Case 18-60440 Doc 1 Filed 07/06/18 Entered 07/06/18 17:24:59 Desc Main

Document Page 1 of 6
Fill in this information to identify your case:

United States Bankruptcy Court for the:

DISTRICT OF MINNESOTA, FERGUS FALLS DIVISION

Case number (if known) Chapter 11

 Check if this an amended
filing

Official Form 201

Voluntary Petition for Non-Individuals Filing for Bankruptcy 4/16
If more space is needed, attach a separate sheet to this form. On the top of any additional pages, write the debtor's name and case number (if known). For
more information, a separate document, Instructions for Bankruptcy Forms for Non-Individuals, is available.

1. Debtor's name Rodgers & Garbow, PLLC

2. All other names debtor

used in the last 8 years
Include any assumed FKA Rodgers Garbow & Jelokov, PLLC
names, trade names and
doing business as names

3. Debtor's federal Employer

Identification Number 81-5282043
(EIN)

4. Debtor's address Principal place of business Mailing address, if different from principal place of
business

1421 Bemidji Ave N

Bemidji, MN 56601-3863
Number, Street, City, State & ZIP Code P.O. Box, Number, Street, City, State & ZIP Code

Beltrami Location of principal assets, if different from principal

County place of business

4121 Bemidji Ave N Bemidji, MN 56601-4348

Number, Street, City, State & ZIP Code

5. Debtor's website (URL)

6. Type of debtor  Corporation (including Limited Liability Company (LLC) and Limited Liability Partnership (LLP))
 Partnership (excluding LLP)
 Other. Specify:

Official Form 201 Voluntary Petition for Non-Individuals Filing for Bankruptcy page 1
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Debtor
Document Page 2 ofCase
6 number (if known)
Rodgers & Garbow, PLLC
Name

7. Describe debtor's business A. Check one:

 Health Care Business (as defined in 11 U.S.C. § 101(27A))
 Single Asset Real Estate (as defined in 11 U.S.C. § 101(51B))
 Railroad (as defined in 11 U.S.C. § 101(44))
 Stockbroker (as defined in 11 U.S.C. § 101(53A))
 Commodity Broker (as defined in 11 U.S.C. § 101(6))
 Clearing Bank (as defined in 11 U.S.C. § 781(3))

 None of the above

B. Check all that apply
 Tax-exempt entity (as described in 26 U.S.C. §501)
 Investment company, including hedge fund or pooled investment vehicle (as defined in 15 U.S.C. §80a-3)
 Investment advisor (as defined in 15 U.S.C. §80b-2(a)(11))

C. NAICS (North American Industry Classification System) 4-digit code that best describes debtor.
See http://www.uscourts.gov/four-digit-national-association-naics-codes.

8. Under which chapter of the Check one:

Bankruptcy Code is the
debtor filing?
 Chapter 7
 Chapter 9

 Chapter 11. Check all that apply:

 Debtor's aggregate noncontingent liquidated debts (excluding debts owed to insiders or affiliates) are
less than $2,566,050 (amount subject to adjustment on 4/01/19 and every 3 years after that).
 The debtor is a small business debtor as defined in 11 U.S.C. § 101(51D). If the debtor is a small
business debtor, attach the most recent balance sheet, statement of operations, cash-flow statement,
and federal income tax return or if all of these documents do not exist, follow the procedure in 11
U.S.C. § 1116(1)(B).
 A plan is being filed with this petition.
 Acceptances of the plan were solicited prepetition from one or more classes of creditors, in
accordance with 11 U.S.C. § 1126(b).
 The debtor is required to file periodic reports (for example, 10K and 10Q) with the Securities and
Exchange Commission according to § 13 or 15(d) of the Securities Exchange Act of 1934. File the
attachment to Voluntary Petition for Non-Individuals Filing for Bankruptcy under Chapter 11 (Official
Form 201A) with this form.
 The debtor is a shell company as defined in the Securities Exchange Act of 1934 Rule 12b-2.
 Chapter 12

