the debtor was intoxicated from using alcohol, a drug, oranother substance. 11 U.S.C. 507(a)(10).
* Amounts are subject to adjustment on April 1, 2007, and every three years thereafter with respect to cases commenced on or after the date ofadjustment.
continuation sheets attached1
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Official Form 6E (10/06) - Cont.
,In re Case No.
(If known)Debtor
John T. Grassi
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
Type of Priority: Taxes and Certain Other Debts Owed to Governmental Units
CODEBTOR
HUSBAND,WIFE,JOINT
ORCOMMUNITY
CONTINGENT
UNLIQUIDATED
DISPUTED
AMOUNTOF CLAIM
AMOUNTENTITLED TO
PRIORITY
CREDITOR'S NAME,MAILING ADDRESS
INCLUDING ZIP CODE,AND ACCOUNT NUMBER(See instructions above.)
DATE CLAIM WASINCURRED AND
CONSIDERATIONFOR CLAIM
AMOUNTNOT
ENTITLED PRIORITY
ANY
2004 Form 1040526.00526.00xxxxx6151
ACCOUNT NO.
IRS - Special ProceduresMail Stop 5730P.O. Box 17167Ft. Lauderdale, FL 33318
0.
$ $
$
$
$
0.
0.0
Total(Use only on last page of the completedSchedule E. If applicable, report also on theStatistical Summary of Certain Liabilitiesand Related Data. )
526.00
526.00
526.00
526.00
Subtotals(Totals of this page)
Total(Use only on last page of the completedSchedule E. Report also on the Summary ofSchedules.)
Sheet no. 1of 1 continuation sheets attached to Schedule ofCreditors Holding Priority Claims
$
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,
Official Form 6F (10/06)
In re Case No.
(If known)John T. Grassi
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 WASINCURRED AND
CONSIDERATION FORCLAIM.
IF CLAIM IS SUBJECT TOSETOFF, SO STATE
CREDITOR'S NAME,MAILING ADDRESS
INCLUDING ZIP CODE,AND ACCOUNT NUMBER(See instructions above.)
AMOUNT OFCLAIM
CODEBTOR
HUSBAND,WIFE,JOINT
ORCOMMUNITY
CONTINGENT
UNLIQUIDATED
DISPUTED
0.00ACCOUNT NO. X
Bank of America, N.A.Legal Order Processing Dept.1425 N.W. 62nd StreetFt. Lauderdale, FL 33309
Re: Barnett Bank/Nations Bank1990
0.00ACCOUNT NO. X
CapitaloneP.O. Box 26625Richmond, VA 23261
Charge account1990
35,000.00ACCOUNT NO.
Carol Grassi2369 Woodlands WayDeerfield Beach, FL 33442
Loan
0.00ACCOUNT NO. X
Carteret Savings & Loan Association68 West Main StreetFreehold, NJ 07728
Charge account1980 - 1984
0.00ACCOUNT NO. X
Cavalry Portfolio Svcs7 Skyline Dr., 3rd FloorHawthorne, NY 10532
1990
Continuation sheets attached9
Total
35,000.00Subtotal $
$
(Use only on last page of the completed Schedule F.)(Report also on Summary of Schedules and, if applicable on the Statistical
Summary of Certain Liabilities and Related Data.)
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Official Form 6F (10/06) - Cont.
,In re Case No.
(If known)John T. Grassi
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS(Continuation Sheet)
DATE CLAIM WASINCURRED AND
CONSIDERATION FORCLAIM.
IF CLAIM IS SUBJECT TOSETOFF, SO STATE
CREDITOR'S NAME,MAILING ADDRESS
INCLUDING ZIP CODE,AND ACCOUNT NUMBER(See instructions above.)
AMOUNT OFCLAIM
CODEBTOR
HUSBAND,WIF
E,JOINT
ORCOMMU
NITY
CONTINGENT
UNLIQUIDA
TED
DISPUTE
D
36,896.97262556151ACCOUNT NO.
CBE Group, Inc.P.O. Box 930Waterloo, IA 50704
Student loan1980 - 1984
2,800.0037472ACCOUNT NO.
Childrens Anesthesia AssociatesP.O. Box 558750Miami, FL 33255-8750
Medical services8/02/98
0.00ACCOUNT NO. X
Citi/THD701 E. 60th Street NSioux Falls, SD 57104
Charge account1990
0.005424180047277642ACCOUNT NO.
CitiBankc/o Asset Acceptance LLCP.O. Box 44426Baltimore, MD 21236-6426
Reference only
12,834.395424180047277642ACCOUNT NO.
CitiBankc/o Asset Acceptance LLCP.O. Box 2036Warren, MI 48090
Charge account1990
Total
52,531.36SubtotalSheet no. 1of 9 continuation sheets attachedto Schedule of Creditors Holding UnsecuredNonpriority Claims
$
$
(Use only on last page of the completed Schedule F.)
(Report also on Summary of Schedules and, if applicable on the Statistical
Summary of Certain Liabilities and Related Data.)
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Official Form 6F (10/06) - Cont.
,In re Case No.
(If known)John T. Grassi
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS(Continuation Sheet)
DATE CLAIM WASINCURRED AND
CONSIDERATION FORCLAIM.
IF CLAIM IS SUBJECT TOSETOFF, SO STATE
CREDITOR'S NAME,MAILING ADDRESS
INCLUDING ZIP CODE,AND ACCOUNT NUMBER(See instructions above.)
AMOUNT OFCLAIM
CODEBTOR
HUSBAND,WIF
E,JOINT
ORCOMMU
NITY
CONTINGENT
UNLIQUIDA
TED
DISPUTE
D
0.005410654321746015ACCOUNT NO. X
CitiBank PreferredP.O. Box 8112S. Hackensack, NJ 07606-8112
Charge account1990
0.00ACCOUNT NO. X
CitiFinancial300 Saint Paul PlaceBaltimore, MD 21202
Charge account1990
0.00ACCOUNT NO. X
Citigroup399 Park AvenueNew York, NY 10043
Charge account/loanCalifornia Federal Bank/Glendale Federal Bannk1990
2,097.29XACCOUNT NO.
deBeaubien Knight SimmonsAttn: Renee BinnsP.O. Box 87332 N. Magnolia Ave.Orlando, FL 32802
Attorney's fee1/15/07
0.00ACCOUNT NO. X
Department of EducationP.O. Box 4169Greenville, TX 75403
Student loan - reference only1980 - 1984
Total
2,097.29SubtotalSheet no. 2of 9 continuation sheets attachedto Schedule of Creditors Holding UnsecuredNonpriority Claims
$
$
(Use only on last page of the completed Schedule F.)
