Case -CSS Doc 479 Filed 05/27/15 Page 1 of 5 B6E (Official Form 6E) (4/10) In re Baxano Surgical Inc. Check this box if debtor has no creditors holding unsecured priority claims to report on this Schedule E. TYPES OF CLAIMS (Check the appropriate box(es) below if claims in that category are listed on the attached sheets.) Domestic Support Obligations Claims for domestic support that are owed to or recoverable by a spouse former spouse or child of the debtor or the parent legal guardian or responsible relative of such a child or a governmental unit to whom such a domestic support claim has been assigned to the extent provided in 11 U.S.C. 507(a)(1). Extensions of credit in an involuntary case Claims arising in the ordinary course of the debtor's business or financial affairs after the commencement of the case but before the earlier of the appointment of a trustee or the order for relief. 11 U.S.C. 507(a)(3). ü Wages salaries and commissions Wages salaries and commissions including vacation severance and sick leave pay owing to employees and commissions owing to ualifying independent sales representatives up to 11725* per person earned within 180 days immediately preceding the filing of the original petition or the cessation of business whichever occurred first to the extent provided in 11 U.S.C. 507(a)(4). Contributions to employee benefit plans Money owed to employee benefit plans for services rendered within 180 days immediately preceding the filing of the original petition or the cessation of business whichever occurred first to the extent provided in 11 U.S.C. 507(a)(5). Certain farmers and fishermen Claims of certain farmers and fishermen up to 5775* per farmer or fisherman against the debtor as provided in 11 U.S.C. 507(a)(6). Deposits by individuals Claims of individuals up to 2600* for deposits for the purchase lease or rental of property or services for personal family or household use that were not delivered or provided. 11 U.S.C. 507(a)(7). ü Taxes and Certain Other Debts Owed to Governmental Units Taxes customs duties and penalties owing to federal state and local governmental units as set forth in 11 U.S.C. 507(a)(8). Commitments to Maintain the Capital of an Insured Depository Institution Claims based on commitments to the FDIC RTC Director of the Office of Thrift Supervision Comptroller of the Currency or Board of Governors of the Federal Reserve System or their predecessors or successors to maintain the capital of an insured depository institution. 11 U.S.C. 507 (a)(9). Claims for Death or Personal Injury While Was Intoxicated Claims for death or personal injury resulting from the operation of a motor vehicle or vessel while the debtor was intoxicated from using alcohol a drug or another substance. 11 U.S.C. 507(a)(10). * Amounts are subject to adjustment on 4/01/13 and every three years thereafter with respect to cases commenced on or after the date of adjustment. 4 continuation sheets attached
Case -CSS Doc 479 Filed 05/27/15 Page 2 of 5 In re Baxano Surgical Inc. Type of Priority: Wages Salaries and Commissions CREDITOR'S NAME IF Charles Torres 261 Parc Place Dr Milpitas CA 95035 Retention/ 8669.63 4780.71 3888.92 Deborah Baughman 2078 Calabazas Blvd Santa Clara CA 95051 Retention/ 27790.25 12475.00 15315.25 Frederic Schwalenberg 4375 Hendrix Way San Jose CA 95124 Retention/ 24176.75 12475.00 11701.75 Fredric Feiler 321 Folly Island Ct Wilmington NC 28411 9975.37 9975.37 0.00 Jennifer Tran 1912 Ridgemont Dr San Jose CA 95133 2399.80 2399.80 0.00 Martina Hrncir 3039 Kaiser Drive Unit C Santa Clara CA 95051 Retention/ 56154.96 1716.45 54438.51 Sheet no. 1 of 4 continuation sheets attached to Schedule of Subtotals (s of this page) 129166.76 43822.33 85344.43 Schedule E. If applicable report also on the
Case -CSS Doc 479 Filed 05/27/15 Page 3 of 5 In re Baxano Surgical Inc. Type of Priority: Wages Salaries and Commissions CREDITOR'S NAME IF Nghia Van Huynh 1492 Clemente Ave San Jose CA 95122 7350.75 7350.75 0.00 Patrick Forde 425 L St NW Apt 1127 Washington DC 20001 5155.08 0.00 5155.08 Paul Mircik 706A Orange Ave Los Altos CA 94022 Retention/ 25300.11 3338.84 21961.27 Robert Garabedian 436 Costa Messa Terrace Unit F Sunnyvale CA 94085 100440.42 12475.00 87965.42 Scott Heymoss 1741 Hilltop Dr Milford MI 48380 22499.44 7735.00 14764.44 Somanith Bailey 6206 Woodvale Ter Dublin CA 94568 Retention/ 44266.26 12475.00 31791.26 Sheet no. 2 of 4 continuation sheets attached to Schedule of Subtotals (s of this page) 205012.06 43374.59 161637.47 Schedule E. If applicable report also on the
Case -CSS Doc 479 Filed 05/27/15 Page 4 of 5 In re Baxano Surgical Inc. Type of Priority: Wages Salaries and Commissions CREDITOR'S NAME IF Stephanie Tran 1002 Ivy Glen Dr San Jose CA 95133 3200.08 3200.08 0.00 Tammy Nguyen 1721 Orlando Drive San Jose CA 95122 2400.06 2400.06 0.00 Vanessa Lee 759 Russell Lane Milipitas CA 95035 5061.68 5061.68 0.00 William Wengert 511 Hillcrest Road East Lake Quivira KS 66217 16306.79 7735.00 8571.79 Sheet no. 3 of 4 continuation sheets attached to Schedule of Subtotals (s of this page) 26968.61 18396.82 8571.79 Schedule E. If applicable report also on the
Case -CSS Doc 479 Filed 05/27/15 Page 5 of 5 In re Baxano Surgical Inc. Type of Priority: Taxes and Certain Other Debts Owed to Governmental Units CREDITOR'S NAME IF Department of the Treasury Internal Revenue Service Cincinnati OH 45999 medical device tax 22620.70 22620.70 0.00 Donald R White Tax Collector 1221 Oak Street Oakland CA 94612-4285 property taxes 2340.09 2340.09 0.00 Massachusetts Secretary of Commonwealth Corporations Division Boston MA 02108-1512 Income tax 125.00 125.00 0.00 X New Hanover County Tax Office PO Box 580070 Charlotte NC 28258 Property taxes 26929.81 26929.81 0.00 SCC Tax Collector 70 West Hedding Street San Jose CA 95110-1767 property taxes 15879.81 15879.81 0.00 State of Delaware 615 S Dupont Highway Dover DE 19901 franchise tax 5950.00 5950.00 0.00 Sheet no. 4 of 4 continuation sheets attached to Schedule of Subtotals (s of this page) 73845.41 73845.41 0.00 Schedule E. If applicable report also on the 434992.84 179439.15 255553.69