Case 13-01179-MM11 Filed 02/19/13 Doc 64 Pg

Transcription

Case 13-01179-MM11 Filed 02/19/13 Doc 64 Pg
Case 13-01179-MM11
Filed 02/19/13
Doc 64
Pg. 1 of 1
Case 13-01179-MM11
Filed 02/19/13
Doc 64-1
Pg. 1 of 2
B6 Summary (Official Form 6 - Summary) (12/07)
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United States Bankruptcy Court
Southern District of California
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
Chapter
11
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 the 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, E, 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 Data" if they file a case under chapter 7, 11, or 13.
NAME OF SCHEDULE
ATTACHED
(YES/NO)
NO. OF
SHEETS
ASSETS
LIABILITIES
OTHER
A - Real Property
Yes
1
10,700,000.00
B - Personal Property
Yes
4
9,669,007.74
C - Property Claimed as Exempt
Yes
1
D - Creditors Holding Secured Claims
Yes
1
E - Creditors Holding Unsecured
Priority Claims (Total of Claims on Schedule E)
Yes
90
1,398,834.54
F - Creditors Holding Unsecured
Nonpriority Claims
Yes
70
13,489,223.93
G - Executory Contracts and
Unexpired Leases
Yes
14
H - Codebtors
Yes
1
I - Current Income of Individual
Debtor(s)
Yes
1
0.00
J - Current Expenditures of Individual
Debtor(s)
Yes
1
0.00
0.00
184
Total Number of Sheets of ALL Schedules
Total Assets
20,369,007.74
Total Liabilities
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
14,888,058.47
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-1
Pg. 2 of 2
Form 6 - Statistical Summary (12/07)
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United States Bankruptcy Court
Southern District of California
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
Chapter
11
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 (11 U.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 to
report any information here.
This information is for statistical purposes only under 28 U.S.C. § 159.
Summarize the following types of liabilities, as reported in the Schedules, and total them.
Type of Liability
Amount
Domestic Support Obligations (from Schedule E)
Taxes and Certain Other Debts Owed to Governmental Units
(from Schedule E)
Claims for Death or Personal Injury While Debtor Was Intoxicated
(from Schedule E) (whether disputed or undisputed)
Student Loan Obligations (from Schedule F)
Domestic Support, Separation Agreement, and Divorce Decree
Obligations Not Reported on Schedule E
Obligations to Pension or Profit-Sharing, and Other Similar Obligations
(from Schedule F)
TOTAL
State the following:
Average Income (from Schedule I, Line 16)
Average Expenses (from Schedule J, Line 18)
Current Monthly Income (from Form 22A Line 12; OR,
Form 22B Line 11; OR, Form 22C Line 20 )
State the following:
1. Total from Schedule D, "UNSECURED PORTION, IF ANY"
column
2. Total from Schedule E, "AMOUNT ENTITLED TO PRIORITY"
column
3. Total from Schedule E, "AMOUNT NOT ENTITLED TO
PRIORITY, IF ANY" column
4. Total from Schedule F
5. Total of non-priority unsecured debt (sum of 1, 3, and 4)
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-2
Pg. 1 of 1
B6A (Official Form 6A) (12/07)
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In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE A - REAL PROPERTY
Except as directed below, list all real property in which the debtor has any legal, equitable, or future interest, including all property owned as a
cotenant, community property, or in which the debtor has a life estate. Include any property in which the debtor holds rights and powers exercisable for
the debtor's own benefit. If the debtor is married, state whether husband, wife, both, or the marital community own the property by placing an "H," "W,"
"J," or "C" in the column labeled "Husband, Wife, Joint, or Community." If the debtor holds no interest in real property, write "None" under
"Description and Location of Property."
Do not include interests in executory contracts and unexpired leases on this schedule. List them in Schedule G - Executory Contracts and
Unexpired Leases.
If an entity claims to have a lien or hold a secured interest in any property, state the amount of the secured claim. See Schedule D. If no entity
claims to hold a secured interest in the property, write "None" in the column labeled "Amount of Secured Claim." If the debtor is an individual or
if a joint petition is filed, state the amount of any exemption claimed in the property only in Schedule C - Property Claimed as Exempt.
Description and Location of Property
Buildings and land located at 4311 Third Avenue,
San Diego, CA 92103.
Buildings: $2,565,060.74
Land: $3,228,366.47
0
Nature of Debtor's
Interest in Property
Fee simple
continuation sheets attached to the Schedule of Real Property
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Current Value of
Husband,
Debtor's Interest in
Wife,
Property, without
Joint, or
any Secured
Community Deducting
Claim or Exemption
-
10,700,000.00
Sub-Total >
10,700,000.00
Total >
10,700,000.00
Amount of
Secured Claim
0.00
(Total of this page)
(Report also on Summary of Schedules)
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-3
Pg. 1 of 23
B6B (Official Form 6B) (12/07)
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In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE B - PERSONAL PROPERTY
Except as directed below, list all personal property of the debtor of whatever kind. If the debtor has no property in one or more of the categories, place
an "x" in the appropriate position in the column labeled "None." If additional space is needed in any category, attach a separate sheet properly identified
with the case name, case number, and the number of the category. If the debtor is married, state whether husband, wife, both, or the marital community
own the property by placing an "H," "W," "J," or "C" in the column labeled "Husband, Wife, Joint, or Community." If the debtor is an individual or a joint
petition is filed, state the amount of any exemptions claimed only in Schedule C - Property Claimed as Exempt.
Do not list interests in executory contracts and unexpired leases on this schedule. List them in Schedule G - Executory Contracts and
Unexpired Leases.
If the property is being held for the debtor by someone else, state that person's name and address under "Description and Location of Property."
If the property is being held for a minor child, simply state the child's initials and the name and address of the child's parent or guardian, such as
"A.B., a minor child, by John Doe, guardian." Do not disclose the child's name. See, 11 U.S.C. §112 and Fed. R. Bankr. P. 1007(m).
Type of Property
N
O
N
E
Current Value of
Husband,
Debtor's Interest in Property,
Wife,
without Deducting any
Joint, or
Community Secured Claim or Exemption
Description and Location of Property
1.
Cash on hand
Petty cash, San Diego Hospice
-
750.00
2.
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.
Wells Fargo Bank #2399054416 (Flex Spending)
2365 Executive Drive
San Diego, CA 92121
-
44,364.43
Wells Fargo Bank #9168238492 (Pay Pal)
2365 Executive Drive
San Diego, CA 92121
-
3,722.10
Wells Fargo Bank #784070773 (Checking)
2365 Executive Drive
San Diego, CA 92121
-
745,235.14
Wells Fargo Bank #784070872 (Payroll)
2365 Executive Drive
San Diego, CA 92121
-
43,148.63
Worker's comp at Keystone Risk
-
400,000.00
3.
Security deposits with public
utilities, telephone companies,
landlords, and others.
4.
Household goods and furnishings,
including audio, video, and
computer equipment.
X
5.
Books, pictures and other art
objects, antiques, stamp, coin,
record, tape, compact disc, and
other collections or collectibles.
X
6.
Wearing apparel.
X
7.
Furs and jewelry.
X
8.
Firearms and sports, photographic,
and other hobby equipment.
X
Sub-Total >
(Total of this page)
3
1,237,220.30
continuation sheets attached to the Schedule of Personal Property
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-3
Pg. 2 of 23
B6B (Official Form 6B) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE B - PERSONAL PROPERTY
(Continuation Sheet)
Type of Property
N
O
N
E
Interests in insurance policies.
Name insurance company of each
policy and itemize surrender or
refund value of each.
X
10. Annuities. Itemize and name each
issuer.
X
11. Interests in an education IRA as
defined in 26 U.S.C. § 530(b)(1) or
under a qualified State tuition plan
as defined in 26 U.S.C. § 529(b)(1).
Give particulars. (File separately the
record(s) of any such interest(s).
11 U.S.C. § 521(c).)
X
12. Interests in IRA, ERISA, Keogh, or
other pension or profit sharing
plans. Give particulars.
X
13. Stock and interests in incorporated
and unincorporated businesses.
Itemize.
X
14. Interests in partnerships or joint
ventures. Itemize.
X
15. Government and corporate bonds
and other negotiable and
nonnegotiable instruments.
X
9.
Accounts receivable, not including allowance for
denials
16. Accounts receivable.
17. Alimony, maintenance, support, and
property settlements to which the
debtor is or may be entitled. Give
particulars.
Husband,
Current Value of
Wife,
Debtor's Interest in Property,
Joint, or
without Deducting any
Community Secured Claim or Exemption
Description and Location of Property
-
6,331,134.26
X
18. Other liquidated debts owed to debtor X
including tax refunds. Give particulars.
19. Equitable or future interests, life
estates, and rights or powers
exercisable for the benefit of the
debtor other than those listed in
Schedule A - Real Property.
X
Sub-Total >
(Total of this page)
6,331,134.26
Sheet 1 of 3
continuation sheets attached
to the Schedule of Personal Property
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-3
Pg. 3 of 23
B6B (Official Form 6B) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE B - PERSONAL PROPERTY
(Continuation Sheet)
Type of Property
N
O
N
E
20. Contingent and noncontingent
interests in estate of a decedent,
death benefit plan, life insurance
policy, or trust.
X
21. 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.
X
22. Patents, copyrights, and other
intellectual property. Give
particulars.
X
23. Licenses, franchises, and other
general intangibles. Give
particulars.
24. Customer lists or other compilations
containing personally identifiable
information (as defined in 11 U.S.C.
§ 101(41A)) provided to the debtor
by individuals in connection with
obtaining a product or service from
the debtor primarily for personal,
family, or household purposes.
26. Boats, motors, and accessories.
X
27. Aircraft and accessories.
X
28. Office equipment, furnishings, and
supplies.
-
0.00
1991 Toyota Previa, San Diego Hospice, 4311 Third
Avenue, San Diego, CA 92121 (See Fixed Asset
Schedule Attached)
-
1,534.00
Ofice equipment, furnishings, supplies and
computer equipment (See Fixed Asset Schedule
Attached) (Physical Inventory on-going)
-
1,554,014.15
Materials management inventory as of 6/30/12 $133,267.81
Pharmacy inventory as of 6/30/12 - $189,461.81
-
322,729.62
X
30. Inventory.
31. Animals.
See Fixed Assets Schedule Attached
X
25. Automobiles, trucks, trailers, and
other vehicles and accessories.
29. Machinery, fixtures, equipment, and
supplies used in business.
Husband,
Current Value of
Wife,
Debtor's Interest in Property,
Joint, or
without Deducting any
Community Secured Claim or Exemption
Description and Location of Property
X
Sub-Total >
(Total of this page)
1,878,277.77
Sheet 2 of 3
continuation sheets attached
to the Schedule of Personal Property
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-3
Pg. 4 of 23
B6B (Official Form 6B) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE B - PERSONAL PROPERTY
(Continuation Sheet)
Type of Property
N
O
N
E
32. Crops - growing or harvested. Give
particulars.
X
33. Farming equipment and
implements.
X
34. Farm supplies, chemicals, and feed.
X
35. Other personal property of any kind
not already listed. Itemize.
Description and Location of Property
Various prepaid items, such as memberships,
policies, subscriptions.
Sheet 3 of 3
continuation sheets attached
to the Schedule of Personal Property
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Husband,
Current Value of
Wife,
Debtor's Interest in Property,
Joint, or
without Deducting any
Community Secured Claim or Exemption
-
Sub-Total >
(Total of this page)
Total >
222,375.41
222,375.41
9,669,007.74
(Report also on Summary of Schedules)
Best Case Bankruptcy
Case 13-01179-MM11
Asset ID
Fixed Assets
LEASEHOLD 0022
LEASEHOLD 0023
LEASEHOLD 0001
LEASEHOLD 0002
LEASEHOLD 0003
LEASEHOLD 0004
LEASEHOLD 0005
LEASEHOLD 0006
LEASEHOLD 0007
LEASEHOLD 0008
LEASEHOLD 0009
LEASEHOLD 0010
LEASEHOLD 0011
LEASEHOLD 0012
LEASEHOLD 0013
LEASEHOLD 0014
LEASEHOLD 0015
LEASEHOLD 0016
LEASEHOLD 0017
LEASEHOLD 0018
LEASEHOLD 0019
LEASEHOLD 0020
LEASEHOLD 0021
LEASEHOLD 0024
LEASEHOLD 0025
Filed 02/19/13
Doc 64-3
FIXED ASSETS SCHEDULE
Book ID
Asset Description
Orig Life
Years / Place in
Days
Service Date
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
404 Surge Protector
404 2nd Flr Hall Decorations
404 Building Security Project
404 Building Security Project
404 Building Security Project
404 Building Security Project
404 Building Security Project
404 Voice/Data Cabling
404 Voice/Data Cabling
404 Voice/Data Cabling
404 Voice/Data Cabling
404 Voice/Data Cabling
404 Voice/Data Cabling
404 Voice/Data Cabling
404 Voice/Data Cabling
404 Voice/Data Cabling
404 Misc Firewall Conduit Work
404 Signage
404 Signage
404 Gallery Scene
404 Combination locks for stairs
404 Charlaine Signage
404 Charlaine Signage
404 Final Tenant Imp 2nd Floor
404 Final Tenant Imp 5th Floor
05-000
05-000
10-000
10-000
10-000
10-000
10-000
10-000
10-000
10-000
10-000
10-000
10-000
10-000
10-000
10-000
10-000
10-000
10-000
10-000
10-000
10-000
10-000
10-000
10-000
9/1/2005
9/1/2005
4/1/2005
4/1/2005
6/1/2005
8/1/2005
8/1/2005
5/1/2005
6/1/2005
6/1/2005
6/1/2005
6/1/2005
6/1/2005
6/1/2005
7/1/2005
7/1/2005
5/1/2005
5/1/2005
8/1/2005
8/1/2005
9/1/2005
9/1/2005
9/1/2005
12/1/2005
12/1/2005
Cost Basis
$387.64
$339.61
$3,851.92
$2,023.13
$11,555.74
$751.25
$6,069.39
$43,932.50
$10,022.44
$3,780.00
$269.84
$2,693.75
$509.95
$392.50
$413.75
$1,036.37
$1,322.18
$1,109.50
$1,160.44
$560.00
$625.63
$2,546.86
$1,447.50
$14,140.40
$2,221.40
Pg. 5 of 23
YTD
Depreciation
Amount
LTD
Depreciation
Amount
$0.00
$0.00
$197.64
$103.80
$582.36
$37.50
$303.06
$2,234.04
$505.08
$190.50
$13.62
$135.72
$25.68
$19.80
$20.70
$51.78
$67.26
$56.40
$57.96
$27.96
$31.20
$127.14
$72.24
$706.02
$110.94
$387.64
$339.61
$2,962.40
$1,555.92
$8,739.78
$557.32
$4,502.60
$33,508.93
$7,580.13
$2,858.87
$204.11
$2,037.29
$385.67
$296.88
$310.43
$777.52
$1,008.49
$846.24
$860.88
$415.43
$458.86
$1,868.07
$1,061.70
$10,018.31
$1,573.87
Net Book Value
$0.00
$0.00
$889.52
$467.21
$2,815.96
$193.93
$1,566.79
$10,423.57
$2,442.31
$921.13
$65.73
$656.46
$124.28
$95.62
$103.32
$258.85
$313.69
$263.26
$299.56
$144.57
$166.77
$678.79
$385.80
$4,122.09
$647.53
Fully
Depreciated
Date
8/31/2010
8/31/2010
VEH 001
CORPORATE Toyota Minivan
00-000
1/1/2002
$19,500.00
$0.00
$19,500.00
$0.00
12/31/2005
DA0001
DA0002
DA0003
DA0006
DA0007
DA0008
DA0009
DA0010
DA0011
DA0012
DA0013
DA0014
DA0015
DA0016
DA0004
DA0005
DA0017
1041
EQUIO0001052
EQUIP0000001
EQUIP0000002
EQUIP0000003
EQUIP0000004
EQUIP0000005
EQUIP0000006
EQUIP0000007
EQUIP0000008
EQUIP0000009
EQUIP0000010
EQUIP0000011
EQUIP0000012
EQUIP0000013
EQUIP0000014
EQUIP0000015
EQUIP0000016
EQUIP0000017
EQUIP0000018
EQUIP0000019
EQUIP0000020
EQUIP0000021
EQUIP0000022
EQUIP0000023
EQUIP0000024
EQUIP0000025
EQUIP0000026
EQUIP0000027
EQUIP0000028
EQUIP0000029
EQUIP0000031
EQUIP0000032
EQUIP0000033
EQUIP0000034
EQUIP0000035
EQUIP0000036
EQUIP0000037
EQUIP0000038
EQUIP0000039
EQUIP0000040
EQUIP0000041
EQUIP0000042
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
00-000
05-000
05-000
05-000
05-000
05-000
05-000
05-000
05-000
05-000
05-000
05-000
05-000
05-000
05-000
05-000
00-000
03-000
03-000
05-000
05-000
05-000
05-000
05-000
10-000
12-000
05-000
12-000
20-000
20-000
05-000
15-000
12-000
12-000
15-000
15-000
20-000
05-000
10-000
10-000
20-000
20-000
12-000
10-000
12-000
10-000
15-000
15-000
15-000
05-000
05-000
05-000
10-000
10-000
10-000
10-000
10-000
10-000
15-000
20-000
11/1/1992
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
2/1/2004
1/31/2007
6/3/2008
6/3/2008
5/1/1989
5/1/1989
7/1/1989
1/1/1990
12/1/1990
12/1/1990
12/1/1990
1/1/1991
1/1/1991
1/1/1991
3/1/1991
5/1/1991
7/1/1991
8/1/1991
8/1/1991
8/1/1991
8/1/1991
8/1/1991
8/1/1991
8/1/1991
12/1/1991
2/1/1991
2/1/1991
2/1/1991
3/1/1992
5/1/1992
6/1/1992
8/1/1992
11/1/1992
4/1/1993
6/1/1993
6/1/1993
7/1/1993
5/1/1994
5/1/1994
5/1/1994
8/1/1994
5/1/1995
5/1/1995
12/1/1995
3/1/1996
$61,565.00
$1,353.30
$1,353.30
$1,353.30
$1,353.30
$1,353.30
$1,353.30
$1,353.30
$1,353.30
$1,353.30
$1,353.30
$1,831.70
$1,831.70
$1,831.70
$1,353.30
$1,353.30
$1,283.75
$2,164.19
$2,164.19
$41,107.33
$754.02
$379.15
$2,995.00
$189,341.09
$238,117.00
$487,024.40
$5,827.24
$23,654.01
$15,935.06
$1,355.88
$2,247.02
$2,570.50
$296,589.29
$81,203.89
$35,240.95
$2,791.05
$1,590.66
$15,737.71
$27,016.56
$10,182.10
$1,200.00
$2,047.50
$2,015.88
$0.00
$8,213.40
$1,442.23
$0.00
$2,478.75
$2,458.69
$0.00
$0.00
$2,617.53
$0.00
$0.00
$4,113.29
$1,580.00
$1,919.58
$179.86
$0.00
$3,564.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$89.10
$0.00
$1,353.30
$1,353.30
$1,353.30
$1,353.30
$1,353.30
$1,353.30
$1,353.30
$1,353.30
$1,353.30
$1,353.30
$1,831.70
$1,831.70
$1,831.70
$1,353.30
$1,353.30
$96.03
$2,164.19
$2,164.19
$41,107.33
$754.02
$379.15
$2,995.00
$189,341.09
$238,117.00
$487,024.40
$5,827.24
$23,654.01
$15,935.06
$1,355.88
$2,247.02
$2,570.50
$296,589.29
$81,203.89
$35,240.95
$2,791.05
$1,590.66
$15,737.71
$27,016.56
$10,182.10
$1,200.00
$2,047.50
$2,015.88
$2,340.91
$8,213.40
$1,442.23
$9,156.87
$2,478.75
$2,458.69
$22,908.66
$19,040.15
$2,617.53
$2,856.90
$2,123.95
$4,113.29
$1,580.00
$1,919.58
$179.86
$1,150.52
$2,999.70
$61,565.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$1,187.72
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$454.48
$564.30
10/31/1992
1/31/2009
1/31/2009
1/31/2009
1/31/2009
1/31/2009
1/31/2009
1/31/2009
1/31/2009
1/31/2009
1/31/2009
1/31/2009
1/31/2009
1/31/2009
1/31/2009
1/31/2009
10/31/2007
5/31/2011
5/31/2011
12/31/2005
12/31/2005
12/31/2005
12/31/2005
12/31/2005
12/31/2005
12/31/2005
12/31/2005
12/31/2005
12/31/2005
12/31/2005
12/31/2005
6/30/2006
12/31/2005
12/31/2005
12/31/2005
7/31/2006
7/31/2011
12/31/2005
12/31/2005
12/31/2005
12/31/2005
12/31/2005
12/31/2005
12/31/2005
12/31/2005
12/31/2005
7/31/2007
10/31/2007
3/31/2008
12/31/2005
12/31/2005
12/31/2005
12/31/2005
12/31/2005
12/31/2005
12/31/2005
12/31/2005
12/31/2005
Artwork in ICC building
Bay Dining Arm Chair - Teak - Keck Patio
Bay Dining Arm Chair - Teak - Keck Patio
Bay Dining Arm Chair - Teak - Keck Patio
Bay Dining Arm Chair - Teak - Keck Patio
Bay Dining Arm Chair - Teak - Keck Patio
Bay Dining Arm Chair - Teak - Keck Patio
Bay Dining Arm Chair - Teak - Keck Patio
Bay Dining Arm Chair - Teak - Keck Patio
Bay Dining Arm Chair - Teak - Keck Patio
Bay Dining Arm Chair - Teak - Keck Patio
Bay Round Dining Table - Teak - Keck Pat
Bay Round Dining Table - Teak - Keck Pat
Bay Round Dining Table - Teak - Keck Pat
Bay Dining Arm Chair - Teak - Keck Patio
Bay Dining Arm Chair - Teak - Keck Patio
Country Casual Picnic Table
Fujitsu Laptop T4420 DUO
Fujitsu Laptop T4220 Duo T7250
AT&T Tel System
AT&T Tel System
AT&T Tel System
Oximeter
Furniture/Equip
Telephone/Computer Sys
Seal Furniture
Furniture/Equip
Seal Furniture
Shelves
Shelves
Oximeter
Mustang Jetter
Antique Pt.Rm Furn
Patient Room Cabinets
Med Equip/Safe
Antique&Pt.Rm Furn
Antique&Pt.Rm Furn
Antique&Pt.Rm Furn
Lab Equip Buy-out-10/94
Voice Mail Upgrade
Cabinets/Computer Rm
Cabinets Add
Pharmacy Shelving
Infusion Pump
Pharmacy Shelving
Trapeze/Traction(Rstr)
3 Pumps (Bard)
O2 Regulator/Cart
Narcotics Cabinet
Baxter 6 PCA II Pumps w/Poles
Baxter 6 PCA II Pumps-no Poles
Oximeter
IMED/2 Inf Pumps w/Poles @$2400
IMED/1 Inf Pump w/Poles @$1850
GCS Srvcs/Boiler for Steam Table
HVAC Upgrade
Blood Bank Refrigerator
Blood Bank Refrig- Freight
Dyna Med Emergency Stretcher
Cryogenic Service Corp
Page 1 of 19
Case 13-01179-MM11
Asset ID
EQUIP0000043
EQUIP0000044
EQUIP0000045
EQUIP0000046
EQUIP0000047
EQUIP0000048
EQUIP0000049
EQUIP0000050
EQUIP0000051
EQUIP0000052
EQUIP0000053
EQUIP0000054
EQUIP0000055
EQUIP0000056
EQUIP0000057
EQUIP0000058
EQUIP0000059
EQUIP0000060
EQUIP0000061
EQUIP0000062
EQUIP0000063
EQUIP0000064
EQUIP0000065
EQUIP0000066
EQUIP0000067
EQUIP0000068
EQUIP0000069
EQUIP0000070
EQUIP0000071
EQUIP0000072
EQUIP0000073
EQUIP0000074
EQUIP0000075
EQUIP0000076
EQUIP0000077
EQUIP0000078
EQUIP0000079
EQUIP0000080
EQUIP0000081
EQUIP0000082
EQUIP0000083
EQUIP0000084
EQUIP0000085
EQUIP0000086
EQUIP0000087
EQUIP0000088
EQUIP0000089
EQUIP0000090
EQUIP0000091
EQUIP0000092
EQUIP0000093
EQUIP0000094
EQUIP0000095
EQUIP0000096
EQUIP0000097
EQUIP0000098
EQUIP0000099
EQUIP0000100
EQUIP0000101
EQUIP0000102
EQUIP0000103
EQUIP0000104
EQUIP0000105
EQUIP0000106
EQUIP0000107
EQUIP0000108
EQUIP00001089
EQUIP0000109
EQUIP0000110
EQUIP0000111
EQUIP0000112
EQUIP0000113
EQUIP0000114
EQUIP0000115
EQUIP0000116
EQUIP0000117
EQUIP0000118
EQUIP0000119
EQUIP0000120
EQUIP0000121
EQUIP0000122
EQUIP0000123
EQUIP0000124
EQUIP0000125
EQUIP0000126
EQUIP0000127
EQUIP0000128
EQUIP0000129
EQUIP0000130
Filed 02/19/13
Doc 64-3
Pg. 6 of 23
Orig Life
YTD
LTD
Fully
Years / Place in
Depreciation Depreciation
Depreciated
Book ID
Asset Description
Days
Service Date Cost Basis
Amount
Amount
Net Book Value Date
CORPORATE Cryogenic Service Corp
20-000
3/1/1996
$4,500.00
$112.50
$3,787.50
$712.50
CORPORATE Cryogenic Service Corp (1/96)
20-000
3/1/1996
$8,500.00
$212.52
$7,154.45
$1,345.55
CORPORATE Cryogenic Service Corp (2/96)
20-000
3/1/1996
$9,578.00
$239.46
$8,061.62
$1,516.38
CORPORATE Cryogenic Service Corp (3/96)
20-000
3/1/1996
$4,500.00
$112.50
$3,787.49
$712.51
CORPORATE Cryogenic Service Corp (final)
20-000
3/1/1996
$9,671.00
$241.80
$8,140.11
$1,530.89
CORPORATE Seal Furniture (Modular components)
07-000
8/1/1996
$1,278.45
$0.00
$1,278.45
$0.00
12/31/2005
CORPORATE Pharmacy Shelving
05-000
12/1/1996
$4,546.00
$0.00
$4,546.00
$0.00
12/31/2005
CORPORATE Waxie high speed buffer
03-000
5/1/1997
$1,040.33
$0.00
$1,040.33
$0.00
12/31/2005
CORPORATE Christensen hardware upgrade
03-000
5/1/1997
$4,922.25
$0.00
$4,922.25
$0.00
12/31/2005
CORPORATE Arjo - Pt Lift f/Hydro Therapy Tub
05-000
10/1/1997
$4,794.23
$0.00
$4,794.23
$0.00
12/31/2005
CORPORATE Companion Stationary Liquid Oxygen Syste
05-000
12/1/1997
$1,952.43
$0.00
$1,952.43
$0.00
12/31/2005
CORPORATE Baxter
05-000
12/1/1997
$0.00
$0.00
$6,929.40
$0.00
12/31/2005
CORPORATE Smart UPS 2200 Rackmount 1-Smartslot UPS 05-000
4/1/1998
$2,895.48
$0.00
$2,895.48
$0.00
12/31/2005
CORPORATE Proliant 1850R Computer (RAS)
05-000
11/1/1998
$3,571.92
$0.00
$3,571.92
$0.00
12/31/2005
CORPORATE Chairs for Keck Center
05-000
1/1/1999
$4,965.12
$0.00
$4,965.12
$0.00
12/31/2005
CORPORATE Overture 200 Voice Mail Sys-Programing
07-000
7/1/1999
$41,484.75
$0.00
$41,484.75
$0.00
6/30/2006
CORPORATE Baxter PCA II Pump
05-000
8/1/1999
$0.00
$0.00
$10,182.38
$0.00
12/31/2005
CORPORATE Baxter PCA II Pump
05-000
9/1/1999
$0.00
$0.00
$3,400.65
$0.00
12/31/2005
CORPORATE Tripplite Smart 3000 net UPS w/battery p
03-000
12/1/1999
$3,103.23
$0.00
$3,103.23
$0.00
12/31/2005
CORPORATE Patient Accounting Laser Printer
03-000
2/1/2000
$1,040.87
$0.00
$1,040.87
$0.00
12/31/2005
CORPORATE Front Load Homestyle Washer
03-000
2/1/2000
$1,550.69
$0.00
$1,550.69
$0.00
12/31/2005
CORPORATE 2 PCA II Pump
05-000
2/1/2000
$0.00
$0.00
$6,788.26
$0.00
12/31/2005
CORPORATE HP L aserjet 8100DN Printer
03-000
3/1/2000
$3,532.05
$0.00
$3,532.05
$0.00
12/31/2005
CORPORATE Remote Access Server (Dial Up)
05-000
3/1/2000
$30,940.41
$0.00
$30,940.41
$0.00
12/31/2005
CORPORATE 20" Remote Control Color TV's
05-000
3/1/2000
$0.00
$0.00
$3,725.02
$0.00
12/31/2005
CORPORATE B\U Tape Drive - NT Servers
03-000
4/1/2000
$2,246.59
$0.00
$2,246.59
$0.00
12/31/2005
CORPORATE Replacement Hubs- Network
03-000
4/1/2000
$3,229.27
$0.00
$3,229.27
$0.00
12/31/2005
CORPORATE Tribute Garden - Licensing - City Treasu
10-000
4/1/2000
$700.00
$0.00
$700.00
$0.00
3/31/2010
CORPORATE Tribute Garden - Sculptures - TJ Dixon/J
10-000
4/1/2000
$13,500.00
$0.00
$13,500.00
$0.00
3/31/2010
CORPORATE 1-16 Port DLC with 12 COD Ports-Voice Ma 07-000
5/1/2000
$15,408.92
$0.00
$15,408.92
$0.00
4/30/2007
CORPORATE 20" Remote Control Color TV's
05-000
5/1/2000
$0.00
$0.00
$4,063.65
$0.00
12/31/2005
CORPORATE Remote Manager 12
10-000
5/1/2000
$6,750.76
$0.00
$6,750.76
$0.00
4/30/2010
CORPORATE Progressive Medical International
07-000
6/1/2000
$4,925.47
$0.00
$4,925.47
$0.00
5/31/2007
CORPORATE ProjectorCenter.Com
05-000
6/1/2000
$6,833.00
$0.00
$6,833.00
$0.00
12/31/2005
CORPORATE Voice Mail Upgrade - Telephone System
07-000
7/1/2000
$4,888.95
$0.00
$4,888.95
$0.00
6/30/2007
CORPORATE Tribute Grdn - Desgin - Wimmer Yamada/Ca 10-000
7/1/2000
$735.00
$0.00
$735.00
$0.00
6/30/2010
CORPORATE Tribute Grdn - Desgin - Wimmer Yamada/Ca 10-000
7/1/2000
$4,897.30
$0.00
$4,897.30
$0.00
6/30/2010
CORPORATE IBM PC 300
03-000
8/1/2000
$1,066.51
$0.00
$1,066.51
$0.00
12/31/2005
CORPORATE 2610 Ethernet Router
03-000
8/1/2000
$1,604.40
$0.00
$1,604.40
$0.00
12/31/2005
CORPORATE Laser Jet 405ON & Laser Jet 2100TN
03-000
8/1/2000
$3,843.44
$0.00
$3,843.44
$0.00
12/31/2005
CORPORATE 2514 Internet Router
03-000
8/1/2000
$2,153.92
$0.00
$2,153.92
$0.00
12/31/2005
CORPORATE Inspiron 7500, 700MHz, Pentium III Lapt
03-000
8/1/2000
$4,930.67
$0.00
$4,930.67
$0.00
12/31/2005
CORPORATE Remote Controls for 20
03-000
8/1/2000
$0.00
$0.00
$463.91
$0.00
12/31/2005
CORPORATE Tribute Garden - Sculptures - TJ Dixon/J
10-000
8/1/2000
$13,500.00
$0.00
$13,500.00
$0.00
7/31/2010
CORPORATE Tribute Garden - Desgin - William Steen
10-000
8/1/2000
$11,101.18
$0.00
$11,101.18
$0.00
7/31/2010
CORPORATE Compaq Deskpro
03-000
10/1/2000
$1,346.75
$0.00
$1,346.75
$0.00
12/31/2005
CORPORATE Inspiron 7500, 700MHz, Pentium III Lapt
03-000
10/1/2000
$4,930.67
$0.00
$4,930.67
$0.00
12/31/2005
CORPORATE Uninterrupted Power Supply for AS400
03-000
10/1/2000
$3,633.17
$0.00
$3,633.17
$0.00
12/31/2005
CORPORATE Rotary File Cabinets for Medical Records
03-000
10/1/2000
$2,678.67
$0.00
$2,678.67
$0.00
12/31/2005
CORPORATE Tribute Grdn - Desgin - Wimmer Yamada/Ca 10-000
10/1/2000
$2,092.50
$0.00
$2,092.50
$0.00
9/30/2010
CORPORATE Tribute Garden - Desgin - William Steen
10-000
10/1/2000
$8,053.44
$0.00
$8,053.44
$0.00
9/30/2010
CORPORATE Tribute Garden - Sculptures - TJ Dixon/J
10-000
10/1/2000
$13,500.00
$0.00
$13,500.00
$0.00
9/30/2010
CORPORATE SPR Plus II Pump Bed Mattresses - Gaymar 10-000
11/1/2000
$0.00
$0.00
$6,966.67
$565.06
CORPORATE Compaq Armanda M700 PII 850 128MB
03-000
12/1/2000
$5,940.67
$0.00
$5,940.67
$0.00
12/31/2005
CORPORATE 5 harddrive Ominiclone 5
03-000
4/1/2001
$5,218.86
$0.00
$5,218.86
$0.00
12/31/2005
CORPORATE Compaq-Laptop - Compaq
03-000
8/1/2001
$2,444.56
$0.00
$2,444.56
$0.00
12/31/2005
CORPORATE Gaymar-SPR Plus II Pump - Gaymar
05-000
8/1/2001
$0.00
$0.00
$2,504.75
$0.00
7/31/2006
CORPORATE Datel Systems-New printer - Datel
03-000
8/1/2001
$708.43
$0.00
$708.43
$0.00
12/31/2005
CORPORATE Compaq-19 new desktops
03-000
8/1/2001
$24,367.03
$0.00
$24,367.03
$0.00
12/31/2005
CORPORATE Compaq-20 new desk tops
03-000
8/1/2001
$30,143.00
$0.00
$30,143.00
$0.00
12/31/2005
CORPORATE Compaq-3 laptops, docking stations, othe
03-000
8/1/2001
$8,749.43
$0.00
$8,749.43
$0.00
12/31/2005
CORPORATE Compaq-19 new computers
03-000
8/1/2001
$4,268.83
$0.00
$4,268.83
$0.00
12/31/2005
CORPORATE Insight - HP Laserjet 4100N Printer
03-000
8/1/2001
$1,607.13
$0.00
$1,607.13
$0.00
12/31/2005
CORPORATE Insight - HP Laser Feeder Assembly
03-000
8/1/2001
$295.15
$0.00
$295.15
$0.00
12/31/2005
CORPORATE Office Depot - 480 Office Furniture
05-000
8/1/2001
$6,311.55
$0.00
$6,311.55
$0.00
7/31/2006
CORPORATE US BankCorp - Great Plains Software
03-000
12/1/2001
$2,481.12
$0.00
$2,481.12
$0.00
12/31/2005
CORPORATE T5010 Fujitsu Computer/Webcam
03-000
4/30/2009
$2,174.19
$0.00
$2,174.19
$0.00
4/30/2012
CORPORATE Compaq - Computers & Accessories (6)
03-000
12/1/2001
$7,494.92
$0.00
$7,494.92
$0.00
12/31/2005
CORPORATE Datel Systems - Computer Equipment
03-000
12/1/2001
$1,783.56
$0.00
$1,783.56
$0.00
12/31/2005
CORPORATE Datel Systems - Computer Equipment
03-000
12/1/2001
$1,478.13
$0.00
$1,478.13
$0.00
12/31/2005
CORPORATE SBC Datacomm - Computer Equipment
03-000
12/1/2001
$3,250.80
$0.00
$3,250.80
$0.00
12/31/2005
CORPORATE Computers America - Computer Equipment
03-000
12/1/2001
$1,333.95
$0.00
$1,333.95
$0.00
12/31/2005
CORPORATE Insight - Great Plains Equipment
03-000
12/1/2001
$860.38
$0.00
$860.38
$0.00
12/31/2005
CORPORATE Compaq - Great Plains Equipment
03-000
12/1/2001
$15,567.17
$0.00
$15,567.17
$0.00
12/31/2005
CORPORATE Compaq - Great Plains Equipment
03-000
12/1/2001
$13,938.47
$0.00
$13,938.47
$0.00
12/31/2005
CORPORATE Compaq - Great Plains Equipment
03-000
12/1/2001
$122.56
$0.00
$122.56
$0.00
12/31/2005
CORPORATE Compaq - Great Plains Equipment
03-000
12/1/2001
$13,076.30
$0.00
$13,076.30
$0.00
12/31/2005
CORPORATE Lansolutions - Great Plains Equipment
03-000
12/1/2001
$5,062.07
$0.00
$5,062.07
$0.00
12/31/2005
CORPORATE Datel - Great Plains Equipment
03-000
12/1/2001
$119.37
$0.00
$119.37
$0.00
12/31/2005
CORPORATE Tribute Garden - Desgin - William Steen
10-000
1/1/2001
$601.66
$0.00
$601.66
$0.00
9/30/2010
CORPORATE Is Conversion - Part of SMS Conversion
10-000
1/1/2001
$1,607.71
$0.00
$1,607.71
$0.00
6/30/2010
CORPORATE Tribute Garden - Sculptures - TJ Dixon/J
10-000
1/1/2001
$7,638.75
$0.00
$7,638.75
$0.00
12/31/2010
CORPORATE Server-Network infrasture upgrad-Lan Sol
05-000
6/1/2001
$37,484.20
$0.00
$37,484.20
$0.00
5/31/2006
CORPORATE New Cash Register- POS Data
03-000
6/1/2001
$1,873.92
$0.00
$1,873.92
$0.00
12/31/2005
CORPORATE 480 Furniture Deposit
05-000
6/1/2001
$6,006.00
$0.00
$6,006.00
$0.00
5/31/2006
CORPORATE Ohmeda Medical - Suction Regulators
05-000
3/1/2001
$3,120.44
$0.00
$3,120.44
$0.00
2/28/2006
CORPORATE Blackbaud - Raiser
03-000
3/1/2001
$60,658.75
$0.00
$60,658.75
$0.00
12/31/2005
CORPORATE Tribute Garden - Bronze Plaques
10-000
3/1/2001
$2,054.16
$0.00
$2,054.16
$0.00
2/28/2011
CORPORATE Tribute Grdn - Desgin - Wimmer Yamada/Ca 10-000
3/1/2001
$840.00
$0.00
$840.00
$0.00
6/30/2010
Page 2 of 19
Case 13-01179-MM11
Asset ID
EQUIP0000131
EQUIP0000132
EQUIP0000133
EQUIP0000134
EQUIP0000135
EQUIP0000136
EQUIP0000137
EQUIP0000138
EQUIP0000139
EQUIP0000140
EQUIP0000141
EQUIP0000142
EQUIP0000143
EQUIP0000144
EQUIP0000145
EQUIP0000146
EQUIP0000147
EQUIP0000148
EQUIP0000149
EQUIP0000150
EQUIP0000151
EQUIP0000152
EQUIP0000153
EQUIP0000154
EQUIP0000155
EQUIP0000156
EQUIP0000157
EQUIP0000158
EQUIP0000159
EQUIP0000160
EQUIP0000161
EQUIP0000162
EQUIP0000163
EQUIP0000164
EQUIP0000165
EQUIP0000166
EQUIP0000167
EQUIP0000168
EQUIP0000169
EQUIP0000170
EQUIP0000171
EQUIP0000172
EQUIP0000173
EQUIP0000174
EQUIP0000175
EQUIP0000176
EQUIP0000177
EQUIP0000178
EQUIP0000179
EQUIP0000180
EQUIP0000181
EQUIP0000182
EQUIP0000183
EQUIP0000184
EQUIP0000185
EQUIP0000186
EQUIP0000187
EQUIP0000188
EQUIP0000189
EQUIP0000190
EQUIP0000191
EQUIP0000192
EQUIP0000193
EQUIP0000194
EQUIP0000195
EQUIP0000196
EQUIP0000197
EQUIP0000198
EQUIP0000199
EQUIP0000200
EQUIP0000201
EQUIP0000202
EQUIP0000203
EQUIP0000204
EQUIP0000205
EQUIP0000206
EQUIP0000207
EQUIP0000208
EQUIP0000209
EQUIP0000210
EQUIP0000211
EQUIP0000212
EQUIP0000213
EQUIP0000214
EQUIP0000215
EQUIP0000216
EQUIP0000217
EQUIP0000218
EQUIP0000219
Book ID
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
Filed 02/19/13
Doc 64-3
Pg. 7 of 23
Orig Life
YTD
LTD
Fully
Years / Place in
Depreciation Depreciation
Depreciated
Asset Description
Days
Service Date Cost Basis
Amount
Amount
Net Book Value Date
Compaq Computers (10) Armada, 933MH-Com05-000
5/1/2001
$20,708.00
$0.00
$20,708.00
$0.00
4/30/2006
Tribute Garden - Sculptures - TJ Dixon/J
10-000
5/1/2001
$100.00
$0.00
$100.00
$0.00
12/31/2005
Tribute Grdn - Desgin - Wimmer Yamada/Ca 10-000
5/1/2001
$2,317.84
$0.00
$2,317.84
$0.00
4/30/2011
Tribute Grdn - Desgin - Wimmer Yamada/Ca 10-000
5/1/2001
$280.00
$0.00
$280.00
$0.00
4/30/2011
Tribute Garden - Desgin - Curry Price Co
10-000
5/1/2001
$1,250.00
$0.00
$1,250.00
$0.00
6/30/2010
Great Plains - Consulting
05-000
11/1/2001
$675.00
$0.00
$675.00
$0.00
10/31/2006
Boise - 480 Office Funriture
05-000
11/1/2001
$2,933.65
$0.00
$2,933.65
$0.00
10/31/2006
Compaq - Desk Pro 128mb Memory/Monitor 03-000
11/1/2001
$3,747.47
$0.00
$3,747.47
$0.00
12/31/2005
Bench for Tribute Garden
10-000
11/1/2001
$95.44
$0.00
$95.44
$0.00
12/31/2005
Tribute Garden - Benches - Amex
10-000
11/1/2001
$1,527.00
$0.00
$1,527.00
$0.00
6/30/2010
Compaq - Great Plains Equipment
03-000
11/1/2001
$7,203.58
$0.00
$7,203.58
$0.00
12/31/2005
Insight - Great Plains Equipment
03-000
11/1/2001
$1,299.47
$0.00
$1,299.47
$0.00
12/31/2005
QS/1 Data Sys-Hardware/Software/Install
05-000
10/1/2001
$11,759.90
$0.00
$11,759.90
$0.00
9/30/2006
Datel Sys-Replacmt Viewsonic Monitors
05-000
10/1/2001
$2,361.78
$0.00
$2,361.78
$0.00
9/30/2006
Compaq-Laptop for CFO
03-000
10/1/2001
$2,461.77
$0.00
$2,461.77
$0.00
12/31/2005
Compaq-Laptop
03-000
10/1/2001
$2,461.76
$0.00
$2,461.76
$0.00
12/31/2005
Compaq-Laptop
03-000
10/1/2001
$2,461.76
$0.00
$2,461.76
$0.00
12/31/2005
Compaq-Laptop
03-000
10/1/2001
$2,461.75
$0.00
$2,461.75
$0.00
12/31/2005
Compaq-Laptop
03-000
10/1/2001
$2,461.75
$0.00
$2,461.75
$0.00
12/31/2005
Compaq-Laptop
03-000
10/1/2001
$2,461.75
$0.00
$2,461.75
$0.00
12/31/2005
Compaq-Laptop
03-000
10/1/2001
$2,461.75
$0.00
$2,461.75
$0.00
12/31/2005
Furniture/Desks/Accessories
05-000
10/1/2001
$11,104.53
$0.00
$11,104.53
$0.00
9/30/2006
Office Depot - Desks
05-000
10/1/2001
$1,179.85
$0.00
$1,179.85
$0.00
9/30/2006
Hill-Rom-6 sofa sleepers
05-000
9/1/2001
$5,818.50
$0.00
$5,818.50
$0.00
8/31/2006
G-346 Lucent Telephone Equipment
05-000
9/1/2001
$11,348.83
$0.00
$11,348.83
$0.00
8/31/2006
G-346 Lucent Telephone Equipment
05-000
9/1/2001
$23,345.00
$0.00
$23,345.00
$0.00
8/31/2006
G-346 Lucent Telephone Equipment
05-000
9/1/2001
$18,290.00
$0.00
$18,290.00
$0.00
8/31/2006
G-346 Lucent Telephone Equipment
05-000
9/1/2001
$18,290.63
$0.00
$18,290.63
$0.00
8/31/2006
G-346 Lucent Telephone Equipment
05-000
9/1/2001
$23,343.75
$0.00
$23,343.75
$0.00
8/31/2006
G-346 Lucent Telephone Equipment
05-000
9/1/2001
$11,219.00
$0.00
$11,219.00
$0.00
8/31/2006
G-346 Lucent Telephone Equipment
05-000
9/1/2001
$13,437.50
$0.00
$13,437.50
$0.00
8/31/2006
SBC Datacomm
03-000
9/1/2001
$30,751.63
$0.00
$30,751.63
$0.00
12/31/2005
SBC Datacomm
03-000
9/1/2001
$4,515.00
$0.00
$4,515.00
$0.00
12/31/2005
SBC Datacomm
03-000
9/1/2001
$7,417.50
$0.00
$7,417.50
$0.00
12/31/2005
Ohmeda Medical - Suction Regulators - IC
05-000
1/1/2002
$1,115.26
$0.00
$1,115.26
$0.00
12/31/2006
Compaq - Laptop Replacement
03-000
1/1/2002
$7,285.29
$0.00
$7,285.29
$0.00
12/31/2005
Ekstrom Industries - Computer Room Secur 03-000
1/1/2002
$1,620.77
$0.00
$1,620.77
$0.00
12/31/2005
Datel Hardware for Use with Great Plains
03-000
1/1/2002
$1,839.54
$0.00
$1,839.54
$0.00
12/31/2005
Compaq - Comuter Upgrades
03-000
1/1/2002
$3,099.23
$0.00
$3,099.23
$0.00
12/31/2005
Boise Cascade - Work Station - Desk/Acce
05-000
1/1/2002
$3,606.06
$0.00
$3,606.06
$0.00
12/31/2006
Pt Mgmt Assoc-Playground Swings
10-000
2/1/2002
$1,200.00
$0.00
$1,200.00
$0.00
1/31/2012
Specialized Bus Sys-Tier Rotary/Adder Un
05-000
2/1/2002
$6,011.55
$0.00
$6,011.55
$0.00
1/31/2007
Specialized Business Sys-Conversion Kit
05-000
2/1/2002
$1,594.70
$0.00
$1,594.70
$0.00
1/31/2007
Specialized Business Sys-Install Health
05-000
2/1/2002
$3,926.00
$0.00
$3,926.00
$0.00
1/31/2007
Compaq-Computer New Hardware Laptops
03-000
2/1/2002
$4,042.78
$0.00
$4,042.78
$0.00
12/31/2005
Collins -Great Plains Implementation-Con
03-000
2/1/2002
$6,593.75
$0.00
$6,593.75
$0.00
12/31/2005
Insight-Laptops for the HCIS System
03-000
3/1/2002
$46,814.44
$0.00
$46,814.44
$0.00
12/31/2005
Compaq-Computer Conversion Base
03-000
3/1/2002
$2,066.16
$0.00
$2,066.16
$0.00
12/31/2005
Compaq-Replacment PC
03-000
3/1/2002
$23,231.78
$0.00
$23,231.78
$0.00
12/31/2005
Collins Great Plains Conversion Consulti
03-000
3/1/2002
$14,339.38
$0.00
$14,339.38
$0.00
12/31/2005
Boise Cascade-Workstations
05-000
3/1/2002
$2,607.35
$0.00
$2,607.35
$0.00
2/28/2007
Foley & Lardner - HCIS Agreement & Exces 03-000
3/1/2002
$14,737.01
$0.00
$14,737.01
$0.00
12/31/2005
Best Software - Network Support
03-000
3/1/2002
$2,839.20
$0.00
$2,839.20
$0.00
12/31/2005
Misys Equipment - HCIS
03-000
3/1/2002
$171,210.00
$0.00
$171,210.00
$0.00
12/31/2005
Boise Cascade Lateral File Cabinets (7)
05-000
4/1/2002
$4,578.30
$0.00
$4,578.30
$0.00
3/31/2007
Collins Firewall - CIS Server - Consulti
03-000
4/1/2002
$5,062.50
$0.00
$5,062.50
$0.00
12/31/2005
Southland Tech - Software/Reporting Modu
03-000
4/1/2002
$29,561.56
$0.00
$29,561.56
$0.00
12/31/2005
CCIT - Network Infrastructure
03-000
4/1/2002
$2,783.69
$0.00
$2,783.69
$0.00
12/31/2005
Misys Healthcare - HCIS System
03-000
4/1/2002
$239,694.00
$0.00
$239,694.00
$0.00
12/31/2005
Southland Tech - Software/Reporting Modu
03-000
4/1/2002
$5,740.92
$0.00
$5,740.92
$0.00
12/31/2005
Misys- HCIS System - Consulting/Training
03-000
4/1/2002
$10,000.00
$0.00
$10,000.00
$0.00
12/31/2005
Misys- HCIS System - Consulting/Training
03-000
4/1/2002
$3,250.00
$0.00
$3,250.00
$0.00
12/31/2005
Misys- HCIS System - Consulting/Training
03-000
4/1/2002
$1,550.01
$0.00
$1,550.01
$0.00
12/31/2005
K. Fredicks Consulting - HCIS System - C
03-000
4/1/2002
$1,608.75
$0.00
$1,608.75
$0.00
12/31/2005
K. Fredicks Consulting - HCIS System - C
03-000
4/1/2002
$1,056.25
$0.00
$1,056.25
$0.00
12/31/2005
Foley & Lardner - HCIS Agreement & Exces 03-000
4/1/2002
$4,080.00
$0.00
$4,080.00
$0.00
12/31/2005
Foley & Lardner - HCIS Agreement & Exces 03-000
4/1/2002
$2,550.00
$0.00
$2,550.00
$0.00
12/31/2005
Insight - Epson Lamps/Equipment for Proj
05-000
4/1/2002
$1,373.03
$0.00
$1,373.03
$0.00
3/31/2007
Insight - Bus Dev Epson Powerlite Projec
05-000
4/1/2002
$4,057.33
$0.00
$4,057.33
$0.00
3/31/2007
Insight - Prog#325 -Epson Powerlite Proj
05-000
4/1/2002
$4,057.33
$0.00
$4,057.33
$0.00
3/31/2007
Amex - St. Paul
05-000
5/1/2002
$1,122.76
$0.00
$1,122.76
$0.00
4/30/2007
K. Fredricks - Misys Project - Consultin
03-000
5/1/2002
$1,746.25
$0.00
$1,746.25
$0.00
12/31/2005
Insight - Printer for Misys Project
03-000
5/1/2002
$2,175.88
$0.00
$2,175.88
$0.00
12/31/2005
Meeting Services - Prog #605 - Equip for
05-000
5/1/2002
$1,956.01
$0.00
$1,956.01
$0.00
4/30/2007
Insight - Desk Top Replacements
03-000
5/1/2002
$11,587.53
$0.00
$11,587.53
$0.00
12/31/2005
Collins Computing - Misys Project - Cons
03-000
5/1/2002
$4,125.00
$0.00
$4,125.00
$0.00
12/31/2005
Collins Computing - Misys Project - Cons
03-000
5/1/2002
$2,025.00
$0.00
$2,025.00
$0.00
12/31/2005
Collins - Great Plains Project - Consult
03-000
5/1/2002
$62.50
$0.00
$62.50
$0.00
12/31/2005
Insight - Printer Accessories for Misys
03-000
5/1/2002
$164.06
$0.00
$164.06
$0.00
12/31/2005
Creative Comp Intergrated Tech - Outlook
03-000
5/1/2002
$22,785.64
$0.00
$22,785.64
$0.00
12/31/2005
Dynaelectric - Circuits for Misys Projec
03-000
5/1/2002
$1,787.00
$0.00
$1,787.00
$0.00
12/31/2005
Creative Comp Intergrated Tech - Outlook
03-000
5/1/2002
$2,625.60
$0.00
$2,625.60
$0.00
12/31/2005
Creative Comp - CIS Hardware Upgrade
03-000
5/1/2002
$1,743.56
$0.00
$1,743.56
$0.00
12/31/2005
Insight - Prog #605 - Viewstation Syste
03-000
5/1/2002
$7,531.79
$0.00
$7,531.79
$0.00
12/31/2005
Consulting Chgs for Misys Project - Dept
03-000
5/1/2002
$38,469.77
$0.00
$38,469.77
$0.00
12/31/2005
Automation General - Gate Cards for Secu
03-000
5/1/2002
$2,000.00
$0.00
$2,000.00
$0.00
12/31/2005
Boise - Prog #605 - Exec Desk/Bookcase
05-000
5/1/2002
$2,983.60
$0.00
$2,983.60
$0.00
4/30/2007
Diagnostice Ultrasound - Probe Refurbish
05-000
5/1/2002
$8,000.00
$0.00
$8,000.00
$0.00
4/30/2007
California Flagpole - Prog #607 - Flagpo
05-000
5/1/2002
$2,295.00
$0.00
$2,295.00
$0.00
4/30/2007
Page 3 of 19
Case 13-01179-MM11
Asset ID
EQUIP0000220
EQUIP0000221
EQUIP0000222
EQUIP0000223
EQUIP0000224
EQUIP0000225
EQUIP0000226
EQUIP0000227
EQUIP0000228
EQUIP0000229
EQUIP0000230
EQUIP0000231
EQUIP0000232
EQUIP0000233
EQUIP0000234
EQUIP0000235
EQUIP0000236
EQUIP0000237
EQUIP0000238
EQUIP0000239
EQUIP0000240
EQUIP0000241
EQUIP0000242
EQUIP0000243
EQUIP0000244
EQUIP0000245
EQUIP0000246
EQUIP0000247
EQUIP0000248
EQUIP0000249
EQUIP0000250
EQUIP0000251
EQUIP0000252
EQUIP0000253
EQUIP0000254
EQUIP0000255
EQUIP0000256
EQUIP0000257
EQUIP0000258
EQUIP0000259
EQUIP0000260
EQUIP0000261
EQUIP0000262
EQUIP0000263
EQUIP0000264
EQUIP0000265
EQUIP0000266
EQUIP0000267
EQUIP0000268
EQUIP0000269
EQUIP0000270
EQUIP0000271
EQUIP0000272
EQUIP0000273
EQUIP0000274
EQUIP0000275
EQUIP0000276
EQUIP0000277
EQUIP0000278
EQUIP0000279
EQUIP0000280
EQUIP0000281
EQUIP0000282
EQUIP0000283
EQUIP0000284
EQUIP0000285
EQUIP0000286
EQUIP0000287
EQUIP0000288
EQUIP0000289
EQUIP0000290
EQUIP0000291
EQUIP0000292
EQUIP0000293
EQUIP0000294
EQUIP0000295
EQUIP0000296
EQUIP0000297
EQUIP0000298
EQUIP0000299
EQUIP0000300
EQUIP0000301
EQUIP0000302
EQUIP0000303
EQUIP0000304
EQUIP0000305
EQUIP0000306
EQUIP0000307
EQUIP0000308
Filed 02/19/13
Doc 64-3
Pg. 8 of 23
Orig Life
YTD
LTD
Fully
Years / Place in
Depreciation Depreciation
Depreciated
Book ID
Asset Description
Days
Service Date Cost Basis
Amount
Amount
Net Book Value Date
CORPORATE Compaq - Flat Pallet Rack - Misys Projec
03-000
6/1/2002
$1,071.04
$0.00
$1,071.04
$0.00
12/31/2005
CORPORATE K. Fredicks Consulting - HCIS System - C
03-000
6/1/2002
$1,856.25
$0.00
$1,856.25
$0.00
12/31/2005
CORPORATE Collins Computing - Misys Project - Cons
03-000
6/1/2002
$337.50
$0.00
$337.50
$0.00
12/31/2005
CORPORATE Collins - Great Plains Project ($5,700 i
03-000
6/1/2002
$262.50
$0.00
$262.50
$0.00
12/31/2005
CORPORATE Collins - Outlook E-mail Project ($5,700
03-000
6/1/2002
$5,100.00
$0.00
$5,100.00
$0.00
12/31/2005
CORPORATE Collins - Outlook E-mail Project
03-000
6/1/2002
$3,050.00
$0.00
$3,050.00
$0.00
12/31/2005
CORPORATE Misys - HCIS System - Consulting/Trainin
03-000
6/1/2002
$1,577.90
$0.00
$1,577.90
$0.00
12/31/2005
CORPORATE K. Fredicks Consulting - HCIS System - C
03-000
6/1/2002
$1,911.25
$0.00
$1,911.25
$0.00
12/31/2005
CORPORATE Misys - HCIS System - Consulting/Trainin
03-000
6/1/2002
$5,565.11
$0.00
$5,565.11
$0.00
12/31/2005
CORPORATE K. Fredicks Consulting - HCIS System - C
03-000
6/1/2002
$2,873.75
$0.00
$2,873.75
$0.00
12/31/2005
CORPORATE Insight - Infocus Projector
05-000
6/1/2002
$2,987.00
$0.00
$2,987.00
$0.00
5/31/2007
CORPORATE Misys - HCIS System - Consulting/Trainin
03-000
6/1/2002
$6,375.00
$0.00
$6,375.00
$0.00
12/31/2005
CORPORATE Consulting Chgs for Misys Project - Dept
03-000
6/1/2002
$12,907.52
$0.00
$12,907.52
$0.00
12/31/2005
CORPORATE Tel/Com/Tek - Phone System
05-000
6/1/2002
$4,495.00
$0.00
$4,495.00
$0.00
5/31/2007
CORPORATE K. Fredicks Consulting - HCIS System - C
03-000
7/1/2002
$4,455.00
$0.00
$4,455.00
$0.00
12/31/2005
CORPORATE Compaq - Comp Upgrades/PC
03-000
7/1/2002
$15,220.76
$0.00
$15,220.76
$0.00
12/31/2005
CORPORATE Collins Computing - Outlook E-mail Proje
03-000
7/1/2002
$600.00
$0.00
$600.00
$0.00
12/31/2005
CORPORATE Collins Computing - Outlook E-mail Proje
03-000
7/1/2002
$1,687.50
$0.00
$1,687.50
$0.00
12/31/2005
CORPORATE Collins Computing - Outlook E-mail Proje
03-000
7/1/2002
$6,025.00
$0.00
$6,025.00
$0.00
12/31/2005
CORPORATE G. Bekmezian - Outlook E-mail Project 03-000
7/1/2002
$1,215.00
$0.00
$1,215.00
$0.00
12/31/2005
CORPORATE K. Fredicks Consulting - HCIS System - C
03-000
7/1/2002
$4,358.75
$0.00
$4,358.75
$0.00
12/31/2005
CORPORATE Misys - HCIS System - Consulting/Trainin
03-000
7/1/2002
$5.39
$0.00
$5.39
$0.00
12/31/2005
CORPORATE Misys - HCIS System - Consulting/Trainin
03-000
7/1/2002
$1,734.83
$0.00
$1,734.83
$0.00
12/31/2005
CORPORATE Compaq - Rail Adapter Kit
03-000
7/1/2002