(Report also on Summary of Schedules and, if applicable on the Statistical
Summary of Certain Liabilities and Related Data.)
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Official Form 6F (10/06) - Cont.
,In re Case No.
(If known)John T. Grassi
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS(Continuation Sheet)
DATE CLAIM WASINCURRED AND
CONSIDERATION FORCLAIM.
IF CLAIM IS SUBJECT TOSETOFF, SO STATE
CREDITOR'S NAME,MAILING ADDRESS
INCLUDING ZIP CODE,AND ACCOUNT NUMBER(See instructions above.)
AMOUNT OFCLAIM
CODEBTOR
HUSBAND,WIF
E,JOINT
ORCOMMU
NITY
CONTINGENT
UNLIQUIDA
TED
DISPUTE
D
0.00ACCOUNT NO. X
DiscoverP.O. Box 15251Wilmington, DE 19886-5251
Charge account1990
0.00ACCOUNT NO. X
Financial Asset Mgmt SYS1976 Lakeside Parkway #4Tucker, GA 30084
1990
4,402.764250094295596ACCOUNT NO.
First Cardc/o RJM Acquisitions575 Underhill Blvd.Syosset, NY 11791
Charge account1990
4,998.8010338975ACCOUNT NO.
First Cardc/o CAMCOP.O. Box 5087Rockford, IL 61125-0087
Charge account1990
9,499.284233484060095616ACCOUNT NO.
First Unionc/o Merchants Credit Guide Co.Executive Offices223 W. Jackson Blvd.Chicago, IL 60606
Charge account1990
Total
18,900.84SubtotalSheet no. 3of 9 continuation sheets attachedto Schedule of Creditors Holding UnsecuredNonpriority Claims
$
$
(Use only on last page of the completed Schedule F.)
(Report also on Summary of Schedules and, if applicable on the Statistical
Summary of Certain Liabilities and Related Data.)
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Official Form 6F (10/06) - Cont.
,In re Case No.
(If known)John T. Grassi
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS(Continuation Sheet)
DATE CLAIM WASINCURRED AND
CONSIDERATION FORCLAIM.
IF CLAIM IS SUBJECT TOSETOFF, SO STATE
CREDITOR'S NAME,MAILING ADDRESS
INCLUDING ZIP CODE,AND ACCOUNT NUMBER(See instructions above.)
AMOUNT OFCLAIM
CODEBTOR
HUSBAND,WIF
E,JOINT
ORCOMMU
NITY
CONTINGENT
UNLIQUIDA
TED
DISPUTE
D
0.004233484060095616ACCOUNT NO.
First Unionc/o NCO Financial Systems, Inc.P.O. Box 7627Ft. Washington, PS 19034
Reference only
0.00ACCOUNT NO. X
Hospital Support Servicesc/o Receivia, Inc.330 Research Corp. #300Norcross, GA 30092
Medical services
0.00ACCOUNT NO.
Hospital Support Services, Inc.P.O. Box 81-9005Hollywood, FL 33081
Reference only
0.00ACCOUNT NO. X
JC PenneyP.O. Box 32000Orlando, FL 32890-0002
Charge account1990
265.0090359-000-0037724322ACCOUNT NO.
Jose G. Poliak, M.D.c/o Transworld Systems, Inc.16853 N.E. 2nd Ave. #305N. Miami Beach, FL 33162
Medical services1998
Total
265.00SubtotalSheet no. 4of 9 continuation sheets attachedto Schedule of Creditors Holding UnsecuredNonpriority Claims
$
$
(Use only on last page of the completed Schedule F.)
(Report also on Summary of Schedules and, if applicable on the Statistical
Summary of Certain Liabilities and Related Data.)
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Official Form 6F (10/06) - Cont.
,In re Case No.
(If known)John T. Grassi
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS(Continuation Sheet)
DATE CLAIM WASINCURRED AND
CONSIDERATION FORCLAIM.
IF CLAIM IS SUBJECT TOSETOFF, SO STATE
CREDITOR'S NAME,MAILING ADDRESS
INCLUDING ZIP CODE,AND ACCOUNT NUMBER(See instructions above.)
AMOUNT OFCLAIM
CODEBTOR
HUSBAND,WIF
E,JOINT
ORCOMMU
NITY
CONTINGENT
UNLIQUIDA
TED
DISPUTE
D
10,716.200004226503164508ACCOUNT NO.
JP Morgan Chase & Co.270 Park AvenueNew York, NY 10017
Charge account1995
0.000004226503164508ACCOUNT NO.
JP Morgan Chase & Co.c/o Performance Capital Management15641 Red Hill, Suite 205Tustin, CA 92680
PCM Account #00242378reference only
0.00XACCOUNT NO. X
MaeerskA.P. Moller - Maersk A/SEsplanaden 501098 Copenhaven KDenmark
Re: Grassi Enterprises, Inc.Reference only
UnknownXACCOUNT NO. X
Maersk Bangkok BranchGround Floor, River Wing E.195 S. Sathorn Rd.Yannawa, SathornBangkok, Thailand 10120
Re: Grassi Enterprises, Inc.Reference only
0.00XACCOUNT NO. X
Maersk Malaysia Sdn BhdBangunan Palm Grove II, 3rd Fl12 Jalan GlenmarieSection UI 40150 Shah AlamSelangor Darul Ehsan, Malaysia
Re: Grassi Enterprises, Inc.Reference only
Total
10,716.20SubtotalSheet no. 5of 9 continuation sheets attachedto Schedule of Creditors Holding UnsecuredNonpriority Claims
$
$
(Use only on last page of the completed Schedule F.)
(Report also on Summary of Schedules and, if applicable on the Statistical
Summary of Certain Liabilities and Related Data.)
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Official Form 6F (10/06) - Cont.
,In re Case No.