9. Were prior bankruptcy

cases filed by or against the
No.
debtor within the last 8  Yes.
years?
If more than 2 cases, attach a
separate list. District When Case number
District When Case number

10. Are any bankruptcy cases

pending or being filed by a
No
business partner or an  Yes.
affiliate of the debtor?
List all cases. If more than 1,
attach a separate list Debtor Relationship
District When Case number, if known

Official Form 201 Voluntary Petition for Non-Individuals Filing for Bankruptcy page 2
 Case 18-60440 Doc 1 Filed 07/06/18 Entered 07/06/18 17:24:59 Desc Main
Debtor
Document Page 3 ofCase
6 number (if known)
Rodgers & Garbow, PLLC
Name

11. Why is the case filed in Check all that apply:

this district?
 Debtor has had its domicile, principal place of business, or principal assets in this district for 180 days immediately
preceding the date of this petition or for a longer part of such 180 days than in any other district.
 A bankruptcy case concerning debtor's affiliate, general partner, or partnership is pending in this district.

12. Does the debtor own or

have possession of any
No
Answer below for each property that needs immediate attention. Attach additional sheets if needed.
real property or personal  Yes.
property that needs
immediate attention? Why does the property need immediate attention? (Check all that apply.)
 It poses or is alleged to pose a threat of imminent and identifiable hazard to public health or safety.
What is the hazard?
 It needs to be physically secured or protected from the weather.
 It includes perishable goods or assets that could quickly deteriorate or lose value without attention (for example,
livestock, seasonal goods, meat, dairy, produce, or securities-related assets or other options).
 Other
Where is the property?
Number, Street, City, State & ZIP Code
Is the property insured?
 No
 Yes. Insurance agency
Contact name
Phone

Statistical and administrative information

13. Debtor's estimation of . Check one:

available funds
Funds will be available for distribution to unsecured creditors.
 After any administrative expenses are paid, no funds will be available to unsecured creditors.

14. Estimated number of 1-49  1,000-5,000  25,001-50,000

creditors  5001-10,000  50,001-100,000
 50-99
 100-199  10,001-25,000  More than100,000
 200-999

15. Estimated Assets  $0 - $50,000 $1,000,001 - $10 million  $500,000,001 - $1 billion

 $50,001 - $100,000  $10,000,001 - $50 million  $1,000,000,001 - $10 billion
 $100,001 - $500,000  $50,000,001 - $100 million  $10,000,000,001 - $50 billion
 $500,001 - $1 million  $100,000,001 - $500 million  More than $50 billion

16. Estimated liabilities  $0 - $50,000 $1,000,001 - $10 million  $500,000,001 - $1 billion

 $50,001 - $100,000  $10,000,001 - $50 million  $1,000,000,001 - $10 billion
 $100,001 - $500,000  $50,000,001 - $100 million  $10,000,000,001 - $50 billion
 $500,001 - $1 million  $100,000,001 - $500 million  More than $50 billion

Official Form 201 Voluntary Petition for Non-Individuals Filing for Bankruptcy page 3
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Debtor
Document Page 4 ofCase
6 number (if known)
Rodgers & Garbow, PLLC
Name

Request for Relief, Declaration, and Signatures

WARNING -- Bankruptcy fraud is a serious crime. Making a false statement in connection with a bankruptcy case can result in fines up to $500,000 or imprisonment
for up to 20 years, or both. 18 U.S.C. §§ 152, 1341, 1519, and 3571.

17. Declaration and signature

of authorized The debtor requests relief in accordance with the chapter of title 11, United States Code, specified in this petition.
representative of debtor
I have been authorized to file this petition on behalf of the debtor.

I have examined the information in this petition and have a reasonable belief that the information is trued and correct.

I declare under penalty of perjury that the foregoing is true and correct.

Executed on July 6, 2018

MM / DD / YYYY

X /s/ Mark Rodgers Mark Rodgers

Signature of authorized representative of debtor Printed name

Title Chief Manager

18. Signature of attorney X /s/ Joseph Dicker Date July 6, 2018

Signature of attorney for debtor MM / DD / YYYY

Joseph Dicker
Printed name

Joseph W. Dicker, P.A.