$53.88
$0.00
$53.88
$0.00
12/31/2005
CORPORATE Compaq - Side Panel Kit
03-000
7/1/2002
$168.09
$0.00
$168.09
$0.00
12/31/2005
CORPORATE Compaq - Stabilizer Feet Kit
03-000
7/1/2002
$127.14
$0.00
$127.14
$0.00
12/31/2005
CORPORATE Meeting Services, Inc. Balance of PA Sys
05-000
7/1/2002
$2,410.24
$0.00
$2,410.24
$0.00
6/30/2007
CORPORATE Amex - New ID Video Camera - HR
05-000
7/1/2002
$1,986.92
$0.00
$1,986.92
$0.00
6/30/2007
CORPORATE Principia Products-Remark Office License
03-000
7/1/2002
$7,845.00
$0.00
$7,845.00
$0.00
12/31/2005
CORPORATE Russell & Assoc- Misys Conversion - Cons
03-000
7/1/2002
$1,690.00
$0.00
$1,690.00
$0.00
12/31/2005
CORPORATE Misys - HCIS System - Consulting/Trainin
03-000
7/1/2002
$5,750.00
$0.00
$5,750.00
$0.00
12/31/2005
CORPORATE G. Bekmezian - Outlook E-mail Project 03-000
7/1/2002
$8,818.75
$0.00
$8,818.75
$0.00
12/31/2005
CORPORATE Collins Computing - Outlook E-Mail Proje
03-000
7/1/2002
$87.50
$0.00
$87.50
$0.00
12/31/2005
CORPORATE Collins Computing - Great Plains Project
03-000
7/1/2002
$937.50
$0.00
$937.50
$0.00
12/31/2005
CORPORATE Consulting Chgs for Misys Project - Dept
03-000
7/1/2002
$23,202.74
$0.00
$23,202.74
$0.00
12/31/2005
CORPORATE Collins Computing - Great Plains Project
03-000
7/1/2002
$1,239.13
$0.00
$1,239.13
$0.00
12/31/2005
CORPORATE Wirtz Tile & Stone - Flagpole Memorial P
05-000
7/1/2002
$7,128.21
$0.00
$7,128.21
$0.00
6/30/2007
CORPORATE K. Fredicks Consulting - HCIS System - C
03-000
8/1/2002
$1,003.75
$0.00
$1,003.75
$0.00
12/31/2005
CORPORATE K. Fredicks Consulting - HCIS System - C
03-000
8/1/2002
$2,378.75
$0.00
$2,378.75
$0.00
12/31/2005
CORPORATE Insight - 8 Compaq Laptop Computers-Misy
03-000
8/1/2002
$13,642.20
$0.00
$13,642.20
$0.00
12/31/2005
CORPORATE Insight - LP130 Projector for MisysTrain
03-000
8/1/2002
$3,068.70
$0.00
$3,068.70
$0.00
12/31/2005
CORPORATE Parts for 8 Compaq Laptop Computers-Misy 03-000
8/1/2002
$1,453.19
$0.00
$1,453.19
$0.00
12/31/2005
CORPORATE Misys - HCIS System - Consulting/Trainin
03-000
8/1/2002
$125.00
$0.00
$125.00
$0.00
12/31/2005
CORPORATE Misys - HCIS System - Consulting/Trainin
03-000
8/1/2002
$3,125.00
$0.00
$3,125.00
$0.00
12/31/2005
CORPORATE Misys - HCIS System - Consulting/Trainin
03-000
8/1/2002
$1,088.06
$0.00
$1,088.06
$0.00
12/31/2005
CORPORATE Misys - HCIS System - Consulting/Trainin
03-000
8/1/2002
$10,000.00
$0.00
$10,000.00
$0.00
12/31/2005
CORPORATE Misys - HCIS System - Consulting/Trainin
03-000
8/1/2002
$1,045.63
$0.00
$1,045.63
$0.00
12/31/2005
CORPORATE McKesson - 3 Vital Signs Monitors - Prog
05-000
8/1/2002
$6,218.19
$0.00
$6,218.19
$0.00
7/31/2007
CORPORATE McKesson - 1 Vital Signs Monitor - Prog
05-000
8/1/2002
$2,004.26
$0.00
$2,004.26
$0.00
7/31/2007
CORPORATE Consulting Chgs for Misys Project - Dept
03-000
8/1/2002
$41,642.26
$0.00
$41,642.26
$0.00
12/31/2005
CORPORATE Misys - HCIS System - Consulting/Trainin
03-000
9/1/2002
$4,568.33
$0.00
$4,568.33
$0.00
12/31/2005
CORPORATE Collins Computing - Great Plains Project
03-000
9/1/2002
$1,837.50
$0.00
$1,837.50
$0.00
12/31/2005
CORPORATE Collins Computing - Outlook E-Mail Proje
03-000
9/1/2002
$825.00
$0.00
$825.00
$0.00
12/31/2005
CORPORATE Collins Computing - Outlook E-Mail Proje
03-000
9/1/2002
$1,050.00
$0.00
$1,050.00
$0.00
12/31/2005
CORPORATE Collins Computing - Misys Project
03-000
9/1/2002
$87.50
$0.00
$87.50
$0.00
12/31/2005
CORPORATE Collins Computing - Outlook E-Mail Proje
03-000
9/1/2002
$600.00
$0.00
$600.00
$0.00
12/31/2005
CORPORATE Collins Computing - Great Plains Project
03-000
9/1/2002
$637.50
$0.00
$637.50
$0.00
12/31/2005
CORPORATE K. Fredicks Consulting - HCIS System - C
03-000
9/1/2002
$1,237.50
$0.00
$1,237.50
$0.00
12/31/2005
CORPORATE K. Fredicks Consulting - HCIS System - C
03-000
9/1/2002
$192.50
$0.00
$192.50
$0.00
12/31/2005
CORPORATE K. Fredicks Consulting - HCIS System - C
03-000
9/1/2002
$866.25
$0.00
$866.25
$0.00
12/31/2005
CORPORATE Ceridan Implementation Costs
03-000
9/1/2002
$26.94
$0.00
$26.94
$0.00
12/31/2005
CORPORATE Misys - HCIS System - Consulting/Trainin
03-000
9/1/2002
$2,352.80
$0.00
$2,352.80
$0.00
12/31/2005
CORPORATE Misys - HCIS System - Consulting/Trainin
03-000
9/1/2002
$737.71
$0.00
$737.71
$0.00
12/31/2005
CORPORATE Insight - Compaq Armada Computer for Mis
03-000
9/1/2002
$3,229.94
$0.00
$3,229.94
$0.00
12/31/2005
CORPORATE Insight - Compaq Armada Computer for Mis
03-000
9/1/2002
$3,229.94
$0.00
$3,229.94
$0.00
12/31/2005
CORPORATE Insight - Compaq Armada Computer for Mis
03-000
9/1/2002
$3,229.94
$0.00
$3,229.94
$0.00
12/31/2005
CORPORATE Insight - Compaq Armada Computer for Mis
03-000
9/1/2002
$3,229.94
$0.00
$3,229.94
$0.00
12/31/2005
CORPORATE Insight - Compaq Armada Computer for Mis
03-000
9/1/2002
$3,229.95
$0.00
$3,229.95
$0.00
12/31/2005
CORPORATE Collins Computing - Great Plains Project
03-000
9/1/2002
$562.50
$0.00
$562.50
$0.00
12/31/2005
CORPORATE Collins Computing - Ceridian Project
03-000
9/1/2002
$500.00
$0.00
$500.00
$0.00
12/31/2005
CORPORATE Compaq Computer Corp - Computers For Mis 03-000
9/1/2002
$24,643.51
$0.00
$24,643.51
$0.00
12/31/2005
CORPORATE Ceridian Implementation/Installation Fee
03-000
9/1/2002
$15,751.00
$0.00
$15,751.00
$0.00
12/31/2005
CORPORATE Dynaelectric - Install for Misys System
05-000
9/1/2002
$1,587.70
$0.00
$1,587.70
$0.00
8/31/2007
CORPORATE Consulting Chgs for Misys Project - Dept
03-000
9/1/2002
$21,198.67
$0.00
$21,198.67
$0.00
12/31/2005
CORPORATE Misys Healthcare-HCIS System-HIPPA Train 03-000
10/1/2002
$474.00
$0.00
$474.00
$0.00
12/31/2005
CORPORATE Misys - Licenses-Electronic Databases
03-000
10/1/2002
$1,504.00
$0.00
$1,504.00
$0.00
12/31/2005
CORPORATE Insight - Compaq Armada Laptops (20) Mis
03-000
10/1/2002
$38,943.20
$0.00
$38,943.20
$0.00
12/31/2005
CORPORATE Russell & Associates - Consulting for Mi
03-000
10/1/2002
$3,266.25
$0.00
$3,266.25
$0.00
12/31/2005
CORPORATE Ceridian Implementation/Installation Fee
03-000
10/1/2002
$1,101.40
$0.00
$1,101.40
$0.00
12/31/2005
CORPORATE Ceridian Implementation/Installation Fee
03-000
10/1/2002
$1,650.40
$0.00
$1,650.40
$0.00
12/31/2005
CORPORATE Misys - HCIS System - Consulting/Trainin
03-000
10/1/2002
$1,153.75
$0.00
$1,153.75
$0.00
12/31/2005
CORPORATE Misys - HCIS System - Consulting/Trainin
03-000
10/1/2002
$481.25
$0.00
$481.25
$0.00
12/31/2005
CORPORATE Consulting Chgs for Misys Project - Dept
03-000
10/1/2002
$15,340.16
$0.00
$15,340.16
$0.00
12/31/2005
CORPORATE Collins Computing - Misys Project
03-000
11/1/2002
$312.50
$0.00
$312.50
$0.00
12/31/2005
CORPORATE Ceridian Implementation/Installation Fee
03-000
11/1/2002
$161.90
$0.00
$161.90
$0.00
12/31/2005
CORPORATE Ceridian Implementation/Installation Fee
03-000
11/1/2002
$1,230.50
$0.00
$1,230.50
$0.00
12/31/2005
CORPORATE Ceridian Implementation/Installation Fee
03-000
11/1/2002
$1,390.60
$0.00
$1,390.60
$0.00
12/31/2005
CORPORATE Misys - HCIS System - Consulting/Trainin
03-000
11/1/2002
$3,000.00
$0.00
$3,000.00
$0.00
12/31/2005
CORPORATE Misys - HCIS System - Consulting/Trainin
03-000
11/1/2002
$5,000.00
$0.00
$5,000.00
$0.00
12/31/2005
Page 4 of 19
Case 13-01179-MM11
Asset ID
EQUIP0000309
EQUIP0000310
EQUIP0000311
EQUIP0000312
EQUIP0000313
EQUIP0000314
EQUIP0000315
EQUIP0000316
EQUIP0000317
EQUIP0000318
EQUIP0000319
EQUIP0000320
EQUIP0000321
EQUIP0000322
EQUIP0000323
EQUIP0000324
EQUIP0000325
EQUIP0000326
EQUIP0000327
EQUIP0000328
EQUIP0000329
EQUIP0000330
EQUIP0000331
EQUIP0000332
EQUIP0000333
EQUIP0000334
EQUIP0000335
EQUIP0000336
EQUIP0000337
EQUIP0000338
EQUIP0000339
EQUIP0000340
EQUIP0000341
EQUIP0000342
EQUIP0000343
EQUIP0000344
EQUIP0000345
EQUIP0000346
EQUIP0000347
EQUIP0000348
EQUIP0000349
EQUIP0000350
EQUIP0000351
EQUIP0000352
EQUIP0000353
EQUIP0000354
EQUIP0000355
EQUIP0000356
EQUIP0000357
EQUIP0000358
EQUIP0000359
EQUIP0000360
EQUIP0000361
EQUIP0000362
EQUIP0000363
EQUIP0000364
EQUIP0000365
EQUIP0000366
EQUIP0000367
EQUIP0000368
EQUIP0000369
EQUIP0000370
EQUIP0000371
EQUIP0000372
EQUIP0000373
EQUIP0000374
EQUIP0000375
EQUIP0000376
EQUIP0000377
EQUIP0000378
EQUIP0000379
EQUIP0000380
EQUIP0000381
EQUIP0000382
EQUIP0000383
EQUIP0000384
EQUIP0000385
EQUIP0000386
EQUIP0000387
EQUIP0000388
EQUIP0000389
EQUIP0000390
EQUIP0000391
EQUIP0000392
EQUIP0000393
EQUIP0000394
EQUIP0000395
EQUIP0000396
EQUIP0000397
Filed 02/19/13
Doc 64-3
Pg. 9 of 23
Orig Life
YTD
LTD
Fully
Years / Place in
Depreciation Depreciation
Depreciated
Book ID
Asset Description
Days
Service Date Cost Basis
Amount
Amount
Net Book Value Date
CORPORATE K. Fredricks - HCIS System - Consulting/
03-000
11/1/2002
$796.25
$0.00
$796.25
$0.00
12/31/2005
CORPORATE K. Fredricks - HCIS System - Consulting/
03-000
11/1/2002
$563.75
$0.00
$563.75
$0.00
12/31/2005
CORPORATE Misys - HCIS System - Consulting/Trainin
03-000
11/1/2002
$7,500.00
$0.00
$7,500.00
$0.00
12/31/2005
CORPORATE Misys - HCIS System - Consulting/Trainin
03-000
11/1/2002
$1,622.92
$0.00
$1,622.92
$0.00
12/31/2005
CORPORATE Misys - HCIS System - Consulting/Trainin
03-000
11/1/2002
$3,500.00
$0.00
$3,500.00
$0.00
12/31/2005
CORPORATE Misys - HCIS System - Consulting/Trainin
03-000
11/1/2002
$2,255.33
$0.00
$2,255.33
$0.00
12/31/2005
CORPORATE Consulting Chgs for Misys Project - Dept
03-000
11/1/2002
$26,404.38
$0.00
$26,404.38
$0.00
12/31/2005
CORPORATE Misys - HCIS System - Consulting/Trainin
03-000
12/1/2002
$6,625.00
$0.00
$6,625.00
$0.00
12/31/2005
CORPORATE K. Fredricks - HCIS System - Consulting/
03-000
12/1/2002
$1,576.25
$0.00
$1,576.25
$0.00
12/31/2005
CORPORATE Licensing Agreement for Misys
03-000
12/1/2002
$6,200.00
$0.00
$6,200.00
$0.00
12/31/2005
CORPORATE Misys - HCIS System - Data Sets/Training
03-000
12/1/2002
$36,797.77
$0.00
$36,797.77
$0.00
12/31/2005
CORPORATE Insight - Compaq Laptops for Misys
03-000
12/1/2002
$16,485.65
$0.00
$16,485.65
$0.00
12/31/2005
CORPORATE Misys - HCIS System - 20% Software Compo 03-000
12/1/2002
$136,968.00
$0.00
$136,968.00
$0.00
12/31/2005
CORPORATE Collins Computing - Misys Project
03-000
12/1/2002
$925.00
$0.00
$925.00
$0.00
12/31/2005
CORPORATE Ceridian Implementation/Installation Fee
03-000
12/1/2002
$1,980.20
$0.00
$1,980.20
$0.00
12/31/2005
CORPORATE Ceridian Implementation/Installation Fee
03-000
12/1/2002
$146.94
$0.00
$146.94
$0.00
12/31/2005
CORPORATE Ceridian Implementation/Installation Fee
03-000
12/1/2002
$1,748.20
$0.00
$1,748.20
$0.00
12/31/2005
CORPORATE Ivans - Data Network Systems Upgrade
03-000
12/1/2002
$1,569.65
$0.00
$1,569.65
$0.00
12/31/2005
CORPORATE Creative Comp Svcs-Servers-HIPPA Complia 03-000
12/1/2002
$14,020.02
$0.00
$14,020.02
$0.00
12/31/2005
CORPORATE Misys - HCIS System - Consulting/Trainin
03-000
12/1/2002
$3,625.00
$0.00
$3,625.00
$0.00
12/31/2005
CORPORATE K. Fredricks - HCIS System - Consulting/
03-000
12/1/2002
$958.75
$0.00
$958.75
$0.00
12/31/2005
CORPORATE Gaymar Indust - 3 SPR Plus II Pumps - Rs
05-000
12/1/2002
$0.00
$0.00
$3,830.52
$0.00
11/30/2007
CORPORATE Amex - Boise Office Equipment
05-000
12/1/2002
$1,457.64
$0.00
$1,457.64
$0.00
11/30/2007
CORPORATE Ceridian Implementation/Installation Fee
03-000
12/1/2002
$1,308.10
$0.00
$1,308.10
$0.00
12/31/2005
CORPORATE Consulting Chgs for Misys Project - Dept
03-000
12/1/2002
$22,930.70
$0.00
$22,930.70
$0.00
12/31/2005
CORPORATE Crystal Decisions - Concurrent Access Li
03-000
12/1/2002
$12,992.23
$0.00
$12,992.23
$0.00
12/31/2005
CORPORATE Southland Tech - 15 Notebook Laptops
03-000
12/1/2002
$42,052.67
$0.00
$42,052.67
$0.00
12/31/2005
CORPORATE Collins Computing - Misys Project
03-000
12/1/2002
$2,707.99
$0.00
$2,707.99
$0.00
12/31/2005
CORPORATE Gaymar Industries - 3 SPR Plus II Pumps
05-000
1/1/2003
$0.00
$0.00
$3,830.52
$0.00
12/31/2007
CORPORATE K. Fredricks - HCIS System - Consulting/
03-000
1/1/2003
$1,182.50
$0.00
$1,182.50
$0.00
12/31/2005
CORPORATE Gaymar Industries - 6 SPR Plus II Pumps
05-000
1/1/2003
$0.00
$0.00
$7,661.03
$0.00
12/31/2007
CORPORATE Misys - HCIS System - Consulting/Trainin
03-000
1/1/2003
$3,000.00
$0.00
$3,000.00
$0.00
12/31/2005
CORPORATE Misys - HCIS System - Consulting/Trainin
03-000
1/1/2003
$1,511.83
$0.00
$1,511.83
$0.00
12/31/2005
CORPORATE Misys - HCIS System - Consulting/Trainin
03-000
1/1/2003
$6,600.00
$0.00
$6,600.00
$0.00
12/31/2005
CORPORATE Ceridian Implementation/Installation Fee
03-000
1/1/2003
$316.20
$0.00
$316.20
$0.00
12/31/2005
CORPORATE Ceridian Implementation/Installation Fee
03-000
1/1/2003
$849.40
$0.00
$849.40
$0.00
12/31/2005
CORPORATE Ceridian Implementation/Installation Fee
03-000
1/1/2003
$1,384.10
$0.00
$1,384.10
$0.00
12/31/2005
CORPORATE McKesson - Vital Signs Monitor - Rstd #6
03-000
1/1/2003
$1,765.84
$0.00
$1,765.84
$0.00
12/31/2005
CORPORATE Expenses for Misys Project-Dept 8481
05-000
1/1/2003
$20,863.22
$0.00
$20,863.22
$0.00
12/31/2007
CORPORATE Creative Computer - Patchlink Server for
05-000
2/1/2003
$1,750.36
$0.00
$1,750.36
$0.00
1/31/2008
CORPORATE K. Fredricks - HCIS System - Consulting/
03-000
2/1/2003
$907.50
$0.00
$907.50
$0.00
1/31/2006
CORPORATE K. Fredricks - HCIS System - Consulting/
03-000
2/1/2003
$178.75
$0.00
$178.75
$0.00
1/31/2006
CORPORATE K. Fredricks - HCIS System - Consulting/
03-000
2/1/2003
$2,227.50
$0.00
$2,227.50
$0.00
1/31/2006
CORPORATE Collins Comp - Great Plains - Consulting
03-000
2/1/2003
$4,087.50
$0.00
$4,087.50
$0.00
1/31/2006
CORPORATE Collins Computing- Patchlink Update for
05-000
2/1/2003
$1,211.22
$0.00
$1,211.22
$0.00
1/31/2008
CORPORATE Misys - HCIS System - Consulting/Trainin
03-000
2/1/2003
$3,125.00
$0.00
$3,125.00
$0.00
1/31/2006
CORPORATE Collins Comp Misys - Consulting/Training
03-000
2/1/2003
$375.00
$0.00
$375.00
$0.00
1/31/2006
CORPORATE Misys - HCIS System - Consulting/Trainin
03-000
2/1/2003
$1,511.83
$0.00
$1,511.83
$0.00
1/31/2006
CORPORATE Misys - HCIS System - Consulting/Trainin
03-000
2/1/2003
$1,039.17
$0.00
$1,039.17
$0.00
1/31/2006
CORPORATE Misys - HCIS System - Consulting/Trainin
03-000
2/1/2003
$6,000.00
$0.00
$6,000.00
$0.00
1/31/2006
CORPORATE Misys - HCIS System - Consulting/Trainin
03-000
2/1/2003
$1,140.51
$0.00
$1,140.51
$0.00
1/31/2006
CORPORATE Ceridian Implementation/Installation Fee
03-000
2/1/2003
$1,417.60
$0.00
$1,417.60
$0.00
1/31/2006
CORPORATE Ceridian Implementation/Installation Fee
03-000
2/1/2003
$246.04
$0.00
$246.04
$0.00
1/31/2006
CORPORATE Ceridian Implementation/Installation Fee
03-000
2/1/2003
$154.28
$0.00
$154.28
$0.00
1/31/2006
CORPORATE Ceridian Implementation/Installation Fee
03-000
2/1/2003
$2,295.70
$0.00
$2,295.70
$0.00
1/31/2006
CORPORATE Ceridian Implementation/Installation Fee
03-000
2/1/2003
$1,789.20
$0.00
$1,789.20
$0.00
1/31/2006
CORPORATE Expenses for Misys Project-Dept 8481
03-000
2/1/2003
$20,950.07
$0.00
$20,950.07
$0.00
1/31/2006
CORPORATE K. Fredricks - HCIS System - Consulting/
03-000
3/1/2003
$880.00
$0.00
$880.00
$0.00
2/28/2006
CORPORATE K. Fredricks - HCIS System - Consulting/
03-000
3/1/2003
$2,543.75
$0.00
$2,543.75
$0.00
2/28/2006
CORPORATE Crystal Decisions-Consultant M. Rubincam
03-000
3/1/2003
$3,500.00
$0.00
$3,500.00
$0.00
2/28/2006
CORPORATE Crystal Decisions-Training for Reporting
03-000
3/1/2003
$1,300.00
$0.00
$1,300.00
$0.00
2/28/2006
CORPORATE Creative Comp - Comps/Keyboards/Replacem 03-000
3/1/2003
$9,746.20
$0.00
$9,746.20
$0.00
2/28/2006
CORPORATE Southland Tech-5 Notebook Laptops/Access 03-000
3/1/2003
$13,619.60
$0.00
$13,619.60
$0.00
2/28/2006
CORPORATE Crystal Decisions-Training for Reporting
03-000
3/1/2003
$200.00
$0.00
$200.00
$0.00
2/28/2006
CORPORATE Ceridian Implementation/Installation Fee
03-000
3/1/2003
$1,744.50
$0.00
$1,744.50
$0.00
2/28/2006
CORPORATE Ceridian Implementation/Installation Fee
03-000
3/1/2003
$112.24
$0.00
$112.24
$0.00
2/28/2006
CORPORATE Ceridian Implementation/Installation Fee
03-000
3/1/2003
$1,325.90
$0.00
$1,325.90
$0.00
2/28/2006
CORPORATE Ceridian Implementation/Installation Fee
03-000
3/1/2003
$1,919.95
$0.00
$1,919.95
$0.00
2/28/2006
CORPORATE Expenses for Misys Project-Dept 8481
03-000
3/1/2003
$17,299.30
$0.00
$17,299.30
$0.00
2/28/2006
CORPORATE K. Fredricks - HCIS System - Consulting/
03-000
4/1/2003
$2,062.50
$0.00
$2,062.50
$0.00
3/31/2006
CORPORATE Misys Healthcare - Forms - Carie Michell
03-000
4/1/2003
$546.83
$0.00
$546.83
$0.00
3/31/2006
CORPORATE Misys - HCIS System - Consulting/Trainin
03-000
4/1/2003
$86.05
$0.00
$86.05
$0.00
3/31/2006
CORPORATE Misys - HCIS System - Consulting/Trainin
03-000
4/1/2003
$1,490.31
$0.00
$1,490.31
$0.00
3/31/2006
CORPORATE Misys - HCIS System - Consulting/Trainin
03-000
4/1/2003
$3,000.00
$0.00
$3,000.00
$0.00
3/31/2006
CORPORATE Misys - HCIS System - Consulting/Trainin
03-000
4/1/2003
$3,625.00
$0.00
$3,625.00
$0.00
3/31/2006
CORPORATE Misys - HCIS System - Consulting/Trainin
03-000
4/1/2003
$5,400.00
$0.00
$5,400.00
$0.00
3/31/2006
CORPORATE Boise Cascade - Desk/Furniture
05-000
4/1/2003
$1,121.68
$0.00
$1,121.68
$0.00
3/31/2008
CORPORATE Insight - Sound Station/Logitech
03-000
4/1/2003
$1,610.87
$0.00
$1,610.87
$0.00
3/31/2006
CORPORATE Salient Network - Software Licenses
03-000
4/1/2003
$20,473.00
$0.00
$20,473.00
$0.00
3/31/2006
CORPORATE Misys - HCIS System - Consulting/Trainin
03-000
4/1/2003
$1,500.00
$0.00
$1,500.00
$0.00
3/31/2006
CORPORATE Creative Computer -Computers
03-000
4/1/2003
$11,157.18
$0.00
$11,157.18
$0.00
3/31/2006
CORPORATE K. Fredricks - HCIS System - Consulting/
03-000
4/1/2003
$2,736.25
$0.00
$2,736.25
$0.00
3/31/2006
CORPORATE Ceridian Implementation/Installation Fee
03-000
4/1/2003
$1,236.17
$0.00
$1,236.17
$0.00
3/31/2006
CORPORATE Ceridian Implementation/Installation Fee
03-000
4/1/2003
$1,826.50
$0.00
$1,826.50
$0.00
3/31/2006
CORPORATE Ceridian Implementation/Installation Fee
03-000
4/1/2003
$218.24
$0.00
$218.24
$0.00
3/31/2006
CORPORATE Misys - HCIS System - Consulting/Trainin
03-000
4/1/2003
$113.00
$0.00
$113.00
$0.00
3/31/2006
CORPORATE Misys - HCIS System - Consulting/Trainin
03-000
4/1/2003
$2,846.25
$0.00
$2,846.25
$0.00
3/31/2006
CORPORATE Misys - HCIS System - Consulting/Trainin
03-000
4/1/2003
$2,553.62
$0.00
$2,553.62
$0.00
3/31/2006
CORPORATE Misys - HCIS System - Consulting/Trainin
03-000
4/1/2003
$4,650.00
$0.00
$4,650.00
$0.00
3/31/2006
Page 5 of 19
Case 13-01179-MM11
Asset ID
EQUIP0000398
EQUIP0000399
EQUIP0000400
EQUIP0000401
EQUIP0000402
EQUIP0000403
EQUIP0000406
EQUIP0000407
EQUIP0000408
EQUIP0000409
EQUIP0000411
EQUIP0000412
EQUIP0000413
EQUIP0000414
EQUIP0000415
EQUIP0000418
EQUIP0000419
EQUIP0000420
EQUIP0000421
EQUIP0000422
EQUIP0000423
EQUIP0000424
EQUIP0000425
EQUIP0000426
EQUIP0000427
EQUIP0000428
EQUIP0000429
EQUIP0000430
EQUIP0000431
EQUIP0000432
EQUIP0000433
EQUIP0000434
EQUIP0000435
EQUIP0000436
EQUIP0000437
EQUIP0000438
EQUIP0000439
EQUIP0000440
EQUIP0000441
EQUIP0000442
EQUIP0000443
EQUIP0000444
EQUIP0000445
EQUIP0000446
EQUIP0000447
EQUIP0000448
EQUIP0000449
EQUIP0000450
EQUIP0000451
EQUIP0000452
EQUIP0000453
EQUIP0000454
EQUIP0000455
EQUIP0000456
EQUIP0000457
EQUIP0000458
EQUIP0000459
EQUIP0000460
EQUIP0000461
EQUIP0000462
EQUIP0000463
EQUIP0000464
EQUIP0000465
EQUIP0000466
EQUIP0000467
EQUIP0000468
EQUIP0000469
EQUIP0000470
EQUIP0000471
EQUIP0000472
EQUIP0000473
EQUIP0000474
EQUIP0000475
EQUIP0000476
EQUIP0000477
EQUIP0000478
EQUIP0000479
EQUIP0000480
EQUIP0000481
EQUIP0000482
EQUIP0000483
EQUIP0000484
EQUIP0000485
EQUIP0000486
EQUIP0000487
EQUIP0000488
EQUIP0000489
EQUIP0000490
EQUIP0000491
Book ID
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
Asset Description
San Diego Office Interiors -Training Roo
Expenses for Misys Project-Dept 8481
Salient Network - Access Center Equipmen
Ceridian Implementation/Installation Fee
Ceridian Implementation/Installation Fee
Expenses for Misys Project-Dept 8481
Dell Financial - Laptops for VonGunten &
Crystal Dec - Training Crystal Reports Crystal Dec - Training Crystal Reports Crystal Dec - Training Crystal Reports Southland Technology - Alladin Admin Kit
Southland - Fujitsu Notebook Case
Gaymar Industries - SPR Plus Pump
Expenses for Misys Project-Dept 8481
Collins Computing - 2 module for GP: GL
Salient Networks- Access Cnt. Hdwre & Sf
Crystal Decisions - Misys Travel Expense
SBC Pacific Bell - Phone/Data Infras. Ac
Creative Computer - Mac Laptop & Accesso
San Diego Office - IT Training Room Furn
Boise Cascade - Filing Cabinets - Access
Boise Cascade - Filing Cabinets - Human
Boise Cascade - Filing Cabinets - Access
GN Direct - Access Center Phone .InfrasExpenses for Misys Project-Dept 8481
Salient Networks - Call Center, Access C
Salient Networks - Voice Over Contract
Southland Technology - Clinical Laptops
Zappias Restaurant - Salad Bar Replaceme
Southland Technology - Clinical Laptops
Southland Technology - Clinical Laptops
Collins Computing - Great Plains Forecas
Collins Computing - Great Plains Forecas
Collins Computing - Great Plains Forecas
Expenses for Misys Project-Dept 8481
Reclass Expenses
Salient Networks - Call Center Tech
Salient Networks - Voice Over ID Tech Ca
Southland Technology - Clinical Laptops
Creative Computer - Back Up Server - Rec
Expenses for Misys Project-Dept 8481 - R
Expenses for Misys Project-Dept 8481
Misys Healthcare
San Diego Office - IT Training Room Furn
Hello Direct - Flex Premium Package
Crystal Decisions - Training Crystal Rep
Expenses for Misys Project-Dept 8481
Assets/Depreciation Correction
Assets/Depreciation Correction
Assets/Depreciation Correction
Assets/Depreciation Correction
Creative Computer - Mac Laptop & Accesso
Expenses for Misys Project-Dept 8481
Misys Healthcare - Training Expenses
Misys Healthcare - OnSite Clinical Sys T
Southland Technology - IT Supplies
Tel/Com/Tek - TN 793
Creative Comp - Notebook/Projector Rolli
Creative Computer - FL-Procom Plus 4.80
Rincon Tech Modems
Expenses for Misys Project-Dept 8481
Southland Tech - Clinical Laptops & Secu
Southland Tech - Clinical Laptops & Secu
Southland Tech - Clinical Laptops & Secu
Southland Tech - CER: Clinical Laptops &
Southland Tech - CER: Clinical Laptops &
Southland Tech - CER: Clinical Laptops &
Southland Tech - CER: Clinical Laptops &
Expenses for Misys Project-Dept 8481
FSE Inc. - Ice Machine/Filter System
Southland Tech - CER: Clinical Laptops &
Expenses for Misys Project-Dept 8481
Southland Technology - Laptops and Acces
Southland Tech - Warranties, Adapters, C
Southland Technology - Clinical Laptops
Southland Technology - CER Sunshine Broo
AC Power Adapter - Compaq Armada
Creative Computer - Simple Port Replicat
Creative Computer - 2.1 Commuter Carryi
CCIT - (4) Armadas CPU
Expenses for Misys Project-Dept 8481
Creative Comp - High Speed Scanner for C
Waxie Sanitary - Extractor, hose,wand, t
Southland Technology - Url Filter
Southland Technology - Url Filter/Servic
Intuit - Track It Help Disk Software
Intuit - Track It Help Disk Software
Expenses for Misys Project-Dept 8481
BRG of SD - Office Furniture for Patient
Filed 02/19/13
Doc 64-3
Pg. 10 of 23
Orig Life
YTD
LTD
Fully
Years / Place in
Depreciation Depreciation
Depreciated
Days
Service Date Cost Basis
Amount
Amount
Net Book Value Date
05-000
4/1/2003
$7,456.00
$0.00
$7,456.00
$0.00
3/31/2008
03-000
4/1/2003
$21,103.91
$0.00
$21,103.91
$0.00
3/31/2006
03-000
5/1/2003
$82,021.95
$0.00
$82,021.95
$0.00
4/30/2006
03-000
5/1/2003
$1,126.97
$0.00
$1,126.97
$0.00
4/30/2006
03-000
5/1/2003
$1,624.07
$0.00
$1,624.07
$0.00
4/30/2006
03-000
5/1/2003
$31,316.83
$0.00
$31,316.83
$0.00
4/30/2006
03-000
6/1/2003
$6,637.40
$0.00
$6,637.40
$0.00
5/31/2006
03-000
6/1/2003
$750.00
$0.00
$750.00
$0.00
5/31/2006
03-000
6/1/2003
$750.00
$0.00
$750.00
$0.00
5/31/2006
03-000
6/1/2003
$1,500.00
$0.00
$1,500.00
$0.00
5/31/2006
03-000
6/1/2003
$1,492.34
$0.00
$1,492.34
$0.00
5/31/2006
03-000
6/1/2003
$12,438.66
$0.00
$12,438.66
$0.00
5/31/2006
05-000
6/1/2003
$0.00
$0.00
$1,276.84
$0.00
5/31/2008
03-000
6/1/2003
$76,298.75
$0.00
$76,298.75
$0.00
5/31/2006
03-000
7/1/2003
$7,287.50
$0.00
$7,287.50
$0.00
6/30/2006
05-000
7/1/2003
$23,110.69
$0.00
$23,110.69
$0.00
6/30/2008
03-000
7/1/2003
$1,291.65
$0.00
$1,291.65
$0.00
6/30/2006
05-000
7/1/2003
$4,437.41
$0.00
$4,437.41
$0.00
6/30/2008
03-000
7/1/2003
$3,864.87
$0.00
$3,864.87
$0.00
6/30/2006
05-000
7/1/2003
$6,911.75
$0.00
$6,911.75
$0.00
6/30/2008
05-000
7/1/2003
$2,521.35
$0.00
$2,521.35
$0.00
6/30/2008
05-000
7/1/2003
$1,777.88
$0.00
$1,777.88
$0.00
6/30/2008
05-000
7/1/2003
$1,185.24
$0.00
$1,185.24
$0.00
6/30/2008
05-000
7/1/2003
$2,300.68
$0.00
$2,300.68
$0.00
6/30/2008
03-000
7/1/2003
$64,264.26
$0.00
$64,264.26
$0.00
6/30/2006
05-000
7/1/2003
$66,058.56
$0.00
$66,058.56
$0.00
6/30/2008
05-000
8/1/2003
$7,072.86
$0.00
$7,072.86
$0.00
7/31/2008
03-000
8/1/2003
$7,583.19
$0.00
$7,583.19
$0.00
7/31/2006
05-000
8/1/2003
$8,135.13
$0.00
$8,135.13
$0.00
7/31/2008
03-000
8/1/2003
$31,401.59
$0.00
$31,401.59
$0.00
7/31/2006
03-000
8/1/2003
$2,928.65
$0.00
$2,928.65
$0.00
7/31/2006
03-000
8/1/2003
$1,262.50
$0.00
$1,262.50
$0.00
7/31/2006
03-000
8/1/2003
$4,096.06
$0.00
$4,096.06
$0.00
7/31/2006
03-000
8/1/2003
$7,500.00
$0.00
$7,500.00
$0.00
7/31/2006
03-000
8/1/2003
$41,035.63
$0.00
$41,035.63
$0.00
7/31/2006
03-000
8/1/2003
$1,141.07
$0.00
$1,141.07
$0.00
7/31/2006
05-000
9/1/2003
$11,394.75
$0.00
$11,394.75
$0.00
8/31/2008
05-000
9/1/2003
$7,870.98
$0.00
$7,870.98
$0.00
8/31/2008
03-000
9/1/2003
$32,942.41
$0.00
$32,942.41
$0.00
8/31/2006
03-000
9/1/2003
$2,455.75
$0.00
$2,455.75
$0.00
8/31/2006
03-000
9/1/2003
$21,442.32
$0.00
$21,442.32
$0.00
12/31/2005
03-000
9/1/2003
$58,735.10
$0.00
$58,735.10
$0.00
8/31/2006
03-000
10/1/2003
$38,364.46
$0.00
$38,364.46
$0.00
12/31/2005
05-000
10/1/2003
$544.50
$0.00
$544.50
$0.00
9/30/2008
05-000
10/1/2003
$1,653.66
$0.00
$1,653.66
$0.00
12/31/2007
03-000
10/1/2003
$750.00
$0.00
$750.00
$0.00
9/30/2006
03-000
10/1/2003
$75,960.60
$0.00
$75,960.60
$0.00
9/30/2006
03-000
10/1/2003
$100.00
$0.00
$100.00
$0.00
9/30/2006
03-000
10/1/2003
$200.00
$0.00
$200.00
$0.00
9/30/2006
03-000
10/1/2003
$14.35
$0.00
$14.35
$0.00
9/30/2006
03-000
10/1/2003
$171.30
$0.00
$171.30
$0.00
9/30/2006
03-000
11/1/2003
$17,681.35
$0.00
$17,681.35
$0.00
10/31/2006
03-000
11/1/2003
$75,011.22
$0.00
$75,011.22
$0.00
10/31/2006
03-000
12/1/2003
$2,723.41
$0.00
$2,723.41
$0.00
11/30/2006
03-000
12/1/2003
$5,250.00
$0.00
$5,250.00
$0.00
11/30/2006
03-000
12/1/2003
$3,501.88
$0.00
$3,501.88
$0.00
11/30/2006
05-000
12/1/2003
$1,185.25
$0.00
$1,185.25
$0.00
11/30/2008
03-000
12/1/2003
$1,073.20
$0.00
$1,073.20
$0.00
11/30/2006
03-000
12/1/2003
$1,142.74
$0.00
$1,142.74
$0.00
11/30/2006
03-000
12/1/2003
$4,000.58
$0.00
$4,000.58
$0.00
12/31/2005
03-000
12/1/2003
$210,511.20
$0.00
$210,511.20
$0.00
11/30/2006
03-000
1/1/2004
$0.00
$0.00
$3,879.00
$0.00
12/31/2006
03-000
1/1/2004
$0.00
$0.00
$969.75
$0.00
12/31/2006
03-000
1/1/2004
$0.00
$0.00
$2,957.74
$0.00
12/31/2006
03-000
1/1/2004
$0.00
$0.00
$6,448.84
$0.00
12/31/2006
03-000
1/1/2004
$0.00
$0.00
$1,831.75
$0.00
12/31/2006
03-000
1/1/2004
$0.00
$0.00
$14,137.50
$0.00
12/31/2006
03-000
1/1/2004
$0.00
$0.00
$35,469.10
$0.00
12/31/2006
03-000
1/1/2004
$12,356.74
$0.00
$12,356.74
$0.00
12/31/2006
05-000
2/1/2004
$2,742.24
$0.00
$2,742.24
$0.00
12/31/2007
03-000
2/1/2004
$0.00
$0.00
$317.86
$0.00
1/31/2007
03-000
2/1/2004
$57,256.35
$0.00
$57,256.35
$0.00
1/31/2007
03-000
3/1/2004
$0.00
$0.00
$44,543.00
$0.00
3/1/2007
03-000
3/1/2004
$5,430.60
$0.00
$5,430.60
$0.00
3/1/2007
03-000
3/1/2004
$0.00
$0.00
$60,419.75
$0.00
3/1/2007
03-000
3/1/2004
$48,465.10
$0.00
$48,465.10
$0.00
3/1/2007
03-000
3/1/2004
$385.30
$0.00
$385.30
$0.00
3/1/2007
03-000
3/1/2004
$440.19
$0.00
$440.19
$0.00
3/1/2007
03-000
3/1/2004
$1,643.62
$0.00
$1,643.62
$0.00
3/1/2007
03-000
3/1/2004
$5,559.90
$0.00
$5,559.90
$0.00
3/1/2007
03-000
3/1/2004
$66,083.54
$0.00
$66,083.54
$0.00
3/1/2007
03-000
4/1/2004
$3,533.88
$0.00
$3,533.88
$0.00
3/31/2007
03-000
4/1/2004
$2,772.14
$0.00
$2,772.14
$0.00
3/31/2007
03-000
4/1/2004
$3,550.36
$0.00
$3,550.36
$0.00
3/31/2007
03-000
4/1/2004
$8,167.45
$0.00
$8,167.45
$0.00
3/31/2007
03-000
4/1/2004
$3,505.00
$0.00
$3,505.00
$0.00
3/31/2007
03-000
4/1/2004
$1,115.00
$0.00
$1,115.00
$0.00
3/31/2007
03-000
4/1/2004
$71,517.05
$0.00
$71,517.05
$0.00
3/31/2007
05-000
5/1/2004
$1,698.17
$0.00
$1,698.17
$0.00
4/30/2009
Page 6 of 19
Case 13-01179-MM11
Asset ID
EQUIP0000492
EQUIP0000493
EQUIP0000494
EQUIP0000495
EQUIP0000496
EQUIP0000497
EQUIP0000498
EQUIP0000499
EQUIP0000500
EQUIP0000501
EQUIP0000502
EQUIP0000503
EQUIP0000504
EQUIP0000505
EQUIP0000506
EQUIP0000507
EQUIP0000508
EQUIP0000509
EQUIP0000510
EQUIP0000511
EQUIP0000512
EQUIP0000513
EQUIP0000514
EQUIP0000515
EQUIP0000516
EQUIP0000517
EQUIP0000518
EQUIP0000519
EQUIP0000520
EQUIP0000521
EQUIP0000522
EQUIP0000523
EQUIP0000524
EQUIP0000525
EQUIP0000526
EQUIP0000527
EQUIP0000528
EQUIP0000529
EQUIP0000530
EQUIP0000531
EQUIP0000532
EQUIP0000533
EQUIP0000534
EQUIP0000535
EQUIP0000536
EQUIP0000537
EQUIP0000538
EQUIP0000539
EQUIP0000540
EQUIP0000541
EQUIP0000542
EQUIP0000543
EQUIP0000544
EQUIP0000545
EQUIP0000546
EQUIP0000547
EQUIP0000548
EQUIP0000549
EQUIP0000550
EQUIP0000551
EQUIP0000552
EQUIP0000553
EQUIP0000554
EQUIP0000555
EQUIP0000556
EQUIP0000557
EQUIP0000558
EQUIP0000559
EQUIP0000560
EQUIP0000561
EQUIP0000562
EQUIP0000563
EQUIP0000564
EQUIP0000565
EQUIP0000566
EQUIP0000567
EQUIP0000568
EQUIP0000569
EQUIP0000570
EQUIP0000571
EQUIP0000572
EQUIP0000573
EQUIP0000574
EQUIP0000575
EQUIP0000576
EQUIP0000577
EQUIP0000578
EQUIP0000579
EQUIP0000580
Book ID
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
Filed 02/19/13
Doc 64-3
Pg. 11 of 23
Orig Life
YTD
LTD
Fully
Years / Place in
Depreciation Depreciation
Depreciated
Asset Description
Days
Service Date Cost Basis
Amount
Amount
Net Book Value Date
Tel/Com/Tek - Replaced damage console
03-000
5/1/2004
$656.50
$0.00
$656.50
$0.00
4/30/2007
Tel/Com/Tek - Replaced damage console 03-000
5/1/2004
$441.00
$0.00
$441.00
$0.00
4/30/2007
Expenses for Misys Project-Dept 8481
03-000
5/1/2004
$149,377.31
$0.00
$149,377.31
$0.00
4/30/2007
Southland Technology - Laptops, Printers
03-000
6/1/2004
$25,262.64
$0.00
$25,262.64
$0.00
5/31/2007
Hobart - Replace boiler in steamer
10-000
6/1/2004
$4,551.75
$227.58
$3,906.93
$644.82
Southland Technology - 20 Laptops
03-000
6/1/2004
$49,262.45
$0.00
$49,262.45
$0.00
5/31/2007
Hewlett-Packard - Esafe Hardware Upgrade 03-000
6/1/2004
$2,821.97
$0.00
$2,821.97
$0.00
5/31/2007
Expenses for Misys Project-Dept 8481
03-000
6/1/2004
$69,679.95
$0.00
$69,679.95
$0.00
5/31/2007
Sign A Rama - Display Case
10-000
7/1/2004
$1,767.10
$88.38
$1,502.09
$265.01
Expenses for Misys Project-Dept 8481
03-000
7/1/2004
$56,954.32
$0.00
$56,954.32
$0.00
6/30/2007
Creative Comp - 5 Cpu Presario 2800 Note
03-000
8/1/2004
$7,296.96
$0.00
$7,296.96
$0.00
7/31/2007
Misys Healthcare - Homecare Barcode scan 03-000
8/1/2004
$4,310.00
$0.00
$4,310.00
$0.00
7/31/2007
Coast Imaging - Digital Imager
03-000
8/1/2004
$2,047.25
$0.00
$2,047.25
$0.00
7/31/2007
Expenses for Misys Project-Dept 8481
03-000
8/1/2004
$30,586.68
$0.00
$30,586.68
$0.00
7/31/2007
Hewlett Packard - HP DL360 G3 3.2GHZ
03-000
9/1/2004
$12,182.22
$0.00
$12,182.22
$0.00
8/31/2007
Southland Tech - Citrix lincenses
03-000
10/1/2004
$16,821.67
$0.00
$16,821.67
$0.00
9/30/2007
LCD Projector for Bereavement
03-000
10/1/2004
$1,049.40
$0.00
$1,049.40
$0.00
9/30/2007
SBC Datacom - Cisco Fiber Switches
05-000
10/1/2004
$1,537.33
$0.00
$1,537.33
$0.00
9/30/2009
CCIT - Imac - Intranet
03-000
11/1/2004
$1,618.57
$0.00
$1,618.57
$0.00
10/31/2007
Misys Healthcare - Clinical User License
03-000
12/1/2004
$32,681.25
$0.00
$32,681.25
$0.00
11/30/2007
Southland Tech - Hewlett Packard
03-000
12/1/2004
$10,550.63
$0.00
$10,550.63
$0.00
11/30/2007
Hewlett Packard
03-000
12/1/2004
$6,904.62
$0.00
$6,904.62
$0.00
11/30/2007
BlackBaud
03-000
12/1/2004
$6,498.38
$0.00
$6,498.38
$0.00
11/30/2007
Misys Healthcare - Clinical User License
03-000
12/1/2004
$10,893.75
$0.00
$10,893.75
$0.00
11/30/2007
Misys - Clinical User License - Sales Ta
03-000
12/1/2004
$3,377.07
$0.00
$3,377.07
$0.00
11/30/2007
Southland Technology - Laptops for Field
03-000
1/1/2005
$12,351.06
$0.00
$12,351.06
$0.00
12/31/2007
SBC Datacom - Cisco Switch
03-000
1/1/2005
$3,156.51
$0.00
$3,156.51
$0.00
12/31/2007
SBC Datacom - Network Switch Core Projec 03-000
1/1/2005
$9,809.31
$0.00
$9,809.31
$0.00
12/31/2007
Gem Refrig - Gem Model Pharmacy Refriger 05-000
1/1/2005
$5,995.00
$0.00
$5,995.00
$0.00
12/31/2009
BRG of San Diego - Furniture
05-000
2/1/2005
$9,024.06
$0.00
$9,024.06
$0.00
1/31/2010
SBC Datacom - Cisco Fiber Switches
03-000
2/1/2005
$1,537.32
$0.00
$1,537.32
$0.00
12/31/2007
BRG of San Diego - Furniture
05-000
2/1/2005
$9,024.07
$0.00
$9,024.07
$0.00
1/31/2010
TelComTec - Phones
03-000
2/1/2005
$1,643.19
$0.00
$1,643.19
$0.00
12/31/2007
TelComTec - Stationboard and Speakerphon 03-000
2/1/2005
$3,321.82
$0.00
$3,321.82
$0.00
1/31/2008
Network Vigilance - Checkpoint Firewall
03-000
3/1/2005
$14,912.17
$0.00
$14,912.17
$0.00
2/28/2008
Tel/Com/Tek - 24 Port Station Board
03-000
3/1/2005
$1,559.42
$0.00
$1,559.42
$0.00
2/28/2008
CCIT - CPU Brvmnt - SN # SMXL5050BW2
03-000
3/1/2005
$772.15
$0.00
$772.15
$0.00
2/28/2008
CCIT - CPU Brvmnt - SN # SMXL5050BWF
03-000
3/1/2005
$772.15
$0.00
$772.15
$0.00
2/28/2008
CCIT - CPU Brvmnt - SN # SMXL5050BW3
03-000
3/1/2005
$772.15
$0.00
$772.15
$0.00
2/28/2008
CCIT - CPU Brvmnt - SN # SMXL5050BVT
03-000
3/1/2005
$772.15
$0.00
$772.15
$0.00
2/28/2008
CCIT - CPU Brvmnt - SN # SMXL5050BVY
03-000
3/1/2005
$772.15
$0.00
$772.15
$0.00
2/28/2008
CCIT - CPU Brvmnt - SN # SMXL5050BVS
03-000
3/1/2005
$772.15
$0.00
$772.15
$0.00
2/28/2008
CCIT - CPU Brvmnt - SN # SMXL5050BT6
03-000
3/1/2005
$772.15
$0.00
$772.15
$0.00
2/28/2008
CCIT - CPU Brvmnt - SN # SMXL5050BTW
03-000
3/1/2005
$772.15
$0.00
$772.15
$0.00
2/28/2008
CCIT - CPU Brvmnt - SN # SMXL5050BVZ
03-000
3/1/2005
$772.15
$0.00
$772.15
$0.00
2/28/2008
CCIT - CPU Brvmnt - SN # SMXL5050BTH
03-000
3/1/2005
$772.15
$0.00
$772.15
$0.00
2/28/2008
CCIT - CPU G. Hanscom - SN # S2UA5120D8 03-000
4/1/2005
$1,329.71
$0.00
$1,329.71
$0.00
3/31/2008
HP - Power supply for HP Servers
03-000
4/1/2005
$712.23
$0.00
$712.23
$0.00
3/31/2008
HP - DL360G4 X3.0GHz 1P SCSI US Rck
03-000
4/1/2005
$2,039.71
$0.00
$2,039.71
$0.00
3/31/2008
Chiller Compressor Unit #2 1st Payment
05-000
4/1/2005
$10,000.00
$0.00
$10,000.00
$0.00
3/31/2010
Chiller Compressor Unit #2 2nd Payment
05-000
4/1/2005
$8,435.00
$0.00
$8,435.00
$0.00
3/31/2010
Tel/Com/Tec - 4311 Building Security Pro
05-000
4/1/2005
$3,152.82
$0.00
$3,152.82
$0.00
3/31/2010
4311 Building Security Project - 25%Dep
05-000
4/1/2005
$4,682.72
$0.00
$4,682.72
$0.00
3/31/2010
4311 Building Sec Proj - Final 75% for A
05-000
4/1/2005
$14,048.15
$0.00
$14,048.15
$0.00
3/31/2010
4311 Build Sec Proj - Addt
05-000
4/1/2005
$2,874.57
$0.00
$2,874.57
$0.00
3/31/2010
Boise Cascade - 4 Drawer Lateral File HR
10-000
5/1/2005
$2,785.34
$139.26
$2,135.39
$649.95
CCIT - Mac PC- Cpu, 20in Lcd, 1160 Laser
03-000
5/1/2005
$2,601.46
$0.00
$2,601.46
$0.00
4/30/2008
CCIT - Mac Equip - Office MAC Pro 2004
03-000
5/1/2005
$91.53
$0.00
$91.53
$0.00
4/30/2008
HP - Back up tape drive - (DLT VS 80 Ext
03-000
5/1/2005
$1,466.48
$0.00
$1,466.48
$0.00
4/30/2008
Southland Tech - Batt Backup - SMART UPS 03-000
5/1/2005
$1,922.26
$0.00
$1,922.26
$0.00
4/30/2008
CCIT - Projector 1600 SVGA #1SAMMC51501 03-000
6/1/2005
$1,063.41
$0.00
$1,063.41
$0.00
5/31/2008
SPSS - Base Windows 13.0.1
03-000
6/1/2005
$4,369.22
$0.00
$4,369.22
$0.00
5/31/2008
CCIT - CPU
03-000
6/1/2005
$852.16
$0.00
$852.16
$0.00
5/31/2008
CCIT - CPU
03-000
6/1/2005
$842.99
$0.00
$842.99
$0.00
5/31/2008
CCIT - CPU
03-000
6/1/2005
$842.99
$0.00
$842.99
$0.00
5/31/2008
CCIT - CPU
03-000
6/1/2005
$842.99
$0.00
$842.99
$0.00
5/31/2008
CCIT - CPU
03-000
6/1/2005
$811.04
$0.00
$811.04
$0.00
5/31/2008
CCIT - CPU
03-000
6/1/2005
$811.04
$0.00
$811.04
$0.00
5/31/2008
CCIT - CPU
03-000
6/1/2005
$811.03
$0.00
$811.03
$0.00
5/31/2008
CCIT - CPU
03-000
6/1/2005
$811.03
$0.00
$811.03
$0.00
5/31/2008
CCIT - CPU
03-000
6/1/2005
$811.03
$0.00
$811.03
$0.00
5/31/2008
CCIT - CPU
03-000
6/1/2005
$811.03
$0.00
$811.03
$0.00
5/31/2008
CCIT - CPU
03-000
6/1/2005
$811.03
$0.00
$811.03
$0.00
5/31/2008
CCIT - CPU
03-000
6/1/2005
$811.03
$0.00
$811.03
$0.00
5/31/2008
CCIT - CPU
03-000
6/1/2005
$811.03
$0.00
$811.03
$0.00
5/31/2008
CCIT - CPU
03-000
6/1/2005
$811.03
$0.00
$811.03
$0.00
5/31/2008
Southland Tech - Bump case
03-000
6/1/2005
$94.82
$0.00
$94.82
$0.00
5/31/2008
Southland Tech - 2 Fujistu Tablet PC
03-000
6/1/2005
$4,084.95
$0.00
$4,084.95
$0.00
5/31/2008
Advance CarpetWin 16xP Upright Vacuum
05-000
6/1/2005
$1,219.96
$0.00
$1,219.96
$0.00
5/31/2010
CCIT - Laptop #cnu52600mn
03-000
7/1/2005
$1,546.67
$0.00
$1,546.67
$0.00
6/30/2008
CCIT - Laptop #cnu52600p2
03-000
7/1/2005
$1,546.67
$0.00
$1,546.67
$0.00
6/30/2008
CCIT - Desktop CPU #MLX52906SD
03-000
7/1/2005
$758.65
$0.00
$758.65
$0.00
6/30/2008
CCIT - Desktop CPU #MXL52906SF
03-000
7/1/2005
$764.65
$0.00
$764.65
$0.00
6/30/2008
CCIT - Desktop CPU #MXL52906SN
03-000
7/1/2005
$764.65
$0.00
$764.65
$0.00
6/30/2008
CCIT - Desktop CPU #MXL52906SW
03-000
7/1/2005
$764.65
$0.00
$764.65
$0.00
6/30/2008
CCIT - Desktop CPU #MXL52906SZ
03-000
7/1/2005
$764.65
$0.00
$764.65
$0.00
6/30/2008
CCIT - Desktop CPU #MXL52906T3
03-000
7/1/2005
$764.65
$0.00
$764.65
$0.00
6/30/2008
CCIT - Desktop CPU #MXL52907FL
03-000
7/1/2005
$764.65
$0.00
$764.65
$0.00
6/30/2008
CCIT - Desktop CPU #MXL52907G1
03-000
7/1/2005
$764.65
$0.00
$764.65
$0.00
6/30/2008
Page 7 of 19
Case 13-01179-MM11
Asset ID
EQUIP0000581
EQUIP0000582
EQUIP0000583
EQUIP0000584
EQUIP0000585
EQUIP0000586
EQUIP0000587
EQUIP0000588
EQUIP0000589
EQUIP0000590
EQUIP0000591
EQUIP0000592
EQUIP0000593
EQUIP0000594
EQUIP0000595
EQUIP0000596
EQUIP0000597
EQUIP0000598
EQUIP0000599
EQUIP0000600
EQUIP0000601
EQUIP0000602
EQUIP0000603
EQUIP0000604
EQUIP0000605
EQUIP0000606
EQUIP0000607
EQUIP0000608
EQUIP0000609
EQUIP0000610
EQUIP0000611
EQUIP0000612
EQUIP0000613
EQUIP0000614
EQUIP0000615
EQUIP0000616
EQUIP0000617
EQUIP0000618
EQUIP0000619
EQUIP0000620
EQUIP0000621
EQUIP0000622
EQUIP0000623
EQUIP0000624
EQUIP0000625
EQUIP0000626
EQUIP0000627
EQUIP0000628
EQUIP0000629
EQUIP0000630
EQUIP0000631
EQUIP0000632
EQUIP0000633
EQUIP0000634
EQUIP0000635
EQUIP0000636
EQUIP0000637
EQUIP0000638
EQUIP0000639
EQUIP0000640
EQUIP0000641
EQUIP0000642
EQUIP0000643
EQUIP0000644
EQUIP0000645
EQUIP0000646
EQUIP0000647
EQUIP0000648
EQUIP0000649
EQUIP0000650
EQUIP0000651
EQUIP0000652
EQUIP0000653
EQUIP0000654
EQUIP0000655
EQUIP0000656
EQUIP0000657
EQUIP0000658
EQUIP0000659
EQUIP0000660
EQUIP0000661
EQUIP0000662
EQUIP0000663
EQUIP0000664
EQUIP0000665
EQUIP0000666
EQUIP0000667
EQUIP0000668
EQUIP0000669
Book ID
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
Asset Description
CCIT - Desktop CPU #MXL52907JJ
CCIT - Desktop CPU #MXL52907MH
CCIT - Desktop CPU #MXL52907MR
CCIT - Desktop CPU #MXL52907MT
CCIT - Desktop CPU #MXL52907MX
CCIT - Desktop CPU #MXL529076R
CCIT - Desktop CPU #MXL529077F
Key Board Trays (10) Boise
Office Furniture Boise
Keyboard Trays and Arms Boise
Bookcase,5-Shelf,CCL (4) Boise
Office Furniture Boise
Bookcase,5-Shelf,CCL (1) Boise
Bookcase,5-Shelf,CCL (1) Boise
Office Furniture Boise
Bookcase,5-Shelf,CCL (1) Boise
File,Lat 4Dwr Lock CCL Boise
Office Furniture Boise
ECD Task Chairs Boise
Bookcase,5-Shelf-CCL (4) Boise
404 Speakerphones/Station Cards - Tel/Co
404 2 Coffee Machines - Coffee Ambassado
Checkpoint firewall upgrade - Network Vi
404 Suite 200 Office Furniture - BRG
404 Conference Table - BRG
404 Chairs - BRG
404 2 #19 Task Chairs - BRG
404 10 Training Tables/Arms - BRG
404 3 Round table tops - 3 Metal table b
404 7 Midback chairs - BRG
404 Workstations 5th Floor - BRG
404 40 Keyboard Trays - Boise
404 Terrace 36
404 New falcon mats II - BRG
404 1 Round table top and metal table ba
404 Chair Mats - Boise
404 Chair Mats - Boise
404 Round Table and Base 2 - BRG
404 19 Chairmats - Boise
404 9 five shelf bookcases - Boise
404 4 drw File - Boise
404 2 drw File - Boise
404 2 bookcases - Boise
404 1 av cart - Boise
404 CCIT Color Printer
Southland Tech - Laptop
Southland Tech - Laptop
Southland Tech - Laptop
Southland Tech - Laptop
Southland Tech - Laptop
Southland Tech - Laptop
Southland Tech - Laptop
Southland Tech - Laptop
Southland Tech - Laptop
Southland Tech - Laptop
Southland Tech - Laptop
Southland Tech - Laptop
Southland Tech - Laptop
Southland Tech - Laptop
Southland Tech - Laptop
Southland Tech - Laptop
Southland Tech - Laptop
Southland Tech - Laptop
Southland Tech - Laptop
Southland Tech - Laptop
CCIT - Laptop #scnu531116f
Clean Room - Wire Shelves - Metro
Clean Room - Ascend Home Infusion Softwa
Clean Room - Pharmacy System Hardware
Clean Room - Pharmacy System Hardware
Clean Room - Server for Pharmacy System
Clean Room - Hardware for Pharmacy Syste
Clean Room - Hardware for Pharmacy Syste
Clean Room - Pharmacy Shelving
HP - File Server #USE539N8X7
Ceridian - TimePro Setup
Misys Healthcare - Clinical User License
CCIT - Desktop CPU #SMXL5380SFN
CCIT - Desktop CPU #SMXL5380SK3
CCIT - Desktop CPU #SMXL5380RW2
CCIT - Desktop CPU #SMXL5380SF4
CCIT - Desktop CPU #SMXL5380RZ5
Alarms Unlimited - Panic Alarm
Alarms Unlimited - Panic Alarm
J&J Plumping - Fountain Pumps
Southland Tech - CPU -T4020
Southland Tech - CPU -T4020
Southland Tech - CPU -T4020
Southland Tech - CPU -T4020
Filed 02/19/13
Doc 64-3
Pg. 12 of 23
Orig Life
YTD
LTD
Fully
Years / Place in
Depreciation Depreciation
Depreciated
Days
Service Date Cost Basis
Amount
Amount
Net Book Value Date
03-000
7/1/2005
$764.65
$0.00
$764.65
$0.00
6/30/2008
03-000
7/1/2005
$764.65
$0.00
$764.65
$0.00
6/30/2008
03-000
7/1/2005
$764.65
$0.00
$764.65
$0.00
6/30/2008
03-000
7/1/2005
$764.65
$0.00
$764.65
$0.00
6/30/2008
03-000
7/1/2005
$764.65
$0.00
$764.65
$0.00
6/30/2008
03-000
7/1/2005
$764.65
$0.00
$764.65
$0.00
6/30/2008
03-000
7/1/2005
$764.65
$0.00
$764.65
$0.00
6/30/2008
10-000
7/1/2005
$2,101.13
$105.06
$1,575.84
$525.29
10-000
7/1/2005
$446.09
$22.32
$334.60
$111.49
10-000
7/1/2005
$840.45
$42.00
$630.32
$210.13
10-000
7/1/2005
$594.78
$29.76
$446.14
$148.64
10-000
7/1/2005
$743.48
$37.20
$557.67
$185.81
10-000
7/1/2005
$148.70
$7.44
$111.54
$37.16
10-000
7/1/2005
$148.70
$7.44
$111.54
$37.16
10-000
7/1/2005
$1,302.70
$65.16
$977.08
$325.62
10-000
7/1/2005
$148.70
$7.44
$111.54
$37.16
10-000
7/1/2005
$274.77
$13.74
$206.10
$68.67
10-000
7/1/2005
$838.30
$41.94
$628.78
$209.52
10-000
7/1/2005
$531.21
$26.58
$398.44
$132.77
10-000
7/1/2005
$594.78
$29.76
$446.14
$148.64
10-000
7/1/2005
$25,520.59
$1,276.02
$19,140.43
$6,380.16
10-000
7/1/2005
$2,478.25
$123.90
$1,858.69
$619.56
10-000
7/1/2005
$8,043.75
$402.18
$6,032.83
$2,010.92
10-000
7/1/2005
$121,159.22
$6,057.96
$90,869.40
$30,289.82
10-000
7/1/2005
$8,422.28
$421.14
$6,316.77
$2,105.51
10-000
7/1/2005
$13,441.34
$672.06
$10,080.97
$3,360.37
10-000
7/1/2005
$1,435.23
$71.76
$1,076.40
$358.83
10-000
7/1/2005
$6,818.68
$340.92
$5,113.99
$1,704.69
10-000
7/1/2005
$479.79
$24.00
$359.87
$119.92
10-000
7/1/2005
$1,788.55
$89.40
$1,341.39
$447.16
10-000
7/1/2005
$66,686.05
$3,334.32
$50,014.60
$16,671.45
10-000
7/1/2005
$8,404.50
$420.24
$6,303.41
$2,101.09
10-000
7/1/2005
$624.95
$31.26
$468.77
$156.18
10-000
7/1/2005
$2,921.99
$146.10
$2,191.50
$730.49
10-000
7/1/2005
$188.56
$9.42
$141.43
$47.13
10-000
7/1/2005
$2,986.83
$149.34
$2,240.10
$746.73
10-000
7/1/2005
$2,896.32
$144.84
$2,172.28
$724.04
10-000
7/1/2005
$294.72
$14.76
$221.08
$73.64
10-000
8/1/2005
$2,124.43
$106.20
$1,575.56
$548.87
10-000
8/1/2005
$1,706.47
$85.32
$1,265.64
$440.83
10-000
8/1/2005
$300.99
$15.06
$223.26
$77.73
10-000
8/1/2005
$203.65
$10.20
$151.11
$52.54
10-000
8/1/2005
$175.63
$8.76
$130.20
$45.43
10-000
8/1/2005
$253.22
$12.66
$187.79
$65.43
03-000
8/1/2005
$2,452.21
$0.00
$2,452.21
$0.00
7/31/2008
03-000
8/1/2005
$0.00
$0.00
$1,602.78
$457.97
03-000
8/1/2005
$0.00
$0.00
$1,602.78
$457.97
03-000
8/1/2005
$0.00
$0.00
$1,602.78
$457.97
03-000
8/1/2005
$0.00
$0.00
$1,602.78
$457.97
03-000
8/1/2005
$0.00
$0.00
$1,602.78
$457.97
03-000
8/1/2005
$0.00
$0.00
$1,602.78
$457.97
03-000
8/1/2005
$0.00
$0.00
$1,602.78
$457.97
03-000
8/1/2005
$0.00
$0.00
$1,602.78
$457.97
03-000
8/1/2005
$0.00
$0.00
$1,602.78
$457.97
03-000
8/1/2005
$0.00
$0.00
$1,602.78
$457.97
03-000
