Case File
efta-efta01087741DOJ Data Set 9OtherAS ar qlkft3 Coed r)
Date
Unknown
Source
DOJ Data Set 9
Reference
efta-efta01087741
Pages
1
Persons
0
Integrity
Extracted Text (OCR)
Text extracted via OCR from the original document. May contain errors from the scanning process.
AS ar qlkft3 Coed r)
Pace 2
Assets (omit cents)
Liabilities (omit cents)
6‘.:-.54
In this Bank
l ogle
mortgages
Primary Residence
(Schedule I)
In Other Institutions
34 2,(71,
Payable
Ott Wholly-Owned RE
(Schedule 7)
Partially Owned RE
Securities
Marketable
_
9.. 1 I
L 5-6
(Schedule 2)
Not Publicly Traded
i
? 913
Notes
To this Bank
7 Accounts Receivable/Notes Receivable (Sch. 3)
Payable
Other Notes Payable
co / 2-2
Net Cash Value Ins. & Annuities (Schedule 4)
I r l
& I
(Schedule 6 & 8)
Margin Account
1
Real
Estate
(Schedule 7)
Primary Residence
7..5' &
Taxes
Income Taxes
Other Wholly-Owned RE
i 10, - 21
Owing
Other Taxes
Partially Owned RE
Unrealized Asset Apprec.
Other Partnership Interest
3 3.2.104o
Estimated Credit Card Balance
2-1O
Equipment & Other Business Assets (Sdi. 8)
Accounts Payable
Deferred Comp & Retirement Plans (Sdi. 5)
Other Liabilities (Itemize on page 1 or attachment)
y1b C o
Other Assets (Itemize on pg. 1 or attach) it.
1- iiif 6z3
I
1
Offshore Assets (Itemize on pg. 1 or attach)
* 4e4 d- 011ecbilef
x69-61089
Ant/ go c‘t a- life
116,1/11
Total Liabilities
5/
62-2_
Total Assets
bleyjeWel leg 23, al
(2, 00 a, /16
Net Worth (Assets Less Liabilities)
6,.-/i(3 f 0 4/
Contingent Liabilities
Instructions: State Total Amount by Type of Liability and Provide Appropnate Detail In The Space Below.
Contingent liabilities are financial obligations of other
or have a statutory obligation to honor in the event of
you will be required to honor In the event of certain contingencies.
my kind. You must disclose all such guarantees, endorsements,
individuals, partnerships, or companies which you have endorsed, guaranteed or otherwise agreed to
certain contingencies and any direct obligations that are not reflected in the balance sheet above that
These include obligations to Bank of America as well as to other banks or creditors of
etc. in this schedule.
1. As Guarantor or Endorser
2. On Leases or Contracts
3. Legal Claims or Judgments
5. S andby Letter of Credit
4. Income Tax Claim o Dispute Amount
6. Other
Type
St
Name of Primary
Obligor
I Due To
Max. Legal
Obligation
Amount
Maturity
Explanation: Include whether you
anticipate having to honor this
liability.
—
—
NOTE THAT LEON D. BLACK PURSUANT TO ESTATE PLANNING ENTERED INTO VARIOUS TRANSACTIONS WITH FAMILY TRUSTS AND
'
—
GRANTOR RETAINED ANNUITY TRUSTS. THESE TRANSACTIONS GIVE RISE TO RECEIVABLES AND PAYABLES BY LEON D. BLACK TO
FAMILY GRANTOR TRUSTS FOR WHICH LEON CI BALCK IS GRANTOR FOR INCOME TAX PURPOSES. THESE iNTRA-FAMILY TRANSACTIONS
—
ARE ZERO SUM TRANSACTIONS AS ANY RECEIVABLE IS EQUAL TO A PAYABLE. FOR REPORTING PURPOSES, THESE TRANSACTIo NS ARE NETTED. —
I
I
I HAVE NO CONTINGENT LIABILITIES
Annual Income/Expense Information
Afatony, Chid supped or Separate Maintenance Income need nal be revealed unless you Mal to have room eionskfeedl as a Dub for riPleing the ddlund cram
Sources of Cash
Last Year
tot 7g, /3
Projected This
Year 18 _20///
Uses of Cash
Last Year
19_
Projected this
Year 19_
Retuning
Expenses
Salary & Wages
Income Taxes & FICA
Commissions, Bonus, Etc.
Other Payroll Deduction
Interest & Dividends
Living Expense, Misc.
Real Estate Income
Real Estate Expense
Trust Income
Planned Investments
Other Business Income
Alimony, Child Support, Separate Maint.
Other
Other
Sub Total
Sub Total
Non-Retuning
Debt Service
Commissions, Bonus, Etc.
Primary Residence Prnt.
Sale of Assets
Scheduled Principal & Int.
Tax Refund
Other Interest Pmts.
Other
Other Principal Pmts.
Contingent Liability Pmts.
Total Cash Uses
Total Cash Sources
VOC, elCo
3OO,000
Total Cash Flow
EFTA01087741
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