(If known)John T. Grassi
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS(Continuation Sheet)
DATE CLAIM WASINCURRED AND
CONSIDERATION FORCLAIM.
IF CLAIM IS SUBJECT TOSETOFF, SO STATE
CREDITOR'S NAME,MAILING ADDRESS
INCLUDING ZIP CODE,AND ACCOUNT NUMBER(See instructions above.)
AMOUNT OFCLAIM
CODEBTOR
HUSBAND,WIF
E,JOINT
ORCOMMU
NITY
CONTINGENT
UNLIQUIDA
TED
DISPUTE
D
43,485.0015952 XACCOUNT NO. X
Maersk Sealand2 Giralda FarmsMadison AvenueP.O. Box 880Madison, NJ 07940-0880
Re: Grassi Enterprises, Inc.GEI service contract #159522003 - present
0.00XACCOUNT NO. X
Maersk Sealandc/o Logistical Recovery Systems, Inc.12555 Orange Dr. #209Davie, FL 33330
Re: Grassi Enterprises, Inc.GEI service contract #15952reference only
0.00ACCOUNT NO.
Maersk Sealandc/o Logistical Recovery Systems, Inc.6817 Southport Pkwy #1904Jacksonville, FL 62216
Re: Grassi Enterprises, Inc.Reference only
0.00XACCOUNT NO. X
Maersk Singapore Pte. Ltd.200 Cantonment RoadNo. 10-00 SouthpointSingapore 089763
Re: Grassi Enterprises, Inc.Reference only
0.00XACCOUNT NO. X
Maersk Taiwan Ltd.10F, No. 2 Tun Hwa South RoadSec. 1Taipei, Taiwan 105
Re: Grassi Enterprises, Inc.Reference only
Total
43,485.00SubtotalSheet no. 6of 9 continuation sheets attachedto Schedule of Creditors Holding UnsecuredNonpriority Claims
$
$
(Use only on last page of the completed Schedule F.)
(Report also on Summary of Schedules and, if applicable on the Statistical
Summary of Certain Liabilities and Related Data.)
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Official Form 6F (10/06) - Cont.
,In re Case No.
(If known)John T. Grassi
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS(Continuation Sheet)
DATE CLAIM WASINCURRED AND
CONSIDERATION FORCLAIM.
IF CLAIM IS SUBJECT TOSETOFF, SO STATE
CREDITOR'S NAME,MAILING ADDRESS
INCLUDING ZIP CODE,AND ACCOUNT NUMBER(See instructions above.)
AMOUNT OFCLAIM
CODEBTOR
HUSBAND,WIF
E,JOINT
ORCOMMU
NITY
CONTINGENT
UNLIQUIDA
TED
DISPUTE
D
500,000.00XACCOUNT NO. X
Maersk, Inc.Customer Resource Center546 Long Point Rd.Mt. Pleasant, SC 29464
Vendor - Grassi Enterprises, Inc.2003 - present
15,000.00ACCOUNT NO. X
Miami Children's Hospital2100 S.W. 62nd AvenueMiami, FL 33155
Medical services
0.00ACCOUNT NO.
Miami Children's Hospitalc/o National Recovery ServiceP.O. Box 19439Plantation, FL 33318
Reference only
0.00ACCOUNT NO. X
Nationwide Credit, Inc.2015 Vaughn Rd. NW #40Kkennesaw, GA 30144
Collection agent for unknown creditor1998
0.00ACCOUNT NO. X
NCO Financial SystemsP.O. Box 7400Philadelphia, PA 19101-7400
Collection agent for unknown creditor1990
Total
515,000.00SubtotalSheet no. 7of 9 continuation sheets attachedto Schedule of Creditors Holding UnsecuredNonpriority Claims
$
$
(Use only on last page of the completed Schedule F.)
(Report also on Summary of Schedules and, if applicable on the Statistical
Summary of Certain Liabilities and Related Data.)
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Official Form 6F (10/06) - Cont.
,In re Case No.
(If known)John T. Grassi
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS(Continuation Sheet)
DATE CLAIM WASINCURRED AND
CONSIDERATION FORCLAIM.
IF CLAIM IS SUBJECT TOSETOFF, SO STATE
CREDITOR'S NAME,MAILING ADDRESS
INCLUDING ZIP CODE,AND ACCOUNT NUMBER(See instructions above.)
AMOUNT OFCLAIM
CODEBTOR
HUSBAND,WIF
E,JOINT
ORCOMMU
NITY
CONTINGENT
UNLIQUIDA
TED
DISPUTE
D
13,461.114428482005403155ACCOUNT NO.
Providianc/o Merchant Credit Guide223 W. Jackson Blvd.Chicago, IL 60606
Charge account1990
0.004428482005403155ACCOUNT NO.
Providianc/o Pro BancorpP.O. Box 99607Arlington, TX 76096
Reference only
7,000.00ACCOUNT NO.
Robert Zielke1256 Alexandra CourtOrlando, FL 32804
Loan used for personal expenses andbusiness2003
4,717.74XACCOUNT NO. X
Seariders Brokerage Corp.c/o Steven A. FeinmanLaw Office of Steven A. Feinman8530 State Road 84Davie, FL 33324
Lawsuit
0.00ACCOUNT NO. X
SearsPayment Center86 AnnexAtlanta, GA 30386-0001
Charge account1990
Total
25,178.85SubtotalSheet no. 8of 9 continuation sheets attachedto Schedule of Creditors Holding UnsecuredNonpriority Claims
$
$
(Use only on last page of the completed Schedule F.)
(Report also on Summary of Schedules and, if applicable on the Statistical
Summary of Certain Liabilities and Related Data.)
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Official Form 6F (10/06) - Cont.
,In re Case No.
(If known)John T. Grassi
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS(Continuation Sheet)
DATE CLAIM WASINCURRED AND
CONSIDERATION FORCLAIM.
IF CLAIM IS SUBJECT TOSETOFF, SO STATE
CREDITOR'S NAME,MAILING ADDRESS
INCLUDING ZIP CODE,AND ACCOUNT NUMBER(See instructions above.)
AMOUNT OFCLAIM
CODEBTOR
HUSBAND,WIF
E,JOINT
ORCOMMU
NITY
CONTINGENT
UNLIQUIDA
TED
DISPUTE
D
37,000.00ACCOUNT NO.
