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<br /> ...,�; .{CoEpic iedon/pairtnershlp Case) Eastern District Of CallforMa `+`• - WOO
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<br /> Cele N19fr16t8T 9b•229a2-II•11 Dan,
<br /> 'fled:3)j In to(Name of Debtor) (Sacrmneo�c) se Number e6-22902•5-1 t p'aiptp'Q�9'It'Q'Q,p9" .
<br /> In rc:
<br /> East-West Healthcare IJ.C,68-0350118 II20 SAW.Dr. East-West HeaRhoare LLC
<br /> Ged.id:
<br /> Lodi,CA 95240
<br /> MAR
<br /> NOTE:T1Us fpm should rip W used to make a claim for an administrative expense arising cher the commencement d
<br /> •"s ' the case.A'requesH for payment of en administrative expense may be filed pursuant to it U.S.C.It 507.
<br /> Namd pf Creditor ❑ Check box a you are.were that
<br /> UNITED STATES SANKRIIP/ (111epersoncrr#�arlNyto aflom diede6rorowes rta�ymproperlyl anyone else has filed a proof of
<br /> Debtor's Avomey: None - CY COURT ) claim relating to your claim.Attach
<br /> Telephone Number. None provided. X c of statement giving particulars.
<br /> Name and Address Where Notices Should be Sent copy 8 8
<br /> ❑Check box 9 you have never recekrod
<br /> Name and Address or Trustee:Jonathan E Tear any notices from the bankruptcy
<br /> P.O.Box 255544 Telephone Number. court in this case.
<br /> Sacramento,CA 9S864 (916)489.8000
<br /> 1)Check box it the address divers
<br /> from the address on the envelope THIS SPACE IS FOR
<br /> Corporation Telephone No. sent to you by the court. COURT USE ONLY
<br /> ❑Parlcrnerihip ACCOUNT OR OTHER NUMBER BY WHICH CREDITOR IDENTIFIES DEBTOR
<br /> Check here it this claim O replaces a previously filed claim,dated'
<br /> amends
<br /> M191iL"1'IN(;UI'(;IticuTlo/Ls 1.BASIS FOR CLAIM
<br /> Location: U.S.Trustee Chapter 11 Meeti.g Room O Retires benefits as defined in 11 U.S.C.$1114(a)
<br /> 650 U.S.Counhouu,Room 6556 Dale&Time:April 19,1996 at 11:00 am ® D Goods sold
<br /> Sac memo,CA 95814 D Services performed D Wages.salaries,and compensation(Fin out below)
<br /> ❑Money loaned Your social security number
<br /> IL9]VG CIMS ❑Personal injury/wrongful death Unpaid compensation for services performed
<br /> Deadline to file a proof of claim:07/1&96 D Taxes ffOm (date) 10 (dale)
<br /> Other(Describe briefly)
<br /> COMMENCEMENT or CASE A petition for rent anvatio.under I-pre,Above And arta eco order for relief has been entered You will not receive voucee oflao theeuB nlmPlq o d is�been,
<br /> in�filed with the couR including hsu of 2.DATE DEBT WAS INCURRED 7.IF COURT JUDGMENT,DATE OBTAINED:
<br /> the debsor's properry and debts,are available for ins by r against the debtor named
<br /> pection at the office of Ne Berk o[We bankruptcy court
<br /> CREDITORS MAY NOT TAKE CERTAIN ACTIONS A creditor is a.yon<to whom the debtor owes
<br /> All—
<br /> certain prorcc_I,agni.n«editors Common examples of prohibited actions money or Property.Under the Ba.lwptcy Code,t!u d<bwr Is 4.CLASSIFICATION OF CLAIM.Under the Bankruptcy Code all claims are classified as one Or more of the following:(1)Unsecured nonpriorily,
<br /> gaivst ate debtor to collect by a er harlot agaiaatdta deb the coeurs may
<br /> by`reditors are wnactivg the debtor to dema.d repaym<°t,raking action (2)Unsecured Pr'rorRy.(3)Secured.it is possible 1p pan Of a claim to De in One category and part in another.
<br /> umutMrized actions arc.ken PmPenY of the debtor,and suruvg or cootimnsi foreclosure.coons or rc
<br /> the'pv31 perry of the debtor should review;362 of the Ba.kruptry Code and ma =.i0'. 11 CHECK THE APPROPRIATE BOX OR BOXES that best describe your claim and STATE
<br /> TME AMOUNT OF THE CLAIM AT TIME CASE FILED.
<br /> 8 gev<ml partners are not necessarily affected by the(illy f this y penalize drat creditor.A creditor who is masided.g taking.Nov agalmt the debtor or
<br /> adsice. 8 o Partnershi ish to seck legal advice.If the debtor u a pan.etship,remedies otherwise available Specify the priority of the claim.