8/1/2005
$0.00
$0.00
$1,602.78
$457.97
03-000
8/1/2005
$0.00
$0.00
$1,602.78
$457.97
03-000
8/1/2005
$0.00
$0.00
$1,602.78
$457.97
03-000
8/1/2005
$0.00
$0.00
$1,602.78
$457.97
03-000
8/1/2005
$0.00
$0.00
$1,602.78
$457.97
03-000
8/1/2005
$0.00
$0.00
$1,602.78
$457.97
03-000
8/1/2005
$0.00
$0.00
$1,602.78
$457.97
03-000
8/1/2005
$0.00
$0.00
$1,602.78
$457.97
03-000
8/1/2005
$0.00
$0.00
$1,602.78
$457.97
03-000
8/1/2005
$2,060.75
$0.00
$2,060.75
$0.00
7/31/2008
03-000
9/1/2005
$1,465.30
$0.00
$1,465.30
$0.00
8/31/2008
10-000
9/1/2005
$847.88
$42.42
$613.07
$234.81
03-000
9/1/2005
$31,500.00
$0.00
$31,500.00
$0.00
8/31/2008
05-000
9/1/2005
$3,025.23
$0.00
$3,025.23
$0.00
8/31/2010
05-000
9/1/2005
$743.42
$0.00
$743.42
$0.00
8/31/2010
05-000
9/1/2005
$5,788.33
$0.00
$5,788.33
$0.00
8/31/2010
05-000
9/1/2005
$485.20
$0.00
$485.20
$0.00
8/31/2010
05-000
9/1/2005
$852.92
$0.00
$852.92
$0.00
8/31/2010
10-000
10/1/2005
$1,143.46
$57.18
$820.29
$323.17
03-000
10/1/2005
$6,049.08
$0.00
$6,049.08
$0.00
9/30/2008
03-000
10/1/2005
$9,600.00
$0.00
$9,600.00
$0.00
9/30/2008
03-000
10/1/2005
$16,433.22
$0.00
$16,433.22
$0.00
9/30/2008
03-000
10/1/2005
$771.85
$0.00
$771.85
$0.00
9/30/2008
03-000
10/1/2005
$771.85
$0.00
$771.85
$0.00
9/30/2008
03-000
10/1/2005
$771.85
$0.00
$771.85
$0.00
9/30/2008
03-000
10/1/2005
$771.85
$0.00
$771.85
$0.00
9/30/2008
03-000
10/1/2005
$771.85
$0.00
$771.85
$0.00
9/30/2008
05-000
10/1/2005
$2,072.35
$0.00
$2,072.35
$0.00
9/30/2010
05-000
10/1/2005
$542.87
$0.00
$542.87
$0.00
9/30/2010
05-000
11/1/2005
$4,000.00
$0.00
$4,000.00
$0.00
10/31/2010
03-000
11/1/2005
$2,292.74
$0.00
$2,292.74
$0.00
10/31/2008
03-000
11/1/2005
$2,292.74
$0.00
$2,292.74
$0.00
10/31/2008
03-000
11/1/2005
$2,292.74
$0.00
$2,292.74
$0.00
10/31/2008
03-000
11/1/2005
$2,292.74
$0.00
$2,292.74
$0.00
10/31/2008
Page 8 of 19
Case 13-01179-MM11
Asset ID
EQUIP0000670
EQUIP0000671
EQUIP0000672
EQUIP0000673
EQUIP0000674
EQUIP0000675
EQUIP0000676
EQUIP0000677
EQUIP0000678
EQUIP0000679
EQUIP0000680
EQUIP0000681
EQUIP0000682
EQUIP0000683
EQUIP0000684
EQUIP0000685
EQUIP0000686
EQUIP0000687
EQUIP0000688
EQUIP0000689
EQUIP0000690
EQUIP0000691
EQUIP0000692
EQUIP0000693
EQUIP0000694
EQUIP0000695
EQUIP0000696
EQUIP0000697
EQUIP0000698
EQUIP0000699
EQUIP0000700
EQUIP0000701
EQUIP0000702
EQUIP0000703
EQUIP0000704
EQUIP0000705
EQUIP0000706
EQUIP0000707
EQUIP0000708
EQUIP0000709
EQUIP0000710
EQUIP0000711
EQUIP0000712
EQUIP0000713
EQUIP0000714
EQUIP0000715
EQUIP0000716
EQUIP0000717
EQUIP0000718
EQUIP0000719
EQUIP0000720
EQUIP0000721
EQUIP0000722
EQUIP0000723
EQUIP0000724
EQUIP0000725
EQUIP0000726
EQUIP0000727
EQUIP0000728
EQUIP0000729
EQUIP0000730
EQUIP0000731
EQUIP0000732
EQUIP0000733
EQUIP0000734
EQUIP0000735
EQUIP0000736
EQUIP0000737
EQUIP0000738
EQUIP0000739
EQUIP0000740
EQUIP0000741
EQUIP0000742
EQUIP0000743
EQUIP0000744
EQUIP0000745
EQUIP0000746
EQUIP0000747
EQUIP0000748
EQUIP0000749
EQUIP0000750
EQUIP0000751
EQUIP0000752
EQUIP0000753
EQUIP0000754
EQUIP0000755
EQUIP0000756
EQUIP0000757
EQUIP0000758
Book ID
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
Filed 02/19/13
Doc 64-3
Pg. 13 of 23
Orig Life
YTD
LTD
Fully
Years / Place in
Depreciation Depreciation
Depreciated
Asset Description
Days
Service Date Cost Basis
Amount
Amount
Net Book Value Date
Southland Tech - CPU -T4020
03-000
11/1/2005
$2,292.74
$0.00
$2,292.74
$0.00
10/31/2008
Southland Tech - CPU -T4020
03-000
11/1/2005
$2,292.74
$0.00
$2,292.74
$0.00
10/31/2008
Southland Tech - CPU -T4020
03-000
11/1/2005
$2,292.74
$0.00
$2,292.74
$0.00
10/31/2008
Southland Tech - CPU -T4020
03-000
11/1/2005
$2,292.74
$0.00
$2,292.74
$0.00
10/31/2008
Southland Tech - CPU -T4020
03-000
11/1/2005
$2,292.74
$0.00
$2,292.74
$0.00
10/31/2008
Southland Tech - CPU -T4020
03-000
11/1/2005
$2,292.74
$0.00
$2,292.74
$0.00
10/31/2008
Southland Tech - 10 Bump Cases
03-000
11/1/2005
$948.20
$0.00
$948.20
$0.00
10/31/2008
HP - Tape Back Up For Network #MYJ0512FP 03-000
11/1/2005
$6,336.78
$0.00
$6,336.78
$0.00
10/31/2008
CCIT - Desktop CPU #S2UB54309FX
03-000
11/1/2005
$766.46
$0.00
$766.46
$0.00
10/31/2008
CCIT - Desktop CPU #SMX15420861
03-000
11/1/2005
$766.46
$0.00
$766.46
$0.00
10/31/2008
CCIT - Desktop CPU #SMX154208DC
03-000
11/1/2005
$766.46
$0.00
$766.46
$0.00
10/31/2008
CCIT - Desktop CPU #S2UB54309G1
03-000
11/1/2005
$766.47
$0.00
$766.47
$0.00
10/31/2008
CCIT - Desktop CPU #SMX15420881
03-000
11/1/2005
$766.47
$0.00
$766.47
$0.00
10/31/2008
Misys - 20 Clinical Licenses 1st payment
03-000
11/1/2005
$4,357.50
$0.00
$4,357.50
$0.00
10/31/2008
Clean Rm -Germfree - Chair and BSC stand 05-000
11/1/2005
$622.69
$0.00
$622.69
$0.00
10/31/2010
Misys - 20 Clinical Licenses 2nd payment
03-000
12/1/2005
$14,423.33
$0.00
$14,423.33
$0.00
11/30/2008
Southland Tech - CPU -T4020
03-000
12/1/2005
$2,388.31
$0.00
$2,388.31
$0.00
11/30/2008
Southland Tech - CPU -T4020
03-000
12/1/2005
$2,388.31
$0.00
$2,388.31
$0.00
11/30/2008
Southland Tech - CPU -T4020
03-000
12/1/2005
$2,388.31
$0.00
$2,388.31
$0.00
11/30/2008
Southland Tech - CPU -T4020
03-000
12/1/2005
$2,388.31
$0.00
$2,388.31
$0.00
11/30/2008
Southland Tech - CPU -T4020
03-000
12/1/2005
$2,388.31
$0.00
$2,388.31
$0.00
11/30/2008
Southland Tech - CPU -T4020
03-000
12/1/2005
$2,388.31
$0.00
$2,388.31
$0.00
11/30/2008
Southland Tech - CPU -T4020
03-000
12/1/2005
$2,388.31
$0.00
$2,388.31
$0.00
11/30/2008
Southland Tech - CPU -T4020
03-000
12/1/2005
$2,388.31
$0.00
$2,388.31
$0.00
11/30/2008
Southland Tech - CPU -T4020
03-000
12/1/2005
$2,388.31
$0.00
$2,388.31
$0.00
11/30/2008
Southland Tech - CPU -T4020
03-000
12/1/2005
$2,388.31
$0.00
$2,388.31
$0.00
11/30/2008
CCIT - Laptop CPU #SCNU5311PB4
03-000
12/1/2005
$1,469.05
$0.00
$1,469.05
$0.00
11/30/2008
Emdeon AR Sftwre - Server Apps
03-000
12/1/2005
$14,872.50
$0.00
$14,872.50
$0.00
11/30/2008
Emdeon AR Sftwre - Server Apps
03-000
12/1/2005
$520.00
$0.00
$520.00
$0.00
11/30/2008
Emdeon AR Sftwre - Server Apps
03-000
12/1/2005
$14,872.50
$0.00
$14,872.50
$0.00
11/30/2008
County Heating -Replace H20 Pump Motor
05-000
12/1/2005
$1,751.38
$0.00
$1,751.38
$0.00
11/30/2010
Emdeon AR Sftwre - Server Apps
03-000
12/1/2005
$40.10
$0.00
$40.10
$0.00
11/30/2008
Emdeon AR Sftwre - Server Apps
03-000
12/1/2005
$560.30
$0.00
$560.30
$0.00
11/30/2008
AT&T TN2224 Dig Station Board
05-000
2/13/2006
$2,008.38
$0.00
$2,008.38
$0.00
1/31/2011
25 CM1.3 Port Licenses
05-000
2/9/2006
$3,871.84
$0.00
$3,871.84
$0.00
1/31/2011
HP Laserjet Printer 8150 MFP
03-000
5/16/2006
$5,828.55
$0.00
$5,828.55
$0.00
5/31/2009
HP Laptop and Docking Station - NC-6120
03-000
5/17/2006
$1,116.82
$0.00
$1,116.82
$0.00
5/31/2009
5/16/2006
$746.26
$0.00
$746.26
$0.00
5/31/2009
HP Desktop P4 3.0 512/40/48XCD-R/XPP/SFF03-000
HP Desktop P4 3.0 512/40/48XCD-R/XPP/SFF03-000
5/17/2006
$746.26
$0.00
$746.26
$0.00
5/31/2009
HP Desktop P4 3.0 512/40/48XCD-R/XPP/SFF03-000
5/17/2006
$746.26
$0.00
$746.26
$0.00
5/31/2009
5/17/2006
$746.30
$0.00
$746.30
$0.00
5/31/2009
HP Desktop P4 3.0 512/40/48XCD-R/XPP/SFF03-000
HP Desktop P4 3.0 512/40/48XCD-R/XPP/SFF03-000
5/17/2006
$746.26
$0.00
$746.26
$0.00
5/31/2009
AT&T 2224 24-Port Digital Station
05-000
5/31/2006
$1,535.44
$0.00
$1,535.44
$0.00
5/31/2011
Avaya 6402 Digital Telephones (25)
03-000
5/31/2006
$3,771.25
$0.00
$3,771.25
$0.00
5/31/2009
HP Desktop - P4 530 3.0/512/40/CD/XP
03-000
8/1/2006
$752.01
$0.00
$752.01
$0.00
7/31/2009
HP Desktop - P4 530 3.0/512/40/CD/XP
03-000
8/1/2006
$752.01
$0.00
$752.01
$0.00
7/31/2009
HP Desktop - P4 530 3.0/512/40/CD/XP
03-000
8/1/2006
$752.01
$0.00
$752.01
$0.00
7/31/2009
HP Desktop - P4 530 3.0/512/40/CD/XP
03-000
8/1/2006
$752.01
$0.00
$752.01
$0.00
7/31/2009
HP Desktop - P4 530 3.0/512/40/CD/XP
03-000
8/1/2006
$752.01
$0.00
$752.01
$0.00
7/31/2009
Fujitsu Laptop -VT4020 PM-760,512,40,12"
03-000
8/1/2006
$1,977.79
$0.00
$1,977.79
$0.00
7/31/2009
Fujitsu Laptop -VT4020 PM-760,512,40,12"
03-000
8/1/2006
$1,977.79
$0.00
$1,977.79
$0.00
7/31/2009
Fujitsu Laptop -VT4020 PM-760,512,40,12"
03-000
8/1/2006
$1,977.79
$0.00
$1,977.79
$0.00
7/31/2009
Fujitsu Laptop -VT4020 PM-760,512,40,12"
03-000
8/1/2006
$1,977.79
$0.00
$1,977.79
$0.00
7/31/2009
Fujitsu Laptop -VT4020 PM-760,512,40,12"
03-000
8/1/2006
$1,977.79
$0.00
$1,977.79
$0.00
7/31/2009
Fujitsu Laptop -VT4020 PM-760,512,40,12"
03-000
8/1/2006
$1,977.79
$0.00
$1,977.79
$0.00
7/31/2009
Fujitsu Laptop -VT4020 PM-760,512,40,12"
03-000
8/1/2006
$1,977.79
$0.00
$1,977.79
$0.00
7/31/2009
Fujitsu Laptop -VT4020 PM-760,512,40,12"
03-000
8/1/2006
$1,977.79
$0.00
$1,977.79
$0.00
7/31/2009
Fujitsu Laptop -VT4020 PM-760,512,40,12"
03-000
8/1/2006
$1,977.79
$0.00
$1,977.79
$0.00
7/31/2009
Fujitsu Laptop -VT4020 PM-760,512,40,12"
03-000
8/1/2006
$1,977.79
$0.00
$1,977.79
$0.00
7/31/2009
Fujitsu Laptop -VT4020 PM-760,512,40,12"
03-000
8/1/2006
$1,977.79
$0.00
$1,977.79
$0.00
7/31/2009
Fujitsu Laptop -VT4020 PM-760,512,40,12"
03-000
8/1/2006
$1,977.79
$0.00
$1,977.79
$0.00
7/31/2009
Fujitsu Laptop -VT4020 PM-760,512,40,12"
03-000
8/1/2006
$1,977.79
$0.00
$1,977.79
$0.00
7/31/2009
Fujitsu Laptop -VT4020 PM-760,512,40,12"
03-000
8/1/2006
$1,977.79
$0.00
$1,977.79
$0.00
7/31/2009
Fujitsu Laptop -VT4020 PM-760,512,40,12"
03-000
8/1/2006
$1,977.79
$0.00
$1,977.79
$0.00
7/31/2009
Fujitsu Laptop -VT4020 PM-760,512,40,12"
03-000
8/1/2006
$1,977.79
$0.00
$1,977.79
$0.00
7/31/2009
Fujitsu Laptop -VT4020 PM-760,512,40,12"
03-000
8/1/2006
$1,977.79
$0.00
$1,977.79
$0.00
7/31/2009
Fujitsu Laptop -VT4020 PM-760,512,40,12"
03-000
8/1/2006
$1,977.79
$0.00
$1,977.79
$0.00
7/31/2009
Fujitsu Laptop -VT4020 PM-760,512,40,12"
03-000
8/1/2006
$1,977.79
$0.00
$1,977.79
$0.00
7/31/2009
Fujitsu Laptop -VT4020 PM-760,512,40,12"
03-000
8/1/2006
$1,977.64
$0.00
$1,977.64
$0.00
7/31/2009
Mannequin
10-000
8/1/2006
$1,757.67
$87.90
$1,127.89
$629.78
25 Misys Homecare Clinical User Licenses
03-000
8/14/2006
$31,950.00
$0.00
$31,950.00
$0.00
7/31/2009
HP VM Ware Server
05-000
8/23/2006
$7,217.15
$0.00
$7,217.15
$0.00
8/31/2011
VM Infrastructure, SNS V1
05-000
8/31/2006
$1,784.00
$0.00
$1,784.00
$0.00
8/31/2011
9/11/2006
$721.71
$0.00
$721.71
$0.00
8/31/2009
HP CPU - DC5100 P4 541/512/80/DVD/XPP/S 03-000
HP CPU - DC5100 P4 541/512/80/DVD/XPP/S 03-000
9/11/2006
$721.68
$0.00
$721.68
$0.00
8/31/2009
9/11/2006
$721.68
$0.00
$721.68
$0.00
8/31/2009
HP CPU - DC5100 P4 541/512/80/DVD/XPP/S 03-000
HP CPU - DC5100 P4 541/512/80/DVD/XPP/S 03-000
9/11/2006
$721.68
$0.00
$721.68
$0.00
8/31/2009
9/11/2006
$721.68
$0.00
$721.68
$0.00
8/31/2009
HP CPU - DC5100 P4 541/512/80/DVD/XPP/S 03-000
Fujitsu Laptop - T4210 Duo T2400
03-000
9/8/2006
$2,756.92
$0.00
$2,756.92
$0.00
8/31/2009
Fujitsu Laptop - T4210 Duo T2400
03-000
9/7/2006
$2,756.81
$0.00
$2,756.81
$0.00
8/31/2009
Fujitsu Laptop - T4210 Duo T2400
03-000
9/7/2006
$2,756.81
$0.00
$2,756.81
$0.00
8/31/2009
Fujitsu Laptop - T4210 Duo T2400
03-000
9/1/2006
$2,756.81
$0.00
$2,756.81
$0.00
8/31/2009
Fujitsu Laptop - T4210 Duo T2400
03-000
9/1/2006
$2,756.81
$0.00
$2,756.81
$0.00
8/31/2009
Fujitsu Laptop - T4210 Duo T2400
03-000
9/1/2006
$2,756.81
$0.00
$2,756.81
$0.00
8/31/2009
Fujitsu Laptop - T4210 Duo T2400
03-000
9/1/2006
$2,756.81
$0.00
$2,756.81
$0.00
8/31/2009
Fujitsu Laptop - T4210 Duo T2400
03-000
9/8/2006
$2,756.81
$0.00
$2,756.81
$0.00
8/31/2009
Fujitsu Laptop - T4210 Duo T2400
03-000
9/8/2006
$2,756.81
$0.00
$2,756.81
$0.00
8/31/2009
Fujitsu Laptop - T4210 Duo T2400
03-000
9/8/2006
$2,756.81
$0.00
$2,756.81
$0.00
8/31/2009
Fujitsu Laptop - T4210 Duo T2400
03-000
9/8/2006
$2,756.81
$0.00
$2,756.81
$0.00
8/31/2009
Page 9 of 19
Case 13-01179-MM11
Asset ID
EQUIP0000759
EQUIP0000760
EQUIP0000761
EQUIP0000762
EQUIP0000763
EQUIP0000764
EQUIP0000765
EQUIP0000766
EQUIP0000767
EQUIP0000768
EQUIP0000769
EQUIP0000770
EQUIP0000771
EQUIP0000772
EQUIP0000773
EQUIP0000774
EQUIP0000775
EQUIP0000776
EQUIP0000777
EQUIP0000778
EQUIP0000779
EQUIP0000780
EQUIP0000781
EQUIP0000782
EQUIP0000783
EQUIP0000784
EQUIP0000785
EQUIP0000786
EQUIP0000787
EQUIP0000788
EQUIP0000789
EQUIP0000790
EQUIP0000791
EQUIP0000792
EQUIP0000794
EQUIP0000795
EQUIP0000796
EQUIP0000797
EQUIP0000798
EQUIP0000799
EQUIP0000800
EQUIP0000801
EQUIP0000802
EQUIP0000803
EQUIP0000804
EQUIP0000805
EQUIP0000806
EQUIP0000807
EQUIP0000808
EQUIP0000809
EQUIP0000810
EQUIP0000811
EQUIP0000812
EQUIP0000813
EQUIP0000814
EQUIP0000815
EQUIP0000816
EQUIP0000817
EQUIP0000818
EQUIP0000819
EQUIP0000820
EQUIP0000821
EQUIP0000822
EQUIP0000823
EQUIP0000824
EQUIP0000825
EQUIP0000826
EQUIP0000827
EQUIP0000828
EQUIP0000829
EQUIP0000830
EQUIP0000831
EQUIP0000832
EQUIP0000833
EQUIP0000834
EQUIP0000835
EQUIP0000836
EQUIP0000837
EQUIP0000838
EQUIP0000839
EQUIP0000840
EQUIP0000841
EQUIP0000842
EQUIP0000843
EQUIP0000844
EQUIP0000845
EQUIP0000846
EQUIP0000847
EQUIP0000848
Book ID
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
Filed 02/19/13
Asset Description
Fujitsu Laptop - T4210 Duo T2400
Fujitsu Laptop - T4210 Duo T2400
Fujitsu Laptop - T4210 Duo T2400
Fujitsu Laptop - T4210 Duo T2400
Fujitsu Laptop - T4210 Duo T2400
Fujitsu Laptop - T4210 Duo T2400
Fujitsu Laptop - T4210 Duo T2400
Fujitsu Laptop - T4210 Duo T2400
Fujitsu Laptop - T4210 Duo T2400
HP Server
Versacare Bed & Frame
Versacare Bed & Frame
Versacare Bed & Frame
Versacare Bed & Frame
Versacare Bed & Frame
Versacare Bed & Frame
Versacare Bed & Frame
Versacare Bed & Frame
Versacare Bed & Frame
Versacare Bed & Frame
Versacare Bed & Frame
Versacare Bed & Frame
Speed Queen Comm Washer
Researcher's Edge Software
Set Up, Testing of 12 New ICC Beds
HP CPU - DC5100 P4 541
HP CPU - DC5100 P4 541
HP CPU - DC5100 P4 541
HP CPU - DC5100 P4 541
HP CPU - DC5100 P4 541
Avaya Speakerphones-Refurbished 15
Flavia S350 Brewer/Cab. - ICC
HP NC 6320 Laptop 1.83 512MB 60G 15XGA
HP NC 6320 Laptop 1.83 512MB 60G 15XGA
HP NC 6320 Laptop 1.83 512MB 60G 15XGA
HP NC 6320 Laptop 1.83 512MB 60G 15XGA
HP NC 6320 Laptop 1.83 512MB 60G 15XGA
HP NC 6320 Laptop 1.83 512MB 60G 15XGA
HP NC 6320 Laptop 1.83 512MB 60G 15XGA
HP NC 6320 Laptop 1.83 512MB 60G 15XGA
HP NC 6320 Laptop 1.83 512MB 60G 15XGA
HP NC 6320 Laptop 1.83 512MB 60G 15XGA
ACT Project - Bus Dev
Apple Laptop Computer
Rotary 8-Tier Letter Cabinet
Omniclone 5XI 5 Target IDE/Sat
Fujitsu Laptop T4215 Duo T5600
Fujitsu Laptop - T4215 Duo T5600
Fujitsu Laptop - T4215 Duo T5600
Fujitsu Laptop - T4215 Duo T5600
Fujitsu Laptop - T4215 Duo T5600
Fujitsu Laptop - T4215 Duo T5600
Fujitsu Laptop - T4215 Duo T5600
Fujitsu Laptop - T4215 Duo T5600
Fujitsu Laptop - T4215 Duo T5600
Fujitsu Laptop - T4215 Duo T5600
Fujitsu Laptop - T4215 Duo T5600
Fujitsu Laptop - T4215 Duo T5600
Fujitsu Laptop - T4215 Duo T5600
Fujitsu Laptop - T4215 Duo T5600
Fujitsu Laptop - T4215 Duo T5600
Fujitsu Laptop - T4215 Duo T5600
Fujitsu Laptop - T4215 Duo T5600
Fujitsu Laptop - T4215 Duo T5600
Fujitsu Laptop - T4215 Duo T5600
Fujitsu Laptop - T4215 Duo T5600
Fujitsu Laptop - T4215 Duo T5600
Fujitsu Laptop - T4215 Duo T5600
Fujitsu Laptop - T4215 Duo T5600
Fujitsu Laptop - T4215 Duo T5600
Fujitsu Laptop - T4215 Duo T5600
Fujitsu Laptop - T4215 Duo T5600
Fujitsu Laptop - T4215 Duo T5600
Fujitsu Laptop - T4215 Duo T5600
Fujitsu Laptop - T4215 Duo T5600
Fujitsu Laptop - T4215 Duo T5600
HP NC6320
HP NC6320
Clean Room - Pharmacy Air Handler
Flavia S350 Brewer
HP NC6320
HP NC6320
Standard Tel-Expand Phone Lines
HP NC6320 Laptop
HP NC6320 Laptop
HP NC6320 Laptop
Sage Practice Analytics Software
Southland Tech Mail Security Application
Projector XGA 2500 Lumen
Doc 64-3
Pg. 14 of 23
Orig Life
YTD
LTD
Fully
Years / Place in
Depreciation Depreciation
Depreciated
Days
Service Date Cost Basis
Amount
Amount
Net Book Value Date
03-000
9/8/2006
$2,756.81
$0.00
$2,756.81
$0.00
8/31/2009
03-000
9/8/2006
$2,756.81
$0.00
$2,756.81
$0.00
8/31/2009
03-000
9/8/2006
$2,756.81
$0.00
$2,756.81
$0.00
8/31/2009
03-000
9/8/2006
$2,756.81
$0.00
$2,756.81
$0.00
8/31/2009
03-000
9/8/2006
$2,756.81
$0.00
$2,756.81
$0.00
8/31/2009
03-000
9/8/2006
$2,756.81
$0.00
$2,756.81
$0.00
8/31/2009
03-000
9/8/2006
$2,756.81
$0.00
$2,756.81
$0.00
8/31/2009
03-000
9/8/2006
$2,756.81
$0.00
$2,756.81
$0.00
8/31/2009
03-000
9/8/2006
$2,756.81
$0.00
$2,756.81
$0.00
8/31/2009
05-000
9/14/2006
$24,231.59
$0.00
$24,231.59
$0.00
8/31/2011
12-000
9/25/2006
$9,201.85
$383.40
$4,792.61
$4,409.24
12-000
9/25/2006
$9,201.85
$383.40
$4,792.61
$4,409.24
12-000
9/25/2006
$9,201.85
$383.40
$4,792.61
$4,409.24
12-000
9/25/2006
$9,201.85
$383.40
$4,792.61
$4,409.24
12-000
9/25/2006
$9,201.85
$383.40
$4,792.61
$4,409.24
12-000
9/25/2006
$9,201.85
$383.40
$4,792.61
$4,409.24
12-000
9/25/2006
$9,201.85
$383.40
$4,792.61
$4,409.24
12-000
9/25/2006
$9,201.85
$383.40
$4,792.61
$4,409.24
12-000
9/25/2006
$9,201.85
$383.40
$4,792.61
$4,409.24
12-000
9/25/2006
$9,201.85
$383.40
$4,792.61
$4,409.24
12-000
9/25/2006
$9,201.85
$383.40
$4,792.61
$4,409.24
12-000
9/25/2006
$9,201.85
$383.40
$4,792.61
$4,409.24
10-000
10/23/2006
$1,514.63
$75.72
$933.98
$580.65
03-000
10/1/2006
$47,298.90
$0.00
$47,298.90
$0.00
9/30/2009
12-000
9/25/2006
$180.00
$7.50
$93.75
$86.25
03-000
10/26/2006
$710.04
$0.00
$710.04
$0.00
10/31/2009
03-000
10/26/2006
$710.02
$0.00
$710.02
$0.00
10/31/2009
03-000
10/26/2006
$710.02
$0.00
$710.02
$0.00
10/31/2009
03-000
10/26/2006
$710.02
$0.00
$710.02
$0.00
10/31/2009
03-000
10/26/2006
$710.02
$0.00
$710.02
$0.00
10/31/2009
03-000
11/7/2006
$4,599.38
$0.00
$4,599.38
$0.00
10/31/2009
05-000
11/16/2006
$3,255.13
$0.00
$3,255.13
$0.00
11/30/2011
03-000
11/17/2006
$1,361.72
$0.00
$1,361.72
$0.00
11/30/2009
03-000
11/17/2006
$1,361.72
$0.00
$1,361.72
$0.00
11/30/2009
03-000
11/17/2006
$1,361.72
$0.00
$1,361.72
$0.00
11/30/2009
03-000
11/17/2006
$1,361.72
$0.00
$1,361.72
$0.00
11/30/2009
03-000
11/17/2006
$1,361.72
$0.00
$1,361.72
$0.00
11/30/2009
03-000
11/17/2006
$1,361.72
$0.00
$1,361.72
$0.00
11/30/2009
03-000
11/17/2006
$1,361.72
$0.00
$1,361.72
$0.00
11/30/2009
03-000
11/17/2006
$1,361.72
$0.00
$1,361.72
$0.00
11/30/2009
03-000
11/17/2006
$1,361.72
$0.00
$1,361.72
$0.00
11/30/2009
03-000
11/17/2006
$1,361.72
$0.00
$1,361.72
$0.00
11/30/2009
03-000
11/15/2006
$3,985.40
$0.00
$3,985.40
$0.00
10/31/2009
03-000
12/4/2006
$3,008.65
$0.00
$3,008.65
$0.00
11/30/2009
10-000
12/1/2006
$2,006.24
$100.32
$1,220.46
$785.78
03-000
1/16/2007
$5,949.56
$0.00
$5,949.56
$0.00
1/31/2010
03-000
1/25/2007
$2,295.64
$0.00
$2,295.64
$0.00
1/31/2010
03-000
1/1/2007
$2,295.64
$0.00
$2,295.64
$0.00
12/31/2009
03-000
1/1/2007
$2,295.64
$0.00
$2,295.64
$0.00
12/31/2009
03-000
1/1/2007
$2,295.64
$0.00
$2,295.64
$0.00
12/31/2009
03-000
1/1/2007
$2,295.64
$0.00
$2,295.64
$0.00
12/31/2009
03-000
1/1/2007
$2,295.64
$0.00
$2,295.64
$0.00
12/31/2009
03-000
1/1/2007
$2,295.64
$0.00
$2,295.64
$0.00
12/31/2009
03-000
1/1/2007
$2,295.64
$0.00
$2,295.64
$0.00
12/31/2009
03-000
1/1/2007
$2,295.64
$0.00
$2,295.64
$0.00
12/31/2009
03-000
1/1/2007
$2,295.64
$0.00
$2,295.64
$0.00
12/31/2009
03-000
1/1/2007
$2,295.64
$0.00
$2,295.64
$0.00
12/31/2009
03-000
1/1/2007
$2,295.64
$0.00
$2,295.64
$0.00
12/31/2009
03-000
1/1/2007
$2,295.64
$0.00
$2,295.64
$0.00
12/31/2009
03-000
1/1/2007
$2,295.64
$0.00
$2,295.64
$0.00
12/31/2009
03-000
1/1/2007
$2,295.64
$0.00
$2,295.64
$0.00
12/31/2009
03-000
1/1/2007
$2,295.64
$0.00
$2,295.64
$0.00
12/31/2009
03-000
1/1/2007
$2,295.64
$0.00
$2,295.64
$0.00
12/31/2009
03-000
1/1/2007
$2,295.64
$0.00
$2,295.64
$0.00
12/31/2009
03-000
1/1/2007
$2,295.64
$0.00
$2,295.64
$0.00
12/31/2009
03-000
1/1/2007
$2,295.64
$0.00
$2,295.64
$0.00
12/31/2009
03-000
1/1/2007
$2,295.64
$0.00
$2,295.64
$0.00
12/31/2009
03-000
1/1/2007
$2,295.64
$0.00
$2,295.64
$0.00
12/31/2009
03-000
1/1/2007
$2,295.64
$0.00
$2,295.64
$0.00
12/31/2009
03-000
1/1/2007
$2,295.64
$0.00
$2,295.64
$0.00
12/31/2009
03-000
1/1/2007
$2,295.79
$0.00
$2,295.79
$0.00
12/31/2009
03-000
1/1/2007
$2,295.64
$0.00
$2,295.64
$0.00
12/31/2009
03-000
1/1/2007
$2,295.64
$0.00
$2,295.64
$0.00
12/31/2009
03-000
1/1/2007
$2,295.64
$0.00
$2,295.64
$0.00
12/31/2009
03-000
1/1/2007
$2,295.64
$0.00
$2,295.64
$0.00
12/31/2009
03-000
1/1/2007
$2,295.64
$0.00
$2,295.64
$0.00
12/31/2009
03-000
1/11/2007
$1,364.20
$0.00
$1,364.20
$0.00
12/31/2009
03-000
1/11/2007
$1,364.20
$0.00
$1,364.20
$0.00
12/31/2009
05-000
1/31/2007
$4,765.00
$0.00
$4,765.00
$0.00
1/31/2012
05-000
1/31/2007
$2,478.25
$0.00
$2,478.25
$0.00
1/31/2012
03-000
2/5/2007
$1,366.10
$0.00
$1,366.10
$0.00
1/31/2010
03-000
2/5/2007
$1,366.09
$0.00
$1,366.09
$0.00
1/31/2010
05-000
2/27/2007
$2,409.92
$0.00
$2,409.92
$0.00
2/28/2012
03-000
5/1/2007
$1,412.26
$0.00
$1,412.26
$0.00
4/30/2010
03-000
5/1/2007
$1,412.26
$0.00
$1,412.26
$0.00
4/30/2010
03-000
5/1/2007
$1,412.26
$0.00
$1,412.26
$0.00
4/30/2010
03-000
5/1/2007
$5,138.32
$0.00
$5,138.32
$0.00
4/30/2010
03-000
5/1/2007
$1,754.17
$0.00
$1,754.17
$0.00
4/30/2010
03-000
5/1/2007
$1,507.42
$0.00
$1,507.42
$0.00
4/30/2010
Page 10 of 19
Case 13-01179-MM11
Asset ID
EQUIP0000849
EQUIP0000850
EQUIP0000851
EQUIP0000852
EQUIP0000853
EQUIP0000854
EQUIP0000855
EQUIP0000856
EQUIP0000857
EQUIP0000858
EQUIP0000859
EQUIP0000860
EQUIP0000861
EQUIP0000862
EQUIP0000863
EQUIP0000864
EQUIP0000865
EQUIP0000866
EQUIP0000867
EQUIP0000868
EQUIP0000869
EQUIP0000870
EQUIP0000871
EQUIP0000872
EQUIP0000873
EQUIP0000874
EQUIP0000875
EQUIP0000876
EQUIP0000877
EQUIP0000878
EQUIP0000879
EQUIP0000880
EQUIP0000881
EQUIP0000882
EQUIP0000883
EQUIP0000884
EQUIP0000885
EQUIP0000886
EQUIP0000887
EQUIP0000888
EQUIP0000889
EQUIP0000890
EQUIP0000891
EQUIP0000892
EQUIP0000893
EQUIP0000894
EQUIP0000895
EQUIP0000896
EQUIP0000897
EQUIP0000898
EQUIP0000899
EQUIP0000900
EQUIP0000901
EQUIP0000902
EQUIP0000903
EQUIP0000904
EQUIP0000905
EQUIP0000906
EQUIP0000907
EQUIP0000908
EQUIP0000909
EQUIP0000910
EQUIP0000911
EQUIP0000912
EQUIP0000913
EQUIP0000914
EQUIP0000915
EQUIP0000916
EQUIP0000917
EQUIP0000918
EQUIP0000919
EQUIP0000920
EQUIP0000921
EQUIP0000922
EQUIP0000923
EQUIP0000924
EQUIP0000925
EQUIP0000926
EQUIP0000927
EQUIP0000928
EQUIP0000929
EQUIP0000930
EQUIP0000931
EQUIP0000932
EQUIP0000933
EQUIP0000934
EQUIP0000935
EQUIP0000936
EQUIP0000937
Book ID
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
Asset Description
Commercial Homestyle Washer
Fujitsu T4215 DUO T5600 Laptop
Fujitsu T4215 DUO T5600 Laptop
Fujitsu T4215 DUO T5600 Laptop
Fujitsu T4215 DUO T5600 Laptop
Fujitsu T4215 DUO T5600 Laptop
Fujitsu T4215 DUO T5600 Laptop
Fujitsu T4215 DUO T5600 Laptop
Fujitsu T4215 DUO T5600 Laptop
Fujitsu T4215 DUO T5600 Laptop
Fujitsu T4215 DUO T5600 Laptop
Fujitsu T4215 DUO T5600 Laptop
Fujitsu T4215 DUO T5600 Laptop
Fujitsu T4215 DUO T5600 Laptop
Fujitsu T4215 DUO T5600 Laptop
Fujitsu T4215 DUO T5600 Laptop
Fujitsu T4215 DUO T5600 Laptop
Fujitsu T4215 DUO T5600 Laptop
Fujitsu T4215 DUO T5600 Laptop
Fujitsu T4215 DUO T5600 Laptop
Fujitsu T4215 DUO T5600 Laptop
Fujitsu T4215 DUO T5600 Laptop
Fujitsu T4215 DUO T5600 Laptop
Fujitsu T4215 DUO T5600 Laptop
Fujitsu T4215 DUO T5600 Laptop
Fujitsu T4215 DUO T5600 Laptop
Fujitsu T4215 DUO T5600 Laptop
Fujitsu T4215 DUO T5600 Laptop
Fujitsu T4215 DUO T5600 Laptop
Fujitsu T4215 DUO T5600 Laptop
Fujitsu T4215 DUO T5600 Laptop
Fujitsu T4215 DUO T5600 Laptop
Fujitsu T4215 DUO T5600 Laptop
Fujitsu T4215 DUO T5600 Laptop
Fujitsu T4215 DUO T5600 Laptop
Fujitsu T4215 DUO T5600 Laptop
Fujitsu T4215 DUO T5600 Laptop
Fujitsu T4215 DUO T5600 Laptop
Fujitsu T4215 DUO T5600 Laptop
Fujitsu T4215 DUO T5600 Laptop
Fujitsu T4215 DUO T5600 Laptop
Fujitsu T4215 DUO T5600 Laptop
Fujitsu T4215 DUO T5600 Laptop
Fujitsu T4215 DUO T5600 Laptop
Fujitsu T4215 DUO T5600 Laptop
Fujitsu T4215 DUO T5600 Laptop
Fujitsu T4215 DUO T5600 Laptop
Fujitsu T4215 DUO T5600 Laptop
Fujitsu T4215 DUO T5600 Laptop
Fujitsu T4215 DUO T5600 Laptop
Fujitsu T4215 DUO T5600 Laptop
Variable Drive
HP NC6320 Laptop
HP NC 6320 Laptop
HP NC 6320 Laptop
Versacare Bed & Frame
Versacare Bed & Frame
Versacare Bed & Frame
Versacare Bed & Frame
Versacare Bed & Frame
Versacare Bed & Frame
Versacare Bed & Frame
Versacare Bed & Frame
Versacare Bed & Frame
Versacare Bed & Frame
Versacare Bed & Frame
Versacare Bed & Frame
CDW-HP SB 6710B 80GB Laptop
CDW-HP SB 6710B 80GB Laptop
CDW-HP SB 6710B 80GB Laptop
CDW-HP SB 6710B 80GB Laptop
CDW-HP SB 6710B 80GB Laptop
CDW-HP SB 6710B 80GB Laptop
CDW-HP SB 6710B 80GB Laptop
CDW-HP SB 6710B 80GB Laptop
CDW-HP SB 6710B 80GB Laptop
CDW-HP SB 6710B 80GB Laptop
CDW-HP SB 6710B 80GB Laptop
CDW-HP SB 6710B 80GB Laptop
CDW-HP SB 6710B 80GB Laptop
CDW-HP SB 6710B 80GB Laptop
CDW-HP SB 6710B 80GB Laptop
CDW-HP SB 6710B 80GB Laptop
CDW-HP SB 6710B 80GB Laptop
CDW-HP SB 6710B 80GB Laptop
CDW-HP SB 6710B 80GB Laptop
CDW-HP SB 6710B 80GB Laptop
Misys 25 Homecare Clinical User Licenses
AT&T Catalyst 10/100 Ports
Filed 02/19/13
Doc 64-3
Pg. 15 of 23
Orig Life
YTD
LTD
Fully
Years / Place in
Depreciation Depreciation
Depreciated
Days
Service Date Cost Basis
Amount
Amount
Net Book Value Date
03-000
6/1/2007
$1,529.63
$0.00
$1,529.63
$0.00
5/31/2010
03-000
6/1/2007
$2,187.90
$0.00
$2,187.90
$0.00
5/31/2010
03-000
6/1/2007
$2,187.90
$0.00
$2,187.90
$0.00
5/31/2010
03-000
6/1/2007
$2,187.90
$0.00
$2,187.90
$0.00
5/31/2010
03-000
6/1/2007
$2,187.90
$0.00
$2,187.90
$0.00
5/31/2010
03-000
6/1/2007
$2,187.90
$0.00
$2,187.90
$0.00
5/31/2010
03-000
6/1/2007
$2,187.90
$0.00
$2,187.90
$0.00
5/31/2010
03-000
6/1/2007
$2,187.90
$0.00
$2,187.90
$0.00
5/31/2010
03-000
6/1/2007
$2,187.90
$0.00
$2,187.90
$0.00
5/31/2010
03-000
6/1/2007
$2,187.90
$0.00
$2,187.90
$0.00
5/31/2010
03-000
6/1/2007
$2,187.90
$0.00
$2,187.90
$0.00
5/31/2010
03-000
6/1/2007
$2,187.90
$0.00
$2,187.90
$0.00
5/31/2010
03-000
6/1/2007
$2,187.90
$0.00
$2,187.90
$0.00
5/31/2010
03-000
6/1/2007
$2,187.90
$0.00
$2,187.90
$0.00
5/31/2010
03-000
6/1/2007
$2,187.90
$0.00
$2,187.90
$0.00
5/31/2010
03-000
6/1/2007
$2,187.90
$0.00
$2,187.90
$0.00
5/31/2010
03-000
6/1/2007
$2,187.90
$0.00
$2,187.90
$0.00
5/31/2010
03-000
6/1/2007
$2,187.90
$0.00
$2,187.90
$0.00
5/31/2010
03-000
6/1/2007
$2,187.90
$0.00
$2,187.90
$0.00
5/31/2010
03-000
6/1/2007
$2,187.90
$0.00
$2,187.90
$0.00
5/31/2010
03-000
6/1/2007
$2,187.90
$0.00
$2,187.90
$0.00
5/31/2010
03-000
6/1/2007
$2,187.90
$0.00
$2,187.90
$0.00
5/31/2010
03-000
6/1/2007
$2,187.90
$0.00
$2,187.90
$0.00
5/31/2010
03-000
6/1/2007
$2,187.90
$0.00
$2,187.90
$0.00
5/31/2010
03-000
6/1/2007
$2,187.90
$0.00
$2,187.90
$0.00
5/31/2010
03-000
6/1/2007
$2,187.90
$0.00
$2,187.90
$0.00
5/31/2010
03-000
6/1/2007
$2,187.90
$0.00
$2,187.90
$0.00
5/31/2010
03-000
6/1/2007
$2,187.90
$0.00
$2,187.90
$0.00
5/31/2010
03-000
6/1/2007
$2,187.90
$0.00
$2,187.90
$0.00
5/31/2010
03-000
6/1/2007
$2,187.90
$0.00
$2,187.90
$0.00
5/31/2010
03-000
6/1/2007
$2,187.90
$0.00
$2,187.90
$0.00
5/31/2010
03-000
6/1/2007
$2,187.90
$0.00
$2,187.90
$0.00
5/31/2010
03-000
6/1/2007
$2,187.90
$0.00
$2,187.90
$0.00
5/31/2010
03-000
6/1/2007
$2,187.90
$0.00
$2,187.90
$0.00
5/31/2010
03-000
6/1/2007
$2,187.90
$0.00
$2,187.90
$0.00
5/31/2010
03-000
6/1/2007
$2,187.90
$0.00
$2,187.90
$0.00
5/31/2010
03-000
6/1/2007
$2,187.90
$0.00
$2,187.90
$0.00
5/31/2010
03-000
6/1/2007
$2,187.90
$0.00
$2,187.90
$0.00
5/31/2010
03-000
6/1/2007
$2,187.90
$0.00
$2,187.90
$0.00
5/31/2010
03-000
6/1/2007
$2,187.90
$0.00
$2,187.90
$0.00
5/31/2010
03-000
6/1/2007
$2,187.90
$0.00
$2,187.90
$0.00
5/31/2010
03-000
6/1/2007
$2,187.90
$0.00
$2,187.90
$0.00
5/31/2010
03-000
6/1/2007
$2,187.90
$0.00
$2,187.90
$0.00
5/31/2010
03-000
6/1/2007
$2,187.90
$0.00
$2,187.90
$0.00
5/31/2010
03-000
6/1/2007
$2,187.90
$0.00
$2,187.90
$0.00
5/31/2010
03-000
6/1/2007
$2,187.90
$0.00
$2,187.90
$0.00
5/31/2010
03-000
6/1/2007
$2,187.90
$0.00
$2,187.90
$0.00
5/31/2010
03-000
6/1/2007
$2,187.90
$0.00
$2,187.90
$0.00
5/31/2010
03-000
6/1/2007
$2,187.90
$0.00
$2,187.90
$0.00
5/31/2010
03-000
6/1/2007
$2,187.90
$0.00
$2,187.90
$0.00
5/31/2010
03-000
6/1/2007
$2,187.65
$0.00
$2,187.65
$0.00
5/31/2010
05-000
6/1/2007
$4,787.25
$0.00
$4,787.25
$0.00
5/31/2012
03-000
6/26/2007
$1,283.64
$0.00
$1,283.64
$0.00
6/30/2010
03-000
7/1/2007
$1,441.75
$0.00
$1,441.75
$0.00
6/30/2010
03-000
7/1/2007
$1,441.73
$0.00
$1,441.73
$0.00
6/30/2010
12-000
6/1/2007
$9,592.99
$399.72
$4,463.45
$5,129.54
12-000
6/1/2007
$9,592.99
$399.72
$4,463.45
$5,129.54
12-000
6/1/2007
$9,592.99
$399.72
$4,463.45
$5,129.54
12-000
6/1/2007
$9,592.99
$399.72
$4,463.45
$5,129.54
12-000
6/1/2007
$9,592.99
$399.72
$4,463.45
$5,129.54
12-000
6/1/2007
$9,592.99
$399.72
$4,463.45
$5,129.54
12-000
6/1/2007
$9,592.99
$399.72
$4,463.45
$5,129.54
12-000
6/1/2007
$9,592.99
$399.72
$4,463.45
$5,129.54
12-000
6/1/2007
$8,001.52
$333.42
$3,722.96
$4,278.56
12-000
6/1/2007
$8,440.06
$351.66
$3,926.96
$4,513.10
12-000
6/1/2007
$8,440.06
$351.66
$3,926.96
$4,513.10
12-000
6/1/2007
$8,440.00
$351.66
$3,926.92
$4,513.08
03-000
9/1/2007
$1,433.20
$0.00
$1,433.20
$0.00
9/1/2010
03-000
9/1/2007
$1,433.20
$0.00
$1,433.20
$0.00
9/1/2010
03-000
9/1/2007
$1,433.20
$0.00
$1,433.20
$0.00
8/31/2010
03-000
9/1/2007
$1,433.20
$0.00
$1,433.20
$0.00
8/31/2010
03-000
9/1/2007
$1,433.20
$0.00
$1,433.20
$0.00
9/1/2010
03-000
9/1/2007
$1,433.20
$0.00
$1,433.20
$0.00
8/31/2010
03-000
9/1/2007
$1,433.20
$0.00
$1,433.20
$0.00
8/31/2010
03-000
9/1/2007
$1,433.20
$0.00
$1,433.20
$0.00
8/31/2010
03-000
9/1/2007
$1,433.20
$0.00
$1,433.20
$0.00
8/31/2010
03-000
9/1/2007
$1,433.20
$0.00
$1,433.20
$0.00
8/31/2010
03-000
9/1/2007
$1,433.20
$0.00
$1,433.20
$0.00
8/31/2010
03-000
9/1/2007
$1,433.20
$0.00
$1,433.20
$0.00
8/31/2010
03-000
9/1/2007
$1,433.20
$0.00
$1,433.20
$0.00
8/31/2010
03-000
9/1/2007
$1,433.20
$0.00
$1,433.20
$0.00
8/31/2010
03-000
9/1/2007
$1,433.20
$0.00
$1,433.20
$0.00
8/31/2010
03-000
9/1/2007
$1,433.20
$0.00
$1,433.20
$0.00
8/31/2010
03-000
9/1/2007
$1,433.20
$0.00
$1,433.20
$0.00
8/31/2010
03-000
9/1/2007
$1,433.20
$0.00
$1,433.20
$0.00
8/31/2010
03-000
9/1/2007
$1,433.20
$0.00
$1,433.20
$0.00
8/31/2010
03-000
9/1/2007
$1,433.55
$0.00
$1,433.55
$0.00
8/31/2010
03-000
10/1/2007
$38,172.27
$0.00
$38,172.27
$0.00
9/30/2010
05-000
10/1/2007
$3,494.87
$174.75
$3,494.87
$0.00
9/30/2012
Page 11 of 19
Case 13-01179-MM11
Asset ID
EQUIP0000938
EQUIP0000939
EQUIP0000940
EQUIP0000941
EQUIP0000942
EQUIP0000943
EQUIP0000944
EQUIP0000945
EQUIP0000946
EQUIP0000947
EQUIP0000948
EQUIP0000949
EQUIP0000950
EQUIP0000951
EQUIP0000952
EQUIP0000953
EQUIP0000954
EQUIP0000955
EQUIP0000956
EQUIP0000957
EQUIP0000958
EQUIP0000959
EQUIP0000960
EQUIP0000961
EQUIP0000962
EQUIP0000963
EQUIP0000964
EQUIP0000965
EQUIP0000966
EQUIP0000967
EQUIP0000968
EQUIP0000969
EQUIP0000970
EQUIP0000971
EQUIP0000972
EQUIP0000973
EQUIP0000974
EQUIP0000975
EQUIP0000976
EQUIP0000977
EQUIP0000978
EQUIP0000979
EQUIP0000980
EQUIP0000981
EQUIP0000982
EQUIP0000983
EQUIP0000984
EQUIP0000985
EQUIP0000986
EQUIP0000987
EQUIP0000988
EQUIP0000989
EQUIP0000990
EQUIP0000991
EQUIP0000992
EQUIP0000993
EQUIP0000994
EQUIP0000995
EQUIP0000996
EQUIP0000997
EQUIP0000998
EQUIP0000999
EQUIP0001000
EQUIP0001001
EQUIP0001002
EQUIP0001003
EQUIP0001004
EQUIP0001005
EQUIP0001006
EQUIP0001007
EQUIP0001008
EQUIP0001009
EQUIP0001010
EQUIP0001011
EQUIP0001012
EQUIP0001013
EQUIP0001014
EQUIP0001015
EQUIP0001016
EQUIP0001017
EQUIP0001018
EQUIP0001019
EQUIP0001020
EQUIP0001021
EQUIP0001022
EQUIP0001023
EQUIP0001024
EQUIP0001025
EQUIP0001026
Book ID
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
Asset Description
Southland-Fujitsu T4220 Laptop
Southland-Fujitsu T4220 Laptop
Southland-Fujitsu T4220 Laptop
Southland-Fujitsu T4220 Laptop
Southland-Fujitsu T4220 Laptop
Southland-Fujitsu T4220 Laptop
Southland-Fujitsu T4220 Laptop
Southland-Fujitsu T4220 Laptop
Southland-Fujitsu T4220 Laptop
Southland-Fujitsu T4220 Laptop
Southland-Fujitsu T4220 Laptop
Southland-Fujitsu T4220 Laptop
Southland-Fujitsu T4220 Laptop
Southland-Fujitsu T4220 Laptop
Southland-Fujitsu T4220 Laptop
Southland-Fujitsu T4220 Laptop
Southland-Fujitsu T4220 Laptop
Southland-Fujitsu T4220 Laptop
Southland-Fujitsu T4220 Laptop
Southland-Fujitsu T4220 Laptop
Southland-Fujitsu T4220 Laptop
Southland-Fujitsu T4220 Laptop
Southland-Fujitsu T4220 Laptop
Southland-Fujitsu T4220 Laptop
Southland-Fujitsu T4220 Laptop
Southland-Fujitsu T4220 Laptop
Southland-Fujitsu T4220 Laptop
Southland-Fujitsu T4220 Laptop
Southland-Fujitsu T4220 Laptop
Southland-Fujitsu T4220 Laptop
Network Vigilance-Check Point SmartCente
CCIT-Open SQL Server Processing License
CDW-HP SB 6710B 80GB Laptop
CDW-HP SB 6710B 80GB Laptop
CDW-HP SB 6710B 80GB Laptop
CDW-HP SB 6710B 80GB Laptop
CDW-HP SB 6710B 80GB Laptop
Alarms Unlimited-Access Card Reader
Dell Laptop
HP 6710B Laptop
HP 6710B Laptop
HP 6710B Laptop
Southland-Fujitsu T4220 Laptop
Southland-Fujitsu T4220 Laptop
Southland-Fujitsu T4220 Laptop
Southland-Fujitsu T4220 Laptop
Southland-Fujitsu T4220 Laptop
Southland-Fujitsu T4220 Laptop
Southland-Fujitsu T4220 Laptop
Southland-Fujitsu T4220 Laptop
Southland-Fujitsu T4220 Laptop
Southland-Fujitsu T4220 Laptop
Southland-Fujitsu T4220 Laptop
Southland-Fujitsu T4220 Laptop
Southland-Fujitsu T4220 Laptop
Southland-Fujitsu T4220 Laptop
Southland-Fujitsu T4220 Laptop
Southland-Fujitsu T4220 Laptop
Southland-Fujitsu T4220 Laptop
Southland-Fujitsu T4220 Laptop
Southland-Fujitsu T4220 Laptop
Southland-Fujitsu T4220 Laptop
Southland-Fujitsu T4220 Laptop
Southland-Fujitsu T4220 Laptop
Southland-Fujitsu T4220 Laptop
Southland-Fujitsu T4220 Laptop
Southland-Fujitsu T4220 Laptop
Southland-Fujitsu T4220 Laptop
Southland-Fujitsu T4220 Laptop
Southland-Fujitsu T4220 Laptop
Southland-Fujitsu T4220 Laptop
Southland-Fujitsu T4220 Laptop
Net-Trac Software
Test Environment AHI
Projexct xga 2500 Lumen Projector
Sleep Better Tonight Sofa Sleeper
Sleep Better Tonight Sofa Sleeper
Sleep Better Tonight Sofa Sleeper
Sleep Better Tonight Sofa Sleeper
Sleep Better Tonight Sofa Sleeper
Sleep Better Tonight Sofa Sleeper
Sleep Better Tonight Sofa Sleeper
Sleep Better Tonight Sofa Sleeper
Sleep Better Tonight Sofa Sleeper
Sleep Better Tonight Sofa Sleeper
Sleep Better Tonight Sofa Sleeper
Sleep Better Tonight Sofa Sleeper
Sleep Better Tonight Sofa Sleeper
Sleep Better Tonight Sofa Sleeper
Filed 02/19/13
Doc 64-3
Pg. 16 of 23
Orig Life
YTD
LTD
Fully
Years / Place in
Depreciation Depreciation
Depreciated
Days
Service Date Cost Basis
Amount
Amount
Net Book Value Date
03-000
11/1/2007
$2,583.34
$0.00
$2,583.34
$0.00
10/31/2010
03-000
11/1/2007
$2,583.34
$0.00
$2,583.34
$0.00
10/31/2010
03-000
11/1/2007
$2,583.34
$0.00
$2,583.34
$0.00
10/31/2010
03-000
11/1/2007
$2,583.34
$0.00
$2,583.34
$0.00
10/31/2010
03-000
11/1/2007
$2,583.34
$0.00
$2,583.34
$0.00
10/31/2010
03-000
11/1/2007
$2,583.34
$0.00
$2,583.34
$0.00
10/31/2010
03-000
11/1/2007
$2,583.34
$0.00
$2,583.34
$0.00
10/31/2010
03-000
11/1/2007
$2,583.34
$0.00
$2,583.34
$0.00
10/31/2010
03-000
11/1/2007
$2,583.34
$0.00
$2,583.34
$0.00
10/31/2010
03-000
11/1/2007
$2,583.34
$0.00
$2,583.34
$0.00
10/31/2010
03-000
11/1/2007
$2,583.34
$0.00
$2,583.34
$0.00
10/31/2010
03-000
11/1/2007
$2,583.34
$0.00
$2,583.34
$0.00
10/31/2010
03-000
11/1/2007
$2,583.34
$0.00
$2,583.34
$0.00
10/31/2010
03-000
11/1/2007
$2,583.34
$0.00
$2,583.34
$0.00
10/31/2010
03-000
11/1/2007
$2,583.34
$0.00
$2,583.34
$0.00
10/31/2010
03-000
11/1/2007
$2,583.34
$0.00
$2,583.34
$0.00
10/31/2010
03-000
11/1/2007
$2,583.34
$0.00
$2,583.34
$0.00
10/31/2010
03-000
11/1/2007
$2,583.34
$0.00
$2,583.34
$0.00
10/31/2010
03-000
11/1/2007
$2,583.34
$0.00
$2,583.34
$0.00
10/31/2010
03-000
11/1/2007
$2,583.34
$0.00
$2,583.34
$0.00
10/31/2010
03-000
11/1/2007
$2,583.34
$0.00
$2,583.34
$0.00
10/31/2010
03-000
11/1/2007
$2,583.34
$0.00
$2,583.34
$0.00
10/31/2010
03-000
11/1/2007
$2,583.34
$0.00
$2,583.34
$0.00
10/31/2010
00-000
10/3/2007
$2,583.34
$0.00
$0.00
$2,583.34
9/30/2007
03-000
11/1/2007
$2,583.34
$0.00
$2,583.34
$0.00
10/31/2010
03-000
11/1/2007
$2,583.34
$0.00
$2,583.34
$0.00
10/31/2010
03-000
11/1/2007
$2,583.34
$0.00
$2,583.34
$0.00
10/31/2010
03-000
11/1/2007
$2,583.34
$0.00
$2,583.34
$0.00
10/31/2010
03-000
11/1/2007
$2,583.34
$0.00
$2,583.34
$0.00
10/31/2010
03-000
11/1/2007
$2,583.45
$0.00
$2,583.45
$0.00
10/31/2010
03-000
10/1/2007
$3,713.40
$0.00
$3,713.40
$0.00
9/30/2010
03-000
11/1/2007
$5,104.83
$0.00
$5,104.83
$0.00
10/31/2010
03-000
11/1/2007
$1,348.58
$0.00
$1,348.58
$0.00
10/31/2010
03-000
11/1/2007
$1,348.58
$0.00
$1,348.58
$0.00
10/31/2010
03-000
11/1/2007
$1,348.58
$0.00
$1,348.58
$0.00
10/31/2010
03-000
11/1/2007
$1,348.58
$0.00
$1,348.58
$0.00
10/31/2010
03-000
11/1/2007
$1,348.56
$0.00
$1,348.56
$0.00
10/31/2010
05-000
9/1/2007
$1,999.98
$66.67
$1,999.98
$0.00
8/31/2012
03-000
11/1/2007
$4,642.85
$0.00
$4,642.85
$0.00
10/31/2010
03-000
12/1/2007
$1,150.32
$0.00
$1,150.32
$0.00
11/30/2010
03-000
12/1/2007
$1,150.32
$0.00
$1,150.32
$0.00
11/30/2010
03-000
12/1/2007
$1,150.31
$0.00
$1,150.31
$0.00
11/30/2010
03-000
12/1/2007
$1,991.79
$0.00
$1,991.79
$0.00
11/30/2010
03-000
12/1/2007
$1,991.79
$0.00
$1,991.79
$0.00
11/30/2010
03-000
12/1/2007
$1,991.79
$0.00
$1,991.79
$0.00
11/30/2010
03-000
12/1/2007
$1,991.79
$0.00
$1,991.79
$0.00
11/30/2010
03-000
12/1/2007
$1,991.79
$0.00
$1,991.79
$0.00
11/30/2010
03-000
12/1/2007
$1,991.79
$0.00
$1,991.79
$0.00
11/30/2010
03-000
12/1/2007
$1,991.79
$0.00
$1,991.79
$0.00
11/30/2010
03-000
12/1/2007
$1,991.79
$0.00
$1,991.79
$0.00
11/30/2010
03-000
12/1/2007
$1,991.79
$0.00
$1,991.79
$0.00
11/30/2010
03-000
12/1/2007
$1,991.79
$0.00
$1,991.79
$0.00
11/30/2010
03-000
12/1/2007
$1,991.79
$0.00
$1,991.79
$0.00
11/30/2010
03-000
12/1/2007
$1,991.79
$0.00
$1,991.79
$0.00
11/30/2010
03-000
12/1/2007
$1,991.79
$0.00
$1,991.79
$0.00
11/30/2010
03-000
12/1/2007
$1,991.79
$0.00
$1,991.79
$0.00
11/30/2010
03-000
12/1/2007
$1,991.79
$0.00
$1,991.79
$0.00
11/30/2010
03-000
12/1/2007
$1,991.79
$0.00
$1,991.79
$0.00
11/30/2010
03-000
12/1/2007
$1,991.79
$0.00
$1,991.79
$0.00
11/30/2010
03-000
12/1/2007
$1,991.79
$0.00
$1,991.79
$0.00
11/30/2010
03-000
12/1/2007
$1,991.79
$0.00
$1,991.79
$0.00
11/30/2010
03-000
12/1/2007
$1,991.79
$0.00
$1,991.79
$0.00
11/30/2010
03-000
12/1/2007
$1,991.79
$0.00
$1,991.79
$0.00
11/30/2010
03-000
12/1/2007
$1,991.79
$0.00
$1,991.79
$0.00
11/30/2010
03-000
12/1/2007
$1,991.79
$0.00
$1,991.79
$0.00
11/30/2010
03-000
12/1/2007
$1,991.79
$0.00
$1,991.79
$0.00
11/30/2010
03-000
12/1/2007
$1,991.79
$0.00
$1,991.79
$0.00
11/30/2010
03-000
12/1/2007
$1,991.79
$0.00
$1,991.79
$0.00
11/30/2010
03-000
12/1/2007
$1,991.79
$0.00
$1,991.79
$0.00
11/30/2010
03-000
12/1/2007
$1,991.79
$0.00
$1,991.79
$0.00
11/30/2010
03-000
12/1/2007
$1,991.79
$0.00
$1,991.79
$0.00
11/30/2010
03-000
12/1/2007
$1,991.79
$0.00
$1,991.79
$0.00
11/30/2010
03-000
11/1/2007
$32,073.10
$0.00
$32,073.10
$0.00
10/31/2010
03-000
9/1/2007
$2,000.00
$0.00
$2,000.00
$0.00
8/31/2010
03-000
9/1/2007
$4,012.16
$0.00
$4,012.16
$0.00
8/31/2010
10-000
12/1/2007
$1,373.10
$68.64
$697.96
$675.14
10-000
12/1/2007
$1,373.10
$68.64
$697.96
$675.14
10-000
12/1/2007
$1,373.10
$68.64
$697.96
$675.14
10-000
12/1/2007
$1,373.10
$68.64
$697.96
$675.14
10-000
12/1/2007
$1,373.10
$68.64
$697.96
$675.14
10-000
12/1/2007
$1,373.10
$68.64
$697.96
$675.14
10-000
12/1/2007
$1,373.10
$68.64
$697.96
$675.14
10-000
12/1/2007
$1,373.10
$68.64
$697.96
$675.14
10-000
12/1/2007
$1,373.10
$68.64
$697.96
$675.14
10-000
12/1/2007
$1,373.10
$68.64
$697.96
$675.14
10-000
12/1/2007
$1,373.10
$68.64
$697.96
$675.14
10-000
12/1/2007
$1,373.10
$68.64
$697.96
$675.14
10-000
12/1/2007
$1,373.10
$68.64
$697.96
$675.14
10-000
12/1/2007
$1,373.10
$68.64
$697.96
$675.14
Page 12 of 19
Case 13-01179-MM11
Asset ID
EQUIP0001027
EQUIP0001028
EQUIP0001029
EQUIP0001030
EQUIP0001031
EQUIP0001032
EQUIP0001033
EQUIP0001034
EQUIP0001035
EQUIP0001036
EQUIP0001037
EQUIP0001038
EQUIP0001039
EQUIP0001040
EQUIP0001042
EQUIP0001043
EQUIP0001044
EQUIP0001045
EQUIP0001046
EQUIP0001047
EQUIP0001048
EQUIP0001049
EQUIP0001050
EQUIP0001051
EQUIP0001053
EQUIP0001054
EQUIP0001055
EQUIP0001056
EQUIP0001057
EQUIP0001058
EQUIP0001059
EQUIP0001060
EQUIP0001061
EQUIP0001062
EQUIP0001063
EQUIP0001064
EQUIP0001065
EQUIP0001066
EQUIP0001067
EQUIP0001068
EQUIP0001069
EQUIP0001070
EQUIP0001071
EQUIP0001072
EQUIP0001073
EQUIP0001074
EQUIP0001075
EQUIP0001076
EQUIP0001077
EQUIP0001078
EQUIP0001079
EQUIP0001080
EQUIP0001081
EQUIP0001082
EQUIP0001083
EQUIP0001084
EQUIP0001085
EQUIP0001086
EQUIP0001087
EQUIP0001088
EQUIP0001089
EQUIP0001090
EQUIP0001091
EQUIP0001092
EQUIP0001093
EQUIP0001094
EQUIP0001095
EQUIP0001096
EQUIP0001097
EQUIP0001098
EQUIP0001099
EQUIP0001100
EQUIP0001101
EQUIP0001102
EQUIP0001103
EQUIP0001104
EQUIP0001105
EQUIP0001106
EQUIP0001107
EQUIP0001108
EQUIP0001109
EQUIP0001110
EQUIP0001111
EQUIP0001112
EQUIP0001113
EQUIP0001114
EQUIP0001115
EQUIP0001116
EQUIP0001117
Book ID
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
Asset Description
Compressor Chiller #1
Dell Laptop Duo T7700
Laptop 6710B & Docking Station
Laptop 6710B & Docking Station
Laptop 6710B & Docking Station
Laptop 6710B & Docking Station
Laptop 6710B & Docking Station
Laptop 6710B & Docking Station
Laptop 6710B & Docking Station
Laptop 6710B & Docking Station
Laptop 6710B & Docking Station
Laptop 6710B & Docking Station
Telcom-Display Speakerphone
4-Drawer Lateral File Fireproof
Fujitsu T4420 DUO
Fujitsu Laptop T4220 Duo T7250,
Fujitsu Laptop T4220 Duo 7250
Fujitsu Laptop T4220 Duo T7250
Fujitsu Laptop T4220 Duo T7250
Fujitsu Laptop T4220 Duo T7250
Fujitsu Laptop T4220 Duo T7250
Fujitsu Laptop T4220 Duo T7250
Fujitsu Laptop T4220 Duo T7250
Fujitsu Laptop T4220 Duo T7250
Fujitsu Laptop T4220 Duo T7250
Fujitsu Laptop T4220 Duo T7250
Fujitsu Laptop T4220 Duo T7250
WS-C3560-48 DS-27615541-01 Catalyst
DVR 4 channel, camera, micro
Sleep Better Tonight Sofa Fund
Kronos
Sleep Better Tonight Sofa Fund
Sleep Better Tonight Sofa Fund
Sleep Better Tonight Sofa Fund
Sleep Better Tonight Sofa Fund
Sleep Better Tonight Sofa Fund
Sleep Better Tonight Sofa Fund
Sleep Better Tonight Sofa Fund
Sleep Better Tonight Sofa Fund
Sleep Better Tonight Sofa Fund
Sleep Better Tonight Sofa Fund
Shadow Ventures
Blackbaud
Convection Steamer
T4220 Duo 40gb, Notebook imag
T4220 Duo 40gb, Notebook imag
T4220 Duo 40gb, Notebook imag
T4220 Duo 40gb, Notebook imag
T4220 Duo 40gb, Notebook imag
T4220 Duo 40gb, Notebook imag
T4220 Duo 40gb, Notebook imag
T4220 Duo 40gb, Notebook imag
T4220 Duo 40gb, Notebook imag
T4220 Duo 40gb, Notebook imag
T4220 Duo 40gb, Notebook imag
HP Ultrium 1840 Drive software
Misys SQL Server (software)
Hardrives- Disc to Disc Backup Hardware
Server for Great Plains
T5010 Fujitsu Computer with Webcam
T5010 Fujitsu Computer/Webcam
T5010 Fujitsu Computer/Webcam
T5010 Fujitsu Computer/Webcam
T5010 Fujitsu Computer/Webcam
T5010 Fujitsu Computer/Webcam
T5010 Fujitsu Computer/Webcam
T5010 Fujitsu Computer/Webcam
T5010 Fujitsu Computer/Webcam
T5010 Fujitsu Computer/Webcam
T5010 Fujitsu Computer/webcam
T5010 Fujitsu Computer/webcam
T5010 Fujitsu Computer/webcam
T5010 Fujitsu Computer/webcam
T5010 Fujitsu Computer/webcam
T5010 Fujitsu Computer/webcam
T5010 Fujitsu Computer/webcam
T5010 Fujitsu Computer/webcam
T5010 Fujitsu Computer/webcam
T5010 Fujitsu Computer/Webcam
T5010 Fujitsu Computer/webcam
T5010 Fujitsu Computer/webcam
T5010 Fujitsu COmputer/webcam
T5010 Fujitsu Computer/webcam
Shadow ventures
Custom Cabinet
Custom Cabinet
Custom Cabinet
Custom Cabinet
New Cabinets & Glass-Block Partition
Filed 02/19/13
Doc 64-3
Pg. 17 of 23
Orig Life
YTD
LTD
Fully
Years / Place in
Depreciation Depreciation
Depreciated
Days
Service Date Cost Basis
Amount
Amount
Net Book Value Date
10-000
1/1/2008
$20,409.00
$1,020.48
$10,204.56
$10,204.44
03-000
3/2/2008
$3,665.52
$0.00
$3,665.52
$0.00
3/1/2011
03-000
4/1/2008
$1,271.01
$0.00
$1,271.01
$0.00
3/31/2011
03-000
4/1/2008
$1,271.08
$0.00
$1,271.08
$0.00
3/31/2011
03-000
4/1/2008
$1,271.08
$0.00
$1,271.08
$0.00
3/31/2011
03-000
4/1/2008
$1,271.08
$0.00
$1,271.08
$0.00
3/31/2011
03-000
4/1/2008
$1,271.08
$0.00
$1,271.08
$0.00
3/31/2011
03-000
4/1/2008
$1,271.08
$0.00
$1,271.08
$0.00
3/31/2011
03-000
4/1/2008
$1,271.08
$0.00
$1,271.08
$0.00
3/31/2011
03-000
4/1/2008
$1,271.00
$0.00
$1,271.00
$0.00
3/31/2011
03-000
4/1/2008
$1,271.16
$0.00
$1,271.16
$0.00
3/31/2011
03-000
4/1/2008
$1,271.08
$0.00
$1,271.08
$0.00
3/31/2011
03-000
5/1/2008
$4,782.55
$0.00
$4,782.55
$0.00
4/30/2011
10-000
5/1/2008
$3,158.11
$157.92
$1,473.81
$1,684.30
03-000
6/3/2008
$2,164.19
$0.00
$2,164.19
$0.00