Sumalee Grassi1001 S.E. 12th TerraceDeerfield Beach, FL 33441
Loan used for personal expenses andbusiness2005 and 2006
0.00ACCOUNT NO. X
The Citigroup Private BankCitigroup Center153 East 53rd Street16/F, Zone 19New York, NY 10022
Glendale Federal1992
31,000.00ACCOUNT NO.
Tom Grassi953 Selkirk StreetWest Palm Beach, FL 33405
Loan used for personal expenses andbusiness2004
0.00ACCOUNT NO. X
WachoviaOne Wachovia CenterCharlotte, NC 28288-0013
Charge accountRe: Southeast Bank/First Union1995
0.00200540xxxxACCOUNT NO. X
Washington Mutual1201 Third AvenueSeattle, WA 98101
Charge accountRe: Pro Bancorp/Providian1989
Total 771,174.54
68,000.00SubtotalSheet no. 9of 9 continuation sheets attachedto Schedule of Creditors Holding UnsecuredNonpriority Claims
$
$
(Use only on last page of the completed Schedule F.)
(Report also on Summary of Schedules and, if applicable on the Statistical
Summary of Certain Liabilities and Related Data.)
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, Case No.In re:
Form B6G
(10/05)
(If known)
John T. GrassiDebtor
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.
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Form B6H
(10/05)
Case No.In re:, (If known)
John T. Grassi
Debtor
SCHEDULE H - CODEBTORSCheck this box if debtor has no codebtors.
NAME AND ADDRESS OF CODEBTOR NAME AND ADDRESS OF CREDITOR
deBeaubien Knight SimmonsAttn: Renee BinnsP.O. Box 87332 N. Magnolia Ave.Orlando, FL 32802
Grassi Enterprises, Inc.1001 S.E. 12th TerraceDeerfield Beach, FL 33441
MaeerskA.P. Moller - Maersk A/SEsplanaden 501098 Copenhaven KDenmark
Grassi Enterprises, Inc.1001 S.E. 12th StreetDeerfield Beach, FL 33441
Maersk Bangkok BranchGround Floor, River Wing E.195 S. Sathorn Rd.Yannawa, SathornBangkok, Thailand 10120
Grassi Enterprises, Inc.1001 S.E. 12th TerraceDeerfield Beach, FL 33441
Maersk Malaysia Sdn BhdBangunan Palm Grove II, 3rd Fl12 Jalan GlenmarieSection UI 40150 Shah AlamSelangor Darul Ehsan, Malaysia
Grassi Enterprises, Inc.1001 S.E. 12th TerraceDeerfield Beach, FL 33441
Maersk Sealandc/o Logistical Recovery Systems, Inc.12555 Orange Dr. #209Davie, FL 33330
Grassi Enterprises, Inc.1001 S.E. 12th TerraceDeerfield Beach, FL 33441
Maersk Sealand2 Giralda FarmsMadison AvenueP.O. Box 880Madison, NJ 07940-0880
Grassi Enterprises, Inc.1001 S.E. 12th TerraceDeerfield Beach, FL 33441
Maersk Singapore Pte. Ltd.200 Cantonment RoadNo. 10-00 SouthpointSingapore 089763
Grassi Enterprises, Inc.1001 S.E. 12th TerraceDeerfield Beach, FL 33441
Maersk Taiwan Ltd.10F, No. 2 Tun Hwa South RoadSec. 1Taipei, Taiwan 105
Grassi Enterprises, Inc.1001 S.E. 12th TerraceDeerfield Beach, FL 33441
Maersk, Inc.Customer Resource Center546 Long Point Rd.Mt. Pleasant, SC 29464
Grassi Enterprises, Inc.1001 S.E. 12th TerraceDeerfield Beach, FL 33441
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(10/05)
Case No.In re:, (If known)
John T. Grassi
Debtor
Form B6H -Cont.
SCHEDULE H - CODEBTORSCheck this box if debtor has no codebtors.
NAME AND ADDRESS OF CODEBTOR NAME AND ADDRESS OF CREDITOR
Seariders Brokerage Corp.c/o Steven A. FeinmanLaw Office of Steven A. Feinman8530 State Road 84Davie, FL 33324
Grassi Enterprises, Inc.1001 S.E. 12th TerraceDeerfield Beach, FL 33441
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Official Form 6I (10/06)
Case No.In re,
John T. Grassi
Debtor (If known)
SCHEDULE I - CURRENT INCOME OF INDIVIDUAL DEBTOR(S)The column labeled "Spouse" must be completed in all cases filed by joint debtors and by a married debtor in a chapter 7, 11, 12 or 13 case whether or not ajoint petition is filed, unless the spouses are separated and a joint petition is not filed. Do not state the name of any minor child.
Debtors Marital
Status:DEPENDENTS OF DEBTOR AND SPOUSE
Married
RELATIONSHIP(S): AGE(S):
son 11
DEBTOR SPOUSE
Occupation
How long employed
Address of Employer
Self employed
Name of Employer
Employment:
INCOME: (Estimate of average or projected monthly income at timecase filed) DEBTOR SPOUSE
3. SUBTOTAL
4. LESS PAYROLL DEDUCTIONS
0.00b. Insurance0.00$c. Union dues $
$$0.00a. Payroll taxes and social security $ $
2. Estimate monthly overtime 0.00 $
0.00 $$(Prorate if not paid monthly.)
0.00 $$
1. Monthly gross wages, salary, and commissions
$
d. Other (Specify) $ $0.00
5. SUBTOTAL OF PAYROLL DEDUCTIONS
11. Social security or other government assistance
debtors use or that of dependents listed above. $ $
10. Alimony, maintenance or support payments payable to the debtor for the
$ $
8. Income from real property $ $
$(Attach detailed statement) $7. Regular income from operation of business or profession or farm
6. TOTAL NET MONTHLY TAKE HOME PAY $ $
$ $
(Specify) $ $
9. Interest and dividends
0.00
0.00
0.00
0.00
0.00
0.00
0.00
$ $0.0012. Pension or retirement income
0.00 $$(Specify)
13. Other monthly income
15. AVERAGE MONTHLY INCOME (Add amounts shown on lines 6 and 14) 0.00 $$0.00 $$
16. COMBINED AVERAGE MONTHLY INCOME: (Combine column totalsfrom line 15; if there is only one debtor repeat total reported on line 15)
$ 0.00
(Report also on Summary of Schedules and, if applicable, onStatistical Summary of Certain Liabilities and Related Data)
14. SUBTOTAL OF LINES 7 THROUGH 13
17. Describe any increase or decrease in income reasonably anticipated to occur within the year following the filing of this document.:
NONE
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Official Form 6J (10/06)
(If known)Debtor
John T. Grassi Case No.In re ,
SCHEDULE J - CURRENT EXPENDITURES OF INDIVIDUAL DEBTOR(S)
Complete this schedule by estimating the average or projected monthly expenses of the debtor and the debtor's family. Pro rate any paymentsmade bi-weekly, quarterly, semi-annually, or annually to show monthly rate.
