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UNITED STATES BANKRUPTCY COURT
FOR THE DISTRICT OF KANSAS
IN RE: LOTS A'BAGELS
CASE NO. 00-11443
DEBTOR(S) CHAPTER 11
MONTHLY REPORT
FOR MONTH OF JUNE, 2000
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CASE NAME: LOTS A' BAGELS
CASE NO. 00-11443
CHAPTER 11
MONTHLY REPORTING AFFIDAVIT
FOR THE MONTH ENDING JUNE 28, 2000
1 PROVIDE THE FOLLOWING INFORMATION REGARDING SALARIES/WAGES
PAID/DUE.
GROSS AMOUNT OF EXECUTIVE SALARIES PAID -
NAME TITLE
RICHARD R WEBB C F O 3,000.00
GROSS AMOUNT OF OTHER WAGES PAID 66,185.06
WERE ANY WAGES/ SALARIES DUE BUT NOT PAID FOR THIS CURRRENT
MONTH? YES X NO . IF YES, PROVIDE THE EMPLOYEE'S NAME
AND TITLE AND AMOUNT DUE.
PAYROLL PAID ON 4/28/00 SCHEDULE 1A 29,912.81
2 PROVIDE THE FOLLOWING INFORMATION REGARDING TAXES PAID/DUE.
ARE ALL POST-PETITION FEDERAL AND STATE TAXES PAID OR DEPOSITED
FOR THE PERIOD? YES NO X
PROVIDE DOLLAR DETAIL OF TAXES FOR THIS PERIOD.
AMOUNT DUE TAXES PAID
TYPE OF TAX FOR MONTH DURING MONTH
CK # DATE AMOUNT
FEDERAL WITHHOLDING ACH TRANSFER 06/12/2000 9,465.58
FICE WITHHOLDING ACH TRANSFER 06/26/2000 10,422.82
EMPLOYER'S FICA
STATE WITHHOLDING ACH TRANSFER 06/15/2000 2,489.00
SALES TAX CKS 5024+5025+5026 06/15/2000 8,299.17
OTHER TAXES
ATTACH PHOTOCOPIES OF IRS FORM 6123 AND SIMILAR RECEIPT FROM THE STATE
TAXING AUTHORITY TO VERIFY THE DEPOSITS OR PAYMENTS
PAGE 1 OF 3
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CASE NAME: LOTS A' BAGELS
CASE NO. 00-11443
CHAPTER 11
MONTHLY REPORTING AFFIDAVIT
FOR THE MONTH ENDING JUNE 28, 2000
3 DOES ALL INSURANCE COVERAGE REMAIN IN EFFECT? YES X NO
TYPE CARRIER POLICY # EXP DATE
PROPERTY DAMAGE TRAVELERS BINDER 105412 JULY 2000
LIABILITY TRAVELERS BINDER 105412 JULY 2000
WORKERS COMP PREFERRED EMPLYRS BINDER 105382 JULY 2000
PREFERRED EMPLYRS BINDER 105402 JULY 2000
OTHER
AUTOMOBILE TRAVELERS BINDER 105423 JULY 2000
PROPERTY/LIABILITY TRAVELERS BINDER 105422 JULY 2000
4 DO ALL REQUIRED LICENSES REMAIN IN EFFECT? YES X NO
DESCRIPTION RENEWAL DATE
FOOD/HEALTH VARIES BY STORE
5 LIST DEBTS INCURRED WHICH HAVE NOT BEEN PAID.
(I.E. UTLITY BILLS, REPAIR BILLS, PROFESSIONAL FEES)
DATE INCURRED CREDITOR PURPOSE AMOUNT
VARIOUS VARIOUS 183,263.22
SCHEDULE 5A
TOTAL 183,263.22
PAGE 2 OF 3
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CASE NAME: LOTS A' BAGELS
CASE NO. 00-11443
CHAPTER 11
MONTHLY REPORTING AFFIDAVIT
FOR THE MONTH ENDING JUNE 28, 2000
6 CHECK [ X] THAT THE FOLLOWING FORMS ARE ATTACHED:
RECEIPTS AND DISBURSEMENTS STATEMENT X
INCOME STATEMENT X
BALANCE SHEET (QUARTERLY ONLY) X
COPY OF BANK STATEMENT (S) X
FORM 6123
COPY OF CHAPTER 11 QUARTERLY FEE
PAYMENT REPORT (INCLUDE FOR MONTH
DURING WHICH FEE IS PAID)
I (WE) DECLARE UNDER PENALTY OF PERJURY THAT THIS REPORT AND ATTACHED
STATEMENTS ARE TRUE AND CORRECT TO THE BEST OF MY (OUR) KNOWLEDGE AND
BELIEF.
DATED: JULY 11, 2000 DEBTOR: *
CO-DEBTOR: **
* THIS REPORT MUST BE SIGNED BY AN INDIVIDUAL HAVING SUFFICIENT KNOWLEDGE
OF THE FACTS TO MAKE A TRUTHFUL AND FULL STATEMENT.
** IF THIS IS A JOINT PETITION, BOTH HUSBAND AND WIFE MUST SIGN.
NOTE: THIS REPORT AND ATTACHED STATEMENTS ARE DUE FOR EACH
CALENDAR MONTH PERIOD FROM TIME OF FILING PETITION (FIRST
REPORT WILL BE FOR A SHORT PERIOD) UNTIL THE CASE IS DISMISSED,
CONVERTED OR A PLAN IS CONFIRMED. THE REPORT IS DUE THE 15TH
OF THE MONTH FOLLOWING THE REPORTING PERIOD. (IE. JANUARY
REPORT IS DUE FEBRUARY 15TH)
REV. 6/93 PAGE 3 OF 3
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