Firm name

1406 W Lake St Ste 209

Minneapolis, MN 55408-2653
Number, Street, City, State & ZIP Code

Contact phone Email address [email protected]

158264
Bar number and State

Official Form 201 Voluntary Petition for Non-Individuals Filing for Bankruptcy page 4
 Case 18-60440 Doc 1 Filed 07/06/18 Entered 07/06/18 17:24:59 Desc Main
Document Page 5 of 6

Fill in this information to identify the case:

Debtor name Rodgers & Garbow, PLLC
United States Bankruptcy Court for the: DISTRICT OF MINNESOTA,  Check if this is an
FERGUS FALLS DIVISION
Case number (if known): amended filing

Official Form 204

Chapter 11 or Chapter 9 Cases: List of Creditors Who Have the 20 Largest Unsecured Claims and
Are Not Insiders 12/15

A list of creditors holding the 20 largest unsecured claims must be filed in a Chapter 11 or Chapter 9 case. Include claims which
the debtor disputes. Do not include claims by any person or entity who is an insider, as defined in 11 U.S.C. § 101(31). Also, do
not include claims by secured creditors, unless the unsecured claim resulting from inadequate collateral value places the creditor
among the holders of the 20 largest unsecured claims.

Name of creditor and Name, telephone number Nature of claim Indicate if claim Amount of claim
complete mailing address, and email address of (for example, trade debts, is contingent, If the claim is fully unsecured, fill in only unsecured claim amount. If
including zip code creditor contact bank loans, professional unliquidated, or claim is partially secured, fill in total claim amount and deduction for
services, and government disputed value of collateral or setoff to calculate unsecured claim.
contracts) Total claim, if Deduction for value Unsecured claim
partially secured of collateral or setoff
Affinity Plus Credit $20,000.00
Unio
2800 Hannah Ave
NW
Bemidji, MN
56601-5789
AMERICAN $4,500.00
EXPRESS
PO Box 30384
Salt Lake City, UT
84130-0384
AMERICAN $1,800.00
EXPRESS
PO Box 30384
Salt Lake City, UT
84130-0384
Discover $5,000.00
PO Box 30395
Salt Lake City, UT
84130-0395
Dondelinger GM $0.00
2310 Paul Bunyan
Dr NW
Bemidji, MN
56601-5664
FIRST NATIONAL $600,000.00
Bank of Bemidji
1600 Paul Bunyan
Dr NW
Bemidji, MN
56601-4105
FIRST NATIONAL $50,000.00
Bank of Bemidji
1600 Paul Bunyan
Dr NW
Bemidji, MN
56601-4105

Official form 204 Chapter 11 or Chapter 9 Cases: List of Creditors Who Have the 20 Largest Unsecured claims page 1

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Document Page 6 of 6

Debtor Rodgers & Garbow, PLLC Case number (if known)

Name

Name of creditor and Name, telephone number Nature of claim Indicate if claim Amount of claim
complete mailing address, and email address of (for example, trade debts, is contingent, If the claim is fully unsecured, fill in only unsecured claim amount. If
including zip code creditor contact bank loans, professional unliquidated, or claim is partially secured, fill in total claim amount and deduction for
services, and government disputed value of collateral or setoff to calculate unsecured claim.
contracts) Total claim, if Deduction for value Unsecured claim
partially secured of collateral or setoff
Mastercard $4,800.00
Headquarters
2200 Mastercard
Blvd
O'Fallon, MO
63368-7263
US BANK $0.00
Headquarters
800 Nicollet Mall
Minneapolis, MN
55402-7000
Visa Headquarters $4,000.00
900 Metro Center
Blvd
Foster City, CA
94404-2172
Visa Headquarters $25,000.00
900 Metro Center
Blvd
Foster City, CA
94404-2172

Official form 204 Chapter 11 or Chapter 9 Cases: List of Creditors Who Have the 20 Largest Unsecured claims page 2

Software Copyright (c) 2018 CINGroup - www.cincompass.com