Check this box if a joint petition is filed and debtor's spouse maintains a separate household. Complete a separate schedule of
expenditures labeled "Spouse."
a. Are real estate taxes included?
b. Is property insurance included?
2. Utilities:
30.00
80.00
150.00
1,553.00
No
Yes
No
1. Rent or home mortgage payment (include lot rented for mobile home) $
Yes
$a. Electricity and heating fuel
$b. Water and sewer
$c. Telephone
95.00$Cable TV Internetd. Other
125.00
20.00
0.00
0.00
0.00
0.00
125.000.00
20.00
30.00
500.0030.00
b. Life
9. Recreation, clubs and entertainment, newspapers, magazines, etc. $
$10. Charitable contributions
d. Auto
c. Health
$
a. Homeowners or renters $
11. Insurance (not deducted from wages or included in home mortgage payments)
8. Transportation (not including car payments) $
$7. Medical and dental expenses
$
$
6. Laundry and dry cleaning $
$4. Food
3. Home maintenance (repairs and upkeep) $
5. Clothing $
e. Other $ 0.00
0.00
0.00
12. Taxes (not deducted from wages or included in home mortgage payments)
a. Auto
13. Installment payments: (In chapter 11, 12, and 13 cases, do not list payments to be included in the plan)
(Specify) $
$
b. Other $ 0.00
0.00
0.00
0.00$15. Payments for support of additional dependents not living at your home
$16. Regular expenses from operation of business, profession, or farm (attach detailed statement)
$14. Alimony, maintenance, and support paid to others
$ 240.00Automobile lease17. Other
2,998.00$18. AVERAGE MONTHLY EXPENSES (Total lines 1-17. Report also on Summary of Schedules and,if applicable, on the Statistical Summary of Certain Liabilities and Related Data.)
19. Describe any increase or decrease in expenditures reasonably anticipated to occur within the year following the filing of this document:
20. STATEMENT OF MONTHLY NET INCOME
a. Average monthly income from Line 15 of Schedule I $
b. Average monthly expenses from Line 18 above
c. Monthly net income (a. minus b.)
$
$ -2,998.00
2,998.00
0.00
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Official Form 6 - Declaration (10/06)
,In re Case No.(If known)
John T. Grassi
Debtor
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 25 sheets (total shown onsummary page plus 2), and that they are true and correct to the best of my knowledge, information, and belief.
Date: Signature:
John T. Grassi
s/ John T. Grassi2/13/2007
Debtor
[If joint case, both spouses must sign]
DECLARATION UNDER PENALTY OF PERJURY ON BEHALF OF CORPORATION OR PARTNERSHIP
(NOT APPLICABLE)
Penalty for making a false s tatement or concealing property:Fine of up to $500,000 or imprisonment for up to 5 years or both. 18 U.S.C 152 and 3571.
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Official Form 6 - Summary (10/06)
United States Bankruptcy Court
Southern District of Florida
Case No.
Debtor7Chapter
,In re John T. Grassi
SUMMARY OF SCHEDULES
Indicate as to each schedule whether that schedule is attached and state the number of pages in each. Report the totals from Schedules A, B, D, E, F, I, and J in boxes provided. Add the amounts from Schedules A and B to determine the total amount of the debtor's assets. Add the amounts of all claims from Schedules D, and F to determine the total amount of the debtor's liabilities. Individual debtors must also complete the "Statistical Summary of Certain Liabilities and Related Datathey file a case under chapter 7, 11, or 13.
NAME OF SCHEDULE ATTACHED(YES/NO)
NO. OF SHEETS ASSETS LIABILITIES OTHER
Real Property
Personal Property
Property Claimedas Exempt
Creditors HoldingSecured Claims
Creditors Holding UnsecuredPriority Claims(Total of Claims on Schedule E)
Creditors Holding Unsecured
Nonpriority Claims
Executory Contracts andUnexpired Leases
Codebtors
Current Expenditures ofIndividual Debtor(s)
TOTAL
$
$
$
$
$
$
$
$ $
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
A -
B -
C -
D -
E -
F -
G -
H -
I -
J -
Current Income ofIndividual Debtor(s)
1
3
1
1
2
10
1
2
1
1
525.00 771,700.54
0.00
525.00
0.00
526.00
771,174.54
0.00
2,998.00
23
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Form 7(10/05)
UNITED STATES BANKRUPTCY COURT
Southern District of Florida
Case No.In re: ,(If known)
John T. Grassi
Debtor
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 from operation ofthe debtor's business, including part-time activities either as an employee or in independent trade or business, from thebeginning of this calendar year to the date this case was commenced. State also the gross amounts received during thetwo years immediately preceding this calendar year. (A debtor that maintains, or has maintained, financial records onthe basis of a fiscal rather than a calendar year may report fiscal year income. Identify the beginning and ending datesof the debtor's fiscal year.) If a joint petition is filed, state income for each spouse separately. (Married debtors filingunder chapter 12 or chapter 13 must state income of both spouses whether or not a joint petition is filed, unless the
spouses are separated and a joint petition is not filed.)
AMOUNT SOURCE FISCAL YEAR PERIOD
2005: Grassi Enterprises, Inc. 12/31/0525,310.00
2006: Grassi Enterprises, Inc. 12/31/06$30,000 estimate
2007: Grassi Enterprises, Inc. 2/13/070.00
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
3. Payments to creditors
Complete a. or b., as appropriate, and c.