5/31/2011
03-000
6/3/2008
$2,164.19
$0.00
$2,164.19
$0.00
5/31/2011
03-000
6/3/2008
$2,164.19
$0.00
$2,164.19
$0.00
5/31/2011
03-000
6/3/2008
$2,164.19
$0.00
$2,164.19
$0.00
5/31/2011
03-000
6/3/2008
$2,164.19
$0.00
$2,164.19
$0.00
5/31/2011
03-000
6/3/2008
$2,164.19
$0.00
$2,164.19
$0.00
5/31/2011
03-000
6/3/2008
$2,164.19
$0.00
$2,164.19
$0.00
5/31/2011
03-000
6/3/2008
$2,164.19
$0.00
$2,164.19
$0.00
5/31/2011
03-000
6/3/2008
$2,164.19
$0.00
$2,164.19
$0.00
5/31/2011
03-000
6/3/2008
$2,164.19
$0.00
$2,164.19
$0.00
5/31/2011
03-000
6/3/2008
$2,164.19
$0.00
$2,164.19
$0.00
5/31/2011
03-000
6/3/2008
$2,164.19
$0.00
$2,164.19
$0.00
5/31/2011
03-000
6/3/2008
$2,164.19
$0.00
$2,164.19
$0.00
5/31/2011
05-000
6/16/2008
$3,444.55
$344.46
$3,100.11
$344.44
03-000
7/22/2008
$3,995.74
$0.00
$3,995.74
$0.00
7/31/2011
05-000
3/31/2008
$1,448.53
$144.84
$1,376.09
$72.44
03-000
11/30/2008
$382,016.83
$0.00
$382,016.83
$0.00
11/30/2011
05-000
3/31/2008
$1,448.53
$144.84
$1,376.09
$72.44
05-000
3/31/2008
$1,448.53
$144.84
$1,376.09
$72.44
05-000
3/31/2008
$1,448.53
$144.84
$1,376.09
$72.44
05-000
3/31/2008
$1,448.53
$144.84
$1,376.09
$72.44
05-000
3/31/2008
$1,448.53
$144.84
$1,376.09
$72.44
05-000
3/31/2008
$1,448.53
$144.84
$1,376.09
$72.44
05-000
3/31/2008
$1,448.53
$144.84
$1,376.09
$72.44
05-000
3/31/2008
$1,448.53
$144.84
$1,376.09
$72.44
05-000
3/31/2008
$1,448.53
$144.84
$1,376.09
$72.44
05-000
3/31/2008
$1,448.53
$144.84
$1,376.09
$72.44
03-000
6/30/2008
$86,592.79
$0.00
$86,592.79
$0.00
6/30/2011
03-000
1/31/2008
$8,309.72
$0.00
$8,309.72
$0.00
1/31/2011
15-000
12/31/2008
$7,870.96
$262.38
$2,098.95
$5,772.01
03-000
1/31/2009
$1,680.90
$0.00
$1,680.90
$0.00
1/31/2012
03-000
1/31/2009
$1,680.90
$0.00
$1,680.90
$0.00
1/31/2012
03-000
1/31/2009
$1,680.90
$0.00
$1,680.90
$0.00
1/31/2012
03-000
1/31/2009
$1,680.90
$0.00
$1,680.90
$0.00
1/31/2012
03-000
1/31/2009
$1,680.90
$0.00
$1,680.90
$0.00
1/31/2012
03-000
1/31/2009
$1,680.90
$0.00
$1,680.90
$0.00
1/31/2012
03-000
1/31/2009
$1,680.90
$0.00
$1,680.90
$0.00
1/31/2012
03-000
1/31/2009
$1,680.90
$0.00
$1,680.90
$0.00
1/31/2012
03-000
1/31/2009
$1,680.90
$0.00
$1,680.90
$0.00
1/31/2012
03-000
1/31/2009
$1,680.90
$0.00
$1,680.90
$0.00
1/31/2012
03-000
1/31/2009
$1,680.90
$0.00
$1,680.90
$0.00
1/31/2012
03-000
3/1/2009
$3,308.63
$0.00
$3,308.63
$0.00
2/28/2012
03-000
4/30/2009
$5,140.00
$0.00
$5,140.00
$0.00
4/30/2012
05-000
4/30/2009
$6,533.84
$653.40
$4,791.51
$1,742.33
05-000
4/30/2009
$10,054.59
$1,005.48
$7,373.40
$2,681.19
03-000
4/30/2009
$2,174.19
$0.00
$2,174.19
$0.00
4/30/2012
03-000
4/30/2009
$2,174.19
$0.00
$2,174.19
$0.00
4/30/2012
03-000
4/30/2009
$2,174.19
$0.00
$2,174.19
$0.00
4/30/2012
03-000
4/30/2009
$2,174.19
$0.00
$2,174.19
$0.00
4/30/2012
03-000
4/30/2009
$2,174.19
$0.00
$2,174.19
$0.00
4/30/2012
03-000
4/30/2009
$2,174.19
$0.00
$2,174.19
$0.00
4/30/2012
03-000
4/30/2009
$2,174.19
$0.00
$2,174.19
$0.00
4/30/2012
03-000
4/30/2009
$2,174.19
$0.00
$2,174.19
$0.00
4/30/2012
03-000
4/30/2009
$2,174.19
$0.00
$2,174.19
$0.00
4/30/2012
03-000
4/30/2009
$2,174.19
$0.00
$2,174.19
$0.00
4/30/2012
03-000
4/30/2009
$2,174.19
$0.00
$2,174.19
$0.00
4/30/2012
03-000
4/30/2009
$2,174.19
$0.00
$2,174.19
$0.00
4/30/2012
03-000
4/30/2009
$2,174.19
$0.00
$2,174.19
$0.00
4/30/2012
03-000
4/30/2009
$2,174.19
$0.00
$2,174.19
$0.00
4/30/2012
03-000
4/30/2009
$2,174.19
$0.00
$2,174.19
$0.00
4/30/2012
03-000
4/30/2009
$2,174.19
$0.00
$2,174.19
$0.00
4/30/2012
03-000
4/30/2009
$2,174.19
$0.00
$2,174.19
$0.00
4/30/2012
03-000
4/30/2009
$2,174.19
$0.00
$2,174.19
$0.00
4/30/2012
03-000
4/30/2009
$2,174.19
$0.00
$2,174.19
$0.00
4/30/2012
03-000
4/30/2009
$2,174.19
$0.00
$2,174.19
$0.00
4/30/2012
03-000
4/30/2009
$2,174.19
$0.00
$2,174.19
$0.00
4/30/2012
03-000
4/30/2009
$2,174.19
$0.00
$2,174.19
$0.00
4/30/2012
03-000
4/30/2009
$2,174.19
$0.00
$2,174.19
$0.00
4/30/2012
03-000
4/30/2009
$2,174.19
$0.00
$2,174.19
$0.00
4/30/2012
03-000
5/1/2009
$4,587.00
$0.00
$4,587.00
$0.00
4/30/2012
15-000
6/1/2009
$2,092.00
$69.72
$499.75
$1,592.25
15-000
6/1/2009
$2,092.00
$69.72
$499.75
$1,592.25
15-000
6/1/2009
$2,092.00
$69.72
$499.75
$1,592.25
15-000
6/1/2009
$2,092.00
$69.72
$499.75
$1,592.25
15-000
6/1/2009
$5,800.00
$193.32
$1,385.55
$4,414.45
Page 13 of 19
Case 13-01179-MM11
Asset ID
EQUIP0001118
EQUIP0001119
EQUIP0001120
EQUIP00011202
EQUIP0001121
EQUIP0001122
EQUIP0001123
EQUIP0001124
EQUIP0001125
EQUIP0001126
EQUIP0001127
EQUIP0001128
EQUIP0001129
EQUIP0001130
EQUIP0001131
EQUIP0001132
EQUIP0001133
EQUIP0001134
EQUIP0001135
EQUIP0001136
EQUIP0001137
EQUIP0001138
EQUIP0001139
EQUIP0001140
EQUIP0001141
EQUIP0001142
EQUIP0001143
EQUIP0001144
EQUIP0001145
EQUIP0001146
EQUIP0001147
EQUIP0001148
EQUIP0001149
EQUIP0001150
EQUIP0001151
EQUIP0001152
EQUIP0001153
EQUIP0001154
EQUIP0001155
EQUIP0001156
EQUIP0001157
EQUIP0001158
EQUIP0001159
EQUIP0001160
EQUIP0001161
EQUIP0001162
EQUIP0001163
EQUIP0001164
EQUIP0001165
EQUIP0001166
EQUIP0001167
EQUIP0001168
EQUIP0001169
EQUIP0001170
EQUIP0001171
EQUIP0001172
EQUIP0001173
EQUIP0001174
EQUIP0001175
EQUIP0001176
EQUIP0001177
EQUIP0001178
EQUIP0001179
EQUIP0001180
EQUIP0001181
EQUIP0001182
EQUIP0001183
EQUIP0001184
EQUIP0001185
EQUIP0001186
EQUIP0001187
EQUIP0001188
EQUIP0001189
EQUIP0001190
EQUIP0001191
EQUIP0001192
EQUIP0001193
EQUIP0001194
EQUIP0001195
EQUIP0001196
EQUIP0001197
EQUIP0001198
EQUIP0001199
EQUIP0001200
EQUIP0001201
EQUIP0001203
EQUIP0001204
EQUIP0001205
EQUIP0001206
Book ID
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
Filed 02/19/13
Doc 64-3
Pg. 18 of 23
Orig Life
YTD
LTD
Fully
Years / Place in
Depreciation Depreciation
Depreciated
Asset Description
Days
Service Date Cost Basis
Amount
Amount
Net Book Value Date
Upgrade to Great Plains 10.0
03-000
6/1/2009
$12,174.66
$0.00
$12,174.66
$0.00
5/31/2012
Custom Cabinet Bins
15-000
6/1/2009
$119.60
$3.96
$32.52
$87.08
Custom Cabinet Bins
15-000
6/1/2009
$119.60
$3.96
$32.52
$87.08
HP compaq 6730B
03-000
3/23/2010
$935.36
$155.88
$857.41
$77.95
Hewlett-Packard Server
03-000
7/1/2009
$8,444.24
$0.00
$8,444.24
$0.00
6/30/2012
ID Card/Badge Printer
03-000
7/15/2009
$1,885.73
$0.00
$1,885.73
$0.00
6/30/2012
HP Compaq Notebook with Koskin Case
03-000
7/8/2009
$1,076.80
$0.00
$1,076.80
$0.00
6/30/2012
Upgrade to Great Plains 10.0
03-000
6/1/2009
$287.50
$0.00
$287.50
$0.00
5/31/2012
Oximeter/Pulse Port Dig Table/Sensor
03-000
8/5/2009
$1,210.59
$33.63
$1,210.59
$0.00
7/31/2012
Oximeter/Pulse Port Dig Table.Sensor
03-000
8/5/2009
$1,210.59
$33.63
$1,210.59
$0.00
7/31/2012
Adobe Web Premium Software
03-000
8/3/2009
$1,586.67
$44.07
$1,586.67
$0.00
7/31/2012
Business Notebook 6730B
03-000
8/1/2009
$1,034.81
$28.74
$1,034.81
$0.00
7/31/2012
Business Notebook 6730B
03-000
8/1/2009
$1,034.81
$28.74
$1,034.81
$0.00
7/31/2012
Business Notebook 6730B
03-000
8/1/2009
$1,034.81
$28.74
$1,034.81
$0.00
7/31/2012
Business Notebook 6730B
03-000
8/1/2009
$1,034.81
$28.74
$1,034.81
$0.00
7/31/2012
Business Notebook 6730B
03-000
8/1/2009
$1,034.81
$28.74
$1,034.81
$0.00
7/31/2012
Business Notebook 6730B
03-000
8/1/2009
$1,034.81
$28.74
$1,034.81
$0.00
7/31/2012
Business Notebook 6730B
03-000
8/1/2009
$1,034.81
$28.74
$1,034.81
$0.00
7/31/2012
Business Notebook 6730B
03-000
8/1/2009
$1,034.81
$28.74
$1,034.81
$0.00
7/31/2012
Fujitsu T5010 w Bump Case
03-000
9/1/2009
$2,210.46
$122.80
$2,210.46
$0.00
8/31/2012
Fujitsu T5010 w Bump Case
03-000
9/1/2009
$2,210.46
$122.80
$2,210.46
$0.00
8/31/2012
Fujitsu T5010 w Bump Case
03-000
9/1/2009
$2,210.46
$122.80
$2,210.46
$0.00
8/31/2012
Fujitsu T5010 w Bump Case
03-000
9/1/2009
$2,210.46
$122.80
$2,210.46
$0.00
8/31/2012
Fujitsu T5010 w Bump Case
03-000
9/1/2009
$2,210.46
$122.80
$2,210.46
$0.00
8/31/2012
Fujitsu T5010 w Bump Case
03-000
9/1/2009
$2,210.46
$122.80
$2,210.46
$0.00
8/31/2012
Fujitsu T5010 w Bump Case
03-000
9/1/2009
$2,210.46
$122.80
$2,210.46
$0.00
8/31/2012
Fujitsu T5010 w Bump Case
03-000
9/1/2009
$2,210.47
$122.81
$2,210.47
$0.00
8/31/2012
Fujitsu T5010 w Bump Case
03-000
9/1/2009
$2,210.47
$122.81
$2,210.47
$0.00
8/31/2012
Fujitsu T5010 w Bump Case
03-000
9/1/2009
$2,210.47
$122.81
$2,210.47
$0.00
8/31/2012
HP Compaq Notebook 6730B w dock station 03-000
9/1/2009
$1,216.83
$67.60
$1,216.83
$0.00
8/31/2012
HP Compaq Notebook 6730 B w dock station 03-000
9/1/2009
$1,216.84
$67.61
$1,216.84
$0.00
8/31/2012
HP Compaq Notebook 6730B w dock station 00-000
8/20/2009
$1,216.84
$0.00
$0.00
$1,216.84
8/20/2009
Fujitsu T5010 Labtop
03-000
10/6/2009
$2,408.28
$200.69
$2,408.28
$0.00
9/30/2012
Fujitsu T5010 Labtop
03-000
10/6/2009
$2,408.28
$200.69
$2,408.28
$0.00
9/30/2012
Fujitsu T5010 Labtop
03-000
10/6/2009
$2,408.28
$200.69
$2,408.28
$0.00
9/30/2012
Fujitsu T5010 Labtop
03-000
10/6/2009
$2,408.28
$200.69
$2,408.28
$0.00
9/30/2012
Fujitsu T5010 Labtop
03-000
10/6/2009
$2,408.28
$200.69
$2,408.28
$0.00
9/30/2012
Fujitsu T5010 Labtop
03-000
10/6/2009
$2,408.28
$200.69
$2,408.28
$0.00
9/30/2012
Fujitsu T 5010 Labtop
03-000
10/6/2009
$2,408.27
$200.68
$2,408.27
$0.00
9/30/2012
Fujitsu T5010 Labtop
03-000
10/6/2009
$2,408.28
$200.69
$2,408.28
$0.00
9/30/2012
Fujitsu T5010 Labtop
03-000
10/6/2009
$2,408.28
$200.69
$2,408.28
$0.00
9/30/2012
Fujitsu T5010 Labtop
03-000
10/6/2009
$2,408.28
$200.69
$2,408.28
$0.00
9/30/2012
HP Compaq 6730b
03-000
10/16/2009
$1,040.18
$115.57
$1,040.18
$0.00
10/31/2012
Physician RVU Report
03-000
10/1/2009
$5,668.50
$472.37
$5,668.50
$0.00
9/30/2012
Citrix Server Upgrade
03-000
10/1/2009
$10,471.13
$872.59
$10,471.13
$0.00
9/30/2012
HP Compaq DC5800 w Acer Monitor
03-000
11/5/2009
$1,030.27
$114.48
$1,030.27
$0.00
10/31/2012
Fujitsu Field Devices
03-000
12/1/2009
$2,687.87
$373.31
$2,687.87
$0.00
11/30/2012
Fujitsu Field Devices
03-000
12/1/2009
$2,687.87
$373.31
$2,687.87
$0.00
11/30/2012
Fujitsu Field Devices
03-000
12/1/2009
$2,687.88
$373.32
$2,687.88
$0.00
11/30/2012
Fujitsu Field Devices
03-000
12/1/2009
$2,687.88
$373.32
$2,687.88
$0.00
11/30/2012
Fujitsu Field Devices
03-000
12/1/2009
$2,687.88
$373.32
$2,687.88
$0.00
11/30/2012
Fujitsu Field Devices
03-000
12/1/2009
$2,687.88
$373.32
$2,687.88
$0.00
11/30/2012
Fujitsu Field Devices
03-000
12/1/2009
$2,687.88
$373.32
$2,687.88
$0.00
11/30/2012
Fujitsu Field Devices
03-000
12/1/2009
$2,687.88
$373.32
$2,687.88
$0.00
11/30/2012
Fujitsu Field Devices
03-000
12/1/2009
$2,687.87
$373.31
$2,687.87
$0.00
11/30/2012
Fujitsu Field Devices
03-000
12/1/2009
$2,687.87
$373.31
$2,687.87
$0.00
11/30/2012
Monitor, Vital Signs Oxi Temp
03-000
12/7/2009
$2,041.63
$283.57
$2,041.63
$0.00
11/30/2012
Officejet H470 Printer
03-000
12/1/2009
$148.81
$20.67
$148.81
$0.00
11/30/2012
Officejet H470 Printer
03-000
12/1/2009
$148.81
$20.67
$148.81
$0.00
11/30/2012
Officejet H470 Printer
03-000
12/1/2009
$148.81
$20.67
$148.81
$0.00
11/30/2012
Officejet H470 Printer
03-000
12/1/2009
$148.81
$20.67
$148.81
$0.00
11/30/2012
Officejet H470 Printer
03-000
12/1/2009
$148.81
$20.67
$148.81
$0.00
11/30/2012
Officejet H470 Printer
03-000
12/1/2009
$148.81
$20.67
$148.81
$0.00
11/30/2012
Officejet H470 Printer
03-000
12/1/2009
$148.82
$20.66
$148.82
$0.00
11/30/2012
Officejet H470 Printer
03-000
12/1/2009
$148.82
$20.66
$148.82
$0.00
11/30/2012
Officejet H470 Printer
03-000
12/1/2009
$148.82
$20.66
$148.82
$0.00
11/30/2012
Printer -Officejet H470
03-000
1/1/2010
$148.81
$24.81
$148.81
$0.00
12/31/2012
Fujitsu T5010 w officejet/case/adapter
03-000
1/8/2010
$2,666.82
$444.47
$2,666.82
$0.00
12/31/2012
Fujitsu T5010 w officejet/case/adapter
03-000
1/8/2010
$2,666.81
$444.46
$2,666.81
$0.00
12/31/2012
Fujitsu T5010 w officejet/case/adapter
03-000
1/8/2010
$2,666.83
$444.48
$2,666.83
$0.00
12/31/2012
Fujitsu T5010 w officejet/case/adapter
03-000
1/8/2010
$2,666.83
$444.48
$2,666.83
$0.00
12/31/2012
Fujitsu T5010 w officejet/case/adapter
03-000
1/8/2010
$2,666.83
$444.48
$2,666.83
$0.00
12/31/2012
Fujitsu T5010 w officejet/case/adapter
03-000
1/8/2010
$2,666.83
$444.48
$2,666.83
$0.00
12/31/2012
Fujitsu T5010 w officejet/case/adapter
03-000
1/8/2010
$2,666.83
$444.48
$2,666.83
$0.00
12/31/2012
Fujitsu T5010 w offiejet/case/adapter
03-000
1/8/2010
$2,666.82
$444.47
$2,666.82
$0.00
12/31/2012
Fujitsu T5010 w officejet/case/adapter
03-000
1/8/2010
$2,666.81
$444.46
$2,666.81
$0.00
12/31/2012
Fujitsu T5010 w officejet/case/adapter
03-000
1/8/2010
$2,666.85
$444.47
$2,666.85
$0.00
12/31/2012
Safeword for citrix 10u token
03-000
1/1/2010
$1,178.85
$196.47
$1,178.85
$0.00
12/31/2012
HP Notebook6730B w docking station
03-000
8/1/2009
$1,253.45
$34.81
$1,253.45
$0.00
7/31/2012
Dell Computer with Battery Pack
03-000
2/22/2010
$3,474.99
$579.18
$3,281.95
$193.04
Dell Computer with battery pack
03-000
2/22/2010
$3,474.99
$579.18
$3,281.95
$193.04
Safeword for Citrix 20-Pack
03-000
10/1/2009
$2,140.20
$178.35
$2,140.20
$0.00
9/30/2012
Medicare Online Access
03-000
3/1/2010
$1,825.00
$304.20
$1,723.64
$101.36
HP compaq 6730B, 120w dock station
03-000
3/23/2010
$1,108.09
$184.68
$1,015.74
$92.35
HP compaq 6730B, 120w dock sta
03-000
3/23/2010
$1,108.10
$184.68
$1,015.76
$92.34
Fujitsu T5010 w case
03-000
3/31/2010
$2,391.69
$398.64
$2,192.41
$199.28
Fujitsu T5010 w case
03-000
3/24/2010
$2,391.69
$398.64
$2,192.41
$199.28
Fujitsu T5010 w Case
03-000
3/24/2010
$2,391.69
$398.64
$2,192.41
$199.28
Fujitsu T5010 w Case
03-000
3/24/2010
$2,391.68
$398.58
$2,192.35
$199.33
Page 14 of 19
Case 13-01179-MM11
Asset ID
EQUIP0001207
EQUIP0001208
EQUIP0001209
EQUIP0001210
EQUIP0001211
EQUIP0001212
EQUIP0001213
EQUIP0001214
EQUIP0001215
EQUIP0001216
EQUIP0001217
EQUIP0001218
EQUIP0001219
EQUIP0001220
EQUIP0001221
EQUIP0001222
EQUIP0001223
EQUIP0001224
EQUIP0001225
EQUIP0001226
EQUIP0001227
EQUIP0001228
EQUIP0001229
EQUIP0001230
EQUIP0001231
EQUIP0001232
EQUIP0001233
EQUIP0001234
EQUIP0001235
EQUIP0001236
EQUIP0001237
EQUIP0001238
EQUIP0001239
EQUIP0001240
EQUIP0001241
EQUIP0001242
EQUIP0001243
EQUIP0001244
EQUIP0001245
EQUIP0001246
EQUIP0001247
EQUIP0001248
EQUIP0001249
EQUIP0001250
EQUIP0001251
EQUIP0001252
EQUIP0001253
EQUIP0001254
EQUIP0001255
EQUIP0001256
EQUIP0001257
EQUIP0001258
EQUIP0001259
EQUIP0001260
EQUIP0001261
EQUIP0001262
EQUIP0001263
EQUIP0001264
EQUIP0001265
EQUIP0001266
EQUIP0001267
EQUIP0001268
EQUIP0001269
EQUIP0001270
EQUIP0001271
EQUIP0001272
EQUIP0001273
EQUIP0001274
EQUIP0001275
EQUIP0001276
EQUIP0001277
EQUIP0001278
EQUIP0001279
EQUIP0001280
EQUIP0001281
EQUIP0001282
EQUIP0001283
EQUIP0001284
EQUIP0001285
EQUIP0001286
EQUIP0001287
EQUIP0001288
EQUIP0001289
EQUIP0001290
EQUIP0001291
EQUIP0001292
EQUIP0001293
EQUIP0001294
EQUIP0001295
Book ID
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
Asset Description
Fujitsu T5101 w Case
Fujitsu T5010 w Case
Fujitsu T5010 w Case
Fujitsu T5010 w Case
Fujitsu T5010 w Case
Fujitsu T5010 w Case
HP Compaq 6000 Pro w Display
HP Compaq 6000 Pro w display
HP Compaq 6000 Pro w Display
HP Compaq 6000 Pro w display
HP Compaq 6000 Pro w display
HP Compaq 6000 Pro w display
HP Compaq 6000 Pro w display
HP Compaq 6000 Pro w display
HP Compaq 6000 Pro w display
HP Compaq 6000 Pro w display
HP Compaq 6000 w LCD Monitor
HP Compaq 6000 w LCD Monitor
HP Compaq 6000 w LCD monitor
HP Compaq 6000 w LCD Monitor
HP Compaq 6000 w LCD Monitor
HP Compaq 6000 w LCD Monitor
HP Compaq 6000 w LCD Monitor
HP Compaq 6000 w LCD Monitor
HP Compaq 6000 w LCD Monitor
HP Compaq 6000 w LCD Monitor
HP Compaq 6000 w LCD Monitor
HP Compaq 6000 w LCD Monitor
HP Compaq 6000 w LCD Monitor
HP Compaq 6000 w LCD Monitor
HP Compaq 6000 w LCD Monitor
HP Compaq 6000 w LCD Monitor
HP Compaq 6000 w LCD Monitor
HP Compaq 6000 w LCD Monitor
HP Compaq 6000 w LCD Monitor
HP Compaq 6000 w LCD Monitor
HP Compaq 6000 w LCD Monitor
HP Compaq 6000 Pro w LCD Monitor
HP Compaq 6000 w LCD Monitor
HP Compaq 6000 Pro w LCD Monitor
HP Compaq 6000 Pro w LCD Monitor
HP Compaq 6000 Pro w LCD Monitor
HP Compaq 6000 Pro w LCD Monitor
HP Compaq 6000 Pro w LCD Monitor
HP Compaq 6000 pro w LCD Monitor
HP Compaq 6000 pro w LCD Monitor
HP Compaq 6000 pro w LC Monitor
HP Compaq 6000 pro w LCD Monitor
HP Compaq 6000 pro w LCD Monitor
HP Compaq 6000 pro w LCD Monitor
HP Compaq 6000 pro w LCD Monitor
HP Compaq 6000 pro w LCD Monitor
HP Compaq 6000 pro w LCD Monitor
HP Compaq 6000 pro w LCD Monitor
HP Compaq 6000 pro w LCD Monitor
HP Compaq 6000 pro w LCD Monitor
HP Compaq 6000 pro w LCD Monitor
HP Compaq 6000 pro w LC Monitor
HP Compaq 6000 pro w LCD Monitor
HP Compaq 6000 pro w LCD Monitor
HP Compaq 6000 pro w LCD Monitor
HP Compaq 6000 pro w LCD Monitor
HP Compaq 6000 pro w LCD Monitor
HP Compaq 6000 pro w LCD Monitor
HP Compaq 6000 pro w LCD Monitor
HP Compaq 6000 pro w LCD Monitor
HP Compaq 6000 pro w LCD Monitor
HP Compaq 6000 pro w LCD Monitor
HP Compaq 6000 pro w LCD Monitor
HP Compaq 6000 pro w LCD Monitor
Dell Printer w/ Duplexer
HP Compaq 6703B w Docking Station
Fujitsu T5010 w printer, adapter, case
Fujitsu T5010 w Printer, adapter, case
Fujitsu T5010 w printer, adapter, case
Fujitsu T5010 w Printer, adapter, case
Fujitsu T5010 w printer, adapter, case
Fujitsu T5010 w printer, adapter, case
Fujitsu T5010 w printer, adapter, case
Fujitsu T5010 w printer, adapter, case
Fujitsu T5010 w printer, adapter, case
Fujitsu T5010 w printer, adapter, case
Fujitsu T5010 w printer, adapter, case
Fujitsu T5010 w printer, adapter, case
Fujitsu T5010 w printer, adapter, case
Fujitsu T5010 w printer, adapter, case
Fujitsu T5010 w printer, adapter, case
Allscripts - Physician EHR Hardware
Fujitsu T5010
Filed 02/19/13
Doc 64-3
Pg. 19 of 23
Orig Life
YTD
LTD
Fully
Years / Place in
Depreciation Depreciation
Depreciated
Days
Service Date Cost Basis
Amount
Amount
Net Book Value Date
03-000
3/24/2010
$2,391.69
$398.64
$2,192.41
$199.28
03-000
3/24/2010
$2,391.69
$398.64
$2,192.41
$199.28
03-000
3/24/2010
$2,391.69
$398.64
$2,192.41
$199.28
03-000
3/24/2010
$2,391.69
$398.64
$2,192.41
$199.28
03-000
3/24/2010
$2,391.69
$398.64
$2,192.41
$199.28
03-000
3/25/2010
$2,391.69
$398.64
$2,192.41
$199.28
03-000
3/24/2010
$962.51
$160.44
$882.33
$80.18
03-000
3/24/2010
$962.51
$160.44
$882.33
$80.18
03-000
3/24/2010
$962.51
$160.44
$882.33
$80.18
03-000
3/24/2010
$962.50
$160.44
$882.31
$80.19
03-000
3/24/2010
$962.50
$160.44
$882.31
$80.19
03-000
3/24/2010
$962.50
$160.44
$882.31
$80.19
03-000
3/24/2010
$962.50
$160.44
$882.31
$80.19
03-000
3/24/2010
$962.50
$160.44
$882.31
$80.19
03-000
3/24/2010
$962.50
$160.44
$882.31
$80.19
03-000
3/24/2010
$962.50
$160.44
$882.31
$80.19
03-000
3/17/2010
$982.59
$163.74
$900.68
$81.91
03-000
3/17/2010
$982.60
$163.80
$900.74
$81.86
03-000
3/17/2010
$982.60
$163.80
$900.74
$81.86
03-000
3/17/2010
$982.60
$163.80
$900.74
$81.86
03-000
3/17/2010
$982.60
$163.80
$900.74
$81.86
03-000
3/17/2010
$982.60
$163.80
$900.74
$81.86
03-000
3/17/2010
$982.60
$163.80
$900.74
$81.86
03-000
3/17/2010
$982.60
$163.80
$900.74
$81.86
03-000
3/17/2010
$982.60
$163.80
$900.74
$81.86
03-000
3/17/2010
$982.60
$163.80
$900.74
$81.86
03-000
3/17/2010
$982.60
$163.80
$900.74
$81.86
03-000
3/17/2010
$982.60
$163.80
$900.74
$81.86
03-000
3/17/2010
$982.60
$163.80
$900.74
$81.86
03-000
3/17/2010
$982.60
$163.80
$900.74
$81.86
03-000
3/17/2010
$982.60
$163.80
$900.74
$81.86
03-000
3/17/2010
$982.60
$163.80
$900.74
$81.86
03-000
3/17/2010
$982.60
$163.80
$900.74
$81.86
03-000
3/17/2010
$982.60
$163.80
$900.74
$81.86
03-000
3/17/2010
$982.60
$163.80
$900.74
$81.86
03-000
3/17/2010
$982.60
$163.80
$900.74
$81.86
03-000
3/9/2010
$962.49
$160.44
$909.04
$53.45
03-000
3/10/2010
$962.49
$160.44
$909.04
$53.45
03-000
3/9/2010
$962.50
$160.44
$909.04
$53.46
03-000
3/10/2010
$962.50
$160.44
$909.04
$53.46
03-000
3/10/2010
$962.50
$160.44
$909.04
$53.46
03-000
3/10/2010
$962.51
$160.44
$909.07
$53.44
03-000
3/10/2010
$962.51
$160.44
$909.07
$53.44
03-000
3/9/2010
$962.52
$160.44
$909.07
$53.45
03-000
2/22/2010
$962.50
$160.44
$909.04
$53.46
03-000
2/22/2010
$962.50
$160.44
$909.04
$53.46
03-000
2/19/2010
$962.50
$160.44
$909.04
$53.46
03-000
2/19/2010
$962.50
$160.44
$909.04
$53.46
03-000
2/22/2010
$962.50
$160.44
$909.04
$53.46
03-000
2/19/2010
$962.50
$160.44
$909.04
$53.46
03-000
2/19/2010
$962.50
$160.44
$909.04
$53.46
03-000
2/19/2010
$962.51
$160.44
$909.07
$53.44
03-000
2/19/2010
$962.51
$160.44
$909.07
$53.44
03-000
2/19/2010
$962.51
$160.44
$909.07
$53.44
03-000
2/19/2010
$962.51
$160.44
$909.07
$53.44
03-000
2/19/2010
$962.51
$160.44
$909.07
$53.44
03-000
2/19/2010
$962.51
$160.44
$909.07
$53.44
03-000
2/19/2010
$962.51
$160.44
$909.07
$53.44
03-000
2/19/2010
$962.50
$160.44
$909.04
$53.46
03-000
2/19/2010
$962.50
$160.44
$909.04
$53.46
03-000
2/19/2010
$962.50
$160.44
$909.04
$53.46
03-000
2/19/2010
$962.50
$160.44
$909.04
$53.46
03-000
2/19/2010
$962.50
$160.44
$909.04
$53.46
03-000
2/19/2010
$962.50
$160.44
$909.04
$53.46
03-000
2/19/2010
$962.50
$160.44
$909.04
$53.46
03-000
2/19/2010
$962.50
$160.44
$909.04
$53.46
03-000
2/19/2010
$962.50
$160.44
$909.04
$53.46
03-000
2/19/2010
$962.50
$160.44
$909.04
$53.46
03-000
2/19/2010
$962.50
$160.44
$909.04
$53.46
03-000
2/19/2010
$962.50
$160.44
$909.04
$53.46
03-000
4/20/2010
$1,184.62
$197.46
$1,053.01
$131.61
03-000
4/12/2010
$1,086.44
$181.08
$995.92
$90.52
03-000
4/19/2010
$2,661.38
$443.58
$2,365.69
$295.69
03-000
4/19/2010
$2,661.38
$443.58
$2,365.69
$295.69
03-000
4/19/2010
$2,661.38
$443.58
$2,365.69
$295.69
03-000
4/19/2010
$2,661.38
$443.58
$2,365.69
$295.69
03-000
4/19/2010
$2,661.38
$443.58
$2,365.69
$295.69
03-000
4/19/2010
$2,661.39
$443.58
$2,365.70
$295.69
03-000
4/19/2010
$2,661.39
$443.58
$2,365.70
$295.69
03-000
4/19/2010
$2,661.40
$443.58
$2,365.70
$295.70
03-000
4/19/2010
$2,661.40
$443.58
$2,365.70
$295.70
03-000
4/19/2010
$2,661.40
$443.58
$2,365.70
$295.70
03-000
4/19/2010
$2,661.39
$443.58
$2,365.70
$295.69
03-000
4/19/2010
$2,661.38
$443.58
$2,365.69
$295.69
03-000
4/19/2010
$2,661.39
$443.58
$2,365.70
$295.69
03-000
4/19/2010
$2,661.39
$443.58
$2,365.70
$295.69
03-000
4/19/2010
$2,661.39
$443.58
$2,365.70
$295.69
03-000
3/18/2010
$91,569.68
$15,261.60
$83,938.87
$7,630.81
03-000
5/21/2010
$2,608.08
$434.70
$2,245.87
$362.21
Page 15 of 19
Case 13-01179-MM11
Asset ID
EQUIP0001296
EQUIP0001297
EQUIP0001298
EQUIP0001299
EQUIP0001300
EQUIP0001301
EQUIP0001302
EQUIP0001303
EQUIP0001304
EQUIP0001305
EQUIP0001306
EQUIP0001307
EQUIP0001308
EQUIP0001309
EQUIP0001310
EQUIP0001311
EQUIP0001312
EQUIP0001313
EQUIP0001314
EQUIP0001315
EQUIP0001316
EQUIP0001317
EQUIP0001318
EQUIP0001319
EQUIP0001320
EQUIP0001321
EQUIP0001322
EQUIP0001323
EQUIP0001324
EQUIP0001325
EQUIP0001326
EQUIP0001327
EQUIP0001328
EQUIP0001329
EQUIP0001330
EQUIP0001331
EQUIP0001332
EQUIP0001333
EQUIP0001334
EQUIP0001335
EQUIP0001336
EQUIP0001337
EQUIP0001338
EQUIP0001339
EQUIP0001340
EQUIP0001341
EQUIP0001342
EQUIP0001343
EQUIP0001344
EQUIP0001345
EQUIP0001346
EQUIP0001347
EQUIP0001348
EQUIP0001349
EQUIP0001350
EQUIP0001351
EQUIP0001352
EQUIP0001353
EQUIP0001354
EQUIP0001355
EQUIP0001356
EQUIP0001357
EQUIP0001358
EQUIP0001359
EQUIP0001360
EQUIP0001361
EQUIP0001362
EQUIP0001363
EQUIP0001364
EQUIP0001365
EQUIP0001366
EQUIP0001367
EQUIP0001368
EQUIP0001369
EQUIP0001370
EQUIP0001371
EQUIP0001372
EQUIP0001373
EQUIP0001374
EQUIP0001375
EQUIP0001376
EQUIP0001377
EQUIP0001378
EQUIP0001379
EQUIP0001380
EQUIP0001381
EQUIP0001382
EQUIP0001383
EQUIP0001384
Book ID
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
Asset Description
Fujitsu T5010
Fujitsu T5010
Fujitus T5010
Fujitsu T5010
Fujitsu T5010
Fujitsu T5010
Fujitsu T5010
Fujitsu T5010
Fujitsu T5010
Fujitsu T5010
Fujitsu T5010
Fujitsu T5010
Fujitsu T5010
Fujitsu T5010
Fujitsu T5010
Fujitus T5010
Fujitsu T5010
Fujitsu T5010
Fujitsu T5010
Vmware Advanced Accel Kit
Sphere/Kintera Events Package
Keck Conference Audio Visual
Fujitsu T5010
Fujitsu T5010
Fujitsu T5010
Fujitsu T5010
Fujitsu T5010
Fujitsu T5010
Fujitsu T5010
Fujitsu T5010
Fujitsu T5010
Fujitsu T5010
Fujitsu T5010
Fujitsu T5010
Fujitsu T5010
Fujitsu T5010
Fujitsu T5010
Fujitsu T5010
Fujitsu T5010
Fujitsu T5010
Fujitsu T5010
Fujitsu T5010
Fujitsu T5010
Fujitsu T5010
Fujitsu T5010
Fujitsu T5010
Fujitsu T5010
Fujitsu T5010
Fujitsu T5010
Fujitsu T5010
Fujitsu T5010
Fujitsu T5010
Imac computer for web systems
Mac Book Pro for Web systems
Crisis Care Project
Pharmacy Refrigerator w Temp Recorder
Physician EHR Hardware
Physician EHR Software
Stackable Bins
Laptop
Laptop
Laptop
Laptop
Laptop
Laptop
Laptop
Laptop
Laptop
Physician EHR software
Mac computer for Wortman, L
HP Probook 6550B
HP Probook 6550B
HP Probook 6550B w Sig Pad HP printer
HP Probook w HP printer
Part of EHR Custom Dev. CER
Allscripts EHR software
Phys EHR Custom CER proj
Phys. EHR Proj HC Interface
System Admin Training
Lexmark Printer
Patiend Actg printer HPLJM3035
NIH grant research computer
Physician EHR Software Project
LearnCenter tsting site design & impl
HP probook 6550B, 90w docking
hp probook 6550B & docking stat
HP Probook 6550B w docking st;notepak
ACER V233HAJBD
HP Compaq 6000 pro
Filed 02/19/13
Doc 64-3
Pg. 20 of 23
Orig Life
YTD
LTD
Fully
Years / Place in
Depreciation Depreciation
Depreciated
Days
Service Date Cost Basis
Amount
Amount
Net Book Value Date
03-000
5/21/2010
$2,608.08
$434.70
$2,245.87
$362.21
03-000
5/21/2010
$2,608.08
$434.70
$2,245.87
$362.21
03-000
5/21/2010
$2,608.08
$434.70
$2,245.87
$362.21
03-000
5/21/2010
$2,608.08
$434.70
$2,245.87
$362.21
03-000
5/21/2010
$2,608.08
$434.70
$2,245.87
$362.21
03-000
5/21/2010
$2,607.98
$434.64
$2,245.74
$362.24
03-000
5/21/2010
$2,607.99
$434.64
$2,245.74
$362.25
03-000
5/21/2010
$2,607.99
$434.64
$2,245.74
$362.25
03-000
5/21/2010
$2,607.99
$434.64
$2,245.74
$362.25
03-000
5/21/2010
$2,608.01
$434.64
$2,245.76
$362.25
03-000
5/21/2010
$2,608.01
$434.64
$2,245.76
$362.25
03-000
5/21/2010
$2,608.01
$434.64
$2,245.76
$362.25
03-000
5/21/2010
$2,608.01
$434.64
$2,245.76
$362.25
03-000
5/21/2010
$2,608.01
$434.64
$2,245.76
$362.25
03-000
5/21/2010
$2,608.02
$434.64
$2,245.77
$362.25
03-000
5/21/2010
$2,608.02
$434.64
$2,245.77
$362.25
03-000
5/21/2010
$2,593.99
$432.36
$2,233.74
$360.25
03-000
5/21/2010
$2,501.44
$416.94
$2,154.04
$347.40
03-000
5/21/2010
$2,623.48
$437.28
$2,259.13
$364.35
03-000
4/30/2010
$15,715.44
$2,619.24
$13,969.28
$1,746.16
03-000
11/15/2009
$5,400.00
$600.00
$5,400.00
$0.00
10/31/2012
03-000
6/2/2010
$13,568.26
$2,261.40
$11,683.80
$1,884.46
03-000
6/8/2010
$2,189.42
$364.92
$1,885.36
$304.06
03-000
6/8/2010
$2,189.42
$364.92
$1,885.36
$304.06
03-000
6/8/2010
$2,189.42
$364.92
$1,885.36
$304.06
03-000
6/8/2010
$2,189.42
$364.92
$1,885.36
$304.06
03-000
6/8/2010
$2,189.42
$364.92
$1,885.36
$304.06
03-000
6/8/2010
$2,189.42
$364.92
$1,885.36
$304.06
03-000
6/8/2010
$2,189.42
$364.92
$1,885.36
$304.06
03-000
6/8/2010
$2,189.42
$364.92
$1,885.36
$304.06
03-000
6/8/2010
$2,189.41
$364.92
$1,885.34
$304.07
03-000
6/8/2010
$2,189.41
$364.92
$1,885.34
$304.07
03-000
6/8/2010
$2,189.41
$364.92
$1,885.34
$304.07
03-000
6/8/2010
$2,189.41
$364.92
$1,885.34
$304.07
03-000
6/8/2010
$2,189.41
$364.92
$1,885.34
$304.07
03-000
6/8/2010
$2,189.41
$364.92
$1,885.34
$304.07
03-000
6/8/2010
$2,189.41
$364.92
$1,885.34
$304.07
03-000
6/8/2010
$2,189.41
$364.92
$1,885.34
$304.07
03-000
6/8/2010
$2,189.41
$364.92
$1,885.34
$304.07
03-000
6/8/2010
$2,189.41
$364.92
$1,885.34
$304.07
03-000
6/8/2010
$2,189.41
$364.92
$1,885.34
$304.07
03-000
6/8/2010
$2,189.41
$364.92
$1,885.34
$304.07
03-000
6/8/2010
$2,189.41
$364.92
$1,885.34
$304.07
03-000
6/8/2010
$2,189.41
$364.92
$1,885.34
$304.07
03-000
6/8/2010
$2,189.41
$364.92
$1,885.34
$304.07
03-000
6/8/2010
$2,189.41
$364.92
$1,885.34
$304.07
03-000
6/8/2010
$2,189.41
$364.92
$1,885.34
$304.07
03-000
6/8/2010
$2,189.41
$364.92
$1,885.34
$304.07
03-000
6/8/2010
$2,189.41
$364.92
$1,885.34
$304.07
03-000
6/8/2010
$2,189.41
$364.92
$1,885.34
$304.07
03-000
6/8/2010
$2,189.41
$364.92
$1,885.34
$304.07
03-000
6/8/2010
$2,189.41
$364.92
$1,885.34
$304.07
03-000
5/21/2010
$2,484.66
$414.12
$2,139.58
$345.08
03-000
5/21/2010
$2,731.89
$455.34
$2,352.49
$379.40
03-000
9/29/2009
$13,951.54
$1,162.63
$13,951.54
$0.00
9/30/2012
07-000
2/17/2010
$7,968.83
$569.22
$3,225.49
$4,743.34
03-000
6/28/2010
$2,372.19
$395.34
$1,976.80
$395.39
03-000
5/28/2010
$164,995.33
$27,499.20
$142,079.28
$22,916.05
03-000
5/10/2010
$3,197.19
$532.86
$2,841.94
$355.25
03-000
5/28/2010
$1,330.75
$221.82
$1,145.95
$184.80
03-000
6/9/2010
$1,287.87
$214.62
$1,108.97
$178.90
03-000
6/9/2010
$1,287.86
$214.62
$1,108.97
$178.89
03-000
6/9/2010
$1,342.56
$223.74
$1,156.07
$186.49
03-000
6/14/2010
$1,276.15
$212.70
$1,098.91
$177.24
03-000
6/14/2010
$1,276.14
$212.70
$1,098.91
$177.23
03-000
6/14/2010
$1,146.73
$191.10
$987.43
$159.30
03-000
6/14/2010
$1,146.73
$191.10
$987.43
$159.30
03-000
6/14/2010
$1,146.73
$191.10
$987.43
$159.30
03-000
7/29/2010
$3,058.37
$509.70
$2,463.66
$594.71
03-000
8/10/2010
$2,396.03
$399.36
$1,930.16
$465.87
03-000
9/10/2010
$1,294.65
$215.76
$1,006.94
$287.71
03-000
9/10/2010
$1,294.67
$215.76
$1,006.95
$287.72
03-000
9/21/2010
$1,958.91
$326.46
$1,469.16
$489.75
03-000
9/21/2010
$1,535.50
$255.90
$1,151.61
$383.89
03-000
9/28/2010
$675.00
$112.50
$506.25
$168.75
03-000
9/28/2010
$880.90
$146.82
$660.68
$220.22
03-000
8/31/2010
$8,156.25
$1,359.36
$6,343.74
$1,812.51
03-000
8/28/2010
$42,916.81
$7,152.78
$33,379.72
$9,537.09
03-000
10/13/2010
$3,638.12
$606.36
$2,728.60
$909.52
03-000
7/16/2010
$1,670.17
$278.34
$1,345.39
$324.78
03-000
10/11/2010
$1,766.06
$294.36
$1,324.57
$441.49
03-000
9/11/2010
$3,464.47
$577.44
$2,694.61
$769.86
03-000
11/29/2010
$6,293.93
$1,048.98
$4,370.78
$1,923.15
03-000
9/30/2010
$10,850.00
$1,808.34
$8,137.51
$2,712.49
03-000
1/21/2011
$2,117.36
$352.92
$1,352.79
$764.57
03-000
12/21/2010
$2,654.17
$442.38
$1,769.46
$884.71
03-000
1/13/2011
$1,365.46
$227.58
$910.31
$455.15
03-000
12/2/2010
$5,703.83
$950.64
$3,961.00
$1,742.83
03-000
12/2/2010
$6,358.22
$1,059.72
$4,415.45
$1,942.77
Page 16 of 19
Case 13-01179-MM11
Asset ID
EQUIP0001385
EQUIP0001386
EQUIP0001387
EQUIP0001388
EQUIP0001389
EQUIP0001390
EQUIP0001391
EQUIP0001392
EQUIP0001393
EQUIP0001394
EQUIP0001395
EQUIP0001396
EQUIP0001397
EQUIP0001398
EQUIP0001399
EQUIP0001400
EQUIP0001401
EQUIP0001402
EQUIP0001403
EQUIP0001404
EQUIP0001405
EQUIP0001406
EQUIP0001407
EQUIP0001408
EQUIP0001409
EQUIP0001410
EQUIP0001411
EQUIP0001412
EQUIP0001413
EQUIP0001414
EQUIP0001415
EQUIP0001416
EQUIP0001417
EQUIP0001419
EQUIP0001420
EQUIP0001421
EQUIP0001422
EQUIP0001423
EQUIP0001424
EQUIP0001425
EQUIP0001426
EQUIP0001427
EQUIP0001428
EQUIP0001429
EQUIP0001430
EQUIP0001431
EQUIP0001432
EQUIP0001433
EQUIP0001434
EQUIP0001435
EQUIP0001436
EQUIP0001437
EQUIP0001438
EQUIP0001439
EQUIP0001440
EQUIP0001441
EQUIP0001442
EQUIP0001443
EQUIP0001444
EQUIP0001445
EQUIP0001446
EQUIP0001447
EQUIP0001448
EQUIP0001449
EQUIP0001450
EQUIP0001451
EQUIP0001452
EQUIP0001453
EQUIP0001454
EQUIP0001455
EQUIP0001456
EQUIP0001457
EQUIP0001458
EQUIP0001459
EQUIP0001460
EQUIP0001461
EQUIP0001462
EQUIP0001463
EQUIP0001464
EQUIP0001465
EQUIP0001466
EQUIP0001467
EQUIP0001468
EQUIP0001469
EQUIP0001470
EQUIP0001471
EQUIP0001472
EQUIP0001473
EQUIP0001474
Book ID
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
Asset Description
HP Probook 6550B
HP probook 6550B 64 bit
HP Probook 6550B
OJ H476 mobile 110V prtr
HP Probook, dock stat, Acer Monitor
HP Compaq 6000 Pro & Monitors
HP Probook 6550Bw/docking station
HP probook6550B
5 iPADS for Tech pilot
FUJITSU T900, Printer & Accesories
T900 I5, webcam, 3yr warr
Part of CER provider EHR soft
612- ICC reception area furniture
Bereavement Module
CER pharm viceo sec equip
980- HP PROBOOK 6550B
Security camera project
Alarm Retro-Fit/Upgra Oxygen
705- Sara 3000 with scale
HP PROBOOKS 6550B
Provider EHR custom dev projec
T900 I5-540M 2.53GHZ
T900 I5-540m, Wlan Webcam,
T900 I5-540m, Webcam
HP compaq 6000 pro
Battery pack, disposal svcs, u
MacBook Pro
ICC Ice Machine/Water Dispense
Provider EHR software proj CER
T-900 I5-540M, WLAN
T900 I5-540M 2.53ghz 4gb
24 Framed prints PT in ICC
Office Furniture Purchase
Field devices for new hires
631- ECG CP 200 Interpretive
Customer services support
Ipads, Imac, macbook
HP P2000, HP storage system, support
Exhange 2010 upgrade CER 62
Imac 21.5" software
ACER V233 HAJB, HP Compaqs
ACCT:0702505-9; smart phones
HP Compaq 6000Pro
Advance security software
Track it concurrent tech
HC interface set up rfrl mngmt
SO38690, T901 I-52520M
T901 I5-2520M
Computer & Software
Modular bay battery & Case
HP ProBook 6550B
Acct:0702505-9, Smart Phones
Laptop/desktop and docking station
980- Laptop for fellows
T901 I5-252om 2.5ghz 250gb,
HP Promo 6000P
T901 I5-252om 2.5 ghz, wlan 3
T901 I5-252om 2.5ghz, 3yr warr
Officejet H470
HP probook
HP probook
HP promo probook
352- 2 Sony HDR cameras, tripods, m
Firewall replacement
HP WSCAII california cont
Sony HDR FX7 camcorder
HP Compaq 6000 pro
T901 I5 - 252om 2.5ghz, wlan
T901 I5-252OM 2.5gh
Computer sorftware
10 HP DVDRW Windows 7
Smart buy 6220p
HP probook 6560b
3 HP Probook 6560B
HP ProBook
PB 6560B, docking station
Smart buy 6200 sff, probook
980 - T901, battery, case
T901, Notebook, battery, case, inkjet
P sff ci3/3.3 4gb, wide lcd
Smart Buy Probook 6560B
PB6560 B, and docking stations
Task Chairs for Carmel Mtn Ran
397- Mac mini CTO and Presenter
Bereavement Impl & Training
980 - HP Probook 6560B
CHT Office Pro Plus 2010 MS
UPG vctr svr fnd - sctr svr vm
T901 I5-2520M
Filed 02/19/13
Doc 64-3
Pg. 21 of 23
Orig Life
YTD
LTD
Fully
Years / Place in
Depreciation Depreciation
Depreciated
Days
Service Date Cost Basis
Amount
Amount
Net Book Value Date
03-000
10/1/2010
$2,372.71
$395.46
$1,779.54
$593.17
03-000
11/2/2010
$1,133.87
$189.00
$818.93
$314.94
03-000
12/13/2010
$1,365.45
$227.58
$948.23
$417.22
03-000
9/2/2010
$1,719.12
$286.50
$1,337.07
$382.05
03-000
10/15/2010
$2,946.59
$491.10
$2,209.95
$736.64
03-000
11/12/2010
$10,098.41
$1,683.06
$7,293.29
$2,805.12
03-000
11/19/2010
$3,883.98
$647.34
$2,697.22
$1,186.76
03-000
12/22/2010
$1,164.18
$194.04
$776.13
$388.05
03-000
10/22/2010
$3,816.62
$636.12
$2,756.47
$1,060.15
03-000
12/27/2010
$26,733.51
$4,455.60
$17,822.36
$8,911.15
03-000
12/27/2010
$5,346.71
$891.12
$3,564.48
$1,782.23
03-000
12/30/2010
$3,007.50
$501.24
$2,004.99
$1,002.51
10-000
12/28/2010
$7,816.00
$390.78
$1,563.18
$6,252.82
05-000
1/31/2011
$61,250.00
$6,124.98
$23,479.15
$37,770.85
05-000
10/4/2010
$33,112.48
$3,311.22
$14,900.59
$18,211.89
03-000
2/3/2011
$10,000.00
$1,666.68
$6,388.90
$3,611.10
05-000
2/8/2011
$3,121.88
$312.18
$1,196.72
$1,925.16
03-000
10/21/2010
$7,936.41
$1,322.76
$5,731.88
$2,204.53
05-000
10/6/2010
$6,588.80
$658.86
$2,964.94
$3,623.86
03-000
2/3/2011
$20,377.70
$3,396.30
$13,019.11
$7,358.59
03-000
3/3/2011
$6,570.75
$1,095.12
$4,015.45
$2,555.30
03-000
2/18/2011
$5,449.28
$908.22
$3,330.13
$2,119.15
03-000
2/25/2011
$22,526.63
$3,754.44
$13,766.28
$8,760.35
03-000
2/18/2011
$12,274.70
$2,045.76
$7,501.19
$4,773.51
03-000
8/16/2010
$9,553.24
$1,592.22
$7,430.31
$2,122.93
03-000
2/28/2011
$3,546.31
$591.06
$2,167.19
$1,379.12
03-000
3/16/2011
$5,268.75
$878.10
$3,073.41
$2,195.34
03-000
1/11/2011
$6,200.00
$1,033.32
$4,133.32
$2,066.68
03-000
3/28/2011
$8,160.20
$1,360.02
$4,760.11
$3,400.09
03-000
5/17/2011
$26,169.10
$4,361.52
$13,811.47
$12,357.63
03-000
5/9/2011
$23,187.83
$3,864.66
$12,882.15
$10,305.68
10-000
5/17/2011
$6,766.30
$338.34
$1,071.36
$5,694.94
10-000
6/28/2011
$1,703.00
$85.14
$255.44
$1,447.56
03-000
6/21/2011
$46,967.25
$7,827.90
$23,483.65
$23,483.60
05-000
4/4/2011
$4,785.73
$478.56
$1,675.00
$3,110.73
03-000
6/13/2011
$2,963.18
$493.86
$1,563.90
$1,399.28
03-000
6/10/2011
$2,232.01
$372.00
$1,178.00
$1,054.01
03-000
6/23/2011
$123,181.87
$20,530.32
$61,590.94
$61,590.93
03-000
5/17/2011
$5,000.00
$833.34
$2,638.90
$2,361.10
03-000
7/1/2011
$3,071.16
$511.86
$1,620.89
$1,450.27
03-000
7/15/2011
$8,798.98
$1,466.52
$4,399.51
$4,399.47
03-000
7/23/2011
$21,665.68
$3,610.92
$10,230.99
$11,434.69
03-000
8/5/2011
$8,752.66
$1,458.78
$4,133.20
$4,619.46
03-000
8/23/2011
$1,631.25
$271.86
$724.99
$906.26
03-000
7/29/2011
$2,082.13
$347.04
$983.25
$1,098.88
03-000
8/2/2011
$3,582.69
$597.12
$1,691.83
$1,890.86
03-000
9/9/2011
$27,039.54
$4,506.60
$12,017.58
$15,021.96
03-000
8/23/2011
$11,705.07
$1,950.84
$5,202.25
$6,502.82
03-000
8/14/2011
$0.00
$200.00
$640.00
$800.00
03-000
7/29/2011
$1,461.09
$243.54
$689.98
$771.11
03-000
7/27/2011
$3,273.19
$545.52
$1,545.66
$1,727.53
03-000
9/1/2011
$43,066.47
$7,177.74
$19,140.65
$23,925.82
03-000
9/21/2011
$7,960.16
$1,326.72
$3,316.76
$4,643.40
03-000
8/12/2011
$1,008.59
$168.12
$476.30
$532.29
03-000
10/5/2011
$11,914.29
$1,985.70
$4,964.27
$6,950.02
03-000
10/20/2011
$7,468.77
$1,244.82
$2,904.55
$4,564.22
03-000
11/1/2011
$13,665.22
$2,277.54
$5,314.26
$8,350.96
03-000
10/28/2011
$9,078.88
$1,513.14
$3,530.67
$5,548.21
03-000
11/18/2011
$1,336.10
$222.66
$482.46
$853.64
03-000
11/18/2011
$4,812.59
$802.08
$1,737.86
$3,074.73
03-000
11/18/2011
$3,159.47
$526.56
$1,140.90
$2,018.57
03-000
11/9/2011
$2,911.35
$485.22
$1,132.19
$1,779.16
03-000
11/1/2011
$2,154.98
$359.16
$838.04
$1,316.94
03-000
8/12/2011
$21,896.78
$3,649.44
$10,340.12
$11,556.66
03-000
10/26/2011
$26,654.30
$4,442.40
$10,365.58
$16,288.72
03-000
12/2/2011
$1,998.00
$333.00
$721.50
$1,276.50
03-000
12/14/2011
$7,570.78
$1,261.80
$2,733.90
$4,836.88
03-000
11/29/2011
$9,641.60
$1,606.92
$3,481.68
$6,159.92
03-000
11/30/2011
$11,960.41
$1,993.38
$4,319.02
$7,641.39
03-000
8/14/2011
$452.53
$75.42
$213.69
$238.84
03-000
1/4/2012
$6,745.15
$1,124.22
$2,248.41
$4,496.74
03-000
1/20/2012
$4,047.09
$674.52
$1,236.62
$2,810.47
03-000
1/20/2012
$3,692.33
$615.36
$1,128.18
$2,564.15
03-000
1/3/2012
$3,033.74
$505.62
$1,011.24
$2,022.50
03-000
1/6/2012
$2,332.09
$388.68
$777.36
$1,554.73
03-000
2/27/2012
$2,238.09
$373.02
$621.70
$1,616.39
03-000
2/20/2012
$4,486.87
$747.84
$1,246.38
$3,240.49
03-000
2/2/2012
$15,360.52
$2,560.08
$4,693.49
$10,667.03
03-000
2/24/2012
$18,600.03
$3,100.02
$5,166.69
$13,433.34
03-000
3/22/2012
$7,047.82
$1,174.62
$1,761.94
$5,285.88
03-000
3/20/2012
$1,927.87
$321.30
$481.96
$1,445.91
03-000
3/2/2012
$3,294.54
$549.12
$915.18
$2,379.36
05-000
1/9/2012
$3,172.16
$317.22
$634.44
$2,537.72
03-000
9/13/2011
$1,333.74
$222.30
$592.78
$740.96
03-000
7/1/2011
$2,397.44
$399.60
$1,198.75
$1,198.69
03-000
1/18/2012
$1,846.17
$307.68
$564.09
$1,282.08
03-000
10/13/2011
$20,403.00
$3,400.50
$8,501.25
$11,901.75
03-000
8/11/2011
$3,462.99
$577.14
$1,635.28
$1,827.71
03-000
4/2/2012
$16,080.83
$2,680.14
$4,020.21
$12,060.62
Page 17 of 19
Case 13-01179-MM11
Asset ID
EQUIP0001475
EQUIP0001476
EQUIP0001477
EQUIP0001478
EQUIP0001479
EQUIP0001480
EQUIP0001481
EQUIP0001482
EQUIP0001483
EQUIP0001484
EQUIP0001485
EQUIP0001486
EQUIP0001487
EQUIP0001488
EQUIP0001489
EQUIP0001490
EQUIP0001491
EQUIP0001492
EQUIP0001493
EQUIP0001494
EQUIP0001495
EQUIP0001496
EQUIP0001497
EQUIP0001498
EQUIP0001499
EQUIP0001500
EQUIP0001501
EQUIP0001502
EQUIP0001503
EQUIP0001504
EQUIP0001505
EQUIP0001506
EQUIP0001507
EQUIP0001508
EQUIP0001509
EQUIP0001510
EQUIP0001511
EQUIP0001512
EQUIP0001513
EQUIP0001514
EQUIP0001515
EQUIP0001516
EQUIP0001517
EQUIP0001518
EQUIP0001519
EQUIP0001520
EQUIP0001521
EQUIP000418
EQUP0009999
Book ID
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
CORPORATE
Asset Description
P&M to add c/r control to Pharm
Fax Server Project
T901 I5-2520M 2.5HGZ
HP Compaq , HP Probook
387- HP Probook and Docking station
Replace Firewall CER
HP 8 GB RAM for server
HP Probook and docking statioin
Hp Probook 6560 B Core 15
HP Promo 6200 SFF, Windo
Cash Register
T901- I5-2520M
T901 I5-252om 2.5 ghz 4gb
10 T901 I5-2520M
Mrkt intellg companion svcs
Decorative Donor Wall at 4311
All signs for SD Hospice
614- Rose Garden
Data Center Expansion and Back up
CER Hyland Doc Mngmt
48" Flagstone Bench, Curved
HP ProBook
HP Probook 6560B
Office jet 100 mobile
Officejet 100 mobile
Printers Office Jet
Emergency ups rplcmnt 3+ yrs
Batteries bought e/ field devi
Batteries & AC adapter, Printers
Printers bought w/ field devic
Printers bought for field devi
HP Compaq 6200, Monitors
980- HP Probook and Docking St
Furnished & install a new trac
T901 I5-252M, case, printer, battery
HP Probook 6560B
HP Promo 6200 SFF, Win7
T902 15-3320M, battery, adapter
Case Rolling
980- Fujitsu T901 I5-252OM
Fuji Color Scanner
Production Doc Imaging
Convertible bump case
HP Compaq 6300, Acer lcd 23"
HP Compaq 6200 Pro
T902 I5-3320M 2.6 GHZ
New applicant tracking system
Laptop for partners HP probook
test
Filed 02/19/13
Doc 64-3
Pg. 22 of 23
Orig Life
YTD
LTD
Fully
Years / Place in
Depreciation Depreciation
Depreciated
Days
Service Date Cost Basis
Amount
Amount
Net Book Value Date
03-000
3/28/2012
$5,382.26
$897.06
$1,345.58
$4,036.68
03-000
9/29/2011
$47,830.23
$7,971.72
$19,929.28
$27,900.95
03-000
5/2/2012
$16,080.83
$2,680.14
$3,573.52
$12,507.31
03-000
4/23/2012
$6,881.29
$1,146.90
$1,529.19
$5,352.10
03-000
5/18/2012
$1,071.28
$178.56
$208.32
$862.96
03-000
12/8/2011
$2,500.00
$416.64
$902.75
$1,597.25
03-000
12/20/2011
$2,817.51
$469.56
$939.15
$1,878.36
03-000
6/22/2012
$1,095.39
$182.58
$182.58
$912.81
03-000
6/13/2012
$1,083.03
$180.48
$210.56
$872.47
03-000
5/23/2012
$6,884.96
$1,147.50
$1,338.75
$5,546.21
03-000
6/8/2012
$1,557.15
$259.50
$302.75
$1,254.40
03-000
6/29/2012
$15,537.77
$2,589.60
$2,589.60
$12,948.17
03-000
6/8/2012
$16,080.84
$2,680.14
$3,126.83
$12,954.01
03-000
6/29/2012
$21,248.62
$3,541.44
$3,541.44
$17,707.18
03-000
6/12/2012
$3,000.00
$499.98
$583.31
$2,416.69
05-000
5/31/2012
$29,423.07
$2,942.28
$3,432.66
$25,990.41
05-000
6/1/2012
$39,348.87
$3,934.86
$4,590.67
$34,758.20
05-000
6/1/2012
$22,685.82
$2,268.60
$2,646.70
$20,039.12
03-000
6/29/2012
$59,424.71
$9,904.14
$9,904.14
$49,520.57
03-000
10/31/2011
$103,211.63
$17,201.94
$40,137.86
$63,073.77
03-000
6/21/2012
$2,060.00
$343.32
$343.32
$1,716.68
03-000
7/5/2012
$1,095.39
$182.58
$182.58
$912.81
03-000
7/1/2012
$1,095.39
$182.58
$182.58
$912.81
03-000
7/1/2012
$1,998.76
$333.12
$333.12
$1,665.64
03-000
7/27/2012
$1,590.39
$220.90
$220.90
$1,369.49
03-000
7/26/2012
$1,998.76
$277.60
$277.60
$1,721.16
03-000
8/16/2012
$2,183.22
$242.60
$242.60
$1,940.62
03-000
8/3/2012
$2,699.14
$374.90
$374.90
$2,324.24
03-000
8/10/2012
$4,427.44
$614.90
$614.90
$3,812.54
03-000
8/20/2012
$3,986.76
$442.96
$442.96
$3,543.80
03-000
8/15/2012
$2,790.72
$387.60
$387.60
$2,403.12
03-000
8/2/2012
$4,349.76
$604.15
$604.15
$3,745.61
03-000
8/1/2012
$2,157.92
$299.70
$299.70
$1,858.22
03-000
8/3/2012
$1,740.00
$241.65
$241.65
$1,498.35
03-000
9/6/2012
$17,823.15
$1,980.36
$1,980.36
$15,842.79
03-000
9/7/2012
$4,310.13
$478.92
$478.92
$3,831.21
03-000
8/30/2012
$5,589.19
$621.04
$621.04
$4,968.15
03-000
10/10/2012
$17,266.62
$1,438.89
$1,438.89
$15,827.73
03-000
9/19/2012
$720.31
$60.03
$60.03
$660.28
03-000
8/31/2012
$13,961.39
$1,551.28
$1,551.28
$12,410.11
03-000
9/26/2012
$5,866.99
$488.91
$488.91
$5,378.08
03-000
9/14/2012
$2,400.00
$266.68
$266.68
$2,133.32
03-000
9/7/2012
$565.69
$62.84
$62.84
$502.85
03-000
11/1/2012
$6,202.66
$344.60
$344.60
$5,858.06
03-000
8/24/2012
$1,820.23
$202.24
$202.24
$1,617.99
03-000
11/6/2012
$18,773.50
$1,042.98
$1,042.98
$17,730.52
03-000
7/1/2012
$20,297.70
$3,382.98
$3,382.98
$16,914.72
03-000
6/3/2011
$1,553.48
$258.90
$819.88
$733.60
00-000
8/30/2011
$1.00
$0.00
$0.00
$1.00
8/30/2011
$10,805,123.18
$1,345,327.44
7/1/2009
7/1/2009
7/1/2009
$289.93
$30.36
$49.07
$289.93
$30.36
$49.07
4/30/2011
5/12/2011
5/24/2011
5/31/2011
6/16/2011
6/16/2011
8/17/2011
8/17/2011
8/17/2011
8/23/2011
8/31/2011
8/31/2011
10/13/2011
10/13/2011
10/13/2011
10/31/2011
10/31/2011
11/22/2011
4/30/2012
6/30/2012
7/20/2012
7/31/2012
8/31/2012
10/8/2012
$743.48
$1,196.25
$1,599.10
$1,150.63
$4,572.50
$330.00
$9,611.25
$825.00
$412.50
$2,351.25
$2,380.00
$1,650.00
$330.00
$866.25
$4,387.50
$1,526.25
$536.25
$495.00
$1,360.00
$425.00
$2,100.00
$1,742.50
$5,355.00
$10,667.50
$743.48
$1,196.25
$1,599.10
$1,150.63
$4,572.50
$330.00
$9,611.25
$825.00
$412.50
$2,351.25
$2,380.00
$1,650.00
$330.00
$866.25
$4,387.50
$1,526.25
$536.25
$495.00
$1,360.00
$425.00
$2,100.00
$1,742.50
$5,355.00
$10,667.50
5/12/2011
$10,276.89
$10,276.89
Fixed Asset Clearning
Fountain Project -Acct 803
Memorial Fountain
Memorial Fountain
Memorial Fountain
Kronos Upgrade
SARCOM, INC.2008-win nul veritas