<br /> P case.The staff of the clerk of iba bankm ❑SECURED CLAIM$
<br /> pay coon is not Permitted m give legal Attach evidence of perfection of security Interest O Wages.salaries,or commissions(up to$6000);earned not more than
<br /> MEETING OF CREDITORS.The debtor's represenonive,es s Brief Description of Cogaterat: 90 days before filing of the bankruptcy petition or cessation of the deblor's
<br /> redirors on the date and at the place set font above for We paroled iv Federal Rui<s of Baakrvpiry Procedure 9W7 5 a r ❑Real Estate ❑Motor Vehicle D Other(DeecriDe briefly) business,whichever is earlier-11 U.S.C.f 507(.)(3)
<br /> cooaired.At the mreu.g the creditors purpose of bto, eing examined u.der oath Auendana ()ndflo,equired ro appear at the meeting nor C Contributions to an employee benefit Dl.n-11 U.S.C.'S07(a)(4)
<br /> Dnued or adjoumcd from time to rim eby notice et the meebu.g withou�fucMereh eo bus, o cr<ditorsprof#rty-.a before,rbc thea u.g as we�comed,may
<br /> ot Amount of arrearag and othg charges at time ease filed included in secured ❑5 p to$1,800'of deposes toward purchase,base.p rental d property or
<br /> PROOF OF CWM.Schedules of creditors have bee.or will be filed the ting.The vet g y fir claim above,if any$ arnicas for personal,family,or household use-11 U.S.C.14507Ha)(6)
<br /> elrcs no hsch is not listed as disputed,contingent,or unliquidated as ro amount may,but is not re D Alimony,maintenance.or support owed to a spouse.former spouse.or ehib—
<br /> pursuavt to Federal Rules of Ra.kruptry procedure 3007 Aoy creditor boldin DUNSECURED NONPRIORITY CLAIM$ 1/U.S.C.4 SO71a)(7)
<br /> a t scheduled or whoa claims are listed az disputed, quircd to,file a g a scheduled A claim is unsecured it there is m collateral p lien on property of the ❑Taxes or g
<br /> distribution man file their proofs of claim.q creditor who desacs to ret p1OOf o(clatm i.Utis case.Creditors whose claims debtor securing the claim or to me aslant that the vaWe nl such penalties of governmental units-17 U.S.C.$S07(a)(8)
<br /> puled,esin,; rnL or unliquidated' as to amount and who desire to participate in the roti or share in an
<br /> accurately.The place to file the proof of claim,ed i° ma on the schedules of creditors has, res 9
<br /> property i3 less than the amount of the claim. ❑AOmoUnti applicable
<br /> adjustment on 4/1/98 and every 507(a)-
<br /> 4
<br /> years thereafter with
<br /> roses in the Modesm divizioval office,claims mail mu°ersn.or by si,Is the office 6,the clerk o!We ba.krup�pcytroun atrthe add,—gho�a t2/IIc�laimYe I`sfod ❑UNSECURED PRIORITY CLAIM$ respect to cases commenced on or.flet date o/adjustment.
<br /> document may be reproduced should t be addresud to P.O.Box Sl7y Modesto,G 953S' the Proof of claim
<br /> you desire I.file a proof of claim in
<br /> this case.Bvvelo Printed o°the revers of ibis
<br /> other correspondence pas conmming claims must be dearty marked'CLAl M'and noI cone,,,
<br /> PURPOSE OF CI TATTER 1I FILING.Cha 5.TOTAL AMOUNT OF $
<br /> by the baniu i _ Pter])of the Bankrupiry f:odc enables a debtor to rent a.ize CLAIM AT TIME $
<br /> ptq loan e a on(irmauon hearing Creditors will M give 8 pursuant to a plan A pia.is not effccuve unless:apl�rovrd - (Unsecured) $ (Secured) (PriontY) $ (Total)
<br /> chapter of tae BanlstapirytCMe.The debtor will remain n Pvizseuton o(i n n I<c c<m I ,ors enter "A u.asst a issed ur co v fled to CASE FILED:
<br /> ing any p an v the r
<br /> To request additional ia(orm o is proti"rsl(e.d will cuaI.—w operate any b 'o I trustee Is ane °votbrr ❑Check this be,it claim Includes charges In addition to the principal amount of the claim.Attach itemized statement of all additional eMrge3.
<br /> f$15 W is r d Ills is n ands,document; lease wT to Ppomrcd.
<br /> P"page for hotoco P I to the coon at the address be7ov aced include a uhf-addressed,uifsumped envelope.A search(cc THIS SPACE IS FOR
<br /> eeqq pp P pies.lees must b< id with mon 6.CREDITS AND SETOFFS The amountot all paymentso this claim has been credited and deducted for the propose
<br /> DO NOT$EN'D CASH THROUGH 711E h1Ali-I Monry orders end chec l3 shsll rte made g proof of claim.I filing N s ala m,ala a t has deducted alt amounts mat ala mans owes to debtor.
<br /> e2/order )r in is check or an.nom s heli NO ll R _),Pc. CH J,f SI of making this
<br /> payable to"Clerk US.Bavkry e2/ COURT USE ONLY
<br /> ptry Court
<br /> 7.SUPPORTING DOCUMENTS:Pt[aeh fir.Msrt°RSZit durum rm such as promissory notes,purchase orders,
<br /> voices,itemized statements of running accounts,contracts,court judgments,or evidence of security interests.If the
<br /> documents are not available,explain.If the documents are voluminous.attach a summary.
<br /> DATED: 031211% S.TIME-STAMPED COPY:To receive an acknowledgement of the filing of your claim,enclose a stamped.self-addressed
<br /> POR 7liE COURT envelope,and copy of this proof of claim.
<br /> RICHA1tD G.HCL7"1_EI.
<br /> CLERK,U.S BANKRUPTCY COURT Date Sign and print the name and title,it any,of the creditor W other person
<br /> Sacramento Division Office authorized to file this claim(afla°h copy of power of attomey.it any)
<br /> 'OR41 B9EALT(9194) 650 Capitol Mall
<br /> Sacramento,Ca 95814
<br /> 05615
<br /> 2/4,94 BNC
<br /> Penalty for presenting fraudulent claim:Rne of up to$500,000 or Imprisonment for up to 5 years,or both.18 U.S.C.11 152 and 3571.
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<br /> A
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