None
a. Individual or joint debtor(s) with primarily consumer debts: List all payments on loans, installment purchases of
goods or services, and other debts to any creditor made within 90 days immediately preceding the commencementof this case if the aggregate value of all property that constitutes or is affected by such transfer is not less that$600. Indicate with an asterisk (*) any payments that were made to a creditor on account of a domestic supportobligation or as part of an alternative repayment schedule under a plan by an approved nonprofit budgeting andcreditor counseling agency. (Married debtors filing under chapter 12 or chapter 13 must include payments by eitheror both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is notfiled.)
DATES OF AMOUNT AMOUNT
NAME AND ADDRESS OF CREDITOR PAYMENTS PAID STILL OWING
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Form 7-Cont.(10/05)
None
b. Debtor whose debts are not primarily consumer debts: List each payment or other transfer to any creditor made within90 days immediately preceding the commencement of the case if the aggregate value of all property that constitutes or isaffected by such transfer is not less than $5,000. (Married debtors filing under chapter 12 or chapter 13 must includepayments and other transfers 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
DATES OF AMOUNT
PAYMENTS/
AMOUNT
STILL
TRANSFERS
PAID OR
VALUE OF
TRANSFERS OWING
3,500.0012/11/06American ExpressP.O. Box 360001Ft. Lauderdale, FL 33336-0001
None
to or for the benefit of creditors who are or were insiders. (Married debtors filing under chapter 12 or chapter 13 mustinclude payments by either or both spouses whether or not a joint petition is filed, unless the spouses are separated and
a joint petition is not filed.)
c. All debtors: List all payments made within one year immediately preceding the commencement of this case
NAME AND ADDRESS OF CREDITOR DATES OF AMOUNT
AND RELATIONSHIP TO DEBTOR PAYMENTS AMOUNT PAID STILL OWING
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 yearimmediately 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.)
CAPTION OF SUIT COURT OR AGENCY STATUS OR
AND CASE NUMBER NATURE OF PROCEEDING AND LOCATION DISPOSITION
Seariders Brokerage Corp. vs.John Grassi, individually andd/b/a GEI
04-001930 (80)
Broward County Circuit Court201 S.E. 6th StreetFt. Lauderdale, FL 33301
Lawsuit FinalJudgment
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
NAME AND ADDRESS DESCRIPTION
OF PERSON FOR WHOSE DATE OF AND VALUE OF
BENEFIT PROPERTY WAS SEIZED SEIZURE PROPERTY
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Form 7-Cont.(10/05)
5. Repossessions, foreclosures and returns
None
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 12
or 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.)
DATE OF REPOSSESSION, DESCRIPTION
FORECLOSURE SALENAME AND ADDRESS AND VALUE OF
OF CREDITOR OR SELLER TRANSFER OR RETURN PROPERTY
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.)
TERMS OF
ASSIGNMENTDATE OFNAME AND ADDRESS
OR SETTLEMENTASSIGNMENTOF ASSIGNEE
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
DESCRIPTIONNAME AND ADDRESS
AND VALUE OFDATE OFOF COURTNAME AND ADDRESS
PROPERTYORDERCASE TITLE & NUMBEROF CUSTODIAN
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 lessthan $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.)
NAME AND ADDRESS RELATIONSHIP DESCRIPTION
OF PERSON TO DEBTOR, DATE AND VALUE OF
OR ORGANIZATION IF ANY OF GIFT GIFT
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Form 7-Cont.(10/05)
8. Losses
None
List all losses from fire, theft, other casualty or gambling within one year immediately preceding
the commencement of this case or since the commencement of this case. (Married debtors filing
under 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.)
DESCRIPTION DESCRIPTION OF CIRCUMSTANCES AND, IF
AND VALUE OF LOSS WAS COVERED IN WHOLE OR IN PART DATE OF
PROPERTY BY INSURANCE, GIVE PARTICULARS LOSS
9. Payments related to debt counseling or bankruptcy
None
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 law
or preparation of a petition in bankruptcy within one year immediately preceding the commencement
of this case.
NAME AND ADDRESS DATE OF PAYMENT, AMOUNT OF MONEY OR
OF PAYEE NAME OF PAYOR IF DESCRIPTION AND VALUEOTHER THAN DEBTOR OF PROPERTY
Credit Counseling Centers of AmericaP.O. Box 830489Richmondson, TX 75083-0489
1/16/07 $69.99
Law Office of Patrick Scott111 S.E. 12th Street, Suite BFt. Lauderdale, FL 33316-1813
1/10/07 $2,200Name of Payor: CarolGrassi
$2,200Attorney's Fee $1,901Filing Fee 299Totalling $2,200
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 two yearsimmediately 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.)
DESCRIBE PROPERTY
TRANSFERREDNAME AND ADDRESS OF TRANSFEREE,
AND VALUE RECEIVEDDATERELATIONSHIP TO DEBTOR
None
b. List all property transferred by the debtor within ten years immediately preceding the commencement of this caseto a self-settled trust or similar device of which the debtor is a beneficiary.
AMOUNT OF MONEY OR DESCRIPTION
AND VALUE OF PROPERTY OR DEBTOR'S
NAME OF TRUST OR OTHER
INTEREST IN PROPERTY
DATE(S) OF
DEVICE TRANSFER(S)
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Form 7-Cont.(10/05)
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 jointpetition is filed, unless the spouses are separated and a joint petition is not filed.)
AMOUNT ANDTYPE OF ACCOUNT, LAST FOUR
DATE OF SALEDIGITS OF ACCOUNT NUMBER,NAME AND ADDRESS
OR CLOSINGAND AMOUNT OF FINAL BALANCEOF INSTITUTION
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 a
joint petition is not filed.)
DESCRIPTIONNAMES AND ADDRESSESNAME AND ADDRESS DATE OF TRANSFER
OR SURRENDER,OFOF THOSE WITH ACCESSOF BANK OR
IF ANYCONTENTSTO BOX OR DEPOSITORYOTHER DEPOSITORY
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.)
AMOUNT OFDATE OF
SETOFFSETOFFNAME AND ADDRESS OF CREDITOR
14. Property held for another personNone
List all property owned by another person that the debtor holds or controls.
