Debtors Statement Regarding Business Records (Cover Sheet For Chapter 11 Small Business)

Appendix 1D. Chapter 11 Small Business Debtor's Statement Pursuant to 11 U.S.C. § 1116(1). UNITED STATES BANKRUPTCY COURT DISTRICT OF SOUTH DAKOTA In re: BOB'S FEED & SEED, INC. dba Bob's Feed Store Tax ID/EIN 18-0111111 Debtor. ) ) ) ) ) ) ) Bankr. No. 18-00001 Chapter 11 DEBTOR'S STATEMENT REGARDING BUSINESS RECORDS PURSUANT TO 11 U.S.C. § 1116(1) Pursuant to 11 U.S.C. § 1116(1), the undersigned hereby certifies under penalty of perjury: (1) Attached are true and correct copies of Debtor's most recent [select all that apply]: : 9 9 : balance sheet statement of operations cash-flow statement federal income tax return (2) The following documents have never been prepared by or for Debtor [select all that apply]: 9 : : 9 balance sheet statement of operations cash-flow statement federal income tax return Dated: March 9, 2018. /s/ Robert M. Seller, Secretary Debtor Bob's Feed & Seed, Inc. 212 Auger Way, Justice, SD 57000 (605)555-5555 Bob_Feed_Seed@meanco.com /s/ Joseph J. Carson, Esq. 101 E. Legal Lane Justice, SD 57000-0000 tele: (605)555-5555 e-mail: jjclaw@legalline.net American LegalNet, Inc. www.FormsWorkFlow.com