EX-99.141 5 a2067871zex-99_141.htm EXHIBIT 99.141 Prepared by MERRILL CORPORATION
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Exhibit 99.141


OFFICE OF THE UNITED STATES TRUSTEE

IN RE:   )   DEBTOR IN POSSESSION OPERATING REPORT
    )        
SN INSURANCE ADMINISTRATORS
  )   REPORT NUMBER  20   Page 1 of 3
    )   FOR THE PERIOD FROM: 01-Nov-01
DEBTOR   )   TO: 30-Nov-01            
    )        

       
CHAPTER 11 CASE NO. SV00-14102-GM   )        

       

1. Profit and Loss Statement

 

Please see Attached Schedule A
A. Related to Business Operations:            
  Gross Sales  
       
  Less Sales Returns and Discounts  
       
    Net Sales      
   
  Less: Cost of Goods Sold            
    Beginning Inventory at Cost  
       
    Add: Purchases  
       
    Less: Ending Inventory at Cost  
       
      Cost of Goods Sold      
   
  Gross Profit          
  Other Operating Revenue (Specify)          
Less: Operating Expenses            
  Officer Compensation  
       
  Salaries & Wages — Other Employees  
       
    Total Salaries & Wages      
   
    Employee Benefits      
   
  Payroll Taxes  
       
  Real Estate Taxes  
       
  Federal and State Income Taxes  
       
    Total Taxes      
   
  Rent and Lease Exp. (Real and Personal Property)  
       
  Interest Expense (Mortgage, Loan, etc.)  
       
  Insurance  
       
  Automobile Expense  
       
  Utilities (Gas, Electric, Water, Telephone, etc.)  
       
  Depreciation and Amortization  
       
  Repairs and Maintenance  
       
  Advertising  
       
  Supplies, Office Expenses, Photocopies, etc.  
       
  Bad Debts  
       
  Miscellaneous Operating Expenses (Specify)  
       
    Total Operating Expenses      
   
  Net Gain/(Loss) from Business Operations          
B. Not Related to Business Operations          
  Income:            
    Interest Income      
   
    Other Non-Operating Revenues (Specify)      
   
    Gross Proceeds on Sale of Assets  
       
    Less: Original Cost of Assets plus Expenses of Sale  
       
      Net Gain/(Loss) on Sale of Assets      
   
    Total Non-Operating Income          
  Expenses Not Related to Business Operations:            
    Legal and Professional Fees      
   
    Other Non-Operating Revenues (Specify)      
   
      Total Non-Operating Expenses          
  NET INCOME /(LOSS) FOR PERIOD          

Revised April 1989   OPERATING REPORT   UST-4



DEBTOR IN POSSESSION OPERATING REPORT NO. 20

    Page 2 of 3

2. Aging of Accounts Payable and Receivable (exclude pre-petition debt from accounts payable):

 
   
  Accounts Payable
  Accounts Receivable
Current   Under 30 days   $0   $0
Overdue   31—60 days   $0   $0
Overdue   61—90 days   PLEASE SEE ATTACHED SCHEDULE B
Overdue   91—120 days   $0   $0
Overdue   121 + days   $0   $0
Total       $0   $0

3. Statement of Status of Payments to Secured Creditors and Lessors:

 
   
   
   
  Post-Petition
Payments Not Made

Creditor/Lessor

  Frequency of
Payments per
Lease/Contract

  Amount of
Each Payment

  Next Payment Due
  Number
  Amount
    NONE                

4. Tax Liability:

Gross Payroll Expense For Period   $ 37,348
Gross Sales for Period Subject to Sales Tax   $ 0

 

 

Date Paid


 

Amount Paid *


 

Post Petition Taxes
Still Owing

Federal Payroll and Withholding Taxes   11/15/01 & 11/30/01   $7,629   0
State Payroll and Withholding Taxes   11/15/01 & 11/30/01   $1,146   0
State Sales and Use Tax   N/A   $0   N/A
Real Property Taxes   N/A   $0   N/A

        ALL PAYROLL TAXES PAID BY ADP
        * Attach photocopies of depository receipts from taxing authority or financial institution to verify that such deposits or payments have been made.

5. Insurance Coverage

 
  Carrier/
Agent

  Amount of
Coverage

  Policy
Exp. Date

  Premium Paid
Thru Date

Worker's Compensation   See Schedule D            
Liability   See Schedule E            
Fire and Extended Coverage   See Schedule E            
Property   See Schedule E            
Theft   See Schedule E            
Life (Beneficiary:                        )   See Schedule E            
Vehicle   See Schedule E            
Other   See Schedule E            


DEBTOR IN POSSESSION OPERATING REPORT NO. 20

    Page 3 of 3

6. Questions:

A.   Has the Debtor provided to any officers, directors, shareholders, or other principals compensation without the approval of the Office of the United States Trustee?
                  : Yes   Explain:  
    X        : No        
B.   Has the Debtor, subsequent to the filing of the petition made any payments on its pre-petition unsecured debt, except as have been authorized by the Court?
                  : Yes   Explain:  
    X        : No        

7. Statement of Unpaid Professional Fees (Post-Petition Only):

Name of Professional

  Type
Professional

  Post-Petition
Unpaid Total

See Schedule F        

8. Narrative Report of Significant Events And Events Out Of The Ordinary Course Of Business:

9. Quarterly Fees: (This Fee must be paid to the United States Trustee every calendar quarter)

Quarterly
Period Ending

  Quarterly
Disbursements
for Quarter

  Quarterly
Fee

  Date Paid
  Amount Paid
  Check No.
  Quarterly
Fee Still Owing


 

 

 

 

 

 

 

 

 

 

 

 

 

I, Alex Corbett — Chief Financial Officer, declare under penalty of perjury that the information contained in the above Debtor in Possession Operating Report is true and complete to the best of my knowledge.

Dated:   1-10-2002
  Signed:   /s/ Alex Corbett



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