DESCRIPTION AND VALUENAME AND ADDRESS
LOCATION OF PROPERTYOF PROPERTYOF OWNER
15. Prior address of debtorNone
If the debtor has moved within three years immediately preceding the commencement of this case, list all
premises which the debtor occupied during that period and vacated prior to the commencement of this case. If a
joint petition is filed, report also any separate address of either spouse.
DATES OF OCCUPANCYNAME USEDADDRESS
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Form 7-Cont.(10/05)
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 eight yearsimmediately 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 ofhazardous 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 orformerly 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 unitthat it may be liable or potentially liable under or in violation of an Environmental Law. Indicate the governmental unit, thedate of the notice, and, if known, the Environmental Law.
None
SITE NAME AND NAME AND ADDRESS DATE OF ENVIRONMENTAL
ADDRESS OF GOVERNMENTAL UNIT NOTICE LAW
b. List the name and address of every site for which the debtor provided notice to a governmental unit of a release ofHazardous Material. Indicate the governmental unit to which the notice was sent and the date of the notice.
None
SITE NAME AND NAME AND ADDRESS DATE OF ENVIRONMENTAL
ADDRESS OF GOVERNMENTAL UNIT NOTICE LAW
c. List all judicial or administrative proceedings, including settlements or orders, under any Environmental Law withrespect to which the debtor is or was a party. Indicate the name and address of the governmental unit that is or was a partyto the proceeding, and the docket number.
None
NAME AND ADDRESS DOCKET NUMBER STATUS OR
DISPOSITIONOF GOVERNMENTAL UNIT
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Form 7-Cont.(10/05)
18. Nature, location and name of business
None
If the debtor is a corporation, list the names, addresses, taxpayer identification numbers, nature of the business, andbeginning and ending dates of all businesses in which the debtor was a partner or owned 5 percent or more of the voting orequity securities within the sixyears immediately preceding the commencement of this case.
If the debtor is a partnership, list the names, addresses, taxpayer identification numbers, nature of the businesses,and beginning and ending dates of all businesses in which the debtor was a partner or owned 5 percent or more ofthe voting or equity securities, within the six years immediately preceding the commencement of this case.
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 managingexecutive of a corporation, partner in a partnership, sole proprietor, or was self-employed in a trade, profession, orother activity either full- or part-time 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 immediatelypreceding the commencement of this case.
LAST FOUR DIGITS
BEGINNING AND ENDING
OF SOC. SEC. NO./
COMPLETE EIN OR
OTHER TAXPAYER
ADDRESS
I.D. NO.
DATES
NAME NATURE OF BUSINESS
Import/export 08/06/1999
01/04/2007
Grassi Enterprises,Inc.
1001 S.E. 12th TerraceDeerfield Beach, FL 33441
65-0937669
b. Identify any business listed in response to subdivision a., above, that is "single asset real estate" as defined in 11U.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
b. List all firms or individuals who within the two years immediately preceding the filing of this
bankruptcy case have audited the books of account and records, or prepared a financial statement
of the debtor.
None
DATES SERVICES RENDEREDNAME AND ADDRESS
Greentree Financial Group, Inc.555 South Pompano ParkwayPompano Beach, FL 33069
2003, 2004 and 2005
c. List all firms or individuals who at the time of the commencement of this case were in
possession of the books of account and records of the debtor. If any of the books of account and
records are not available, explain.
None
ADDRESSNAME
1001 S.E. 12th TerraceDeerfield Beach, FL 33441
John T. Grassi
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Form 7-Cont.(10/05)
d. List all financial institutions, creditors and other parties, including mercantile and trade agencies,
to whom a financial statement was issued by the debtor within two years immediately preceding the
commencement of this case by the debtor.
None
DATE ISSUEDNAME AND ADDRESS
20. Inventories
None
a. List the dates of the last two inventories taken of your property, the name of the person who
supervised the taking of each inventory, and the dollar amount and basis of each inventory.
DOLLAR AMOUNT OF INVENTORY
(Specify cost, market or other basis)INVENTORY SUPERVISORDATE OF INVENTORY
b. List the name and address of the person having possession of the records of each of the two
inventories reported in a., above.
None
NAME AND ADDRESSES OF CUSTODIAN
OF INVENTORY RECORDSDATE OF INVENTORY
21. Current Partners, Officers, Directors and Shareholders
None
a. If the debtor is a partnership, list the nature and percentage of partnership interest of each
member 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 each
stockholder who directly or indirectly owns, controls, or holds 5 percent or more of the voting
securities of the corporation.
None
NATURE AND PERCENTAGE
OF STOCK OWNERSHIPTITLENAME AND ADDRESS
22. Former partners, officers, directors and shareholdersNone
a. If the debtor is a partnership, list each member who withdrew from the partnership within one
year 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 corporation
terminated within one year immediately preceding the commencement of this case.
None
DATE OF TERMINATIONTITLENAME AND ADDRESS
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Form 7-Cont.(10/05)
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 given
to an insider, including compensation in any form, bonuses, loans, stock redemptions, options
exercised and any other perquisite during one year immediately preceding the commencement
of this case.
AMOUNT OF MONEYNAME & ADDRESS
OR DESCRIPTIONDATE AND PURPOSEOF RECIPIENT,
AND VALUE OF PROPERTYOF WITHDRAWALRELATIONSHIP TO DEBTOR
24. Tax Consolidation Group.
None
If the debtor is a corporation, list the name and federal taxpayer identification number of the parent corporation of anyconsolidated group for tax purposes of which the debtor has been a member at any time within six years 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 thedebtor, as an employer, has been responsible for contributing at any time within six years immediately preceding thecommencement 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
2/13/2007 s/ John T. Grassi
of financial affairs and any attachments thereto and that they are true and correct.
Date Signatureof Debtor John T. Grassi
[if completed by an individual or individual and spouse]
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Official Form 6 - Statistical Summary (10/06)
United States Bankruptcy CourtSouthern District of Florida
Case No.In re,
Chapter 7
John T. Grassi
Debtor
STATISTICAL SUMMARY OF CERTAIN LIABILITIES AND RELATED DATA (28 U.S.C. 159)
If you are an individual debtor whose debts are primarily consumer debts, as defined in 101(8) of the Bankruptcy Code (11U.S.C. 101(8)), filing a case under chapter 7, 11 or 13, you must report all information requested below.
