FORM 1 (6/92)
TRANSMITTAL OF FINANCIAL REPORTS AND
CERTIFICATION OF COMPLIANCE WITH UNITED STATES TRUSTEE
OPERATING REQUIREMENTS FOR
THE PERIOD ENDED _________________:
IN RE: )
) CASE NO: _______________
) Chapter 11
) Judge: _________________
____________________ )
Debtor )
As debtor in possession, I affirm:
1. That I have reviewed the financial statements attached hereto,
consisting of:
___ Operating Statement (Form 2)
___ Balance Sheet (Form 3)
___ Summary of Operations (Form 4)
___ Monthly Cash Statement (Form 5)
___ Statement of Compensation (Form 6)
___ ___________________________________
and that they have been prepared in accordance with normal and
customary accounting practices, and fairly and accurately reflect
the debtor's financial activity for the period stated;
2. That the insurance as described in Section 4 of the Operating
Instructions and Reporting Requirements For Chapter 11 Cases
IS/IS NOT in effect; and, (if not, attach written explanation)
3. That all postpetition taxes as described in Sections 1 and 14
of the Operating Instructions and Reporting Requirements For
Chapter 11 cases ARE/ARE NOT current. (if not, attach written
explanation)
4. No professional fees (attorney, accountant, etc.) have been
paid without specific court authorization. Explain on separate
sheet if not true.
I hereby certify, under penalty of perjury, that the
information provided herein is true and correct to the
best of my information and belief.
Dated: ______________ ___________________________
Debtor In Possession
__________________ _________
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