KRONOS
Kronos upgrade CER
SARCOM, INC.SQL SVR STD 2008 R2-1PROC MS
OFFICE MAX Kronos Upgrade Project
KRONOS
Kronos upgrade CER
KRONOS
Kronos upgrade CER
KRONOS
Kronos upgrade CER/project
KRONOS
Part of Kronoa upgrade CER
KRONOS
Part of kronos upgrade CER
KRONOS
Kronos upgrade CER
KRONOS
Kronos upgrade CER
KRONOS
Kronos upgrade CER
KRONOS
Purchases
KRONOS
Purchases
KRONOS
Purchases
KRONOS
Purchases
KRONOS
Purchases
KRONOS
Kronos upgrade CER
KRONOS
Timelog to Kronos Interfece
KRONOS
Purchases
KRONOS
Licenses
KRONOS
AC Kronos Time Log
KRONOS
Kronos/allscripts timelog int
KRONOS
Allscripts time log Kronos in
Allscripts
ALLSCRIPTS (CCER part of EHR SW project
Page 18 of 19
Case 13-01179-MM11
Asset ID
Book ID
Asset Description
ALLSCRIPTS (CPart provider EHR SW proj CER
ALLSCRIPTS (CPhys EHR Software CER
ALLSCRIPTS (CProvider EHR software CER
ALLSCRIPTS (CProvider EAR software CER
ALLSCRIPTS (CProvider EHR software CER
ALLSCRIPTS (CProvider EHR software CER
ALLSCRIPTS (CPhysician EHR software projec
ALLSCRIPTS (CDragon wbtrning, med version,
ALLSCRIPTS (CDragon med version boxed soft
ALLSCRIPTS (CPurchases
ALLSCRIPTS (CPurchases
ALLSCRIPTS (CPurchases
ALLSCRIPTS (CPhysician EHR software projec
QS/1 DATA SY Purchases
ALLSCRIPTS (CInterface development- to QS1
ALLSCRIPTS (CTransformational services cer
ALLSCRIPTS (CAllscripts Amplified
ALLSCRIPTS (CAllscripts Amplified
ALLSCRIPTS (CAmplified CER
ALLSCRIPTS (CPurchases
Alert Paging System
VOCERA COM Vocera Alert-CER
Misc/ Not yet Capitalized
OFFICE MAX 5 LCDs
Office Max Rebate
S. Oppenheim cDisposal of asset
Office Max return
S Irwin
MBAIR, ADAPTER, DISPLAy
Filed 02/19/13
Doc 64-3
Pg. 23 of 23
Orig Life
YTD
Years / Place in
Depreciation
Days
Service Date Cost Basis
Amount
5/12/2011
$48.94
5/12/2011
$38,458.79
5/25/2011
$18,009.03
6/16/2011
$611.47
6/16/2011
$435.00
6/16/2011
$10,276.89
6/30/2011
$391.50
6/30/2011
$917.21
6/30/2011
$5,109.59
7/22/2011
$2,250.00
7/31/2011
$1,500.00
7/31/2011
$3,374.98
8/17/2011
$685.13
11/30/2011
$3,232.50
2/29/2012
$1,875.00
3/7/2012
$30,959.41
4/17/2012
$9,900.00
4/17/2012
$3,821.02
5/9/2012
$1,286.84
6/8/2012
$7,273.13
LTD
Depreciation
Amount
Net Book Value
$48.94
$38,458.79
$18,009.03
$611.47
$435.00
$10,276.89
$391.50
$917.21
$5,109.59
$2,250.00
$1,500.00
$3,374.98
$685.13
$3,232.50
$1,875.00
$30,959.41
$9,900.00
$3,821.02
$1,286.84
$7,273.13
4/25/2012
$3,000.00
$3,000.00
9/30/2012
12/31/2012
12/31/2012
12/31/2012
12/31/2012
$837.28
($5,174.10)
($400.00)
($814.32)
$3,561.96
$837.28
($5,174.10)
($400.00)
($814.32)
$3,561.96
$208,686.71
$208,686.71
$11,013,809.89
$1,554,014.15
Fully
Depreciated
Date
Notes:
Physical inventory has not been performed. Ongoing physical inventory to be submitted to US Trustee's office upon completion.
Page 19 of 19
Case 13-01179-MM11
Filed 02/19/13
Doc 64-4
Pg. 1 of 1
B6C (Official Form 6C) (4/10)
x
E
s
m
i
a
y
t
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In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE C - PROPERTY CLAIMED AS EXEMPT
Debtor claims the exemptions to which debtor is entitled under:
(Check one box)
11 U.S.C. §522(b)(2)
11 U.S.C. §522(b)(3)
Description of Property
Check if debtor claims a homestead exemption that exceeds
$146,450. (Amount subject to adjustment on 4/1/13, and every three years thereafter
with respect to cases commenced on or after the date of adjustment.)
Specify Law Providing
Each Exemption
Value of
Claimed
Exemption
Current Value of
Property Without
Deducting Exemption
NONE.
0
continuation sheets attached to Schedule of Property Claimed as Exempt
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-5
Pg. 1 of 1
B6D (Official Form 6D) (12/07)
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In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE D - CREDITORS HOLDING SECURED CLAIMS
State the name, mailing address, including zip code, and last four digits of any account number of all entities holding claims secured by property of the debtor as of
the date of filing of the petition. The complete account number of any account the debtor has with the creditor is useful to the trustee and the creditor and may be provided
if the debtor chooses to do so. List creditors holding all types of secured interests such as judgment liens, garnishments, statutory liens, mortgages, deeds of trust, and
other security interests.
List creditors in alphabetical order to the extent practicable. If a minor child is a creditor, the child's initials and the name and address of the child's parent or
guardian, such as "A.B., a minor child, by John Doe, guardian." Do not disclose the child's name. See, 11 U.S.C. §112 and Fed. R. Bankr. P. 1007(m). If all secured
creditors will not fit on this page, use the continuation sheet provided.
If any entity other than a spouse in a joint case may be jointly liable on a claim, place an "X" in the column labeled "Codebtor" ,include the entity on the appropriate
schedule of creditors, and complete Schedule H - Codebtors. If a joint petition is filed, state whether the husband, wife, both of them, or the marital community may be
liable on each claim by placing an "H", "W", "J", or "C" in the column labeled "Husband, Wife, Joint, or Community".
If the claim is contingent, place an "X" in the column labeled "Contingent". If the claim is unliquidated, place an "X" in the column labeled "Unliquidated". If the
claim is disputed, place an "X" in the column labeled "Disputed". (You may need to place an "X" in more than one of these three columns.)
Total the columns labeled "Amount of Claim Without Deducting Value of Collateral" and "Unsecured Portion, if Any" in the boxes labeled "Total(s)" on the last
sheet of the completed schedule. Report the total from the column labeled "Amount of Claim" also on the Summary of Schedules and, if the debtor is an individual with
primarily consumer debts, report the total from the column labeled "Unsecured Portion" on the Statistical Summary of Certain Liabilities and Related Data.
Check this box if debtor has no creditors holding secured claims to report on this Schedule D.
CREDITOR'S NAME
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
DATE CLAIM WAS INCURRED,
NATURE OF LIEN, AND
DESCRIPTION AND VALUE
OF PROPERTY
SUBJECT TO LIEN
H
W
J
C
Account No.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF
CLAIM
WITHOUT
DEDUCTING
VALUE OF
COLLATERAL
UNSECURED
PORTION, IF
ANY
Value $
Account No.
Value $
Account No.
Value $
Account No.
Value $
0
_____
continuation sheets attached
Subtotal
(Total of this page)
Total
(Report on Summary of Schedules)
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
0.00
0.00
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 1 of 90
B6E (Official Form 6E) (4/10)
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In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
A complete list of claims entitled to priority, listed separately by type of priority, is to be set forth on the sheets provided. Only holders of unsecured claims entitled
to priority should be listed in this schedule. In the boxes provided on the attached sheets, state the name, mailing address, including zip code, and last four digits of the
account number, if any, of all entities holding priority claims against the debtor or the property of the debtor, as of the date of the filing of the petition. Use a separate
continuation sheet for each type of priority and label each with the type of priority.
The complete account number of any account the debtor has with the creditor is useful to the trustee and the creditor and may be provided if the debtor chooses to do
so. If a minor child is a creditor, state the child's initials and the name and address of the child's parent or guardian, such as "A.B., a minor child, by John Doe, guardian."
Do not disclose the child's name. See, 11 U.S.C. §112 and Fed. R. Bankr. P. 1007(m).
If any entity other than a spouse in a joint case may be jointly liable on a claim, place an "X" in the column labeled "Codebtor," include the entity on the appropriate
schedule of creditors, and complete Schedule H-Codebtors. If a joint petition is filed, state whether the husband, wife, both of them, or the marital community may be
liable on each claim by placing an "H," "W," "J," or "C" in the column labeled "Husband, Wife, Joint, or Community." If the claim is contingent, place an "X" in the
column labeled "Contingent." If the claim is unliquidated, place an "X" in the column labeled "Unliquidated." If the claim is disputed, place an "X" in the column labeled
"Disputed." (You may need to place an "X" in more than one of these three columns.)
Report the total of claims listed on each sheet in the box labeled "Subtotals" on each sheet. Report the total of all claims listed on this Schedule E in the box labeled
"Total" on the last sheet of the completed schedule. Report this total also on the Summary of Schedules.
Report the total of amounts entitled to priority listed on each sheet in the box labeled "Subtotals" on each sheet. Report the total of all amounts entitled to priority
listed on this Schedule E in the box labeled "Totals" on the last sheet of the completed schedule. Individual debtors with primarily consumer debts report this total
also on the Statistical Summary of Certain Liabilities and Related Data.
Report the total of amounts not entitled to priority listed on each sheet in the box labeled "Subtotals" on each sheet. Report the total of all amounts not entitled to
priority listed on this Schedule E in the box labeled "Totals" on the last sheet of the completed schedule. Individual debtors with primarily consumer debts report this
total also on the Statistical Summary of Certain Liabilities and Related Data.
Check this box if debtor has no creditors holding unsecured priority claims to report on this Schedule E.
TYPES OF PRIORITY CLAIMS (Check the appropriate box(es) below if claims in that category are listed on the attached sheets)
Domestic support obligations
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, or responsible relative
of such a child, or a governmental unit to whom such a domestic support claim has been assigned to the extent provided in 11 U.S.C. § 507(a)(1).
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)(3).
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 $11,725* 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 the cessation 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 fishermen, up to $5,775* 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 $2,600* 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)(7).
Taxes and certain other debts owed to governmental units
Taxes, customs duties, and penalties owing to federal, state, and local governmental units as set forth in 11 U.S.C. § 507(a)(8).
Commitments to maintain the capital of an insured depository institution
Claims based on commitments to the FDIC, RTC, Director of the Office of Thrift Supervision, Comptroller of the Currency, or Board of Governors 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).
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, or
another substance. 11 U.S.C. § 507(a)(10).
* Amount subject to adjustment on 4/01/13, and every three years thereafter with respect to cases commenced on or after the date of adjustment.
89
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
continuation sheets attached
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 2 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Abaya, Cynthia M.
10263 Spruce Woodland Way
Escondido, CA 92026
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
1,380.29
6,941.06
Account No.
8/12-2/2/13
Abromovich, Allison L.
2456 Arrowhead Ct.
Chula Vista, CA 91915
PTO
5,560.77
0.00
395.44
Account No.
8/12-2/2/13
Abuka, Piloya P.
933 Peach Ave., #1
El Cajon, CA 92021
PTO
395.44
0.00
421.39
Account No.
8/12-2/2/13
Advani, Shanu
2400 5th Ave., #422
San Diego, CA 92101
PTO
421.39
0.00
224.08
Account No.
8/12-2/2/13
Aguirre, Teresa
3727 Sunset Lane
Apt. 13
San Ysidro, CA 92173
PTO
224.08
0.00
672.78
1
89
Sheet _____
of _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
672.78
1,380.29
8,654.75
7,274.46
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 3 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Aguon, Aimee S.
1770 E. Palomar Street, #2021
Chula Vista, CA 91913
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
233.08
Account No.
8/12-2/2/13
Ainsworth, David A.
7054 Fulton Street
Unit 1
San Diego, CA 92111
PTO
233.08
369.18
5,024.50
Account No.
8/12-2/2/13
Ainsworth, Takako J.
7054 Fulton Street
Unit 1
San Diego, CA 92111
PTO
4,655.32
0.00
3,612.92
Account No.
8/12-2/2/13
Ajayi, Toluwalase A.
302 W. Washington, #249
San Diego, CA 92103
PTO
3,612.92
0.00
1,938.96
Account No.
8/12-2/2/13
Albreski, Melody L.
4871 Palmetto Drive
Oceanside, CA 92057
PTO
1,938.96
0.00
3,730.28
2
89
Sheet _____
of _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
3,730.28
369.18
14,539.74
14,170.56
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 4 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Alburquerque, Rosa A.
7920 Montongo Circle
San Diego, CA 92126
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
849.28
Account No.
8/12-2/2/13
Allain, Thomas D.
8561 Cliffridge Ave.
La Jolla, CA 92037
PTO
849.28
0.00
1,680.95
Account No.
8/12-2/2/13
Allen, Ronald D.
463 Minot Ave.
Chula Vista, CA 91910
PTO
1,680.95
1,660.13
5,668.95
Account No.
8/12-2/2/13
Allina, Rosalyn G.
9420 Fortune Ln.
La Mesa, CA 91941
PTO
4,008.82
0.00
1,593.22
Account No.
8/12-2/2/13
Alvarado, Enma M.
4666 North Ave.
Apt. B
San Diego, CA 92116
PTO
1,593.22
0.00
2,154.58
3
89
Sheet _____
of _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
2,154.58
1,660.13
11,946.98
10,286.85
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 5 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Alvarez, Keeley K.
1243 Thlia St.
San Diego, CA 92154
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
165.93
Account No.
8/12-2/2/13
Anaya, Jessica J.
530 East H Street
Apt. 57
Chula Vista, CA 91910
PTO
165.93
0.00
247.48
Account No.
8/12-2/2/13
Andrews, Carol J.
1904 Leucadia Ct.
Encinitas, CA 92024
PTO
247.48
1,441.72
3,834.39
Account No.
8/12-2/2/13
Aragones, Karen C.
1606 Coronado Ave.
Apt. A
San Diego, CA 92154
PTO
2,392.67
1,162.73
3,432.55
Account No.
8/12-2/2/13
Bain, Brandi S.
11417 Eastview Ct.
San Diego, CA 92131
PTO
2,269.82
0.00
874.44
4
89
Sheet _____
of _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
874.44
2,604.45
8,554.79
5,950.34
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 6 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Baklanov, Cynthia
2528 2nd Ave
San Diego, CA 92103
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
463.62
3,110.66
Account No.
8/12-2/2/13
Baklanov, Pavel
2528 2nd Ave.
San Diego, CA 92103
PTO
2,647.04
0.00
2,482.20
Account No.
8/12-2/2/13
Balicoco, Sixto P.
5122 Providence Rd.
San Diego, CA 92117
PTO
2,482.20
0.00
1,189.12
Account No.
8/12-2/2/13
Banuelos, Maria T.
P.O. Box 2016
Alpine, CA 91903
PTO
1,189.12
1,982.85
6,562.31
Account No.
8/12-2/2/13
Barber, Peter J.
2152 Roberson St.
Ramona, CA 92065
PTO
4,579.46
0.00
748.07
5
89
Sheet _____
of _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
748.07
2,446.47
14,092.36
11,645.89
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 7 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Baron, Maria S.
2875 Conestoga Cr.
Alpine, CA 91901
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
798.79
Account No.
8/12-2/2/13
Barr, Jessica C.
3141 Saint Charles St.
San Diego, CA 92110
PTO
798.79
4,291.27
6,969.10
Account No.
8/12-2/2/13
Barragan Mireles, Jhonatan
671 S. Woods Ave.
Los Angeles, CA 90022
PTO
2,677.83
0.00
414.85
Account No.
8/12-2/2/13
Beaumarchais, Donald F.
7017 Nutmeg Way
Carlsbad, CA 92011
PTO
414.85
3,719.79
8,868.74
Account No.
8/12-2/2/13
Beaver, Edwin K.
4980 Triana St.
San Diego, CA 92117
PTO
5,148.95
2,787.09
6,416.32
6
89
Sheet _____
of _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
3,629.23
10,798.15
23,467.80
12,669.65
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 8 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Bell, Bonnie J.
3562 Mormount Rd.
Oceanside, CA 92056
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
834.15
6,919.86
Account No.
8/12-2/2/13
Bellaart, Marc A.
6272 Oakridge Rd.
San Diego, CA 92120
PTO
6,085.71
0.00
201.23
Account No.
8/12-2/2/13
Bernache, Marilu
334 Montgomery St., #A
Chula Vista, CA 91911
PTO
201.23
0.00
302.25
Account No.
8/12-2/2/13
Berry, Gregory B.
590 Flower St.
Apt. 5
Chula Vista, CA 91910
PTO
302.25
0.00
965.16
Account No.
8/12-2/2/13
Berwyn-Shaw, Kristina A.
4180 Louisiana St., #3J
San Diego, CA 92104
PTO
965.16
0.00
2,330.97
7
89
Sheet _____
of _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
2,330.97
834.15
10,719.47
9,885.32
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 9 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Bibelheimer, Jeremy P.
1609 Tarleton St.
Spring Valley, CA 91977
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
395.74
Account No.
8/12-2/2/13
Bird, Kathleen R.
1435 Montgomery Dr.
Vista, CA 92084
PTO
395.74
2,230.10
7,568.77
Account No.
8/12-2/2/13
Bishop, Lauren A.
6570 Ambrosia Lane, #1321
Carlsbad, CA 92011
PTO
5,338.67
0.00
825.46
Account No.
8/12-2/2/13
Blaise, Tracy A.
12407 Calle Lucia Terrace
Lakeside, CA 92040
PTO
825.46
0.00
243.80
Account No.
8/12-2/2/13
Blass, Jesus
8888 Milburn Ave.
Spring Valley, CA 91977
PTO
243.80
0.00
738.70
8
89
Sheet _____
of _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
738.70
2,230.10
9,772.47
7,542.37
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 10 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Boaz, Carol F.
4093 Louisiana St.
San Diego, CA 92104
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
2,630.57
Account No.
8/12-2/2/13
Bodtke, Susan K.
424 Sea Ridge Dr.
La Jolla, CA 92037
PTO
2,630.57
3,706.03
11,058.37
Account No.
8/12-2/2/13
Boelter, Rose M.
10061 Diversion Dr.
Spring Valley, CA 91977
PTO
7,352.34
0.00
305.18
Account No.
8/12-2/2/13
Bojanowski, Michael C.
6426 Bradford St.
San Diego, CA 92115
PTO
305.18
2,366.34
7,927.11
Account No.
8/12-2/2/13
Bokhari, Judith A.
11395 Herring Cove
San Diego, CA 92126
PTO
5,560.77
0.00
466.13
9
89
Sheet _____
of _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
466.13
6,072.37
22,387.36
16,314.99
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 11 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Bos, Carol L.
4325 Muir Ave.
San Diego, CA 92107
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
5,213.84
11,691.02
Account No.
8/12-2/2/13
Bower, Kimberly
4835 Barlows Landing Cove
San Diego, CA 92130
PTO
6,477.18
8,099.22
17,603.48
Account No.
8/12-2/2/13
Bredestege, Jeanne M.
4540 Parks Ave.
La Mesa, CA 91942
PTO
9,504.26
0.00
1,686.52
Account No.
8/12-2/2/13
Brown, Jacquelyn M.
10675 Red Cedar Dr.
San Diego, CA 92131
PTO
1,686.52
0.00
1,640.01
Account No.
8/12-2/2/13
Brown, Janice A.
4319 Corral Canyon Rd.
Bonita, CA 91902
PTO
1,640.01
0.00
1,099.19
10 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
1,099.19
13,313.06
33,720.22
20,407.16
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 12 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Brown, Marilyn A.
398 Compass Rd.
Oceanside, CA 92054
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
2,236.79
Account No.
8/12-2/2/13
Brown, Paula J.
P.O. Box 874
Bonita, CA 91908
PTO
2,236.79
430.17
5,225.84
Account No.
8/12-2/2/13
Bryce, Dana M.
3217 Mount Tami Dr.
San Diego, CA 92111
PTO
4,795.67
7,728.60
14,853.46
Account No.
8/12-2/2/13
Buckholtz, Gary T.
4835 Barlows Landing Cove
San Diego, CA 92130
PTO
7,124.86
8,289.37
18,557.48
Account No.
8/12-2/2/13
Bulger, Alicia M.
9230 Fanita RanchoRd.
Santee, CA 92071
PTO
10,268.11
0.00
472.50
11 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
472.50
16,448.14
41,346.07
24,897.93
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 13 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Buono, Kimi R.
914 Avenida De San Clemente
Encinitas, CA 92024
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
1,004.19
Account No.
8/12-2/2/13
Burke, Lunetta J.
4444 Oregon St., #2
San Diego, CA 92116
PTO
1,004.19
0.00
522.11
Account No.
8/12-2/2/13
Burke, Mandy L.
5440 Baltimore Dr.
Unit 104
La Mesa, CA 91942
PTO
522.11
0.00
2,091.89
Account No.
8/12-2/2/13
Burks, Diane
514 Jamacha Rd.
El Cajon, CA 92019
PTO
2,091.89
3,532.62
6,913.48
Account No.
8/12-2/2/13
Buzzell, Mary K.
6708 Vigo Dr.
La Mesa, CA 91942
PTO
3,380.86
0.00
476.88
12 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
476.88
3,532.62
11,008.55
7,475.93
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 14 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Cabrera, Elvia D.
2606 Flagstaff Ct.
Chula Vista, CA 91914
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
1,189.70
Account No.
8/12-2/2/13
Caldwell, Kathryn M.
3339 Apache Ave.
San Diego, CA 92117
PTO
1,189.70
0.00
493.46
Account No.
8/12-2/2/13
Callaway, Deborah A.
9661 Hartland Circle
Santee, CA 92071
PTO
493.46
0.00
2,338.36
Account No.
8/12-2/2/13
Cardenas, Vanessa
8254 Dorchester St.
Spring Valley, CA 91977
PTO
2,338.36
0.00
2,504.72
Account No.
8/12-2/2/13
Carlisle, Melissa M.
10127 Vine St., #19
Lakeside, CA 92040
PTO
2,504.72
0.00
1,238.66
13 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
1,238.66
0.00
7,764.90
7,764.90
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 15 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Carlson, Kristen A.
2805 Morena Blavd., #7
San Diego, CA 92117
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
1,567.72
Account No.
8/12-2/2/13
Carrasco, Susan Q.
6563 Bougainvilla Rd.
San Diego, CA 92139
PTO
1,567.72
0.00
214.71
Account No.
8/12-2/2/13
Casebolt, Douglas G.
5661 Lake Murray Blvd., #B
La Mesa, CA 91942
PTO
214.71
1,838.90
7,675.97
Account No.
8/12-2/2/13
Cassidy, James M.
427 Orange Ave.
Apt. H
Coronado, CA 92118
PTO
5,837.07
444.27
4,179.08
Account No.
8/12-2/2/13
Castrence, Gerardette
1069 Red Granite Rd.
Chula Vista, CA 91913
PTO
3,734.81
0.00
189.62
14 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
189.62
2,283.17
13,827.10
11,543.93
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 16 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Cauchon, Lisette U.
3370 29th Street
San Diego, CA 92104
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
5,784.05
12,019.09
Account No.
8/12-2/2/13
Ceniceros, Pablo B.
480 East H Street
Apt. 112
Chula Vista, CA 91910
PTO
6,235.04
0.00
216.97
Account No.
8/12-2/2/13
Chapman, Becky S.
475 Tesota Ct.
Chula Vista, CA 91911
PTO
216.97
0.00
1,195.62
Account No.
8/12-2/2/13
Chapman, Genoa M.
325 E. Bradley
Apt. 119
El Cajon, CA 92021
PTO
1,195.62
94.91
2,850.75
Account No.
8/12-2/2/13
Chapman-Antwine, Bonnie S.
475 Tesota Ct.
Chula Vista, CA 91911
PTO
2,755.84
4,212.76
7,245.16
15 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
3,032.40
10,091.72
23,527.59
13,435.87
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 17 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Chatterley, Lara M.
6534 Bradford St.
San Diego, CA 92115
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
672.15
Account No.
8/12-2/2/13
Chicoine, Julie M.
4409 Caminito Plomada
San Diego, CA 92117
PTO
672.15
0.00
2,501.88
Account No.
8/12-2/2/13
Cho, Yangnae
3330 Reynard Way, #4
San Diego, CA 92103
PTO
2,501.88
0.00
4,474.35
Account No.
various
Christianson, Sonya K.
1509 Republic Street
San Diego, CA 92114
PTO
4,474.35
0.00
5,201.56
Account No.
8/12-2/2/13
Clayton, Kristen M.
2624 Angell Ave.
San Diego, CA 92122
PTO
5,201.56
0.00
2,436.72
16 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
2,436.72
0.00
15,286.66
15,286.66
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 18 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Coash, Carlyle J.
10954 West Ocean Air Drive
#396
San Diego, CA 92130
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
1,772.10
Account No.
8/12-2/2/13
Cochran, Bryan
2400 5th Ave., #107
San Diego, CA 92101
PTO
1,772.10
0.00
1,078.60
Account No.
8/12-2/2/13
Colarusso, Timothy L.
1273 Farmington Pl.
San Marcos, CA 92078
PTO
1,078.60
369.09
4,377.91
Account No.
8/12-2/2/13
Collet, Carole L.
17828 Villamoura Dr.
Poway, CA 92064
PTO
4,008.82
0.00
748.45
Account No.
8/12-2/2/13
Collins, Fatimah
365 Moss Street
Unit C-3
Chula Vista, CA 91911
PTO
748.45
1,167.84
4,223.42
17 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
3,055.58
1,536.93
12,200.48
10,663.55
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 19 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Collins, Paula R.
851 Via Tonga Ct.
San Diego, CA 92154
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
662.20
Account No.
8/12-2/2/13
Corbin, Douglas P.
1633 S. Hannalei Dr.
Vista, CA 92083
PTO
662.20
6,065.63
11,789.95
Account No.
8/12-2/2/13
Cordova, Alba M.
1487 Eagle Glen
Escondido, CA 92029
PTO
5,724.32
0.00
618.05
Account No.
8/12-2/2/13
Costello, Rosanna
461 Live Oak Dr.
El Cajon, CA 92020
PTO
618.05
0.00
1,841.27
Account No.
8/12-2/2/13
Covert, Tanya L.
544 Hibiscus Ct.
Chula Vista, CA 91911
PTO
1,841.27
0.00
1,652.04
18 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
1,652.04
6,065.63
16,563.51
10,497.88
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 20 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Crandall, Pamela J.
2520 Monroe Ave.
San Diego, CA 92116
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
248.89
Account No.
8/12-2/2/13
Cross-Abille, Jill E.
1503 Condor Ave.
El Cajon, CA 92019
PTO
248.89
2,255.43
7,721.58
Account No.
8/12-2/2/13
Crow, Katherine D.
2729 Columbine St.
San Diego, CA 92105
PTO
5,466.15
0.00
1,712.94
Account No.
8/12-2/2/13
Culas, Rowena P.
7477 Goode St.
San Diego, CA 92139
PTO
1,712.94
0.00
1,424.49
Account No.
8/12-2/2/13
Cullen, Patrick R.
3930 Centre St., #102
San Diego, CA 92103
PTO
1,424.49
0.00
174.77
19 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
174.77
2,255.43
11,282.67
9,027.24
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 21 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Curtin, Robert J.
1836 Helix St.
Spring Valley, CA 91977
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
2,605.95
9,273.75
Account No.
8/12-2/2/13
Daniels, Tylie L.
2258 Flatiron Way
San Marcos, CA 92078
PTO
6,667.80
0.00
6,485.63
Account No.
8/12-2/2/13
Daoust, Jennifer A.
8842 Mission Vega Ct.
Unit 2
Santee, CA 92071
PTO
6,485.63
0.00
185.06
Account No.
8/12-2/2/13
Davis, Aimee L.
4863 Collwood Blvd.
Unit A
San Diego, CA 92115
PTO
185.06
0.00
1,237.26
Account No.
8/12-2/2/13
Davis, Brigit T.
1253 Gamble Lane
Escondido, CA 92029
PTO
1,237.26
782.88
5,917.29
20 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
5,134.41
3,388.83
23,098.99
19,710.16
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 22 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Davis, Denice A.
3763 Dana Place
San Diego, CA 92103
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
3,214.94
6,702.77
Account No.
8/12-2/2/13
Davis, Sarah A.
565 San Lucus Place
Chula Vista, CA 91914
PTO
3,487.83
0.00
1,984.50
Account No.
8/12-2/2/13
Davlin, Hollie C.
1425 Second Ave., #219
Chula Vista, CA 91911
PTO
1,984.50
0.00
2,874.08
Account No.
8/12-2/2/13
De Jaco, Jo A.
301 West G Street
San Diego, CA 92101
PTO
2,874.08
0.00
186.04
Account No.
8/12-2/2/13
De La Cruz, Sonia S.
2136 Rexford Drive, #2136
San Diego, CA 92105
PTO
186.04
395.25
2,471.38
21 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
2,076.13
3,610.19
14,218.77
10,608.58
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 23 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
De Los Santos, Genevieve
5134 Seaglen Way
San Diego, CA 92154
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
542.69
Account No.
8/12-2/2/13
De Quintana Roo, Kristie
200 W. Chase Ave., #B
El Cajon, CA 92020
PTO
542.69
1,180.51
3,421.56
Account No.
8/12-2/2/13
DeCorrevont, Ada Y.
150 E. St., #A3
Chula Vista, CA 91910
PTO
2,241.05
0.00
196.28
Account No.
8/12-2/2/13
Delacalzada, Melissa
2216 Ilex Ave.
San Diego, CA 92154
PTO
196.28
3,436.84
9,959.37
Account No.
8/12-2/2/13
Delgagillo, Nicholas G.
1951 Crenshaw St.
San Diego, CA 92105
PTO
6,522.53
0.00
820.31
22 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
820.31
4,617.35
14,940.21
10,322.86
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 24 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Delrio, Alyssa M.
2043 Haller St.
San Diego, CA 92104
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
1,634.99
Account No.
various
Desroches, Christine M.
705 Eastshore Terrace #15
Chula Vista, CA 91913
PTO
1,634.99
0.00
428.74
Account No.
8/12-2/2/13
Di Scala, Samara L.
1281 9th Ave.
Unit 708
San Diego, CA 92101
PTO
428.74
0.00
273.80
Account No.
8/12-2/2/13
Diaz, Lacey L.
3068 Anella Rd.
San Ysidro, CA 92173
PTO
273.80
0.00
278.94
Account No.
8/12-2/2/13
Dickenson, Vida F.
10707 Jamacha Rd.. #26
Spring Valley, CA 91978
PTO
278.94
0.00
1,549.81
23 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
1,549.81
0.00
4,166.28
4,166.28
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 25 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Dinkel, Paul
1681 Sheridan Ave.
Escondido, CA 92027
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
2,024.02
Account No.
8/12-2/2/13
Dolinka, Yvonne R.
10626 Aderman Ave., #11
San Diego, CA 92126
PTO
2,024.02
0.00
2,600.81
Account No.
8/12-2/2/13
Duke, Korie M.
12357 Kingspine Ave.
San Diego, CA 92131
PTO
2,600.81
0.00
1,719.34
Account No.
8/12-2/2/13
Dukes, Susan C.
2120 Estela Dr.
El Cajon, CA 92020
PTO
1,719.34
4,939.85
8,954.03
Account No.
8/12-2/2/13
Dumas, Elizabeth
6790 Moneral Dr.
San Diego, CA 92119
PTO
4,014.18
0.00
470.49
24 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
470.49
4,939.85
15,768.69
10,828.84
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 26 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Dunn, Heather A.
1333 8th Ave., #702
San Diego, CA 92101
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
1,882.67
Account No.
8/12-2/2/13
Early, Jennifer A.
386 Fordyce St.
El Cajon, CA 92019
PTO
1,882.67
0.00
274.71
Account No.
8/12-2/2/13
Edmonds, Kyle P.
4920 1/2 Field Street
San Diego, CA 92110
PTO
274.71
1,922.96
4,309.15
Account No.
8/12-2/2/13
Edwards, Nancy L.
9020 Kirby Court
San Diego, CA 92126
PTO
2,386.19
4,631.51
10,577.94
Account No.
8/12-2/2/13
Elia, Giovanni
302 Washington St., #735
San Diego, CA 92103
PTO
5,946.43
0.00
5,670.58
25 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
5,670.58
6,554.47
22,715.05
16,160.58
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 27 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Ellington, Virna G.
5245 Caminito Mindy
San Diego, CA 92105
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
1,021.76
Account No.
8/12-2/2/13
Elliott, Denise E.
642 Marina Parkway, #16
Chula Vista, CA 91910
PTO
1,021.76
0.00
369.81
Account No.
8/12-2/2/13
Ellis, Joyce E.
4204 Campus Ave., #1
San Diego, CA 92103
PTO
369.81
1,290.72
3,813.73
Account No.
8/12-2/2/13
Elmore, Hayley J.
9328 Parus Point
San Diego, CA 92129
PTO
2,523.01
0.00
710.59
Account No.
8/12-2/2/13
Empeno, Jessica
14260 Sliver Ridge Rd.
Poway, CA 92064
PTO
710.59
0.00
4,978.15
26 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
4,978.15
1,290.72
10,894.04
9,603.32
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 28 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Fenton, Brooke S.
2235 Riverview Rd.
Fallbrook, CA 92028
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
1,953.19
Account No.
8/12-2/2/13
Field, Brenda L.
16957 Abundante St.
San Diego, CA 92127
PTO
1,953.19
0.00
786.40
Account No.
8/12-2/2/13
Fifield, Kristine L.
110 Caroline Way
Escondido, CA 92025
PTO
786.40
0.00
142.36
Account No.
8/12-2/2/13
Finley, Pamela S.
3754 5th Ave., #106
San Diego, CA 92103
PTO
142.36
0.00
258.36
Account No.
8/12-2/2/13
Fischer, Alyce M.
3778 Keating
San Diego, CA 92110
PTO
258.36
557.91
4,308.35
27 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
3,750.44
557.91
7,448.66
6,890.75
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 29 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Fiske-Genest, Janis L.
7459 Kickin Horse Trail
Julian, CA 92036
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
3,908.19
Account No.
8/12-2/2/13
Fitzgerald, Danesha D.
29747 Cool MEadow Dr.
Menifee, CA 92584
PTO
3,908.19
2,285.42
7,846.19
Account No.
8/12-2/2/13
Fitzgerald, Kim L.
523 Adella Lane
Coronado, CA 92118
PTO
5,560.77
0.00
1,929.72
Account No.
8/12-2/2/13
Flanagan-Brown, Jane E.
6360 Mt. Acre Way
San Diego, CA 92111
PTO
1,929.72
0.00
4,235.50
Account No.
8/12-2/2/13
Fleury, Abraham J.
1951 Crenshaw
San Diego, CA 92105
PTO
4,235.50
0.00
1,068.53
28 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
1,068.53
2,285.42
18,988.13
16,702.71
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 30 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Flood, Andrea
7731 Calina Way
Carlsbad, CA 92009
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
1,842.30
Account No.
8/12-2/2/13
Flood, Jonathan A.
1250 Cleveland Ave.
Unit B-223
San Diego, CA 92103
PTO
1,842.30
4,808.91
10,180.32
Account No.
8/12-2/2/13
Flores, Angelita P.
712 Gredos Pl.
Chula Vista, CA 91910
PTO
5,371.41
0.00
1,509.66
Account No.
8/12-2/2/13
Flores, Mark A.
13339 Caminito Ciera, #86
San Diego, CA 92129
PTO
1,509.66
0.00
578.36
Account No.
8/12-2/2/13
Fontenot, Darci L.
2754 E Street
San Diego, CA 92102
PTO
578.36
0.00
1,497.61
29 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
1,497.61
4,808.91
15,608.25
10,799.34
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 31 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Forde, Melissa A.
3782 Arizona St.
San Diego, CA 92104
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
762.27
Account No.
8/12-2/2/13
Forner, Kristin D.
4179 3rd Ave.
Apt. 305
San Diego, CA 92103
PTO
762.27
522.49
2,908.68
Account No.
8/12-2/2/13
Franklin, Jan E.
1297 Smokebush Ct.
El Cajon, CA 92019
PTO
2,386.19
0.00
5,539.89
Account No.
8/12-2/2/13
Fry, Liane M.
3428 29th Street
San Diego, CA 92104
PTO
5,539.89
0.00
3,415.52
Account No.
8/12-2/2/13
Fulmore, Lisa A.
P.O. Box 15661
San Diego, CA 92175
PTO
3,415.52
0.00
2,680.26
30 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
2,680.26
522.49
15,306.62
14,784.13
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 32 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Gannon, Lita J.
748 N. 3rd Street
Apt. A
El Cajon, CA 92021
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
593.88
Account No.
8/12-2/2/13
Ganser, Pamela
3943 Argyle St.
San Diego, CA 92111
PTO
593.88
0.00
1,145.59
Account No.
8/12-2/2/13
Garcia, Carmen S.
1126 East 24th Street
National City, CA 91950
PTO
1,145.59
1,553.09
3,492.38
Account No.
8/12-2/2/13
Garcia, Jennifer A.
5048 Narragansette Ave.
San Diego, CA 92107
PTO
1,939.29
0.00
627.16
Account No.
8/12-2/2/13
Garcia, Slivia
4438 Bermuda Ave.
San Diego, CA 92107
PTO
627.16
6,327.84
15,832.10
31 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
9,504.26
7,880.93
21,691.11
13,810.18
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 33 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Gastelum Arguello, Bryttssa
1609 E. 18th Street., #16
National City, CA 91950
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
640.28
Account No.
8/12-2/2/13
Gettler, Melanie D.
7725 El Cajon Blvd., #2
La Mesa, CA 91942
PTO
640.28
0.00
500.61
Account No.
8/12-2/2/13
Gillen, Jessica L.
3311 Jemez Dr.
San Diego, CA 92117
PTO
500.61
0.00
300.96
Account No.
8/12-2/2/13
Goda, Alexandra
12635 El Camino Real
#4209
San Diego, CA 92130
PTO
300.96
0.00
320.09
Account No.
8/12-2/2/13
Gomez, Martha L.
5811 Pawnee Drive
La Mesa, CA 91942
PTO
320.09
0.00
1,363.38
32 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
1,363.38
0.00
3,125.32
3,125.32
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 34 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Gonzalez, Rosalinda
2024 Granger Ave., #B
National City, CA 91950
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
116.03
Account No.
8/12-2/2/13
Goodbody, Antoinette
3225 Granada Ave.
San Diego, CA 92104
PTO
116.03
0.00
469.57
Account No.
8/12-2/2/13
Greene, Debra A.
4626 Home Ave.
San Diego, CA 92105
PTO
469.57
0.00
1,046.32
Account No.
8/12-2/2/13
Groth, Jamie N.
1510 33rd Street
San Diego, CA 92102
PTO
1,046.32
0.00
2,259.53
Account No.
8/12-2/2/13
Gurrola, Michelle R.
5364 Bonita Dr.
San Diego, CA 92114
PTO
2,259.53
0.31
678.78
33 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
678.47
0.31
4,570.23
4,569.92
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 35 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Gustafson, Lisa A.
732 Agate St.
San Diego, CA 92109
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
259.58
Account No.
8/12-2/2/13
Gutierrez, Laura E.
4132 E. Plaza Blvd.
National City, CA 91950
PTO
259.58
0.00
179.31
Account No.
8/12-2/2/13
Gutierrez, Maria D.
4611 Miramonte St.
La Mesa, CA 91941
PTO
179.31
1,034.87
2,908.27
Account No.
8/12-2/2/13
Hanna, Sandy D.
6550 Zena Dr.
San Diego, CA 92115
PTO
1,873.40
0.00
2,584.11
Account No.
8/12-2/2/13
Haro, Carla A.
2926 E. 19th Street
National City, CA 91950
PTO
2,584.11
0.00
502.48
34 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
502.48
1,034.87
6,433.75
5,398.88
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 36 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Harris, Mylene M.
725 Paradise Way
National City, CA 91950
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
1,452.04
4,984.52
Account No.
8/12-2/2/13
Harvill, Lindsey B.
4377 Arizona St.
San Diego, CA 92104
PTO
3,532.48
0.00
1,588.36
Account No.
8/12-2/2/13
Hawkins, Samantha L.
4923 Wheelhouse Dr.
San Diego, CA 92154
PTO
1,588.36
735.56
3,011.19
Account No.
8/12-2/2/13
Heien, Ann V.
379 Compass Rd.
Oceanside, CA 92054
PTO
2,275.63
3,491.11
6,419.92
Account No.
8/12-2/2/13
Heinrichs, Kim J.
10984 Creekbridge Place
San Diego, CA 92128
PTO
2,928.81
2,339.30
8,154.93
35 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
5,815.63
8,018.01
24,158.92
16,140.91
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 37 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Hengel, Julie A.
2618 East 15th Street
National City, CA 91950
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
578.77
4,119.35
Account No.
8/12-2/2/13
Hermosillo, Maura
3406 Trophy Dr.
La Mesa, CA 91941
PTO
3,540.58
0.00
2,000.96
Account No.
8/12-2/2/13
Hernandez, Claudia
3844 Teak St.
San Diego, CA 92113
PTO
2,000.96
0.00
1,400.68
Account No.
8/12-2/2/13
Hernandez, Virgina
10119 Lafe Dr.
Santee, CA 92071
PTO
1,400.68
0.00
93.48
Account No.
8/12-2/2/13
Herrera, Yolanda
1521 Concord Way
Unit B
Chula Vista, CA 91911
PTO
93.48
0.00
115.23
36 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
115.23
578.77
7,729.70
7,150.93
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 38 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Hesseltine, Walter L.
3615 Mt. Alvarez Ave.
San Diego, CA 92111
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
2,365.09
Account No.
8/12-2/2/13
Hildreth, Katrena
5109 Clairemont Mesa Blvd.
Apt. 103
San Diego, CA 92117
PTO
2,365.09
2,109.07
5,117.70
Account No.
8/12-2/2/13
Hillengas, Maryrita
1813 Reed Ave., #2
San Diego, CA 92109
PTO
3,008.63
2,087.02
5,263.01
Account No.
8/12-2/2/13
Hinds, Kristy M.
10816 Whitehall Rd.
San Diego, CA 92126
PTO
3,175.99
0.00
510.92
Account No.
8/12-2/2/13
Hirst, Jeremy M.
5029 San Joaquin Dr.
San Diego, CA 92109
PTO
510.92
0.00
2,466.30
37 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
2,466.30
4,196.09
15,723.02
11,526.93
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 39 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Hoffman, Carol
1122 Boulevard Place
El Cajon, CA 92020
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
1,076.45
Account No.
8/12-2/2/13
Hoffman, Danielle
17 Montego Ct.
Coronado, CA 92118
PTO
1,076.45
3,262.75
7,059.45
Account No.
8/12-2/2/13
Holiness, Debra A.
1018 Palm Ave.
National City, CA 91950
PTO
3,796.70
0.00
308.35
Account No.
8/12-2/2/13
Horn, Meridel C.
1942 Fairhaven St.
Lemon Grove, CA 91945
PTO
308.35
1,311.23
7,546.27
Account No.
8/12-2/2/13
Howard, Lindsay N.
6527 Estelle St.
San Diego, CA 92115
PTO
6,235.04
0.00
2,586.38
38 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
2,586.38
4,573.98
18,576.90
14,002.92
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 40 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Hubbard, Kyna M.
1517 Thermal Ave.
San Diego, CA 92154
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
163.88
Account No.
8/12-2/2/13
Hughes, Janalee
935 Club Vire Terrace
Chula Vista, CA 91911
PTO
163.88
0.00
727.95
Account No.
8/12-2/2/13
Huizinga, Jason
2019 Manzana Way
San Diego, CA 92139
PTO
727.95
1,740.75
5,021.71
Account No.
various
Humphrey, Mary M.
9520 Cypress St.
Lakeside, CA 92040
PTO
3,280.96
0.00
184.80
Account No.
8/12-2/2/13
Hunt, Ana
1441 Southview Ct.
Chula Vista, CA 91910
PTO
184.80
0.00
228.42
39 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
228.42
1,740.75
6,326.76
4,586.01
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 41 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Hutton, Robin
9215 Piatto Lane
San Diego, CA 92108
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
3,287.64
Account No.
8/12-2/2/13
Irwin, Scott
4806 Yearling Glen Rd.
San Diego, CA 92130
PTO
3,287.64
0.00
8,494.10
Account No.
8/12-2/2/13
Jackson, Stacy A.
741 N. Cuyamaca St.
El Cajon, CA 92020
PTO
8,494.10
0.00
202.39
Account No.
8/12-2/2/13
Jaco, Yolanda
17935 Community Bldg. Rd.
Dulzura, CA 91917
PTO
202.39
0.00
252.11
Account No.
8/12-2/2/13
Jacobo-Mares, Alexandra H.
827 Glendale Ave.
San Diego, CA 92102
PTO
252.11
0.00
355.10
40 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
355.10
0.00
12,591.34
12,591.34
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 42 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Jennings, Michelle E.
4741 Lehrer Dr.
San Diego, CA 92117
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
1,619.77
Account No.
8/12-2/2/13
Jester, Anneliza C.
1887 Monaco Drive
Chula Vista, CA 91913
PTO
1,619.77
0.00
1,045.87
Account No.
8/12-2/2/13
Johnson, Tracy L.
1029 Morgan Hill Dr.
Chula Vista, CA 91913
PTO
1,045.87
0.00
1,375.95
Account No.
8/12-2/2/13
Johnson, Trina W.
5262 Rex Ave., #1
San Diego, CA 92105
PTO
1,375.95
0.00
176.18
Account No.
8/12-2/2/13
Joloya, Bermina M.
199 Avenida Loretta
Chula Vista, CA 91914
PTO
176.18
0.00
1,864.56
41 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
1,864.56
0.00
6,082.33
6,082.33
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 43 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Jones, Clifford G.
4075 Arizona St.
San Diego, CA 92104
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
597.64
Account No.
8/12-2/2/13
Jones, Kevin L.
13280 Morning Glory Dr.
Lakeside, CA 92040
PTO
597.64
0.00
1,252.86
Account No.
8/12-2/2/13
Jones, William F.
11422 Bootes St.
San Diego, CA 92126
PTO
1,252.86
1,460.01
4,891.56
Account No.
8/12-2/2/13
Kassuba, Sonja
3761 Centre St.
Unit 401
San Diego, CA 92103
PTO
3,431.55
0.00
1,292.75
Account No.
8/12-2/2/13
Kelsay, Dina M.
31640 Serrento Dr.
Murrieta, CA 92563
PTO
1,292.75
0.00
688.53
42 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
688.53
1,460.01
8,723.34
7,263.33
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 44 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Keyte, David
819 Diamond St.
San Diego, CA 92109
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
1,556.20
4,734.52
Account No.
8/12-2/2/13
Kidio, Jocelia J.
4183 Alabama St.
Apt. 5
San Diego, CA 92104
PTO
3,178.32
0.00
387.94
Account No.
8/12-2/2/13
Kim, Jennifer S.
3841 Mount Aladin Ave.
San Diego, CA 92111
PTO
387.94
0.00
766.15
Account No.
8/12-2/2/13
King, Lorelei R.
1478 D Gustavo St.
El Cajon, CA 92019
PTO
766.15
196.26
2,337.56
Account No.
8/12-2/2/13
Lacuesta, Maria Angela M.
