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SEC Filings

8-K
COSI INC filed this Form 8-K on 01/20/2017
Entire Document
 

Xando Cosi of Maryland, Inc.
Case No.
16-13706-MSH
Debtor
Reporting Period
11/29/16-01/02/17
 
STATUS OF POST-PETITION TAXES - See Note Below
The beginning tax liability should be the ending liability from the prior month or, if this is the first report, the amount should be zero.
Attach photocopies of IRS Form 6123 and all applicable state and local forms and/or all federal, state, and local payment receipts to verify payment of taxes.  Attach photocopies of any tax returns filed during the reporting period.

 
Beginning
Tax
Liability
Amount
Withheld or
Accrued
Amount
Paid
Date
Paid
Check No.
or EFT
Ending
Tax
Liability
 
 
 
 
 
 
 
Federal
 
 
 
 
 
 
Income Tax Withholding
 
 
 
 
 
 
FICA-Employee
 
 
 
 
 
 
FICA-Employer
 
 
 
 
 
 
Unemployment
 
 
 
 
 
 
Income
 
 
 
 
 
 
Other:
 
 
 
 
 
 
Total Federal Taxes
 
 
 
 
 
 
State and Local
 
 
 
 
 
 
Income Tax Withholding
 
 
 
 
 
 
Sales
 
 
 
 
 
 
Excise
 
 
 
 
 
 
Unemployment
 
 
 
 
 
 
Real Property
 
 
 
 
 
 
Personal Property
 
 
 
 
 
 
Other:
 
 
 
 
 
 
Total State and Local
 
 
 
 
 
 
Withholding for Employee Healthcare
 
 
 
 
 
 
Premiums, Pensions & Other Benefits
 
 
 
 
 
 
Total Taxes
 
 
 
 
 
 

SUMMARY OF UNPAID POST-PETITION DEBTS - See Note Below
Attach aged listing of accounts payables
 
 
Number of Days Past Due
 
Current
0-30
31-60
61-90
Over 90
Total
Accounts Payable
 
 
 
 
 
 
Wages Payable
 
 
 
 
 
 
Taxes Payable
 
 
 
 
 
 
Rent/Leases-Building
 
 
 
 
 
 
Rent/Leases-Equipment
 
 
 
 
 
 
Secured Debt/Adequate Protection Payments
 
 
 
 
 
 
Professional Fees
 
 
 
 
 
 
Amounts Due to Insiders*
 
 
 
 
 
 
Other:
 
 
 
 
 
 
Other:
 
 
 
 
 
 
Total Postpetition Debts
 
 
 
 
 
 
 
Explain how and when the Debtor intends to pay any past-due post-petition debts.
 
 
 
 
 
*"Insider" is defined in 11 U.S.C. Section 101(31).
MOR-5
9/04
 
Note - Regarding the MOR-5, the Debtor’s Status of Post-Petition Taxes and Summary of Post-Petition Unpaid Debts are reported on a consolidated basis with its parent company, Cosi, Inc.  The Cosi, Inc. MOR-5 has been submitted herewith.
 

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