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SEC Filings

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

Hearthstone Associates, LLC.
Case No.
16-13707-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
Amount
     
Ending
 
Tax
Withheld or
Amount
Date
Check No.
Tax
 
Liability
Accrued
Paid
Paid
or EFT
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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