2413 Manzana Way
San Diego, CA 92139
PTO
2,141.30
0.00
433.80
43 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
433.80
1,752.46
8,659.97
6,907.51
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 45 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
LaFleur, David
897 Pinewood Dr.
Oceanside, CA 92057
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
633.30
4,244.18
Account No.
8/12-2/2/13
Lamb, Sabrina A.
1920 Louis Dr.
Escondido, CA 92026
PTO
3,610.88
0.00
302.09
Account No.
8/12-2/2/13
Lance-Sexton, Amanda
1614 Meade Ave
San Diego, CA 92116
PTO
302.09
0.00
823.10
Account No.
8/12-2/2/13
Lauritzen, Gudrun M.
3829 Adams Ave.
San Diego, CA 92116
PTO
823.10
0.00
1,178.30
Account No.
8/12-2/2/13
Lawrence, Damiana
1342 Carlsbad St.
San Diego, CA 92114
PTO
1,178.30
0.00
1,754.49
44 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
1,754.49
633.30
8,302.16
7,668.86
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 46 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Lazarow, Talya K.
6212 Agee St., #53
San Diego, CA 92122
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
1,473.74
4,915.93
Account No.
8/12-2/2/13
LeBlanc, Joan
8444 Lake Gaby Ave.
San Diego, CA 92119
PTO
3,442.19
0.00
310.83
Account No.
8/12-2/2/13
Leopold, Lori L.
1250 Natoma Way, #A
Oceanside, CA 92057
PTO
310.83
0.00
609.47
Account No.
8/12-2/2/13
Lewis, Deborah A.
8483 Blackburn Lane
San Diego, CA 92127
PTO
609.47
4,866.62
8,674.65
Account No.
8/12-2/2/13
Lim-Hubbard, Jesusa A.
3405 Folrida Dr., #502
San Diego, CA 92104
PTO
3,808.03
0.00
2,001.79
45 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
2,001.79
6,340.36
16,512.67
10,172.31
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 47 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Limon II, Juan D.
2656 K. Street
San Diego, CA 92102
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
1,072.87
Account No.
8/12-2/2/13
Limon, Guadalupe
541 17th St.
San Diego, CA 92101
PTO
1,072.87
0.00
1,181.68
Account No.
8/12-2/2/13
Livermore, Sarah
1020 Devonshire
San Diego, CA 92107
PTO
1,181.68
0.00
2,320.01
Account No.
8/12-2/2/13
Lloyd, Linda
3443 Whittier Street
San Diego, CA 92106
PTO
2,320.01
4,626.55
10,281.83
Account No.
8/12-2/2/13
Loe, Rhonda A.
4970 Mansfield St.
San Diego, CA 92116
PTO
5,655.28
0.00
2,541.51
46 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
2,541.51
4,626.55
17,397.90
12,771.35
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 48 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Lopez, Dominic F.
8000 University Ave.
Apt. 206
La Mesa, CA 91942
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
393.53
Account No.
8/12-2/2/13
Lopez, Jessica L.
5526 Shasta Lane
Unit A
La Mesa, CA 91942
PTO
393.53
961.85
3,795.21
Account No.
8/12-2/2/13
Lowey, Timothy R.
5829 Arboles St.
San Diego, CA 92120
PTO
2,833.36
3,412.21
9,136.53
Account No.
8/12-2/2/13
Lutman, Jack A.
5069 Mycenae Way
Oceanside, CA 92056
PTO
5,724.32
2,053.44
7,614.21
Account No.
8/12-2/2/13
Lydecker, Margaret M.
805 N. Cleveland St.
Unit A
Oceanside, CA 92054
PTO
5,560.77
0.00
825.72
47 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
825.72
6,427.50
21,765.20
15,337.70
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 49 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Mabery, Yvonne L.
6470 Caminito Estrellado
San Diego, CA 92120
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
2,267.46
6,944.80
Account No.
8/12-2/2/13
Macaspac, Rolando H.
10944 Camino Ruiz
Apt. 17
San Diego, CA 92126
PTO
4,677.34
0.00
159.19
Account No.
8/12-2/2/13
Madonis, Alexander J.
4146 Bachman Place
Apt. C
San Diego, CA 92103
PTO
159.19
0.00
1,723.66
Account No.
8/12-2/2/13
Madrid, David M.
5701 Cowles Mountain Blvd.
Apt. R-26
La Mesa, CA 91942
PTO
1,723.66
170.45
2,293.13
Account No.
8/12-2/2/13
Madrona, Daryn
1936 Handel Way
San Diego, CA 92126
PTO
2,122.68
0.00
876.83
48 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
876.83
2,437.91
11,997.61
9,559.70
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 50 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Magee, Nancy K.
2660 Torrey Pines Rd.
La Jolla, CA 92037
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
2,193.29
Account No.
8/12-2/2/13
Magill, Jenna B.
6561 Reflection Dr., #214
San Diego, CA 92124
PTO
2,193.29
0.00
465.15
Account No.
8/12-2/2/13
Main, De De L.
448 Brockton St.
El Cajon, CA 92020
PTO
465.15
0.00
235.43
Account No.
8/12-2/2/13
Manoff, Gregory P.
5373 Bloch Street
San Diego, CA 92122
PTO
235.43
0.00
2,826.23
Account No.
8/12-2/2/13
Mantooth, Jessica J.
4424 44th Street
Apt. 123
San Diego, CA 92115
PTO
2,826.23
0.00
1,950.71
49 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
1,950.71
0.00
7,670.81
7,670.81
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 51 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Marcantonio, Ben B.
4165 Rochester Rd.
San Diego, CA 92116
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
13,092.74
26,136.45
Account No.
8/12-2/2/13
Marcantonio, Vincene
3138 Cabrilla Bay Lane
San Diego, CA 92110
PTO
13,043.71
3,238.72
6,787.84
Account No.
8/12-2/2/13
Marin, Rosalba
607 Palm Ave.
National City, CA 91950
PTO
3,549.12
0.00
171.04
Account No.
various
Marn, Debra
7975 June Lake Dr.
San Diego, CA 92119
Wages
171.04
0.00
840.73
Account No.
8/12-2/2/13
Martin, June
5619 Meade Ave.
San Diego, CA 92115
PTO
840.73
0.00
3,908.52
50 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
3,908.52
16,331.46
37,844.58
21,513.12
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 52 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Martinez, Haydee
5634 Spartan Dr.
San Diego, CA 92115
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
237.44
Account No.
8/12-2/2/13
McBride, Patricia A.
7482 Mohawk St., #48
La Mesa, CA 91942
PTO
237.44
0.00
1,375.94
Account No.
8/12-2/2/13
McDougle, Judy E.
100 Harbor Dr., #906
San Diego, CA 92101
PTO
1,375.94
0.00
2,416.70
Account No.
8/12-2/2/13
McElroy, Donald R.
1674 May Ave.
Chula Vista, CA 91913
PTO
2,416.70
0.00
3,325.70
Account No.
8/12-2/2/13
McGee Jenny J.
5201 Mandalay Place
San Diego, CA 92115
PTO
3,325.70
0.00
2,656.72
51 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
2,656.72
0.00
10,012.50
10,012.50
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 53 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
McGowan, Mary A.
3332 Clairemont Dr.
San Diego, CA 92117
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
4,719.40
Account No.
8/12-2/2/13
Mclvor, Julie
P.O. Box 707
Alpine, CA 91903
PTO
4,719.40
747.73
2,719.57
Account No.
8/12-2/2/13
McMenamin, Paula H.
10243 Black Mountain Road, N1
San Diego, CA 92126
Wages & PTO
1,971.84
538.88
6,892.66
Account No.
8/12-2/2/13
Mejia, Victoria
3082 Golf Crest Ridge Rd.
El Cajon, CA 92019
PTO
6,353.78
1,904.54
4,327.80
Account No.
8/12-2/2/13
Menkin, Elizabeth S.
104 Lewis St.
San Diego, CA 92103
PTO
2,423.26
0.00
4,205.88
52 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
4,205.88
3,191.15
22,865.31
19,674.16
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 54 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Miller, Shannon K.
1945 30th Street
San Diego, CA 92104
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
167.70
Account No.
8/12-2/2/13
Mizser, Chris C.
4955 Diane Court
San Diego, CA 92117
PTO
167.70
0.00
4,074.73
Account No.
8/12-2/2/13
Moeini, Linda H.
9721 Bluelake Dr.
San Diego, CA 92119
PTO
4,074.73
0.00
3,125.13
Account No.
8/12-2/2/13
Montero, Trista Joy D.
5228 Tara Place
San Diego, CA 92117
PTO
3,125.13
0.00
367.27
Account No.
8/12-2/2/13
Montross, Lori
790 Camino De La Reina, #266
San Diego, CA 92108
PTO
367.27
0.00
2,793.78
53 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
2,793.78
0.00
10,528.61
10,528.61
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 55 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Moore, Dominic A.
4204 Third Ave., #1
San Diego, CA 92103
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
414.76
2,800.95
Account No.
8/12-2/2/13
Moore, Miranda L.
853 49th Street
San Diego, CA 92102
PTO
2,386.19
0.00
624.91
Account No.
8/12-2/2/13
Moore, Shannon
414 G Ave.
Coronado, CA 92118
PTO
624.91
534.53
10,587.01
Account No.
8/12-2/2/13
Moran, Maria R.
10250 Prospect Ave., #47
Santee, CA 92071
PTO
10,052.48
0.00
275.51
Account No.
8/12-2/2/13
Morehead, Robert C.
3740 PArk Blvd., #111
San Diego, CA 92103
PTO
275.51
0.00
5,318.29
54 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
5,318.29
949.29
19,606.67
18,657.38
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 56 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Moses, Patricia
3612 Baker St.
San Diego, CA 92117
Wages & PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
3,396.42
Account No.
8/12-2/2/13
Mozafari, Adila
6665 Mission Gorge Rd., #E3
San Diego, CA 92120
PTO
3,396.42
362.54
2,608.04
Account No.
8/12-2/2/13
Munaco-Gonzalez, Rosalia
1103 S. Broadway
Escondido, CA 92025
PTO
2,245.50
0.00
734.45
Account No.
8/12-2/2/13
Mustol, Elizabeth A.
4580 Ohio St., #6
San Diego, CA 92116
PTO
734.45
4,783.11
10,976.21
Account No.
8/12-2/2/13
Neal, Cynthia E.
1350 Peach Ave., #B
El Cajon, CA 92021
PTO
6,193.10
0.00
690.68
55 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
690.68
5,145.65
18,405.80
13,260.15
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 57 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Nnebe, Njideka J.
2474 Hilton Head Place
El Cajon, CA 92019
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
2,660.44
Account No.
8/12-2/2/13
O'Keefe, Colleen A.
2686 Dove St.
San Diego, CA 92103
PTO
2,660.44
0.00
1,182.84
Account No.
8/12-2/2/13
O'Mary, Sharon A.
8250 Valdosta Ave.
San Diego, CA 92126
PTO
1,182.84
15,273.89
28,317.60
Account No.
8/12-2/2/13
Oliver-Comer, Angela D.
1127 Sea Reef Dr.
San Diego, CA 92154
PTO
13,043.71
0.00
496.19
Account No.
8/12-2/2/13
Osburn, Rhonda M.
1663 Poinciana Dr.
El Cajon, CA 92021
PTO
496.19
0.00
931.51
56 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
931.51
15,273.89
33,588.58
18,314.69
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 58 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Oster, Gary E.
6813 Caminito Sueno
Carlsbad, CA 92009
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
10,541.80
17,680.54
Account No.
8/12-2/2/13
Ott, Cathrine E.
2414 Front St.
Unit 13
San Diego, CA 92101
PTO
7,138.74
0.00
1,605.38
Account No.
8/12-2/2/13
Owens-Hoy, Lisa M.
4437 37th St.
San Diego, CA 92116
PTO
1,605.38
0.00
2,238.01
Account No.
8/12-2/2/13
Pace, Julieta S.
1959 Chaumont Place
San Diego, CA 92114
PTO
2,238.01
580.36
5,139.60
Account No.
8/12-2/2/13
Pacurar, Kathleen S.
5036 Marlborough Dr.
San Diego, CA 92116
PTO
4,559.24
0.00
13,672.43
57 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
13,672.43
11,122.16
40,335.96
29,213.80
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 59 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Palko, Mary J.
4155 Texas St., #5
San Diego, CA 92104
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
2,167.35
5,182.88
Account No.
8/12-2/2/13
Palomino, John
378 Montclair
Chula Vista, CA 91911
PTO
3,015.53
0.00
575.56
Account No.
8/12-2/2/13
Palumbo, Leah-Marie E.
16146 Falcon Cr. Dr.
San Diego, CA 92127
PTO
575.56
0.00
291.72
Account No.
8/12-2/2/13
Pammenter, Linda C.
11065 Turret Dr.
San Diego, CA 92131
PTO
291.72
0.00
4,770.98
Account No.
8/12-2/2/13
Papa, Geldia T.
8715 Stanwell St.
San Diego, CA 92126
PTO
4,770.98
0.00
2,938.77
58 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
2,938.77
2,167.35
13,759.91
11,592.56
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 60 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Parker, William H.
P.O. Box. 5000 PMB 195
Rancho Santa Fe, CA 92067
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
6,658.65
17,307.69
Account No.
8/12-2/2/13
Pederson, Adela L.
9326 Monttemar Dr.
Spring Valley, CA 91977
PTO
10,649.04
0.00
561.21
Account No.
8/12-2/2/13
Pena, Michele R.
1399 9th Ave.
Apt. 121
San Diego, CA 92101
PTO
561.21
0.00
457.99
Account No.
8/12-2/2/13
Peralta, Paul D.
9491 Oviedo St.
San Diego, CA 92129
PTO
457.99
0.00
1,347.36
Account No.
8/12-2/2/13
Perry, Darla J.
434 E. H Street
Apt. 1014
Chula Vista, CA 91910
PTO
1,347.36
0.00
752.69
59 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
752.69
6,658.65
20,426.94
13,768.29
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 61 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Pesce, Dominic J.
4302 Mount Hukee Ave.
San Diego, CA 92117
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
590.20
Account No.
8/12-2/2/13
Peters, Karen L.
3622 Harvard Dr.
Oceanside, CA 92056
PTO
590.20
0.00
713.80
Account No.
8/12-2/2/13
Peterson, John W.
81674 Corte Valdemoro
Indio, CA 92203
PTO
713.80
1,162.25
6,706.67
Account No.
8/12-2/2/13
Peyton, James K.
4802 Orchard Ave., #15
San Diego, CA 92107
PTO
5,544.42
2,263.55
7,759.72
Account No.
8/12-2/2/13
Philby, Viven L.
1088 Strawberry Creek St.
Chula Vista, CA 91913
PTO
5,496.17
7,841.88
13,152.00
60 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
5,310.12
11,267.68
28,922.39
17,654.71
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 62 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
various
Phillips, Janice I
1658 Hilton Head Court
Apt. 1180
El Cajon, CA 92019
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
596.26
Account No.
8/12-2/2/13
Piekarz, Jean M.
404 Glen Arbor Dr.
Encinitas, CA 92024
PTO
596.26
10,548.89
21,099.37
Account No.
8/12-2/2/13
Pierce, Patrick J.
2220 River Run Dr., #124
San Diego, CA 92108
PTO
10,550.48
0.00
615.13
Account No.
8/12-2/2/13
Pietras, Christopher J.
4202 4th Ave.
Apt. 201
San Diego, CA 92103
PTO
615.13
1,492.04
3,878.24
Account No.
8/12-2/2/13
Pirrello, Rosene D.
3863 California St., #3
San Diego, CA 92110
PTO
2,386.20
5,873.15
16,267.42
61 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
10,394.27
17,914.08
42,456.42
24,542.34
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 63 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Pishroyan, Lainie
8267 Echo Dell Rd.
San Diego, CA 92119
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
810.50
5,636.12
Account No.
8/12-2/2/13
Pledger-Fonte, Debra A.
6118 Mohler St.
San Diego, CA 92120
PTO
4,825.62
0.00
1,178.01
Account No.
8/12-2/2/13
Pojjola, Heather J.
641 Glover Place
Chula Vista, CA 91910
PTO
1,178.01
0.00
1,256.52
Account No.
8/12-2/2/13
Pollard, Malakhat J.
8515 Chloe Ave.
Apt. 224
La Mesa, CA 91942
PTO
1,256.52
0.00
1,618.13
Account No.
8/12-2/2/13
Pongratz, Gary R.
4165 Rochester Rd.
San Diego, CA 92116
PTO
1,618.13
1,817.01
5,266.48
62 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
3,449.47
2,627.51
14,955.26
12,327.75
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 64 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Poole, Melissa
8645 Iverson St.
San Diego, CA 92123
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
332.83
Account No.
8/12-2/2/13
Popal, Meagan K.
7034 Eats Viewpoint Lane
Anaheim, CA 92807
PTO
332.83
3,020.11
7,018.08
Account No.
8/12-2/2/13
Prazich, Julie A.
2500 6th Ave., #407
San Diego, CA 92103
PTO
3,997.97
14,322.60
22,397.08
Account No.
8/12-2/2/13
Provencio, Paul L.
6802 Jackson Dr.
San Diego, CA 92119
PTO
8,074.48
0.00
1,443.64
Account No.
8/12-2/2/13
Quezon, David T.
2127 Ricard Ct.
El Cajon, CA 92019
PTO
1,443.64
0.00
2,071.45
63 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
2,071.45
17,342.71
33,263.08
15,920.37
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 65 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Quiles, Christine
1084 Surrey Dr.
Bonita, CA 91902
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
634.84
6,195.61
Account No.
8/12-2/2/13
Ramirez, Sharon
52 Second Ave.
Chula Vista, CA 91910
PTO
5,560.77
0.00
1,429.46
Account No.
8/12-2/2/13
Reagles, Kimberly L.
8713 Cottonwood Ave.
Santee, CA 92071
PTO
1,429.46
890.97
5,640.43
Account No.
8/12-2/2/13
Reed, Bonnie M.
6721 Hibiscus Dr.
Lemon Grove, CA 91945
PTO
4,749.46
0.00
4,285.49
Account No.
8/12-2/2/13
Regalado, Elaine
1950 Camino De La Reina, #220
San Diego, CA 92108
PTO
4,285.49
0.00
1,456.54
64 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
1,456.54
1,525.81
19,007.53
17,481.72
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 66 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Renteria, Juan I.
1485 Jasper Ct.
Chula Vista, CA 91911
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
974.81
Account No.
8/12-2/2/13
Reyes, Keleigh L.
1314 Oak Village Dr.
Ramona, CA 92065
Wages & PTO
974.81
0.00
3,020.59
Account No.
8/12-2/2/13
Riley, Mary O.
1523 First St., P312
Coronado, CA 92118
PTO
3,020.59
0.00
2,328.46
Account No.
8/12-2/2/13
Rimke, Heather M.
1150 J Street
Unit 504
San Diego, CA 92101
PTO
2,328.46
0.00
252.52
Account No.
8/12-2/2/13
Rinard, Jennifer L.
777 6th Ave., #412
San Diego, CA 92101
PTO
252.52
0.00
1,002.58
65 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
1,002.58
0.00
7,578.96
7,578.96
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 67 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Rincon, Maria I.
3134 E. 6th St.
National City, CA 91950
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
471.44
Account No.
8/12-2/2/13
Rivas-McRae, Patricia O.
6668 Valjean Ct.
San Diego, CA 92111
PTO
471.44
0.00
583.29
Account No.
8/12-2/2/13
Roads, Lori L.
13237 Deron Ave.
San Diego, CA 92129
PTO
583.29
0.00
2,021.40
Account No.
8/12-2/2/13
Robbins, Jessica C.
6924 Hyde Park Dr.
Unit 208
San Diego, CA 92119
PTO
2,021.40
0.00
2,681.73
Account No.
8/12-2/2/13
Roberts, DeShonda
859 First Ave.
Chula Vista, CA 91911
PTO
2,681.73
0.00
1,724.89
66 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
1,724.89
0.00
7,482.75
7,482.75
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 68 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Rodrigues, Ruth S.
940 Genevieve St.
Solana Beach, CA 92075
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
899.11
Account No.
8/12-2/2/13
Rodriguez, Henry
3743 Acacia Grove Way
San Diego, CA 92113
PTO
899.11
243.87
3,698.68
Account No.
8/12-2/2/13
Rogers, Chenju
17462 Matinal Rd.
Apt. 4722
San Diego, CA 92127
PTO
3,454.81
0.00
253.13
Account No.
8/12-2/2/13
Roman, Carolina
1280 East J Street
Chula Vista, CA 91910
PTO
253.13
0.00
204.33
Account No.
8/12-2/2/13
Roman, Maria Cristina L.
1640 Maple Dr., #11
Chula Vista, CA 91911
PTO
204.33
0.00
1,413.21
67 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
1,413.21
243.87
6,468.46
6,224.59
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 69 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Romero, Darleen
10226 Kibler Dr.
San Diego, CA 92126
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
2,895.61
Account No.
8/12-2/2/13
Rosenthal, Monica
3048 Olive St.
San Diego, CA 92104
PTO
2,895.61
1,061.13
3,447.32
Account No.
8/12-2/2/13
Ross, Ricky A.
10003 Parkdale
San Diego, CA 92126
PTO
2,386.19
0.00
5,451.02
Account No.
8/12-2/2/13
Rus-Strait, Stephanie
4747 Mt. Almagosa Dr.
San Diego, CA 92111
PTO
5,451.02
0.00
2,661.20
Account No.
8/12-2/2/13
Russell-McComb, Shena
651 Pecos St.
Spring Valley, CA 91977
PTO
2,661.20
0.00
2,216.30
68 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
2,216.30
1,061.13
16,671.45
15,610.32
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 70 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Ruyle, Clifford A.
2252 Sixth Ave.
San Diego, CA 92101
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
1,131.59
Account No.
8/12-2/2/13
Salazar, Betzabe
440 Oaklawn Ave., #A
Chula Vista, CA 91910
PTO
1,131.59
0.00
195.05
Account No.
8/12-2/2/13
Saltsman, Lori L.
4438 Wilson Ave.
San Diego, CA 92116
PTO
195.05
0.00
862.35
Account No.
8/12-2/2/13
Sanares, Mary G.
1181 Walpen Dr.
San Diego, CA 92154
PTO
862.35
0.00
2,416.16
Account No.
8/12-2/2/13
Sanchez, Mayra E.
237 Spruce, #11
San Diego, CA 92103
PTO
2,416.16
0.00
4,093.46
69 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
4,093.46
0.00
8,698.61
8,698.61
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 71 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Santos, Erwin A.
1618 Folkstone St.
Spring Valley, CA 91977
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
4,319.93
7,706.26
Account No.
8/12-2/2/13
Scheuerman, Mary A.
404 Oaklawn Ave., #B
Chula Vista, CA 91911
PTO
3,386.33
0.00
327.17
Account No.
8/12-2/2/13
Schmitz, Julie A.
2127 Garfield Rd.
San Diego, CA 92110
PTO
327.17
0.00
767.91
Account No.
8/12-2/2/13
Schultz, Diane M.
334 Fiesta Lane
El Cajon, CA 92019
PTO
767.91
2,656.53
6,088.08
Account No.
8/12-2/2/13
Schulz, Anna P.
4611 Natalie Dr.
San Diego, CA 92115
PTO
3,431.55
0.00
333.75
70 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
333.75
6,976.46
15,223.17
8,246.71
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 72 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Scott, Rebecca J.
5038 Brighton Ave.
San Diego, CA 92107
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
275.06
Account No.
8/12-2/2/13
Seamandel, Melissa S.
4365 42nd St.
San Diego, CA 92105
PTO
275.06
0.00
464.30
Account No.
8/12-2/2/13
Semmler, Laura S.
1168 Battle Creek Rd.
Chula Vista, CA 91913
PTO
464.30
9,412.37
16,064.88
Account No.
various
Sendra, Kimberly
6780 Friars Rd #347
San Diego, CA 92108
Wages & PTO
6,652.51
0.00
1,450.63
Account No.
8/12-2/2/13
Senness, Lisa L.
2456 Arrowhead Ct.
Chula Vista, CA 91915
PTO
1,450.63
3,239.18
8,372.30
71 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
5,133.12
12,651.55
26,627.17
13,975.62
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 73 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Sevier, Gwendolyn
4422 Benfield Ct.
San Diego, CA 92113
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
124.21
Account No.
8/12-2/2/13
Sherman, Katherine A.
9910 Reagan Rd., #236
San Diego, CA 92126
PTO
124.21
0.00
174.24
Account No.
8/12-2/2/13
Shivell, Charlotte
2055 Summit Dr.
Escondido, CA 92025
PTO
174.24
0.00
1,048.28
Account No.
8/12-2/2/13
Shockey, Lisa K.
30310 Miller Rd.
Valley Center, CA 92082
PTO
1,048.28
818.32
3,057.36
Account No.
8/12-2/2/13
Sichel, Coleen C.
4849 Myrtle Ln.
La Mesa, CA 91941
PTO
2,239.04
0.00
3,275.45
72 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
3,275.45
818.32
7,679.54
6,861.22
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 74 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Sidwell, Dean A.
4930 Baha Ct.
San Diego, CA 92115
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
3,374.29
Account No.
8/12-2/2/13
Siegel, Janine D.
1165 Sunset Cliffs Blvd.
San Diego, CA 92107
PTO
3,374.29
0.00
4,295.37
Account No.
8/12-2/2/13
Silva, Connie L.
24860 Abalar Way
Ramona, CA 92065
PTO
4,295.37
0.00
1,854.16
Account No.
8/12-2/2/13
Simpson, Lisa K.
9992 Barcelona Ct.
Spring Valley, CA 91977
PTO
1,854.16
0.00
2,315.46
Account No.
8/12-2/2/13
Sirio, Sandra G.
7709 Graboso Place
Carlsbad, CA 92009
PTO
2,315.46
0.00
210.35
73 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
210.35
0.00
12,049.63
12,049.63
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 75 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Small, Sheila
1922 Terrakappa Ave.
Spring Valley, CA 91977
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
3,521.53
9,082.30
Account No.
8/12-2/2/13
Smith, Addie E.
437 Church Ave., #L
Chula Vista, CA 91910
PTO
5,560.77
2,311.36
6,110.69
Account No.
8/12-2/2/13
Southard, Pilar P.
9241 Lamar St.
Spring Valley, CA 91977
PTO
3,799.33
1,492.45
3,507.97
Account No.
8/12-2/2/13
Spencer, Tessa
587 Downer Ave.
El Cajon, CA 92020
PTO
2,015.52
0.00
129.27
Account No.
8/12-2/2/13
Spieth, Julie K.
12663 El Camino Real, #1
San Diego, CA 92130
PTO
129.27
0.00
197.72
74 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
197.72
7,325.34
19,027.95
11,702.61
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 76 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Spinosa, Teresa A.
4612 Calavo Dr.
La Mesa, CA 91941
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
3,655.73
6,002.91
Account No.
8/12-2/2/13
Spriggs, Laura E.
1209 Hueneme St., #10
San Diego, CA 92110
PTO
2,347.18
1,956.32
7,241.89
Account No.
8/12-2/2/13
Stacy, Alice M.
775 Caminito Estrella
Chula Vista, CA 91910
PTO
5,285.57
1,490.48
7,214.80
Account No.
8/12-2/2/13
Stewart, Debora K.
121 Elder Ave., #B
Imperial Beach, CA 91932
PTO
5,724.32
0.00
1,436.59
Account No.
8/12-2/2/13
Stoesser, Lisa M.
4303 Berwick Dr.
San Diego, CA 92117
PTO
1,436.59
0.00
421.33
75 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
421.33
7,102.53
22,317.52
15,214.99
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 77 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Stoner, Jeri L.
8865 Ragweed Ct.
San Diego, CA 92129
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
813.76
Account No.
8/12-2/2/13
Strong, Maria
25665 Potrero Valley Rd.
Potrero, CA 91963
PTO
813.76
3,021.14
5,307.41
Account No.
8/12-2/2/13
Strong, Roger A.
7740 Saranac Pl., #19
La Mesa, CA 91941
PTO
2,286.27
0.00
563.38
Account No.
8/12-2/2/13
Suavengco, Michelle A.
3712 Wilson Ave.
San Diego, CA 92104
PTO
563.38
4,050.17
7,534.54
Account No.
8/12-2/2/13
Surdez, Alvin L.
8752 Railroad Ave.
Santee, CA 92071
PTO
3,484.37
1,598.92
4,424.90
76 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
2,825.98
8,670.23
18,643.99
9,973.76
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 78 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Swanson, Kelly M.
17571 El Vuelo
Rancho Santa Fe, CA 92067
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
296.02
Account No.
8/12-2/2/13
Swift, Anne
2568 Fresh Waters Ct.
Spring Valley, CA 91978
PTO
296.02
0.00
4,215.50
Account No.
8/12-2/2/13
Symonds, Christopher A.
8312 Solomon Ave.
El Cajon, CA 92021
PTO
4,215.50
5,484.25
11,259.02
Account No.
8/12-2/2/13
Tarbell-Green, Mary
2654 San Marcos Ave.
San Diego, CA 92104
PTO
5,774.77
0.00
322.05
Account No.
8/12-2/2/13
Tarnoveanu, Ophelia R.
5024 Viewridge Way
Oceanside, CA 92056
PTO
322.05
0.00
562.36
77 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
562.36
5,484.25
16,654.95
11,170.70
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 79 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Taylor, Dina R.
2231 Pentuckett Ave.
San Diego, CA 92104
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
797.94
Account No.
8/12-2/2/13
Taylor, Jamie E.
2240 Shelter Island Dr.
San Diego, CA 92106
PTO
797.94
0.00
246.05
Account No.
8/12-2/2/13
Taylor-Englund, Sherry L.
335 B Whispering Willow Dr.
Santee, CA 92071
PTO
246.05
6,358.31
11,970.56
Account No.
8/12-2/2/13
Tedford, Virginia
4667 Ocean Blvd.
#110
San Diego, CA 92109
PTO
5,612.25
0.00
1,379.82
Account No.
8/12-2/2/13
Thompson, Dorothy
11189 Kelowna Rd., #62
San Diego, CA 92126
PTO
1,379.82
0.00
1,843.40
78 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
1,843.40
6,358.31
16,237.77
9,879.46
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 80 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Thompson, Shauna M.
2468 Hilton Head Pl
#1080
El Cajon, CA 92019
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
391.11
Account No.
8/12-2/2/13
Thrasher, Craig S.
2387 Hickory St.
San Diego, CA 92103
PTO
391.11
0.00
1,315.06
Account No.
8/12-2/2/13
Toland, Madeline S.
612 San Miguel Ave.
Spring Valley, CA 91977
PTO
1,315.06
7,219.15
13,886.84
Account No.
8/12-2/2/13
Toscano-Esquivel, Marina M.
232 Madrona, #A
Chula Vista, CA 91910
PTO
6,667.69
0.00
284.33
Account No.
8/12-2/2/13
Trask, Jeanette M.
12060 Via Felicia
El Cajon, CA 92019
PTO
284.33
0.00
598.69
79 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
598.69
7,219.15
16,476.03
9,256.88
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 81 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Trevelyan, Jane
715 B Ave.
Coronado, CA 92118
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
1,190.28
Account No.
8/12-2/2/13
Trull, Jarrod P.
3115 Nile St.
San Diego, CA 92104
PTO
1,190.28
0.00
3,492.39
Account No.
8/12-2/2/13
Tuazon, Shaun M.
4869 Rolando Ct., #76
San Diego, CA 92115
PTO
3,492.39
0.00
676.22
Account No.
8/12-2/2/13
Tyler, Amanda L.
5999 Stallion Oaks Rd.
El Cajon, CA 92019
PTO
676.22
0.00
2,330.79
Account No.
8/12-2/2/13
Upton, Spencer T.
1532 Calle Ryan
Encinitas, CA 92024
PTO
2,330.79
4,991.83
11,386.06
80 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
6,394.23
4,991.83
19,075.74
14,083.91
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 82 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Usmane, Connie J.
1518 Sam's Hill Rd.
#74
El Cajon, CA 92021
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
2,181.98
Account No.
8/12-2/2/13
Valdez, Lucretia A.
9424 Pennywood Rd.
Santee, CA 92071
PTO
2,181.98
65.53
1,738.54
Account No.
8/12-2/2/13
Valenzuela, Rebeca
1974 Moss Landing
Chula Vista, CA 91913
PTO
1,673.01
0.00
1,176.36
Account No.
8/12-2/2/13
Valera, Jordan G.
4879 Santa Cruz Ave.
San Diego, CA 92107
PTO
1,176.36
537.04
2,411.82
Account No.
8/12-2/2/13
VanDenover, Bruce T.
450 East Bradley Ave.
#66
El Cajon, CA 92021
PTO
1,874.78
0.00
1,033.72
81 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
1,033.72
602.57
8,542.42
7,939.85
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 83 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Vandersip, Dana S.
5643 Fontaine St.
San Diego, CA 92120
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
2,246.65
Account No.
8/12-2/2/13
Variz, Michelle L.
5365 Toscana Way
Apt. 428
San Diego, CA 92122
PTO
2,246.65
0.00
867.84
Account No.
8/12-2/2/13
Velasco, Michael J.
8171 Vincetta Dr.
Apt. 13
La Mesa, CA 91942
PTO
867.84
0.00
305.06
Account No.
8/12-2/2/13
Verdugo, Leticia L.
1973 Versailles Rd.
Chula Vista, CA 91913
PTO
305.06
0.00
4,616.75
Account No.
8/12-2/2/13
Vido, Laurel S.
2612 Via Del Robles
Fallbrook, CA 92028
PTO
4,616.75
0.00
2,680.26
82 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
2,680.26
0.00
10,716.56
10,716.56
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 84 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Villafranca, Madonna S.
1601 Picket Fence Dr.
Chula Vista, CA 91915
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
4,011.33
Account No.
8/12-2/2/13
Von Helms, Elizabeth U.
344 Chinquapin Ave.
Carlsbad, CA 92008
PTO
4,011.33
0.00
3,814.18
Account No.
8/12-2/2/13
Wallis, Stephen L.
2828 West Canyon Ave.
San Diego, CA 92123
PTO
3,814.18
801.99
3,194.66
Account No.
8/12-2/2/13
Warda, Sharon S.
5125 Marlborough Dr.
San Diego, CA 92116
PTO
2,392.67
1,775.57
4,284.63
Account No.
8/12-2/2/13
Washington, Deborah
1399 Ninth Ave., #121
San Diego, CA 92101
PTO
2,509.06
0.00
2,220.86
83 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
2,220.86
2,577.56
17,525.66
14,948.10
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 85 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Watorski, Linda J.
700 W. Harbor Dr.
#2006
San Diego, CA 92101
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
483.09
Account No.
8/12-2/2/13
Watson, Cerrie P.
706 Vista Way
Oceanside, CA 92054
PTO
483.09
0.00
1,025.47
Account No.
8/12-2/2/13
Watson, Jacki A.
898 Vale View Dr.
Vista, CA 92081
PTO
1,025.47
0.00
2,925.88
Account No.
8/12-2/2/13
Wheeler, Yvette S.
44622 Via Lucido
Temecula, CA 92592
PTO
2,925.88
0.00
1,572.44
Account No.
8/12-2/2/13
White, Shirley A.
1141 Persimmon Ave.
#15
El Cajon, CA 92021
PTO
1,572.44
0.00
1,179.24
84 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
1,179.24
0.00
7,186.12
7,186.12
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 86 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Whitmore, Stephanie M.
4430 Cleveland Ave.
#27
San Diego, CA 92116
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
1,729.92
Account No.
8/12-2/2/13
Williams, Andrea M.
6227 Capri Dr.
San Diego, CA 92120
PTO
1,729.92
0.00
1,125.73
Account No.
8/12-2/2/13
Williams, Carissa M.
5364 Swarthmore St.
La Mesa, CA 91942
PTO
1,125.73
0.00
295.38
Account No.
8/12-2/2/13
Williams, Cynthia M.
1247 Pennsylvania Ave.
San Diego, CA 92103
PTO
295.38
0.00
3,274.09
Account No.
8/12-2/2/13
Williams, Dede L.
P.O. Box 452
Solana Beach, CA 92075-0452
PTO
3,274.09
714.39
3,139.47
85 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
2,425.08
714.39
9,564.59
8,850.20
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 87 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Williams, Tracy L.
1605 Logan Ave., #111
San Diego, CA 92113
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
610.43
Account No.
8/12-2/2/13
Winblad, Jason P.
2837 B St.
San Diego, CA 92102
PTO
610.43
0.00
1,675.45
Account No.
8/12-2/2/13
Windsor, Kelly S.
4979 Dubois Dr.
San Diego, CA 92117
PTO
1,675.45
0.00
479.97
Account No.
8/12-2/2/13
Winslow, Susanne R.
2528 C St., Unit 2
San Diego, CA 92102
PTO
479.97
0.00
510.15
Account No.
various
Withem, Audrey
505 Los Angeles Pl.
San Diego, CA 92114
PTO
510.15
0.00
1,032.56
86 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
1,032.56
0.00
4,308.56
4,308.56
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 88 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Witherly, Karen A.
4402 Shearwater Way
Oceanside, CA 92057
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
876.99
Account No.
8/12-2/2/13
Wooley, Anita
940 Third St., #1
Encinitas, CA 92024
PTO
876.99
0.00
3,528.42
Account No.
8/12-2/2/13
Wyss, Janet K.
10161 Daybreak Lane
#5
Santee, CA 92071
PTO
3,528.42
586.56
7,254.36
Account No.
8/12-2/2/13
Yager, Aimee M.
5096 Gasconade Ave.
San Diego, CA 92110
PTO
6,667.80
0.00
1,073.85
Account No.
8/12-2/2/13
Yang, Holly
P.O. Box 7733
San Diego, CA 92167
PTO
1,073.85
7,755.23
17,449.26
87 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
9,694.03
8,341.79
30,182.88
21,841.09
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 89 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Wages, salaries, and commissions
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
8/12-2/2/13
Yeung, Heidi N.
14094 Rue St. Raphael
Del Mar, CA 92014
PTO
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
1,940.07
Account No.
8/12-2/2/13
Zavala, Yolanda
765 Anchor Cove
San Diego, CA 92154
PTO
1,940.07
0.00
950.84
Account No.
8/12-2/2/13
Zimmerman, Collin T.
3076 Palm St.
San Diego, CA 92104
PTO
950.84
772.82
1,723.66
950.84
Account No.
Account No.
88 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
772.82
4,614.57
3,841.75
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-6
Pg. 90 of 90
B6E (Official Form 6E) (4/10) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
Case No.
,
13-01179-MM11
Debtor
SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
(Continuation Sheet)
Taxes and Certain Other Debts
Owed to Governmental Units
TYPE OF PRIORITY
CREDITOR'S NAME,
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
DATE CLAIM WAS INCURRED
AND CONSIDERATION FOR CLAIM
Account No.
Various
Franchise Tax Board
P.O. Box 1328
Rancho Cordova, CA 95741-1328
Employee garnishments
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
1,443.75
Account No.
Internal Revenue Service
Centralized Insolvency Operati
P.O. Box 21126
Philadelphia, PA 19114-0326
1,443.75
Notice only
0.00
0.00
0.00
Account No.
Account No.
Account No.
89 of _____
89
Sheet _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
0.00
(Total of this page)
1,443.75
1,443.75
Total
(Report on Summary of Schedules)
1,398,834.54
361,629.42
1,037,205.12
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 1 of 70
B6F (Official Form 6F) (12/07)
m
a
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p
N
U
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H
s
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i
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C
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S
{
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}
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
State the name, mailing address, including zip code, and last four digits of any account number, of all entities holding unsecured claims without priority against the
debtor or the property of the debtor, as of the date of filing of the petition. The complete account number of any account the debtor has with the creditor is useful to the
trustee and the creditor and may be provided if the debtor chooses to do so. If a minor child is a creditor, state the child's initials and the name and address of the child's
parent or guardian, such as "A.B., a minor child, by John Doe, guardian." Do not disclose the child's name. See, 11 U.S.C. §112 and Fed. R. Bankr. P. 1007(m). Do not
include claims listed in Schedules D and E. If all creditors will not fit on this page, use the continuation sheet provided.
If any entity other than a spouse in a joint case may be jointly liable on a claim, place an "X" in the column labeled "Codebtor," include the entity on the appropriate
schedule of creditors, and complete Schedule H - Codebtors. If a joint petition is filed, state whether the husband, wife, both of them, or the marital community may be
liable on each claim by placing an "H," "W," "J," or "C" in the column labeled "Husband, Wife, Joint, or Community."
If the claim is contingent, place an "X" in the column labeled "Contingent." If the claim is unliquidated, place an "X" in the column labeled "Unliquidated." If the
claim is disputed, place an "X" in the column labeled "Disputed." (You may need to place an "X" in more than one of these three columns.)
Report the total of all claims listed on this schedule in the box labeled "Total" on the last sheet of the completed schedule. Report this total also on the Summary of
Schedules and, if the debtor is an individual with primarily consumer debts, report this total also on the Statistical Summary of Certain Liabilities and Related Data.
Check this box if debtor has no creditors holding unsecured claims to report on this Schedule F.
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
10/23/2012
IT consultant
Account No.
Abnology, Inc.
13777 Pine Needles Dr.
Del Mar, CA 92014
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
10,000.00
1/17/2013
Marketing Mailers
Account No.
Admail West, Inc.
521 N. 10th St.
Sacramento, CA 95811
-
31,065.33
10/15/2012
Taxi service for patients
Account No.
Administrative Services SD
Attn: Kat Mongeon
3473 Kurtz St.
San Diego, CA 92110
-
7.70
Account No.
Airgas - West
P.O. Box 7423
Duarte, CA 91009-7423
Various
Oxygen for patients
-
5,739.20
69 continuation sheets attached
_____
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
S/N:30108-120827
46,812.23
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 2 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
Various
Audit Firm
Account No.
AKT LLP
680 Hawthorne Ave., SE
Suite 140
Salem, OR 97301-0041
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
15,082.00
Various
Alarms Security
Account No.
Alarms Unlimited
4584 Parl Blvd.
San Diego, CA 92116-2643
-
116.00
11/13/2012
Therapist
Account No.
Allen, Miriam Erb
4024 Ibis Street
Suite B
San Diego, CA 92103
-
102.00
Various
Software Maintenance
Account No.
Allscripts
24630 Network Place
Chicago, IL 60673-1246
-
52,376.91
Account No.
Alvarado Hospital LLC
File 50800
Los Angeles, CA 90074
Various
Patient Care
-
6,342.42
Sheet no. _____
of _____
1
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
74,019.33
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 3 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
10/30/2012
Patient Care
Account No.
Alvarado Pathology Associates
2700 Southwyck Blvd.
Toledo, OH 43614
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
73.25
Various
Dues & Subscriptions
Account No.
American Academy of Hospice
4700 W. Lake Ave. 1
Glenview, IL 60025
-
5,185.00
10/11/2012
Patient Medical Supplies
Account No.
American Barcode & Rfid
3431 East Elwood St.
Phoenix, AZ 85040
-
103.00
Varous
Patient care
Account No.
AMN Healthcare, Inc.
P.O. Box 919024
San Diego, CA 92191
-
49,506.93
Account No.
Analytic Pathology Medical Gp.
P.O. Box 749080
Los Angeles, CA 90074
10/1/2012
Patient Care
-
85.08
Sheet no. _____
of _____
2
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
54,953.26
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 4 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
Various
Pharmacy Reporting
Account No.
Analytical Research Labs
840 Research Parkway
Suite 546
Oklahoma City, OK 73104
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
410.00
12/2012
HR Legal Service
Account No.
Andrew, Lagasse, et al. LLP
11232 El Camino Real, Ste 100
San Diego, CA 92130
-
5,035.01
2/2013
Employee reimbursement
Account No.
Andrews Carol
1904 Leucadia Scenic Ct.
Encinitas, CA 92024
-
45.00
Various
Linen Laundry Services
Account No.
Angelica Textile Services
P.O. Box 846777
Los Angeles, CA 90084-6777
-
4,979.95
Account No.
Arent Fox LLP
Attn: Andy S. Kong, Esq.
555 W. Fifth St, 48th Floor
Los Angeles, CA 90013
Notice only
-
0.00
Sheet no. _____
of _____
3
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
10,469.96
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 5 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
Notice only
Account No.
Arent Fox LLP
Attn: Robert M. Hirsch, Esq.
1675 Broadway
New York, NY 10019
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
0.00
8/23/2012
Patient Medical Supplies
Account No.
Arjo, Inc.
P.O. Box 640799
Pittsburgh, PA 15264
-
139.63
Various
Patient Medical Supplies
Account No.
Ashley Medical, Inc.
1515 Washington Street
San Diego, CA 92103
-
625.00
12/2012
Phone
Account No.
AT Conference
P.O. Box 2939
Southampton, NY 11969
-
177.59
Account No.
AT&T Advertising Solutions
P.O. Box 5021
Carol Stream, IL 60197-5021
Various
Marketing
-
2,421.03
Sheet no. _____
of _____
4
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
3,363.25
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 6 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
12/2012
Fund-Pet Care
Account No.
Aubrys's Pet Care
1380 Garney Ave E445
San Diego, CA 92109
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
80.00
01/26/12 - 01/25/13
Separation agreement
Account No.
Baber Laura M.
6406 Friars Road
#124
San Diego, CA 92108
-
7,860.00
Various
Insurance
Account No.
Barney & Barney
P.O. Box 85638
San Diego, CA 92186-5638
-
27,142.00
10/30/2012
Patient Medical Supplies
Account No.
Baxter Healthcare Corp.
P.O. Box 730531
Dallas, TX 75373
-
404.39
Account No.
Bayaua Cecile B
12287 Salvia Way
San Diego, CA 92129
01/26/12 - 01/25/13
Separation agreement
-
5,681.28
Sheet no. _____
of _____
5
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
41,167.67
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 7 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
Various
Landscaping
Account No.
Benchmark Landscaping, Inc.
12575 Stowe Dr.
Poway, CA 92064-6805
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
11,192.00
1/13/13-2/2/13
employee withheld
Account No.
Benefit Coordinators Corp.
100 Ryan Court Suite 200
Pittsburgh, PA 15202
-
29,717.60
01/26/12 - 01/25/13
Separation agreement
Account No.
Betterton Amy
6824 Rolando Knolls Drive
La Mesa, CA 91941
-
13,617.12
01/26/12 - 01/25/13
Separation agreement
Account No.
Billings Amy E.
1111 Vista Pointe Blvd.
Oceanside, CA 92057
-
516.48
Account No.
Biopharm Solutions, Inc.
1386 Poinsettia Ave.
Ste. A
Vista, CA 92081
Various
Patient Medical Supplies
-
537.06
Sheet no. _____
of _____
6
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
55,580.26
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 8 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
1/2013
Medicare CPA
Account No.
BKD, LLP
111 S. Tejon Street Suite 800
Colorado Springs, CO 80903-2286
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
4,325.00
Various
Fundraising Software
Account No.
Blackbaud
P.O. Box 930256
Atlanta, GA 31193-0256
-
22,300.01
01/26/12 - 01/25/13
Separation agreement
Account No.
Bloor Kristeen K
10746 Escobar Drive
Encinitas, CA 92024
-
5,164.80
01/26/12 - 01/25/13
Separation agreement
Account No.
Bolano Maria A.
6961 Schiling Avenue
San Diego, CA 92126
-
1,278.00
Account No.
Bredestege Jeanne
4540 Parks Ave.
La Mesa, CA 91942
2/2013
Employee reimbursement
-
181.96
Sheet no. _____
of _____
7
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
33,249.77
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 9 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
01/26/12 - 01/25/13
Separation agreement
Account No.
Brooks Debra M.
5849 Tooley Street
San Diego, CA 92114
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
2,130.56
01/26/12 - 01/25/13
Separation agreement
Account No.
Brooks Deena
4740 34th Street
Unit 6
San Diego, CA 92116
-
1,458.24
1/25/13
Commercial Property Lease
Account No.
Brookwood Crossroads Investors
72 Cherry Hill Drive
2nd floor
Beverly, MA 01915
-
X X
2,557,034.32
01/26/12 - 01/25/13
Separation agreement
Account No.
Brown Lorraine A
2036 Coolidge Stret #86
San Diego, CA 92111
-
3,098.88
Account No.
Butera, Michael L. MD, Inc.
6699 Alvarado Rd., #2308
San Diego, CA 92120-5241
Various
Patient Care
-
426.77
Sheet no. _____
of _____
8
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
2,564,148.77
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 10 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
01/26/12 - 01/25/13
Separation agreement
Account No.
Calley Galaxia
2825 Third Avenue
#406
San Diego, CA
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
679.20
11/20/2012
Benchmarking
Account No.
Camfil Farr
3302 Solutions Center
Chicago, IL 60677-3003
-
1,093.30
1/2013
Volunteer Reimbursement
Account No.
Camp Michelle
553 S. Magnolia Ave #419
El Cajon, CA 92020
-
31.68
01/26/12 - 01/25/13
Separation agreement
Account No.
Campos Grace
9956 San Juan Street
Spring Valley, CA 91977
-
1,134.00
Account No.
Capital Hospice
2900 Telestar Court
Falls Church, VA 22042
12/18/2012
Patient Care
-
500.00
Sheet no. _____
of _____
9
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
3,438.18
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 11 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
Various
Pharmacy Supplies
Account No.
Cardinal Distribution
File #56412
Los Angeles, CA 90074-6412
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
111,377.15
Various
Transport
Account No.
Care Medical Transportation
Attn: Lander
9770 Candida St.
San Diego, CA 92126
-
28,185.00
Various
Pharmacy Reporting
Account No.
Carefusion Solutions, LLC
25565 Network Place
Chicago, IL 60673-1250
-
27,293.82
Various
Therapist
Account No.
Carrigan, Sandra
3236 Herman Ave., #6
San Diego, CA 92104
-
6,440.00
Account No.
Carrington Noreen A
4037 Honeycutt Street
San Diego, CA 92109
01/26/12 - 01/25/13
Separation agreement
-
16,713.84
Sheet no. _____
10 of _____
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
190,009.81
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 12 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
Various
Patient Medical Supplies
Account No.
Carstens
P.O. Box 99110
Chicago, IL 60693
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
32.88
1/2013
Volunteer Reimbursement
Account No.
Castillo Deena
3587 Ruffin Road, Unit 117
San Diego, CA 92123
-
198.46
1/2013
Phone
Account No.
Celltrak Technologies, Inc.
1051 Perimeter Dr.
Schaumburg, IL 60173
-
500.00
11/2012
HR Talent Solution Survey
Account No.
Center for Talent Solutions
600 17th Street
Denver, CO 80202
-
12,193.42
Account No.
Centers for Medicare &
Medicaid Services
7500 Security Boulevard
Windsor Mill, MD 21244-1850
various
-
X X X
Unknown
Sheet no. _____
11 of _____
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
12,924.76
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 13 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
10/10/2012
Patient Care
Account No.
Central Arizona Home Healthcar
P.O. Box 748264
Los Angeles, CA 90074
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
175.93
Various
Payroll Processing
Account No.
Ceridian Corp.
P.O. Box 10989
Newark, NJ 07193
-
2,531.55
Various
Patient Medical Supplies
Account No.
Certified Medical Sales
41587 Grand View Dr.
Murrieta, CA 92562
-
2,107.44
1/2013
Employee reimbursement
Account No.
Chatterley Lara
6534 Bradford Street
San Diego, CA 92115
-
73.74
Account No.
Children's Specialist of S.D.
P.O. Box 12744
San Diego, CA 92112
1/2013
-
5,450.00
Sheet no. _____
12 of _____
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
10,338.66
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 14 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
1/13
Employee health insurance
Account No.
Cigna
231 S. La Salle Street
Chicago, IL 60604
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
171,000.00
Medical insurance plan withholding
Account No.
Cigna
231 La Salle Street
Chicago, IL 60604
-
77,696.00
Various
Paper Shredding
Account No.
Cintas Corporation No. 2
P.O. Box 633842
Cincinnati, OH 45263
-
432.00
Various
Uniforms
Account No.
Cintas The Uniform People
97627 Eagle Way
Chicago, IL 60678-7627
-
269.60
Account No.
Citrix Systems, Inc.
851 W. Cypress Creek Road
Fort Lauderdale, FL 33309
12/13/2012
Software Maintenance
-
1,687.50
Sheet no. _____
13 of _____
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
251,085.10
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 15 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
10/24/2012
Patient Care
Account No.
City of El Cajon Fire Dept.
P.O. Box 269110
Sacramento, CA 95826
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
468.49
1/2013
Water
Account No.
City of San Diego Water Dept.
P.O. Box 129020
San Diego, CA 92112-9020
-
1,665.07
01/26/12 - 01/2513
Separation agreement
Account No.
Clark Catherine L
3966 Mahaila Ave #E
San Diego, CA 92122
-
963.84
01/26/12 - 01/25/13
Separation agreement
Account No.
Clivner Barbara D
2400 5th Ave #138
San Diego, CA 92101
-
1,382.40
Account No.
Coastal Hospitalist Med Assoc
3156 Vista Way
#405
Oceanside, CA 92056
Various
Patient Care
-
425.33
Sheet no. _____
14 of _____
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
4,905.13
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 16 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
01/26/12 - 01/25/13
Separation agreement
Account No.
Cole James B
7908 La Mesa Blvd Unit J
La Mesa, CA 91941
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
1,111.20
01/26/12 - 01/25/13
Separation agreement
Account No.
Coler, Yolanda
2401 Calle Gaviola
San Diego, CA 92139
-
1,956.96
Various
GP Software Maintenance
Account No.
Collins Computing, Inc.
26050 Acero St.
Mission Viejo, CA 92691
-
11,167.30
10/31/2012
Therapist
Account No.
Colmendares, Mary
P.O. Box 211463
Chula Vista, CA 91921
-
204.00
Account No.
Compass Group USA, Inc.
5515 Market St.
San Diego, CA 92114
Various
Consultant
-
796.73
Sheet no. _____
15 of _____
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
15,236.19
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 17 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
Various
HR Supplies
Account No.
Complete Office
P.O. Box 707
Poway, CA 92074
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
395.02
Various
Therapist
Account No.
Conklin, Kathryn
5282 Cobb Place
San Diego, CA 92117
-
2,049.00
Various
Smoke Detectors
Account No.
Construction Electronics, Inc.
8400 Magnolia Ave.
Suite J
Santee, CA 92071
-
880.00
Various
Therapist
Account No.
Conway, Annette
13004 Brixton Place
San Diego, CA 92130
-
5,304.00
Account No.
Copy2Copy
8975 Complex Dr.
San Diego, CA 92123
Various
Copies
-
666.43
Sheet no. _____
16 of _____
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
9,294.45
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 18 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
Various
Infusion Services
Account No.
Coram Alternative Site Serv.
P.O. Box 74798
Chicago, IL 60694-4798
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
36,058.07
Various
Storage
Account No.
Corodata
Department 2638
Los Angeles, CA 90084-2638
-
5,353.81
Various
Translation Services
Account No.
Corporate Translation Serv.
911 Main St., Ste. 10
Vancouver, WA 98660
-
3,129.66
Various
Patient Care
Account No.
Country Hills Health Care
1580 Broadway
El Cajon, CA 92021
-
4,263.35
Account No.
Country Villa La Mesa HCC
5696 Lake Murray Blvd.
La Mesa, CA 91942
11/2012-12/2012
Skilled Nursing Facility
-
3,694.51
Sheet no. _____
17 of _____
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
52,499.40
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 19 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
Various
Dues & Subscriptions
Account No.
County of SD Health & Human Sr
Attn: Vital Records
3851 Rosecrans St.
San Diego, CA 92110
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
160.00
10/22/2012
Ambulance
Account No.
CSA San Dieguito Ambulance
P.O. Box 269110
Sacramento, CA 95826-9110
-
460.00
Grant money received
Account No.
Cyprus
Paraskeva Ioannou 2
2024 Strovolos POB 25296
Nicosia 1308, Cyprus
-
X
52,953.10
10/9/2012
Marketing
Account No.
Dave's Sport Sales
9157 Chesapeake Dr.
San Diego, CA 92123
-
334.03
Account No.
De Lage Landen Fin. Serv.
P.O. Box 41602
Philadelphia, PA 19101-1602
Various
Copier Lease
-
19,461.61
Sheet no. _____
18 of _____
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
73,368.74
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 20 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
Various
Therapist
Account No.
DeCorrevont, Mia Faith
150 E St., #A3
Chula Vista, CA 91910
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
2,590.00
Various
Delivery of Pharmaceutical Products
Account No.
Deliver-It, LLC
Attn: Sharon
25108 Marguerite Pkwy. #A137
Mission Viejo, CA 92692
-
146,315.01
Various
Consultant
Account No.
Dep Rture
427 C Street,
Ste. 406
San Diego, CA 92101
-
49,428.05
Notice only
Account No.
Dept. Health & Human Services
General Counsel
200 Independence S.W.
Washington, DC 20201
-
0.00
Account No.
Deyta, LLC
7400 New LaGrange Rd.
Suite 200
Louisville, KY 40222
Various
IT
-
5,000.00
Sheet no. _____
19 of _____
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
203,333.06
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 21 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
Various
Consultant
Account No.
Draeger, Glen R.
4939 Rosehedge Dr.
La Mesa, CA 91941
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
330.00
10/17/2012
Medical Supplies
Account No.
Ecolab, Inc.
P.O. 100512
Pasadena, CA 91189-0512
-
474.96
Various
Patient Care
Account No.
Emer. & Acute Care Med. Corp.
Attn: Liliana Rodriguez
P.O. Box 81342
San Diego, CA 92138-1243
-
416.35
1/13
Unemployment insurance
Account No.
Employment Development Dept
P.O. Box 826880-UIPCD, MIC 40
Sacramento, CA 94280-0001
-
162,265.99
Account No.
Enciso Sara
583 Park Way Apt A
Chula Vista, CA 91910
2/2013
Volunteer Reimbursement
-
193.38
Sheet no. _____
20 of _____
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
163,680.68
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 22 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
Various
Patient Care
Account No.
ESolutions, Inc.
401 W. Frontier Lane
Suite 101
Olathe, KS 66061-7221
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
5,220.00
1/3/2013
Answering Services
Account No.
Excel Telemessaging, Inc.
16380 Bake Parkway
Irvine, CA 92618
-
98.84
Various
Dietary Supplies
Account No.
Farmer Brothers Co.
P.O. Box 79705
City of Industry, CA 91716-9705
-
1,648.27
1/14/2013
Attorneys
Account No.
Foley & Lardner, LLP
555 South Flower Street
Ste. 3500
Los Angeles, CA 90071-2411
-
6,421.59
Account No.
Genesis Healthcare Partners
P.O. Box 33865
San Diego, CA 92163
Various
Patient Care
-
3,130.12
Sheet no. _____
21 of _____
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
16,518.82
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 23 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
3/31/12
Grant money received
Account No.
Ghana Education
42 4th Close Airport
Residential Area
Accra, Ghana
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
-
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
X
73,401.51
Various
Patient Care
Account No.
Girard Orthopaedic Surgeons
4130 La Jolla Village Dr.
Suite 306
La Jolla, CA 92037-1481
-
322.62
Various
Glenbrook facility now closed
Account No.
Glenview Assisted Living/Glenb
1950 Calle Barcelona
Carlsbad, CA 92009
-
307,844.00
Various
Plant Operations
Account No.
Grainger
Dept. 824911044
Palatine, IL 60038-0001
-
124.86
Account No.
Grame, Teresa
6414 Muirlands Dr.
La Jolla, CA 92037
Various
Therapist
-
420.00
Sheet no. _____
22 of _____
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
382,112.99
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 24 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
9/28/2012
Patient Care
Account No.
Grossmont Hospital - Sharp
File #55484
Los Angeles, CA 90074-5484
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
633.47
1/13/13-2/2/13
employee withheld
Account No.
Guardian
P.O. Box 677458
Dallas, TX 75267-7458
-
116,544.00
3/3/2011
Patient Care
Account No.
Gurtch, Tim P. MD
4276 54th Place A
San Diego, CA 92115
-
158.98
Various
Plant Operations
Account No.
HD Supply Facilities Maint.
P.O. Box 509058
San Diego, CA 92150-9058
-
649.46
Account No.
Health & Human Resource Ctr.
P.O. Box 511496
Los Angeles, CA 90051-8101
Various
Patient Care
-
3,726.00
Sheet no. _____
23 of _____
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
121,711.91
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 25 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
Various
Employee Service
Account No.
Health Advocate
P.O. Box 12941
Philadelphia, PA 19176-0941
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
3,292.80
Various
Patient Care
Account No.
Health Care Logistics, Inc.
P.O. Box 400
Circleville, OH 43113-0400
-
1,667.98
10/30/2012
Patient Care
Account No.
Healthcare Solutions Group, In
8031 Ridgeway Ave.
Skokie, IL 60076
-
187.50
1/13
Employee health insurance
Account No.
Heatlh Insurance IBNR - Cigna
231 La Salle Street
Chicago, IL 60604
-
496,124.84
Account No.
Heinrichs Kim
10984 Creekbridge Place
San Diego, CA 92128
1/2013
Employee reimbursement
-
210.76
Sheet no. _____
24 of _____
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
501,483.88
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 26 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
No date
Severance
Account No.
Herbst Laurel
4870 Elsa Road
San Diego, CA 92120
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
6,515.54
Various
Therapist
Account No.
Hill, Linda
7467 Mission Gorge Rd.
SP# 245
Santee, CA 92071
-
1,820.00
Various
Plant Operations
Account No.
Hill-Rom
P.O. Box 643592
Pittsburgh, PA 15264-3592
-
1,998.62
Various
Dietary Supplies
Account No.
Hollandia Dairy
Attn: Wilma
622 East Mission Rd.
San Marcos, CA 92069
-
1,810.25
Account No.
Hopkins Medical Products
5 Greenwood Place
Pikesville, MD 21208
10/23/2012
Patient Medical Supplies
-
154.70
Sheet no. _____
25 of _____
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
12,299.11
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 27 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
10/29/2012
Patient Medical Supplies
Account No.
Hospice & Palliative Care
of Western Colorado
3090 North 12th St.
Grand Junction, CO 81506
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
1,500.00
10/18/2012
Patient Medical Supplies
Account No.
Hospice Partners, Inc.
277 South Street
Ste. R
San Luis Obispo, CA 93401
-
175.93
Various
Patient Care
Account No.
Hospiscript Services, LLC
P.O. Box 933273
Atlanta, GA 31193-3027
-
179,872.95
Various
Software Maintenance
Account No.
Hyland Software
28500 Clemens Rd.
Westlake, OH 44145
-
31,146.67
Account No.
Ihler, Fredrick
1174 E. Main St., Ste. 143
El Cajon, CA 92021-7124
Various
Therapist
-
816.00
Sheet no. _____
26 of _____
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
213,511.55
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 28 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
Various
Patient Care
Account No.
Imaging Healthcare Specialists
P.O. Box 34307
San Diego, CA 92163
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
653.90
10/31/2012
Print Media
Account No.
IMSquared, Inc.