Check this box if you are an individual debtor whose debts are NOT primarily consumer debts. You are not required toreport any information here.
This information is for statistical purposes only under 28 U.S.C. 159.
$
$
$
$
$
$
Amount
TOTAL
Obligations to Pension or Profit-Sharing, and Other SimilarObligations (from Schedule F)
Domestic Support, Separation Agreement, and DivorceDecree Obligations Not Reported on Schedule E.
Student Loan Obligations (from Schedule F)
Claims for Death or Personal Injury While Debtor WasIntoxicated (from Schedule E)
Domestic Support Obligations (from Schedule E)
Taxes and Certain Other Debts Owed to Governmental Units(from Schedule E) (whether disputed or undisputed)
Type of Liability
Summarize the following types of liabilities, as reported in the Schedules, and total them.
$
0.00
526.00
0.00
0.00
0.00
0.00
526.00
Current Monthly Income (from Form 22A Line 12; OR, Form22B Line 11; OR, Form 22C Line 20 )
Average Expenses (from Schedule J, Line 18)
$
$
$Average Income (from Schedule I, Line 16)
State the following:
0.00
2,998.00
0.00
State the following:
1. Total from Schedule D, UNSECURED PORTION, IFANY column
2. Total from Schedule E, AMOUNT ENTITLED TOPRIORITY column.
3. Total from Schedule E, AMOUNT NOT ENTITLED TOPRIORITY, IF ANY column
4. Total from Schedule F
5. Total of non-priority unsecured debt (sum of 1, 3, and 4)
$
$
$
$
$
0.00
526.00
0.00
771,174.54
771,174.54
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(10/05)
Form 8
UNITED STATES BANKRUPTCY COURTSouthern District of Florida
Debtor
In re: Case No.
Chapter 7,
John T. Grassi
CHAPTER 7 INDIVIDUAL DEBTOR'S STATEMENT OF INTENTION
I have filed a schedule of assets and liabilities which includes debts secured by property of the estate.
I have filed a schedule of executory contracts and unexpired leases which includes personal property subject to an unexpired lease.
I intend to do the following with respect to the property of the estate which secures those debts or is subject to a lease:
Propertyis claimedas exempt
Creditor'sName
Description of SecuredProperty
Debt will bereaffirmedpursuant to11 U.S.C. 524(c)
Property will beSurrendered
Property willbe redeemedpursuant to11 U.S.C. 722
None
Lease will beassumed pursuantto 11 U.S.C. 362(h)(1)(A)
Description of LeasedProperty
Lessor'sName
None
Date: 2/13/2007 s/ John T. Grassi
Signature of Debtor
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Official Form 1, Exhibit D (10/06)
UNITED STATES BANKRUPTCY COURT
Southern District of Florida
John T. GrassiIn re: Case No.
Debtor (if known)
EXHIBIT D - INDIVIDUAL DEBTOR'S STATEMENT OF COMPLIANCE WITHCREDIT COUNSELING REQUIREMENT
Warning: You must be able to check truthfully one of the five statements regarding creditcounseling listed below. If you cannot do so, you are not eligible to file a bankruptcy case, and the court candismiss any case you do file. If that happens, you will lose whatever filing fee you paid, and your creditorswill be able to resume collection activities against you. If your case is dismissed and you file anotherbankruptcy case later, you may be required to pay a second filing fee and you may have to take extra stepsto stop creditors' collection activities.
Every individual debtor must file this Exhibit D. If a joint petition is filed, each spouse must complete and filea separate Exhibit D. Check one of the five statements below and attach any documents as directed.
1. Within the 180 days before the filing of my bankruptcy case, I received a briefing from a creditcounseling agency approved by the United States trustee or bankruptcy administrator that outlined the opportunitiesfor available credit counseling and assisted me in performing a related budget analysis, and I have a certificatefrom the agency describing the services provided to me. Attach a copy of the certificate and a copy of any debtrepayment plan developed through the agency.
2. Within the 180 days before the filing of my bankruptcy case , I received a briefing from a creditcounseling agency approved by the United States trustee or bankruptcy administrator that outlined the opportunitiesfor available credit counseling and assisted me in performing a related budget analysis, but I do not have acertificate from the agency describing the services provided to me. You must file a copy of a certificate from theagency describing the services provided to you and a copy of any debt repayment plan developed through theagency no later than 15 days after your bankruptcy case is filed.
3. I certify that I requested credit counseling services from an approved agency but was unable toobtain the services during the five days from the time I made my request, and the following exigent circumstancesmerit a temporary waiver of the credit counseling requirement so I can file my bankruptcy case now. [Must beaccompanied by a motion for determination by the court.] [Summarize exigent circumstances here.]
.
If the court is satisfied with the reasons stated in your motion, it will send you an order approvingyour request. You must still obtain the credit counseling briefing within the first 30 days after you file yourbankruptcy case and promptly file a certificate from the agency that provided the briefing, together with acopy of any debt management plan developed through the agency. Any extension of the 30-day deadlinecan be granted only for cause and is limited to a maximum of 15 days. A motion for extension must be filedwithin the 30-day period. Failure to fulfill these requirements may result in dismissal of your case. If the
court is not satisfied with your reasons for filing your bankruptcy case without first receiving a creditcounseling briefing, your case may be dismissed.
Incapacity. (Defined in 11 U.S.C. 109(h)(4) as impaired by reason of mental illness ormental deficiency so as to be incapable of realizing and making rational decisions with respect to financialresponsibilities.);
4. I am not required to receive a credit counseling briefing because of: [Check the applicablestatement.] [Must be accompanied by a motion for determination by the court.]
Disability. (Defined in 11 U.S.C. 109(h)(4) as physically impaired to the extent of beingunable, after reasonable effort, to participate in a credit counseling briefing in person, by telephone, orthrough the Internet.);
Active military duty in a military combat zone.
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Official Form 1, Exh. D (10/06) Cont.
5. The United States trustee or bankruptcy administrator has determined that the credit counselingrequirement of 11 U.S.C. ' 109(h) does not apply in this district.
I certify under penalty of perjury that the information provided above is true and correct.
Signature of Debtor:
John T. Grassi
s/ John T. Grassi
2/13/2007Date:
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