3954 Murphy Canyon Rd.
Suite D206
San Diego, CA 92123
-
160.00
Various
HR Job Posting
Account No.
Indeed, Inc.
Dept. 2652
P.O. Box 122652
Dallas, TX 75312-2652
-
2,728.12
Various
Patient Medical Supplies
Account No.
Independence Medical
Attn: Steve
P.O. Box 635864
Cincinnati, OH 45263
-
13,904.71
Account No.
Interim Healthcare, Inc. SD
425 W. 5th Ave.
Suite 104
Escondido, CA 92025
Various
Patient Care
-
20,350.00
Sheet no. _____
27 of _____
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
37,796.73
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 29 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
Various
Temporary Services
Account No.
IQ Pipline
4425 Cass St.
Suite F
San Diego, CA 92109
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
6,325.62
Various
Storage
Account No.
Iron Mountain Offsite Data
P.O. Box 601002
Pasadena, CA 91189-1002
-
1,265.58
Various
Patient Medical Supplies
Account No.
IV Suport Systems
P.O. Box 73901
San Clemente, CA 92673
-
294.00
10/30/2012
Patient Care
Account No.
Jaffe, Lawrence, MD
1205 Pacific Hwy.
San Diego, CA 92101
-
157.62
Account No.
Jamboree Pet Care, Inc.
2307 Fenton Pkwy #107-151
San Diego, CA 92108
1/2013
Fund-Pet Care
-
300.00
Sheet no. _____
28 of _____
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
8,342.82
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 30 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
10/2012
Facility operations
Account No.
Jameson Management Inc
836 W. Washington Ave.
Escondido, CA 92025
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
2,122.83
11/9/2012
IT
Account No.
Jim Powell's Computer Serv.
4924 Via Papel
San Diego, CA 92122
-
980.00
Severance
Account No.
Jones Kathleen
13585 Glencliff Way
San Diego, CA 92130
-
264,109.83
10/25/2012
Consultant
Account No.
Jones, Brian K.
2400 Ridgeview Dr.
Suite 810
Chino Hills, CA 91709
-
10.00
Account No.
Joseph E. Dunn
Mintz Levin
3580 Carmel Mtn Rd, Ste. 300
San Diego, CA 92130
Notice only
-
0.00
Sheet no. _____
29 of _____
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
267,222.66
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 31 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
12/2012
Physician services
Account No.
Kalpana Natrajan Md, Inc
6699 Alvarado Road Ste 2305
San Diego, CA 92120-5241
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
277.67
Various
Patient Care
Account No.
Kan-Di-Ki-LLC
2820 N. Ontario St.
Burbank, CA 91504
-
5,635.88
11/30/2012
Patient Medical Supplies
Account No.
KCI USA
P.O. Box 203086
Houston, TX 77216-3086
-
265.98
Volunteer Reimbursement
Account No.
Kelsay Dina
31640 Serrento Dr.
Murrieta, CA 92563
-
268.07
Account No.
Kindered Nursing West LLC
158 Ross Road
Kennebunk, ME 04043
12/31/12
Patient Care
-
841.00
Sheet no. _____
30 of _____
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
7,288.60
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 32 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
Various
Legal Services
Account No.
Kirby & McGuinn, A.P.C.
707 Broadway
Ste. 1750
San Diego, CA 92101
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
12,314.42
Various
Patient Care
Account No.
Kocharian, Naira MD
435 Arden Ave., Ste. 450
Glendale, CA 91203
-
728.82
Various
Consulting
Account No.
Konder Associates Int'l
10755-F Scripps Poway Pkwy
Suite 422
San Diego, CA 92131
-
402.23
Various
Payroll Software
Account No.
Kronos
P.O. Box 845748
Boston, MA 02284-5748
-
4,078.75
Account No.
La Jolla Emergency Physicians
Medical Group
P.O. Box 661687
Arcadia, CA 91006-1687
11/1/2012
Patient Cae
-
169.05
Sheet no. _____
31 of _____
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
17,693.27
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 33 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
11/1/2012
Patient Care
Account No.
La Jolla Pulmonary & Critical
P.O. Box 85466
San Diego, CA 92186
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
44.43
Various
Patient Care
Account No.
Lab Corp. of America Holdings
P.O. Box 12140
Burlington, NC 27216-2140
-
6,815.85
Various
Patient Care
Account No.
Laboratory Corp.
P.O. Box 2270
Burlington, NC 27216-2140
-
53.09
Various
Patient Care
Account No.
Laboratory Diagnostic Medical
1801 Olympic
File 1016
Pasadena, CA 91199-1016
-
710.24
Account No.
Lawrence, Anthony
2946 E. Washington Ave.
Escondido, CA 92027
Various
Plant Operations
-
5,805.00
Sheet no. _____
32 of _____
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
13,428.61
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 34 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
11/1/2012
Patient Medical Supplies
Account No.
Lawson Products, Inc.
P.O. Box 809401
Chicago, IL 60680-9401
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
59.40
Various
Foundation Consultant
Account No.
Lees, David Grayson
P.O. Box 4830
Laguna Beach, CA 92652
-
13,000.00
Various
Patient Medical Supplies
Account No.
Lincare Pharmacy
P.O. Box 22950
Tucson, AZ 85734
-
1,758.78
Various
Food & Nutritional Items
Account No.
Loewy Enterprise, Inc.
P.O. Box 227280
Commerce, CA 90022
-
3,200.71
Account No. 10/7/2012
Loewy Enterprises, Inc.
P.O. Box 227220
Commerce, CA 90022
Food & Nutritional Items
-
273.66
Sheet no. _____
33 of _____
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
18,292.55
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 35 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
Various
Medical Translation Services
Account No.
M*Modal Services, Ltd.
P.O. Box 102467
Atlanta, GA 30368
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
9,276.57
Various
Patient Medical Supplies
Account No.
McKesson General Med. Group
P.O. Box 933027
Atlanta, GA 31193-3027
-
16,748.02
1/2013
Volunteer Reimbursement
Account No.
McKnight Thomas
6140 Samuel Street
La Mesa, CA 91942
-
60.01
1/3/2013
IPM Transport for Visiting Physicians
Account No.
MCR Car Services
3030 Suncrest Drive
#610
San Diego, CA 92116
-
140.00
Account No.
Meals-On-Wheels Greater SD
2254 San Diego Ave.
Ste. 200
San Diego, CA 92110
Various
Patient Food & Nutritional Items
-
168.00
Sheet no. _____
34 of _____
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
26,392.60
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 36 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
Various
Pharmacy Lease on Equipment
Account No.
Med One Capital Funding
10712 South 1300 East
Sandy, UT 84094
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
2,870.50
1/13/13-2/2/13
employee withheld
Account No.
Medical Insurance Plan
Withholdings
4311 3rd Ave.
San Diego, CA 92103-1407
-
116,544.00
Various
Infusion Services
Account No.
Mediware Information Systems
P.O. Box 414938
Kansas City, MO 64141-4938
-
3,796.90
Various
Patient Medical Supplies
Account No.
Medline Industries, Inc.
Dept. LA 21558
Pasadena, CA 91185-1558
-
166,439.91
Account No.
Medspec, Inc.
2238 N. Glassell St., #E
Orange, CA 92865
Various
Patient Medical Supplies
-
387.25
Sheet no. _____
35 of _____
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
290,038.56
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 37 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
Various
Donor Recognition Items
Account No.
Metal Decor
2601 Colt Rd.
P.O. Box 19452
Springfield, IL 62794-9452
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
352.63
7/1/12-2/2/13
employee withheld
Account No.
MetLife c/o Fascore
Dept 0408
Denver, CO 80256-0408
-
215,637.22
12/11/2012
Plant Operations
Account No.
Metro Fire & Safety, Inc.
2735 Via Orange Way
Suite 102
Spring Valley, CA 91978
-
360.43
11/5/2012
Water Purifiers
Account No.
Metro Refrigeration
6549 Mission Gorge Rd.
PMB 203
San Diego, CA 92120
-
205.78
Account No.
Micro Technology, Inc.
18179 Meadowlark Ln.
Lake Oswego, OR 97034
10/12/2012
Pharmacy Medical Supplies
-
1,143.38
Sheet no. _____
36 of _____
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
217,699.44
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 38 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
Various
Linen Laundry Service
Account No.
Mission Linen Supply
Attn. Michelle Tamayo
2727 Industry Street
Oceanside, CA 92054
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
2,039.79
10/5/2012
Marketing
Account No.
MJE Marketing Services, Inc.
3111 Camino Del Rio North
Suite 100
San Diego, CA 92108
-
4,002.00
Various
Medical Supplies
Account No.
Molac Systems, Inc.
15852 Tanberry Dr.
Chino Hills, CA 91709
-
2,051.72
Various
IT Consultant
Account No.
Mora, Carlos Villarreal
PMB 476
601 E. San Ysidro, #180
San Ysidro, CA 92173
-
12,672.00
Account No.
Morgan, Katharyn
1305 Caminito Gabaldon
San Diego, CA 92108
Various
Therapist
-
3,315.00
Sheet no. _____
37 of _____
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
24,080.51
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 39 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
Various
Therapist
Account No.
Mosser, Dana
4329 Arista Street
San Diego, CA 92103
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
2,395.60
Various
IT
Account No.
Multi-View Incorporated System
P.O. Box 2327
Hendersonville, NC 28793-2327
-
675.00
Notice only
Account No.
Mulvaney Barry Beatty Linn
Everett G.Barry, Kelly A.Tran
401 West A Street, 17th floor
San Diego, CA 92101-7994
-
0.00
Various
Consultant
Account No.
Munoz, Rodolfo
P.O. Box 13774
San Diego, CA 92170
-
800.00
Account No.
Murray Breanna
21 Pasto Rico
Rancho Santa Margarit, CA 92688
Various
Therapist
-
1,680.00
Sheet no. _____
38 of _____
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
5,550.60
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 40 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
Various
Therapist
Account No.
Musicworks, Inc.
11300 Sorrento Valley Rd.
Suite 106
San Diego, CA 92121
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
12,884.88
9/30/2012
Transcription Service
Account No.
Mxsecure
17550 N. Perimeter Dr.
Suite 250
Scottsdale, AZ 85255
-
1,266.61
10/5/2012
Bereavement Supplies
Account No.
Nasco
P.O. Box 101
Salida, CA 95368-0101
-
246.80
Various
Plant Operations
Account No.
National Air & Energy
2053 Kurtz St.
San Diego, CA 92110
-
6,181.75
Account No.
National Hospice Foundation
Attn: Tom Woodruff
1000 Vermont Ave.
Washington, DC 20005
10/4/2012
Dues & Subscriptions
-
5,000.00
Sheet no. _____
39 of _____
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
25,580.04
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 41 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
10/26/2012
Laser Checks
Account No.
Nealson Business Systems
43079 Mirabile Trail
Clinton Township, MI 48038
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
950.80
12/15/2012
Advertising
Account No.
New Lifestyles Inc.
4144 N. Central Expressway
Suite 1000
Dallas, TX 75204
-
732.00
Various
Printing
Account No.
Neyenesch Printers
P.O. Box 81184
San Diego, CA 92101
-
3,387.66
1/2013
Volunteer Reimbursement
Account No.
Nordean Natalie L.
2837 Cacatua St
Carlsbad, CA 92009
-
240.00
Account No.
Office Max
P.O. Box 79515
City of Industry, CA 91716-9515
Various
Office Supplies
-
6,150.64
Sheet no. _____
40 of _____
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
11,461.10
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 42 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
Notice only
Account No.
Office of the US Trustee
Haeji Hong
402 West Broadway, Ste. 600
San Diego, CA 92101-8511
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
0.00
Various
Food & Nutritional Information
Account No.
Old Country Bakery
File 52176
Los Angeles, CA 90074
-
495.73
Various
Staffing Services
Account No.
On Assignment Staffing Serv.
Attn: Lynne Zarkowski
File #54318
Los Angeles, CA 90074-4318
-
13,650.00
9/25/2012
Pharmacy Fax Service
Account No.
OpenText
1301 S. Mopac Expressway
Suite 1000
Dallas, TX 78746
-
10,344.02
Account No.
Otis Elevator Company
P.O. Box 73579
Chicago, IL 60673-7579
Various
Plant Operations
-
2,758.35
Sheet no. _____
41 of _____
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
27,248.10
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 43 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
Various
Food & Nutritional Items
Account No.
Otis Spunkmeyer
7090 Collection Dr.
Chicago, IL 60693
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
263.28
Various
Durable medical equipment
Account No.
Outcome Resources, LLC
2210 Plaza Drive #300
Rocklin, CA 95765
-
169,868.26
10/12/2012
Cash Register Maintenance
Account No.
P.O.S. Data Systems
631 Pt. Buchon Ct.
Chula Vista, CA 91911
-
100.00
11/1/2012
Ambulance
Account No.
Pacific Ambulance, Inc.
P.O. Box 843112
Los Angeles, CA 90084-3112
-
245.84
Account No.
Pacific Event Productions, Inc
6989 Corte Santa Fe
San Diego, CA 92121
10/18/2012
Foundation Consultant
-
399.58
Sheet no. _____
42 of _____
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
170,876.96
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 44 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
2013
Severance
Account No.
Parker William
P. O. Box 5000
PMB 195
Rancho Santa Fe, CA 92067
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
250,000.00
Various
Patient Care
Account No.
Physicians Radiology Medical
1801 W. Olympic Blvd.
Pasadena, CA 91199-1315
-
55.49
Various
Plant Maintenance
Account No.
Plant Pros
P.O. Box 83569
San Diego, CA 92138-3569
-
230.00
10/29/2012
Marketing
Account No.
Portfolio Eight
Attn: Lynn Anderson
6304 Friars Rd., #237
San Diego, CA 92108
-
1,150.00
Account No.
Posey Company
P.O. Box 51017
Los Angeles, CA 90051-5317
1/2/2013
Patient Medical Services
-
56.61
Sheet no. _____
43 of _____
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
251,492.10
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 45 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
10/12/2012
Marketing
Account No.
PR Newswire Association LLC
G.P.O. Box 5897
New York, NY 10087-5897
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
650.00
Various
Employee Screening
Account No.
Pre-Employ.com
P.O. Box 491570
Redding, CA 96049
-
4,043.90
10/2/2008
Loan
Account No.
Price Family Charitable Fund
Attn: Chris Stockton
7979 Ivanhoe, Ste. 520
La Jolla, CA 92037
-
800,000.00
Plant Operations
Account No.
Priority Door Systems
836 W. Washington Avenue
Escondido, CA 92025
-
2,122.83
Account No.
ProCare Pharmacy, L.L.C.
1010 Univesity Avenue
San Diego, CA 92103
2/24/2012
Pharmaceutical Supplies
-
99.48
Sheet no. _____
44 of _____
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
806,916.21
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 46 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
10/31/2012
DME
Account No.
Professional Medical Supply
700 North Marshall Ave.
El Cajon, CA 92020
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
23.38
Various
Postage & Lease
Account No.
Purchase Power
P.O. Box 371874
Pittsburgh, PA 15250-7874
-
13,121.21
Various
Water
Account No.
Pureflo
7737 Mission Gorge Rd.
Santee, CA 92071-3306
-
20.00
Various
Patient Medical Supplies
Account No.
Pyro-Comm Systems, Inc.
15531 Container Lane
Huntington Beach, CA 92649-1530
-
339.68
Account No.
QS/1 Data Systems
P.O. Box 71154
Charlotte, NC 28275
Various
IT
-
1,004.43
Sheet no. _____
45 of _____
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
14,508.70
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 47 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
Various
Patient Care
Account No.
Quality Medical Imaging of CA
2490 Professional Court
Suite 110
Las Vegas, NV 89128
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
663.62
Various
Patient Care
Account No.
Quest Diagnostics
Attn: Renee O'Neill
File 50368
Los Angeles, CA 90074-0368
-
13,619.12
Various
Patient Care
Account No.
Radiology Medical Group, Inc.
1801 W. Olympic Blvd.
File 1315
Los Angeles, CA 90074-0368
-
1,511.93
Various
Patient Care
Account No.
Raskin, Erin E.
4452 Park Blvd., #312
San Diego, CA 92116
-
2,565.00
Account No.
RDJ Distributions
2650 Jamacha Rd.
Suite 147
El Cajon, CA 92019
Various
Food & Nutritional Items
-
513.84
Sheet no. _____
46 of _____
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
18,873.51
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 48 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
11/2/2012
Badges
Account No.
Recognition Express
P.O. Box 289
Spring Valley, CA 91976-0289
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
45.26
Various
Marketing
Account No.
Red Door Interactive, Inc.
560 Carlsbad Village Drive
Suite 200
Carlsbad, CA 92008
-
16,000.00
Various
Patient Care
Account No.
Rehabcare Group East, Inc.
P.O. Box 503534
Saint Louis, MO 63150-3534
-
3,281.00
10/23/2012
Plant Operations
Account No.
Rescue Rooters
9895 Olson Dr., Ste. B
San Diego, CA 92121
-
900.00
Account No.
Retirement Publishing
5299 W. Green Ct.
Unit 16
Rathdrum, ID 83858
9/16/2012
Marketing
-
149.00
Sheet no. _____
47 of _____
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
20,375.26
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 49 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
Various
Foundation Consultant
Account No.
Riha, Paul E.
3546 Highland Drive
Carlsbad, CA 92008
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
2,418.99
Various
Patient Care
Account No.
Ritt, Donald, MD
9850 Genesee Ave., #930
La Jolla, CA 92037
-
1,239.10
1/2013
Volunteer Reimbursement
Account No.
Rockwell Jacquelyn
2311 4th Ave. Apt. 32
San Diego, CA 92101
-
135.00
Various
Therapist
Account No.
Rogul, Jill
1709 Catalpa Rd.
Carlsbad, CA 92011
-
480.00
Account No.
Ron's Pharmacy Services
6225 Nancy Ridge Dr.
San Diego, CA 92121
Various
Pharmacy Consulting
-
5,247.18
Sheet no. _____
48 of _____
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
9,520.27
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 50 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
Various
Marketing
Account No.
Rush Press
3553 California Street
San Diego, CA 92101
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
11,109.03
Various
Staffing Services for Pharmacy
Account No.
Rxpro Health
12400 High Bluff Dr.
San Diego, CA 92130
-
38,969.16
Various
Therapist
Account No.
Ryan, Rickie Lee
3407 Calle Odessa
Carlsbad, CA 92009
-
4,410.00
Various
Food & Nutritional Items
Account No.
S&S Bakery Distributors, Inc.
2545 Britannia Blvd.
San Diego, CA 92154
-
1,216.21
Account No.
Sabonjian Speech Services, Inc
P.O. Box N
Del Mar, CA 92014
10/2/2012
Therapist
-
300.00
Sheet no. _____
49 of _____
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
56,004.40
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 51 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
Various
Patient Care
Account No.
Samarasinghe Kosala MD
5391 Harvest Run Ave.
San Diego, CA 92130
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
549.55
Various
Patient Medical Services
Account No.
Sammons Preston
P.O. Box 93040
Chicago, IL 60673-3040
-
619.89
10/26/2012
Patient Care
Account No.
San Diego Blood Bank
3636 Gateway Ctr. Ave., #100
San Diego, CA 92102-4508
-
789.00
10/26/2012
Dues & Subscriptions
Account No.
San Diego Business Journal
4909 Murphy Canyon Rd.
Suite 200
San Diego, CA 92123
-
5,000.00
Account No.
San Diego Cardiac Ctr Med Grp
3131 Berger Avenue
Suite 200
San Diego, CA 92123-4203
Various
Patient Care
-
79.26
Sheet no. _____
50 of _____
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
7,037.70
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 52 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
Various
Patient Care
Account No.
San Diego County Speech Pathol
411 Camino Del Rio South
#101
San Diego, CA 92108
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
460.00
loan
Account No.
San Diego Hospice
Foundation Inc.
4311 Third Ave.
San Diego, CA 92103
-
1,091,000.00
12/7/2012
Patient Care
Account No.
San Diego Hospitalist Associat
8765 Aero Drive
Ste. 130
San Diego, CA 92123-1767
-
270.43
12/17/2012
Lease on meeting place
Account No.
San Diego Jewish Journal
2665 Oberlin Drive
Suite 204
San Diego, CA 92121
-
1,345.00
Account No.
San Diego Medical Services
P.O. Box 53518
Phoenix, AZ 85072-3214
12/4/2012
Patient Care
-
538.79
Sheet no. _____
51 of _____
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
1,093,614.22
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 53 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
10/4/2012
Patient Care
Account No.
San Diego Medical Transport
864 34th Street
San Diego, CA 92102
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
100.00
Various
Patient Care
Account No.
San Diego Pacific Oncology Ass
9850 Genesee Ave., #830
La Jolla, CA 92037
-
13,755.66
Various
Patient Care
Account No.
San Diego Path - Hosp
(PCB 744127)
P.O. Box 744127
Dallas, TX 75374
-
1,120.97
10/20/2012
HR & Marketing Ads
Account No.
San Diego Union Tribune
Attn: Cashier Dept.
P.O. Box 121546
San Diego, CA 92112-5546
-
19.44
Account No.
San Marcos Ambulance Transport
P.O. Box 269110
Sacramento, CA 95826-9110
Various
Patient Care
-
841.05
Sheet no. _____
52 of _____
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
15,837.12
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 54 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
12/10/2012
Patient Care
Account No.
SANDAG
Attn: Sylvia/Compass Card Sale
401 B Street, Suite 800
San Diego, CA 92101
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
95.25
Various
Software Licenses
Account No.
Sarcom, Inc.
dba Wareforce, CCIT
P.O. Box 514487
Los Angeles, CA 90051-4487
-
13,316.05
Various
Therapist
Account No.
Schwan, Rodney
4265 5th Ave.
San Diego, CA 92103
-
4,331.25
11/26/2012
Patient Care
Account No.
Scripps - Medical Staff
Privilege
550 Washington St., Ste. 705
San Diego, CA 92103-2005
-
133.32
Account No.
Scripps Clinic
File #54433
Los Angeles, CA 90074-4433
Various
Patient Care
-
510.21
Sheet no. _____
53 of _____
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
18,386.08
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 55 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
Various
Patient Care
Account No.
Scripps Health
File 50367
Los Angeles, CA 90074-0420
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
136,995.20
Patient care
Account No.
Scripps Health Medical Service
10170 Sorrento Valley Road
SV5
San Diego, CA 92121
-
2,372.38
10/23/2012
Patient Care
Account No.
Scripps Mercy Medical Staff
4077 Fifth Ave.
San Diego, CA 92103
-
2,599.98
Various
Patient Care
Account No.
Scripps Mrcy Phys Cardlg Md Gr
4077 Fifth Ave.
San Diego, CA 92103
-
42.57
Account No.
Seacoast Distributing
8385 Miramar Mall Rd.
Suite 209
San Diego, CA 92121
Various
Food & Nutritional Items
-
363.72
Sheet no. _____
54 of _____
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
142,373.85
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 56 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
Various
Patient Transportation
Account No.
Secure Transportation
Attn: Belinda
13111 Meyer Rd.
Whittier, CA 90605
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
4,910.20
Various
Postage
Account No.
Select Mailing
5630 Kearny Mesa Rd.
San Diego, CA 92111
-
5,257.03
Various
Patient Care
Account No.
Sharp Chula Visa Hospital
File #55453
Los Angeles, CA 90074-5453
-
2,688.86
Various
Copier Lease
Account No.
Sharp Electronics Corp.
Dept. LA 21565
Pasadena, CA 91185-1565
-
14,285.45
Account No.
Sharp Memorial Hospital
File #55440
Los Angeles, CA 90074-5440
11/8/2012
Patient Care
-
756.44
Sheet no. _____
55 of _____
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
27,897.98
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 57 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
10/30/2012
HR - Employee Occupational Therapy
Account No.
Sharp Reed-Stealy Occup. Med.
4000 Ruffin Rd., Ste. E
San Diego, CA 92123-1800
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
98.00
Various
Therapist
Account No.
Simkin-Lemarie, Michelle
8455 Via Mallorca, #43
La Jolla, CA 92037
-
14,175.00
10/3/2012
Consultants
Account No.
Simpler & Simpler
14784 Via Mantova
San Diego, CA 92127-3816
-
7,500.00
1/16/2013
Consultant
Account No.
Slavin Lisa
7084 Camino Degrazia
#244
San Diego, CA 92111
-
1,820.00
Account No.
Smiths Medical, MD, Inc.
P.O. Box 7247-7784
Philadelphia, PA 19170-7784
Various
Patient Medical Supplies
-
348.50
Sheet no. _____
56 of _____
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
23,941.50
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 58 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
Various
Marketing
Account No.
SOS Printing, Inc.
8135 Ronson Rd.
San Diego, CA 92111
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
8,000.66
11/30/2012
Therapist
Account No.
Soto, Beverly Irasema
3421 36th Street, #10
San Diego, CA 92104
-
3,640.00
11/15/2012
Lease on meeting place
Account No.
Southern California Presb
1151 S. Redwood St.
Escondido, CA 92025
-
68.77
Various
IT
Account No.
Southland Technology, Inc.
8053 Vickers St.
San Diego, CA 92111
-
34,109.24
Account No.
Southwest Trophy & Awards
4251 Park Blvd.
San Diego, CA 92103
12/11/2012
Donor Recognition Items
-
29.63
Sheet no. _____
57 of _____
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
45,848.30
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 59 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
Various
Dues & Subscriptions
Account No.
St. John Companies
P.O. Box 51263
Los Angeles, CA 90051-5563
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
274.14
11/27/2012
Patient Care
Account No.
Stanton, William MD
4020 Fifth Ave.
Suite 401
San Diego, CA 92103
-
14.02
Various
Foundation Consultant
Account No.
Stelter
10435 New York Ave.
Urbandale, IA 50322
-
2,000.00
Various
Waste Pickup
Account No.
Stericycle, Inc.
P.O. Box 6578
Carol Stream, IL 60197-6578
-
6,896.97
Account No.
Straub Kristen
902 Caminito Madrigal
Carlsbad, CA 92011
1/2013
Volunteer Reimbursement
-
251.57
Sheet no. _____
58 of _____
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
9,436.70
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 60 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
1/2013 - 2/2013
HR Ombudsman
Account No.
Struhar Colleen
7623 Eads Ave., 1F
La Jolla, CA 92037
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
13,000.00
10/4/2012
Foundation Consultant
Account No.
Suddes Group for Impact, LLC
6665 Eagle Creek Lane
Ostrander, OH 43061
-
1,455.01
Various
Staffing Agency
Account No.
Suna Solutions
1331 N. California Blvd., #150
Walnut Creek, CA 94596
-
9,725.82
Various
Marketing
Account No.
Sunset Press, Inc.
6190 Fairmont Ave., #B
San Diego, CA 92120
-
18,571.82
Account No.
Sysco Food Serv. of San Diego
Attn: Ruth Balduz/Lynn
P.O. Box 509101
San Diego, CA 92150-9101
Various
Food & Nutritional Items
-
16,045.49
Sheet no. _____
59 of _____
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
58,798.14
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 61 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
Various
Phone
Account No.
T-Mobile
P.O. Box 51843
Los Angeles, CA 90051-6143
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
79,724.31
1/4/2013
Staffing Agency
Account No.
TEG Staffing, Inc.
P.O. Box 843209
Los Angeles, CA 90084-3209
-
6,510.00
2/2013
Phone
Account No.
Telepacific Communications
P.O. Box 526015
Sacramento, CA 95852-6015
-
1,331.08
11/14/12
Consultant
Account No.
The Adam Group, Inc.
115 Southeast Parkway Court
Franklin, TN 37064
-
116.70
Account No.
The C & C Partnership
6661 Carthage Street
San Diego, CA 92120
11/26/2012
Consultant
-
350.00
Sheet no. _____
60 of _____
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
88,032.09
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 62 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
Various
Consultant
Account No.
The Corridor Group, Inc.
6405 Metcalf Ave., Ste. 108
Mission, KS 66202
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
63,730.46
9/11/2012
Donor Golf Event
Account No.
The Crosby Club
P.O. Box 2504
Rancho Santa Fe, CA 92067
-
6,249.50
11/2012
Consulting Group
Account No.
The Edelstein Group
6348 Carroll Canyon Road
San Diego, CA 92121-1733
-
600.00
Various
Marketing
Account No.
The Idea Brand
444 West Beech St., #400
San Diego, CA 92101
-
19,500.00
Account No.
The University Club Atop
Symphony Towers
750 B St.
San Diego, CA 92101-8130
Various
Donor Event
-
4,406.91
Sheet no. _____
61 of _____
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
94,486.87
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 63 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
Various
Therapy
Account No.
Therapy Specialist Extension
3760 Convoy St.
Suite 204
San Diego, CA 92111
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
679.90
Various
Phone
Account No.
Time Warner Cable
P.O. Box 60074
City of Industry, CA 91716-0074
-
155.38
Various
Patient Transporation
Account No.
TLC Medical Transport
6312 Riverdale St.
San Diego, CA 92120
-
2,981.00
11/21/2012
Heating Repairs
Account No.
Trane Company
P.O. Box 98167
Chicago, IL 60693
-
609.63
Account No.
Trauma Team Medical Group
P.O. Box 87762
San Diego, CA 92138-7762
9/24/2012
Patient Care
-
134.95
Sheet no. _____
62 of _____
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
4,560.86
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 64 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
Various
Patient Care
Account No.
Tri City Medical Center
File #53706
Los Angeles, CA 90074-3706
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
4,671.27
Various
Security Guard
Account No.
U.S. Security Associates, Inc.
P.O. Box 913703
Atlanta, GA 31193
-
30,281.70
Notice only
Account No.
U.S. Trustee
402 W. Broadway, Ste. 600
San Diego, CA 92101
-
0.00
12/17/2012
Physician Services
Account No.
UC Regents
9500 Gilman Dr., #0207
La Jolla, CA 92037
-
26,292.35
Account No.
UCSD Emergency Physicians Hill
File No. 54826
Los Angeles, CA 90074-4826
11/30/2012
Patient Care
-
336.00
Sheet no. _____
63 of _____
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
61,581.32
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 65 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
10/26/2012
Patient Care
Account No.
UCSD Home Infusion Pharmacy
3809 Convoy Court
San Diego, CA 92111
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
1,575.54
Various
Patient Care
Account No.
UCSD Medical Center
File 55663
Los Angeles, CA 90074
-
103,378.14
Various
Patient Care
Account No.
UCSD Medical Group
File #57326
Los Angeles, CA 90074-7326
-
5,368.00
Various
Patient Care
Account No.
UCSD Occupational & Environmen
330 Lewis Street, Suite 100
San Diego, CA 92103-8800
-
1,229.00
Account No.
UCSD Radiation Oncology
P.O. Box 30590
Los Angeles, CA 90030-0590
Various
Patient Care
-
2,999.26
Sheet no. _____
64 of _____
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
114,549.94
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 66 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
Various
HR - Employee Occupational Therapy
Account No.
UCSD-COEM
P.O. Box 34457
San Diego, CA 92163-4457
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
6,472.00
1/13/13-2/2/13
employee withheld
Account No.
United Way Donations
4699 Murphy Canyon Rd
San Diego, CA 92123
-
1,323.42
Various
Lease on Medical Equipment
Account No.
Universal Hospital Srvcs Inc.
SDS 12-0940
P.O. Box 86
Minneapolis, MN 55486-0940
-
54,167.07
12/1/12-2/2/13
employee withheld
Account No.
Unum
P.O. Box 406946
Atlanta, GA 30384-6946
-
55,367.22
Account No.
UPS
P.O. Box 894820
Los Angeles, CA 90189-4820
Various
Postage
-
1,153.75
Sheet no. _____
65 of _____
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
118,483.46
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 67 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
9/30/11
Grant revenue
Account No.
US Cancer Pain Relief Committe
6907 University Avenue
Ste. 312
Middleton, WI 53562
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
36,000.00
4/2012
Phone
Account No.
USA Mobility Wireless, Inc.
P.O. Box 660324
Dallas, TX 75266-0324
-
183.72
Various
Non-Medical Supplies
Account No.
Vanguard Industries West
2440 Impala Dr.
Carlsbad, CA 92010-7226
-
5,824.97
12/10/2012
Consultant
Account No.
Vasquez, Robert M.
15405 Wood Rd.
Riverside, CA 92508
-
61.99
Account No.
Viadesign
3911 Harnet St.
San Diego, CA 92110
Various
Marketing
-
6,872.42
Sheet no. _____
66 of _____
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
48,943.10
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 68 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
12/31/2012
Skilled Nursing Facility
Account No.
Villa Coronado Conv. Ctr.
Attn: Diane Alexander/SNF
8695 Spectrum Ctr. Ct.
San Diego, CA 92123
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
2,455.00
Various
Other Medical Supplies
Account No.
Vu-Pak Systems Division
Lock Box 238
Jamison, PA 18929-0238
-
313.85
Various
Plant Operations
Account No.
Waste Management, Inc.
P.O. Box 541065
Los Angeles, CA 90054-1065
-
3,646.41
Various
Plant Operations
Account No.
Waxie Sanitary Supply
Attn: Lettie
P.O. Box 81006
San Diego, CA 92138-1006
-
3,264.01
Account No.
Wells Fargo - Credit Card
Payment Remittance Ctr.
P.O. Box 54349
Los Angeles, CA 90054-0349
11/10/11
Loan
-
4,000,000.00
Sheet no. _____
67 of _____
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
4,009,679.27
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 69 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
12/20/2012
Therapist
Account No.
Wheeler, Mary
110 Gentle River Road
Harvest, AL 35749
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
100.00
Various
Therapist
Account No.
Wilson, Saranne
360 W. Lexington, #102
El Cajon, CA 92020
-
1,224.00
10/24/2012
Patient Medical Supplies
Account No.
Wolf Medical Supply, Inc.
13951 NW 8th St
Sunrise, FL 33325
-
400.32
12/2/2012
Consultants
Account No.
Wolters Kluwer Health, Inc.
77 Westport Plaza Dr.
Suite 450
Saint Louis, MO 63146-3125
-
10,995.00
Account No.
Workplace SVCS, The Kuske Co.
610 Alpine Way
Escondido, CA 92029
10/9/2012
Consultants
-
3,145.24
Sheet no. _____
68 of _____
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
15,864.56
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-7
Pg. 70 of 70
B6F (Official Form 6F) (12/07) - Cont.
In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
(Continuation Sheet)
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Husband, Wife, Joint, or Community
H
W
J
C
12/5/2012
Patient Care
Account No.
X-Ray Medical Group
4891 Pacific Highway, #215
San Diego, CA 92110-4026
DATE CLAIM WAS INCURRED AND
CONSIDERATION FOR CLAIM. IF CLAIM
IS SUBJECT TO SETOFF, SO STATE.
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
-
44.43
Various
Patient Care
Account No.
Ximed Hospitalists, Inc.
P.O. Box 51795
Los Angeles, CA 90051-6095
-
450.02
Various
Patient Care
Account No.
Ximed Medical Group, Inc.
9850 Genesee Avenue
#900
San Diego, CA 92037
-
1,250.09
1/2013
Employee reimbursement
Account No.
Yang Holly
1793 Tamarand Way
San Diego, CA 92154
-
43.01
Account No.
Your Home Services, Inc.
P.O. Box 881802
San Diego, CA 92168
Various
Patient Care
-
19,882.80
Sheet no. _____
69 of _____
69 sheets attached to Schedule of
Creditors Holding Unsecured Nonpriority Claims
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Subtotal
(Total of this page)
21,670.35
Total
(Report on Summary of Schedules)
13,489,223.93
Best Case Bankruptcy
Case 13-01179-MM11
Filed 02/19/13
Doc 64-8
Pg. 1 of 14
B6G (Official Form 6G) (12/07)
L
i
p
U
s
a
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C
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r
o
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E
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e
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{
1
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In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE G - EXECUTORY CONTRACTS AND UNEXPIRED LEASES
Describe all executory contracts of any nature and all unexpired leases of real or personal property. Include any timeshare interests. State nature
of debtor's interest in contract, i.e., "Purchaser", "Agent", etc. State whether debtor is the lessor or lessee of a lease. Provide the names and
complete mailing addresses of all other parties to each lease or contract described. If a minor child is a party to one of the leases or contracts,
state the child's initials and the name and address of the child's parent or guardian, such as "A.B., a minor child, by John Doe, guardian." Do not
disclose the child's name. See, 11 U.S.C. §112 and Fed. R. Bankr. P. 1007(m).
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 of Debtor's Interest.
State whether lease is for nonresidential real property.
State contract number of any government contract.
Abnology
13777 Pine Needles Dr.
Del Mar, CA 92014
IT Strategic Project Planning 2013
Aetas Health Services LLC
7922 Palm Street
Lemon Grove, CA 91945
Required by COPs to have a written agreement
with nursing facility
Aetna Health of California
2625 Shadelands Drive
Walnut Creek, CA 94598
Payor agreemenet
Ajayi, Toluwalse
1607 Summit Street
Kansas City, MO 64108
Fellow-Physician agreement
Allscripts (Chicago)
24630 Network Place
Chicago, IL 60673-1246
Electronic medical records
Alvarado, Enma MD
1228 South Lake Street
Burbank, CA 91502
Physician Fellowship
Amplicare, LLC
1900 International Park Drive,
Suite 350
Birmingham, AL 35243-4204
Physician Billing Software
Arbor Hills SNF
7800 Parkway Drive
La Mesa, CA 91942
SNF, required by COPs to have contract on file
Arch Health Partners
15611 Pomerado Road
5th Floor
Poway, CA 92064
Payor agreement
AT&T
Sacramento, CA 95887-0001
Communications
Aviara Healthcare Center
Olive Holdings LLC
944 Regal Road
Encinitas, CA 92024
Required by COPs to have a written agreement
with nursing facility
13
continuation sheets attached to Schedule of Executory Contracts and Unexpired Leases
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Best Case Bankruptcy
Case 13-01179-MM11
In re
Filed 02/19/13
San Diego Hospice & Palliative Care Corporation
Doc 64-8
,
Pg. 2 of 14
Case No.
13-01179-MM11
Debtor
SCHEDULE G - EXECUTORY CONTRACTS AND UNEXPIRED LEASES
(Continuation Sheet)
Name and Mailing Address, Including Zip Code,
of Other Parties to Lease or Contract
Sheet
1
Description of Contract or Lease and Nature of Debtor's Interest.
State whether lease is for nonresidential real property.
State contract number of any government contract.
Barney & Barney
P.O. Box 85638
San Diego, CA 92186-5638
Employee benefits
Beta Healthcare Group
P.O. Box 85638
Alamo, CA 94507-1911
Employee benefits
Blue Cross
P.O. Box 70000
Van Nuys, CA 91470-1000
Payor agreement
Blue Shield of California
P.O. Box 241012
Lodi, CA 95241
Payor agreement
Bodtke, Susan MD
424 Sea Ridge Avenue
La Jolla, CA 92037
Physician Agreement
Bower, Kimberly
5151 Bristol Road
San Diego, CA 92116
Physician Agreement
Bradley Court
675 E. Bradley Ave.
El Cajon, CA 92021
SNF, required by COPs to have a written
agreement with Nursing Facility
Brighton Place San Diego
1350 North Euclid Avenue
San Diego, CA 92105
Required by COPs to have a written agreement
with Nursing Facility
Brighton Place Spring Valley
9009 Campo Road
Spring Valley, CA 91977
SNF, required by COPs to have contract on file
Brookwood Crossroads Investors
72 Cherry Hill Drive
2nd floor
Beverly, MA 01915
404 Lease, left building 2/1/13
Care Medical Transportation, I
9770 Candida Street
San Diego, CA 92126
Ambulance-required by COPs
Care with Dignity
8060 Frost Street
San Diego, CA 92123
Required by COPs to have a written agreement
with Nursing Facility
Carefusion Solutions, LLC/
Pyxis Products
25565 Network Place
Chicago, IL 60673-1250
Medication delivery equipment/ICC
of 13
continuation sheets attached to the Schedule of Executory Contracts and Unexpired Leases
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Best Case Bankruptcy
Case 13-01179-MM11
In re
Filed 02/19/13
San Diego Hospice & Palliative Care Corporation
Doc 64-8
,
Pg. 3 of 14
Case No.
13-01179-MM11
Debtor
SCHEDULE G - EXECUTORY CONTRACTS AND UNEXPIRED LEASES
(Continuation Sheet)
Name and Mailing Address, Including Zip Code,
of Other Parties to Lease or Contract
Sheet
2
Description of Contract or Lease and Nature of Debtor's Interest.
State whether lease is for nonresidential real property.
State contract number of any government contract.
Carmel Mountain Rehab & Health
11895 Avenue of Industry
San Diego, CA 92128
Required by COPs to have a written agreement
with Nursing Facility
Casa De Las Campanas
18655 West Bernardo Drive
San Diego, CA 92127
Required by COPs to have a written agreement
with Nursing Facility
CCW La Jolla dba Vi At La
Jolla Village
4171 Palmas Square
San Diego, CA 92122
SNF, required by COPs to have contract on file
Chase Care Center
1201 S. Orange Avenue
El Cajon, CA 92020
Required by COPs to haev a written agreement
with Nursing Facility
CHC of La Mesa, LLC dba
Arbor Hills SNF
7800 Parkway Drive
La Mesa, CA 91942
Required by COPs to have a written agreement
with Nursing Facility
Children's Hospital & Hth Ctr
Rady Children's Hosp. San Dieg
8001 Frost Street
San Diego, CA 92123
Payor agreement
Christianson, Sonya MD
1509 Republic Street
San Diego, CA 92114
Physician Agreement
Cigna Healthcare of CA dba
Cigna Healthcare of San Diego
3636 Nobel Drive
San Diego, CA 92122
Payor agreement
Cintas Corporation No. 2
P.O. Box 633842
Cincinnati, OH 45263
Document shredding
Clairemont Hthcare & Wellness
8060 Frost Street
San Diego, CA 92123
Required by COPs to have a written agreement
with Nursing Facility
Cmty Conva Hosp. of La Mesa
8665 La Mesa Blvd.
La Mesa, CA 91941
Required by COPs to have a written agreement
with Nursing Facility
Collingwood Manor
553 F Street
Chula Vista, CA 91910
Required by COPs to have a written agreement
with Nursing Facility
of 13
continuation sheets attached to the Schedule of Executory Contracts and Unexpired Leases
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Best Case Bankruptcy
Case 13-01179-MM11
In re
Filed 02/19/13
San Diego Hospice & Palliative Care Corporation
Doc 64-8
,
Pg. 4 of 14
Case No.
13-01179-MM11
Debtor
SCHEDULE G - EXECUTORY CONTRACTS AND UNEXPIRED LEASES
(Continuation Sheet)
Name and Mailing Address, Including Zip Code,
of Other Parties to Lease or Contract
Sheet
3
Description of Contract or Lease and Nature of Debtor's Interest.
State whether lease is for nonresidential real property.
State contract number of any government contract.
Collins Computing, Inc.
26050 Acero Street
Mission Viejo, CA 92691
Great Plains Accounting software service
agreement
Comstock, Paul L.
2 Riverway, Suite 1000
Houston, TX 77056
Investment advisor
Cor-O-Van Corporation
Kerran Way
Poway, CA 92064
Offsite storage of records
Coram Alternative Site Service
P.O. Box 74798
Chicago, IL 60694-4798
Home infusion services
Country Hills Health Care
1580 Broadway
El Cajon, CA 92021
Required by COPs to have a written agreement
with Nursing Facility
Country Villa La Mesa HCC
5696 Lake Murray Blvd.
La Mesa, CA 91942
Required by COPs to have a written agreement
with Nursing Facility
Covenant Care California LLC
1025 W. Second Avenue
Escondido, CA 92025
Required by COPs to have a written agreement
with Nursing Facility
CTS Languagelink
P.O. Box 41602
Philadelphia, PA 19101-1602
Language interpretation services for
patients/families
Deyta, LLC
7400 New Lagrange Rd. #200
Louisville, KY 40222
Patient satisfaction survey/required by COP
Dostart Clapp & Coveney LLP
4370 La Jolla Village Dr #970
San Diego, CA 92122-1253
Legal services
Edmonds, Kyle MD
1442 East June Street
Mesa, AZ 85203
Physician Fellowship
Eldorado Care Center, LLC
510 E. Washington Ave.
El Cajon, CA 92020
Required by COPs to have a written agreement
with Nursing Facility
Elia, Giovanni MD
6308 Rancho Mission Road #179
San Diego, CA 92108
Physician Agreement
of 13
continuation sheets attached to the Schedule of Executory Contracts and Unexpired Leases
Software Copyright (c) 1996-2012 - CCH INCORPORATED - www.bestcase.com
Best Case Bankruptcy
Case 13-01179-MM11
In re
Filed 02/19/13
San Diego Hospice & Palliative Care Corporation
Doc 64-8
,
Pg. 5 of 14
Case No.
13-01179-MM11
Debtor
SCHEDULE G - EXECUTORY CONTRACTS AND UNEXPIRED LEASES
(Continuation Sheet)
Name and Mailing Address, Including Zip Code,
of Other Parties to Lease or Contract
Sheet
4
Description of Contract or Lease and Nature of Debtor's Interest.
State whether lease is for nonresidential real property.
State contract number of any government contract.
Elm Holdings dba La Mesa
Healtcare Center
3780 Massachusetts Avenue
La Mesa, CA 91941
SNF, required by COPs to have contract on file
Encinitas Nursing & Rehab Ctr
900 Santa Fe Drive
Encinitas, CA 92024
Required by COPs to have a written agreement
with Nursing Facility
Excel Telemessaging, Inc.
16380 Bake Parkway
Irvine, CA 92618
Telephone triage for call overflow
Falcon Valley Group
11702 Pickford Road
San Diego, CA 92131
Foundation media and public relations counsel
and services
Foley & Lardner, LLP
402 West Broadway #2100
San Diego, CA 92101
Legal Services
Forner, Kristin MD
4053 Magnolia Way #32
Beavercreek, OH 45431
Physician Fellowship
Fredericka Manor Care Ctr
111 Third Avenue
Chula Vista, CA 91910
Required by COPs to have a written agreement
with Nursing Facility
Garcia, Sylvia MD
15215 Falcon Crest Court
San Diego, CA 92127
Physician Agreement
GHC of National City, LLC dba
Friendship Manor
902 S. Euclid Avenue
National City, CA 91950
Required by COPs to have a written agreement
with a Nursing Facility
GHC of Santee, LLC dba
Stanford Court Nursing Center
8778 Cuyamaca Street
Santee, CA 92071
Required by COPs to have a written agreement
with Nursing Facility
Global Power Group, Inc.
12060 Woodside Avenue
Lakeside, CA 92040
SDG&E/ICC retrofit
Granite Hills Convalescent
1340 East Madison
El Cajon, CA 92021
Required by COPs to have a written agreement
with Nursing Facility
of 13
continuation sheets attached to the Schedule of Executory Contracts and Unexpired Leases
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Case 13-01179-MM11
In re
Filed 02/19/13
San Diego Hospice & Palliative Care Corporation
Doc 64-8
,
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Case No.
13-01179-MM11
Debtor
SCHEDULE G - EXECUTORY CONTRACTS AND UNEXPIRED LEASES
(Continuation Sheet)
Name and Mailing Address, Including Zip Code,
of Other Parties to Lease or Contract
Sheet
5
Description of Contract or Lease and Nature of Debtor's Interest.
State whether lease is for nonresidential real property.
State contract number of any government contract.
Grossmont Gardens Hthcare Ctr
5480 Maregno Avenue
La Mesa, CA 91942
Required by COPs to have a written agreement
with Nursing Facility
Grossmont Hospital-Sharp
File# 55484
Los Angeles, CA 90074-5484
Outpatient services
Guardian
P.O. Box 677458
Dallas, TX 75267-7458
Employee benefits
Health Net
File# 56527
Los Angeles, CA 90074-6527
Payor agreement
Hill-Rom
P.O. Box 643592
Pittsburgh, PA 15264-3592
Software medical
Hirst, Jeremy MD
5029 San Joaquin Drive
San Diego, CA 92109
Physician Agreement
Horizon Health EAP
P.O. Box 511496
Los Angeles, CA 90051-8101
Employee benefits
Hyland Software
28500 Clemens Rd.
Westlake, OH 44145
OnBase Integration Software
Interim Healthcare Inc. San Di
425 W. 5th Ave., Ste. 104
Escondido, CA 92025
Provides service required by the COPs
Iron Mountain Off Site Data
P.O. Box 601002
Pasadena, CA 91189-1002
Data Warehouse
Irwin, Scott MD Ph.D.
4311 Third Avenue
San Diego, CA 92103
Physician Agreement
Kaiser Fdtn Hosp Hospice Svcs/
Kaiser Permanente
4647 Zion Avenue
San Diego, CA 92120
Payor agreement
Kan-Di-Ki LLC (Ontario)
Diagnostic Laboratories
2820 N. Ontario Street
Burbank, CA 91504
Provides service required by COPs
of 13
continuation sheets attached to the Schedule of Executory Contracts and Unexpired Leases
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Best Case Bankruptcy
Case 13-01179-MM11
In re
Filed 02/19/13
San Diego Hospice & Palliative Care Corporation
Doc 64-8
,
Pg. 7 of 14
Case No.
13-01179-MM11
Debtor
SCHEDULE G - EXECUTORY CONTRACTS AND UNEXPIRED LEASES
(Continuation Sheet)
Name and Mailing Address, Including Zip Code,
of Other Parties to Lease or Contract
Sheet
6
Description of Contract or Lease and Nature of Debtor's Interest.
State whether lease is for nonresidential real property.
State contract number of any government contract.
Kassuba, Sonja MD
5 Highland Blvd.
Kensington, CA 94707
Physician Fellowship
Kearny Mesa Conv. Hospital
7675 Family Circle
San Diego, CA 92111
Required by COPs to have a written agreement
with Nursing Facility
Koa Holding LLC dba Cottonwood
Canyon SNF
1391 E. Madison Avenue
El Cajon, CA 92021
SNF, required by COPs to have contract on file
Kronos
P.O. Box 845748
Boston, MA 02284-5748
Payroll system
Kronos Momentum for Healthcare
P.O. Box 845748
Boston, MA 02284-5748
Payroll software upgrade
La Palomar Healthcare Center
3232 Thunder Drive
Oceanside, CA 92054
SNF, required by COPs to have contract on file
Laboratory Corp (Box 12140)
Of America Holdings
P.O. Box 12140
Burlington, NC 27216-2140
Provides service required by the COPs
Laboratory Diagnostic Medical
1801 West Olympic
File 1016
Pasadena, CA 91199-1016
Provides service required by the COPs
Las Villas De Carlsbad
1094 Laguna Drive
Carlsbad, CA 92008
SNF, requried by COPs to have contract on file
Las Villas Del Norte
1335 Las Villas Way
Escondido, CA 92025
SNF, required by COPs to have contract on file
Lemon Grove Health Assoc. LLC
8351 Broadway
Lemon Grove, CA 91945
Required by COPs to have a written agreement
with Nursing Facility
Life Care Center of Vista
304 N. Melrose Drive
Vista, CA 92083
Required by COPs to have a written agreement
with Nursing Facility
of 13
continuation sheets attached to the Schedule of Executory Contracts and Unexpired Leases
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Case 13-01179-MM11
In re
Filed 02/19/13
San Diego Hospice & Palliative Care Corporation
Doc 64-8
,
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Case No.
13-01179-MM11
Debtor
SCHEDULE G - EXECUTORY CONTRACTS AND UNEXPIRED LEASES
(Continuation Sheet)
Name and Mailing Address, Including Zip Code,
of Other Parties to Lease or Contract
Description of Contract or Lease and Nature of Debtor's Interest.
State whether lease is for nonresidential real property.
State contract number of any government contract.
LifeCare Solutions, Inc.
1119 Caroll Canyon Road
San Diego, CA 92131
Provides service required by the COPs
LifeHouse San Diego Operations
dba San Diego Healthcare Ctr
2828 Meadowlark Drive
San Diego, CA 92123
Required by COPs to have a written agreement
with Nursing Facility
Lilac Holdings, LLC dba Reo
Vista Healthcare
6061 Banbury Street
San Diego, CA 92139
SNF, required by COPs to have contract on file
Madonis, Alexander MD
3961 Via Marisol Apt. 221
Los Angeles, CA 90042
Physician Fellowship
Magnolia Special Care Ctr, Inc
635 S. Magnolia
El Cajon, CA 92020
Required by COPs to have a written agreement
with Nursing Facility
Manoff, Gregg MD
5373 Bloch Street
San Diego, CA 92122
Physician Agreement
Med One Capital Funding-Calif.
10712 South 1300 East
Sandy, UT 84094
Pharmacy equipment lease
Medifax Edi (Emdeon)
3055 Lebanon Pike
Nashville, TN 37214
Physician billing software
Medline Industries, Inc.
Dept. LA 21558
Pasadena, CA 91185-1558
Provides service required by the COPs
Medspec, Inc.
2238 N. Glassell Street #E
Orange, CA 92865
Sheet
7
Menkin, Elizabeth MD
535 South 13th Street
San Jose, CA 95112
Physician Agreement
Metlife c/o Fascore, LLC
Dept. 0408
Denver, CO 80256-0408
Employee benefits
Metropolitan Life Insurance Co
3131 Camino Del Rio N.
San Diego, CA 92108
Retirement Plan
of 13
continuation sheets attached to the Schedule of Executory Contracts and Unexpired Leases
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Case 13-01179-MM11
In re
Filed 02/19/13
San Diego Hospice & Palliative Care Corporation
Doc 64-8
,
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Case No.
13-01179-MM11
Debtor
SCHEDULE G - EXECUTORY CONTRACTS AND UNEXPIRED LEASES
(Continuation Sheet)
Name and Mailing Address, Including Zip Code,
of Other Parties to Lease or Contract
Sheet
8
Description of Contract or Lease and Nature of Debtor's Interest.
State whether lease is for nonresidential real property.
State contract number of any government contract.
Mission Hills Health Care
4033 Sixth Avenue Extension
San Diego, CA 92103
Required by COPs to have a written agreement
with Nursing Facility
Molina Healthcare of Californi
2211 Massachusetts Ave.
Lemon Grove, CA 91945
SNF, required by COPs to have contract on file
Moore, Dominic MD
4029 E. Campbell Avenue
Phoenix, AZ 85018
Physician Fellowship
Moore, Shannon MD
4311 Third Avenue
San Diego, CA 92103
Physician Agreement
Morehead, Robert Clint MD
1360 Eastern Parkway #10
Louisville, KY 40204
Physician Agreement
Mt. Miguel Covenant Village
325 Kempton Street
Spring Valley, CA 91977
Required by COPs to haev a written agreement
with Nursing Facility
Norman Park Senior Center
270 F. Street
Chula Vista, CA 91910
Room rental for group bereavement meetings,
COP requirement
Otis Elevator Company
4619 Viewridge Ave
San Diego, CA 92123
Maintenance for 4311 Elevator
Outcome Resources, LLC
2210 Plaza Drive
Sacramento, CA 95765
Pharmacy Benefits Manager
Pacific Regent of La Jolla
3890 Nobel Drive
San Diego, CA 92122
Required by COPs to have a written agreement
with Nursing Facility
Palomar Continuing Care Ctr
1817 Avenida Del Diablo
Escondido, CA 92029
Required by COPs to have a written agreement
with Nursing Facility
Palomar Heights Care Center
1260 E. Ohio Avenue
Escondido, CA 92027
Required by COPs to have a written agreement
with Nursing Facility
Palomar Pomerado Health
15615 Pomerado Road
Poway, CA 92064
Inpatient services agreement
of 13
continuation sheets attached to the Schedule of Executory Contracts and Unexpired Leases
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Case 13-01179-MM11
In re
Filed 02/19/13
San Diego Hospice & Palliative Care Corporation
Doc 64-8
,
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Case No.
13-01179-MM11
Debtor
SCHEDULE G - EXECUTORY CONTRACTS AND UNEXPIRED LEASES
(Continuation Sheet)
Name and Mailing Address, Including Zip Code,
of Other Parties to Lease or Contract
Sheet
9
Description of Contract or Lease and Nature of Debtor's Interest.
State whether lease is for nonresidential real property.
State contract number of any government contract.
Palomar Pomerado Health
15255 Innovation Drive 150
San Diego, CA 92128
Inpatient Services agreement
Palomar Vista Healthcare Cente
201 North Fig Street
Escondido, CA 92025
Required by COPs to have a written agreement
with Nursing Facility
Paradise Valley Hospital-CAA
CAA 2006
2400 E. 4th Street
National City, CA 91950
Inpatient Services Agreement
Paradise Village
2700 East 4th Street
National City, CA 91950
Required by COPs to have a written agreement
with Nursing Facility
Parkside Special Care Center
444 W. Lexington Avenue
El Cajon, CA 92020
Required by COPs to have a written agreement
with Nursing Facility
Parkway Hills Center
7760 Parkway Drive
La Mesa, CA 91942
Required by COPs to have a written agreement
with Nursing Facility
Parkway Manor
7760 Parkway Drive
La Mesa, CA 91942
Required by COPs to have a written agreement
with Nursing Facility
Pietras, Christopher MD
2580 West El Camino Avenue
Unit 8101
Sacramento, CA 95833
Fellow-Physician Agreement
Pitney Bowes - Leases
Global Financial Services LLC
P.O. Box 371887
Pittsburgh, PA 15250-7887
Leases of mailroom equipment
Point Loma Rehab and Health
3202 Duke Street
San Diego, CA 92110
Required by COPs to have a written agreement
with Nursing Facility
Poplar Holdings, LLC dba
Poway Healthcare Center
15632 Pomerado Road
Poway, CA 92064
Required by COPs to have a written agreement
with Nursing Facility
Presidio Health Care Center
8625 Lamar Street
Spring Valley, CA 91977
Required by COPs to have a written agreement
with Nursing Facility
of 13
continuation sheets attached to the Schedule of Executory Contracts and Unexpired Leases
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Case 13-01179-MM11
In re
Filed 02/19/13
Doc 64-8
San Diego Hospice & Palliative Care Corporation
,
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Case No.
13-01179-MM11
Debtor
SCHEDULE G - EXECUTORY CONTRACTS AND UNEXPIRED LEASES
(Continuation Sheet)
Name and Mailing Address, Including Zip Code,
of Other Parties to Lease or Contract
Sheet
Description of Contract or Lease and Nature of Debtor's Interest.
State whether lease is for nonresidential real property.
State contract number of any government contract.
Provident Life & Accident Ins.
P.O. Box 403748
Atlanta, GA 30384-3748
Insurance
Purchase Power
P.O. Box 371874
Pittsburgh, PA 20250
Mail equipment
Qs/1 Data Systems
P.O. Box 75154
Charlotte, NC 28275
Pharmacy software for our inhouse pharmacy
Rayle, Steven MD
P.O. Box 64250
Tucson, AZ 85728-4250
Physician Fellowship Agreement
Remington Health Center
16925 Hierba Drive
San Diego, CA 92128
Required by COPs to have a written agreement
with Nursing Facility
Rosenthal, Monica MD
2005 Stuart Street
Berkeley, CA 94703
Physician Fellowship
Salimi, Negin MD
3357 Lebon Drive #302
San Diego, CA 92122
Part-time employed physician
San Diego Gas & Electric (Elec
P.O. Box 25111
Santa Ana, CA 92799-5111
Building operations
San Diego Gas & Electric (Gas)
P.O. Box 25111
Santa Ana, CA 92799-5111
Building operations
Sarcom, Inc. dba Wareforce, CC
P.O. Box 514487
Los Angeles, CA 90051-4487
IT service
Scripps Clinic
File 54433
Los Angeles, CA 90074-4433
Provides consulting physician services to
patients inpatient at Scripps Health
Scripps Health
File 50333
Los Angeles, CA 90074-0333
Inpatient Services Agreement
Seacrest Village/The Dorothy &
Joseph Goldberg HCC
211 Saxony Road
Encinitas, CA 92024
Required by COPs to have a written agreement
with Nursing Facility.
10 of 13
continuation sheets attached to the Schedule of Executory Contracts and Unexpired Leases
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San Diego Hospice & Palliative Care Corporation
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Case No.
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Debtor
SCHEDULE G - EXECUTORY CONTRACTS AND UNEXPIRED LEASES
(Continuation Sheet)
Name and Mailing Address, Including Zip Code,
of Other Parties to Lease or Contract
Sheet
Description of Contract or Lease and Nature of Debtor's Interest.
State whether lease is for nonresidential real property.
State contract number of any government contract.
Sharp Electronics Corporation
Dept. LA 2165
Pasadena, CA 91185-1565
Printers and fax machines
Sharp Rees-Stealy Occu. Med.
4000 Ruffin Rd. #E
San Diego, CA 92123-1800
Employee pre-employment and workers comp
physician services
Slavin, Lisa
7084 Camino Degrazia #244
San Diego, CA 92111
Graphic design of reference materials
Somerset Intermediate Care
151 Claydelle Avenue
El Cajon, CA 92020
Required by COPs to have a written agreement
with Nursing Facility
St. Paul's Senior Homes & Svcs
328 Maple Street
San Diego, CA 92103
Required by COPs to have a written agreement
with Nursing Facility
Stanford Court Nursing Center
of Santee
8778 Cuyamaca Street
Santee, CA 92071
Required by COPs to have a written agreement
with Nursing Facility
Sychangco, Paul MD
43-18 Main Street, Apt. 11E
Flushing, NY 11355
Physician Fellowship
T-Mobile
P.O. Box 51843
Los Angeles, CA 90051-6143
Employee phone agreement
The Bradley Court
675 East Bradley Avenue
El Cajon, CA 92021
Required by COPs to have a written agreement
with Nursing Facility
The Cloisters Nursing Center,
3680 Reynard Way
San Diego, CA 92103
Required by COPs to have a written agreement
with Nursing Facility
The Springs at Pacific Regent
3884 Nobel Drive
San Diego, CA 92122
Required by COPs to have a written agreement
with Nursing Facility
Trane Company
P.O. Box 98167
Chicago, IL 60693
Air System in 4311
UCSD Med Ctr-File 55663
File 55663
Los Angeles, CA 90074
Outpatient services
11 of 13
continuation sheets attached to the Schedule of Executory Contracts and Unexpired Leases
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San Diego Hospice & Palliative Care Corporation
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Case No.
13-01179-MM11
Debtor
SCHEDULE G - EXECUTORY CONTRACTS AND UNEXPIRED LEASES
(Continuation Sheet)
Name and Mailing Address, Including Zip Code,
of Other Parties to Lease or Contract
Sheet
Description of Contract or Lease and Nature of Debtor's Interest.
State whether lease is for nonresidential real property.
State contract number of any government contract.
UCSD Med Group (File 57326)
File 57326
Los Angeles, CA 90074-7326
Outpatient services
UNUM
P.O. Box 406946
Atlanta, GA 30384-6946
Employee benefits
Vanguard Industries West
2440 Impala Drive
Carlsbad, CA 92010-7226
Employee benefits
Victoria Special Care Center/
Jeffrey Pine Holdings, LLC
654 S. Anza Street
El Cajon, CA 92020
Required by COPs to have a written agreement
with Nursing Facility
Villa Monte Vista
12696 Monte Vista Road
Poway, CA 92064
Required by COPs to have a written agreement
with Nursing Facility
Villa Rancho Bernardo
15720 Bernardo Center Drive
San Diego, CA 92127
Required by COPs to have a written agreement
with Nursing Facility
Village Square Nursing Center
1586 W. San Marcos Blvd.
San Marcos, CA 92069
Required by COPs to have a written agreement
with Nursing Facility
Vista Healthcare Center
247 E. Bobier
Vista, CA 92084
Required by COPs to have a written agreement
with Nursing Facility
Vista Knoll Specialized Care
2000 Westwood Road
Vista, CA 92083
Required by COPs to have a written agreement
with Nursing Facility
Vocera Communications, Inc.
525 Race Street, Suite 150
San Jose, CA 95126-3495
IT voicemail system
Waste Management, Inc.
P.O. Box 541065
Los Angeles, CA 90054-1065
Trash pick-up at 4311
Waxie Sanitary Supply
P.O. Box 81006
San Diego, CA 92138-1006
Bathroom at 4311
White Sands of La Jolla
7450 Olivetas Avenue
La Jolla, CA 92037
Required by COPs to have a written agreement
with Nursing Facility
12 of 13
continuation sheets attached to the Schedule of Executory Contracts and Unexpired Leases
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In re
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San Diego Hospice & Palliative Care Corporation
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,
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Case No.
13-01179-MM11
Debtor
SCHEDULE G - EXECUTORY CONTRACTS AND UNEXPIRED LEASES
(Continuation Sheet)
Name and Mailing Address, Including Zip Code,
of Other Parties to Lease or Contract
Sheet
Description of Contract or Lease and Nature of Debtor's Interest.
State whether lease is for nonresidential real property.
State contract number of any government contract.
Williams, Cynthia
1247 Pennsylvania Avenue
San Diego, CA 92103
Physician Agreement
Windors Gardens Convalescent
Center of San Diego
220 East 24th Street
National City, CA 91950
Required by COPs to have a written agreement
with Nursing Facility
Windsor Healthcare Golden
Palms, LLC
1201 34th Street
San Diego, CA 92102
Required by COPs to have a written agreement
with Nursing Facility
Wolters Kluwer Health, Inc.
77 Westport Plaza Drive
Suite 450
Saint Louis, MO 63146-3125
Pharmacy equipment lease
Yang, Holly MD
P.O. Box 7733
San Diego, CA 92167
Physician Agreement
Yeung, Heidi MD
14094 Rue St. Raphael
Del Mar, CA 92014
Physician Agreement
Zimmerman, Collin MD
3076 Palm Street
San Diego, CA 92104
Physician Fellowship
13 of 13
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B6H (Official Form 6H) (12/07)
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In re
San Diego Hospice & Palliative Care Corporation
,
Case No.
13-01179-MM11
Debtor
SCHEDULE H - CODEBTORS
Provide the information requested concerning any person or entity, other than a spouse in a joint case, that is also liable on any debts listed
by debtor in the schedules of creditors. Include all guarantors and co-signers. 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 eight 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, commonwealth, or territory. Include all names used
by the nondebtor spouse during the eight years immediately preceding the commencement of this case. If a minor child is a codebtor or a creditor,
state the child's initials and the name and address of the child's parent or guardian, such as "A.B., a minor child, by John Doe, guardian." Do not
disclose the child's name. See, 11 U.S.C. §112 and Fed. R. Bankr. P. 1007(m).
Check this box if debtor has no codebtors.
NAME AND ADDRESS OF CODEBTOR
NAME AND ADDRESS OF CREDITOR
0
continuation sheets attached to Schedule of Codebtors
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B7 (Official Form 7) (04/10)
United States Bankruptcy Court
Southern District of California
In re
San Diego Hospice & Palliative Care Corporation
Debtor(s)
Case No.
Chapter
13-01179-MM11
11
STATEMENT OF FINANCIAL AFFAIRS
This statement is to be completed by every debtor. Spouses filing a joint petition may file a single statement on which the information for
both spouses is combined. If the case is filed under chapter 12 or chapter 13, a married debtor must furnish information for both spouses whether or
not a joint petition is filed, unless the spouses are separated and a joint petition is not filed. An individual debtor engaged in business as a sole
proprietor, partner, family farmer, or self-employed professional, should provide the information requested on this statement concerning all such
activities as well as the individual's personal affairs. To indicate payments, transfers and the like to minor children, state the child's initials and the
name and address of the child's parent or guardian, such as "A.B., a minor child, by John Doe, guardian." Do not disclose the child's name. See, 11
U.S.C. § 112; Fed. R. Bankr. P. 1007(m).
Questions 1 - 18 are to be completed by all debtors. Debtors that are or have been in business, as defined below, also must complete
Questions 19 - 25. If the answer to an applicable question is "None," mark the box labeled "None." If additional space is needed for the answer
to any question, use and attach a separate sheet properly identified with the case name, case number (if known), and the number of the question.
DEFINITIONS
"In business." A debtor is "in business" for the purpose of this form if the debtor is a corporation or partnership. An individual debtor is "in
business" for the purpose of this form if the debtor is or has been, within six years immediately preceding the filing of this bankruptcy case, any of
the following: an officer, director, managing executive, or owner of 5 percent or more of the voting or equity securities of a corporation; a partner,
other than a limited partner, of a partnership; a sole proprietor or self-employed full-time or part-time. An individual debtor also may be "in
business" for the purpose of this form if the debtor engages in a trade, business, or other activity, other than as an employee, to supplement income
from the debtor's primary employment.
"Insider." The term "insider" includes but is not limited to: relatives of the debtor; general partners of the debtor and their relatives;
corporations of which the debtor is an officer, director, or person in control; officers, directors, and any owner of 5 percent or more of the voting or
equity securities of a corporate debtor and their relatives; affiliates of the debtor and insiders of such affiliates; any managing agent of the debtor. 11
U.S.C. § 101.
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 of the debtor's
business, including part-time activities either as an employee or in independent trade or business, from the beginning of this calendar
year to the date this case was commenced. State also the gross amounts received during the two years immediately preceding this
calendar 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's fiscal 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 the spouses are separated and a joint petition is not filed.)
AMOUNT
$64,246,247.00
SOURCE
7/1/12-1/31/13: Hospice operations
$87,640,589.00
7/1/11-6/30/12: Hospice operations
$82,772,913.00
7/1/10-6/30/11: Hospice operations
2. Income other than from employment or operation of business
None
„
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 the commencement of this case. Give particulars. If a joint petition is filed, state income
for each spouse separately. (Married debtors filing under chapter 12 or chapter 13 must state income for each spouse whether or not a
joint petition is filed, unless the spouses are separated and a joint petition is not filed.)
AMOUNT
SOURCE
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2
3. Payments to creditors
None
„
Complete a. or b., as appropriate, and c.
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 commencement of this case unless the aggregate value
of all property that constitutes or is affected by such transfer is less than $600. Indicate with an (*) any payments that were made to a
creditor on account of a domestic support obligation or as part of an alternative repayment schedule under a plan by an approved
nonprofit budgeting and credit counseling agency. (Married debtors filing under chapter 12 or chapter 13 must include 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.)
NAME AND ADDRESS
OF CREDITOR
None
†
†
AMOUNT STILL
OWING
DATES OF
PAYMENTS/
TRANSFERS
AMOUNT
PAID OR
VALUE OF
TRANSFERS
$0.00
AMOUNT STILL
OWING
$0.00
c. All debtors: List all payments made within one year immediately preceding the commencement of this case to or for the benefit of
creditors who are or were insiders. (Married debtors filing under chapter 12 or chapter 13 must include 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.)
NAME AND ADDRESS OF CREDITOR AND
RELATIONSHIP TO DEBTOR
Graham Erin
11402 Pinehurst Drive
Lakeside, CA 92040
Controller 2/7/10-11/12/12; Acting CFO
12/23/12-2/1/13
*
AMOUNT PAID
b. Debtor whose debts are not primarily consumer debts: List each payment or other transfer to any creditor made within 90 days
immediately preceding the commencement of the case unless the aggregate value of all property that constitutes or is affected by such
transfer is less than $5,850*. If the debtor is an individual, indicate with an asterisk (*) any payments that were made to a creditor on
account of a domestic support obligation or as part of an alternative repayment schedule under a plan by an approved nonprofit
budgeting and credit counseling agency. (Married debtors filing under chapter 12 or chapter 13 must include payments and other
transfers 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.)
NAME AND ADDRESS OF CREDITOR
See Attachment SOFA3b
None
DATES OF
PAYMENTS
DATE OF PAYMENT
1/26/12-2/2/13
AMOUNT PAID
$167,385.68
AMOUNT STILL
OWING
$0.00
Marcantonio Ben
4165 Rochester Road
San Diego, CA 92116
Chief Administrative Officer
1/26/12-2/2/13
$209,994.60
$26,291.74
O'Mary Sharon
8250 Valdosta Avenue
San Diego, CA 92126
Chief Clinical Officer
1/26/12-2/2/13
$209,994.60
$28,472.88
Pacurar Kathleen
5036 Marlborough Drive
San Diego, CA 92116
President and CEO
1/26/12-2/2/13
$391,171.21
$13,928.65
Parker Jolyn
P.O. Box 5000
PMB 195
Rancho Santa Fe, CA 92067
Chief Marketing Officer
1/26/12-2/2/13
$209,084.19
$102.81
Amount subject to adjustment on 4/01/13, and every three years thereafter with respect to cases commenced on or after the date of adjustment.
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3
NAME AND ADDRESS OF CREDITOR AND
RELATIONSHIP TO DEBTOR
Parker William
P. O. Box 5000
PMB 195
Rancho Santa Fe, CA 92067
Chief Operations Officer
DATE OF PAYMENT
1/26/12-2/2/13
AMOUNT PAID
$150,434.20
AMOUNT STILL
OWING
$267,434.47
Bruckner Traci
15895 Pseo Montenero
San Diego, CA 92127
Former Chief Development Officer
1/26/12-2/2/13
$228,375.48
$0.00
Herbst Laurel
4870 Elsa Road
San Diego, CA 92120
Chief Medical Officer
1/26/12-2/2/13
$251,313.30
$6,515.54
Jones, Kathleen
13585 Glencliff Way
San Diego, CA 92130
Former Chief Operating Officer and CFO
1/26/12-2/2/13
$325,657.37
$264,109.83
Oppenheim Steve
700 Front Street
# 1907
San Diego, CA 92101
Former Chief Medical Officer
1/26/12-2/2/13
$244,652.39
$0.00
Von Gunten Charles
4314 Middlesex Drive
San Diego, CA 92116
Provost for The Institute of Palliative Medicine
1/26/12-2/2/13
$469,124.93
$0.00
Williams Cynthia
1247 Pennsylvania Avenue
San Diego, CA 92103
Chief Medical Officer
1/26/12-2/2/13
$71,634.60
$0.00
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 or chapter 13 must include information concerning either or both spouses
whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.)
CAPTION OF SUIT
AND CASE NUMBER
Brookwood Crossroads Investors, LLC v. San
Diego Hospice & Palliative Care Corp., San
Diego Superior Court Case No.
37-2012-00088975-CU-UD-CTL
None
„
NATURE OF
PROCEEDING
Verified
complaint for
unlawful detainer
COURT OR AGENCY
AND LOCATION
San Diego Superior Court, San Diego,
California
STATUS OR
DISPOSITION
b. Describe all property that has been attached, garnished or seized under any legal or equitable process within one year immediately
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 or not a joint petition is filed, unless the spouses are separated and a joint petition is not
filed.)
NAME AND ADDRESS OF PERSON FOR WHOSE
BENEFIT PROPERTY WAS SEIZED
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DATE OF SEIZURE
DESCRIPTION AND VALUE OF
PROPERTY
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4
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 year immediately 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 or not a joint petition is filed, unless the
spouses are separated and a joint petition is not filed.)
NAME AND ADDRESS OF
CREDITOR OR SELLER
DATE OF REPOSSESSION,
FORECLOSURE SALE,
TRANSFER OR RETURN
DESCRIPTION AND VALUE OF
PROPERTY
6. Assignments and receiverships
None
„
a. Describe any assignment of property for the benefit of creditors made within 120 days immediately preceding the commencement of
this case. (Married debtors filing under chapter 12 or chapter 13 must include any assignment 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.)
NAME AND ADDRESS OF ASSIGNEE
None
„
DATE OF
ASSIGNMENT
TERMS OF ASSIGNMENT OR SETTLEMENT
b. List all property which has been in the hands of a custodian, receiver, or court-appointed official within one year immediately
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 or not a joint petition is filed, unless the spouses are separated and a joint petition is not
filed.)
NAME AND ADDRESS
OF CUSTODIAN
NAME AND LOCATION
OF COURT
CASE TITLE & NUMBER
DATE OF
ORDER
DESCRIPTION AND VALUE OF
PROPERTY
7. Gifts
None
„
List all gifts or charitable contributions made within one year immediately preceding the commencement 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 less than $100 per recipient. (Married debtors filing under chapter 12 or chapter 13 must include gifts or contributions 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.)
NAME AND ADDRESS OF
PERSON OR ORGANIZATION
RELATIONSHIP TO
DEBTOR, IF ANY
DATE OF GIFT
DESCRIPTION AND
VALUE OF GIFT
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 a joint petition is filed, unless the spouses are separated and a joint petition is not filed.)
DESCRIPTION AND VALUE
OF PROPERTY
DESCRIPTION OF CIRCUMSTANCES AND, IF
LOSS WAS COVERED IN WHOLE OR IN PART
BY INSURANCE, GIVE PARTICULARS
DATE OF 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 the petition in bankruptcy within one year immediately
preceding the commencement of this case.
NAME AND ADDRESS
OF PAYEE
Procopio
525 B Street
Ste. 2200
San Diego, CA 92101
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DATE OF PAYMENT,
NAME OF PAYOR IF OTHER
THAN DEBTOR
12/20/12
AMOUNT OF MONEY
OR DESCRIPTION AND VALUE
OF PROPERTY
112,957.12
Best Case Bankruptcy
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5
DATE OF PAYMENT,
NAME OF PAYOR IF OTHER
THAN DEBTOR
2/4/13
NAME AND ADDRESS
OF PAYEE
Procopio
525 B Street
Ste. 2200
San Diego, CA 92101
AMOUNT OF MONEY
OR DESCRIPTION AND VALUE
OF PROPERTY
195,520.68
10. Other transfers
None
„
a. List all other property, other than property transferred in the ordinary course of the business or financial affairs of the debtor,
transferred either absolutely or as security within two years immediately preceding the commencement of this case. (Married debtors
filing under chapter 12 or chapter 13 must include transfers 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.)
NAME AND ADDRESS OF TRANSFEREE,
RELATIONSHIP TO DEBTOR
None
„
DATE
DESCRIBE PROPERTY TRANSFERRED
AND VALUE RECEIVED
b. List all property transferred by the debtor within ten years immediately preceding the commencement of this case to a self-settled
trust or similar device of which the debtor is a beneficiary.
NAME OF TRUST OR OTHER
DEVICE
DATE(S) OF
TRANSFER(S)
AMOUNT OF MONEY OR DESCRIPTION AND
VALUE OF PROPERTY OR DEBTOR'S INTEREST
IN PROPERTY
11. Closed financial accounts
None
„
List all financial accounts and instruments held in the name of the debtor or for the benefit of the debtor which were closed, sold, or
otherwise transferred within one year immediately preceding the commencement of this case. Include checking, savings, or other
financial accounts, certificates of deposit, or other instruments; shares and share accounts held in banks, credit unions, pension funds,
cooperatives, associations, brokerage houses and other financial institutions. (Married debtors filing under chapter 12 or chapter 13 must
include information concerning 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.)
TYPE OF ACCOUNT, LAST FOUR
DIGITS OF ACCOUNT NUMBER,
AND AMOUNT OF FINAL BALANCE
NAME AND ADDRESS OF INSTITUTION
AMOUNT AND DATE OF SALE
OR CLOSING
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 either or both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not
filed.)
NAME AND ADDRESS OF BANK
OR OTHER DEPOSITORY
NAMES AND ADDRESSES
OF THOSE WITH ACCESS
TO BOX OR DEPOSITORY
DESCRIPTION
OF CONTENTS
DATE OF TRANSFER OR
SURRENDER, IF ANY
13. Setoffs
None
„
List all setoffs made by any creditor, including a bank, against a debt or deposit of the debtor within 90 days preceding the
commencement of this case. (Married debtors filing under chapter 12 or chapter 13 must include information concerning either or both
spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.)
NAME AND ADDRESS OF CREDITOR
DATE OF SETOFF
AMOUNT OF SETOFF
14. Property held for another person
None
„
List all property owned by another person that the debtor holds or controls.
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NAME AND ADDRESS OF OWNER
DESCRIPTION AND VALUE OF PROPERTY
LOCATION OF PROPERTY
15. Prior address of debtor
None
„
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.
ADDRESS
NAME USED
DATES OF OCCUPANCY
16. Spouses and Former Spouses
None
„
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 years 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
None
„
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:
SITE NAME AND ADDRESS
None
„
„
DATE OF
NOTICE
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.
SITE NAME AND ADDRESS
None
NAME AND ADDRESS OF
GOVERNMENTAL UNIT
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.
NAME AND ADDRESS OF
GOVERNMENTAL UNIT
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DOCKET NUMBER
STATUS OR DISPOSITION
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7
18 . Nature, location and name of business
None
„
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, partner in a
partnership, sole proprietor, or was self-employed in a trade, profession, or other activity either full- or part-time within 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 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 businesses, 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 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 businesses, 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 six
years immediately preceding the commencement of this case.
LAST FOUR DIGITS OF
SOCIAL-SECURITY OR
OTHER INDIVIDUAL
TAXPAYER-I.D. NO.
(ITIN)/ COMPLETE EIN
NAME
None
„
ADDRESS
NATURE OF BUSINESS
BEGINNING AND
ENDING DATES
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.
NAME
ADDRESS
The following questions are to be completed by every debtor that is a corporation or partnership and by any individual debtor who is or has
been, within six years immediately preceding the commencement of this case, any of the following: an officer, director, managing executive, or
owner of more than 5 percent of the voting or equity securities of a corporation; a partner, other than a limited partner, of a partnership, a sole
proprietor, or self-employed in a trade, profession, or other activity, either full- or part-time.
(An individual or joint debtor should complete this portion of the statement only if the debtor is or has been in business, as defined above,
within six years immediately preceding the commencement of this case. A debtor who has not been in business within those six years should go
directly to the signature page.)
19. Books, records and financial statements
None
†
a. List all bookkeepers and accountants who within two years immediately preceding the filing of this bankruptcy case kept or
supervised the keeping of books of account and records of the debtor.
NAME AND ADDRESS
Graham Erin
11402 Pinehurst Drive
Lakeside, CA 92040
DATES SERVICES RENDERED
11/13/12-1/29/13
Jones Kathy
13585 Glen Cliff Way
San Diego, CA 92130
9/16/02-11/12/12
None
†
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.
NAME
AKT CPAs & Business
Consultant
None
†
ADDRESS
7676 Hazard Center Drive
Ste. 1300
San Diego, CA 92108
DATES SERVICES RENDERED
2001-10/2012
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.
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8
NAME
Tom Danker
None
†
ADDRESS
4311 Third Avenue
San Diego, CA 92103
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.
NAME AND ADDRESS
Wells Fargo Bank
2365 Executive Drive
San Diego, CA 92121
DATE ISSUED
12/14/12
Capital Solutions
2817 Carlaris Road
San Marino, CA 91108
12/24/12
Business Debt Solutions
230 California Street
San Francisco
12/14/12
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.
DATE OF INVENTORY
6/30/12
INVENTORY SUPERVISOR
Gary Pongratz
DOLLAR AMOUNT OF INVENTORY
(Specify cost, market or other basis)
$133,267.81; Materials
2/4/13
Rosene Pirrello
$189,461.81; Pharmacy
None
†
b. List the name and address of the person having possession of the records of each of the two inventories reported in a., above.
DATE OF INVENTORY
6/30/12
2/4/13
NAME AND ADDRESSES OF CUSTODIAN OF INVENTORY
RECORDS
Tom Danker
San Diego Hospice
4311 Third Avenue
San Diego, CA 92103
Tom Danker
San Diego Hospice
4311 Third Avenue
San Diego, CA 92103
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.
NAME AND ADDRESS
None
†
NATURE OF INTEREST
PERCENTAGE OF INTEREST
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 or equity securities of the corporation.
NAME AND ADDRESS
Marcantonio Ben
4165 Rochester Road
San Diego, CA 92116
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TITLE
Chief Administrative Officer
NATURE AND PERCENTAGE
OF STOCK OWNERSHIP
n/a
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Filed 02/19/13
Doc 64-10
Pg. 9 of 20
9
NAME AND ADDRESS
O'Mary Sharon
8250 Valdosta Avenue
San Diego, CA 92126
TITLE
Chief Clinical Officer
NATURE AND PERCENTAGE
OF STOCK OWNERSHIP
n/a
Pacurar Kathleen
5036 Marlborough Drive
San Diego, CA 92116
President and CEO
n/a
Parker Jolyn
P.O. Box 5000
PMB 195
Rancho Santa Fe, CA 92067
Chief Marketing Officer
n/a
Parker William
P. O. Box 5000
PMB 195
Rancho Santa Fe, CA 92067
Chief Operations Officer
n/a
Williams Cynthia
1247 Pennsylvania Avenue
San Diego, CA 92103
Chief Medical Officer
n/a
Barnhorst Howard J.
Seltzer Caplan McMahon Vitek
2100 Symphony Towers, 750 B St
San Diego, CA 92101
Board Member
n/a
Gill David M.
3941 Alameda Place
San Diego, CA 92103
Board member
n/a
Boesky Marilynn
6603 Muirlands Drive
La Jolla, CA 92037
Board member
n/a
Gill Gordon M.D.
2815 Sugarman Court
La Jolla, CA 92037
Board member
n/a
Buffington Mika
171 Sanford Street
Encinitas, CA 92024
Board member
n/a
Horn Dan
101 W. Broadway
Ste. 1450
San Diego, CA 92101
Board member
n/a
Durler Berit
3625 Elliott Street
San Diego, CA 92106
Board member
n/a
Howell, Doris A.
3890 Nobel Drive
Ste. 404
San Diego, CA 92122
Board member
n/a
Early Ames S.
P.O. Box 675671
Rancho Santa Fe, CA 92067
Treasurer
n/a
Johnson Arthur C.
1565 Calle de Cinco
La Jolla, CA 92037
Board member
n/a
Gilchrist John M. Jr.
Corti Gilchrist Partnership LL
5465 Morehouse Drive #265
San Diego, CA 92121
Chair
n/a
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NAME AND ADDRESS
Kauder Emanuel M.D.
11391 Legacy Terrace
San Diego, CA 92131
TITLE
Past Chair
NATURE AND PERCENTAGE
OF STOCK OWNERSHIP
n/a
Kurtin Paul MD
1157 Solana Drive
Del Mar, CA 92014
Board member
n/a
Martinez Joseph
Martinez & Cutri Corp.
750 B Street, Ste. 1740
San Diego, CA 92101
Board member
n/a
Pendarvis Marty
5761 Bellevue Ave
La Jolla, CA 92037
Board member
n/a
Navarra Ann
464 Prospect Street
V103
La Jolla, CA 92037
Board member
n/a
Stanton William M.D.
4020 Fifth Avenue
Ste. 401
San Diego, CA 92102
Board member
n/a
Nelson Andrew E.
Willis Allen Real Estate
1131 Wall Street
La Jolla, CA 92037
Board member
n/a
Westreich Ruth
P.O. Box 3601
Rancho Santa Fe, CA 92067
Board member
n/a
Olmstead George E.
3027 Homer Street
San Diego, CA 92106
Secretary
n/a
Woltman Richard
P.O. Box 2249
Rancho Santa Fe, CA 92067
Board member
n/a
22 . Former partners, officers, directors and shareholders
None
„
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.
NAME
None
†
ADDRESS
DATE OF WITHDRAWAL
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.
NAME AND ADDRESS
Graham Erin
11402 Pinehurst Drive
Lakeside, CA 92040
TITLE
Acting CFO
DATE OF TERMINATION
1/13
Herbst Laurel
4870 Elsa Road
San Diego, CA 92120
Chief Medical Officer
2/1/11
Bruckner Traci
15895 Pseo Montenero
San Diego, CA 92127
Chief Development Officer
1/18/13
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Case 13-01179-MM11
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In re San Diego Hospice Palliative Care Corporation
Doc 64-10
Pg. 12 of 20
SOFA SCHEDULE 3b
CREDITOR
PAYMENT
DATE
AMOUNT PAID
ALLSCRIPTS (CHICAGO)
ANDREWS, LAGASSE,
BRANCH, BELL LLP
ANDREWS, LAGASSE,
BRANCH, BELL LLP
12/20/2012
$23,200.19
11/29/2012
$5,339.14
12/6/2012
$3,333.00
ANISH PATEL
11/15/2012
$7,353.50
ANISH PATEL
11/29/2012
$10,602.86
ANISH PATEL
1/21/2013
$7,581.53
BETA HEALTHCARE GROUP
11/29/2012
$15,181.05
BETA HEALTHCARE GROUP
12/20/2012
$15,181.05
1/21/2013
$15,181.05
BETA HEALTHCARE GROUP
BROOKWOOD CROSSROADS
INVESTORS
BROOKWOOD CROSSROADS
INVESTORS
BUSINESS DEBT SOLUTIONS
1/11/2013
$90,222.79
1/11/2013
12/14/2012
$79,187.69
$10,000.00
C&M RELOCATION SYSTEMS
1/10/2013
CARDINAL DISTRIBUTION
11/29/2012
CARDINAL DISTRIBUTION
12/6/2012
CARDINAL DISTRIBUTION
12/20/2012
CARDINAL DISTRIBUTION
1/3/2013
CARDINAL DISTRIBUTION
1/14/2013
CARDINAL DISTRIBUTION
CARE MEDICAL
TRANSPORTATION, INC.
1/21/2013
12/20/2012
CEO CONSULTANCY, INC.
11/9/2012
CGLIC-PHOENIX EASC
11/29/2012
CGLIC-PHOENIX EASC
12/21/2012
CGLIC-PHOENIX EASC
1/31/2013
1667285.2
ADDRESS
24630 NETWORK PLACE,
CHICAGO, IL 60673-1246
11232 EL CAMINO REAL, STE 100,
SAN DIEGO, CA 92130
11232 EL CAMINO REAL, STE 100,
SAN DIEGO, CA 92130
PATELLIATE, INC., 4179 3RD
AVENUE #501, SAN DIEGO, CA
92103
PATELLIATE, INC., 4179 3RD
AVENUE #501, SAN DIEGO, CA
92103
PATELLIATE, INC., 4179 3RD
AVENUE #501, SAN DIEGO, CA
92103
FINANCE DEPT., 1443 DANVILLE
BLVD., ALAMO, CA 94507-1911
FINANCE DEPT., 1443 DANVILLE
BLVD., ALAMO, CA 94507-1911
FINANCE DEPT., 1443 DANVILLE
BLVD., ALAMO, CA 94507-1911
4435 EASTGATE MALL, STE 200,
SAN DIEGO, CA 92121
4435 EASTGATE MALL, STE 200,
SAN DIEGO, CA 92121
11433 WOODSIDE AVE., SUITE B,
$39,600.00 SANTEE, CA 92071
FILE # 56412, LOS ANGELES, CA
$22,460.61 90074-6412
FILE # 56412, LOS ANGELES, CA
$13,644.17 90074-6412
FILE # 56412, LOS ANGELES, CA
$19,572.02 90074-6412
FILE # 56412, LOS ANGELES, CA
$23,306.82 90074-6412
FILE # 56412, LOS ANGELES, CA
$49,996.12 90074-6412
FILE # 56412, LOS ANGELES, CA
$17,084.48 90074-6412
9770 CANDIDA STREET, SAN
$22,050.00 DIEGO, CA 92126
19200 VON KARMAN, SUITE 500,
$6,750.00 IRVINE, CA 92612
5476 Collection Center Drive,
$169,740.27 Chicago, IL 60693-0054
5476 Collection Center Drive,
$165,926.92 Chicago, IL 60693-0054
5476 Collection Center Drive,
$176,439.76 Chicago, IL 60693-0054
1/9
AMOUNT
STILL OWING
53,132.16
124,689.74
28,185.00
Case 13-01179-MM11
Filed 02/19/13
In re San Diego Hospice Palliative Care Corporation
Doc 64-10
Pg. 13 of 20
SOFA SCHEDULE 3b
CREDITOR
PAYMENT
DATE
AMOUNT PAID
Chase Butterfield- Workers Comp 10/02/2012
92,387.00
Chase Butterfield- Workers Comp 11/14/2012
92,387.00
Chase Butterfield- Workers Comp 12/05/2012
92,387.00
Chase Butterfield- Workers Comp 1/8/2013
92,387.00
CHASE CARE CENTER
11/26/2012
CHASE CARE CENTER
12/21/2012
CHERYL KENDRICK
CITY OF SAN DIEGO WATER
DEPT.
CITY OF SAN DIEGO WATER
DEPT.
12/12/2012
COLLEEN STRUHAR
12/19/2012
COLLINGWOOD MANOR
11/26/2012
COLLINGWOOD MANOR
12/21/2012
COX CABLE SAN DIEGO, INC.
12/20/2012
COX CABLE SAN DIEGO, INC.
1/21/2013
DANILYCHEV, MARIA
11/29/2012
1/3/2013
11/21/2012
DANILYCHEV, MARIA
DE LAGE LANDEN FINANCIAL
SVCS
DE LAGE LANDEN FINANCIAL
SVCS
1/18/2013
12/20/2012
DELIVER-IT, LLC
11/29/2012
DELIVER-IT, LLC
1/25/2013
DOSTART CLAPP & COVENEY,
LLP
1/21/2013
1/21/2013
EDD
11/29/2012
ELM HOLDINGS DBA
11/26/2012
1667285.2
ADDRESS
1201 S. ORANGE AVE, EL CAJON,
$7,139.42 CA 92020
1201 S. ORANGE AVE, EL CAJON,
$11,669.80 CA 92020
3620 CURTIS ST., SAN DIEGO, CA
$10,062.40 92106
PO BOX 129020, SAN DIEGO, CA
$5,704.49 92112-9020
PO BOX 129020, SAN DIEGO, CA
$4,685.72 92112-9020
7623 EADS AVE., 1F, LA JOLLA, CA
$13,000.00 92037
553 F STREET, CHULA VISTA, CA
$21,919.80 91910
553 F STREET, CHULA VISTA, CA
$15,188.58 91910
PO BOX 53214, PHONIEX, AZ
$10,563.70 85072-3214
PO BOX 53214, PHONIEX, AZ
$19,627.26 85072-3214
9011 MONTROSE WAY, SAN
$8,100.00 DIEGO, CA 92122
9011 MONTROSE WAY, SAN
$13,000.00 DIEGO, CA 92122
PO BOX 41602, PHILADELPHIA, PA
$2,206.45 19101-1602
PO BOX 41602, PHILADELPHIA, PA
$8,593.06 19101-1602
AMOUNT
STILL OWING
9,704.18
25108 MARGUERITE PARKWAY
$344.25 #A137, MISSION VIEJO, CA 92692
25108 MARGUERITE PARKWAY
$46,294.88 #A137, MISSION VIEJO, CA 92692
4370 LA JOLLA VILLAGE DRIVE,
SUITE 970, SAN DIEGO, CA 92122$43,745.63 1253
ATTN: CASHIER-RB, P.O. BOX
826219, SACRAMENTO, CA 94230$51,378.00 6219
3780 MASSACHUSETTS AVENUE,
$9,814.34 LA MESA, CA 91941
2/9
76,954.53
Case 13-01179-MM11
Filed 02/19/13
In re San Diego Hospice Palliative Care Corporation
Doc 64-10
Pg. 14 of 20
SOFA SCHEDULE 3b
CREDITOR
PAYMENT
DATE
AMOUNT PAID
ELM HOLDINGS DBA
12/21/2012
$5,736.80
ENCINITAS NURSING & REHAB
CENTER
11/26/2012
$3,964.60
ENCINITAS NURSING & REHAB
CENTER
12/21/2012
$4,626.44
FERRIS, M.D., FRANK D.
1/31/2013
$1,066.40
FERRIS, M.D., FRANK D.
11/21/2012
$4,439.45
FERRIS, M.D., FRANK D.
12/6/2012
$636.15
FOLEY & LARDNER
FRANCHISE TAX BOARD PAYROLL
FRANCHISE TAX BOARD PAYROLL
FRANCHISE TAX BOARD PAYROLL
FRANCHISE TAX BOARD PAYROLL
FRANCHISE TAX BOARD PAYROLL
FRANCHISE TAX BOARD PAYROLL
FRANCHISE TAX BOARD PAYROLL
1/22/2013
$57,794.40
11/9/2012
$788.87
11/21/2012
$1,531.76
11/29/2012
$2,085.78
12/20/2012
$31.25
12/20/2012
$1,112.25
1/3/2013
$705.95
1/21/2013
$495.00
FRANCHISE TAX BOARD-RC
11/9/2012
$428.04
FRANCHISE TAX BOARD-RC
11/21/2012
$474.80
FRANCHISE TAX BOARD-RC
11/29/2012
$441.94
FRANCHISE TAX BOARD-RC
12/20/2012
$658.40
FRANCHISE TAX BOARD-RC
1/3/2013
$387.51
FRANCHISE TAX BOARD-RC
1/21/2013
$406.91
FRANK DIPACE, INC.
FREDERICKA MANOR CARE
CENTER
FREDERICKA MANOR CARE
CENTER
12/20/2012
$6,197.17
11/26/2012
$33,391.57
12/21/2012
$6,150.90
GASLAMP HOLDINGS, LLC
11/15/2012
$21,024.64
1667285.2
3/9
ADDRESS
3780 MASSACHUSETTS AVENUE,
LA MESA, CA 91941
REHABILITATION CENTER, 900
SANTA FE DRIVE, ENCINITAS, CA
92024
REHABILITATION CENTER, 900
SANTA FE DRIVE, ENCINITAS, CA
92024
4314 MIDDLESEX DRIVE, SAN
DIEGO, CA 92116
4314 MIDDLESEX DRIVE, SAN
DIEGO, CA 92116
4314 MIDDLESEX DRIVE, SAN
DIEGO, CA 92116
402 W. BROADWAY #2100, SNA
DIEGO, CA 92101
P.O. BOX 942867, SACRAMENTO,
CA 94267-0011
P.O. BOX 942867, SACRAMENTO,
CA 94267-0011
P.O. BOX 942867, SACRAMENTO,
CA 94267-0011
P.O. BOX 942867, SACRAMENTO,
CA 94267-0011
P.O. BOX 942867, SACRAMENTO,
CA 94267-0011
P.O. BOX 942867, SACRAMENTO,
CA 94267-0011
P.O. BOX 942867, SACRAMENTO,
CA 94267-0011
PO BOX 1328, RANCHO
CORDOVA, CA 95741-1328
PO BOX 1328, RANCHO
CORDOVA, CA 95741-1328
PO BOX 1328, RANCHO
CORDOVA, CA 95741-1328
PO BOX 1328, RANCHO
CORDOVA, CA 95741-1328
PO BOX 1328, RANCHO
CORDOVA, CA 95741-1328
PO BOX 1328, RANCHO
CORDOVA, CA 95741-1328
474 LAKEWOOD DRIVE, WINTER
PARK, FL 32789
111 THIRD AVENUE, CHULA
VISTA, CA 91910
111 THIRD AVENUE, CHULA
VISTA, CA 91910
595 HOTEL CIRCLE SOUTH, SAN
DIEGO, CA 92108
AMOUNT
STILL OWING
1,443.75
Case 13-01179-MM11
Filed 02/19/13
In re San Diego Hospice Palliative Care Corporation
Doc 64-10
Pg. 15 of 20
SOFA SCHEDULE 3b
CREDITOR
PAYMENT
DATE
AMOUNT PAID
GHC OF LA MESA, LLC
11/26/2012
$13,798.29
GHC OF LA MESA, LLC
12/21/2012
$2,932.95
GHC OF SANTEE, LLC
11/26/2012
$3,536.00
GHC OF SANTEE, LLC
GLENVIEW ASSISTED
LIVING/GLENBROOK SKILLED
NURSING
12/21/2012
$2,323.24
GUARDIAN
11/29/2012
GUARDIAN
12/21/2012
11/19/2012
HOSPISCRIPT SERVICES, LLC
12/6/2012
HOSPISCRIPT SERVICES, LLC
1/3/2013
ADDRESS
7800 PARKWAY DRIVE, LA MESA,
CA 91942
7800 PARKWAY DRIVE, LA MESA,
CA 91942
OF SANTEE, INC., 8778
CUYAMACA STREET, SANTEE, CA
92071
OF SANTEE, INC., 8778
CUYAMACA STREET, SANTEE, CA
92071
1950 CALLE BARCELONA,
$72,000.00 CARLSBAD, CA 92009
P.O. BOX 677458, DALLAS, TX
$5,235.69 75267-7458
P.O. BOX 677458, DALLAS, TX
$5,167.06 75267-7458
P.O. BOX 933273, ATLANTA, GA
$11,423.49 31193-3273
P.O. BOX 933273, ATLANTA, GA
$22,593.13 31193-3273
P.O. BOX 635864, CINCINNATI, OH
$1,968.59 45263-5864
P.O. BOX 635864, CINCINNATI, OH
$2,057.66 45263-5864
P.O. BOX 635864, CINCINNATI, OH
$1,349.55 45263-5864
P.O. BOX 635864, CINCINNATI, OH
$4,087.99 45263-5864
P.O. BOX 635864, CINCINNATI, OH
$3,285.76 45263-5864
P.O. BOX 635864, CINCINNATI, OH
$4,934.33 45263-5864
P.O. BOX 635864, CINCINNATI, OH
$3,167.11 45263-5864
P.O. BOX 635864, CINCINNATI, OH
$5,525.60 45263-5864
P.O. BOX 635864, CINCINNATI, OH
$3,936.42 45263-5864
INDEPENDENCE MEDICAL
11/21/2012
INDEPENDENCE MEDICAL
11/29/2012
INDEPENDENCE MEDICAL
12/6/2012
INDEPENDENCE MEDICAL
12/13/2012
INDEPENDENCE MEDICAL
12/20/2012
INDEPENDENCE MEDICAL
12/21/2012
INDEPENDENCE MEDICAL
1/3/2013
INDEPENDENCE MEDICAL
1/11/2013
INDEPENDENCE MEDICAL
1/22/2013
INTERNAL REVENUE SERVICE
11/9/2012
$250.00 OGDEN, UT 84201-0039
INTERNAL REVENUE SERVICE
11/21/2012
$250.00 OGDEN, UT 84201-0039
INTERNAL REVENUE SERVICE
11/29/2012
$250.00 OGDEN, UT 84201-0039
INTERNAL REVENUE SERVICE
12/20/2012
$250.00 OGDEN, UT 84201-0039
INTERNAL REVENUE SERVICE
1/3/2013
$250.00 OGDEN, UT 84201-0039
INTERNAL REVENUE SERVICE
1/21/2013
$250.00 OGDEN, UT 84201-0039
1667285.2
4/9
AMOUNT
STILL OWING
347,424.00
179,872.95
11,110.74
Case 13-01179-MM11
Filed 02/19/13
In re San Diego Hospice Palliative Care Corporation
Doc 64-10
Pg. 16 of 20
SOFA SCHEDULE 3b
CREDITOR
PAYMENT
DATE
AMOUNT PAID
IRS-FRESNO
1/3/2013
$2,029.07
IRS-FRESNO
1/21/2013
$1,890.38
I-WEI SHU
11/21/2012
$625.00
I-WEI SHU
11/29/2012
$2,500.00
I-WEI SHU
1/21/2013
$5,500.00
JAMIE VON ROENN
11/9/2012
$6,000.00
JEFFREY PINE HOLDINGS, LLC
11/26/2012
$11,151.42
JEFFREY PINE HOLDINGS, LLC
KEARNY MESA CONV.
HOSPITAL
KEARNY MESA CONV.
HOSPITAL
12/21/2012
$776.28
11/26/2012
$28,843.04
12/21/2012
$23,479.76
11/26/2012
$26,295.78
12/21/2012
$22,732.28
11/26/2012
$4,856.70
12/21/2012
$4,150.50
LIFECARE SOLUTIONS
11/21/2012
$216,363.20
LIFECARE SOLUTIONS
12/21/2012
$173,392.60
LIFECARE SOLUTIONS
1/21/2013
$120,227.25
LIFECARE SOLUTIONS
LIFEHOUSE SAN DIEGO
OPERATIONS
LIFEHOUSE SAN DIEGO
OPERATIONS
1/25/2013
$5,388.00
11/26/2012
$26,595.28
12/21/2012
$17,094.58
LILAC HOLDINGS, LLC
11/26/2012
$10,226.06
LILAC HOLDINGS, LLC
MCKESSON GENERAL
MEDICAL CORP
MCKESSON GENERAL
MEDICAL CORP
12/21/2012
$9,240.41
12/6/2012
$4,558.10
12/20/2012
$8,978.89
LA JOLLA NURSING
REHABILITATION CENTER
LA JOLLA NURSING
REHABILITATION CENTER
LEMON GROVE HEALTH
ASSOCIATES LLC
LEMON GROVE HEALTH
ASSOCIATES LLC
1667285.2
5/9
ADDRESS
UNITED STATES TREASURY,
FRESNO, CA 93888-0025
UNITED STATES TREASURY,
FRESNO, CA 93888-0025
1007 BIRGMINGHAM DR, CARDIFF,
CA 92007
1007 BIRGMINGHAM DR, CARDIFF,
CA 92007
1007 BIRGMINGHAM DR, CARDIFF,
CA 92007
186 N. MARION ST., OAK PARK, IL
60301
622 SOUTH ANZA STREET, EL
CAJON, CA 92020
622 SOUTH ANZA STREET, EL
CAJON, CA 92020
7675 FAMILY CIRCLE, SAN DIEGO,
CA 92111
7675 FAMILY CIRCLE, SAN DIEGO,
CA 92111
REHABILITATION CENTER, 2552
TORREY PINES ROAD, LA JOLLA,
CA 92037
REHABILITATION CENTER, 2552
TORREY PINES ROAD, LA JOLLA,
CA 92037
8351 BROADWAY, LEMON GROVE,
CA 91945
8351 BROADWAY, LEMON GROVE,
CA 91945
FILE 1331, PASADENA, CA 911991331
FILE 1331, PASADENA, CA 911991331
FILE 1331, PASADENA, CA 911991331
FILE 1331, PASADENA, CA 911991331
2828 MEADOWLARK DRIVE, SAN
DIEGO, CA 92123
2828 MEADOWLARK DRIVE, SAN
DIEGO, CA 92123
6061 BANBURY STREET, SAN
DIEGO, CA 92139
6061 BANBURY STREET, SAN
DIEGO, CA 92139
P.O. BOX 933027, ATLANTA, GA
31193-3027
P.O. BOX 933027, ATLANTA, GA
31193-3027
AMOUNT
STILL OWING
Case 13-01179-MM11
Filed 02/19/13
In re San Diego Hospice Palliative Care Corporation
Doc 64-10
Pg. 17 of 20
SOFA SCHEDULE 3b
CREDITOR
MCKESSON GENERAL
MEDICAL CORP
PAYMENT
DATE
AMOUNT PAID
1/11/2013
$8,596.10
MEDLINE INDUSTRIES, INC.
11/29/2012
$16,538.50
MEDLINE INDUSTRIES, INC.
12/20/2012
$17,828.46
MEDLINE INDUSTRIES, INC.
1/14/2013
$21,153.57
MEDLINE INDUSTRIES, INC.
MJE MARKETING SERVICES,
INC.
MT. MIGUEL COVENANT
VILLAGE
MT. MIGUEL COVENANT
VILLAGE
1/21/2013
$21,323.48
12/6/2012
$9,250.00
11/26/2012
$9,761.41
12/21/2012
$4,705.74
OFFICE MAX
11/29/2012
$220.13
OFFICE MAX
12/6/2012
$249.70
OFFICE MAX
12/20/2012
$4,995.25
OFFICE MAX
1/3/2013
$6,125.01
OFFICE MAX
1/11/2013
$10,324.27
OUTCOME RESOURCES, LLC
1/14/2013
$28,571.53
PALOMAR POMERADO HEALTH
12/6/2012
$3,875.25
PALOMAR POMERADO HEALTH
12/21/2012
$6,835.00
POPLAR HOLDINGS, LLC
11/26/2012
$20,568.84
POPLAR HOLDINGS, LLC
PROCOPIO, CORY,
HARGREAVES & SAVITCH
12/21/2012
$10,130.64
12/20/2012
$112,957.12
1/3/2013
$9,909.29
1/10/2013
$20,388.46
11/21/2012
$22,398.24
12/20/2012
$17,763.07
1/21/2013
$15,178.82
QUEST DIAGNOSTICS 50368
RUSH PRESS
SAN DIEGO GAS &
ELECTRIC(ELECT)
SAN DIEGO GAS &
ELECTRIC(ELECT)
SAN DIEGO GAS &
ELECTRIC(ELECT)
SAN DIEGO GAS & ELECTRIC(EL
1667285.2
1/31/2013
$143.54
6/9
ADDRESS
P.O. BOX 933027, ATLANTA, GA
31193-3027
DEPT. LA 21558, PASADENA, CA
91185-1558
DEPT. LA 21558, PASADENA, CA
91185-1558
DEPT. LA 21558, PASADENA, CA
91185-1558
DEPT. LA 21558, PASADENA, CA
91185-1558
3111 CAMINO DEL RIO NORTH,
STE. 100, SAN DIEGO, CA 92108
325 KEMPTON ST., SPRING
VALLEY, CA 91977
325 KEMPTON ST., SPRING
VALLEY, CA 91977
PO BOX 79515, CITY OF
INDUSTRY, CA 91716-95
PO BOX 79515, CITY OF
INDUSTRY, CA 91716-95
PO BOX 79515, CITY OF
INDUSTRY, CA 91716-95
PO BOX 79515, CITY OF
INDUSTRY, CA 91716-95
PO BOX 79515, CITY OF
INDUSTRY, CA 91716-95
2210 PLAZA DR. #300, ROCKLIN,
CA 95765
15255 INNOVATION DRIVE 150,
SAN DIEGO, CA 92128
15615 POMERADO ROAD, POWAY,
CA 92064
15632 POMERADO RD, POWAY,
CA 92064
15632 POMERADO RD, POWAY,
CA 92064
P.O. BOX 12623, SAN DIEGO, CA
92101-9998
FILE 50368, LOS ANGELES, CA
90074-0368
3553 CALIFORNIA STREET, SAN
DIEGO, CA 92101
P.O. BOX 25111, SANTA ANA, CA
92799-5111
P.O. BOX 25111, SANTA ANA, CA
92799-5111
P.O. BOX 25111, SANTA ANA, CA
92799-5111
P.O. BOX 25111, SANTA ANA, CA
92799-5111
AMOUNT
STILL OWING
15,135.41
158,087.08
4,002.00
6,583.81
95,977.28
13,619.12
11,109.03
Case 13-01179-MM11
Filed 02/19/13
In re San Diego Hospice Palliative Care Corporation
Doc 64-10
Pg. 18 of 20
SOFA SCHEDULE 3b
CREDITOR
SAN DIEGO GAS &
ELECTRIC(GAS)
SAN DIEGO GAS &
ELECTRIC(GAS)
SAN DIEGO GAS &
ELECTRIC(GAS)
PAYMENT
DATE
AMOUNT PAID
11/21/2012
$1,006.29
12/20/2012
$1,352.31
1/21/2013
$1,604.27
SAN DIEGO HEBREW HOMES
11/26/2012
$11,592.76
SAN DIEGO HEBREW HOMES
12/21/2012
$8,129.27
SCRIPPS HEALTH
11/29/2012
$6,825.00
SCRIPPS HEALTH
11/29/2012
$68.25
SCRIPPS HEALTH
12/6/2012
$4,989.43
SCRIPPS HEALTH
SOMERSET INTERMEDIATE
CARE, INC.
SOMERSET INTERMEDIATE
CARE, INC.
12/6/2012
$2,408.53
11/26/2012
$3,611.79
12/21/2012
$7,066.64
SOUTHWEST STRATEGIES LLC
11/29/2012
$43,127.57
SOUTHWEST STRATEGIES LLC
1/21/2013
$20,322.74
SQUAR MILNER
1/22/2013
$10,000.00
SQUAR MILNER
ST. PAUL'S SENIOR HOMES &
SVCS.
ST. PAUL'S SENIOR HOMES &
SVCS.
1/31/2013
$12,928.40
11/26/2012
$11,007.86
12/21/2012
$10,170.58
ADDRESS
P.O. BOX 25111, SANTA ANA, CA
92799-5111
P.O. BOX 25111, SANTA ANA, CA
92799-5111
P.O. BOX 25111, SANTA ANA, CA
92799-5111
211 SAXONY ROAD, ENCINITAS,
CA 92024
211 SAXONY ROAD, ENCINITAS,
CA 92024
FILE 50367, LOS ANGELES, CA
90074-0367
FILE 50333, LOS ANGELES, CA
90074-0333
FILE 50367, LOS ANGELES, CA
90074-0367
FILE 50341, LOS ANGELES, CA
90074-0400
151 CLAYDELLE AVENUE, EL
CAJON, CA 92020
151 CLAYDELLE AVENUE, EL
CAJON, CA 92020
6050 SANTO RD., SUITE 270, SAN
DIEGO, CA 92124
6050 SANTO RD., SUITE 270, SAN
DIEGO, CA 92124
3655 NOBEL DR. STE 450, SAN
DIEGO, CA 92122
3655 NOBEL DRIVE, SUITE 450,
SAN DIEGO, CA 92122
FINANCE OFFICE, 328 MAPLE
STREET, SAN DIEGO, CA 92103
FINANCE OFFICE, 328 MAPLE
STREET, SAN DIEGO, CA 92103
STAYLOR MADE
COMMUNICATIONS, INC.
11/9/2012
11835 CARMEL MOUNTAIN ROAD,
$18,950.00 #1304-365, SAN DIEGO, CA 92128
STAYLOR MADE
COMMUNICATIONS, INC.
11/15/2012
11835 CARMEL MOUNTAIN ROAD,
$3,000.00 #1304-365, SAN DIEGO, CA 92128
STAYLOR MADE
COMMUNICATIONS, INC.
12/20/2012
SUNSET PRESS, INC.
12/6/2012
SUNSET PRESS, INC.
1/3/2013
SUNSET PRESS, INC.
SYSCO FOOD SERVICES OF
SAN DIEGO
1667285.2
1/25/2013
12/6/2012
11835 CARMEL MOUNTAIN ROAD,
$350.00 #1304-365, SAN DIEGO, CA 92128
6190 FAIRMONT AVE., SUITE B,
$10,958.18 SAN DIEGO, CA 92120
6190 FAIRMONT AVE., SUITE B,
$1,449.23 SAN DIEGO, CA 92120
6190 FAIRMONT AVE., SUITE B,
$232.20 SAN DIEGO, CA 92120
P.O. BOX 509101, SAN DIEGO, CA
$2,988.80 92150-9101
7/9
AMOUNT
STILL OWING
114,042.46
18,896.69
Case 13-01179-MM11
Filed 02/19/13
In re San Diego Hospice Palliative Care Corporation
Doc 64-10
Pg. 19 of 20
SOFA SCHEDULE 3b
CREDITOR
SYSCO FOOD SERVICES OF
SAN DIEGO
THE CLOISTERS NURSING
CENTER, INC.
THE CLOISTERS NURSING
CENTER, INC.
PAYMENT
DATE
AMOUNT PAID
12/20/2012
$2,919.51
12/21/2012
$9,869.24
12/21/2012
$739.80
12/6/2012
$34,075.64
12/6/2012
$4,124.80
1/3/2013
$8,240.00
UNUM (Box 406946)
11/21/2012
$8,994.47
UNUM (Box 406990)
11/21/2012
$9,461.27
11/1/2012
$31,826.36
11/26/2012
$29,097.03
12/21/2012
$17,376.95
VILLA CORONADO CONV.
CENTER
11/26/2012
$23,274.00
VILLA CORONADO CONV.
CENTER
12/21/2012
$16,661.00
1/31/2013
$2,455.00
T-MOBILE
U.S. SECURITY ASSOCIATES,
INC.
U.S. SECURITY ASSOCIATES,
INC.
VANTAGE MEDICAL GROUP
VICTORIA SPECIAL CARE
CENTER, INC.
VICTORIA SPECIAL CARE
CENTER, INC.
VILLA CORONADO CONV. CENTE
VILLA MONTE VISTA
11/26/2012
$6,200.08
VILLA MONTE VISTA
12/21/2012
$4,234.72
VILLA RANCHO BERNARDO
11/26/2012
$5,855.90
VILLA RANCHO BERNARDO
VISTA HEALTHCARE CENTER
VISTA HEALTHCARE CENTER
VISTA HEALTHCARE CENTER
VISTA KNOLL SPECIALIZED
CARE FACILITY
VISTA KNOLL SPECIALIZED
CARE FACILITY
12/21/2012
11/26/2012
11/27/2012
12/21/2012
$5,667.00
$7,014.74
$2,669.50
$5,155.20
11/27/2012
$8,137.68
12/21/2012
$4,496.14
VON GUNTEN, CHARLES
WEATHERBEE RESOURCES,
INC.
11/9/2012
$6,000.00
11/21/2012
$39,656.25
1667285.2
8/9
ADDRESS
P.O. BOX 509101, SAN DIEGO, CA
92150-9101
3680 REYNARD WAY, SAN DIEGO,
CA 92103
3680 REYNARD WAY, SAN DIEGO,
CA 92103
PO BOX 51843, LOS ANGELES, CA
90051-6143
P.O. BOX 931703, ATLANTA, GA
31193
P.O. BOX 931703, ATLANTA, GA
31193
P.O. BOX 406946, ATLANTA, GA
30384-6946
P.O. BOX 406990, ATLANTA, GA
30384-6990
2115 Compton Ave., Dept 100, SAN
DIEGO, CA 92881
654 S ANZA STREET, EL CAJON,
CA 92020
654 S ANZA STREET, EL CAJON,
CA 92020
Attn: DIANE ALEXANDER/SNF,
8695 SPECTRUM CNT CT., SAN
DIEGO, CA 92123
Attn: DIANE ALEXANDER/SNF,
8695 SPECTRUM CNT CT., SAN
DIEGO, CA 92123
Attn: DIANE ALEXANDER/SNF,
8695 SPECTRUM CNT CT., SAN
DIEGO, CA 92123
12696 MONTE VISTA ROAD,
POWAY, CA 92064
12696 MONTE VISTA ROAD,
POWAY, CA 92064
15720 BERNARDO CENTER
DRIVE, SAN DIEGO, CA 92127
15720 BERNARDO CENTER
DRIVE, SAN DIEGO, CA 92127
247 E. BOBIER, VISTA, CA 92084
247 E. BOBIER, VISTA, CA 92084
247 E. BOBIER, VISTA, CA 92084
2000 WESTWOOD ROAD, VISTA,
CA 92083
2000 WESTWOOD ROAD, VISTA,
CA 92083
4314 MIDDLESEX DRIVE, SAN
DIEGO, CA 92116
259 NORTH STREET, HYANNIS,
MA 02601
AMOUNT
STILL OWING
15,461.32
51,781.44
21,635.30
2,455.00
Case 13-01179-MM11
Filed 02/19/13
In re San Diego Hospice Palliative Care Corporation
Doc 64-10
Pg. 20 of 20
SOFA SCHEDULE 3b
CREDITOR
WEATHERBEE RESOURCES,
INC.
PAYMENT
DATE
1/21/2013
WELLS FARGO -- CREDIT CARD
11/21/2012
WELLS FARGO -- CREDIT CARD
12/20/2012
1667285.2
AMOUNT PAID
ADDRESS
259 NORTH STREET, HYANNIS,
$47,429.26 MA 02601
PAYMENT REMITTANCE CENTER,
P.O. BOX 54349, LOS ANGELES,
$21,306.59 CA 90054-0349
PAYMENT REMITTANCE CENTER,
P.O. BOX 54349, LOS ANGELES,
$11,356.65 CA 90054-0349
9/9
AMOUNT
STILL OWING
Case 13-01179-MM11
Filed 02/19/13
Doc 64-11
Pg. 1 of 1
Case 13-01179-MM11
Filed 02/19/13
Doc 64-12
Pg. 1 of 1
Case 13-01179-MM11
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Filed 02/19/13
Doc 64-13
Pg. 1 of 3
Jeffrey Isaacs (Bar No. 042622)
Jamie L. Altman (Bar No. 280075)
PROCOPIO, CORY, HARGREAVES &
SAVITCH LLP
525 B Street, Suite 2200
San Diego, California 92101
Telephone: 619.238.1900
Facsimile: 619.235.0398
[Proposed] Attorneys for Debtor and Debtor in Possession
San Diego Hospice and the Institute for Palliative
Medicine
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UNITED STATES BANKRUPTCY COURT
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FOR THE SOUTHERN DISTRICT OF CALIFORNIA
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In re:
Case No.: 13-01179-MM11
SAN DIEGO HOSPICE AND THE INSTITUTE
FOR PALLIATIVE MEDICINE,
Chapter 11
PROOF OF SERVICE
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Debtor and Debtor in Possession
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I am a resident of the State of California, over the age of eighteen years, and not a party to
the within action. My business address is PROCOPIO, CORY, HARGREAVES & SAVITCH
LLP, 525 “B” Street, Suite 2200, San Diego, California 92101/1917. On February 19, 2013, I
served the within documents:
1.
BALANCE OF SCHEDULES, STATEMENTS, AND/OR CHAPTER 13
PLAN;
2.
SUMMARY OF SCHEDULES;
3.
SCHEDULE A – SCHEDULE OF REAL PROPERTY;
4.
SCHEDULE B – SCHEDULE OF PERSONAL PROPERTY;
5.
SCHEDULE C – SCHEDULE OF PROPERTY CLAIMED EXEMPT;
6.
SCHEDULE D – CREDITORS HOLDING SECURED CLAIMS;
7.
SCHEDULE E – CREDITORS HOLDING UNSECURED PRIORITY
CLAIMS;
8.
SCHEDULE F – CREDITORS HOLDING UNSECURED NONPRIORITY
CLAIMS;
9.
SCHEDULE G – SCHEDULE OF EXECUTORY CONTRACTS &
UNEXPIRED LEASES;
10.
SCHEDULE H – SCHEDULE OF CO-DEBTOR;
11.
STATEMENT OF FINANCIAL AFFAIRS;
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Case No.: 13-01179-MM11
PROOF OF SERVICE
DOCS 114673-000001/1700877.1
Case 13-01179-MM11
Filed 02/19/13
Doc 64-13
Pg. 2 of 3
12.
DECLARATION CONCERNING DEBTOR’S SCHEDULES; and
13.
LIST OF EQUITY SECURITY HOLDERS
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
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BY FACSIMILE based upon court order or an agreement of the parties to accept service
by facsimile, by transmitting via facsimile number (619) 235-0398 the document(s)
listed above to the fax number(s) set forth below on this date before 5:00 p.m. No error
was reported by the fax machine utilized.
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
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BY U.S. MAIL by placing the document(s) listed above in a sealed envelope with
postage thereon fully prepaid, in the United States mail at San Diego, California
addressed as set forth below. I am readily familiar with the firm’s practice of collection
and processing correspondence for mailing. Under that practice it would be deposited
with the U.S. Postal Service on the same day with postage thereon fully prepaid in the
ordinary course of business. I am aware that on motion of the party served, service is
presumed invalid if postal cancellation date or postage meter date is more than one day
after date of deposit for mailing an affidavit.
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
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BY OVERNIGHT DELIVERY by placing the document(s) listed above in a sealed
overnight envelope and depositing it for overnight delivery at San Diego, California,
addressed as set forth below. I am readily familiar with the practice of this firm for
collection and processing of correspondence for processing by overnight mail. Pursuant
to this practice, correspondence would be deposited in the overnight box located at 525
“B” Street, San Diego, California the ordinary course of business on the date of this
declaration.
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
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BY PERSONAL SERVICE by personally delivering the document(s) listed above to
the person(s) at the address(es) listed below: (1) For a party represented by an attorney,
delivery was made to the attorney or at the attorney’s office by leaving the documents in
an envelope or package, which was clearly labeled to identify the attorney being served,
with a receptionist or an individual in charge of the office, between the hours of nine in
the morning and five in the evening; or (2) For a party, delivery was made to the party or
by leaving the documents at the party’s residence with some person not younger than 18
years of age between the hours of eight in the morning and six in the evening.
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
BY MESSENGER SERVICE by providing the above listed document(s) addressed to
the person(s) at the address(es) listed below to a professional messenger service for
personal service. [A declaration by the messenger service to be provided upon request
and/or separately filed.]

BY ELECTRONIC SERVICE based upon court order or an agreement of the parties to
accept service by electronic transmission, by electronically mailing the document(s)
listed above to the e-mail address(es) set forth below, or as stated on the attached service
list and/or by electronically notifying the parties set forth below that the document(s)
listed above can be located and downloaded from the hyperlink provided. No error was
received, within a reasonable time after the transmission, nor any electronic message or
other indication that the transmission was unsuccessful.
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PROOF OF SERVICE
DOCS 114673-000001/1700877.1
Case No.: 13-01179-MM11
Case 13-01179-MM11
1
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Filed 02/19/13
Doc 64-13
Pg. 3 of 3
(Federal) BY CM/ECF NOTICE OF ELECTRONIC FILING by causing such
document(s) listed above to be served through this Court’s electronic transmission
facilities via the Notice of Electronic Filing (NEF) and hyperlink, to the parties and/or
counsel who are determined this date to be registered CM/ECF Users set forth in the
service list obtained from this Court on the Electronic Mail Notice List.
Haeji Hong
Office of the US Trustee
402 West Broadway, Suite 600
San Diego, CA 92101
Tel: (619) 557-5013
Email: Haeji.Hong@usdoj.gov
Counsel for United States
Trustee
Request for Special Notice
William R. Cumming
CUMMING & ASSOCIATES, APC
3080 Bristol Street, Sixth Floor, Suite 630
Costa Mesa, CA 92626
Tel: (714) 432-6494
Facsimile:
(714) 202-3162
Email: cumming@cummingandassociateslaw.com
Counsel for Deliver-It
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.
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(State) I declare under penalty of perjury under the laws of the State of California that
the foregoing is true and correct.
(Federal) I declare under penalty of perjury under the laws of the United States that the
foregoing is true and correct.
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
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Executed on February 19, 2013, at San Diego, California.
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/s/ Kristina Terlaga
Kristina Terlaga
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PROOF OF SERVICE
DOCS 114673-000001/1700877.1
Case No.: 13-01179-MM11